• Title/Summary/Keyword: meniscus

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Study on a Shape Deformation of Water Meniscus for the Rectangular and Circular Tips Moving Horizontally (사각 및 원형 팁의 횡운동에 의한 물 메니스커스 형상변화에 관한 연구)

  • Kim, Sang-Sun;Son, Sung-Wan;Ha, Man-Yeong;Yoon, Hyun-Sik;Kim, Hyung-Rak
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.23 no.12
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    • pp.843-851
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    • 2011
  • A two-dimensional immiscible water meniscus deformation phenomena on a moving tip in a channel has been investigated by using lattice Boltzmann method involving two-phase model. We studied the behavior of a water meniscus between the tip and a solid surface. The contact angles of the tip and a solid surface considered are in the range from $10^{\circ}$ to $170^{\circ}$. The velocity of the tip used in the study are 0.01, 0.001, and 0.0001. The shapes of tip considered are rectangular and circular. The behavior of water confined between the tip and a solid surface depends on the contact angles of the tip and a solid surface, and the tip velocity. When the tip is moving, we can observe the various behaviors of shear deformation of a water meniscus. As time goes on, the behavior of a water meniscus can be classified into three different patterns which are separated from the tip or adhered to the tip or sticked to a solid surface according to the contact angles and the tip velocity.

Efficacy of Manual Therapy for Knee Meniscus Injuries: A Systematic Review and Meta-Analysis (반월상 연골 손상에 대한 수기치료의 효과: 체계적 고찰 및 메타분석)

  • Seok-Beom Kang;Han-Byeol Park;Woo-Seok Shon;Young-Jun Kim;Chang-Hoon Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.17-25
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    • 2022
  • Objectives This study aimed to evaluate the efficacy of manual therapy for knee meniscus injuries. Methods We searched seven electronic databases (MEDLINE, Cochrane Library, CAJ, Wanfang, RISS, ScienceON, and OASIS) to collect randomized controlled trials (RCTs) using the keywords "manual therapy OR chuna OR tuina" and "meniscus injury." Results Eleven RCTs were selected based on the inclusion criteria, and all studies were conducted in China. Five studies were meta-analyzed. The systematic review revealed a positive effect of manual therapy for knee meniscus injury. Low risk of selection, attrition, and reporting bias were demonstrated in all studies. Ten studies had a high risk of performance bias. Conclusions The systematic review reported favorable results using manual therapy for knee meniscus injury. However, this study has several limitations because of the high risk of bias. Further clinical studies and reviews with higher levels of evidence are warranted.

The Causes of Reoperation after Meniscectomy of the Lateral Discoid Meniscus (원판형 연골 절제술 후 재수술의 원인)

  • Lim, H.C.;Shim, J.H.;Ha, H.S.
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.115-120
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    • 1999
  • Purpose : After the total or partial meniscectomy of the lateral discoid meniscus, many patients complain the residual pain or the recurrent symptoms of the meniscus, and some of them need reoperation. We analyzed the causes of the reoperation after initial meniscectomy. Material & Method : Two hundred seventy three patients with the symptomatic lateral discoid meniscus were treated by arthroscopic meniscectomy between October, 1989 and September, 1998. Of the 273 patients, 69 patients were treated by total meniscectomy and 204 patients were treated by partial meniscectomy. The male to female sex ratio was 1:1.04, and the average of the age was 23.1 years old(from 4 to 59 years old). The reoperation was done in 8 patients, of which 1 was the case of total meniscectomy at the initial operation, and the rest 7 were the case of partial meniscectomy. Results : Of the 8 reoperations, 3 patients recurred the meniscal symptoms within the 3rd week after the initial operation, and 5 patients recurred beyond the 3rd week after the initial operation. Among the 3 patients of carly recurrence, 2 patients showed inadequate sizes of the remnant meniscus, and 1 patient showed posterolateral instability of the remained meniscus. Among the 5 patients of late recurrence, 3 patients showed rerupture of the meniscus, and 2 patients showed associated pathology of degenerative arthritis following osteochondritis dissecans. Conclusions : The reoperation rate after initial meniscectomy of the lateral discoid meniscus was higher in partial meniscectomy than total meniscectomy. During the operation of the lateral discoid meniscus, we must determine the adequate resectional margin, confirm the remnant meniscus by probing, and look for the associated pathologies.

