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김상림,남광우,최성욱,방형식,서규범,Kim, Sang Rim,Nam, Kwang Woo,Choi, Sung Wook,Bang, Hyeong Sik,Seo, Kyu Bum The Korean Society for Microsurgery 2012 Archives of reconstructive microsurgery Vol.21 No.2
Intramuscular schwannomma is unusual and rare cases were reported in the literature in the gluteus maximus muscle. We present a case of an intramuscular schwannoma arising from the gluteus maximus muscle in a sixty-five-year-old woman. An oval in shape and well encapsulated tumor was found embedded with the gluteus maximus muscle, and then the lesion was excised surgically. Two years following excision of the lesion, the patient remained asymptomatic, with no evidence of local recurrence.
Wolter 금속판을 이용한 견봉 쇄골 관절 탈구 및 원위 쇄골 골절의 수술적 치료
김상림 ( Sang Rim Kim ),서규범 ( Kyu Bum Seo ),윤진호 ( Jin Ho Yoon ),박용근 ( Yong Keun Park ),남욱 ( Uk Nam ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.1
To evaluate the clinical and radiological results of acromioclavicular dislocation and distal clavicular fracture after a Wolter plate fixation. Surgical reduction and fixation using Wolter plate was done in 18 patients with acromioclavicular dislocation and the distal clavicular fracture from February 2004 to February 2007. Clinical results of all patients were assessed using UCLA score. Radiologic outcomes were evaluated by measuring the coracoclavicular distance between the normal and injured side, vertical displacement of clavicle and bony union of distal clavicle. The mean duration of follow up was 17.7 (12-39) months. Postoperative radiographs showed that vertical displacement of the clavicle was restored in all cases. The mean UCLA score at the final follow up was 31.7 (30-35) and a good bony union was obtained in all cases with distal clavicle fracture. Complications such as reduction loss after plate removal, osteolysis and the skin necrosis around the long hook were seen. We believe Wolter plate is useful for treating patients with acromioclavicular dislocation and the distal clavicle fracture because it provides enough stability for active postoperative rehabilitation. However, careful operative planning and familiarity with the technique are necessary to prevent complications including reduction loss, osteolysis and skin necrosis around the long hook.
서규범(Kyu Bum Seo),남광우(Kwang Woo Nam),유정준(Jeong Joon Yoo),김희중(Hee Joong Kim),김상림(Sang Rim Kim) 대한정형외과학회 2010 대한정형외과학회지 Vol.45 No.2
연골 하 낭종은 양성 낭포성 병변으로 류마티스 관절염이나 퇴행성 관절염에서 종종 관찰된다. 그러나, 선행되는 질환 없이 관절에 발생하는 것은 드물다. 더구나, 상 비구 연골 하 낭성 병변에 발생한 병적 골절은 보고된 바가 없다. 저자들은 상 비구 연골 하 골판의 낭성 병변에 병적 골절이 발생된 44세 여성을 경험하였기에 보고하고자 한다. Subchondral cyst is a benign cystic lesion. and it is often found in patients with rheumatoid arthritis or osteoarthritis. However, its occurrence in those joints without preexisted disease is rare. Furthermore, there has been no report in the medical literature regarding pathologic fracture in the bony plate of a subchondral cyst at the superior acetabulum. We report here on a case of the 44-year-old woman for whom a pathologic fracture was found in the bony plate of a subchondral cyst at the superior acetabulum.
