• Title/Summary/Keyword: transverse joint

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유경 나사를 이용한 견갑골 관절와 횡골절의 관절경적 정복 밑 내고정 (Arthroscopic Reduction and Internal Fixation with Cannulated Screw of a Transverse Glenoid Fracture)

  • 노규철;유정한;강기만
    • 대한정형외과스포츠의학회지
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    • 제2권2호
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    • pp.176-180
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    • 2003
  • 저 자들은 관절와의 전위 된 횡골절에 대해 관절경 을 이 용하여 골절된 관절면을 확인하면서 골절의 정복을 유지 하고, 견관절경술식에 일 반적으로 사용되는 견봉 바로 외측에 위 치 한 외 측 삽입 구나 또는 견갑상와의 상부 삽입구 (Nevlaser porial)에서 피부를 통해 직경4 mm 타이타늄 유관 해면골 나사를 이 용하여 고정하였다. 관절경을 이 용한 골절 내고정술은 좋은 시 야를 확보할 수 있었고, 최소 침습 수술이므로 작은 연부조직 절개 , 적은 출혈량, 수술후 재활 기간의 단축 및 조기 관절 운동 힌용 등의 여러 장점 을 가지므로 이에 수술 방법과 증례를 보고하는 바이다

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주상복합구조에서 전이보와 내부기둥 접합부의 반복횡하중 실험 (Cyclic Loading Test of Interior Deep-Beam Lower-Column Joint in Upper-shear Wall Lower-Frame Structure)

  • 이한선;김상연;고동우;권기혁;최성모
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2000년도 봄 학술발표회 논문집
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    • pp.446-451
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    • 2000
  • In case of strong earthquake, upper-sheat wall lowe-frame structures show the weak-story failure at lower part. Where we should guarantee sufficient strength, energy dissipation capacity and ductility. In this study, a typical structure was selected for a prototype and four 1:2.5 scaled models, representing the subassemblages including the interior column and the deep beam, were constructed. Experimental parameters include transverse reinforcement ratio and axial force. The non- linear behavior of the subassemblages subjected to the cyclic lateral displac-ement were evaluated through investigation of the ultimate strength, ductility, load-deformation characteristics. From the results of the tests on 4 specimens, it is concluded that the strength increased as the axial force increased and the ductility increased as the transverse reinforcement ratio increased.

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프리스트레스를 도입한 프리캐스트 콘크리트 교량 바닥판의 연결부에 관한 피로실험 (Fatigue Tests on Transverse Joints of Precast Prestressed Concrete Bridge Deck)

  • 정철헌;김영진;장성욱;김철영;심창수
    • 콘크리트학회지
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    • 제10권5호
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    • pp.159-165
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    • 1998
  • 중트럭 통행으로 인한 철근콘크리트 교량바닥판의 열화는 교량구조물을 유지보수하는데 있어 심각한 문제 중 하나이며, 프리캐스트 바닥판을 이용한 교량바닥판의 시공 및 교체 방법이 실용적이며 효과적인 방법으로 인식되고 있다. 본 연구에서는 횡방향 ddusruf부에 종방향 프리스트레싱을 도입한 프리캐스트 바닥판의 모델을 제작하여 바닥판간 횡방향 연결부의 강성 평가 및 연결부의 피로 거동을 파악하기 위해서 피로실험을 수행하여 피로하중하에서의 휨강성의 변화, 균열발생 및 파괴하중 등을 측정하였다. 실험결과를 통해서 피로하중하에서 프리스트레스 프리캐스트 부재의 프리스트레스 효과를 평가하였으며, 현장타설에 의해서 시공되는 일반 RC 부재에 비해서 우수한 구조적 거동을 보여주는 적정량의 종방향 프리스트레스 크기를 결정하였다.

동통을 동반한 제2 중족 족지 관절 불안정성의 치료경험 - 1예 보고 - (Surgical Treatment for Painful Instability of the Second Metatarsophalangeal Joint - 1 Case Report -)

  • 서동현;박용욱;김도영;이상수;서영진;박현철;강승완
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.204-207
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    • 2004
  • An unstable second metatarsophalangeal joint may produce pain in the forefoot. Plication of stretched lateral ligament and capsule and transfer of the extensor digitorum brevis under the transverse intermetatarsal ligament performed as the primary procedure to stabilize this painful joint. But the pain was not subsided and the proximal phalanx was resubluxated. So, we osteotomized the second metatarsal to restore a normal alignment of the second toe. Then the symptom was subsided. We report a case of painful instability of the metatarsophalangeal joint of the second toe.