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Treatment of Lateral Meniscus Injury (외측 반월상 연골손상의 치료)

  • Bae, Dae-Kyung;Kwon, Oh-Soo;Lim, Chan-Teak
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.92-98
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    • 2001
  • Purpose : To analyze the clinical results of isolated lateral meniscus injury according to discoid versus non-discoid, athletes versus non-athletes and repaired cases versus cases treated with meniscectomy. Materials and Methods : Between January 1997 and June 2000, arthroscopic lateral meniscus surgery was performed in 329 cases. We reviewed 80 cases of isolated lateral meniscus injury without associated ligament injury or other pathologic condition retrospectively. The study population was composed of 54 males and 26 females with average age of 30.2 years(range, $17\~40$ years). Average follow up period was 15 months(range, $12\~39$ months). Eighty cases were classified into three categories; discoid group versus non-discoid group, athletes versus non-athletes, repaired cases versus cases treated with meniscectomy. Clinical evaluation was performed using Lysholm knee score and Tegner activity. Results : Non-discoid group had higher incidence of longitudinal tear than discoid group. Athletes group had higher incidence of repaired cases than non-athletes group. The repaired group had better clinical result than patient treated with meniscectomy group. Conclusion : Although lateral meniscus has some special features including anatomic mobility which can cause instability after meniscectomy and technical difficulties in repairing, it is recommended repairing meniscus tear not only longitudinal but also horizontal and complex tear to obtain better clinical results.

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Comparative Study between MRI and pain, duration, physical examination in 20 patients with knee joint pain (20례 슬통환자의 통증, 이환기간, 물리적 검사법과 MRI소견과의 비교 고찰)

  • Yang, Myung-bok;Jang, Byung-sun;Lee, Dae-yong;Lee, Seung-hoon;Hwang, Byung-chun;Park, Jung-un;Guk, Ui-suk;Lee, Geon-mok
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.221-233
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    • 2002
  • Background and Purpose : MRI(Magnetic Resonance Imaging) has become one of the most sensitive diagnostic tool no evaluate problems of the knee, because it enables us to identify not only osseous tissue but also soft tissues including muscle, fascia, tendon, ligament, meniscus and fat around the knee joint. Objective : To compare between MRI reading and pain, duration, physical examination in patients with pain of knee joint. Methods : 20 patients with pain of knee joint included in this study. This study researched pain-degree, duration, physical examination with pain of knee joint. Using MRI(Horizon Lx 1.0T-GE), we obtained the results. Results : 1. In the distribution of sex; Female rate was 80.0% and male rate was 20.0%. In the distribution of age, above sixty group was the largest group by each 55.0%. 2. In the distribution of MRI reading; 'Meniscus horm tear' was 70.0%, 'Osteoarthritis' was 55.5%, 'ACL partial tear' was 15.0%, 'Bone bruise at tibia, femur' was 15.0%. 3. Correlation between duration of pain and MRI reading showed that acute and subacute stage related various MRI reading, that chronic stage related 'Osteoarthritis' and 'Meniscus horn tear' by each 69.2%, 92.3%. 4. Correlation between pain and MRI reading showed that severe pain(GVI) related 'ACL partial tear, PCL partial tear' by each 100%, that mild pain(GII) related 'Osteoarthritis, Meniscus horn tear' by each 70.0%, 80.0%. 5. Correlation between physical examination and MRI reading showed that Drawer test related ACL partial tear by each 60.0%, that McMurray test related 'Meniscus horn tear' by each 75.0%. 6. Correlation between effect of treatment and MRI reading showed that 'Osteoarthritis, Meniscus horn tear' related good effect, that ACL partial tear related poor effect. Conclusions : These results suggest that acute and sever pain relate 'ACL partial tear, PCL partial tear', that chronic and mild pain related 'Osteoarthritis, Meniscus horn tear'. So it is responsibility to use MRI as a sensitive diagnostic tool in the knee problems.

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MRI Study of the Degenerative Radial Tear of Medial Meniscus (내측 반월상 연골판 후각부의 퇴행성 파열에서 MRI를 이용한 두께의 변화)

  • Kwak, Ji Hoon;Sim, Jae Ang;Kim, Nam Ki;Lee, Beom Koo
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.2
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    • pp.108-112
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    • 2011
  • Purpose: To evaluate the thickness of the posterior horn of the medial meniscus accompanying with degenerative radial tear. Materials and Methods: We retrospectively reviewed 170 cases which show degenerative meniscal tear with variable degree of meniscal degeneration from February 2000 to February 2010. All cases were older than 40 years and 57 cases were men and 113 cases were women. Mean age were 55-year-old. We grouped the cases into 3 categories. Group A were composed with cases which showed horizontal and radial tear in posterior horn of medial meniscus. Group B showed horizontal tear only and group C showed intrasubstance degeneration without meniscal tear. Results: The mean thickness of medial meniscus posterior horn in group A, B, C were 7. 44 mm, 6.52 mm, 6.04 mm respectively. Group A showed significant increase of the thickness of medial meniscus posterior horn than group B, C. Group B also showed significant increase of thickness than group C. The degree of meniscal degeneration was highest in group A, which showed significant higher meniscal degeneration than group B and C, and, group B showed higher degeneration than group C, however, there was no statistically difference between group A and B regarding the degree of meniscal degeneration. Conclusion: The thickness of medial meniscus posterior horn was increased when accompanied with radial tear, which may elicit pain caused by meniscal impingement.

