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송하헌,김정우,조용우,양정환,Song Ha Heon,Kim Joung Woo,Cho Yong Woo,Yang Jung Hwan 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.1
목적: 인라인 스케이트 사용자가 증가함에 따라 부상도 증가하여 인라인 스케이트 손상에 대한 인식이 높아지고 있는 상태이나, 부상 요인 정도에 대한 연구가 미흡하여 인라인 스케이트와 관련된 급성 손상과 과사용 손상에 대해 알아보고, 이런 손상을 예방할 수 있는 방법에 대해 기술하고자 한다. 결과: 급성 손상은 주로 10대에서 많이 발생하고, 도로나 인도변에서 동작의 미숙이나 충돌에 의해 발생하며, 손상은 요골 원위부 골절, 손목 관절 염좌, 주관절 부위 골절 순으로 많이 발생 하였으며, 보호 장비를 제대로 착용하지 않은 경우가 많았다. 과사용 손상은 주로 인라인 상급자에서 발생하는데, 이 손상은 대개 부츠 자체 때문에 발생하거나, 부츠에 관련하여 발생하거나, 적절하지 않은 스케이팅 기술에 의해 발생하는 것으로 생각된다. 결론: 인라인 스케이트와 관련된 손상중 급성 손상을 예방하기 위해서는 보호 장비를 잘 착용하고, 정지 동작들을 정확하게 습득한 후, 안전한 장소에서 탈 수 있도록 교육을 시켜야 할 것으로 생각된다. 또한 과사용 손상을 예방하기 위해서는 발에 잘 맞는 스케이트를 선택하는 것이 중요하고, 정확한 스케이팅 기술의 습득과 충분한 휴식을 하는 것이 중요하겠다. Objective: Recently, inline skates are populary increasing and have become major recreational activities. This study was performed to determine the effective prevention means on various extremity injury by investigating injury severity occording to acute injury and overuse injury. Results: Acute inline skating injury was experienced mostly among the age between 6$\~$14 years old children after school around nearby their home without using no appropriate safety device gear. The wrist injury was mostly happened. We think that overuse injury is related to boot itself, boot fitting and improper skating techniques. Conclusion: So afterall, appropriate safety equipment wearing in inline skating at the safe place after learning about the skating skills can reduce the acute inline skating extremity injuries. Choosing a pair of good fitting boots, performing the exact pushing techniques and take good rests in the middle of skating frequently can reduce the overuse injury.
만성 족관절 외측 불안정성에 대한 $Brostr{\ddot{o}}m$ 변형 술식
송하헌,심대무,이병창,김동철,조용우,양정환,Song, Ha-Heon,Shim, Dae-Moo,Lee, Byoung-Chang,Kim, Dong-Churl,Cho, Yong-Woo,Yang, Jung-Hwan 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.1
Purpose: The purpose of this study is to evaluate the surgical results of modified $Brostr{\ddot{o}}m$ procedure for chronic lateral ankle instability and to assess whether or not associated injuries may affect postoperative satisfaction. Materials and Methods: Twenty- four patients with chronic lateral ankle instability were evaluated retrospectively from August 1998 to March 2002. Average age was 29.3 years. All patients were performed pre & postoperative ankle anteroposterior and lateral view, stress anterior drawer and varus test using Telos device, MRI and intraoperative arthroscopic evaluations before ligament reconstruction. Results: Of the 24 cases, 23 cases was improved more than average 12 points on AOFAS scales. On modified scales of Hamilton, 3 excellent, 20 good, 1 fair results. On stress view, average 2.2 mm difference was improved on anterior drawer test and average 1.7 degree on varus test. Associated injuries were 8 osteochondral defects, 4 anterior impingements, 2 loose bodies, 2 os subfibulare, 2 os submalleolare and 2 partial ruptures of peroneus brevis. 8 cases with no associated injuries rated excellent or good. Conclusion: The modified $Brostr{\ddot{o}}m$ procedure is believed to be an effective and successful method for chronic lateral ankle instability that didn't respond to conservative treatment. Because associated injuries in chronic lateral ankle instability may affect postoperative satisfaction, appropriate detection and treatment may need for postoperative satisfaction.
