• 대한정형외과스포츠의학회지
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• 제6권2호
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• pp.99-104
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• 2007

목적: 성장기 태권도 선수들의 경기 손상을 분석하고 그 예 방법을 알아보고자 하였다. 대상 및 방법: 2005년 5월과 2006년 5월의 광주광역시에서 열린 전국 중 고교 태권도 대회에서 발생한 경기 손상 162예를 분석하였다. 결과: 경기 손상 162예에서 족부와 수부 손상이 많았고 골절 및 개방성 탈구, 개방성 골단판 골절 등의 심한 손상도 35예 있었다. 태권도 선수의 빠른 속도와 파괴력은 족부 무지가 접질릴 때 개방성 탈구를 가져 올 수 있고 가격 족부와 피격 상지에 골절을 가져 올 수 있다. 결론: 부상 선수들의 적절한 치료와 함께 훈련 손상 및 경기 손상이 누적되지 않도록 충분한 휴식이 요구되며, 경기 손상의 예방을 위해 경기장 매트, 발등 보호대 손 장갑의 보완과 팔꿈치 보호대의 착용 등이 필요할 것으로 사료된다.

• 대한정형외과스포츠의학회지
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• 제5권1호
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• pp.69-74
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• 2006

목적: 본교에 재학중인 태권도 선수들이 태권도와 관련하여 과거의 경험하였던 운동 손상의 유형, 치료 경과 및 운동 복귀 등에 대해서 분석 하고자 하였다. 대상 및 방법: 태권도를 전공으로 하는 본교 대학생 선 수 49명 중 과거 태권도와 관련하여 사지, 두부 및 척추 부위 의 손상으로 치료를 위해 병원을 방문한 경험이 있는 47명을 대상으로 하였다. 남자가 39명, 여자가 8명이었으며, 평균 연령은 18.8세이었다 태권도 운동 경력은 평균 9.6(4-13)년 이었으며, 수상 시 태권도 경력은 평균 6.7(5-9)년 이었다. 운동 손상의 양상과 치료경과 등에 대해서 후향적으로 분석하였다. 결과: 47명이 과거에 태권도와 관련하여 손상 빈도는 1회 손상이 26명 (55.3%), 2회가 11명(23.4%), 3회가 4명(0.5%), 4회가 5명(10.6%), 5회가 1명(2.2%)으로 총 85예 이었다. 연습 중 수상한 빈도는 50예(58.8%), 시합 중 수상한 빈도는 35예(41.2%)로 연습 중 손상이 더 빈번하였다. 공격 시 수상 빈도는 26예 (31.7%), 방어 시 수상 빈도는 49예 (57.6%)이었다. 손상의 유형별 분류상 골절이 49예(57.5%) 및 인대손상 21예(24.7%)로 가장 큰 비중을 차지하였다. 부위별 손상으로는 상지 손상이 32예 (37.7%), 하지 손상이 44예 (51.8%), 몸통 및 안면부 손상이 9예 (10.5%)였다. 치료는 수술이 15예 (17.7%), 석고 고정이 21예 (24.7%), 부목 고정이 33예 (38.8%), 물리치료가 15예 (17.7%), 침술이 1예 (1.1%)였다. 결론: 대학 태권도 선 수들의 대부분(47/49, 96%)에서 병원을 방문할 정도의 심한 운동 손상을 과거에 경험하였고, 유형별로는 골절이 가장 많았으며, 손상이 시합 때보다는 연습 중에 더 빈번하였다는 것을 확인 할 수 있었다.

