문화속으로/KLID서포터즈를 만나다 : KLID서포터즈 허윤무

허윤무 한국지역정보개발원(구 자치정보화조합) 2015 지역정보화 Vol.95 No.-

Unstable Simple Elbow Dislocation Treated with the Repair of Lateral Collateral Ligament Complex

허윤무,이진웅,이정범,이대희,박원근,김선중 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.2

Unstable simple elbow dislocation (USED) repair is challenged by the maintenance of joint reduction; hence, primary repair or reconstruction of disrupted ligaments is required to maintain the congruency and allow early motion of the elbow. We evaluated the effectiveness and the outcome of lateral collateral ligament (LCL) complex repair with additional medial collateral ligament (MCL) repair in cases of USED. Methods: We retrospectively reviewed 21 cases of diagnosed USED without fractures around the elbow that were treated with primary ligament repair. In all cases, anatomical repair of LCL complex with or without common extensor origin was performed using suture anchor and the bone tunnel method. Next, the instability and congruency of elbow for a full range of motion were evaluated under the image intensifier. MCL was repaired only if unstable or incongruent elbow was observed. Clinical outcomes were evaluated using the Mayo elbow performance score (MEPS) and radiographic outcomes on last follow-up images. Results: All cases achieved a stable elbow on radiographic and clinical results. LCL complex repair alone was sufficient to obtain the stable elbow in 17 of 21 cases. Four cases required additional MCL repair after restoration of the LCL complex. The overall mean MEPS was 91 (range, 70 to 100): excellent in 12 cases, good in 7 cases, and fair in 2 cases. All 17 cases with LCL complex repair only and 2 of 4 cases with additional MCL repair had excellent or good results by MEPS. Conclusions: USED requires surgical treatment to achieve a congruent and stable joint. If the repair of lateral stabilizer such as LCL complex acquires enough joint stability to maintain a full range of motion, it may not be necessary to repair the medial stabilizer in all cases of USED.

소아 경골 극 골절의 불유합 - 2예 보고 -

허윤무,정환용,김상범,김성훈,류승렬,Hur, Yoon-Moo,Chung, Whan-Yong,Kim, Sang-Bum,Kim, Sung-Hun,Rhu, Seung-Reol 대한관절경학회 2006 대한관절경학회지 Vol.10 No.2

The general consensus is that tibial eminence fractures have an excellent prognosis. But symptomatic nonunions requiring reduction and grafting have been reported. This report presents two cases of nonunion after tibial eminence fracture in eight years old boys which were treated with arthroscopy-guided reattachment and internal fixation and obtained good outcome. 소아에 있어서 경골 극 골절은 좋은 예후를 보인다. 하지만 드물게 증상이 있는 불유합이 발생하며, 골절의 정복과 골이식으로 치료한 경우가 보고되고 있다. 저자들은 8세 소아의 경골 극 골절 Mckeever 제 2형을 장하지 석고 고정을 이용한 보존적 치료를 하였으나, 불유합된 2 례를 관절경하 정복술 및 내고정술로 치료하여 좋은 결과를 얻었기에 문헌 고찰과 함께 보고하는 바이다.

Acute Rupture of Flexor Tendons as a Complication of Distal Radius Fracture

허윤무,김상범,김광균,김두현,박원근 대한정형외과학회 2015 대한정형외과학회지 Vol.50 No.1

Acute rupture of flexor tendons following distal radius fracture is very rare. We experienced four cases of acute rupture of flexor tendons that were treated surgically. Injured tendons included flexor pollicis longus, flexor carpi radialis, palmaris longus and third flexor digitorum profundus. A severely displaced fracture with a volar spike of the distal radius was detected on plain radiographs in all cases. Ruptures of flexor pollicis longus and third flexor digitorum profundus were diagnosed on preoperative examination but ruptures of other tendons were identified during the operation. Repairs of fractures and ruptured tendons were performed simultaneously and good functional outcomes were achieved.

Evaluation of the Sigmoid Notch Involvement in the Intra-Articular Distal Radius Fractures: The Effi cacy of Computed Tomography Compared with Plain X-ray

허윤무,Jae-Young Roh,김상범,이진웅,김광균,Byung Hak Oh,Hyeong-Tak Oh 대한정형외과학회 2012 Clinics in Orthopedic Surgery Vol.4 No.1

Background: The purpose of this study is to evaluate the effi cacy of computed tomography (CT) scans compared with plain radiographson detecting the involvement of the sigmoid notch. Methods: This study involved 121 cases diagnosed as the intra-articular distal radius fracture and performed post-reduction CTscans. We determined the presence of the sigmoid notch involvement with both plain radiographs and CT scans and comparedfi ndings of plain radiographs with CT scans about the incidence and the pattern of injuries. And the differences of results betweenarbeitsgemeinschaft für osteosyntheses (AO) type C2 and C3 were compared. Results: The incidences of sigmoid notch involvement detected in plain radiographs were 81 cases (66.9%), whereas CT scanswere 99 cases (81.9%). The sensitivity of plain radiographs compared with CT scans was 74.7%, the specifi city was 68.2%, thepositive predictive value was 91.4%, the negative predictive value was 37.5%, the false negative value was 25.3%, and the falsepositive value was 31.8%. In comparison between AO type C2 and C3, the incidence of sigmoid notch involvement was not a significant difference, but the displacement of fracture fragment showed a signifi cant difference. Conclusions: The intra-articular distal radius fracture usually accompanies the sigmoid notch involvement. Considering that theevaluation of sigmoid notch involvement by plain radiography often results in misinterpretation or underestimation, performing CTscan in intra-articular distal radius fracture is thought to be benefi cial.

