족부 족관절에 흔히 발생하는 스포츠 손상: 외측 족관절 불안정성

양기원,이경태,김진수,Young, Ki-Won,Lee, Kyung-Tai,Kim, Jin-Su 대한정형외과스포츠의학회 2007 대한정형외과스포츠의학회지 Vol.6 No.1

족부 족관절 영역의 스포츠 손상에서 가장 많은 것은 외측 족관절 불안정성이다. 이미 이에 대하여 많은 연구 및 발표가 있어 왔다. 이 가운데 아직 결론에 도달하지는 않고, 진행중인 논제에 대하여 간략하게 살펴보고자 한다. 외측 족관절 불안전성 환자를 치료함에 있어서 좀 더 좋은 결과를 얻는데 도움이 될 것으로 생각한다.

태릉선수촌 국가대표 스포츠 팀 닥터의 역할

김리나,고정아,김종덕,이제훈,Kim, Li-Na,Ko, Jeong-Ah,Kim, Jong-Duk,Lee, Je-Hoon 대한정형외과스포츠의학회 2009 대한정형외과스포츠의학회지 Vol.8 No.2

To be the national players, athletes undergoes repetitive hard training and then they have many kinds of sports injuries. The medical department in the Taeneung National Training Center has roles of management of injured athletes, supporting of international games and cooperation of doping control. The review article wants to introduce the role of doctor in the Taeneung National Training Center.

아킬레스 동종건을 이용한 전방십자인대 재건술후 임상적 결과와 운동력 회복 평가

전철홍,하대호,김동철,김현준,Chun Churl Hong,Ha Dae Ho,Kim Dong Chul,Kim Hyun Jun 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1

Purpose : ACL (anterior cruciate ligament) reconstruction using achilles allograft was done for whom ACL injured person in recreational sports activity. The purpose of this study was to evaluate the clinical results and return to their sports activity in these patients. Materials and Methods : ACL injured 56 amateur athletes who had experienced sports 3 times a week more than 5 years, reconstructed with Achilles allograft, and it was analyzed subjective and objective parameter, Tegner scoring, Telos stress arthrometer, Lysholm Knee Scoring System and modified Feagin scoring system. The average age was 25 years old (range: 18$\~$49), the average follow up period was 15 months (range: 12$\~$19). Morbid sports were football (29 cases), basket ball (14 cases), badminton (5 cases), tennis (3 cases), squash (2 cases) and otherwise (3 cases). Result : The mean Lysholm Knee Scoring System was improved to 88.2 from 60. Telos arthrometer in anterior stress test revealed 2.3 mm improved from 7.1 mm. The modified Feagin scoring system showed 50 cases (89$\%$) with excellent and good results. We had obtained 12 cases (21$\%$) of Tegner score VI, 32 cases (57$\%$) of score V, 20 cases (35%$\%$ of score IV, 3 (5.3$\%$) cases of score III. Conclusions : Reconstruction of anterior cruciate ligaments can restore stability sufficient to allow sports activity in ACL injured patients, but it’s difficult to achieve 'normal' sports activity. So we will have to solve the reasons of this dissatisfaction at furthermore.

대학 엘리트 운동선수들의 종목에 따른 도핑에 대한 사고방식과 스포츠 성취목표 성향 및 지각된 동기분위기의 관계 분석

김은국 ( Eunkuk Kim ),박한별 ( Hanbyel Park ),최호경 ( Hokyung Choi ) 대한스포츠의학회 2021 대한스포츠의학회지 Vol.39 No.3

Purpose: This study aimed to identify the relationship between the attitudes toward doping, sport orientation, and perceived motivational climate in sport, and to provide useful information on the anti-doping strategy. Methods: A total of 567 athletes in 21 sports completed four questionnaires Performance Enhancement Attitude Scale (PEAS), Sport Orientation Questionnaire (SOQ; competitiveness orientation, win orientation, goal orientation), Task and Ego Orientation in Sport Questionnaire (TEOSQ; task orientation, ego orientation), and Perceived Motivational Climate in Sport Questionnaire-2 (PMCSQ-2; ego-involving and task-involving climates). They were divided into four categories: speed/power (n=201), endurance (n=154), motor skill (n=119), and team (n=93). We identified the difference of variables among four categories and verified possible factors significantly associated with attitudes toward doping. Results: The PEAS of athletes in both speed/power sports and Team sports was higher than motor skill sports, and the team sports athletes also showed higher PEAS than endurance sports athletes. In speed/power sports, the task of TEOSQ and the win of SOQ were related to PEAS, and in endurance sports, the task of TEOSQ and the ego-involving of PMCSQ were related to PEAS. In motor skill sports and Team sports, the task-involving of PMCSQ and the goal of SOQ were associated with PEAS, respectively. Conclusion: The results of this study provided new insights into the psychosocial mechanisms of attitudes toward doping, and it would contribute significantly to effective anti-doping strategies based on sports characteristics.