• Archives of Plastic Surgery
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• 제50권2호
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• pp.171-176
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• 2023

Background Human bite wounds in emergency department need evaluation in regard of reconstruction. These are due to occlusive bite injuries over face. Most commonly, human bites over face involve ear and nose, and may lead to avulsion injury. Defects over nose can be reconstructed immediately after debridement or delayed till the wound heals and scar becomes supple. Thorough wash and lavage with broadspectrum antibiotic cover has utmost importance in preventing cartilage infection. Methods We report 20 cases of human bite injuries over nose who presented to us in emergency department between 2018 and 2020. At the time of presentation the wound was assessed for closure. If not possible, patient was planned for delayed reconstruction after 3 months. In case delayed reconstruction was planned, the skin and nasal mucosa were approximated at first presentation. The patients underwent paramedian forehead flap after recreation of defect with conchal cartilage graft. Second stage of flap detachment and insetting was done after 3 weeks. After three weeks of second stage, third stage of flap thinning was done. Patients were followed for 3-6 months and subjective satisfaction was noted. Results Nineteen patients underwent delayed staged reconstruction with paramedian forehead flap and one underwent primary wound closure. The flap survival was 100%. The patient satisfaction was excellent in most cases. Conclusion We recommend delayed reconstruction for human bite nasal injuries. For reconstruction, paramedian forehead flap with conchal cartilage graft, if required, provides excellent reconstructive option with good contour and color match and minimal donor site scar.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.829-835
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• 2011

Purpose: The two major concerns in skin grafting are poor color match in the recipient site and the donor site morbidity. And, glabrous skin on the palmar aspect of the hands and plantar aspect of the feet attributes define the skin on the palm and fingers sole as functionally and aesthetically different from skin on other parts of the body. When there is a glabrous skin defect, it should be replaced with similar skin to restore function and aesthetics. The palmar crease areas were used to minimize these problems. The purpose of this study is to present the precise surgical technique of the full thickness skin graft using distal palmar and midpalmar creases for aesthetic better outcome for hand injuries. Methods: From May 2006 to April 2010, 10 patients with 11 defects underwent glabrous full thickness skin grafting of finger defects. Causes included seven machinery injuries, two secondary burn reconstructions, and one knife injury. Donor sites included ten glabrous full thickness skin graft from the distal palmar crease and one from the midpalmar crease. Results: Follow-up ranged from 3 months to 24 months. All glabrous skin grafts demonstrated complete taking the recipient sites and no incidence of the complete or partial loss. The donor site healed without complications, and there were no incidences of significant hypopigmantation, hyperpigmentation, or hypertrophic scarring. Conclusion: The important aspects of this method involve immediate return of glabrous skin to the defect site and restoration of the recipient site's crease by simple primary closure from adjacent skin. The glabrous skin of the palm provides the best tissue match for the reconstruction of the hands, but only a limited amount of tissue is available for this purpose. Full thickness skin grafting using palmar crease of the defects is the ideal way of reconstructing glabrous skin to restore both function and aesthetics and minimize donor site morbidity.

• The Journal of Korean Physical Therapy
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• 제34권1호
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• pp.38-44
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• 2022

Purpose: The purpose of this study was to investigate the effects of complex training on injury, flexibility, and muscle stiffness in high school male football players. Methods: A total of 60 football players were included in the study and were divided into three groups viz. the complex training group (CTG), 11+ training group (11+TG), and traditional training group (TTG). Injuries were recorded based on the prospective investigation method after starting the study, and the flexibility and muscle stiffness of the subjects were evaluated. Results: The research results showed that the injury rate per match was significantly lower in the CTG and 11+TG than the TTG. In the CTG, the flexibility of the hamstrings significantly increased and the stiffness of the rectus femoris (RF), biceps femoris (BF), and tensor fascia latae (TFL) muscles significantly decreased (p<0.05). In the 11+TG, the stiffness of the RF significantly decreased (p<0.05). In the TTG, the flexibility of the hamstrings significantly increased (p<0.05). Hamstring flexibility showed a significantly higher increase in the CTG and TTG compared to the 11+TG (p<0.05). Also, the stiffness of the RF and TFL muscles showed a significantly higher decrease in the CTG compared to the 11+TG and TTG (p<0.05). The stiffness of the BF muscles too showed a more significant decrease in the CTG compared to the TTG (p<0.05). Conclusion: The complex training method of the Fédération International de Football Association (FIFA) 11+ and self-myofascial release (SMFR) as a warm-up program, prevent injuries, enhance flexibility, and lower muscle stiffness of football players in high school. Thus, it is necessary to ensure the widespread use of the complex training program by instructors and players under the supervision of the Korea Football Association (KFA), given its reliability in preventing injuries and improving the performance of football players.

