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Convalescence from Saturday Night Palsy
이승용,한수홍,이순철,이인성,김진우,Rhee, Seung-Yong,Han, Soo-Hong,Lee, Soon-Chul,Lee, In-Sung,Kim, Jin-Woo The Korean Society for Microsurgery 2012 Archives of reconstructive microsurgery Vol.21 No.2
Purpose: Saturday night palsy is a transient form of nerve palsy that occurs after a prolonged period of direct pressure on the course of radial nerve by one's own or spouse's head. Although commonly encountered, there have been only few studies concerning its convalescence. The purpose of this study is to predict the prognosis of Saturday night palsy based on the causes, time to recovery and degree of recovery. Materials and Methods: Retrospective study of 20 patients who were diagnosed compression radial nerve palsy was performed. The average age was 36.7 years old and the mean follow-up period was 19.6 months. We investigated sleeping hours as an indirect measure of nerve compression time, recovery of wrist and finger extension, DASH score on the monthly based follow up. Results: The mean sleeping hours was 5.8 hours and all patients showed full recovery of wrist and fingers extension with the mean duration of symptom for 3.2 months. DASH score was an average 1.53 at the last follow up and we found no statistical significance between the time to recovery and the sleeping hours. Conclusion: Complete natural recovery can be expected in compression radial nerve palsy in this study without correlation with sleeping time. Accurate diagnosis is important in order to avoid unnecessary therapeutic intervention and further study should be accomplished for clarifying the related prognostic factors in larger scale of the cases.
이승용 ( Seung Yong Lee ),박성현 ( Seong Hyun Park ),김성민 ( Seong Min Kim ),이진호 ( Chin Ho Rhee ),임철완 ( Chull Wan Ihm ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.6
Frontal fibrosing alopecia (FFA) is one of the primary cicatricial alopecia and is considered a variant of lichen planopilaris. This condition is characterized by a progressive recession of the frontal and temporal hairline, primarily in postmenopausal women. Only two cases have been reported in premenopausal woman worldwide. We report a case of FFA in a 45-year-old female in her premenopausal age, who presented with multiple, small, bald spots on the bilateral frontotemporal area. Microscopically the lesion consisted of the inflammatory stage of lichen planopilaris and its cicatricial stage showing replacement of hair follicles by fibrous tissue. This was an additional case of frontal fibrosing alopecia in a premenopausal woman. (Korean J Dermatol 2007;45(6):573∼576)
이승용 ( Seung Yong Lee ),박성현 ( Seong Hyun Park ),홍진석 ( Jin Seok Hong ),이진호 ( Chin Ho Rhee ),윤석권 ( Seok Kweon Yun ),김한욱 ( Han Uk Kim ),임철완 ( Chull-Wan Ihm ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.7
Exposure to sunlight is the major cause of basal cell carcinoma (BCC). The axilla is not a sun-exposed region, and BCC affecting the axilla is rare. To our knowledge, only 4 cases of axillary BCC have been reported in Korea. We report a case of BCC in the axilla of a 67-year-old man. He presented with a 1 year history of a well-demarcated 2.0×0.5 cm pigmented plaque in his right axilla. The skin lesion was histopathologically diagnosed as BCC. He was treated by surgical excision. There was no recurrence after 1 year of follow-up. (Korean J Dermatol 2007;45(7):758∼760)
무지외반증 치료에서 근위 중족골 절골술과 원위 갈매기형 절골술의 비교
조덕연,이동훈,이승용,이인성,Cho, Duck-Yun,Lee, Dong-Hoon,Rhee, Seung-Yong,Lee, In-Sung 대한족부족관절학회 2008 대한족부족관절학회지 Vol.12 No.1
Purpose: The purpose of this study is comparison of radiological and clinical outcomes between proximal metatarsal osteotomy and distal chevron osteotomy for the correction of hallux valgus. Materials and Methods: In this retrospective study, we included subjects who underwent the correction of hallux valgus in our institution between March 2001 and August 2006, with a minimum follow-up of 12 months. The group of proximal metatarsal osteotomy was 23 patients (34 feet); the group of distal chevron osteotomy was 20 patients (26 feet). The group of proximal metatarsal osteotomy was composed of 26 severe cases (76.5%) and 8 moderate cases (23.5%); the group of distal chevron osteotomy was composed of 13 severe cases (50.0%) and 13 moderate cases (50.0%). Results: Compared to preoperative values, the hallux valgus angle, the first-second intermetatarsal angle and the distance of first-fifth metatarsal head were significantly decreased in two groups (p<0.05). In each parameter, the hallux valgus angle was decreased 66.3% (proximal metatarsal osteotomy) versus 49.6% (distal chevron osteotomy), which were significant (p=0.037). The first-second intermetatarsal angle and the distance of first-fifth metatarsal head were not significant. Mayo clinic forefoot scoring system (FFSS) score was significantly improved in two groups (p<0.05). The ratio of improvement was not significant (p=0.762). In severe group, hallux valgus angle and the first-second intermetatarsal angle was significantly decreased in proximal metatarsal osteotomy group compared to distal chevron osteotomy group (p<0.05), but the difference of the distance of first-fifth metatarsal head and FFSS score was not significant in both groups. In moderate group, the difference of all parameters was not significant in both groups. Conclusion: Although both proximal metatarsal osteotomy and distal chevron osteotomy showed satisfactory result in FFSS, proximal metatarsal osteotomy was more proper operative technique than distal chevron osteotomy in severe group, because of superiority of correction in radiological parameters.
