수근부에 발생한 유골 골종: 증례 보고

이채칠,김상우,정승현,Lee, Chae-Chil,Kim, Sang Woo,Jung, Seung-Hyun 대한근골격종양학회 2014 대한골관절종양학회지 Vol.20 No.2

유골 골종은 골격계의 모든 부위에서 발생 가능하지만 하지에서 절반 이상이 보고 되고 있고 수근부에서 발생이 드문 것으로 알려져 있다. 임상적으로는 통증이 거의 유일한 증상이며 주로 밤에 악화 되고, asprin이나 다른 NSAIDs에 의해 빠르게 호전 되는 특징이 있다. 저자들은 전형적인 임상양상을 나타냈던 수근부의 유골골종, 증례 2예를 방사선 검사로 진단 후 수술적 치료로 좋은 결과를 얻어 문헌고찰과 함께 보고하는 바이다. Osteoid osteoma can occur in all parts of the skeletal system. More than half occur in lower extremity and rare in wrist. Clinically pain is almost the only symptom worse at night and which is characterized by a rapid improvement by NSAID. We report the cases of osteoid osteoma which shows the characteristic symptoms and got a good results with appropriate imaging work up and surgical treatment.

프로 축구 선수의 비충돌, 과굴곡 무릎 부상 후 발생한 급성 슬개하 지방체 손상: 증례보고

이채칠,박기봉,한중원 대한스포츠의학회 2022 대한스포츠의학회지 Vol.40 No.1

We describe the case of a 28-year-old male professional football player experiencing right knee pain after noncontact, hyperflexion injury during a regular professional football league match. Infrapatellar fat pad injury was confirmed using magnetic resonance imaging. The athlete was fully recovered with conservative treatment and could return to sports at 6 weeks after injury.

요추의 추간판 낭종 - 증례 보고 -

이채칠,조성도,고상훈,정광환,염윤석,김상우,박기봉,차재룡 대한척추외과학회 2010 대한척추외과학회지 Vol.17 No.3

Study Design: This is a case report. Objective: We present here a patient who had a discal cyst of the lumbar spine along with neurological symptoms. Summary of the Literature Review: Discal cysts are intraspinal cysts that communicate with an adjacent intervertebral disc, and these are rare lesions that can cause lumbar radiculopathy. Because they are very rare, their natural history and the details of the therapeutic guidelines for the treatment of these cysts are still unknown. Material and Methods: The patient complained of moderate lumbar pain and right lower extremity radiculopathy and he was administered conservative treatment for 5 months. But the radiculopathy became aggravated and he then underwent a hemilaminectomy,cyst decompression and discectomy. Results: The radiculopathy disappeared and any signs of recurrence were not found on the follow up performed at 1 year. Conclusion: Discal cyst is rare, but it can be treated successfully. 연구 계획: 증례 보고연구 목적: 본 논문의 목적은 신경학적 이상을 유발하는 요추부 추간판 낭종에 대해 보고하고자 함이다. 선행 문헌 요약: 추간판 낭종은 인접한 추간판과 연결되어 있으며 추간판 탈출증과 유사한 증상을 나타내는 드문 질환이다. 이 질환은 그 빈도가 매우드물어 아직까지 질병의 자연 경과나 자세한 치료 지침이 마련되지 않은 상태이다. 대상 및 방법: 본 환자는 중증도의 요추부 통증과 우측 하지 방사통을 주소로 내원하여 약 5개월 간의 보존적 치료에도 증상 호전 소견 보이지 않고 내원 1개월 전부터 하지 방사통 악화되어 제 3-4 요추 우측 추궁 절제술, 낭종 제거술 및 추간판 부분 절제술을 시행하였다. 결과: 수술 후 1년째 추시 경과 상 하지 방사통 소견은 소실되었으며 재발소견은 관찰되지 않았다. 결론: 추간판 낭종은 드문 질환이나 치료 가능한 질환이다.

족부에 발생한 활막 연골종증을 동반한 유선상 과오종: 2예 보고

이채칠,김상우,최혜정,황일영,김민석,Lee, Chae Chil,Kim, Sang Woo,Choi, Hye Jeong,Hwang, Il Yeong,Kim, Min Seok 대한족부족관절학회 2015 대한족부족관절학회지 Vol.19 No.4

Melorheostosis is a rare disease, belonging to the sclerotic bone dysplasia group. Initially described by Leri and Joanny in 1922, its etiology remains unknown. Onset is usually insidious, with deformity of the extremity, pain, limb stiffness, and limitation of motion in the joints. The typical radiographic appearance consists of irregular hyperostotic changes of the cortex, resembling melted wax dripping down one side of a candle. Treatment is usually symptomatic and conservative; however, conservative treatment is unsatisfactory due to functional issues when involving the distal extremity. We report on two cases of melorheostosis with synovial chondromatosis of the foot treated by mass excision.

