• The Journal of Korean Medical History
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• v.21 no.1
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• pp.77-81
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• 2008

상과, also called 정골과 in Korea, was a subclass of External Medicine. Of the many sub-fields belonging to Traditional Korean Medicine, 상과 specializes in technological aspects: therefore its preservation and accedence is emphasized. Traditional 상과학 primarily bases clinical diagnosis and treatment on 수기법. Tang dynasty 藺道人's "仙授理傷續斷秘方, the first medical text specializing in 상과, includes detailed description of the 復位, 夾板固定, training, and medicinal treatment stages of treating bone fracture. Jin dynasty 葛洪's "肘後備急方" introduces a fracture treatment method through 竹夾板固定.

• The Journal of Engineering Geology
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• v.17 no.3
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• pp.455-469
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• 2007

The study area, Bonggil-ri, Gyeongju, SE Korea, is composed of Cretaceous sedimentary rocks, and Tertiary igneous rocks and dykes. A research on fracture developing history and density distribution was carried out on well exposed Tertiary granites. The fractures developed in this area have the following sequence; NW-SE trending duo-tile shear bands (set a), NNW-SSE trending extensional fractures (set d), WNW-ESE trending extensional or normal fractures (set b), NE-SW trending right-lateral fractures (set c), WNW-ESE trending reverse fault reactivated from normal faults (set e) and NW-SE trending left-lateral faults reactivated from shear bands (set a) under brittle condition. According to the result of fracture density analysis, the fracture density in this area depends on rock property rather than rock age, and also higher fracture density is observed around fault damage zones. However, this high fracture density may also be related to the cooling process associated with dyke intrusion as well as rock types and fault movement. Regardless of the reason of the high fracture density, high fracture density itself contributes to fluid flow and migration of chemical elements.

• Journal of Preventive Medicine and Public Health
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• v.47 no.1
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• pp.36-46
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• 2014

Objectives: To evaluate the association between fracture risk and levothyroxine use in elderly women with hypothyroidism, according to previous osteoporosis history. Methods: We conducted a cohort study from the Korean Health Insurance Review and Assessment Service claims database from January 2005 to June 2006. The study population comprised women aged ${\geq}65$ years who had been diagnosed with hypothyroidism and prescribed levothyroxine monotherapy. We excluded patients who met any of the following criteria: previous fracture history, hyperthyroidism, thyroid cancer, or pituitary disorder; low levothyroxine adherence; or a follow-up period <90 days. We categorized the daily levothyroxine doses into 4 groups: ${\leq}50{\mu}g/d$, 51 to $100{\mu}g/d$, 101 to $150{\mu}g/d$, and > $150{\mu}g/d$. The hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated with the Cox proportional hazard model, and subgroup analyses were performed according to the osteoporosis history and osteoporosis-specific drug prescription status. Results: Among 11 155 cohort participants, 35.6% had previous histories of osteoporosis. The adjusted HR of fracture for the > $150{\mu}g/d$ group, compared with the 51 to $100{\mu}g/d$ group, was 1.56 (95% CI, 1.03 to 2.37) in osteoporosis subgroup. In the highly probable osteoporosis subgroup, restricted to patients who were concurrently prescribed osteoporosis-specific drugs, the adjusted HR of fracture for the > $150{\mu}g/d$ group, compared with the 51 to 100 ${\mu}g/d$ group, was 1.93 (95% CI, 1.14 to 3.26). Conclusions: While further studies are needed, physicians should be concerned about potential levothyroxine overtreatment in elderly osteoporosis patients.

• Archives of Craniofacial Surgery
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• v.20 no.3
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• pp.195-198
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• 2019

A-50-year-old male patient presented with complaint of tenderness on the left malar area after traffic accident. Our first impression on him was zygomatic fracture, we did radiologic work-up and physical examination on him. But, on the computed tomography scan, there was no fracture or discontinuity on his facial bone. The computed tomography scan was revealed a 4-cm long foreign body in left maxillary sinus with a large amount of fluid collection. After thorough history taking from him, we reveal the patient had a history of trauma 30 years back on the left zygomatic area with a chopstick. The foreign body was removed via transoral approach with the endoscopic assist. There was no complication after operation.

