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전문축구선수에게 협부골절에 의해 연속적으로 발생한 인접부위 척추분리증
김승국 ( Seung-Kook Kim ),박승우 ( Seung-Woo Park ),이수찬 ( Su-Chan Lee ),송문복 ( Moon-Bok Song ) 대한스포츠의학회 2017 대한스포츠의학회지 Vol.35 No.3
Pars interarticularis fracture is a common finding in young soccer players with low back pain. Spondylolysis in young adults involves a defect of the pars interarticularis, occurring as a result of repeated hyperextension and rotation. Here, we describe the case of a 26-year-old male elite soccer player who was diagnosed with L3 spondylolysis 2 years previously. He visited Incheon Himchan Hospital again because of low back pain. Radiographs showed consecutive spondylolysis at the L3 and L4 levels. Physicians should be aware that repeated performance of athletic movements, such as those during soccer, might lead to consecutive levels of spondylolysis.
경골 천정 골절에 있어 제한적 내고정과 외고정 장치를 이용한 치료
김휘택,송문복 대한골절학회 2000 대한골절학회지 Vol.13 No.2
Purpose: To evaluate the usefulness of the treatment method of limited open reduction for the articular surface and combined external fixation in a tibial pilon fracture. Materials and methods: We reviewed 15 cases of pilon fracture treated by the combined internal and external fixation method. The fracture was classified by Ruedi and Allgower's classification: 3 cases of type I, 7 cases of type II and 5 cases of type III. The result was analyzed by Ovadia and Beals radiologic, subjective and objective criteria of assessment. Results: The results were 12 good and 3 fair in the radiologic evaluation; 1 excellent, 9 good, 3 fair and 2 poor in the objective evaluation; and 5 good, 8 fair, 2 poor in the subjective evaluation. The mean duration of the bony union was 6.5 months (5-11 months). The most common complication was the limitation of the ankle joint. Intra-articular arthroscopic adhesiolysis and extra-articular soft tissue release were helpful to increase the range of motion of the ankle joint. Conclusion: This technique provides a satisfactory result in the anatomical reduction of the articular fracture, in the management of the soft tissue problem particularly in open fracture, and permits early motion of the ankle joint in the pilon fracture.