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박승림,김형수,강준순,이우형,이주형,이동주,Park Seung Rim,Kim Hyoung Soo,Kang Joon Soon,Lee Woo Hyeong,Lee Joo Hyung,Lee Tong Joo 대한관절경학회 1997 대한관절경학회지 Vol.1 No.1
Congenital deficiency of the anterior cruciate ligament (ACL) is a rare disorder that has been reported in association with other knee dysplasia like as congenital knee dislocation. congenital short femur, congenital absence of menisci, congenital ring meniscus, and thrombocytopenia-absent radius syndrome. There has been no published explanation about the etiology of bilaeral ACL deficiencies without other abnomality. The patient of congenital ACL deficiency must be carefully inspected about combined anomaly. Those efforts may be helful in treatment or ACL deficient patients and evaluation of pathophysiology or ACL deficiency. However there has not been a ruptured congenital deficiency of the ACL without other dysplasia or the knee and other congenital skeletal abnomalities. We reported a case of symptomatic bilateral congenital deficiencies of the ACL which have not been associated with other skeletal abnormalities.
박승림(Seung Rim Park),조규정(Kyu Jung Cho),윤영현(Young Hyun Yun),이문(Moon Lee),강석봉(Seok Bong Kang),편해욱(Hae Wook Pyun),정세진(Se Jin Jung) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.2
척추강 내 동정맥 루는 척추 동맥과 주변의 정맥과의 비정상적인 연결을 특징으로 하는 드문 혈관 질환이다. 이 동정맥 루는 형성되면서 척추체에 골용해를 일으켜 병변 주위로 통증이나 잡음을 유발한다. 또한 동정맥 루가 척수를 직접적으로 압박해서 척수병증을 일으킬 수 있으며, 도류 현상(steal phenomenon)으로 인한 이차적 허혈과 정맥성 고혈압에 의해서도 척수병증이 나타날 수 있다. 저자들은 제 5, 6번의 흉추 부위에서 척추강내 동정맥 루가 형성되고, 경막외 정맥과 연결된 기정맥(azygous vein)이 비정상적으로 커지면서 골용해를 유발하고 척수를 압박하여 신경학적 증상을 일으킨 거대한 척수강내 동정맥 루 1예를 경험하였으며, 80개의 코일을 이용하여 단계적 색전술을 시행하여 치료하였다. A spinal arteriovenous fistula is a rare vascular disease that is characterized by abnormal connections between the vertebral artery or its branches and the neighboring veins. Bruit and back pain are common symptoms related to the fistula. Spinal cord dysfunction can also occur as a result of blood flow steal, venous hypertension, or mechanical compression of the nerve roots and spinal cord. We report a huge arteriovenous fistula in the spinal canal at the thoracic vertebra, which was characterized by a large azygous vein connected to the epidural vein causing osteolysis on the vertebral body and spinal cord compression symptoms. Staged embolization was performed using 80 coils.