증례 보고 : 소아 상완골 과상부 골절에서 화골성 근염의 수술적 치료 -1예 보고-

김태승 ( Tai Seung Kim ),박기철 ( Kee Cheol Park ),서승표 ( Seung Pyo Seo ) 대한골절학회 2006 대한골절학회지 Vol.19 No.4

상완골 과상부 골절은 소아에서 흔히 발생한다. 그리고 화골성 근염의 발생은 소아 과상부 골절의 합병증의 하나로서 자주 언급되지만 정작 연구 발표논문은 많지 않다. 본 증례는 8세된 남아로서, 상완골 과상부 골절후 화골성 근염이 발생하였다. 수상 1년 후에는 방사선 소견상 상당히 경화된 골조직으로 변화하였고, 특별히 상완골 원위부에 위치하고 있었기 때문에 주관절에 상당한 운동제한을 초래하였다. 이에 수술적 방법으로 종괴를 절제하였으며, 수술 후에는 물리치료를 시행하였다. 수술 후 11개월이 지나면서 거의 정상범위의 운동영역을 얻을 수 있었으며, 재발소견은 더 이상 관찰되지 않았다. Supracondylar fracture of the humerus is a common injury in the pediatric patient. A less common complication is the development of myositis ossificans. Although frequently cited as a possible complication, there are few reported cases of this occurring in the pediatric patient. We present a case report of a 8 year old boy who developed myositis ossificans after a supracondylar fracture of the humerus. After one year of the injury, we could ascertained radiologically complete maturation of the mass which developed in front of the distal humerus and markedly made motion of the elbow joint limited. We could obtain further motion through the surgical resection and then physical therapy. Now, eleven months have lapsed since the mass was removed, the range of motion is almost normal, and the recurrence of myositis ossificans is not existed.

Hook 금속판을 이용한 쇄골 원위부 불안정성 골절의 치료 결과 분석

전호승(Ho-Seung Jeon),우영균(Young-Kyun Woo),황석하(Seok-Ha Hwang),서승표(Seung-Pyo Suh),강서구(Seo-Goo Kang),이준경(Joon-Kyung Lee) 대한정형외과학회 2014 대한정형외과학회지 Vol.49 No.5

목적: 쇄골 원위부 불안정성 골절을 Hook 금속판으로 치료한 결과 및 합병증을 분석하고, 금속판 제거 전, 후의 기능적 결과를 비교 분석하였다. 대상 및 방법: 2009년 3월부터 2012년 12월까지 쇄골 원위부 불안정성 골절(Neer type II)을 Hook 금속판으로 수술 후 금속판을 제거한 20예를 분석하였다. 술 후 평균 추시는 12개월(8-20개월), 금속판 제거는 술 후 평균 18주(10-36주)였다. 임상적 기능 평가는 University of California at Los Angeles (UCLA)와 Korean Shoulder Scoring System (KSS) 점수를, 방사선학적 평가는 단순 방사선사진을 이용하였다. 결과: 방사선학적 평가상 20예 중 20예 모두 술 후 평균 11.4주(8-20주)에 골 유합을 얻었다. 20예 모두 술 후 견관절 운동 감소, 동통 등을 보였고, 금속판 제거 후 20예 모두 제거 전보다 UCLA 및 KSS 점수가 향상되었다. 결론: 쇄골 원위부 불안정성 골절 치료에서 Hook 금속판 고정술은 견고한 고정력을 얻을 수 있어 유용한 방법이나 술 후 견관절 운동 감소, 동통 등 합병증이 있어 골 유합 시 가능한 한 조기에 Hook 금속판을 제거하는 것이 좋을 것으로 생각된다. Purpose: The purpose of this study is to analyze the treatment results and complications in unstable distal clavicle fractures which were treated with a Hook plate, and, in particular, to compare the functional results before and after removal of the Hook plate. Materials and Methods: We examined 20 cases in 20 patients who underwent removal of Hook plates after bony union was obtained in an unstable fracture of the distal clavicle (Neer type II) from March 2009 to December 2012. The average follow-up period after initial surgery was 12 months (8-20 months). Plates were removed at 18 weeks (ranged from 10-36 weeks) after initial fixation. University of California at Los Angeles (UCLA) and Korean Shoulder Scoring System (KSS) scores were used for clinical functional evaluation, and plain radiographs were used for radiological evaluation. Results: In radiological evaluation, bony union was obtained at an average of 11.4 weeks (ranged from 8-14 weeks) in all of the 20 patients. All of the 20 patients showed limited range of motion, mild pain, and discomfort of the shoulder before removal of the Hook plate, and all of the 20 patients showed better results in UCLA and KSS score after removal of the plate, when compared to before removal. Stress fracture as a major complication, was united completely with a ‘figure of 8’ bandage and deep wound infection was resolved after repeated debridement and antibiotic treatment with satisfactory functional results. Conclusion: Hook plate in treatment of unstable fracture of the distal clavicle is considered to be a useful method because rigid fixation can be obtained. However, there are some complications, such as limited range of motion, pain, and discomfort of the shoulder joint, before removal of the Hook plate. Therefore, we think that removal of the Hook plate as soon as possible if bony union is obtained would be desirable.

