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족관절 전방 구획을 따라 발생한 근육내 거대 지방종: 증례 보고
장민구,송재황,이진웅,김대영 대한족부족관절학회 2020 대한족부족관절학회지 Vol.24 No.3
Intramuscular lipomas are benign adipose tumors of the soft tissues that may resemble liposarcomas because of their size, deep location, and occasionally infiltrative growth. An awareness of their existence is fundamental to treating them correctly, and their differential diagnosis from liposarcoma is essential. Magnetic resonance imaging (MRI) is a useful diagnostic tool to differentiate benign adipose tumors from liposarcoma. Marginal excision and biopsy are required for the definite diagnosis and the treatment of symptomatic intramuscular lipomas. To the best of the authors’ knowledge, this is the first report in South Korea regarding the treatment of an intramuscular giant lipoma of the ankle.
장민구,허윤무,김태균,송재황,김태형 대한수부외과학회 2020 대한수부외과학회지 Vol.25 No.2
Carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the upper limb. Although most cases are idiopathic, it can occur due to various causes including an alteration of anatomical dimension of the carpal tunnel. CTS can be diagnosed mostly by clinical findings and electrodiagnostic test. As a result, the confirmation of structural change of carpal tunnel may be delayed as basic radiologic examinations such as simple radiography of the wrist are not performed. We confirmed carpal malalignment due to dorsal intercalated segmental instability on simple radiography of a patient with CTS whose symptoms did not improved by conservative managements. He had symptoms for more than 2 years, but had never undergone simple radiography of the wrist. Because structural changes of the carpal tunnel could be the main reason for CTS and affect the whole treatment process, the physician should always check standard radiography of the wrist before determining how to treat the patient. 수근관 증후군은 상지에 발생하는 가장 흔한 압박성 신경병증이다. 대부분의 수근관 증후군은 특발성이지만 수근관의 해부학적 변화를 포함한 다양한 원인들에 의해서도 발생할 수 있다. 수근관 증후군의 진단은 임상 소견과 신경전도검사로 대부분 진단이 가능하다. 따라서 손목의 단순 방사선 검사와 같은 기본적인 영상 검사를 시행하지 않아 수근관의 구조적 변화의 확인이 지연될 수 있다. 저자들은 보존적 치료로 증상이 호전되지 않는 수근관 증후군 환자의 단순 방사선 검사에서 후방 개재 분절 불안정에 의한 수근골 부정정렬을 확인하였다. 이 환자는 증상이 2년 이상 되었으나 단순 방사선 검사를 시행한 적이 없었다. 수근관의 구조적 변화는 수근관 증후군의 주요 원인일 수 있고 전체적인 치료 결과에 영향을 주기 때문에 치료 방법을 결정하기 전에 단순 방사선 검사를 이용하여 확인해야 한다.
경골의 골 결손, 내반 변형을 동반한 감염성 불유합 환자에서 항생제 시멘트 코팅 골수정과 Masquelet 술기를 이용한 내고정술의 치료 - 증례 보고 -
장민구 ( Min Gu Jang ),송재황 ( Jae Hwang Song ),김대영 ( Dae Yeung Kim ),신우진 ( Woo Jin Shin ) 대한골절학회 2022 대한골절학회지 Vol.35 No.1
골절 수술 후 발생한 감염성 불유합은 환자에게 지속적인 통증과 염증성 삼출물을 일으킬 수 있으며 장시간 치료가 필요한 질환이다. 감염성 불유합을 치료하기 위해서는 첫 번째 단계로 감염이 의심되는 뼈와 연부조직에 대한 철저한 변연절제술을 시행해야 하고 감염이 완전히 소실된 후 두 번째 단계로 안정적인 내고정과 골 이식으로 골 유합을 얻어야 한다. 또한 만성 골수염의 분류와 동반된 골 결손의 크기, 골 정렬의 상태, 연부조직 손상 정도에 따라 체계적인 수술적 치료를 고려해야 한다. 본 저자들은 경골 골절 수술 후 경골의 골 결손, 내반 변형을 동반한 감염성 불유합 환자에서 항생제 시멘트가 코팅된 골수정과 Masquelet 술기를 이용한 내고정술의 치료를 시행하였고 이에 대한 증례를 보고하고자 한다. Infective nonunion after fracture surgery can cause persistent pain and inflammatory exudate in patients, requiring long-term treatment. To treat infective nonunion, radical debridement of infective bone and soft tissue should be performed, followed by stable internal fixation and bone graft. Multiple treatment strategies need to be considered according to the classification of chronic osteomyelitis, size of the bone defect, degree of bone malalignment, and severity of the soft tissue injury. This paper reports a case of a patient treated with an antibiotic cement-coated nail and a Masquelet technique to treat the infected nonunion of the tibia with a bone defect and varus deformity.
A Rare Extradural Spinal Meningioma with Nocturnal Chest Pain - A Case Report -
원유건,김상범,장민구,민영기,Andreas Gutzeit,Fabio Casari,Oliver Nic Hausmann 대한척추외과학회 2019 대한척추외과학회지 Vol.26 No.3
Study Design: Case report. Objectives: To report a rare case of a spinal extradural meningioma in a patient with longstanding nonspecific thoracic nocturnal pain Summary of Literature Review: Meningioma is a frequent intradural extramedullary tumor that is associated with pain, sensory/motor deficits, and sphincter weakness. Spinal meningiomas most commonly occur in the thoracic spine, although they can also be found at other locations. Materials and Methods: A 65-year-old woman first visited the cardiac and gastrointestinal departments of our institution due to chest pain 2 years previously. No explanation for the complaint could be found in the heart or other organs. On a computed tomography scan of the thorax, a spinal mass was found a few months before the diagnosis. On magnetic resonance imaging, an extramedullary and extradural mass was observed at T7/8. Results: We performed surgery and found an extradural spinal meningioma upon the histological diagnosis. Postoperatively, the patient could adequately move both legs and feet and the nocturnal chest pain disappeared after surgery without any complications. Conclusions: Awareness of the rarity and nonspecific symptoms of extradural spinal meningiomas will be beneficial for their accurate diagnosis and proper treatment. Key Words: Extradural space, Thoracic pain, Iatrogenic dural injury, Spinal meningioma, Spine tumors
신우진,이충식,황철목,장민구,송재황 대한족부족관절학회 2023 대한족부족관절학회지 Vol.27 No.1
Intramuscular myxoma is a rare benign myxoid tumor that is difficult to differentiate from other benign soft tissue tumors and sarcoma, and as a result, intramuscular myxoma is commonly misdiagnosed as another type of soft tissue tumor. Accordingly, awareness of the existence of this condition is a fundamental requirement for treatment decision-making. Furthermore, although intramuscular myxoma appears grossly to be well-circumscribed, it can infiltrate adjacent soft tissue microscopically. Tumor resection is the recommended treatment, but appropriate surgical margin sizes remain controversial. To the best of our knowledge, this is the first South Korean report to be issued on the treatment of intramuscular myxoma of the foot