족부족관절 질환에서 주사 치료는 얼마나 효과가 있는가?
송하헌,Song, Ha Heon 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.1
Evidence-based papers on the treatment of some chronic tendinopathy or ligament lesions using an injection in foot and ankle disorders have been reported, but there are few reports on the treatment of acute ankle ligament injury. On the other hand, some papers have reported a faster return to play for injection therapy that combines RICE (Rest, Icing, Compression, and Elevation) treatment and rehabilitation. Injection therapy can be used as an additional treatment for ankle ligament injury. Rather than having narrow-minded thinking about these treatments, it is important to make efforts to verify the safety and precautions of treatment and recognize them as a category of normal treatment. Continuous analysis and monitoring of these treatments can satisfy patients whose needs are changing rapidly.
송하헌,심대무,김동철,권석현,김종윤,Song, Ha-Heon,Shim, Dae-Moo,Kim, Dong-Churl,Kweon, Seok-Hyun,Kim, Jong-Yun 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.2
Purpose: The purpose of this study was to figure out the appropriate and systemic insurance charge for the hallux valgus operations. Materials and Methods: 5 Hospitals for hallux valgus operations were analyzed how they have been charging the national health insurance corporation for their operation fees and how to use the estimated guide and authoritive interpretation through the guide book of health insurance medical treatment grant expense and the guide book of Health insurance medical treatment. Results: There are nothing for guiding principle of hallux valgus operations in both books but a guide of Mcbride operation which is approved 'JA-93-KA and JA-31' for operation fee. So majority of hospitals have charged operation fee depending on their own interpretations they like. According to the guide books, there was a authoritive interpretation that simultaneous operation of osteotomy and tendon transfer for cerebral palsy and flat foot can be eatimated as 'osteotomy+JA-93-NA'. Conclusion: Distal soft tissue procedure should be approved as 'JA-93-NAx100%+JA-31x50%' according to the the estimated guide and authoritive interpretation if transected adductor hllucis is transfered to first metatarsal head. So distal chevron osteotomy could be 'JA-30-1-RAx100%+JA-31x50%', proximal metatarsal osteotomy could be 'JA- 93-NAx100%+JA-31-50%+JA-30-1-RAx50%', first metatarsocuneiform joint arthrodesis could be 'JA-93-NAx100%+ JA-31x50%+JA-73-RAx50%'.
항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고)
채수욱,김영진,송하헌,김종윤,Chae, Soo-Uk,Kim, Yeung-Jin,Song, Ha-Heon,Kim, Jong-Yun 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.2
The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.
신부전을 동반한 신동맥 협착증 환자에서 Gadopentetate Dimeglumine 조영제를 이용한 성공적인 혈관 확장술
홍숙희 ( Hong Sug Hui ),송하헌 ( Song Ha Heon ),윤선애 ( Yun Seon Ae ),김영옥 ( Kim Yeong Og ),문성진 ( Mun Seong Jin ),김영수 ( Kim Yeong Su ),장기육 ( Jang Gi Yug ),장윤식 ( Jang Yun Sig ),방병기 ( Bang Byeong Gi ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.5
With the increasing number of interventional angiographic procedures, iodinated contrast induced nephropathy has become an important cause of iatrogenic acute renal failure. Gadopentetate dimeglumine, gadolinium chelated by DTPA, are widely used in magnetic resonance imaging without adverse effect on renal function in patioents with renal insufficiency. It also has sufficient radiographic density to allow visualization and has been described as an alternative contrast agent for angiography. Here we report a case of successful angioplasty using gadopentetate dimeglumine as a contrast agent in a patient with both renal artery stenosis and renal insufficiency. The patient had a history of iodinated contrast induced acute renal failure. Using this contrast agent, angioplasty was successfully performed and contrast induced acute renal failure did not occur after this procedure. (Korean J Nephrol 2003;22(5):602-607)