성기선 전 한국교육과정평가원 원장 인터뷰

성기선,편집부 한국교육과정평가원 2021 교육광장 Vol.76 No.-

발목 관절의 전방 충돌 증후군

성기선,Sung, Ki-Sun 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.4

Impingement syndrome of the ankle is defined as painful mechanical limitation of full ankle movement secondary to osseous and/or soft tissue abnormality. These conditions occur more commonly in active people and athletes probably because recurrent subclinical injury is an important factor in development of the syndrome. Impingement syndromes of the ankle are categorized according to their anatomical site around the ankle joint. Anterolateral, anterior and posterior impingement has been extensively described in the orthopaedic literature. The purpose of this article is to review the clinical feature and management of anterior impingement syndrome of the ankle.

진구성 만성 아킬레스 건 파열의 수술적 치료의 결과

성기선,허재원,Sung, Ki-Sun,Heo, Jae-Won 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2

Purpose: The purpose of this study was to report the surgical outcome of reconstruction of neglected chronic Achilles tendon ruptures with various methods including Achilles tendon allograft. Materials and Methods: Between October 2003 and November 2008, 8 consecutive neglected chronic Achilles tendon ruptures with the defect gap of more than 4 cm underwent surgical reconstruction including V-Y advancement, gastrocnemius fascial turn-down flap, flexor hallucis longus transfer and Achilles tendon allograft. There were 7 males and 1 female who were evaluated at more than 18 months after surgery. At the time of followup, all patients were assessed with regard to postoperative complications, their self-reported level of satisfaction, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scale, 10 repetitive single heel rise, single leg hopping test, and ankle range of motion. Results: The AOFAS score increased from average 71.4 (50-87) to 96.4 (86-100). All patients were able to perform 10-repetitive single heel raise and single leg hopping at the latest follow up. No patient experienced wound complications and deep infection. Six patients were rated as 'excellent' and the other two as 'good'. Conclusion: Neglected chronic Achilles tendon ruptures could be successfully treated with careful selection of the reconstruction method according to the amount of defect gap. With an extensive defect, Achilles tendon allograft can be a good option when the reconstruction is not feasible otherwise.

발목 관절경: 해부학, 삽입구 및 기구

성기선,Sung, Ki-Sun 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.1

Major technologic advances in fiberoptic light transmission, video cameras, and instrumentation have allowed great advances in small-joint arthroscopy. Arthroscopy in particular is now well established procedure for accurate diagnosis and operative management of certain ankle disorders. The small size of the ankle and significant periarticular soft tissue structures make placement and advancement of the arthroscope and instrumentation more difficult than in larger joints. Successful arthroscopy of the ankle requires knowledge of the regional anatomy and a familiarity with the available arthroscopic portals. This review article is going to describe the gross and arthroscopic anatomy of the ankle as it relates to current arthroscopic techniques. Particular emphasis is placed on the anatomic relations of the important osseous and soft tissue structures for a safe, reproducible approach to arthroscopic treatment of ankle pathology. Also, current arthroscopic equipment and instruments are included.

고립성 골연골종에서 기원한 골육종의 재발 및 육종 성분의 조직학적 변화

성기선,서재곤,손정경,Sung, Ki-Sun,Seo, Jai-Gon,Son, Jeong-Gyeong 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.1

가장 흔한 양성 골 종양인 고립성 골연골종의 악성 변화는 대부분이 연골 육종이며, 골육종은 매우 드문 것으로 알려져 있다. 본원에서는, 30세 여자 환자의 대퇴골 원위부 후방에 생긴 고립성 골연골종에서 기원한 것으로 보이는 낮은 등급의 골수내 골육종이 초기 치료 후 3회 재발을 관찰하였으며, 이 과정에서 관찰한 병리 조직상 연골모세포성, 골모세포성 및 섬유모 세포성 골육종으로 각기 다른 조직학적 분화를 확인할 수 있었다. 이에 관한 보고는 현재까지 확인이 되지 않아, 매우 희귀한 사례로 판단되어 치험 사례를 문헌 고찰과 함께 보고하고자 한다.

