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손상된 후경골건 감입에 의한 족관절 골절 및 탈구의 정복 실패: 증례 보고
이준영,박이규,장현웅,Lee, Jun Young,Bak, Yi Gyu,Jang, Hyun Woong 대한족부족관절학회 2017 대한족부족관절학회지 Vol.21 No.2
Fractures and fracture-dislocations of the ankle are caused by a variety of mechanisms. In addition to fractures, injuries of soft tissue, such as ligaments, tendons, nerves, and muscles may also occur. Among these, a tibialis posterior tendon injury is difficult to be identified due to swelling and pain at the fracture site. It is difficult to observe tibialis posterior tendon injury on a simple radiograph; it is usually found during surgery by accident. There are some studies regarding irreducible ankle fracture-dislocations due to interposition of the tibialis posterior tendon; however, to the best of our knowledge, there has not been any report about interposition of injured tibialis posterior tendon. Herein, we report a case of an irreducible fracture-dislocation of the ankle due to injured tibialis posterior tendon interposition that was observed intraoperatively, interrupting the reduction of ankle fracture-dislocation. We obtained satisfactory clinical result after reduction of the trapped tendon, fracture reduction, and internal fixation; therefore, we are willing to report this case with the consent of the patient. This study was conducted with an approval from the local Institutional Ethics Review Board.
10세 남자 운동선수에서 발생한 아킬레스건 파열을 동반한 종골 골단의 견열 골절: 증례 보고
이준영,박이규,임재환,Lee, Jun Young,Bak, Yi Gyu,Lim, Jae Hwan 대한족부족관절학회 2018 대한족부족관절학회지 Vol.22 No.2
Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients' clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients' clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.
축구화의 스터드 형태와 제5 중족골 근위부 스트레스 골절과의 연관성
이준영 ( Jun Young Lee ),이광철 ( Gwang Chul Lee ),이영관 ( Young Kwan Lee ),박이규 ( Yi Kyu Park ),박상수 ( Sang Soo Park ),송준섭 ( Jun Seob Song ) 대한스포츠의학회 2012 대한스포츠의학회지 Vol.30 No.1
This research sets out to define the relationship between stud morphology of soccer shoes and 5th metatarsal proximal stress fractures on soccer players by comparison and analysis. After the pre-survey of 132 soccer players in Gwangju, 107 players who seem to have a 5th metatarsal fracture were selected. We investigated the shape of the studs and asked whether they had ever had a 5th metatarsal proximal stress fracture. We also asked them some questions on factors, which cause stress fracture, such as what position they play, how long they have been playing soccer as athletes and average playing time. And we analyzed correlation between these several factors and whether they had ever had stress fracture using chi-square (x2) test and Logistic regression analysis. We concluded that soccer players who wore bar type studs shoes had a much greater possibility of stress fracture than soccer players who wore the round type. Also we learned that soccer players who play mid-fielder have a much greater possibility of stress fracture than soccer players who play other positions. And the result of logistic regression analysis of relevance between soccer shoes stud morphology and stress fracture shows a statistically significant odd ratio, 6.840. It has been suggested that the morphology of the soccer shoes stud has relevance to the occurrence of stress fracture. Therefore, according to the result of this study, soccer shoes with the round shape are more helpful in preventing 5th metatarsal proximal stress fracture than soccer shoes with the bar shape.
원위 경골 골간단부 골절의 치료에서 최소 침습적 금속판 내고정과 교합성 골수정 내고정의 비교
이광철 ( Gwang Chul Lee ),이준영 ( Jun Young Lee ),하상호 ( Sang Ho Ha ),손홍문 ( Hong Moon Sohn ),박이규 ( Yi Kyu Park ) 대한골절학회 2012 대한골절학회지 Vol.25 No.1