야구 중에 발생한 중년 남자의 대퇴부 간부 골절

전호승 ( Ho-seung Jeon ),우영균 ( Young-kyun Woo ),황석하 ( Seok-ha Hwang ),서승표 ( Seung-pyo Seo ),정호원 ( Ho-won Jeong ),임성태 ( Sung-tae Lim ) 대한스포츠의학회 2017 대한스포츠의학회지 Vol.35 No.1

In general, femur fractures in the younger patient population are the result of high energy trauma, such as motorcycle accidents or traffic accidents. A 43-year-old healthy man presented with painful swelling of his right thigh. Plane radiographs showed short oblique fracture of the femur shaft with comminution. He had no medical history such as osteoporosis or any metabolic bone disorder. He was a healthy man with no smoking and no alcohol drinking, enjoying sports activity such as baseball and football. He was injured during defense time of a baseball game by rapid turning motion to catch a ball. We performed intramedullary interlocking nailing for the femur shaft fracture and the fracture was uneventually healed with no complication. To our knowledge, femur shaft fracture which occurred during playing baseball in a healthy middle-aged man has not been reported in our country. So we report this case with a review of the literature.

초음파 진단 시 혼란을 초래할 수 있는 연부 조직 종양 - 1례 보고 -

박태수,김성준,박훤겸,박용욱,서승표,Park, Tae-Soo,Kim, Sungjun,Park, Hwon-Kyum,Park, Yong-Wook,Seo, Seung-Pyo 대한정형외과초음파학회 2009 대한정형외과 초음파학회지 Vol.2 No.2

초음파의 다양한 장점에도 불구하고 초음파의 질감(echotexture)과 균질성(homogenecity)의 문제로 악성 종양과 양성종양을 감별하는데 한계가 있을 수 있으므로, 초음파를 이용한 고형의 연부조직 종괴를 진단할 때는 주의가 필요하다. In spite of many advantages of the ultrasonography (USG), sometimes its features such as echotexture and homogenecity do not reliably distinguish between malignant tumors and benign ones, so caution is needed in making a diagnosis of solid masses of the soft tissue with USG.

학교 내ㆍ외 복사기 사용에 따른 오존 발생량 연구

노선진(Sun-Jin Noh),정경식(Kyung-Sick Jung),서승표(Seung-Pyo Seo),손부순(Bu-Soon Son),이종화(Jong-Wha Lee),이치원(Che-Won Lee) 대한환경위생공학회 2006 대한환경위생공학회지 Vol.21 No.1

This study is measured in at ozone concentrated places in school and outside of school where places that use copy machine and the others do not use one. Library copy room, Search room, Y-copy, J-copy, R-shop are the places using copy machines and Search room, K-apt, J-billiard hall are the opposite. The measurement was held three times a day-the morning, the afternoon and the evening-once for each at indoor and outdoor. 8 places were lower than domestic ozone concentration standard(0.06ppm). The indoor ozone concentration average was the highest in Search room of school and was the lowest in Library restroom. The outdoor ozone concentration average was the highest in J-billiard hall.

악성 , 결핵성 및 비특이성 흉막염 환자의 임상적 특성

김봉식(Bong Sik Kim),김상훈(Sang Hoon Kim),성윤업(Yun Up Sung),이상표(Sang Pyo Lee),박인원(In Won Park),최병휘(Byung Whui Choi),허성호(Sung Ho Hue),서승천(Seung Chun Seo) 대한내과학회 1995 대한내과학회지 Vol.48 No.1

Objectives: The role of pleural biopsy in the evaluation of unexplained exudative pleural effusion has been well established. Although repeat pleural biopsy will increase the diagnostic yield in patients ultimately proven to have malignant or tuberculous pleuritis, it will increase the expense and morbidity of patients with nonspecific pleuritis. The identification of patients who should undergo additional diagnostic procedures is a difficult but important clinical problem. The purpose of this study was to determine if patients with nonspecific pleuritis could be distinguished from those with malignant or tuberculous pleuritis by clinical criteria. Methods: The medical records and chest roentgenograms of 93 patients who had pleural tapping and pleural biopsy performed during the five-year period from January 1986 to December 1990 at the department of Internal Medicine, Chung-ang University Hospital were reviewed. Results: The five clinical criteria, ie, fever, weight loss, pleurtitic chest pain, above moderate amount of pleural effusion, lymphocytosis of greater than 90 percent in pleural fluid, were observed significantly more often in the patients who were diagnosed to have either malignant or tuberculous pleuritis. The positive predictive value of the criteria, ie, the probability of the patient having tuberculous or malignant pleural disease, was 89 percent when one criterion was present and increased to 95 percent if two criteria were present. Conclusions: Based on our observations, we recommend the following diagnostic approach to the evaluation of an unexplained exudative pleural effusion. If the initial pleural biopsy reveals nonspecific pleuritis only in a patient without any of the above five criteria, further pleural biopsies are not needed, and the patient is followed up clinically. When two or more criteria are present, an aggressive diagnostic approach including repeat pleural biopsy is recommended.