프로 축구 팀의 월별 부상실태에 관한 조사

이경태,최병옥,김진수,Lee, Kyung-Tai,Choi, Byung-Ok,Kim, Jin-Su 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.2

목적: 시즌이 있는 축구 운동에서 선수들의 가장 부상이 많은 시기와 그 부상의 유형을 알아보고 경기 관련 질환 발생을 미리 예견, 파악하여 적절한 예방책을 제시하고 향후 팀의 운영에 참고 자료를 제시 하고자 한다. 대상 및 방법: 서울의 모 프로 측구 팀(45명)을 대상으로 2005년 1월 15일부터 2005년 11월 9일까지 부상에 대한 통계를 내고, 월별 부상 빈도와 부상 유형을 살펴보았다. 결과: 총 157건의 부상이 발생했고, 훈련에 잠가하지 못할 정도의 부상은 87건 이었다. 월별 심각한 부상 건수는 3월에 16건 (18.4%)으로 가장 높게 나타났으며, 전, 후기 축구시즌인 3, 4, 8, 9월의 부상 건수가 46건으로 전체 부상의 52.9%를 차지하였다. 특히, 시즌 중에는 경기 중 경쟁적인 관계에서 접촉에 의해 족관절 염좌와 타박상으로 결장하는 회수가 많았다. 그리고 대퇴부 근육의 손상에 대한 치료가 적절히 이루어지지 못하여, 재손상의 위험도가 높았다. 결론: 부상이 많은 시즌중에는 선수에게 예방을 위한 교육을 시행함으로 팀의 경기력을 향상시킬 수 있을 것이다. Purpose: To investigate the risk exposure, risk of injury, and injury pattern of football players in seasonal variation. We purposed to expect the injury and its' prevention. Material and Methods: The professional football club(45 players) in Seoul were followed prospectively throughout 2005, January to 2005, December. Injury pattern and incidence were recorded. Results: Total 157 injuries were recorded. Major injuries which could not attend to game and training were 87 cases. Most severe month was June about 16 injuries(18.4%). And, the competitive season injuries were 46(52.9%) in March, April, August and September. Especially, ankle sprain and contusion injuries were common cause of absence in game. And, thigh muscle group injuries had a high risk of reinjury, because of treat insufficiently. Conclusions: We enhance the ability of the soccer team by prevention and education for injuries, especially in season.

외족장신경 제1분지의 신경초종에 의해 발생된 족장터널증후군

이경태,탁상보,Lee, Kyung-Tai,Tak, Sang-Bo 대한족부족관절학회 1998 대한족부족관절학회지 Vol.2 No.1

Tarsal tunnel syndrome is a complex of symptoms resulting from the compression of the posterior tibial nerve or its branches, Many disease have been previously reported in the literatures as etiological agents in tarsal tunnel syndrome. We reported a case of tarsal tunnel syndrome secondary to neurilemoma of the first branch of lateral plantar nerve. The symptoms were similar with the entrapment syndrome of the first branch of the lateral plantar nerve. Symptoms were completely relieved after operation.

성인에서의 특이 다지증 -1례 보고-

이경태,옹상석,양기원,탁상보,Lee, Kyung-Tai,Ong, Sang-Seck,Young, Ki-Won,Tak, Sang-Bo 대한족부족관절학회 1999 대한족부족관절학회지 Vol.3 No.1

Polydactyly is the most common congenital deformity of the foot. The authors present an unusal case of polydactyly of the foot in an otherwise healthy adult male. The patient has an mixed type of polydactyly composed of polysyndactyly of the first toe, Y shaped second metatarsal and polysyndactyly with the fusion to the forth toe of the fifth toe. Meticulous. preoperative plan was prepared and performed at the operation. Main procedures were as follows : 1) Excision of extradigit of first toe and first metatarsocuneiform joint fusion. 2) Excision of lateral bud of second metatarsal and plantar-medial osteotomy of the medial bud. 3) Metatarsal head resection arthroplasty of third & forth metatarsophalangeal joint and 4) Excision of medial polydactyly of the fifth toe and syndactyly release and split thickness skin graft. Postoperatively, The forefoot width was reduced from 11.5 to 9.5cm and the pain was relieved.