• Archives of Plastic Surgery
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• 제34권5호
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• pp.580-586
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• 2007

Purpose: High tension electrical injuries result in major tissue(eg. bones, tendons, vessels and nerves) destruction. Therefore, the management of mutilating wrist caused by electrical injuries still represents a challenge. There are various approaches to this problem including local and regional flaps as well as pedicled distant flaps and microsurgical free tissue transfer. Although it has not gained wide acceptance, because of the technically demanding dissection of the pedicle, posterior interosseous flap is now well accepted for the reconstruction of hand and wrist in hand surgery. The principal advantages of this flap are minimal donor site morbidity, minimal vascular compromise, one stage operation. This flap also offers the advantages of ideal color match and composition. In this report, we describe our experience with the reverse posterior interosseous island flap for reconstruction of mutilating wrist with main vessel injuries. Methods: From October, 2004 to June, 2006, we treated 11 patients with soft tissue defects and main vessel injuries on the wrist that were covered with reverse posterior interosseous island flap. Results: These 11 patients were all male. The ages ranged from 27 to 67 years(mean age 41.75) and the follow-up period varied from 4 to 19 months. Complete healing of the reverse posterior interosseous island flaps were observed in 11 patients(12 flaps). The majority of these flaps showed a certain degree of venous congestion, which in a flap was treated with medical leech. 1 flap has partial necrosis owing to sustained venous congestion, requiring secondary skin graft. flap size varied from $3.5{\times}8cm$ to $10{\times}12cm$(mean size $6.4{\times}8.9m$). The donor site defect was closed directly in 5 flaps, and by skin graft in 7 flaps. Conclusion: We found that the reverse posterior interosseous island flap is reliable and very useful for reconstruction of mutilating wrist and we recommend it as first choice in coverage of soft tissue defects in the wrist with electrical arc injuries.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2010년도 추계학술대회
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• pp.113-129
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• 2010

Proper pre-safety training is one of core mandatory in order to reduce injuries at the construction fields. In this study, we investigate the employee's opinions of safety training, safety recognition, the actual conditions of safety through survey. As a result of study, incident factors are roughly divided into technical factor, managerial factor, and educational factor. We confirmed that the educational factor led by deficiency of safety awareness and knowledge was the major factor. It needs to be resettled or revised properly to match with the incident trends and the safety training curriculum should also be improved and drastically revised with special quality. The managerial workers' safety recognition is lower than the site ones regarding the correct understanding of the importance of the training.. It suggest that the education method and system in construction fields might have fundamental problems.

• 대한정형도수물리치료학회지
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• 제5권1호
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• pp.75-80
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• 1999

The Taekwondo being a martial sports, there are higher chances for the injury to occur than the non martial sports. Therefore, this study analyze the frequency, the area, the type, and the condition of the injury which are prone to occur in the Taekwondo matches; it is to help the Taekwondo players in prevention of the injury and in treatment. The subjects of this study were the 48 players (male 24, female 24) who participated in the final selection contest of the national team player on March 9 to 12, 1993. The data of the injury were obtained from the medical recoder staff and were analyzed to the frequency of the injury per match, the vulnerable area of the injury, the type of injury, and the condition of the injury with a gender difference. There were 24 matches for the male and 24 matches for the female, total 48 matches. Therefore, the total participation number of the players are the double of the match number. 1. The frequency of the injury per match was 18.3%(11/60) for male and 23.1%(12/52) for women. 2. The areas of the injury were ankle 36.4%(4), foot 18.2%(2), knee 18.2%(2), lower leg 18.2%(2), wrist 9.1%(1) in male; foot 33.4%(4), ankle 16.7%(2), knee 16.7%(2), lower back 16.7%(2), lower leg 8.3%(1), face 8.3%(1) in female. 3. The types of the injury were contusion 45.5%(5), sprain 27.3%(3), abrasion 9.1%(1), laceration 9.1%(1), tendon rupture 9.1%(1) in male; contusion 33.3%(4), sprain 33.3%(4), abrasion 16.7%(2), subcutaneous hemorrhage 8.3%(1), dislocation 8.3%(1) in female. 4. The condition of the injury were the unblocked attack 36.4%(4), attacking kick 27.3%(3), blocking a kick 18.2%(2), attacking punch 9.1%, impact with surface 9.1%(1) in male; attacking kick 33.3%(4), unblocked attack 25%(3), blocking a kick 25%(3), attacking punch 8.3%(1), impact with surface 8.3%(1) in female. This study shows that the injury from the Taekwondo matches occurred most in the lower extremity joints and the foot, and shows that the most of the injury types were contusion and sprain. Therefore, it is believed to be helpful to wear the proper fitting ankle or the knee protector and using other protective equipment to prevent the sports injury in the Taekwondo matches.