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만성 발목 불안정성(CAI) 환자와 건강 대조군 간 종합적 발목관절복합체의 생체역학적 특성 (Biomechanical Characteristics of Comprehensive Ankle Joint Complex between Chronic Ankle Instability (CAI) and Healthy Control)

  • Kim, Byong Hun;Jeong, Hee Seong;Lee, Inje;Jeon, Hyung Gyu;Lee, Sae Yong
    • 한국운동역학회지
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    • 제31권3호
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    • pp.168-175
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    • 2021
  • Objective: To investigate the static and dynamic analysis of ankle joint complex between subjects with chronic ankle instability (CAI) and healthy controls. Method: A total of 38 subjects and CAI group (N=19) and healthy control (N=19) participated in this first study. Variables that were measured in this study were as follows: 1) Subtalar joint axis inclination and deviation 2) Rearfoot angle 3) Navicular drop test 4) Heel alignment view in alignment analysis. Intra Correlation Coefficient (ICC) is used for reliability. A secondary 17 subjects are recruited including 9 of CAI and healthy for gait analysis between group. Lower extremity sagittal, frontal, and transverse kinematics were measured. All data were analyzed to ensemble curve analysis. Results: 1) There were statistically significant differences in standing rearfoot, navicular drop, heel alignment view, subtalar joint (STJ) inclination and deviation. 2) Only in sagittal, meaningful difference is showed during walking in gait analysis. Conclusion: Morphological problem can affect ankle sprain in aspect of structure with no relation to compensation of neuromuscular.

X-ray 엉치엉덩관절 촬영법을 통한 류마티스 및 퇴행성관절염 진단 (The Diagnosis of Rheumatologic and Degenerative Arthritis by X-ray Sacroiliac Joint Projection)

  • 이준행
    • 한국방사선학회논문지
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    • 제12권3호
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    • pp.397-402
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    • 2018
  • 본 연구는 엉치엉덩관절의 골절, 탈구, 엉치엉덩 퇴행성관절염 진단을 위한 가장 좋은 영상을 얻기 위해 골반 팬톰과 엑스선관을 각도 변화를 주어 엉치엉덩관절의 Joint space 가장 잘 나타내는 영상을 얻어 방사선사에게 주관적 평가를 받아 보았다. 평가 결과 결론으로 엉치엉덩관절염과 퇴행성 관절염 발견을 위한 단순촬영에서는 엎드린상태에서 촬영은 검사반대쪽 엉덩이를 $25^{\circ}{\sim}30^{\circ}$ 들어올리고 엑스선관을 앞엉덩뼈가 시에서 2.5 cm 안쪽을 지나는 시상면에 대해 수직촬영 하고 누운자세에서는 검사쪽 엉덩이를 $25^{\circ}{\sim}30^{\circ}$ 들어 올리고 위앞엉덩뼈가시가 중앙에서 위앞엉덩뼈가시가 중앙에 대해 엑스선관 각도를 발쪽으로 $5^{\circ}$ 촬영 하며 반드시 양쪽 엉치엉덩관절후전사방향(RAO,LAO) 및 전후사방향(RPO, LPO) 모두 촬영을 하게 되면 관절염 진단을 내리는데 있어 많은 도움이 되리라 본다.

The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications

  • Cuccia, Antonino Marco;Caradonna, Carola;Caradonna, Domenico;Anastasi, Giuseppe;Milardi, Demetrio;Favaloro, Angelo;De Pietro, Anita;Angileri, Tommaso Maurizio;Caradonna, Luigi;Cutroneo, Giuseppina
    • Imaging Science in Dentistry
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    • 제43권1호
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    • pp.37-44
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    • 2013
  • Purpose: The aim of this study was to analyze three-dimensional images of the arterial supply to the temporo-mandibular joint. Materials and Methods: Ten patients (five men and five women, mean age 36 years) without signs or symptoms of temporomandibular disorders, who underwent contrast-enhanced computed tomographic (CT) scanning with intravenous contrast, were studied. The direct volume rendering technique of CT images was used, and a data set of images to visualize the vasculature of the human temporomandibular joint in three dimensions was created. After elaboration of the data through post-processing, the arterial supply of the temporomandibular joint was studied. Results: The analysis revealed the superficial temporal artery, the anterior tympanic artery, the deep temporal artery, the auricular posterior artery, the transverse facial artery, the middle meningeal artery, and the maxillary artery with their branches as the main arterial sources for the lateral and medial temporomandibular joint. Conclusion: The direct volume rendering technique was found to be successful in the assessment of the arterial supply to the temporomandibular joint. The superficial temporal artery and maxillary artery ran along the lateral and medial sides of the condylar neck, suggesting that these arteries are at increased risk during soft-tissue procedures such as an elective arthroplasty of the temporomandibular joint.

