• 대한족부족관절학회지
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• 제13권2호
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• pp.184-188
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• 2009

Although avascular necrosis of the hallucal sesamoid has not been frequently addressed in the literature, it should be considered in the differential diagnosis of persistent forefoot pain. We experienced 3 cases of avascular necrosis of the hallucal sesamoid with sclerosis of the sesamoid bone on radiograghs and computed tomograghy images. T1 and T2-weighted MRI images in 2 patients showed low signal intensity in the sesamoid bone, which suggested osteonecrosis and confirmed by histology. We report 3 cases of avascular necrosis of sesamoid with a review of the literature.

• 대한족부족관절학회지
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• 제10권2호
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• pp.279-283
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• 2006

Irreducible dislocation of great toe interphalangeal joint with incarcerated sesamoid is a rare condition, with only a few cases reported in literature. We describe two cases of dislocation of interphalangeal joint which were diagnosed by plain radiographs and three dimensional computed tomography (3D-CT) and successfully treated with open reduction without excision of sesamoid through dorsal approach along with literature pertinent to this condition.

• 대한족부족관절학회지
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• 제20권3호
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• pp.140-144
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• 2016

Osteochondroma is one of the most common bone tumors. It can occur anywhere, although it is most frequent mainly around the metaphysis of long bones. Prediction sites are distal femur, proximal humerus, proximal tibia, and so on. However, osteochondroma in sesamoid is very rare. Herein, we report a case of a 56-year-old woman with symptomatic extra-articular osteochondroma in hallucal sesamoid with a brief literature review.

• 대한족부족관절학회지
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• 제24권3호
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• pp.120-123
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• 2020

Heterotopic ossification is the formation of extra-skeletal bone in the muscle and soft tissues, and an osteoma is a benign bone-forming tumor composed of compact or mature trabecular bone limited almost exclusively to the craniofacial bones. This paper reports an extremely rare case of heterotopic ossification mimicking an osteoma that occurred independently at the plantar side of the medial sesamoid bone. The patient was a 46-year-old male with a three-month history of pain and a hard mass on the plantar aspect of the left forefoot sole. After excising the lesion, the patient's symptoms were relieved, and no pain or complications occurred. This paper discusses this exceedingly rare case of heterotopic ossification around the medial sesamoid bone with a review of the relevant literature.

• 대한정형외과스포츠의학회지
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• 제1권2호
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• pp.143-148
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• 2002

목적: 임상적으로드물며, 발생시도수정복이잘안되는무지중수지관절복합탈구의임상적결과를알아보고자하였다.대상및방법: 무지중수지관절의외상성탈구11예(10예후방탈구, 1예전방탈구)를대상으로초기에탈구의정복가능성,도수정복을방해하는해부학적요인, 수술적접근법에관하여조사하였다.결과: 모든증례에서초기에도수정복을시도하였으나, 2예에서만이정복이되었다. 8 례는전방도달법으로관혈정복을하였고, 1예는만성적인소견을보여관절고정술을시행하였다. 정복방해요인은파열된수장판내로근위부에서단무지굴건과요측종자골이감입되어있었고, 중수골두는파열된인대와단무지굴건사이에형성된간격사이로빠져나와있었다.결론: 과신전에의한중수지관절의후방복합탈구는드물지만, 정복이쉽지않아서주로관혈정복이요구되며, 이때정복방해요인인파열된수장판과관절막, 단무지굴건과종자골등에관심을갖고치료에임하여야한다.

• 한국자원식물학회지
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• 제23권2호
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• pp.157-164
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• 2010

본 연구에서는 해당화의 과육(RRF)과 종자(RRS) 부위의 추출물이 골다공증 및 골질환에 미치는 영향을 연구하기 위하여 각각 조골세포의 세포 증식능과 LPS로 유도된 염증상태에서 전구-파골세포가 염증유발 물질로 분비하는 NO와 TNF-$\alpha$ 분비 억제 조절능을 측정하였다. 또한, 과육(RRF)과 종자(RRS)가 골다공증 및 골질환이 빈번하게 발생하는 노화된 상태에서도 적용할 수 있는지 확인하기 위하여 정상생쥐와 노화생쥐로부터 분리한 비장세포에서 B 림프구와 T 림프구의 세포 증식능을 측정하였다. 연구 결과에서 과육(RRF)과 종자(RRS)는 그 효능과 농도에서 차이를 나타내었으나, 모두에서 조골세포의 세포 증식효과와 LPS에 의한 NO 분비 억제효과를 보였으며, TNF-$\alpha$ 조절에는 영향을 나타내지 않았다. 그러나 종자(RRS)는 $500\;{\mu}g/m{\ell}$에서 pre-osteoclastic cell에 세포 독성을 보였으며, LPS 에 의해 유도 증가된 TNF-$\alpha$의 분비도 오히려 증가시켰다. 따라서 과육(RRF)이 종자(RRS)보다 안전하고 효능성 있게 사용할 수 있음을 나타내었다. 정상 및 노화생쥐의 비장 세포에 대한 림프구 증식효과에서도 과육(RRF)과 종자(RRS)는 모두 비장세포 증식을 나타내었고, ConA 처리에 의한 T세포 증식에도 효과를 나타내었다. 그러나 LPS에 의한 B림프구의 세포증식효과에서 과육(RRF)의 경우에는 효과를 나타내지 않았나, 종자(RRS) $1000\;{\mu}g/m{\ell}$에서는 LPS 처리에 의한 B림프구의 증식을 오히려 감소시킴으로써 B 림프구의 면역을 억제할 수 있음을 나타내었다. 과육(RRF)과 종자(RRS)는 정상 및 노화생쥐에서 같은 양상을 보임으로써 노화된 상태에서 특별히 다른 효과를 보이지는 않았으나, 종자(RRS)가 LPS에 의한 B세포의 증식에 오히려 감소효과를 나타낸 점을 고려할 때, 종자(RRS)에 대해서는 처리 농도와 효능에 대한 연구가 더욱 이루어져야 할것으로 생각되며, 과육(RRF)이 노화 및 정상상태에서의 골다공증 및 골질환에 좀 더 안전하고 효능성 있게 사용될 수 있을 것으로 사료된다.

