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Surgical Treatment of Piriformis Syndrome
한석구,김용식,김태현,강수환 대한정형외과학회 2017 Clinics in Orthopedic Surgery Vol.9 No.2
Background: Piriformis syndrome (PS) is an uncommon disease characterized by symptoms resulting from compression/irritation of the sciatic nerve by the piriformis muscle. Uncertainty and controversy remain regarding the proper diagnosis and most effective form of treatment for PS. This study analyzes the diagnostic methods and efficacy of conservative and surgical treatments for PS. Methods: From March 2006 to February 2013, we retrospectively reviewed 239 patients who were diagnosed with PS and screened them for eligibility according to our inclusion/exclusion criteria. All patients underwent various conservative treatments initially including activity modification, medications, physical therapy, local steroid injections into the piriformis muscle, and extracorporeal shock wave therapy for at least 3 months. We resected the piriformis muscle with/without neurolysis of the sciatic nerve in 12 patients who had intractable sciatica despite conservative treatment at least for 3 months. The average age of the patients (4 males and 8 females) was 61 years (range, 45 to 71 years). The average duration of symptoms before surgery was 22.1 months (range, 4 to 72 months), and the mean follow-up period was 22.7 months (range, 12 to 43 months). We evaluated the degree of pain and recorded the responses using a visual analog scale (VAS) preoperatively and 3 days and 12 months postoperatively. Results: Buttock pain was more improved than sciatica with various conservative treatments. Compared with preoperatively, the VAS score was significantly decreased after the operation. Overall, satisfactory results were obtained in 10 patients (83%) after surgery. Conclusions: PS is thought to be an exclusively clinical diagnosis, and if the diagnosis is performed correctly, surgery can be a good treatment option in patients with refractory sciatica despite appropriate conservative treatments.
Fibronectin과 RGDS tetrapeptide가 골모세포의 Osteopontin 발현에 미치는 영향
한석구,김형민,최남용,김호건,하재도 대한정형외과학회 2002 대한정형외과학회지 Vol.37 No.1
The Influence of Fibronectin and/or RGDS Tetrapeptide on Osteopontin Expression in Cultures of Rat Calvarial Osteoblasts Suk Ku Han, M.D., Hyoung Min Kim, M.D.*, Nam Yong Choi, M.D., Ho Gun Kim**, and Jae Do Ha, M.D. 2002년 4월 30일.초록제출: 사무국 .조직위원장: 서울시 동대문구 회기동 1 경희대학병원 정형외과 유명철 교수(우: 130-702) Tel: 02-958-8364/967-1638, Fax: 02-966-0015 Email: mcyookuh@chollian.net .사 무 국: 서울시 중구 소공동 51 Marine Center New 빌딩 5층 한진관광(우: 100-770) Tel: 02-726-5556, Fax: 02-778-2514 Email: jychoi@kaltour.com 자세한 내용은 조직위원회 homepage (www.kaltour.com/kojcos2002)를 참조하시기 바랍니다. 많은 관심과 협조를 바랍니다.
증상을 유발한 이두구 주변의 결절종에 대한 초음파 진단 - 증례보고 -
한석구,김석현,송하정,김률,박현우,송현석,Han, Suk Ku,Kim, Seok Hyun,Song, Ha Jung,Kim, Ryul,Park, Hyun Woo,Song, Hyun Seok 대한정형외과초음파학회 2015 대한정형외과 초음파학회지 Vol.8 No.1
이두건 장두의 병변은 단순 방사선 검사에서 확인하기는 쉽지 않으며 외래에서의 초음파 검사가 도움이 된다. 우 견관절 통증을 주소로 내원하여 초음파 검사를 통하여 이두구 주변의 종괴를 진단하였으며 이에 대하여 관절경적 절제술을 시행한 증례를 보고하고자 한다. 병리 조직 소견상, 종괴 내막은 활액막 세포의 배열은 관찰되지 않았으며 내막은 두꺼워져 있어서 결절종으로 진단되었다. Diagnosis of the long head tendon of biceps is not easy. and an ultrasonography is helpful at the office. We report a case who visited with the right shoulder pain and was diagnosed as a mass around the bicipital groove using the ultrasonography, finally undertook an arthroscopic resection. On the histologic examination, synovial lining cell were not found, the wall was thickened. He diagnosed as ganglion.