슬관절 전치환술 후의 불안정성

이채칠 ( Chae Chil Lee ),조성도 ( Sung Do Cho ),고상훈 ( Sang Hun Ko ),정광환 ( Kwang Hwan Jang ),곽창열 ( Chang Yeul Gwak ),정지영 ( Ji Young Jeong ) 대한슬관절학회 2006 대한슬관절학회지 Vol.18 No.2

Purpose: To evaluate the patterns and the treatment of instability after primary TKA. Material & method: We studied 8 patients (9 cases) who had instability after TKA. We analyze the onset of symptom, patterns and main causes of instability, method of treatment, and results. The average follow-up period was 31 months. Result: Average onset of symptom after TKA was 10.1 month (8 day -4 years 4 month). The patterns of instability included anterior/posterior instability in 2, valgus/varus instability in 5 and global instability in 2. The treatments were thicker polyethylene exchange in 1, repair or reconstruction of collateral ligament with polyethylene exchange in 5, and revision with constrained or hinged implant in 3 when it was impossible to correct the imbalance of flexion-extension gap. All patients got stable knees and KSS functional and knee scores improved from average 55 and 56 points to 88.8 and 91 points respectively. Conclusion: Active repair or reconstruction of the ligament with polyethylene exchange wasone of the good options for treating instability after TKA. In cases of severe instability that could not be corrected by polyethylene exchange and repair or reconstruction of the ligament, revision with constrained or hinged implant was necessary.

슬관절 전치환술 후 비골 두에 발생한 골용해성 병변

이채칠(Chae-Chil Lee),박기봉(Ki-Bong Park),황일영(Il-Yeong Hwang),양두근(Doo-Guen Yang) 대한정형외과학회 2021 대한정형외과학회지 Vol.56 No.1

방사선 검사상 골용해성 병변이 슬관절에서 발견되는 경우 다양한 원인을 감별해야 한다. 특히 슬관절 전치환술을 받은 수술력이 있다면 골용해도 가능한 원인이 될 수 있다. 저자들은 우측 무릎 통증으로 내원한 83세 여성 환자에서 시멘트를 사용한 슬관절 전치환술의 경골 삽입물의 비감염성 해리가 선행된 비골 두의 골용해성 병변을 진단하였고 슬관절 재치환술을 통해 치료한 경험을 문헌 고찰과 함께 보고하는 바이다. The radiographic findings of an osteolytic lesion in the knee may indicate numerous possible impressions. Furthermore, osteolysis is a possible cause if there is a surgical history of total knee arthroplasty (TKA). The authors diagnosed osteolysis of the fibular head after aseptic loosening of the tibial component of a cemented TKA in an 83-year-old female patient who visited with right knee pain and report their treatment with revision TKA along with a literature review.

Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor

Chae-Chil Lee(이채칠),Sung-Jae Kim(김성재),Chang-Ho Hwang(황창호),Dong-Kyo Seo(서동교),Sang-Hun Ko(고상훈) 대한견주관절의학회 2007 대한견주관절의학회지 Vol.10 No.1

