The course of the sural nerve in the calf has been well documented, but there is a general lack of information concerning the distal course of the nerve. The purpose of this study was to describe the distal course of the sural nerve and its surgical implications. Seven fresh amputated specimens were dissected to show the anatomy of the sural nerve in the foot and ankle. At the level of about 10cm proximal to the plantar surface, the sural nerve coursed anteriorly and inferiorly away from the Achilles tendon. 2 to 4 lateral calcaneal branches arose. The first branch of the lateral calcaneal branches coursed along the lateral border of the Achilles tendon, and it arose at 8cm proximal to the plantar surface in 2 specimens, 12cm proximal to the plantar surface in 4 specimens, and at 12cm proximal to the plantar surface in one specimen. The main nerve trunk continued distally plantar to the peroneal tendons and divided into two terminal branches and crossed peroneus longus tendon at the level of the inferior border of the calcaneo-cuboid joint, at about 3cm(range, $2.5\sim3.0$)cm from the plantar surface. In conclusion, a longitudinal incision lateral to the Achilles tendon would cross the path of the sural nerve at about 10cm proximal to the plantar surface. When the first branch of them arise more than 10cm above the plantar surface, a logitudinal incision lateral to the Achilles tendon may be made without damage. The other lateral calcaneal branches will be cut when we make transverse incision paralled to the plantar surface. The terminal branch also may be in danger by the same transverse incision.
Journal of the Korea institute for structural maintenance and inspection
/
v.15
no.2
/
pp.98-106
/
2011
The deck of steel box girder bridges is composed of deck plate, longitudinal rib, and transverse ribs. The orthotropic steel decks have high possibility to fatigue damage due to numbers of welded connection part, the heavy contact loadings, and the increase of repeated loadings. Generally, the local stress by the repeated loadings of heavy vehicles causes the orthotropic steel deck bridge to fatigue cracks. The increase of traffic volume and heavy vehicle loadings are promoted the possibility of fatigue cracks. Thus, it is important to exactly evaluate the structural behavior of bridge considering the contact loading area of heavy vehicles and real load patterns of heavy trucks which have effects on the bridge. This study estimated the effect of contact area of design loads and real traffic vehicles through the finite element analysis considering the real loading conditions. The finite element analysis carried out 4 cases of loading patterns in the orthotropic steel deck bridge. Also, analysis estimated the influence of contact area of real truck loadings by the existence of diaphragm plate. The result of finite element analysis indicated that single tire loadings of real trucks occurred higher local stress than one of design loadings, and especially the deck plate got the most influence by the single tire loading. It was found that the diaphragm attachment at joint part of longitudinal ribs and transverse ribs had no effects on the improvement of structural performance against fatigue resistance in elastic analysis.
Objectives : This study was built to investigate the effect of Trachelospermi Caulis herbal-acupuncture on the Collagen-induced arthritis(CIA) in rats. Methods : Arthritis was induced by intradermal injection of Bovine type II collagen solution into base of tail. Experimental group were divided into 5 groups ; Normal(N) group, Control(C) group, Trachelospermi Caulis high(TH) group, Trachelospermi Caulis low(TL) group, Saline(S) group(n=7 for each group). Normal group was had no management. Control group was injected with Bovine type II collagen solution and taken no treatment. Trachelospermi Caulis high group was injected with Bovine type II collagen solution and taken high-intensity(10mg/kg) herbal-acupuncture treatment on $ST_{36}$. Trachelospermi Caulis low group was injected with Bovine type II collagen solution and taken low-intensity(5mg/kg) herbal-acupuncture treatment on $ST_{36}$. Saline group was injected with Bovine type II collagen solution and taken saline injection on $ST_{36}$. Body weight, paw edema volume and ankle joint thickness were measured during experimental day. On the last experimental day, we analyzed WBC count, TNF-$\alpha$ & IL-$1{\beta}$ concentration, c-fos immunohistochemistry and NADPH-d histochemistry for evaluating the effect of Trachelospermi Caulis herbal-acupuncture. Results : The results were as follows ; 1. In the change of paw edema volume, TH group only has significant difference compared with C group. 2. In the change of ankle joint thickness, TH group only has significant difference compared with C group. 3. In WBC count of serum, TH, TL groups have significant decrease compared with C group. 4. In TNF-$\alpha$ concentration of effusion, TH, TL groups have significant decrease compared with C group. and TH group has significant decrease compared with TL group. 5. In IL-$1{\beta}$ concentration of effusion, TH, TL groups have significant decrease compared with C group. and TH group has significant decrease compared with TL group. 6. In c-fos positive neurons of S1S2(cortex) region, TH, TL, S groups have significant decrease compared with C group. 7. In NADPH-d positive neurons of CPu(caudate putamen) region, TH, TL groups have significant decrease compared with C group. 8. In NADPH-d positive neurons of Tfp(transverse fibers of pons) region, TH, TL, S groups have significant decrease compared with C group. and TH group has significant decrease compared with S group. Conclusions : According to above results, we hope that Trachelospermi Caulis herbal-acupuncture may have the effect that decreases progression and development of CIA. And it can be suggested that Trachelospermi Caulis herbal-acupuncture may reduce the expression of c-fos and NOS.