거골의 골연골 손상의 보존적 치료의 결과

이경태,양기원,이영구,박신이,장문석,Lee, Kyung-Tai,Young, Ki-Won,Lee, Young-Koo,Park, Shin-Yi,Jang, Mun-Suk 대한족부족관절학회 2008 대한족부족관절학회지 Vol.12 No.2

Purpose: The purpose of this study is to determine the results of conservative treatment of osteochondral lesion of talus (OLT). This study would be helpful to determine the treatment methods for OLT patients. Materials and Methods: We have established 69 cases of osteochondral lesion of talus, from December 2004 to June 2006 in a period of 18 months. Symptoms were confirmed through survey and a medical examination by interviewing patients. Diagnosis was made through physical examination, simple radiography and MRI. AOFAS score of all the patients were measured. When the patients did not get improved with conservative treatment, surgical operation was done. Results: 27 out of the 69 patients were treated using conservative treatment. Initial AOFAS scored was $66.37{\pm}8.89$ points. After treatment, AOFAS scores had increased to $83.78{\pm}8.48$ points. In cases of surgery, AOFAS scores had increased from $64.17{\pm}13.43$ points preoperatively to $80.45{\pm}8.67$ points. Conclusion: 60% of conservative treatment was useless in treating OLT patients. Surgical operation is still needed to be performed. Therefore, treatment should be done with sufficient understanding of the results.

축구 선수에서 발생한 경골 피로 골절 치료에 대한 결과 -1예 보고-

이경태,김기천,박영욱,김준범,Lee, Kyung-Tai,Kim, Ki-Chun,Park, Young-Uk,Kim, Jun-Beom 대한정형외과스포츠의학회 2010 대한정형외과스포츠의학회지 Vol.9 No.2

경골 중앙 전방 피질골 피로 골절은 지연 유합 또는 불유합이 되기 쉬우며 경미한 외상에도 완전 골절로 발전할 수 있다. 그러므로 세심한 평가와 처치뿐 아니라 이전 수준의 운동으로 복귀할 시기를 결정하는 것도 중요하다. 저자들은 운동 선수에서 경골 중앙 전방 피질골 피로 골절 지연 유합후 완전 골절로 발전한 증례에 대한 치험을 경험하였기에 이를 보고하고자 한다. Anterior tibial diaphyseal stress fracture have a propensity for delayed union or nonunion and have risk of complete fracture after minor trauma. So, careful evaluation and optimal management are mandatory to succeed in treatment. It is also important to decide the point of time of return to full activity. We report experience of treatment for complete fracture of the delayed union of anterior tibial diaphyseal stress fracture as an athletic injury.

프로 축구팀의 시즌 전 체력검사

이경태,최병옥,Lee, Kyung-Tai,Choi, Byung-Ok 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.2

목적: 국내 프로 축구팀에서 시즌 전 체력검사를 시행하여 포지션에 따른 자료를 분석하고 표준화하고자 했다. 대상 및 방법: 34명으로 구성된 한 개의 축구팀을 대상으로 시행하였으며 평균 나이 24.9세였다. 설문지를 통한과거 병력 조사, 이학적 검사를 통한 근 골격계 검사, 등속성 근력기기를 이용한 근력 검사, 생리적 검사, 기능적 검사를 시행하고 포지션에 따른 차이를 분석하였다. 결과: 과거력 상 슬관절 손상이 23예 중 11 예(47%)로 가장 빈번했고, 이학적 검사 결과 총 40예 중 족관절 손상이 14예 (46%)로 슬관절 손상 11예 (24%)보다 많은 손상이 있었다. 위치 별로 공격수는 장무지 굴곡 건염, 미드필드는 만성 족관절 불안정성 수비수는 아킬레스 건염이 많았고 근력 검사상 우세 $60^{\circ}$ 신전/굴곡 체중당 최대 염력비 평균이 55.1%였다. 생리학적 검사상 미드필드 체 지방율이 17.8% (표준편차 2.9)로 높게 측정되었고 기능적 검사 결과 배근력 125.5N (표준편차 28.3), 서전트 점프 59.6cm, 반응시간 208 5초, 유연성 19.2 m/s, 사이드 스텝 39.9 cm였다. 결론: 시즌 전 체력검사를 통하여 선수들의 체력을 평가하고 이를 기초로 하여 재 손상에 대한 예방적 수단을 강구 할 수 있다. Purpose: In the professional soccer team, we performed pre-seasonal physical examination and analyzed the results to establish a standardization data in relation to their position. Materials and Methods: We performed physical examination to the professional soccer team, consisted 34 player's average age 24.9 years. The examination performed were questionnaire on history, musculoskeletal examination, muscle power test, physiologic test, functional test. Results: According to the relationship between player position and injury pattern,. Knee injuries are most frequent on history. Physical examination outcome was that forward were prone to flexor hallucis longus tendinitis, midfielder for chronic ankle instability, defender for achilles tendinitis. Isokinetic test was done at dominant side, Peak torque to body weight ratio was 55.1%. Physiologic test checked body fat percentage was midfielder was superior as 19.8 (SD 2.9). Functional test out-come was that back strength 125 N. sergeant jump 59.6 cm, reaction time 208.5 sec, flexibility 19.2 m/s, side step 39.9 cm. Conclusion: Pre-seasonal physical examination gave us the standardization data and preventive measurement could be advocated from this results.