중위 지골 근위부의 복합 골절 시 역동적 견인 외고정 장치를 이용한 치료

김상우,이채칠,고상훈,황일영,김민석,진우영 대한골절학회 2019 대한골절학회지 Vol.32 No.1

목적: 저자들은 근위지간 복합 골절 탈구 시 역동적 견인 외고정 장치를 이용한 치료에 대한 효과를 발표하고자 한다. 대상 및 방법: 울산대학교병원에 2014년 2월부터 2016년 11 월까지 근위지간 복합 골절 탈구로 진단된 환자들 7명(6명은수장부 골절, 1명은 수배부 골절)을 대상으로 하였다. C-arm 사용하에 전신마취 상태에서 비관혈적 정복술 및 역동적 견인 외고정술을 시행하였고 술 후 3-5일 후 관절운동을 시작하였다. 수술 후 5주째 외고정 제거술을 시행하였고, 6주째탈구 및 전위 여부를 평가하였다. 결과: 역동적 견인 외고정 장치로 치료받은 환자들 모두 술 후3주째 근위지간 관절운동범위 100도로 정상 운동범위를 회복하였으며 일상생활로 복귀 가능하였다. 6주째 시행한 추시방사선 검사상 아탈구 및 전위는 관찰되지 않았으며, 발적, 국소발열, 농성 분비물 등의 감염 의심증상은 관찰되지 않았다. 결론: 본 연구에서는 만족스러운 정복 유지가 가능하였고 관절 강직을 피할 수 있었으며 수술 이후 일상 생활의 복귀 시기도 당길 수 있는 결과를 얻을 수 있었다. Purpose: This paper suggests the use of distraction dynamic external fixators (DDEF) for the treatment of proximal middle phalanx fractures. Materials and Methods: Seven patients, who were diagnosed with comminuted intra-articular fractures at the base of the middle phalanx from February 2014 to November 2016, were enrolled in this study (volar aspect 6 cases, dorsal aspect 1 case). They underwent a closed reduction under a C-arm image intensifier, and DDEF was applied with general anesthesia. Range of motion (ROM) exercise was encouraged after 3 to 5 days postoperatively, and DDEF was removed after 5 weeks. Subluxation, angulation and displacement were evaluated 6 weeks postoperatively. Results: The patients who were treated with DDEF showed a normal proximal interphalangeal joint ROM (100o), and there was no subluxation or displacement on the X-ray film 6 weeks postoperatively. In addition, there were no signs of infection, such as local heat, redness, and pus-like discharge. Conclusion: DDEF helps maintain the reduction and reducing forces through the ligamentotaxis. The joint stiffness is reduced, which it makes early return to daily life easier.

Mucoid Degeneration of Both ACL and PCL

조성도,염윤석,이채칠,Dong-Kyo Seo,Tae-Won Kim 대한정형외과학회 2012 Clinics in Orthopedic Surgery Vol.4 No.2

Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause ofknee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). A 48-year-old-male patient presented with knee pain and limitation of motion. The patient’s magnetic resonance imaging, arthroscopicfi ndings, and pathologic diagnosis confi rmed a clinical diagnosis of mucoid degeneration of both the ACL and the PCL. The symptoms disappeared after arthroscopic partial excision of the ACL and PCL.

Comparison of Arthroscopically Guided Suprascapular Nerve Block and Blinded Axillary Nerve Block vs. Blinded Suprascapular Nerve Block in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial

고상훈,조성도,이채칠,최장규,김한욱,박선재,배문희,차재룡 대한정형외과학회 2017 Clinics in Orthopedic Surgery Vol.9 No.3

Background: The purpose of this study was to compare the results of arthroscopically guided suprascapular nerve block (SSNB) and blinded axillary nerve block with those of blinded SSNB in terms of postoperative pain and satisfaction within the first 48 hours after arthroscopic rotator cuff repair. Methods: Forty patients who underwent arthroscopic rotator cuff repair for medium-sized full thickness rotator cuff tears were included in this study. Among them, 20 patients were randomly assigned to group 1 and preemptively underwent blinded SSNB and axillary nerve block of 10 mL 0.25% ropivacaine and received arthroscopically guided SSNB with 10 mL of 0.25% ropivacaine. The other 20 patients were assigned to group 2 and received blinded SSNB with 10 mL of 0.25% ropivacaine. Visual analog scale (VAS) score for pain and patient satisfaction score were assessed 4, 8, 12, 24, 36, and 48 hours postoperatively. Results: The mean VAS score for pain was significantly lower 4, 8, 12, 24, 36, and 48 hours postoperatively in group 1 (group 1 vs. group 2; 5.2 vs. 7.4, 4.1 vs. 6.1, 3.0 vs. 5.1, 2.1 vs. 4.2, 0.9 vs. 3.9, and 1.3 vs. 3.3, respectively). The mean patient satisfaction score was significantly higher at postoperative 4, 8, 12, 24, 36, and 48 hours in group 1 (group 1 vs. group 2; 6.7 vs. 3.9, 7.4 vs. 5.1, 8.8 vs. 5.9, 9.2 vs. 6.7, 9.5 vs. 6.9, and 9.0 vs. 7.2, respectively). Conclusions: Arthroscopically guided SSNB and blinded axillary nerve block in arthroscopic rotator cuff repair for medium-sized rotator cuff tears provided more improvement in VAS for pain and greater patient satisfaction in the first 48 postoperative hours than blinded SSNB.