만성 발목 불안정성(CAI) 환자와 건강 대조군 간의 발목 관절 복합체 구조적 특징과 목말밑 관절 회전 축 기울기 (The Structural Characteristics of the Ankle Joint Complex and Declination of the Subtalar Joint Rotation Axis between Chronic Ankle Instability (CAI) Patients and Healthy Control)

  • Kim, Chang Young;Ryu, Ji Hye;Kang, Tae Kyu;Kim, Byong Hun;Lee, Sung Cheol;Lee, Sae Yong
    • 한국운동역학회지
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    • 제29권2호
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    • pp.61-70
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    • 2019
  • Objective: This study aimed to investigate the characteristics of the declination of the subtalar joint rotation axis and the structural features of the ankle joint complex such as rear-foot angle alignment and ligament laxity test between chronic ankle instability (CAI) patients and healthy control. Method: A total of 76 subjects and CAI group (N=38, age: $23.11{\pm}7.63yrs$, height: $165.67{\pm}9.54cm$, weight: $60.13{\pm}11.71kg$) and healthy control (N=38, age: $23.55{\pm}7.03yrs$, height: $167.92{\pm}9.22cm$, weight: $64.58{\pm}13.40kg$) participated in this study. Results: The declination of the subtalar joint rotation axis of the CAI group was statistically different from healthy control in both sagittal slope and transverse slope. The rear-foot angle of CAI group was different from a healthy control. Compared to healthy control, they had the structure of rear-foot varus that could have a high occurrence rate of ankle varus sprain. CAI group had loose ATFL and CFL compared to the healthy control. Conclusion: The results of this study showed that the deviation of the subtalar joint rotation axis and the structural features of the ankle joint complex were different between the CAI group and the healthy control and this difference is a meaningful factor in the occurrence of lateral ankle sprains.

Investigation of the range of motion of the shoulder joint in subjects with rotator cuff arthropathy while performing daily activities

  • Karimi, Mohammad Taghi;Khademi, Sahar
    • Clinics in Shoulder and Elbow
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    • 제24권2호
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    • pp.88-92
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    • 2021
  • Background: Patients who have rotator cuff arthropathy experience a limited range of motion (ROM) of the shoulder joint and experience problems in performing their daily activities; however, no evidence is available to suggest the exact ROM of the shoulder joint in this population. Therefore, this study sought to determine the degree of motion of the shoulder joint in three planes during different activities. Methods: Five subjects with rotator cuff injuries participated in this study. The motion of the shoulder joints on both the involved and normal sides was assessed by a motion analysis system while performing forward abduction (task 1), flexion (task 2), and forward flexion (task 3). The OpenSIM software program was used to determine the ROM of the shoulder joints on both sides. The difference between the ranges of motion was determined using a two-sample t-test. Results: The ROMs of the shoulder joint in task 1 were 93.5°±16.5°, 72.1°±2.6°, and 103.9°±25.7° for flexion, abduction, and rotation, respectively, on the normal side and 28°±19.8°, 31°±31.56°, and 48°±33.5° on the involved side (p<0.05). There was no significant difference between the flexion/extension and rotation movements of the shoulder joint when performing task 1. However, the difference between flexion and rotation movements of the shoulder joints for the second task was significant (p>0.05). Conclusions: Those with rotator cuff arthropathy have functional limitations due to muscle weakness and paralysis, especially during the vertical reaching task. However, although these individuals have decreased ROM for transverse reaching tasks, the reduction was not significant.

Nonlinear modeling of beam-column joints in forensic analysis of concrete buildings

  • Nirmala Suwal;Serhan Guner
    • Computers and Concrete
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    • 제31권5호
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    • pp.419-432
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    • 2023
  • Beam-column joints are a critical component of reinforced concrete frame structures. They are responsible for transferring forces between adjoining beams and columns while limiting story drifts and maintaining structural integrity. During severe loading, beam-column joints deform significantly, affecting, and sometimes governing, the overall response of frame structures. While most failure modes for beam and column elements are commonly considered in plastic-hinge-based global frame analyses, the beam-column joint failure modes, such as concrete shear and reinforcement bond slip, are frequently omitted. One reason for this is the dearth of published guidance on what type of hinges to use, how to derive the joint hinge properties, and where to place these hinges. Many beam-column joint models are available in literature but their adoption by practicing structural engineers has been limited due to their complex nature and lack of practical application tools. The objective of this study is to provide a comparative review of the available beam-column joint models and present a practical joint modeling approach for integration into commonly used global frame analysis software. The presented modeling approach uses rotational spring models and is capable of modeling both interior and exterior joints with or without transverse reinforcement. A spreadsheet tool is also developed to execute the mathematical calculations and derive the shear stress-strain and moment-rotation curves ready for inputting into the global frame analysis. The application of the approach is presented by modeling a beam column joint specimen which was tested experimentally. Important modeling considerations are also presented to assist practitioners in properly modeling beam-column joints in frame analyses.