• 대한정형도수물리치료학회지
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• 제18권2호
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• pp.31-39
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• 2012

Background: The purpose of this study was to develop a problem-based learning model for orthopedic manual physical therapy. A problem-based learning (PBL) model for orthopedic manual physical therapy developed from PBL module of Jeju C university (Halla-Newcastle PBL Center). A summary of this study is as follows: 1) PBL model is comprised of a class of 30 students, operated small group as of 4~5 students. 2) PBL is suggested a scenario of clinical case, induced variety reaction through group discussion and presentation. 3) PBL is occurred wide variety learning through group work activity and self-directed learning. 4) The tutor as a facilitator is played a guide for group discussion, work activity and team learning. 5) The evaluation for PBL is performed such as student self-evaluation, group activity evaluation, individual presentation, and practice. This model is considered wide variety learning through team learning and self-directed learning by clinical reasoning and problem solving for musculoskeletal clinical case. We suggest problem based learning for the education of orthopedic manual physical therapy in which the learners are very interested in and has the effective outcome.

• 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.

• 대한정형외과 초음파학회지
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• 제6권2호
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• pp.76-80
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• 2013

소아의 급성 혈행성 골수염에서 각종 합병증을 피하기 위해서는 조기 진단이 매우 중요하다. 저자들은 파행과 발열을 보이는 5세 환아에서 초음파를 이용하여 경골 원위부의 골막하 농양을 동반한 급성 혈행성 골수염을 조기 진단 후 치료한 경험을 보고하고자 한다.

• 대한족부족관절학회지
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• 제7권2호
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• pp.258-262
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• 2003

Avulsion fracture of the calcaneal tuberosity is an uncommon injury. Usually it occurs from indirect trauma, and can be seen in old patients with osteoporosis or in patients with diabetic neuropathy. Follow-up studies showed healing of the fracture in most cases, but skeletal deformity may develop in some cases. Therefore we should take plain X-ray evaluations in diabetic patients with foot and ankle pain, even though there have been no definite trauma history. Four cases of calcaneus avulsion fracture were treated operatively in diabetic patients, and reported.

• Clinics in Shoulder and Elbow
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• 제22권2호
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• pp.100-105
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• 2019

Suture anchors are commonly used in shoulder surgeries, especially for rotator cuff tears. Peri-anchor cyst formation, however, is sometimes detected on follow-up radiologic image after surgery. The purpose of this report is to discuss the case of a patient who presented with regression of extensive peri-anchor cyst on postoperative 4-year follow-up magnetic resonance imaging and had good clinical outcome despite peri-anchor cyst formation after arthroscopic rotator cuff repair.

• Clinics in Shoulder and Elbow
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• 제18권3호
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• pp.133-137
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• 2015

Background: The aim of this study was to investigate the demographic and clinical characteristics of patients with primary frozen shoulder in a Korean population. Methods: A total of 1,373 patients whose shoulders were diagnosed with primary frozen shoulder across 11 resident-training hospitals were reviewed retrospectively. Various demographic characteristics and clinical characteristics according to gender and presence of diabetes were evaluated. Results: The average age of patients was 55.4 years. Gender proportion was 58.3% females and 41.7% males. The frozen shoulder involved the non-dominant arm in 60.7% of patients and the bilateral arms in 17.6% of patients. The average duration of symptoms was 8.9 months, and 51.3% of patients had experienced nocturnal pain. Comorbidities associated with frozen shoulder in our sample of patients included diabetes (18.7%), cardiovascular diseases (17.7%), thyroid diseases (5.4%), and cerebrovascular diseases (3.6%). The diabetic group was correlated with the following demographic and clinical characteristics: old age, involvement of the dominant arm, nocturnal pain, long duration of symptoms, and no history of trauma. Further, we found that, in males, having a frozen shoulder was significantly correlated with a history of trauma; in females, having a frozen shoulder was significantly correlated with having thyroid diseases. Conclusions: These demographic data of primary frozen shoulder in the Korean population were consistent with those of previously reported epidemiologic studies. Primary frozen shoulder with diabetes was correlated with old age, bilateral involvement, long duration of symptoms, and nocturnal pain.

