• 제목/요약/키워드: Orthopaedic

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체포 과정에서 발생한 견갑 - 흉곽 해리 - 증례보고 - (Scapulothoracic Dissociation during Arresting - A Case Report -)

  • 김형수;유정현;염주상;배원하
    • 대한정형외과스포츠의학회지
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    • 제7권2호
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    • pp.146-150
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    • 2008
  • 견갑-흉곽 해리는 둔상이나, 견갑부 전외측 방향으로 가해진 강한 견인력에 의해 견갑-흉곽 관절의 붕괴를 야기하는 드문 손상이다. 이 손상은 견갑부에 피부 손상은 없으나 심한 부종, 손상받은 견갑부의 외측이동으로 특징 지어지며, 많은 경우에 다양한 근골격계 손상과 신경혈관 손상이 동반된다. 본원에서는 체포과정에서 발생된 33세 남자환자에서 골절과 혈관 손상이 관찰되지 않은 견갑-흉곽 해리를 경험하였기에, 진단 방법과 임상 양상, 치료 방침을 문헌 고찰과 함께 보고하는 바이다.

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거의 자연 발생된 양측 아킬레스건의 파열 - 1예 보고 - (Almost Spontaneously Developed Rupture of Bilateral Achilles Tendons - 1 case report -)

  • 박인헌;송경원;신성일;이진영;박성진;현윤석
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.106-110
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    • 2002
  • The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

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Lateral Supramalleolar Flap for Reconstruction of Soft Tissue Defect around the Ankle Joint

  • Han, Soo-Hong;Kim, Seong-Hui;Lee, Soon-Chul;Lee, Ho-Jae;Kim, Woo-Hyun;Bong, Sun-Tae;Song, Won-Tae
    • Archives of Reconstructive Microsurgery
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    • 제23권1호
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    • pp.13-17
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    • 2014
  • Purpose: Soft tissue defect on foot and ankle is vulnerable and requires a thin flap for improvement of aesthetic and functional results. Lateral supramalleolar flap is a simple and fast procedure, which can preserve and supply reliable constant blood flow, and causes fewer donor site complications. The authors reviewed our cases and report the clinical results. Materials and Methods: Ten cases of soft tissue defects on the lower leg, around the ankle were treated with lateral supramalleolar flap. There were seven males and three females with a mean age of 54.8 years. The mean size of flaps was $5.9{\times}6.3$ cm and the mean follow-up period was 23 months. Flap survival and postoperative complications were evaluated. Results: Nine flaps survived completely without loss of flap. There was one case of partial wound dehiscence requiring debridement and repair, and another case of necrotic flap change requiring partial bone resection and closure. All patients were capable of weight bearing ambulation at the last follow up. Conclusion: The authors suggest that the lateral supramalleolar flap could be a useful option for treatment of soft tissue defect around the ankle joint.

선천성 양측 전방십자인대 결핍 (Bilateral Congenital Deficiency of The Anterior Cruciate Ligament)

  • 박승림;김형수;강준순;이우형;이주형;이동주
    • 대한관절경학회지
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    • 제1권1호
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    • pp.108-111
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    • 1997
  • Congenital deficiency of the anterior cruciate ligament (ACL) is a rare disorder that has been reported in association with other knee dysplasia like as congenital knee dislocation. congenital short femur, congenital absence of menisci, congenital ring meniscus, and thrombocytopenia-absent radius syndrome. There has been no published explanation about the etiology of bilaeral ACL deficiencies without other abnomality. The patient of congenital ACL deficiency must be carefully inspected about combined anomaly. Those efforts may be helful in treatment or ACL deficient patients and evaluation of pathophysiology or ACL deficiency. However there has not been a ruptured congenital deficiency of the ACL without other dysplasia or the knee and other congenital skeletal abnomalities. We reported a case of symptomatic bilateral congenital deficiencies of the ACL which have not been associated with other skeletal abnormalities.

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배면 갈매기형 절골술을 이용한 족저각화증의 수술적 치료 (Surgical Treatment for Plantar Keratosis Using Vertical Chevron Osteotomy)

  • 유성호;김부환;송무호;안성준;이민수;강석웅
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.31-35
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    • 2010
  • Purpose: Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically. Materials and Methods: Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients' satisfaction and disappearance of plantar lesion. Results: The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared. Conclusion: We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.