Kim, Yeung-Jin;Kim, Tae-Kyun;Yang, Hwan-Deok;Kim, Hyoung-Joon;Shim, Sung-Woo
Journal of the Korean Arthroscopy Society
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v.12
no.2
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pp.102-106
/
2008
Purpose: To evaluate the anatomical localization of neurovascular bundle at the level of the korean knee joint using a magnetic resonance imaging study and minimize the risk of neurovascular injury from arthroscopy surgery. Materials and Methods: The transverse and central axes were described on axial MRI scans of 100 korean knee joints. The distance between the neurovascular bundle and central axis was measured. The differences in neurovascular bundle localization according to sex and side were analyzed. The results were evaluated with SPSS(ver. 10.1). The influence of sex was evaluated by t-test. The difference between right and left side was evaluated by paired t-test. Significance was considered as p<0.05. Results: Whereas neurovascular bundle localization was lateral to the central axis in 94 cases(94%), it was on central axis in 6 cases(6%). There was no statistically significant difference of sex and side(P>0.05). Conclusion: Preoperative evaluation of neurovascular bundle with MR axial scans may prevent neurovascular injury when performing arthroscopic posterior cruciate ligament reconstruction and interventions on the posterior horns of menisci.
The purpose of this study is to propose the analytical model for the hysteretic behavior of Reinforced Concrete bearn-column joints under various loading history. Discrete line elernents , YVith inelastic rotational spring was adopted to consider the movement of plastic hinging zone influenced by the details of longitudinal reinforcements. Also hysteretic model was constructed by excluding such variables which can not be utilized in dynamic analysis of Reinforced Concrete. structure that it will be adoptable in two-dimensional inelastic frame ardysis with 6-DOF. From the analysis of previous test results, it was found that stiffness deterioration caused by inelastic hysteretic loadings can be predicted by the functron of basic pinching coefficients, ductility ratio.and yield strength ratio of members. Strength degradation coefficients were newly proposed to explain the difference of inelastic behavior of members caused by spacing ratio of transverse steel and sectlon aspect ratio. The energy dissipation capacities calculated using the analytical model proposed in thls paper show a good agreements w~lh test results by an error of 10~20%.
In order to analyze clinical characteristics like sex- and age-based onset frequency and onset region from vertebral disease cases, this study investigated total 1,291 cases of vertebral disease that were diagnosed via magnetic resonance imaging(MRI) from January to December 2004 at B University Hospital in metropolitan area. For higher diagnostic accuracy in cases of spinal disorder diagnosed, this study analyzed findings from data reading conducted by veteran specialists in diagnostic radiology. But this study excluded uncertain lesion cases, the cases requiring differential diagnosis from other disorders and so on from subjects under analysis. This study employed superconductive 1.5 Tesla SIGNA MR/i for MRI test and basically received resulting images via FSE(fast spin echo). In particular, this study obtained T1 and T2 myelogram with regard to regional characteristics(such as cervical vertebrae, thoracic vertebrae and lumbar vertebra) and imaging characteristics for sagittal and transverse section. As a result, this study came to the following conclusions : 1. In terms of general characteristics of subjects under analysis, male group comprised 53.5% and female 46.5% out of total 1,291 subjects. 2. The regional onset frequency of spinal disorders was converged primarily on lumbar vertebra(65.5%), which was followed by cervical vertebrae(27.3%) and thoracic vertebrae(7.0%) respectively. 3. Top 10 cases with high onset frequency of spinal disorders can be listed as follows : 1) posterior bulging disc 65.8% 2) narrowing of neural foramen 23.8% 3) herniated intervertebral disc (HIVD) 22.4% 4) spinal stenosis 16.7% 5) osteochondrosis 6.4% 6) compression fracture 6.4% 7) facet joint arthropathy 6.2% 8) spondylolisthesis 6.0% 9) spinal cord tumor 3.5% 10) inter body fusion 2.6%
This research was conducted to analyze the features of the critical tensile stresses at the top and bottom of the concrete slab in the jointed concrete pavement (JCP) when subjected to both the environmental and vehicle loads. First, the stress distribution in JCP was analyzed when the system was subjected to only the environmental loads or the vehicle loads by using the finite element model of JCP. Then, the stresses were analyzed when the system was subjected to the environmental and vehicle loads at the same time. From this study, it was found that the critical tensile stresses at the slab bottom under the vehicle loads were almost constant regardless of the loading positions once the loads were applied at the positions having some distance from the transverse joint. The critical tensile stresses at the slab bottom could be obtained using the model consisting of normal springs for underlying layers by adding the critical stresses due to the environmental loads and the vehicle loads for the curled-down slab, and by subtracting the critical stress due to the environmental loads from that due to the vehicle loads for the curled-up slab. The critical tensile stresses at the top of the slab could be obtained using the model consisting of tensionless springs for underlying layers by adding the critical stress due to the environmental loads and the stress at the middle of the slab under the vehicle loads applied at the joint for the curled-up slab. An alternative to obtain the critical stresses at the top of the slab for the curled-up slab was to use the critical stresses under only the environmental loads obtained from the model having normal springs for underlying layers.
