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진행 양상을 보인 압박형 대퇴 경부 피로 골절: -2예 보고-
이승림 ( Seung Rim Yi ),제민수 ( Min Soo Je ),이승원 ( Seung Won Lee ),김석진 ( Seok Jin Kim ) 대한스포츠의학회 2010 대한스포츠의학회지 Vol.28 No.2
The stress fracture of the femoral neck is an uncommon injury and delay in diagnosis occurs occasionally. It is generally classified as the compression type and the tension type. The compression type fracture of the femoral neck is stable, and could be treated nonoperatively. Tension type fracture is potentially unstable, and could require operative stabilization. The displacement of the femoral neck stress fractures has potential complications such as osteonecrosis of femoral head, malunion and nonunion. We have experienced two cases of compression type fractures that progressed to entire femoral neck despite conservative treatment with avoidance of weight bearing. These two cases shows even compression type of femoral neck fracture could further progress to entire femoral neck after conservative treatment, which could require operative treatment.
자가 슬개건을 이용한 전방십자인대 재건술 시 경골터널 생성중 핵심 확공기의 파열 - 증례보고 -
노정호,양보규,박정태,제민수,Noh, Jung-Ho,Yang, Bo-Kyu,Park, Jung-Tae,Je, Min-Soo Korean Arthroscopy Society 2010 대한관절경학회지 Vol.14 No.1
This is a case of the core reamer breakage during anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft. A 19-year-old man with acute anterior cruciate ligament rupture had reconstruction surgery. During tunneling in the proximal tibia, the core reamer have been cracked open and broken. Rest of the procedure was performed routinely except the tibial sided fixation of bone block which was performed with larger interference screw than usual. The patient followed the accelerated rehabilitation program. The result was satisfactory at 2 years after surgery.
양보규(Bo-Kyu Yang),김성완(Seong-Wan Kim),이승림(Seung-Rim Yi),안영준(Young-Jun Ahn),노정호(Jung-Ho Noh),노영학(Young-Hak Roh),이승원(Seung-Won Lee),제민수(Min-Soo Je),김석진(Seok-Jin Kim) 대한정형외과학회 2011 대한정형외과학회지 Vol.46 No.1
전방 골간 신경은 장 무지 굴근, 제 2수지의 심 수지 굴근과 방형회내근에 분포하며 감각 신경 섬유 없이 운동 신경 섬유로만 분포되어 있다. 몬테지아 골절에서 전방 골간 신경의 마비는 드물게 보고 되고 있으나, 이 중 불완전 마비는 거의 보고된 바가 없다. 저자는 몬테지아 골절의 합병증으로 장 무지 굴근 마비의 불완전 전방 골간 신경 마비가 발생한 환자 1예를 경험하였다. 요골 두에 대한 도수 정복을 시행한 후 수술적 치료로 척골 근위부 골절에 대해서 관혈적 정복 및 내고정을 시행하였으며 술 후 4개월에 장 무지 굴근 마비의 회복을 보였다. The anterior interosseous nerve innervates the flexor pollicis longus, the flexor digitorum profundus and the pronator quadratus. There are no sensory fibers from the anterior interosseous nerve leading to the skin. Paralysis of the anterior interosseous nerve that accompanies a Monteggia fracture has rarely been reported, and incomplete paralysis of the anterior interosseous nerve has almost not been reported. We experienced a patient with incomplete anterior interosseous nerve palsy involving the flexor pollicis longus as a complication of a Monteggia fracture. The paralysis of the flexor pollicis longus recovered 4 months after the surgery for the Monteggia fracture.