• Journal of Preventive Medicine and Public Health
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• v.47 no.6
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• pp.289-297
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• 2014

Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.

• Journal of Korean Neurosurgical Society
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• v.46 no.6
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• pp.584-587
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• 2009

Although most authors regard contralateral pedicular fracture with unilateral spondylolysis as an unstable condition and recommend surgical management when immobilization fails in promoting bony healing of the fracture, few researchers have investigated the natural history of pedicle fracture or the causal relationship between symptoms and the fracture. In addition, there are no detailed guidelines that address the management of this disease. We report a rare case of contralateral pedicular fracture associated with unilateral spondylolysis at the L5 level which was successfully treated by rehabilitation with activity modification.

• Journal of Korean Foot and Ankle Society
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• v.12 no.2
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• pp.230-233
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• 2008

The avulsion fracture of the calcaneal tuberosity is rare injury. Usually, it occurs from indirect trauma in old patients with osteoporosis or in patients with diabetic neuropathy. Especially, the bone and joint damage occurred in active patient with severe sensory loss or arthropathy related to nerve damage regardless of the cause is referred to neuropathic arthropathy. Generally, a patient with nondisplacement or minimally displacement is treated by conservative therapy and a patient with severe displacement is treated by open reduction and internal fixation. We experienced a 33 years-old woman with diabetes mellitus who had the displaced avulsion fracture of the calcaneal tuberosity without significant trauma and did not treat. We report upon this case at the 2 years follow-up.

• Proceedings of the KSR Conference
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• 2004.10a
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• pp.674-679
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• 2004

In this study, we investigated the cause analysis on fracture of diesel locomotive engine liner, which was trouble assuming the inflow of cooling water. In order to reveal the cause of fracture, we studied the use history of engine, the drawing of production appearance and the stress distribution of engine in use. Also, we conducted experiments such as tension strength test, bending test and hardness test. Next, we observed fractured sections by SEM for the purposed of explaining the fracture mechanism of engine liner. Test results showed that fracture mechanism was brittle fracture due to coarse casting structure and stress concentration caused by manufacturing badness.

• Journal of Ocean Engineering and Technology
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• v.16 no.2
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• pp.67-71
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• 2002

Damage process of CFRP laminates was characterized by Acoustic Emission (AE). The main objective of this study is to determine if the sources of AE in CERP laminates could be identified from the characteristics of the waveform signals recorded during monotonic tensile test. The time history and power spectrum of each individual wave signal recorded during test were examined and classified according to their special characteristics. The wave from and frequency of AE signal from a specimens is an aid to the determination of the extent of the different fracture mechanism such as matrix crack, debonding, fiber pull-out and fiber fracture as load is increased. Four distinct types of signals were observed regardless of specimen condition. The result showed that the AE method could be effectively used for analysis of fracture mechanism in CFRP laminates.

• Clinics in Shoulder and Elbow
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• v.26 no.1
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• pp.82-86
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• 2023

Intraoperative periprosthetic humeral fractures are a rare but debilitating complication of reverse shoulder arthroplasty and can occur during multiple stages of the procedure. Prior biceps tenodesis has been found to reduce cortical humeral strength and predispose the patient to humeral fracture. We present a case of a 68-year-old female with a previous history of biceps tenodesis due to an irreparable rotator cuff tear. Months later, and after symptoms persisted, a reverse shoulder arthroplasty was performed. During the surgery and while performing final reduction, a fracture line was observed involving the hole used for the previous tenodesis procedure. The fracture was repaired, and the patient reported favorable outcomes. We report several factors that might have contributed to sustenance of this intraoperative fracture including prior biceps tenodesis, use of a press fit humeral stem, and the sex of the patient. Level of evidence: V.