스포츠와 관련된 족부 및 족관절 손상에 대한 비수술적 치료

곽희철,서승석,김창완,Gwak Heui-Chul,Seo Seung-Suk,Kim Chang-Wan 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.2

The foot and ankle are one of the most common sites for acute musculoskeletal injuries related to sports activity. Foot and ankle injury includes ligament injury, tendon injury, bone and osteochondral injury, nerve injuy, heel pain syndrome, phalangeal injury. This is a article about nonoperative management of foot and ankle injury. Therefore, this article includes various exercise technique, range of motion, stretching for muscle relaxation, proprioception training for rehabilitation. We recommend that orthopedic surgeon should discuss with patient and specialist for treatment plan after foot and ankle injury

전방십자인대 재건술 후 스포츠 활동 복귀

박종혁,이준모,배현경,임종한,이주홍,Park, Jong-Hyuk,Lee, Jun-Mo,Bae, Hyun-Kyung,Im, Jong-Han,Lee, Ju-Hong 대한정형외과스포츠의학회 2009 대한정형외과스포츠의학회지 Vol.8 No.2

Purpose: The purpose of this study was to determine how many of our patients who had had anterior cruciate ligament (ACL) reconstruction returned to their previous levels of sports and to identify why not doing so. Material and Methods: We evaluated 43 knees with a minimum of two years follow-up among whom undergoing 109 ACL reconstruction from September 2003. The mean age of patients was 26 years (17 to 45 years) Clinical results was evaluated according to the Lysholm Knee scores, Tegner activity score, subjective IKDC questionnaires, objective IKDC evaluation form and KT-1000 arthrometer. Results: The overall clinical results demonstrated significant improvement at the final follow-up comparing to preoperative data (P<0.05). Among 43 patients, 25 patients (58%) returned to their previous level of sports and 18 patients (42%) did not. Of whom, 11 patients (61%) were not able to return to sports due to fear to re-injury and 7 patients (39%) suffered from instability and pain. The differences in the Lysholm Scores, KT-1000 arthrometer and subjective IKDC in the 3 groups of patients by ANOVA test were found to be statistically significant (P<0.001). Although there is no difference in objective IKDC and KT-1000 arthrometer, the difference was observed in Tegner activities, subjective IKDC obtained by those who returned to sport and those who had fear to reinjury (P<0.001). Conclusion: This study showed that a quater of patients could not return to their previous level of sport after ACL reconstruction because of fear to reinjury. We thought that not only improving the technique of ACL reconstruction and systemic rehabilitation but also considering psychological factor of patients could allow more patients to return to the previous level of sports.

회전근 개 파열에 대한 소절개를 이용한 봉합술

이용걸,Rhee Yong Girl 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.2

소절개 봉합술은 관혈적 봉합술에 비해 동반된 관절와 상완 관절(glenohumeral joint) 내의 병변을 확인하고 이에 대한 처치를 시행할 수 있으며, 견봉하 감압술과 함께 동반된 견봉 쇄골 관절의 병변을 치료할 수 있다. 또한 삼각근 기시부에 대한 손상을 최소화하기 때문에 빠른 재활과 조기 퇴원을 시행할 수 있는 등의 장점이 있다 관절경적 봉합술에 비해서는 수술 술기가 어렵지 않기 때문에 항상 좋은 결과를 기대할 수 있다 회전근 개 파열에 대한 수술을 시행할 때 관절경적 봉합술이 모든 경우에서 관혈적 또는 소절개 봉합술에 비해 좋은 결과를 나타내는 것은 아니다. 환자가 심한 골다공증이 있는 경우, 기술적 문제가 있는 경우, 봉합 후 회전근 개에 지나친 긴장이 염려될 때는 항상 소절개 봉합술로의 전환을 시도하여야 한다. 소절개 봉합술을 시행한 경우에도 관절경적 봉합술시와 비슷한 좋은 결과를 얻을 수 있고, 치료의 결과는 수술의 방법보다는 정확한 술기 및 수술 전 환자의 상태에 좌우된다고 하겠다.

