• 대한족부족관절학회지
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• 제21권3호
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• pp.108-112
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• 2017

The midtarsal joint is composed of the talonavicular and calcaneocuboid joints. It is also known as the Chopart joint. Midtarsal joint fracture and dislocation are relatively rare and frequently missed or misdiagnosed. A proper understanding about the anatomy of the midtarsal joint is an essential part in comprehending the mechanism of injury and rationale for treatment. Anatomical reduction of midtarsal joint with correction of the column in length and shape are important; however, it is technically challenging and may require open procedure. Herein, we described a case of initial open reduction and internal fixation for midtarsal joint fracture and dislocation with a brief literature review.

• 대한족부족관절학회지
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• 제8권2호
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• pp.182-190
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• 2004

Purpose: To evaluate the clinical feature and the results of the treatment of Lisfranc joint fracture/dislocation with limited open reduction, pin fixation and Ilizarov external fixation. Materials and Methods: From June 2001 to May 2003, six patients with Lisfranc fracture/dislocation were treated. The average periods of follow-up was 23 months. After limited open reduction on the second tarso-metatarsal joint, we performed pin fixation of the above joint. On the other Lisfranc joint fracture/dislocation, closed reduction and the application of Ilizarov external fixator was done. This rigid system produced the early partial weight bearing and joint motion of the injured foot and ankle joint. The parameters used were radiographic evaluation, patient's clinical assesment and the AOFAS midfoot score. Results: We used the Myerson's criterier to evaluate the radiographic result. All cases could be achieved more than nearly anatomical reduction. Three cases of excellent and 3 cases of good result could be obtained in the evaluation of the patient's clinical assesment. The average AOFAS midfoot score was 87.2 ($76{\sim}95$) points. Conclusion: The treatment using Ilizarov external fixation on Lisfranc joint fracture/dislocation can be another useful method.

• The Journal of Korean Physical Therapy
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• 제31권1호
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• pp.13-17
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• 2019

Purpose: This study examined the effects of flexible flatfeet on the accuracy of knee joint motions in closed and open kinetic chain tasks. Methods: Twenty-four healthy participants were recruited for this study. The subjects were divided into two groups using a navicular drop (ND) test: flexible flatfoot group (n=12, male: 6, aged $22.00{\pm}2.22years$) and age-matched control group (n=12, males: 6, aged $22.17{\pm}1.53years$). The accuracy of knee motion was measured quantitatively by tracing through the flexion and extension motion of the knee joints in the closed kinetic chain and the open kinetic chain. Results: There was a significant difference in the accuracy index between the groups in closed kinetic chain task, but there was no significant difference in the open kinetic chain task. In addition, there was a significant difference in the accuracy index between the closed kinetic chain and the open kinetic chain task in the flexible flatfoot group. In addition, a significant negative correlation was observed between the ND and accuracy index in the closed kinematic chain task, but there was no significant relationship between the ND and accuracy index in the open kinematic chain task. Conclusion: Flexible flatfeet can affect the accuracy of the adjacent joints, such as the knee joint in the closed kinematic chain.

• Journal of Oral Medicine and Pain
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• 제47권2호
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• pp.95-101
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• 2022

Temporomandibular joint osteoarthritis (TMJ OA) causes destruction of the temporomandibular joint (TMJ) and can lead to occlusal changes such as anterior open bite in some patients. Consequently, these patients may experience difficulty in chewing food items and exhibit abnormal functional habits such as bruxism, preventing healing of the TMJ condyles. Treatment protocols include the use of traction appliances to reduce stress on the condyles. Unstable occlusions can lead to weakness of the masticatory muscles which, in turn, worsen the occlusal changes and complicate pain management. Therefore, the current study evaluated the condition of the masseter muscle using ultrasonography and educated patients on the execution of gum-chewing exercises for muscle strengthening. It also aimed to assess the effects of traction appliances and strengthening exercises on the masticatory muscles of patients with occlusal changes caused by TMJ OA.