자가슬괵건 및 동종전경골건을 이용한 전방십자인대 재건술 후 임상적 결과의 비교
김재화,이윤석,이승용,정주환,Kim, Jae-Hwa,Lee, Yoon-Seok,Rhee, Seung-Yong,Chung, Ju-Hwan 대한관절경학회 2007 대한관절경학회지 Vol.11 No.2
Purpose: The purpose of this study is comparison of clinical outcomes in ACL reconstruction between auto-hamstring tendon and allo-tibialis anterior tendon. Materials and Methods: In this prospective study, we included 60 subjects who underwent ACL reconstruction using 30 hamstring autograft(mainly, national health insurance) and 30 tibialis anterior allograft(including MVA and industrial injuries) between May 2003 and June 2005 by a single surgeon, with a minimum follow-up of 12 months. Outcome measurements were the range of motion, the Lachman test, the IKDC score, the Lysholm score, KT-1000 arthrometer and one-leg hop test. Results: For all the cases, the range of motion was above 135 degrees. The Lachman test, KT-1000 arthrometer and one-leg hop test showed no significant difference between two groups. The IKDC score of auto-hamstring group($87.840{\pm}2.106$) was significantly higher than that of allo-tibialis anterior group($85.273{\pm}2.782$). The Lysholm score of auto-hamstring group($88.067{\pm}2.586$) was also significantly higher than that of allo-tibialis anterior group($85.300{\pm}3.030$). Conclusion: The results of ACL reconstruction using the auto-hamstring tendon and allo-tibialis anterior tendon showed no significant difference in objective items but auto-hamstring group showed better results in subjective scoring. This difference may result from individual factors such as economic problem, secondary gain. 목적: 자가슬괵건 및 동종전경골건을 이용한 전방십자인대 재건술의 임상적 결과를 비교하였다. 대상 및 방법 : 2003년 5월부터 2005년 6월까지 단일 술자에 의해 시행된 전방십자인대 재건술 중 최소 12개월 이상 추시가 가능했던 60례를 대상으로 30례는 자가슬괵건(주로, 국민건강보험), 30례는 동종전경골건(교통사고 및 산업재해를 포함)을 이용하였다. 추시 검사로 슬관절 운동범위, Lachman 검사, KT-1000 arthrometer, IKDC 점수, Lysholm 점수, one-leg hop 검사를 전향적으로 조사하였다. 결과: 관절의 운동 범위는 전 예에서 135도 이상이었으며, Lachman 검사, KT-1000 arthrometer 및 one-leg hop 검사는 두 군에서 유의한 차이를 보이지 않았다. IKDC 점수는 자가슬괵건을 이용한 군($87.840{\pm}2.106$)이 동종전경골건을 이용한 군($85.273{\pm}2.782$)보다 높게 조사되었으며 통계학적 유의성을 보였다. Lysholm 점수 역시 자가슬괵건을 이용한 군($88.067{\pm}2.586$)이 동종전경골건을 이용한 군($85.300{\pm}3.030$)보다 우수하게 측정되었으며 이 또한 통계학적 유의성을 보였다. 결론: 자가슬괵건과 동종전경골건을 이용한 전방십자인대 재건술에서 두 군 모두 술 후 객관적 혹은 기능적 검사 지표상 유의한 차이 없이 양호한 결과를 보였으며, 주관적 검사 상 자가슬괵건군이 더 나은 결과를 보였다. 이는 임상적인 평가기준 이외의 다른 주관적 요소, 경제적 요소 혹은 이차적 이득(secondary gain)에 의한 영향을 생각할 수 있겠다.