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      • KCI등재

        행군골절 발생과 발아치 구조의 연관성에 대한 연구보고

        배영재,윤성일,Bae, Young-Jae,Yoon, Sung-Il 대한족부족관절학회 1998 대한족부족관절학회지 Vol.2 No.2

        The fact that, under similar training activities performed in the same environment, march fractures develop in only a certain percentage of the trainees indicates that intrinsic factors are affecting the prevalence of these fractures. Among these intrinsic factors, the relation between foot arch type and the occurance of march fractures was investigated in this study. From 1997 to 1998, at one infantry medical company of infantry corps in Korea, 15 march fracture patients were detected among infantry soldiers. Quantitative measures of the foot arch (longitudinal) structure of 15(30feet) march fracture patients were established and compared with those of 15(30feet) normal person. The results were as follows. 1. From the lateral X-ray film, three parameters (i.e. calcaneal angle, forefoot angle, height to length ratio)were defined to describe the structure of the longitudinal arch of the foot. 2. The mean value of the calcaneal angle of march fracture group and normal control group showed 16.4 degree, 20.5 degree respectively. The difference between two groups was statistically significant (P>0.006), but those of forefoot angle and height to length ratio were not. 3. In the calcaneal angle twenty-six feet(87%) of march fracture group were lower than 17 degrees but twenty-five feet(83%) of normal control group were more than 17 degrees. That is, march fracture were more prevalent in feet with low calcaneal angle. 4. In the low arch foot, the orthotic device might relieve the energy load carried by the foot, thus reducing the incidence of march fractures, and should be analyzed in further study.

      • KCI등재

        한국 보병에서 발생한 중족골 행군골절 양상의 예비적 보고

        배영재,윤성일,Bae, Young-Jae,Yoon, Sung-Il 대한족부족관절학회 1998 대한족부족관절학회지 Vol.2 No.2

        Stress or march fractures among military personnel, especially recruits, has been appreciated for many years. According to the classical references, the second metatarsal was one of the first sites identified as a focus for march fractures and radiological evidence of fracture appeared as late as several weeks. The purpose of this study was to document the clinical feature of march fractures in Korean infantry soldiers. From 1997 to 1998, at one infantry medical company of OO infantry corps in Korea, 15 (19cases) patients with march fracture were detected among infantry soldiers. There were some different finding in the fracture site and its clinical features from the previous foreign reports. 1. There were pain and local swelling in all cases as clinical manifestation. By physical examination, direct point tenderness on the location of the fractured metatarsal shaft was characteristic. 2. On roentgenographic examination, cortical fissuring or break was seen one week after onset of symptoms and external callus was seen from two weeks or at the least four weeks. Oblique view was more useful than AP view in the diagnosis of march fractures. 3. The third metatarsal was the most frequently involved site(7 cases, 48%). and the second metatarsal was Jess frequent(3 cases, 20%). This difference of frequent site with previous reports might be attributed to the relatively long shaft of the third metatarsal, but should be analyzed in further study. 4. The incidence of the development of march fracture was 1 per 104 infantry soldiers.

      • KCI등재

        자가 이식편에 의한 전방십자인대 재건술의 실패요인 : 침해(Impingement)에 대하여 About Impingement

        배영재,정영복,태석기 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.2

        The aim of this study was to investigate the influnce of impingement of the geaft by intercondylar roof to stability of the joint and clinical result after reconstruction of anterior cruciate ligament(ACL) with bone-patellar tendon-bone graft. Among 74 cases of ACL reconstruction were done by one tunnel arthroscopic technique from May l991 to February 1994,30 casas with excellent result and 4 cases with poor result were analysed by radiological measurements & stability assessed hy Lachiman test and KT-1000 arthrometer, OAK(Orthopadische Arbeitsgruppe Knie) knee score. Impingement was assessed by relationship between the locations of intersection points on tibial tunnel plateau rnade by the lines drawn along the tibial tunnel and the slope of femoral inteizondylar roof in full extension lateral roentgenogram. Impingement was defined as severe(group 1) which the line of tibial tunnel was in front of the line of intercondylar slope; moderate or non when the former was at the same point or behined the latter(group II). In addition to that, the degree of impingement was evaluated by dividing the distance between the intersection point of intercondylar slope line an anterior margin of tibial tunnel by the width of tibial tunnel, and expressed in terms of percentage. The were as follows; 1. There were 2 cases of group I(severe impingernent) and 32 cases of group II (moderate or no impingement) 2. Regarding the range of motion, one case of group I showed limitation of extension under l0 degrees, and one case of group II showed limitation of flexion under 15 degrees. 3. Lachman test was positive in one case of group I and 3 cases of group II, and negative in one case of y oup I illld 29 cases of group II. 4. Maximal manual displacement measured by KT-1000 arthrometer was 4.81.0 in group I and 1.0+- l.7 in group II(statistically significant difference al p&.00]). 5. The degree of impingement obtained by radiological measurement was 123% in group I and 34% in group lI(statistically significant difference at p=0.001). 6. Accarding to OAK criteria, one cases of group I and 29 cases group II showed excellent result, one case of group I and 3 cases of group II showed poor result. From above results, the presence and degree of impingement assessed by full extension lateral roentgewgram seems to have influence on the stability and clinical result after reconstruction of ACL by one tunnel arthrosccpic technique.

      • SCOPUSKCI등재

        표피박이성과각화증의 1예

        배영재,임수덕,윤재일,허충림,홍주남 대한피부과학회 1982 대한피부과학회지 Vol.20 No.4

        Epidermolytic hyperkeratosis is a rare disease which is extremely variable in its severity. In some patients it may be so severe and generalized during the neonatal period as to be lifethreatening, in others, it is relatively inconspicuous. A bullous eruption is the characteristic finding of the epidermolytic hyperkeratosis The bullous episodes soon become less frequent and more localized and may eventually cesse, but continue into adult life after the age of 20 years in at least 20% of cases. A case of epidermolytic hyperkeratosis is represented. The patient was a 25-year-old male who had ichthyosiform erythroderma and the frequent episades of bullous eruption. The bullous eruption had been subsided under the treatment with oral penicillin administration. The histopathological features of the bullous lesion on his abdomen revealed the features of epidermolytic hyperkeratosis.

      • SCOPUSKCI등재

        표재성 피부지방종성 모반 2예 : Report of two Cases

        배영재,임수덕,윤재일,허충림,홍주남 대한피부과학회 1982 대한피부과학회지 Vol.20 No.4

        Nevus lipomatosus cutaneus superficialis is a very rare skin disease which appears at birth or within the firat two decades of life. This uncommon condition is due to collections of ectopic fat cells within the upper and mid-dermis. There are two clinical forms. The first form is a lesion of zonal distribution, present from birth or childhood, usually on the buttocks or the lower back. The second form, a dome or sessile, papule, begins in adult life and is less restricted in distribution, and occurs also on the limbs Coalescence of soft, yellowish papules tends to form cerebriform plaques. The authors experienced two cases of typical nevus lipomatosus cutaneus superficialis. The first case was a 23-year male who had asymptomatic, soft, skin colored, and pea sized confluent nodules on the right lower back area since at birth. The second case was a 35-year female who had asymptomatic, multiple, soft, skin colored from rice to walnut sized confluent nodules on the coccygeal area which developed at the age of 27. Diagnosis was confirmed by clinical and histopathological findings.

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