Recurrent Dorsal Compartment Syndrome of the Upper Arm After Blunt Trauma

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong;Yang, Jae-Hoon;Kim, Dong-Kyu;Cha, Soo-Min
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2009년도 제17차 학술대회
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    • pp.160-160
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    • 2009
  • Compartment syndrome is not uncommon in the forearm or lower extremity, but it is relatively rare in the upper arm. This rarity might delay the diagnosis, especially in the unconscious or intoxicated patient. Therefore, a high index of suspicion is needed to make an accurate, early diagnosis. Although excessive muscle strain leading to localized compartment syndrome is seldom encountered in the upper arm, three cases of compartment syndrome in the upper arm after blunt injury have been reported. Interestingly, there were no bony injuries in any of these patients. However, there are only two reports of isolated dorsal compartment syndrome after blunt trauma. The present report presents the case of a patient who had blunt trauma to the upper arm that resulted in the development of compartment syndrome in the isolated dorsal compartment of the upper arm.

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상완골에 발생한 골막 연골종 - 1례 보고 - (Periosteal chondroma of the proximal humerus - A case report -)

  • 안병우;정성원;김병헌;조제일;왕경태;김우식;김종관
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.166-169
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    • 2005
  • Periosteal chondroma is a slow growing benign chondroid tumor. It erode the surface of cortex and induce a saucer shape defect. Histologically, it occasionally show hypercellularity, mitosis which can lead to the erroneous diagnosis of malignant tumor. Clinical, radiographic and pathological investigations are necessary to establish the diagnosis. Marginal excision proved an effective treatment. To our knowledge, this benign chondroid tumor of humerus has never been previously reported in Korea. We report a case of periosteal chondroma of proximal humerus mimicking periosteal chondrosarcoma.

양측성 내반주 변형에 동반된 지연성 척골 신경 마비(1례 보고) (Tardy Ulnar Nerve Palsy Caused by Bilateral Cubitus Varus Deformities - A Case Report -)

  • 이상엽;김정환;이상국;정재익;김영환;황식
    • Clinics in Shoulder and Elbow
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    • 제2권2호
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    • pp.209-213
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    • 1999
  • It is well known that tardy ulnar nerve palsy occurs with cubitus valgus deformity as a late complication after a nonunion of lateral condyle fracture of the humerus in childhood. On the other hand, cubitus varus deformity often results from malunion of supracondylar fractures of the humerus. However, reports of tardy ulnar nerve palsy in cubitus varus deformity are few. We report a patient with bilateral cubitus varus deformities with bilateral tardy ulnar nerve palsy which was confirmed with EMG. She was treated by step cut osteotomy(DeRosa and Graziano) with sub­cutaneous anterior transposition of ulnar nerve.

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슬관절의 활액막에 발생한 유육종증 -1례 보고- (Sarcoidosis in Synovium of the Knee Joint - Case Report -)

  • 최중근;이재준;윤승렬;임수재;이병일;나수균
    • 대한골관절종양학회지
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    • 제4권2호
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    • pp.99-102
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    • 1998
  • Sarcoidosis is a multi systemic granulomatous disease of unknown etiology and pathogenesis. The granulomas are non-caseating, and the organs that are affected most frequently are the lungs, the skin, and the eyes. However it may also involve the liver, spleen, bone, nervous system, and other organs. The diagnosis is based on the identification of noncaseating granuloma in the tissues involved, excluding other granulomatous conditions. The diagnosis of sarcoid joint disease is often made in retrospect and only when the lung or eye is involved. We report a case of sarcoid synovitis in knee joint with review of literature.

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족부 및 족관절 손상 후 심한 부종에 대한 그물망 절개술: 술기 보고 (Meshed Stab Incision for Severe Swelling after Foot and Ankle Injury: A Technical Report)

  • 현윤석;김갑래;신성일;홍성엽;박정섭;최상민
    • 대한족부족관절학회지
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    • 제19권1호
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    • pp.39-41
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    • 2015
  • Swelling is a body's natural reaction to foot and ankle injury to mount a healing inflammatory response. To some degree, swelling is necessary for healing and is something that cannot be avoided following injury. However, post-traumatic swelling may have an adverse effect on wound healing and surgery can often be delayed due to preoperative swelling. We report on a unique technique of making multiple meshed stab incisions around the site of injury to reduce soft tissue swelling and promote wound healing.