청소년 체조 선수에서 발생한 종골 골단의 견열 골절 - 증례 보고 -

허윤무,정환용,김상범,박철용,이진웅 대한골절학회 2009 대한골절학회지 Vol.22 No.4

소아에서 종골 골단의 아킬레스건에 의한 견열 골절의 발생은 매우 드물다. 성인과 다르게 소아에는 종골 조면에 골단이 있어 골단이 종골 몸체에 유합되는 12∼15세까지는 견열 골절이 골단 손상을 동반하며 발생할 수 있다. 저자들은 14세 체조 선수에서 마루 운동 중 착지하며 발생한 종골 조면의 아킬레스건에 의한 견열 골절에 대하여 관혈적 정복 및 내고정을 시행하였다. 추시 14개월 방사선 검사에서 종골 조면의 불규칙이 관찰되었으나, 동통 및 활동에 제한이 없는 만족할 만한 결과를 얻었다. 저자들이 경험한 1예에 대하여 문헌 고찰과 함께 보고하고자 한다.

자전거 손상 환자의 정형외과적 특성에 관한 연구

허윤무,이진웅,오병학,전준범,조형준,김태균 대한스포츠의학회 2018 대한스포츠의학회지 Vol.36 No.1

Purpose: This study aimed to investigate bicycle injury patients who suffered orthopedic injuries. Methods: From January 1, 2010 to December 31, 2014, 1,664 people visited the emergency room due to a bicycle accident. Among them, 385 patients were found to have orthopedic injuries through physical examination and imaging evaluation. Intending to evaluate whether the number of bicycle injury patients is increasing or decreasing yearly, we investigated the rate of orthopedic injuries among bicycle injury patients, the damaged areas and the extent of damage, and also investigated whether changes in frequency were correlated with sex, age, or season. Results: From January 1, 2010 to December 31, 2014, a total of 237,533 people came to the emergency room. Among them, the number of bicycle injuries was 1,664 (0.7%), and 23% of the bicycle injuries (385 people) were orthopedic injuries. Among these, 77.4% were men, 44.5% were less than 20 years old, and 20% were more than 61 years old. Damage to the forearm (n=82, 21.3%) and the shoulder (n=71, 18.4%) were the most common injuries, and simple fractures affected 274 patients (71.1%), overwhelmingly more common than other patterns of damage. In combination, simple fracture and dislocations occurred in 279 cases (72.5%). Conclusion: Most bicycle injuries occur in young and elderly people. Fractures of the forearm and shoulder were the most common orthopedic injuries. We expect that this study will be helpful in providing information about the orthopedic characteristics of bike injuries.

패혈성 쇼크의 치료를 위한 승압제 사용 후 발생한 양측 사지 괴사: 증례 보고

허윤무,송재황,오병학,차현재 대한족부족관절학회 2019 대한족부족관절학회지 Vol.23 No.4

Symmetrical Digital Gangrene (SDG) is characterized by the sudden onset of peripheral, symmetrical gangrene in the absence of any major vascular occlusive disease. Catecholamine inotropes are frequently used for the treatment of septic shock combined with an unstable hemodynamic state, and their usage can rarely induce SDG. There is no standard treatment for the SDG. Early recognition and prompt management of sepsis and expeditious process of weaning off of the inotropes are necessary to prevent progression of SDG. To the best of our knowledge, this is the first report in Korea regarding the treatment of SDG induced by catecholamine inotropes.

Evaluation of Associated Carpal Bone Fractures in Distal Radial Fractures

허윤무,Sang-Bum Kim,이진웅,이정범,Cheol Yong Park,Jeong Yong Yoon,Doo Hyun Kim 대한정형외과학회 2013 Clinics in Orthopedic Surgery Vol.5 No.2

Background: The purpose of this study was to investigate the frequency and distribution of associated carpal bone fractures (CBFs) in distal radial fractures (DRFs). Methods: Three hundred and thirteen patients who underwent surgical treatment for DRFs between March 2007 and January 2010 were reviewed retrospectively. In this study, 223 patients who had preoperative computed tomography (CT) were included. We investigated the frequency and distribution of associated CBFs on CT scans. The relationship between the frequency of associated CBFs and patient factors such as age, gender, body mass index, and the mechanism of injury was assessed. Results: CBFs were complicated in 46 of 223 DRFs (20.9%). The distribution of CBFs was 23 cases in the triquetrum, 16 in the lunate, 12 in the scaphoid, five in the hamate, and four in the pisiform. Among the 46 cases, a fracture of one carpal bone occurred in 36 cases, two in seven cases, three in two cases, and four in one case. In 10 of the 46 cases, associated CBFs occurred in more than two carpal bones. No significant differences were observed for age, sex, body mass index, or the mechanism of injury between patients with DRFs and CBFs and those without CBFs. Conclusions: Because CBFs that mainly occur in the proximal carpal row are complicated in DRFs at a relatively high frequency, assessment of carpal bones using CT scans is beneficial.

건강생활이 만난 사람

허윤무 대한보건협회 2010 건강생활 Vol.- No.67