• 한국작물학회지
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• 제27권1호
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• pp.78-83
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• 1982

우리나라 참깨 수요와 재배면적은 해를 거듭할수록 증가하고 있으나 병해에 의한 저수량성은 참깨 증산에 큰 문제점이 되어 왔다. 참깨 병해중에도 입고병은 참깨발아 및 생육초기에 발생함으로써 입묘확보가 어려운 실정에 있었다. 현재까지 저항성 유전자원이 발견되지 않아 내병성품종 개발이 되어있지 않은 현실에서 약제처리로라도 방제할 수 있는 효과를 거두기 위하여 본시험을 실시하였다. 이에 얻어진 결과를 요약하면 다음과 같다. 1. 참깨 입고병균인 Fusarium oxysporum f. vasinfectum과 Rhizoctonia solani의 접종은 밀배지를 사용하여 28$^{\circ}C$ C에서 20일간 균배양한 밀배지 10g을 토양 1kg에 골고루 섞어 포장 전면에 접종하는 것이 가장 효과적이었다. 종자소독 처리약제 중에서는 Benlate-T가 이병주율 4%, 10a당 종실중 40.7kg으로서 무처리의 이병주율 96%, 10a당 종실중 6.4kg에 비하여 높은 방제효과를 보였다. 2. 실내에서 풋트시험한 결과에서도 포장시험에서와 같이 Benlate-T는 이병주율 7%로써 무처리 100%에 비하여 높은 방제효과를 보였다. 3. 발아후 방제약제 분무처리 효과에서 Topsin M이 이병주율 19%로서 무처리 38%에 비하여 낮았으나 종자소독제 처리와 같은 입고병 방제효과는 없었다. 4. 종자소독제 처리후 25일에 살균제 분무처리한 종합처리 효과는 Benlate-T+Difolatan 처리구가 이병주율 3%로서 무처리 96%에 비하여 높은 효과를 보였으나 여기에서의 주효과는 Benlate-T의 종자소독처리 효과였다.

• 대한족부족관절학회지
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• 제8권2호
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• pp.131-137
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• 2004

Purpose: We evaluated the results of various surgical treatments for hallux valgus with and without attempting to correct sesamoid subluxation. Materials and Methods: Thirty-one cases in 26 patients were involved in this study: Group I (15 cases) - surgery performed only to correct the hallux valgus angle (HVA) and the first-second intermetatarsal angle (IMA) in AP view; Group II (16 cases) - surgery performed to correct HVA and IMA and also to reduce the subluxation of sesamoid. The degree of sesamoid subluxation was measured from a pre- and intraoperative sesamoid tangential views. For both groups, we analysed the status of the sesamoid in pre- and postoperative radiographs and performed clinical evaluation using the Mayo clinic forefoot scoring system. Results: The average amount of correction during postoperative period and loss of correction at last follow-up in the sesamoid tangential view were as follows: soft tissue procedures (5 cases) - group I: grade $1.0{\pm}0.4/1.5{\pm}0.3$ and group II: grade $2.0{\pm}0.9/0.5{\pm}0.08$; chevron osteotomy (12 cases) - group I: grade $1.0{\pm}0.5/1.2{\pm}0.3$ and group II: grade $2.2{\pm}0.7/0.9{\pm}0.2$; proximal metatarsal osteotomy (14 cases) - group I: grade $4.0{\pm}0.4/1{\pm}0.2$ and group II: grade $4.7{\pm}1.1/0.8{\pm}0.1$. In clinical evaluation, more than 93% of the feet had a good result in both groups. The analysis of these data for each treatment type did not show any statistically significant differences between groups I and II. Conclusion: The radiologic and clinical results did not validate our attempts to reduce the sesamoid during surgery.

• 대한족부족관절학회지
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• 제13권2호
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• pp.138-141
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• 2009

Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of range of motion of great toe after sesamoidectomy. Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated and the angular changes were measured. Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than 2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal articulations. Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion occurred with lateral sesamoidectomy.

• 대한족부족관절학회지
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• 제9권1호
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• pp.13-19
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• 2005

Purpose: To determine the radiographic changes in forefoot geometry with weight-bearing. Materials and Methods: The forefoot radiographs of 100 normal Korean adults, 50 male and 50 female volunteers, were evaluated both in nonweight-bearing and weight-bearing. The mean age was 27 years with range of 21-39 years. Those with normal feet were selected from volunteers having no history of foot problems or other musculoskeletal diseases. Results: The changes of measured angle between phalanges and metatarsals with weight-bearing were as follows; Hallux valgus angle was noted to increase in 20% of the feet, decrease in 59%, and remained unchange in 21%. Intermetatarsal angle $1{\sim}2$ was noted to increase in 76% of the feet, decrease in 3%, and remained unchange in 21%. Intermetatarsal angle $1{\sim}5$ was noted to increase in 95% and remained unchange in 5%. Shift in medial sesamoid on weight-bearing was also not consistent. Lateral shift was noted in 27%, no shift in 66%, medial shift in 7%. Conclusion: The generalized concept that the angles between bones and shift of medial sesamoid in the forefoot will change consistently with weightbearing was not found.