• Journal of Oral Medicine and Pain
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• v.21 no.1
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• pp.15-23
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• 1996

저수준레이저조사 (low level lser irradiation, LLLI) 가 골형성을 자극한다고 보고되고 있지만 골아세포기능에 있어서 어떠한 역할을 하는지 별로 밝혀진 바가 없다. 본 연구에서는 백서 두 개관 조골세포양 세포(ROB)와 백서 조골세포주(ROS17/2.8)에 대한 저수준레이저의 효과를 조사하기 위하여 세포증식, alkaline phosphatase activity, 석회화 결질형성등을 관찰하였다. 두가지 배양 세포군에 저수준레이저를 조사한 결과 저수준레이저가 alkaline phosphatase activity를 증가시킬 뿐만 아니라 석회화 결절의 형성을 촉진하는 것을 볼 수 있었다. 이러한 결과로 보아 저수준레이저는 조골세포의 기능과 무기질침착을 자극함으로써 골형성을 촉진한다고 추정된다.

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.146-152
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• 2010

Purpose: The purpose of this article was to review the effectiveness of arthroscopic debridement and tuberoplasty, and to evaluate the clinical and radiologic results of our series for irreparable massive rotator cuff tears in the elderly. Materials and Methods: We reviewed articles that focused on the treatment options and decision making for irreparable massive rotator cuff tears. In particular, we summarized the reported results of arthroscopic debridement and tuberoplasty for irreparable massive rotator cuff tears in the elderly. Among consecutive patients who had arthroscopic tuberoplasty for irreparable massive rotator cuff tears in our series, thirty-two patients available for clinical and radiological evaluation at a mean follow-up of 29 months (range, 13-52 months) were enrolled and reviewed for the analysis. Results: At the last follow-up, the range of active forward flexion increased significantly with excellent pain relief and improvement in the ability to perform the activities of daily living. However, the group with less than 2 mm in preoperative acromiohumeral distance showed inferior postoperative results. Conclusion: Arthroscopic tuberoplasty may be an alternative option in irreparable massive rotator cuff tears for pain relief and improvement of range of motion. However, good results can not be expected if the acromiohumeral distance is less than 2 mm preoperatively and decreases postoperatively, or when the preoperative range of motion is less than $90^{\circ}$ on flexion and abduction.

• Journal of the Korean Arthroscopy Society
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• v.13 no.3
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• pp.272-275
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• 2009

Extraarticular synovial chondromatosis is a very rare disease which affects the hands, feet, and wrists most commonly. In cases of involvement around large joints, the tissues around knee are usually involved. It arises from tendon sheath, capsular tissue and bursae. It is an idiopathic process in which the synovial cells undergo the metaplasia into cartilage cells. Chondroid matrix of the cartilaginous nodules calcify and ossify to be the osteochondroma. On simple radiograms before calcification and/or ossification of the chondroid tissues the cartilaginous nodules look normal on radiograms. Therefore MRI is needed to establish the diagnosis. We report a case of extraarticular pan-peri-meniscal synovial chondroma around right knee, initially suspected as a ganglion cyst which clinically mimicked a large rounded lesion or a cystic lesion on MRI.

• The Korean Journal of Nuclear Medicine
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• v.31 no.4
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• pp.452-458
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• 1997

To evaluate the pinhole scintigraphic findings and its significance, authors retrospectively compared the pinhole bone scintigrams and corresponding radiograms of 16 lesions in 14 patients with fibrous dysplasia. They were diagnosed pathologically in 10 lesions and radiologically in 6 lesions. The mean age of patients was 41.1 years. The mean interval between two studies was 1.1 days. Locations were ribs 7, pelvic bone 4, clavicle 1, long bones 4(femur 2, tibia 1, humerus 1). The radiographic findings were as follows : the central portions were radiolucent(n=9), ground-glass opacities(n=5) or sclerotic(n=2) and the peripheral appearance were sclerotic rim(n=5), septation(n=7), cortical perforation (n=10) and invisible cortical thinning(n=9). Pinhole scintigraphic findings were as follows; Central portions showed normal 1+ uptake in 6 cases(radiolucent 5, ground-glass opacity 1), slightly increased 2+ upta- ke in 7 cases(radiolucent 4, ground-glass opacity 3), and marked 3+ uptake in 3 cases(ground-glass opacity 1, sclerotic 2). The 15 of 16 lesions showed more intense uptake in the peripheral portion: slightly increased 2+ uptake corresponding to the sclerotic rim(5/5) and unvisible cortical thinning(1/9), and irregular foci of marked 3 + uptake corresponding to septation(7/7), cortical perforation(10/10) and invisible cortical thinning (8/9). One of 16 lesions showed homogeneous 2+ uptake. In conclusion, pinhole scintigram provides information on regional activity of the fibrous dysplasia, which would be helpful in diagnosis, prediction of prognosis and determination of treatment plan.

• The Journal of the Korean bone and joint tumor society
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• v.8 no.2
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• pp.54-57
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• 2002

Since Keck described the tarsal tunnel syndrome in 1962, it has been one of the most frequently diagnosed of the entrapment neuropathies. Tarsal tunnel syndrome is usually of unknown origin, benign tumor may be one of the causes of tarsal tunnel syndrome. The object of the current study is to report our experience of surgical treatment about tarsal tunnel syndrome caused by neurilemmoma in 32-year-old female and by ganglion in 39-year-old male with a review of the literature.

