• Title/Summary/Keyword: 슬관절손상

Search Result 127, Processing Time 0.032 seconds

Surgical treatment for knee dislocation with popliteal artery injury after endovascular intervention for arterial injury - A case report - (슬와 동맥 손상을 동반한 슬관절 탈구에서 혈관내 중재술 후 시행한 수술적 치료 - 증례 보고 -)

  • Ahn, Ji Hyun;Kim, Sang Kil
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.10 no.2
    • /
    • pp.113-116
    • /
    • 2011
  • Although uncommonly encountered, knee dislocation is frequently associated with popliteal artery injury. It has been reported that all detected arterial injuries warrant intervention and open surgical management is the standard of treatment. We report here on a case of endovascular intervention for popliteal artery injury in knee dislocation, and then this was treated with ligament surgery with arthroscopic and open procedure.

  • PDF

Conservative Treatment of the Knee Injury and Pain (슬관절 손상과 동통의 보존적 치료)

  • Bin Seoung-I1;Nam Tae-Seok;Ahn Ji-Hyun;Jung Kwang-Whan
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.3 no.2
    • /
    • pp.107-110
    • /
    • 2004
  • Treatment of knee injury and pain consists of conservative and surgical treatment. Although conservative treatment is suffice in many cases, surgical treatment is performed which is not necessary. Therefore, thorough knowledge of injury mechanism and selection of treatment modalities are required. Injury mechanism and conservative treatment of knee injury patients will be discussed.

  • PDF

Skeletal Scintigraphy in Meniscus Tear of the Knee (슬관절 반월판 파열의 골신티그래피)

  • Kim, S.H.;Chung, S.K.;Sohn, H.S.;Kim, C.Y.;Bahk, Y.W.
    • The Korean Journal of Nuclear Medicine
    • /
    • v.22 no.2
    • /
    • pp.205-207
    • /
    • 1988
  • 이제까지 슬관절 파열의 진단에는 관절조영술이나 관절경검사가 주로 이용되어 왔다. 저자들은 골스캔을 이응해서 슬관절 반월판 파열의 진단을 시도하였다. 슬관절 조영술이나 관절경검사로 확진된 반월판 파열 환자 7명에 대해 $^{99m}Tc-MDP$$^{99m}Tc-PYP$, 20mCi를 주사해서 동적, 정적영상 및 바늘구명 조준기를 이용한 영상을 얻었다. 그 소견은 1) 동적영상에서 반월판 손상부위의 혈류가 국소적으로 증가되었고, 2) 정적영상 및 바늘구멍 조준기를 이용한 영상에서 손상 부위의 경골과(tibial plateau)를 따라 특징적으로 얇은판 모양의 방사능 집적을 관찰할 수 있었다. 슬관절의 골신티그래피는 반월판 파열의 유용한 진단 방법으로 사료된다.

  • PDF

Management of Multiple Ligament Injured Knee (슬관절 다발성 인대 손상의 치료)

  • Sim, Jae-Ang;Lee, Beom-Koo
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.12 no.1
    • /
    • pp.16-23
    • /
    • 2013
  • Multiple ligament knee injury is defined as rupture to at least two of the four major knee ligament structures. Three or four knee ligament injury results in knee dislocation as complete disruption of the integrity of the tibiofemoral articulation. In multiple ligament knee injury, vascular and neurologic assessment should be performed meticulously and systematically. Emergency surgery should be needed if arterial injury is suspected. Surgical treatment rather than conservative management should be done and early surgery might be better than delayed surgery. Reconstruction of ACL and PCL, repair or reconstruction of MCL, and reconstruction of posterolateral corner are recommended, although many debates have occurred. Multiple ligament knee injury requires more aggressive management than single ligament knee injury.

  • PDF

Hapkido-related Clavicle Fractures :Preventable Injuries (합기도 훈련중 발생한 쇄골 골절과 예방)

  • Moon Young-Lae;Lee Kyung-Il;Kim Jeoung-Ho
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.1 no.2
    • /
    • pp.163-166
    • /
    • 2002
  • Introduction: It is frequently occur in sports injury of clavicular fractures in Hapkido players. Weevaluated Hapkido related clavicular fractures and preventive measure. Methods: We experienced 12 cases of Hapkido related clavicle fracture. The age ranged from 13 to18-years-old. All cases were treated by conservative managements. We examined the relationship between the clavicle fractures and Hapkido related pathomechanics.Results: All cases were injured during the practice for the falling-technique. Results were evaluatedby Weitzman and all cases were revealed more than good. Conclusions: In most cases, the correction of the wrong way of falling-technique will reduce theclavicle fractures in the Hapkido players.

  • PDF

Posterior and Posterolateral Instability of Knee Joint (후방 및 후외측 불안정성 슬관절)

  • Lee, Dong-Chul
    • Journal of the Korean Arthroscopy Society
    • /
    • v.7 no.2
    • /
    • pp.127-136
    • /
    • 2003
  • Posterolateral instability of the knee occurs more commonly in association with an injury to anterior and posterior cruciate ligament and combined injuries are severe injuries that result in significant functional instability and articular cartilage degeneration. Reconstruction of the anterior and posterior cruciate ligament without an appropriate treatment of posterolateral corner injury result in failure of the reconstructed cruciate ligaments. Meticulous physical examinations, imaging studies, lower limb alignment and gait pattern should be evaluated. Acute grade III isolated or combined injury of the posterolateral corner is best treated within three weeks by direct repair, or augumentation, or reconstruction. The appropriate surgical method or combined methods are selected among the several methods of posterior and posterolateal reconstruction, and all injuried posterolateral and cruciate ligament structures are anatomically reconstructed simultaneously or by stages. If a varus alignment and varus thrust is disclosed in chronic posterolateral instability of knee, soft tissue reconstructions laterally are highly unlikely to be able to correct tile problem. It is appropriate that valgus osteotomy should be done before soft tissue reconstruction and reevaluate the posterolateral instability about 6 months later.

  • PDF

A Rare Case of Irreducible Knee Dislocation: Vastus Medialis Obliqus-Buttonholing of Medial Femoral Condyle - A Case Report - (정복 불가능한 슬관절 탈구의 드문 예: 내측광근의 단추구멍손상 - 증례 보고 -)

  • Kim, Hyoung-Soo;Park, Seung-Rim;Kang, Joon-Soon;Lee, Woo-Hyeong;Kim, Ki-Wook
    • Journal of the Korean Arthroscopy Society
    • /
    • v.5 no.1
    • /
    • pp.41-44
    • /
    • 2001
  • The muscular button holing of vastus medialis is a very rare case of irreducible knee dislocations, and rapid reduction of this can diminish the complications which delayed reduction accompanies. We diagnosed a patient who appeared posterolateral dislocation of the knee and protrusion of the medial femoral condyle with MRI grossly. That was reduced by open arthrotomy, followed the reconstruction of both cruciate ligaments and repair of medial collateral ligament. Patient didn't show joint instability except minor posterior sagging and had full range of motion postoperatively after 10 months.

  • PDF