• 제목/요약/키워드: Arthroscopy Surgery

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슬관절 전내측 반월대퇴 인대 - 증례 보고 - (Anteromedial Meniscofemoral Ligament - A Case Report -)

  • 윤정로;김택선;양재혁;이우승;오치헌
    • 대한관절경학회지
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    • 제14권1호
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    • pp.41-44
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    • 2010
  • 저자들은 대퇴과간 후외측벽과 내측 반월상 연골 전각부에 부착되는 전내측 반월대퇴 인대(AMMFL) 증례에 대해 보고하고자 한다. 본 증례는 수술 중 관절경에 의해서 확진 되었다. 저자들은 전내측 반월대퇴 인대의 발생 가능성에 대한 인식을 높이고자 하였으며, 추가적으로 이 구조물의 이상 소견과 임상적 의미에 대해 문헌 고찰과 함께 보고하고자 한다.

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슬관절내에 발생한 눈사람 형태의 결절성 건활액막염 - 증례보고 - (Snow-Man Shaped Nodular Tenosynovitis in the Knee - Case Report -)

  • 이건우;이근수;송상호;김명구;윤상현
    • 대한관절경학회지
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    • 제3권1호
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    • pp.44-47
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    • 1999
  • 저자들은 25세 남자로서 특별한 외상없이 좌측 슬관절 내에 발생한 결절성 건활액막염으로 확진된 1례를 보고하는 바이다. 환자는 좌측 슬관절 슬와부에 경미한 정도의 압통이 있었으며, $100^{\circ}$에서 굴곡장애가 특별한 외상 없이 내원 5개월 전 부터 발생하였다. 관절경적 진단 및 종물 제거 후 증상의 소실과 굴곡장애가 없어졌으며, 1년간의 추시 관찰시 증상의 재현은 없었다.

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후외측 거골 골연골 병변을 동반한 삼각골 증후군 (1예 보고) (Os Trigonum Syndrome with Posterolateral Osteochondral Lesion of Talus (A Case Report))

  • 조세현;남대철;정순택;김동희;문동규
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.190-193
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    • 2010
  • Both os trigonum syndrome and osteochondral lesion of talus (OLT) are common causes of ankle pain and usually affect ballet dancers or athletes. Lateral osteochondral lesions, which usually result from traumatic event, are mostly located anterolateral talar dome but rare central or posterolateral. Moreover, there are technical difficulties such as position of patient or additional posterior portal to address posterolateral lesion by arthroscopy. Meanwhile, treatment of os trigonum syndrome using arthroscopic approach has been reported in many literatures recently. However, it has not been reported to diagnose both os trigonum syndrome and posterolateral OLT together and treat arthroscopically at one stage. The authors report a case of male patient who was diagnosed as os trigonum syndrome with posterolateral OLT and treated simultaneously by hindfoot arthroscopy. Symptom was improved immediately after the operation, and radiological findings at postoperative 16 months verified remarkable healing.

관절경 하 미세골절술 이후에도 통증이 지속되는 거골의 내측 골연골병변에 대하여 이차 관절경 수술과 함께 시행된 과상부절골술: 증례 보고 (Supramalleolar Osteotomy Combined with Redo Arthroscopy for a Patient with Persistent Pain after Primary Arthroscopic Microfracture for Medial Osteochondral Lesion of the Talus: A Case Report)

  • 송태훈;서진수;최준영
    • 대한족부족관절학회지
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    • 제27권2호
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    • pp.71-74
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    • 2023
  • A medial opening wedge supramalleolar osteotomy (SMO) introduced by Takakura et al. is a useful realignment procedure for patients with ankle joint arthritis and varus malalignment by shifting the weight-bearing axis laterally and redistributing the loads on the ankle joint. When pain persists after arthroscopic microfracture in patients with medial osteochondral lesion of the talus (OLT), redo arthroscopy, osteochondral autograft transplantation, autologous chondrocyte implantation, or matrix-induced chondrogenesis might be indicated. On the other hand, there is insufficient scientific evidence for realignment surgery through SMO, while the effect of realignment surgery has been studied consecutively for osteochondral lesions of the knee. Therefore, this paper reports a patient with medial OLT who underwent redo arthroscopy combined with SMO for persistent pain after primary arthroscopic microfracture.