• 대한골관절종양학회지
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• 제13권2호
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• pp.75-80
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• 2007

목적: 저자들은 골연부조직 종양 전공자가 아닌 타 분야의 경험 있는 수련병원의 정형외과 전문의에 의해 치료된 연부조직육종 환자의 치료과정을 분석하여 치료의 적절성 여부를 보고자 하였다. 대상 및 방법: 1997년 7월부터 2006년 9월까지 본원을 방문하여 연부조직육종으로 진단받은 25명의 환자를 대상으로 하였다. 분석은 초진 방법과 수술적 치료와 보조적 치료 그리고 추시 관찰의 적절성 유무를 종양 치료의 원칙에 따라 조사하였다. 결과: 남자는 16례 여자는 9례였으며 최종 수술 전 생검을 시행한 경우는 9례(36%)였다. 광범위 절제술이 시행된 경우는 13(52%)례 였으며, 조직검사 결과를 근거로 악성도를 판명할 수 있었던 12례 중 수술과 술 후 보조적 치료가 동시에 적절했던 경우는 총 4(33.3%)례에 불과했다. 한편 적절한 검사 방법에 의해 이루어진 추시는 4례 (16%)였다. 결론: 예상외로 많은 수의 연부조직육종 환자들이 임상 경험이 풍부한 수련병원의 전문의들에게 조차 부적절한 치료를 받고 있다. 경험 많은 전문의를 포함한 모든 정형외과 전공자들에게 연부조직육종의 치료에 대한 전반적이고 강화된 교육이 필요 할 것으로 사료된다.

• Clinics in Shoulder and Elbow
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• 제26권3호
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• pp.245-251
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• 2023

Background: For anatomic total arthroscopic repair, cementless humeral fixation has recently gained popularity. However, few studies have compared clinical, radiographic, and patient-reported outcomes between cemented and press-fit humeral fixation, and none have performed follow-up for longer than 5 years. In this study, we compared long-term postoperative outcomes in patients receiving a cemented versus press-fit humeral stem anatomic arthroscopic repair. Methods: This study retrospectively analyzed 169 shoulders that required primary anatomic total shoulder arthroplasty (aTSA). Shoulders were stratified by humeral stem fixation technique: cementation or press-fit. Data were collected pre- and postoperatively. Primary outcome measures included range of motion, patient reported outcomes, and radiographic measures. Results: One hundred thirty-eight cemented humeral stems and 31 press-fit stems were included. Significant improvements in range of motion were seen in all aTSA patients with no significant differences between final cemented and press-fit stems (forward elevation: P=0.12, external rotation: P=0.60, and internal rotation: P=0.77). Patient reported outcome metrics also exhibited sustained improvement through final follow-up. However, at final follow-up, the press-fit stem cohort had significantly better overall scores when compared to the cemented cohort (visual analog score: P=0.04, American Shoulder and Elbow Surgeon Score: P<0.01, Simple Shoulder Test score: P=0.03). Humeral radiolucency was noted in two cemented implants and one press-fit implant. No significant differences in implant survival were observed between the two cohorts (P=0.75). Conclusions: In this series, we found that irrespective of humeral fixation technique, aTSA significantly improves shoulder function. However, within this cohort, press-fit stems provided significantly better outcomes than cemented stems in terms of patient reported outcome scores. Level of evidence: III.

• 대한미세수술학회:학술대회논문집
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• 대한미세수술학회 1993년도 제13차 학술대회
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• pp.105.1-105.1
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• 1993

• 대한미세수술학회:학술대회논문집
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• 대한미세수술학회 1993년도 제13차 학술대회
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• pp.102.1-102.1
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• 1993