골다공증 환자에서 경구 비스포스포네이트 치료 중 발생한 악골 괴사
최성욱(Sung Wook Choi),김상림(Sang Rim Kim),이광복(Kwang Bok Lee),남광우(Kwang Wao Nam),서규범(Kyu Bum Seo),남욱(Uk Nam),김희중(Hee Joong Kim) 대한정형외과학회 2010 대한정형외과학회지 Vol.45 No.2
비스포스포네이트 제제는 골전이가 진행된 암이나 골다공증 및 골형성 부전증 등에 널리 사용되는 약물이다. 특히 경구 비스포스포네이드 제제는 골다공증의 예방 및 치료에 흔히 사용되고 있다. 경정맥 비스포스포네이트 투여 환자에서 악골괴사에 대한 부작용은 잘 알려져 있으나 경구 비스포스포네이트 복용 환자에서는 보고가 많지 않다. 특히 국내에서 리세드로네이트와 관련한 악골괴사에 대한 보고는 없다. 이에 저자들은 91세 여성에서 골다공증치료를 위해 리세드로네이트 제제를 투약 하던 중 발생한 악골괴사 증례를 경험하여 문헌고찰과 함께 보고하는 바이다. Bisphosphonates are widely used in the management of metastatic bone disease and in the prevention of osteomalacia and osteoporosis. In particular, oral preparations are more commonly used for the prevension and treatment of osteoporosis. Bisphosphonate-related osteonecrosis of the jaws (BRONJ) has been well documented recently in relation to intravenous preparations of the drug. But a few cases have been reported of oral bisphosphonate-associated osteonecrosis. We could not find any risedronate cases in the Korean medical literature. Here we report a case of BRONJ in a 91-year-old woman patient receiving an oral bisphosphonate (risedronate) for the treatment of osteoporosis.
경골 골절후 발생한 족부 변형들의 분석 및 치료 결과에 대한 분석
김정렬,김영신,신성진,김상림,서규범,Kim, Jung-Ryul,Kim, Young-Sin,Shin, Sung-Jin,Kim, Sang-Rim,Seo, Kyu-Bum 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2
Purpose: We wanted to evaluate the relating factors for deformities of the foot after tibial fracture and the outcome of respective surgical treatment. Materials and Methods: We studied thirty-two patients (thirty-five feet) who had foot deformities after tibia fracture. The age, gender, shape, location, concurrent soft tissue injury and operative treatment of tibial fracture were analysed and outcome of the surgical treatment was investigated. Results: Deformities of the foot mostly occurred in open fractures of Gustilo type 3 or closed fracture with severe soft tissue injury. Variable surgical treatments such as simple release, lengthening, Z-plasty and osteotomy were performed. The AOFAS ankle-hind foot scale was improved from average of 37.3 points preoperatively to an average of 77.2 points at the last follow up. The Maryland foot score was from 42.9 to 90.2 and AOFAS Lesser Toe Metatarso-phalangeal interphalangeal scale was from 42.9 to 90.5. Radiological correction was also improved from 21.9 degrees to 7.9 degrees (Meary angle), from 112.2 to 138.5 (Hibb's angle) and from 33.8 to 25.9 (Calcaneal pitch). Conclusion: We proposed that great care should be taken of treatment for the tibial fracture and early detection and proper management of the foot deformities are crucial.
만성 신부전 환자에서의 동시에 발생한 양측성 자발성 대퇴사두근 인대의 파열
최성욱 ( Sung Wook Choi ),김상림 ( Sang Rim Kim ),남광우 ( Kwang Woo Nam ),서규범 ( Kyu Bum Seo ),신성진 ( Sung Jin Shin ),서준영 ( Jun Young Seo ),김경민 ( Gyeong Min Kim ),방형식 ( Hyeong Sik Bang ) 대한스포츠의학회 2010 대한스포츠의학회지 Vol.28 No.2
Spontaneous bilateral rupture of the quadriceps tendons without a significant history of trauma is an uncommon disease. It is generally associated with mechanical factors and coexisting systemic and local factors are taken into consideration in the pathogenesis of these ruptures. In patients with some chronic systemic diseases, simultaneous rupture can occur spontaneously or with minor trauma. We present a case of patient with chronic renal failure on hemodialysis for the past 9 years, who sustained this injury, and subsequently had surgical repair of both tendons. We performed a preoperative magnetic resonance imaging to confirm the diagnosis, then we repaired the ruptured quadriceps tendons and performing MRI postoperatively 1 yr later. He regained his normal knee joint functions 1 yr after the operation.