• 대한정형외과스포츠의학회지
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• 제8권1호
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• pp.46-50
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• 2009

목적: 성장기 태권도 선수가 호소하는 만성 통증의 유형과 원인을 분석하고 이에 대한 선수 및 지도자의 인식 조사와 함께 만성 통증을 줄일 수 있는 방법을 모색해 보고자 하였다. 대상 및 방법: 2006년 3월부터 2007년 6월까지 1년 4개월 동안 광주광역시의 초, 중, 고교 태권도 선수 210명과 지도자 12명을 조사하였다. 진단은 이학적 검사와 단순 방사선 촬영, MRI 등을 통해 이루어졌다. 결과: 조사 대상 선수 210명 중 만성 통증을 겪은 선수는 162명(77.1%)이였으며 세 부위의 만성 통증을 겪은 선수는 19명(11.7%), 두 부위는 74명(45.7%), 한 부위는 69명(42.6%)이였다. 162명의 만성 통증 274예에서 손상 부위로는 족부, 족관절부가 145예(52.9%)로 가장 많았고 수부, 수근관절부 47예(17.2%), 슬관절부 38예(13.9%), 고관절부 25예(9.1%), 요추부 19예(6.9%)였다. 만성 통증의 손상 유형으로는 족부의 좌상(타박상)이 103예로 가장 많았고 다음으로 족관절부 염좌 40예, 수부, 수근관절부 좌상 28예 등이었으며 이러한 만성 통증을 유발하는 손상 원인으로는 겨루기 연습 손상이 가장 많았고, 다음으로 무리한 훈련이었으며, 경기 손상 등이 있었다. 결론: 성장기 태권도 선수들에게 만성 통증이 흔히 있었고 족부, 족관절부 통증이 많았으며 손상 유형으로는 좌상과 염좌가 많았다. 손상 원인으로는 겨루기 연습 손상이 가장 많았으며 만성 통증으로의 이행은 무리한 훈련과 잦은 경기가 큰 원인이 되고 있었다. 이러한 선수들의 손상을 예방하고 치료하기 위한 다각적인 노력이 필요할 것으로 사료된다.

• 대한족부족관절학회지
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• 제14권2호
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• pp.123-129
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• 2010

Purpose: To evaluate the efficacy of the arthroscopic exploration combined with modified Brostrom operation (MBO) for the treatment of chronic lateral ankle instability (CAI). Materials and Methods: Sixty patients who diagnosed a CAI were performed MBO. We divided to 2 groups, whether simultaneously inspected by arthroscopy (group B) or not (group A). The both group's results were compared according to American Orthopedic Foot and Ankle Society Ankle-hindfoot score (AOFAS), functional ankle score and visual analog scale (VAS) at preoperative and final follow-up period. Results: There were no significant differences of AOFAS, functional ankle score and VAS between both groups at final follow-up. However, in group A, 2 cases associated with medial ankle instability and syndesmotic injuries were did not diagnosed preoperatively, showed poor prognosis. In group B, one case had a permanent peroneal nerve symptom. The match rate of intra-articular lesions between preoperative diagnosis and postoperative arthroscopic diagnosis was 30% in group B. Conclusion: Combination of arthroscopic exploration and MBO is effective strategy for intra-operatively discrimination of intra-articular associated lesions for CAI.