목적: 원위 경골 골간단부 골절에서 관절 주위 금속판을 이용한 최소 침습 금속판 골유합술과 골수강내 금속정 고정술을 시행한 환자들을 대상으로 술 후 결과를 비교하여 분석하였다. 대상 및 방법: 2008년 12월부터 2009년 12월까지 원위 경골 골간단부 골절로 수술적 치료를 받은 61예를 대상으로 하였다. 최소 침습금속판 골유합술을 시행한 환자 30예를 A군, 골수강내 금속정 고정술을 시행한 환자 31예를 B군으로 나누었다. 결과: A군과 B군의 골유합 시기는 평균 16.4주와 17.2주, 수술시간은 평균 45분과 48분, 방사선 피폭 시간은 4.2분과 7.5분이었다. VAS점수는 평균 0.7점과 0.5점이었고 A군에서 금속판 주변의 피부를 압박하였을 때의 통증 정도는 VAS 점수상 1.7점이었다. Olerud and Molander Ankle Score는 평균 87.4점과 86.3점이었다. 술 후 합병증은 A군에서 표재성 창상 감염 1예가, B군에서 표재성 창상감염 1예와, 5도 이상의 각 변형이 2예에서 발생하였다. 결론: 원위 경골 골간단부 골절의 수술적 치료에서 관절 주위 금속판을 이용한 최소 침습 금속판 골유합술과 골수강내 금속정 고정술에서 골유합 시기 및 임상적 기능에서는 유의한 차이가 없었으나, 술 후 합병증으로 골수강내 금속정 고정술이 술 후 각 변형의 발생율이 더 높아 이에 대한 주의가 필요하다. Purpose: To compare results between minimally invasive plate osteosynthesis using a periarticular plate and intramedullary nailing in distal tibial metaphyseal fractures in two treatment groups. Materials and Methods: Sixty-one cases of distal tibial metaphyseal fractures from December 2008 to December 2009 were evaluated. The minimal follow-up period was 12 months. Thirty patients treated by minimally invasive plate osteosynthesis using a periarticular plate were Group A; 31 patients treated by intramedullary nailing were Group B. We compared and analyzed the results of each group by radiological and clinical assessments. Results: The mean bony union time was 16.4 weeks in Group A and 17.2 weeks in Group B. The mean operation time was 45 minutes in Group A and 48 minutes in Group B. The mean radiation exposure times were 4.2 minutes and 4.8 minutes, respectively. VAS scores were 0.7 points and 0.5 points in each respective group. In Group A, the VAS score was 1.7 points when we applied pressure on the skin around the plate. The mean Olerud and Molander Ankle Score was 87.4 points and 86.3 points, respectively. A superficial wound infection occurred in 1 case in each group, and angular deformities more than 5 degrees occurred in 2 Group B cases. Conclusion: No significant differences in results were observed between the two groups. However, a higher incidence of angular deformity was seen in the intramedullary nailing group. Therefore, we must be careful during surgery.
알츠하이머병 치매에서 대뇌 아밀로이드 축적 여부에 따른 임상적 특성의 차이
전소연(So Yeon Jeon),변민수(Min Soo Byun,),이다현(Dahyun Yi),이준호(Jun Ho Lee),최영민(Young Min Choe),김현정(Hyun Jung Kim),백혜원(Hyewon Baek),이준영(Jun Young Lee),이동우(Dong Woo Lee),한나영(Na Young Han),이승훈(Seung Hoon Lee),고 대한노인정신의학회 2016 노인정신의학 Vol.20 No.2
Objective:The present study investigated the clinical characteristics of Alzheimer’s disease (AD) dementia with low brain amyloid-beta (Aβ-AD) burden comparing with AD dementia with high amyloid-beta burden (Aβ+AD). We also developed a prediction model for the amyloid positivity on 11 C-labelled Pittsburgh Compound B (PiB) positron emission tomography (PET) with distinct clinical variables in AD dementia patients. Methods:Fifty-nine clinically defined AD dementia individuals, who participated in the Korean Brain Aging Study for Early diagnosis and prediction of AD (KBASE) study, were included. All the subjects received comprehensive clinical evaluations and PiB-PET. Based on cerebral PiB retention, all subjects were divided into Aβ+AD (n=47) and Aβ-AD (n=12) subgroups. To develop a prediction model for amyloid positivity, stepwise multiple logistic regression analysis was conducted. Results:When compared to Aβ+AD, Aβ-AD showed older age, later age-at-onset, and lower education. In regard of risk factors for dementia, Aβ-AD had higher frequency of hypertension and diabetes mellitus as well as lower frequency of apolipoprotein E (APOE) ε4 allele. Although there was no between group difference in Clinical Dementia Rating (CDR) or CDR sumof-boxes scores, mini-mental state examination and constructional recall scores were higher for Aβ-AD than Aβ+AD. The final amyloid positivity prediction model included APOE4 genotype, hypertension, and diabetes mellitus. Conclusion:The findings from this study indicated that clinically diagnosed AD dementia may have high possibility of not being pathological AD if they have older age and higher vascular risks, and did not have APOE4 genotype.
이준영,조백기,이종육,박철종,박기완 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.2
Congenital onychodysplasia of the index fingers(COIF) is characterized by hypoplasia or dysplasia of the nails peculiarly restricted to the index fingers. The cause is unknown, but clinical study suggested that ischemia of the finger at a certain period of fetal life might play an important role in its pathogenesis. Major characteristics of this condition are anonychia, micronychia, and polyonychia restricted to the index fingers. We report two cases of COIF, one of which was presented with anonychia of the left index finger, micronychia of the right index finger, and ventricular septal defect of the heart in a 2-week-old male baby, and the other which was presented with polyonychia of the right index finger in a 1-month-old male baby.