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문영래,이경일,이광철,Moon Young-Lae,Lee Kyung-Il,Lee Kwang-Chul 대한정형외과스포츠의학회 2003 대한정형외과스포츠의학회지 Vol.2 No.2
던지기 동작은 wind-up, early and late cooking, acceleration, deceleration, follow-through 6단계로 나눌 수 있다. 야구에서 과사용 증후군에 의한 손상은 대부분 던지기 동작에서 발생된다. 잘못된 던지기 동작은 상지 손상의 원인이 된다 본 종설의 목적은 동작 분석을 통하여 던지기 동작에 수반되는 각 관절의 생역학 및 병적 역학을 파악함에 있다 Throwing motion divided by 6 phases such as wind-up, (early and late) cocking, acceleration, deceleration, follow-through. Overuse injuries in baseball result most often from pitching. Poor mechanics is the leading cause of arm injuries. The purpose of this article is to analyze the each joint motion and evaluate the biomechanics and pathomechanics during pitching.
문영래,유재원,심형준,박준광 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1
Purpose : The purpose of this study is to evaluate the usefulness of arthroscopic drainage in the management of septic arthritis of the shoulder. Materials and methods : The cases of nine septic glenohumeral joints were evaluated. Each patient was treated by arthroscopic irrigation and necrotic synovectomy, combined with parenteral antibiotics. Result In five of nine shoulders in which treatment was begun four weeks or less after symptoms appeared, a satisfactory functional outcome was obtained, while four patients who were treated after a delay of more than four weeks had poor results. Conclusion : The most significant factors leading to poor results of treatment were delay in instituting treatment, virulence of the infecting organism, and a serious process of underlying disease. Arthroscopic drainage is a valuable procedure for the treatment of the septic arthritis of shoulder. Arthroscopic drainage is a method that has proved effective, with minimal morbidity, in attempts to cure septic arthritis of the shoulder.
문영래,이상홍,조삼호,Moon, Young-Lae,Lee, Sang-Hang,Cho, Sam-Ho 대한관절경학회 2000 대한관절경학회지 Vol.4 No.2
목적 : 화농성 고관절 질환에 대한 치료 중 관절경적 처치의 방식을 제시하고, 경과를 평가하고자 하였다. 대상 및 방법 : 급성 성인형 화농성 고관절염 환자 9례를 대상으로 하였으며. 관절 천자와 임상 검사에 의해 확진되면 즉시 응급으로 관절경적 변연 절제술 및 세척술을 시행하였고, 술후 적혈구 침강 속도 및 C-반응성 단백의 수치를 검사하면서 경과 관찰을 시행하였다. 결과 : 혈액 검사상 적혈구 침강 속도의 정상화는 11.9일, C-반응성 단백은 평균 8.9일이 소요되었다. 1년 추시 결과 전례에서 관절 기능이 정상이었으며, 혈액 검사상 감염의 증거를 발견 할 수 없었다. 결론 : 화농성 고관절염 환자에서 시행되는 관절경적 변연 절제술 및 세척술은 개방적 관절 절개 술식에 비해 관절 주변의 구조물 손상을 최소화하면서도, 좋은 결과를 얻을 수 있는 유용한 방식 줌의 하나로 사료된다. Purpose : The purpose of this study is to evaluate the usefulness of arthroscopy in the management of septic coxitis in adults. Materials and Methods : The subjects were 9 patients ranging from 46 to 61 years of age. All patients were diagnosed to have septic coxitis by arthrocentesis and laboratory tests. Operative arthroscopy of the hip has been performed on the patients under supine position. All patients had a follow-up period of more than 12 months by checking ESR and CRP, and by evaluating the function with Harris hip scoring system. Results : The laboratory abnormalities returned to normal level in average of 11.9 days after the surgery. Twelve months after the surgery, all patients showed normal functional hip without any discomfort. Conclusion : Arthroscopic debridement and irrigation technique seem to have more advantages than open drainage in the management of septic coxitis minimizing the morbidity of the hip joint, while it obtains the same results as open technique.