• Steel and Composite Structures
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• 제18권5호
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• pp.1083-1101
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• 2015

Previous theoretical equations for the shear capacity of steel beam to concrete filled steel tube (CFT) column connections vary in the assumptions for the shear deformation mechanisms and adopt different equations for calculating shear strength of each component (steel tube webs, steel tube flanges, diaphragms, and concrete etc.); thus result in different equations for calculating shear strength of the joint. Besides, shear force-deformation relations of the joint, needed for estimating building drift, are not well developed at the present. This paper compares previously proposed equations for joint shear capacity, discusses the shear deformation mechanism of the joint, and suggests recommendations for obtaining more accurate predictions. Finite element analyses of internal diaphragm connections to CFT columns were carried out in ABAQUS. ABAQUS results and theoretical estimations of the shear capacities were then used to calibrate rotational springs in joint elements in OpenSEES simulating the shear deformation behavior of the joint. The ABAQUS and OpenSEES results were validated with experimental results available. Results show that: (1) shear deformation of the steel tube dominates the deformation of the joint; while the thickness of the diaphragms has a negligible effect; (2) in OpenSEES simulation, the joint behavior is highly dependent on the yielding strength given to the rotational spring; and (3) axial force ratio has a significant effect on the joint deformation of the specimen analyzed. Finally, modified joint shear force-deformation relations are proposed based on previous theory.

• Journal of Oral Medicine and Pain
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• 제48권3호
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• pp.123-130
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• 2023

This case report describes the orthodontic treatment of a patient with severe anterior open bite and skeletal class II malocclusion with temporomandibular joint (TMJ) osteoarthritis (OA) of the left condyle. The 21-year-old male patient had open-bite malocclusion, mild crowding, and protrusion of the anterior teeth. Mild erosive changes were detected in the anterior part of the left mandibular condyle on cone-beam computed tomography; however, because no clinical symptoms were present, orthodontic treatment was performed. It is imperative to consider the potential implications of orthodontic treatment on the stability of the TMJ throughout the duration of treatment, as any instability can exacerbate TMJ OA. Hence, it is crucial to opt for the least invasive treatment modality available. In this regard, orthodontic treatment using a skeletal anchorage system as an alternative to conventional orthognathic surgery for patients with open bite holds great promise, as it not only ensures mandibular stability but also significantly ameliorates the open-bite condition.

• 척추신경추나의학회지
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• 제4권2호
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• pp.121-135
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• 2009

Objectives : This study was carried out to investigate the effects of "Yangmuji Anchu Traction Technique" on Temporomandibular Joint Disorder Patient. Methods : The therapies were Chuna("Yangmuji Anchu Traction Technique"), acupuncture treatment, Carthami-Semen Herbal Acupuncture treatment and herbal medicine. We estimated the effects of treatment by measuring from a lower front teeth to upper front teeth in open mouth, measuring a gap of center line on front teeth in open mouth. And by measuring Visual Analog Scale(VAS) and Patient Global Assessment(PGA) before and after treatment. Results : After treatment, we confirmed these improvements : the length measuring from a lower front teeth to upper front teeth in open mouth and the gap of center line on front teeth in open mouth was improved in all cases. Also Visual Analog Scale(VAS) was improved in all cases. Conclusions : These results suggested that "Yangmuji Anchu Traction Technique" effected for Temporomandibular Joint Disorder Patient.

• ETRI Journal
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• 제15권2호
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• pp.69-74
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• 1993

The consumer surplus under the open economy is greater than that under the closed economy from the viewpoint of social welfare. This indication has been proved when only the product market is considered. This article is to show how this result is changed if the R&D market as well as the product market is considered. We find the possibility that the closed economy is preferred to the open economy in case of the (international) R&D joint venture.

• 대한족부족관절학회지
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• 제6권2호
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• pp.265-270
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• 2002

Metatarsophalangeal joint dislocations are unusual, and especially most dorsal metatarsophalangeal joint dislocations can be easily reduced with closed manipuations. But we are reporting a case of irreducible traumatic dislocation of the fourth, fifth metatarsophalangeal joint with closed manipulation. So open reduction was performed. Fixation with Kirschner wire was necessary because of joint instability. This report demonstrates the phathology and the reason why closed manipulation failed.

• 치과방사선
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• 제23권1호
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• pp.7-14
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• 1993

The Internal derangement of temporomandibular joint disc was evaluated by using magnetic resonance imaging and arthrogram in 5 patients having reciprocal clicking or locking and in 5 normal subjects. Parasagittal multisections on both closed and open mouth were serially obtained by using a 1.5 Tesla MR system and surface coil with CSMEMP, MPGR. MR images obtained were analized by correlating with images of arthrograms. The obtained results were as follows: 1. Displaced meniscus was clearly delineated as dark structure on MR images other than on arthrograms of closed mouth view of patient having clicking or locking. 2. The deltoid white images of synovial fluid were identified in the glenoid fossa and on the posterior surface of condyle on open mouth view and partly depicted on closed mouth view, of parasagittal sections by MPGR. 3. The greyish image of joint fluid was identified on the posterior surface of condyle on the open mouth view of parasagittal sections by CSMEMP. 4. The structural relationship among condyle, meniscus, and fluid showed the variety of images on each parasagitta1 view.