Journal of the Korea institute for structural maintenance and inspection
/
v.21
no.6
/
pp.106-112
/
2017
This paper presents a mathematical model derived from the upper-bound theorem of concrete plasticity to rationally evaluate the shear friction strength of concrete interfaces with a construction joint. The upper limit of the shear friction strength was formulated from the limit state of concrete crushing failure on the strut-and-tie action along the construction joints to avoid overestimating the shear transfer capacity of a transverse reinforcement with a high clamping force. The present model approach proposed that the cohesion and coefficient of friction of concrete can be set to be $0.27(f_{ck})^{0.65}$ and 0.95, respectively, for rough construction joints and $0.11(f_{ck})^{0.65}$ and 0.64, respectively, for smooth ones, where $f_{ck}$ is the compressive strength of concrete. From the comparisons with 155 data compiled from the available literature, the proposed model gave lower values of standard deviation and coefficient of variation of the ratios between predictions and experiments than AASHTO and fib 2010 equations, indicating that the proposed model has consistent trends with test results, unlike the significant underestimation results of such code equations in evaluating the shear friction strength.
Journal of the Korea institute for structural maintenance and inspection
/
v.21
no.6
/
pp.147-161
/
2017
Generally, significant amount of reinforcements are used in nuclear power plant structures and it may cause several potential problems during the construction. In particular, it is more difficult to pour concrete into structural member joint area than other areas because of the significant congestion of the joint area due to a lot of hooked bars, embedded materials, and other reinforcements. The purpose of this study is to solve these problems due to the reinforcement congestion by using the high-strength(ASTM A615 Gr.80) headed deformed bars of large-sized diameter(43 mm & 57 mm) in nuclear power plant structures as a alternative of standard hooked bars. In order to use headed deformed bars effectively, It is necessary to find the method how to relax limits on their use while maintaining or improving the anchorage capacity. Therefore, this study will analyze the results of tests planned to evaluate the influence of the restricted variables, such as bar size, yield strength, clear cover thickness.
Kim, Hyungsuk;Yoo, Chang Hyun;Park, Soo Bin;Song, Hyun Seok
Clinics in Shoulder and Elbow
/
v.23
no.2
/
pp.71-79
/
2020
Background: The glenoid version of the shoulder joint correlates with the stability of the glenohumeral joint and the clinical results of total shoulder arthroplasty. We sought to analyze and compare the glenoid version measured by traditional axial two-dimensional (2D) computed tomography (CT) and three-dimensional (3D) reconstructed images at different levels. Methods: A total of 30 cases, including 15 male and 15 female patients, who underwent 3D shoulder CT imaging was randomly selected and matched by sex consecutively at one hospital. The angular difference between the scapular body axis and 2D CT slice axis was measured. The glenoid version was assessed at three levels (midpoint, upper one-third, and center of the lower circle of the glenoid) using Friedman's method in the axial plane with 2D CT images and at the same level of three different transverse planes using a 3D reconstructed image. Results: The mean difference between the scapular body axis on the 3D reconstructed image and the 2D CT slice axis was 38.4°. At the level of the midpoint of the glenoid, the measurements were 1.7°±4.9° on the 2D CT images and -1.8°±4.1° in the 3D reconstructed image. At the level of the center of the lower circle, the measurements were 2.7°±5.2° on the 2D CT images and -0.5°±4.8° in the 3D reconstructed image. A statistically significant difference was found between the 2D CT and 3D reconstructed images at all three levels. Conclusions: The glenoid version is measured differently between axial 2D CT and 3D reconstructed images at three levels. Use of 3D reconstructed imaging can provide a more accurate glenoid version profile relative to 2D CT. The glenoid version is measured differently at different levels.
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