역분화성 방골성 골육종 - 증례 보고 -

성기선,장문종,임경섭,Sung, Ki-Sun,Chang, Moon-Jong,Lim, Kyung-Sub 대한근골격종양학회 2007 대한골관절종양학회지 Vol.13 No.2

Dedifferentiated parosteal osteosarcoma is an uncommon variant of osteosarcoma. Dedifferentiation is known to be associated with a greater metastatic potential and a more rapid lethal clinical course. Thus recognition of dedifferentiation is important to establish the treatment strategy. But there may be few significant clinical clues to distinguish between dedifferentiated parosteal osteosarcoma and conventional one. A 29-year-old woman presented with 2-year history of discomfort and swelling in her proximal thigh. Examination showed a large, hard, non-mobile mass. Radiographs revealed a large ossified mass attached to the proximal femur. Diagnosis of parosteal osteosarcoma was established by MRI and needle biopsy. But she had a history of abrupt severe thigh pain and increased swelling before surgery. Follow up MRI showed enlargement of mass with invasion to muscle around tumor. The patient underwent an en-bloc resection of tumor and reconstruction. Histological examination showed parosteal sarcoma with dedifferentiation. The patient expired due to local recurrence of tumor and distant lung metastasis 2 months after the surgery. In case with rapid growth of a lesion or unusual severe pain, one must have a high index of suspicion with regard to dedifferentiation.

골종양에서의 고주파 열치료

성기선,Seong, Gi-Seon 대한근골격종양학회 2007 대한골관절종양학회지 Vol.13 No.1

종골에 발생한 간엽성 연골육종 - 1예 보고 -

성기선,손정경,조은윤,Sung, Ki-Sun,Son, Jeong-Gyeong,Cho, Eun-Yoon 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.2

Mesenchymal chondrosarcoma is very rare and mostly occurs in lower extremity, especially femur, head and face, and pelvis in order. An eleven-year old male patient suffered from left heel pain for several months and underwent biopsy at another hospital. A Malignant bone tumor was suspected, so the patient was transferred to our hospital. We reviewed the outside pathologic slide, which revealed the diagnosis of mesenchymal chondrosarcoma. It was treated by a below knee amputation. Three months later, a chest computed tomography (CT) revealed multiple metastatic nodules in both lungs. All metastatic nodules were surgically excised and the patient received postoperative chemotherapy. As far as our knowledge, mesenchymal chondrosarcoma in the calcaneus is the first case in the world. Thus, we report a case of mesenchymal chondrosarcoma in the calcaneus with thorough review of documents.

脊椎에 變形을 수반한 Von Recklinghausens Disease : 1例報告 Case Report

成基善,柳在萬,朴種燮 최신의학사 1973 最新醫學 Vol.16 No.7

Neurofibromatosis with its characteristic clinical features is not uncommonly encounted clinically. However, the concomittant presence of scoliosis in these cases is rather infrequent occurrence. presented is. the detailed description of a 20-year-old male with Neurofibraomatosis of solitary type with cafe-au-lait pigmentation og the skin and a large mass in the trunk with Associated Sciolosis of the spine.

제5 중족골 기저부 제 I, II구역 비전위성 골절의 보존적 치료

성기선,고경환,구경효,박재철,Sung, Ki-Sun,Koh, Kyoung-Hwan,Koo, Kyung-Hyo,Park, Jae-Chul 대한족부족관절학회 2008 대한족부족관절학회지 Vol.12 No.2

Purpose: Zone I fractures of the fifth metatarsal bone can generally be treated by conservative methods while both surgical and conservative methods are used for zone II fractures. However, the clinical results of conservative treatment have been rarely reported. The purpose of this study is to report the clinical results of conservative treatment for zone I and II nondisplaced fractures. Materials and Methods: Between July 2007 and August 2008, consecutive thirty seven patients (38 fractures) with zone I and II fractures of the fifth metatarsal bone were treated with tolerable weight bearing and minimum duration of immobilization based on pain on weight bearing. We evaluated the duration of immobilization, time to clinical and radiographic union, and time to pre-injury activity level. Results: Clinical and radiological union were achieved in all patients without any complications including malunion or nonunion. The mean duration of immobilization was 28.7 days. The mean 33.1 days and 48.9 days were required for clinical union and radiographic union respectively, after the initial injury. The mean time to pre-injury activity level was 4.8 months. Conclusion: Our study shows that the acute nondisplaced zone I, II fracture of fifth metatarsal bone can be treated effectively using tolerable weight bearing and minimum duration of immobilization, which is based on the pain on weight bearing.