이중 내측 활막추벽 증후군 - 1예 보고 - (Double Medial Plica Syndrome - Case Report -)

  • 손종민;장주해;하난경;조성태;황정택
    • 대한관절경학회지
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    • 제10권1호
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    • pp.108-111
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    • 2006
  • 저자들은 우 슬관절에 발생한 이중 내측 활막추벽 증후군 환자를 경험하였기에 보고한다. 일반적으로 활막추벽 증후군은 전형적인 증상이나 통증이 없을수 있으며, 다양한 골관절 증상을 유발하는 다른 슬내장증의 원인들과 감별진단이 요구된다. 결정적인 진단에는 MRI와 관절경술이 필요하며, 증상이 있는 경우 관절경적 제거술에 의해 증상의 호전이 이루어진다고 보고된다. 본 환자는 앉거나 계단을 오를 때, 우 슬관절 동통을 호소하였고, MRI상 전형적인 이중 내측 활막추벽이 관찰되어 관절경적 절제술을 시행하였다. 술후 환자는 만족스러운 임상호전을 보였다.

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관절경을 이용한 족관절 외과 골절의 비관혈적 정복술 및 내고정술 (Arthroscope-guided Closed Reduction and Internal Fixation of the Lateral Malleolar Fracture)

  • 신성일;김갑래;현윤석;반태서;김태화
    • 대한족부족관절학회지
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    • 제12권1호
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    • pp.74-79
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    • 2008
  • Purpose: In this study, we introduced an newly developed technique of operation for fracture of lateral malleolus of the ankle. We treated the fracture by close reduction and internal fixation using arthroscopy. Materials and Methods: From July 2006 to June 2007, we had treated 23 cases of lateral malleolar fracture (SER type) by closed reduction and internal fixation with arthroscopy and followed them up more six month. Operation time, union time, clinical and functional result were evaluated. Results: After the final follow-up, all the fractures were healed with satisfactory bony union. The subjective result was excellent in 15 cases (65%), good in 8 cases (35%), the objective result was excellent in 13 cases (57%), good in 10 cases (43%), and the roentgenographic result was excellent in 17 cases (74%), good in 6 cases (26%). Conclusion: Closed reduction and internal fixation with arthroscopy technique is an effective treatment method in treating lateral malleolar fracture of the ankle since it offers advantages including corrective anatomical reduction and minimizing complication associated with injury of soft tissue.

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관절 내 종골 골절의 수술적 치료에 있어 관절 내시경 사용의 유용성 (The Usefulness of Arthroscopy in the Operative Treatment of Intra-Articular Calcaneal Fracture)

  • 정경칠;곽희철;김창완;김정한;박대현
    • 대한족부족관절학회지
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    • 제13권1호
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    • pp.55-59
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    • 2009
  • Purpose: We tried to evaluate the usefulness of the arthroscopy in the operative treatment of intra-articular calcaneal fracture. Materials and Methods: Between March 2005 and May 2008, 9 patients with intra-articular calcaneal fractures(Tongue type or Sanders type IIC) were treated with arthroscopically assisted percutaneous reduction and screw fixation. American orthopedic foot and ankle society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS), preoperative and postoperative Bohler's angle and the rate of complication were evaluated. Results: AOFAS score at postoperative 1 year was 88.2 (range, 71-92), and mean VAS score was 2.8 (range, 1-4). Bohler angle was improved from preoperative mean $16.2^{\circ}$ to postoperative mean $29.7^{\circ}$. There were no complications such as wound problem, infection or nerve injury. Conclusion: Subtalar arthroscopy provides precise view of posterior facet during the operation. Therefore, it can be a useful tool in treating intra-articular calcaneus fractures, especially tongue type and Sanders type IIC fractures.

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자가 슬개건을 이용한 전방십자인대 재건술 시 경골터널 생성중 핵심 확공기의 파열 - 증례보고 - (Breakage of Core Reamer During Anterior Cruciate Ligament Reconstruction -A Case Report-)

  • 노정호;양보규;박정태;제민수
    • 대한관절경학회지
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    • 제14권1호
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    • pp.33-35
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    • 2010
  • This is a case of the core reamer breakage during anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft. A 19-year-old man with acute anterior cruciate ligament rupture had reconstruction surgery. During tunneling in the proximal tibia, the core reamer have been cracked open and broken. Rest of the procedure was performed routinely except the tibial sided fixation of bone block which was performed with larger interference screw than usual. The patient followed the accelerated rehabilitation program. The result was satisfactory at 2 years after surgery.

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Arthroscopic Treatment of Elbow Osteoarthritis and Arthroscopic Ulnar Nerve Decompression

  • Chung, Seok Won
    • Clinics in Shoulder and Elbow
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    • 제19권4호
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    • pp.256-263
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    • 2016
  • Although arthroscopic surgery has been used conventionally, it has not been widely adopted yet due to the risks of complications, including nerve damage, technical difficulties, and limited indications. As shown in other joints, however, the use of an arthroscope will gradually increased in the elbow joint ('Arthroscopy always wins'). Herein, arthroscopic treatments and arthroscopic ulnar nerve decompression will be discussed in cases of elbow osteoarthritis.