스포츠 손상에서의 비구순 파열

황득수,이광진,권육상,Hwang Deuk-Soo,Rhee Kwang-Jin,Kwon Youk-Sang 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1

목적: 스포츠손상에의한비구순파열환자에서진단및치료에대해고찰해보고자하였다. 대상및방법: 1995년3월부터2000년1월까지스포츠손상후발생한고관절통으로본원에내원한환자에서비구순파열로진단된15예를대상으로하였다. 원인별로달리기5예, 격투기3예, 에어로빅3예, 수영2예, 등산1예, 자전거 1예등이었다. 남자가6명, 여자가9명이었고, 나이는 평균41세였다. 모든 환자는6개월간격으로 추시하였고, 보존적 치료를 시행한 경우최소2년 이상 투약 및 증세관찰을 하였고, 관절경적 수술을 시행한6예에서 수술 전, 수술 후 6개월과 12개월에 Harris Hip Score (이하HHS)를측정하였고, JOA pain scoring system에의해결과를평가하였다. 결과: 보존적치료를 시행한9예에서 HHS는 평균 15점 향상되었고, 그중 4예는 1단계의 통증 지수 향상이 있었는데, 이들 모두Czerny 분류상type IA였다. 관절경적수술을 시행한6예에서수술후 HHS는 32점향상되었고, 6예모두에서2단계이상의통증지수향상이관찰되었다.결론: 스포츠손상환자에서급,만성고관절통을호소하는경우비구순파열은반드시감별진단되어야하며, 이학적검사상의심이될경우자기공명관절조영술을이용한진단이유용할것으로사료된다. 확진이된경우관절경을이용한파열된비구순의변연절제술이효과적인치료방법으로생각된다.

대학 태권도 선수들에서의 스포츠 손상: 47명에 대한 후향적 연구

정홍근,박희곤,김종필,김유진,김기철,김영인,이상민,Jung, Hong-Geun,Park, Hee-Gon,Kim, Jong-Phil,Kim, You-Jin,Kim, Ki-Choul,Kim, Young-In,Lee, Sang-Min 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.1

Purpose: To perform the retrospective analysis of the sports injuries sustained by the college Taekwondo athletes in the respect of the injury patterns, mechanism of injury and clinical outcome Materials and Methods: This study is based on 47 out of 49 college Takwondo athletes, who had experienced the Takwondo related musculoskeletal injuries severe enough to visit the clinic for medical treatment. The mean age at the time of injury was 18.8 years and 39 were males and 8 females. The Taekwondo career was average 9.6 years and the injuries were sustained at average 6.7 years of their career. The injuries were analyzed by the detailed interview with thorough physical examination. Results: Forty-seven Taekwondo athletes in the study experienced average 1.8 injury/person (total 85 cases) with 26 persons of one time experience(55.3%), 11 persons of 2 times(23.4%),4 persons of 3 times (8.5%),5 persons of 4 times (10.6%) and 1 person of 5 times (2.2%). Injuries occurred during training in 50 cases (58.8%), while during match in 35 cases (41.2%). Injuries occurred during the attack phase of the match are 26 cases (31.7%) while 49 cases (57.6%) during the defense phase. As for the pattern of injury, fracture was the most common with 49 cases (57.6%), followed by ligament injury with 21 cases (24.7%). The upper extremity injuries were 32 cases (37.7%) while the lower extremity injuries were 44 cases (51.8%) Mode of medical treatment were operation in 15cases(17.7%), cast in 21 cases(24.7%), splint in 33 cases (38.8%), physical therapy in 15cases(17.7%) and acupuncture in 1 case(1.1%) Conclusion: Almost all the college Taekwondo athletes (96%) experienced sports injuries severe enough to receive medical treatments with the fracture being the most common injury pattern. The injuries occurred more commonly during the defense phase of the competition.

건강 달리기와 그와 관련된 스포츠 손상

경희수,Kyung Hee-Soo 대한정형외과스포츠의학회 2004 대한정형외과스포츠의학회지 Vol.3 No.1

Running people is exceedingly increasing with the concern about the health. The health is defined as 'a state of complete physical, mental and social well being and not merely the absence of disease or infirmity' by WHO. It is very important to know that which level is one's physical strength and what is adequate quality and quantity of one's exercise. In this paper I would describe about exercise pre-scription, sports walking, and jogging. And sports injuries related running will be described briefly.