• Radiation Oncology Journal
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• v.25 no.4
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• pp.278-282
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• 2007

Purpose: Diffuse pigmented villonodular synovitis (PVNS) is an uncommon aggressive synovial proliferative disorder of unknown etiology affecting the joint linings. Though a histologically benign inflammatory process, because of its aggressive growth with bone destruction or recurrence, it is frequently suggested to occur as a low malignant neoplasm. Optimal treatment is surgery, but the local recurrence rate after radical synovectomy for diffuse PVNS is relatively high due to the infiltrative growth pattern. External beam radiotherapy with moderate doses or intra-articular instillation of radioactive isotopes may improve the likelihood of local control and long-term function in patients with incompletely resected or recurrent diffuse PVNS. I report one case of diffuse PVNS of the right knee joint treated with arthroscopic synovectomy and external beam radiotherapy is presented.

• The Journal of the Korean bone and joint tumor society
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• v.12 no.1
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• pp.63-70
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• 2006

Purpose: The purpose of current study was to review the surgical treatment results in patients with a ganglion cyst involving peripheral nerves and to suggest the poor prognostic factor. Materials and Methods: Twelve patients having neurologic symptoms caused by ganglion cyst were treated operatively between 1995 and 2000. The peripheral nerves involved were the tibial nerve in three patients, suprascapular nerve, common peroneal nerve, radial nerve, and ulnar nerve in two patients each, and median nerve in one patient. Pain was present in six patients, sensory disturbance or motor weakness was seen in seven patients each; and sensory disturbance and motor weakness were concurrently present in four patients. Results: In all six patients who complained of preoperative pain, the pain was resolved after surgery. Improvements were seen in five of seven patients who had preoperative sensory disturbance and in all patients who had preoperative motor weakness. Complete sensory recovery was obtained in only two of four patients with preoperative sensory disturbance and motor weakness, indicating a poor prognosis factor. Conclusion: Early accurate diagnosis and early excision of these ganglion cysts causing compression neuropathy could produce excellent clinical results.

• The Journal of the Korean bone and joint tumor society
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• v.11 no.2
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• pp.219-223
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• 2005

Mesenchymal chondrosarcoma is very rare and mostly occurs in lower extremity, especially femur, head and face, and pelvis in order. An eleven-year old male patient suffered from left heel pain for several months and underwent biopsy at another hospital. A Malignant bone tumor was suspected, so the patient was transferred to our hospital. We reviewed the outside pathologic slide, which revealed the diagnosis of mesenchymal chondrosarcoma. It was treated by a below knee amputation. Three months later, a chest computed tomography (CT) revealed multiple metastatic nodules in both lungs. All metastatic nodules were surgically excised and the patient received postoperative chemotherapy. As far as our knowledge, mesenchymal chondrosarcoma in the calcaneus is the first case in the world. Thus, we report a case of mesenchymal chondrosarcoma in the calcaneus with thorough review of documents.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.4
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• pp.331-337
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• 2018

Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.

• Journal of Periodontal and Implant Science
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• v.25 no.1
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• pp.45-55
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• 1995

치주질환의 치유에 있어서 치주인대 세포의 증식과 분화는 매우 중요하다. 몇몇 학자들에 의해 치주인대 세포의 증식과 분화에 영향을 주는 platelet derived growth나 fibronectin과 같은 growth factor에 대한 연구가 있었다. 이 연구는 홍삼 총사포닌이 치주인대 세포에 미치는 세포독성과 세포의 성장 및 분화에 미치는 영향을 규명하고자 사람의 치주인대 세포를 분리, 배양하여 실험하였다. 총사포닌이 치주인대 세포에 미치는 세포독성을 특정하기 위해 여러가지 농도의 총사포닌을 세포배양액에 첨가하여 1주일 배양후의 결과와 단일 농도($1{\mu}g/ml$})하에서의 세포 성장을 혈구계산반을 사용하여 관찰하였다. 치주인대 세포가 조골세포양세포로의 분화과정에 사포닌이 영향을 미치는 것을 관찰하기 위해 개개의 총사포닌 농도)0.1,1,$10{\mu}g/ml}$)를 세포배양액에 첨가하여 배양하였다. 치주인대 세포가 조골세포의 표현형으로 분화되는데 미치는 총사포닌의 영향을 알아보기 위하여 총사포닌의 단일 농도($1{\mu}g/ml$)하에서 $50{\mu}g/ml$ ascorbic acid와 10mM ${\beta}-glycerophosphate$를 배양액에 첨가하여 배양후 von Kossa's staining을 시행하여 생성된 골결절을 관찰하였다. 이상의 실험에서 얻어진 결과는 아래와 같다. 1. 각각의 농도를 투여한 결과, $1{\mu}g/ml$의 총사포닌에 의해서 세포독성이 유의성있게 증가하였다. 2. 0.01,0.01,1,$10{\mu}g/ml$의 총사포닌을 세포배양액에 첨가한 다음 7일 후의 고나찰시 cell viability가 실험농도 모두에서 유의성있게 증가하였다. 3. 0.1,1,10,$100{\mu}g/ml$의 농도에서 유외성있는 세포 증식이 있었다. 4. $1{\mu}g/ml$의 총사포닌을 세포배양액에 첨가한 다음 1,3,5,7,9일의 관찰시 시간경과에 따라 유의성있는 세포 증식이 있었다. 5. $10{\mu}g/ml$의 총사포닌을 세포배양액에 첨가시 ALP activity가 대조군에 비해 유외성있게 증가하였다. 6. $1{\mu}g/ml$의 총사포닌으로 배양된 치주인대 세포내에서 ALP positive cell이 관찰되었다. 7. $1{\mu}g/ml$의 총사포닌으로 배양된 치주인대 세포내에서 골결절 형성이 관찰되었다.