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Modified Inside-Out Suture Technique for Meniscus Repair (변형된Inside-Out 술식을 이용한 반월상 연골 봉합술)

  • Ahn Jin-Hwan;Wang Joon-Ho;Yoo Jae-Chul;Kim Hyung-Gun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.118-123
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    • 2002
  • Purpose: To report modified technique of inside-out suture in repair of tear of postero medial corner of medial meniscus. Operative technique: Arthroscope is placed through anterolateral portal. Suture hook is delivered through anteromedial portal. By rotating the suture hook, it penetrates the inner portion of the torn meniscus from femoral surface to tibial surface of the meniscus for vertically oriented suture. A PDS suture is delivered through the lumen of suture hook, and the suture hook is withdrawn. The both ends of the suture are retrieved through anteromedial portal by a retriever, either grasper or crochet hook.A Zone-specific cannula is positioned below the inferior surface of the meniscus through anterolateral portal. The Looped Needle designed by the authors is delivered through the lumen of the Zone-specific cannula. The suture end of the tibial surface is placed in the loop of the Looped Needle and pulled out to the surface of posteromedial joint line. The suture end of the femoral surface is pulled out in same manner. A transverse skin incision of 1cm size is made adjacent to pulled out suture and the suture is tied. Discussion: Even though modified inside-out suture technique requires longer operation time than conventional inside-out technique, it provides vertically oriented suture and good tissue coaptation. The authors recommend this modified inside-out suture technique to be good alternative in repairing tear of the posteromedial corner of medial meniscus.

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Arthroscopic Reduction of Subluxed Medial Meniscus using Suture Anchor for Restoration of Hoop Stress - Technical Note - (버팀테응력 회복을 위한 아탈구된 내측 반월상 연골의 Suture anchor를 이용한 정복술 - 술기 보고 -)

  • Kim, Jaw-Hwa;Lee, Yoon-Seok;Kim, Chul;Han, Seung-Chul
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.280-284
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    • 2009
  • Purpose: The authors introduce a new technique of arthroscopic reduction of subluxed medial meniscus using suture anchor for the restoration of hoop stress. Operative Technique: Anterolateral, anteromedial, and medial midpatellar arthroscopic portal are used. Arthroscope was inserted through anterolateral portal. Through the scope, we confirmed subluxation of medial meniscus. Transection of menisci including radial and root tear were excluded. We released the anterior horn of medial meniscus through anteromedial and burred the future insertion site of suture anchor. After inserting suture anchor through medial midpatellar portal, we used 90 degree suture hook and no.2 Nylon to retrieve the suture of inserted anchor. We tied the suture by sliding knot-tying method. Weight bearing was limited for 6 weeks postoperatively. Conclusion: Arthroscopic retightening of medial meniscus is less invasive, conserving and progressed method for subluxed meniscus.

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Effect of Casting Temperature and Speed on Formation of Surface Defect in Al-8Zn-2Mg-2Cu Billets Fabricated by Direct-Chill Casting Process (수직 연속주조 공정으로 제조된 Al-8Zn-2Mg-2Cu 빌렛의 표면 결함 형성에 미치는 주조 온도와 주조 속도의 영향)

  • Lee, Yoon-Ho;Kim, Yong-You;Lee, Sang-Hwa;Kim, Min-Seok;Euh, Kwangjun;Lee, Dong-Geun
    • Journal of Korea Foundry Society
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    • v.41 no.3
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    • pp.241-251
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    • 2021
  • 7000-series aluminum alloys are noted for their superior strength compared with other Al alloys, and their billets are generally fabricated by direct-chill (DC) casting. Surface defects in a DC-cast aluminum billet are mainly related to exudation and the meniscus freezing phenomenon, which are influenced by alloy compositions, casting speed, and casting temperature. 7000-series aluminum alloys have a wide freezing range during solidification, which makes it easy for casting defects to occur. In this study, we investigated surface defect evolution in casting billets of Al-8Zn-2Mg-2Cu alloy fabricated by a DC casting process. The billets showed "wavy" or "dotted" surfaces. The wavy surface was formed by meniscus freezing at a lower casting speed (200 mm/min) and temperature (655 ℃). In the wavy surface, refined dendritic cells were observed in a concave region due to the constitutional supercooling caused by meniscus freezing. Meanwhile, at a higher casting temperature (675 ℃), the dotted surface was formed by pore formation. In the dotted surfaces in the billet formed at a high casting speed (230 mm/min), an exudation layer was formed by the high metallostatic head pressure. The dotted region and the smooth region had a refined dendritic morphology and a columnar morphology at the exudation layer, respectively. This is attributed to the formation of gas pores in the dotted region.