무지 외반증 수술 후 발생한 의인성 무지 내반증

이경태,양기원,배상원,방유선,김도현,Lee, Kyung-Tai,Young, Ki-Won,Bae, Sang-Won,Bang, Yu-Sun,Kim, Do-Hyun 대한족부족관절학회 2003 대한족부족관절학회지 Vol.7 No.1

Purpose: To evaluate and analyze the incidence, clinical features, cause and surgical outcomes of iatrogenic hallux varus deformity after hallux valgus surgery. Materials and Methods: Twenty-six Hallux varus deformities after hallux valgus surgery were evaluated. Clinical tolerability, patient's satisfaction and the main causative factor for varus deformity were evaluated. Radiologically, we measured the 1st intermetatarsal angle and hallux valgus angle on pre- & postoperatively. Results: 10 cases of 26 varus deformities were clinically intolerable. The patients complaint of mainly cosmetic and shoe fitting problems rather than pain and the main cause of deformities were over-correction of 1 st intermetatarsal angle. Radiologically, the average 1st intermetatarsal angle was 2.4 degrees and the hallux valgus angle was -9.2 degrees. After varus correction surgery, the average follow up were 17 months and the average 1st intermetatarsal angle was 2.3 degrees and the hallux valgus angle was 2.7 degrees. The average score of AOFAS Hallux Metatarsophalangeal -Interphalangeal Scale was 91 points. Conclusion: The hallux varus deformity after hallux valgus surgery came from mainly overcorrection of 1 st intermetatarsal angle. The management composed of just observation, tendon transfer and fusion, and each method could get satifactory results with appropriate indication.

동반 손상이 없는 만성 족관절 불안정성 환자에 대한 변형 Brostr$\ddot{O}$m 술식

이경태,최성이,양기원,배상원,이승환,Lee, Kyung-Tai,Choi, Sung-I,Young, Ki-Won,Bae, Sang-Won,Lee, Seung-Hwan 대한족부족관절학회 2002 대한족부족관절학회지 Vol.6 No.2

Purpose: To analyze the result of Modified Brostr$\ddot{O}$m procedure for Chronic ankle lateral instability without associated injury. Materials and Methods: Forty-one patients(Forty-one feet) diagnosed and operated with chronic ankle lateral instability without associated injury were evaluated retrospectively from June 1995 to December 1999. Twenty-three patients were athletes. For the evaluation of clinical outcome, a subjective grading scale of modified Hamilton was used, and pain relief, relief of instability symptom and anterior drawer test were evaluated. Results: Among forty-one operations, there were six excellent, thirty-five good results as a whole. All cases showed over the grade good. The average time to ordinary life in the non-atheletes was 2.5 months and average time to sport activity in the athletes was 4 months postoperatively. Conclusion: The modified Brostr$\ddot{O}$m procedure seems to be effective method for chronic ankle lateral instability without associated injury.

태권도 선수에서 발생한 장 족무지 신전건의 파열: 2예 보고

이경태,김진수,양기원,김재영,최재혁,박현규,김병관,Lee, Kyung-Tai,Kim, Jin-Su,Young, Ki-Won,Kim, J-Young,Choi, Jae-Hyuck,Park, Hyun-Kyoo,Kim, Byung-Kwan 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.1

Occasionally, extensor hallucis longus tendon (EHL) ruptures becames open by laceration and spontaneous rupture of EHL that has previous story of diabetes mellitus, steroid injection, systemic steroid administration, operation and rheumatoid arthritis. But, closed traumatic EHL ruptures are reported rarely. Especially, we diagnosed the closed EHL ruptures in TaeKwonDo players. We reported the 2 patients, differently treated end to end anastomosis and EHL transfer, had the course and treatment methods. Be care the prognosis can be altered according to the treatment time and method.

Kalix implant를 이용한 편평족의 치료 - 증례보고 -

이경태,양기원,배상원,탁상보,이승환,Lee, Kyung-Tai,Young, Ki-Won,Bae, Sang-Won,Tak, Sang-Bo,Lee, Seung-Hwan 대한족부족관절학회 2002 대한족부족관절학회지 Vol.6 No.2

There are two types of flat foot, the one is congenital type and the other is acquired type. The treatments of flat foot are various and conservative treatment is general, except such as congenital talus. But, operative method is needed for treatment of failure of conservative method, severe deformity in X-ray, with tenderness in a juvenile period. We reported using Kalix implant for flat foot with pain and severe deformity.