제 3형 급성 견봉-쇄골 관절 분리 환자의 수술적 치료 결과

한성호,양보규,이승림,정선욱,이동호,김민석 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목적 : 본 연구를 통하여 Rockwood 제 3형 급성 견봉-쇄골 관절 분리 환자에서 Phemister 술식과 modified Phemister 술식의 치료 결과를 비교하고자 한다. 대상 및 방법 : 1992년 2월부터 2001년 8월까지 제 3형 급성 견봉-쇄골 관절 분리로 수술적 치료를 받고 1년 이상 추시 가능하였던 45명, 45예의 환자를 대상으로 하였다. 평균 연령은 28.1세였으며, 남자가 42명, 여자가 3명이었다. 진단은 이학적 검사와 단순 방사선 부하 촬영법을 이용하였으며, 수상일로부터 수술적 치료까지의 평균 기간은 7.8일이었다. 술장 소견상 오구-쇄골인대 봉합술이 어려운 15예에서는 Phemister 술식을 시행하였고 (Ⅰ군), 인대 봉합이 가능한 30예에서는 modified Phemister 술식을 시행하였다(Ⅱ군). 수술 후 추시 기간은 평균 16.2개월이었고, 결과 판정은 최종 추시 때의 임상 소견과 이학적 검사 및 방사선 촬영을 통해 UCLA shoulder scoring system과 acromio-clavicular separation scoring system을 이용하였다. 결과 : 술후 합병증은 Ⅱ군에만 표재성 감염이 2예, K-강선 이주가 1예에서 발생하였다. 최종 추시상 전예에서 동통, 관절 운동 범위의 제한은 없었고 , Ⅱ군에서만 방사선 촬영상 2예에서 아탈구가 관찰되었다. UCLA shoulder scoring system은 Ⅱ군에서 우수 93.3%, 양호 6.7%였고, acromio-clavicular shoulder scoring system은 Ⅱ군에서 우수 90%, 양호 10%였다. 결론 : 활동적인 연령에서 발생한 제 3형 급성 견봉-쇄골 관절 손상의 환자에서 Phemister 술식만으로도 좋은 결과를 보일 수 있을 것으로 사료된다. Purpose : The purpose of this study is to compare the Phemister technique with the modified Phemister technique for the patients with Rockwood type 3, acromio-clavicular separation. Materials and Methods : The 45 cases of 45 patients received surgical treatment for Rockwood type 3, acute acromio-clavicular separation in our hospital from Feb. 1992 to Aug. 2001 later with the follow-up study were selected as subjects. The average ages were 28.1 years old, male and female were 42, 3 persons, respectively. Physical examination and plain radiography were used for their diagnosis and the intervals between injury and surgical treatment were 7.8 days. In intraoperative finding, we performed Phemister technique in 15 cases according not to be able to repair coraco-clavicular ligament (groupⅠ), modified Phemister technique in 30 cases according to be able to repair that (groupⅡ). The average follow up period was 16.2 months, and the UCLA shoulder scoring system and the acromio-clavicular separation scoring system were used to obtain clinical results. Results : Only in Group Ⅱ, the complication after surgery were associated with superficial infection in two cases and K-wire migration in one case. At last follow up, there were no pain and limitation of range of motion in all cases, and two cases in Group Ⅱ were found to be subluxation in radiography. Clinical results revealed excellent was 93.3%, good was 6.7% in UCLA shoulder scoring system in both groups, and excellent was 90%, good was 10% for group Ⅱ in acromio-clavicular separation scoring system. Conclusion : The results are considered to be food with only Phemister technique in type 3, acute injury occurred in working ages.

거골의 박리성 골연골염

하권익,한성호,양보규,김치홍,김태성 대한스포츠의학회 1995 대한스포츠의학회지 Vol.13 No.1

거골의 박리성 골연골염은 연골과 연골하골이 균열되고 관절 면으로부터 부분적 혹은 전체적으로 분리되는 병변으로 흔치 않은 병변이다. 거골의 박리성 골연골염은 잘 알려져 있음에도 불구하고, 수술적 치료의 결과에 대한 지식은 적은 편이다. 저자들은 1998년 1월부터 1992년 12월까지 만 5년간 16명, 16례의 거골 박리성 골연 골염 환자를 평균 29개월 추시관찰 및 분석하여 다음과 같은 결과를 얻었다. 1) 연령 분포는 최소 15세에서 최장 58세 였으며 평균 30세 였다. 2) 16명의 환자중 남자가 14례 여자가 2례였고 우측 거골이 10례, 좌측 거골이 6례 였다. 3) 외상과 관계있는 환자는 16례중 15례였으며 거골의 내측에 병변이 있는 경우가 10례, 외측이 6례 였으며 양측인 경우는 없었다. 4) 증상 발현후 수술까지의 기간은 최단 3개월에서 최장 7년이 였으며 평균 25.9개월 이었다. 16명 전례에서 동통을 호소하였으며 6명에서 강직 및 불안정성을 각각 호소하였다. 5) Berndt와 Harty에 의한 병변 분류는 stage Ⅰ은 없었으며 stage Ⅱ는 4례, stage Ⅲ가 7례, stage Ⅳ는 5례로 stage Ⅲ이 가장 많았다. 6) 치료는 관절 개방술에 의한 절제술(1례), 절제술과 소파술 및 다발성 천공술(8례), 절제술 및 소파술 (3례), 소파술 및 bone peg(1례), 관절경적 소파술 및 다발성 천공술 (3례) 시행하였으며 치료결과는 O'Farrell 등이 사용한 평가 방법에 의하면 우수 13례 (81%), 양호 2례(12.5%), 불량 1례 (6.5%)였다. Osteochondritis dissecans of the talus is defined as a subchondral bony lesion of small fragment of bone, usually under two centimetres in diameter, with overlying intact articular cartilage. This fragment then becomes separated from its bed and undergoes necrosis. Although the lesion of osteochondritis dissecans of the talus is well known, there is little information in the literature concerning the results of surgical treatment. Sixteen cases of osteochondritis dissecans of the talus, operated on between January 1988 and December 1992, were studied. All were available for follow-up an average 29 months later and clinical analysis were as follows; 1. Age incidence was distributed from 15 years to 58 years (average 28) 2. 16 patients (14 male, 2 female) were examined and followed-up ; in ten the right ankle was involved and six the left ankle. 3. Of the 16 patients, 14 patients were associated with a history of trauma and 10 patients had medial lesions and 6 patients, lateral lesions. 4. The duration of symptom on these cases ranged from 3 months to 7 years, with an average of 25.9 months. All patients complain of pain when using the ankle and 6 patients complain of stiffness of the ankle and sensation of Berndt and Harty, four ankles had a stage Ⅱ lesion, nine had a stage Ⅲ lesion and five had a stage Ⅳ lesion. 6. The methods of treatment were excision (1 case), excision, curettage and drilling (8 cases), excision and curettage (3 cases), curettage with bone pegging (1 case) and arthroscopic curettage and drilling (3 cases). According to O'Farrell grading system which combined subjective with the objective assessment, 13 patients (81%) had good results, 2 patients (12.5%) had fair results, and 1 patient (6.5%) had a poor result.

산국의 수량과 유효성분에 대한 NPK의 효과

이경동,양민석,정연규,손보균,조주식,이성태,김필주 한국농화학회 2003 Applied Biological Chemistry (Appl Biol Chem) Vol.46 No.2

본 연구는 3요소(N-PO_2O_5-K_2O)처리가 산국(Chysanthemum boreale M.)의 수량과 유효성분에 미치는 효과를 조사하여 효과적인 재배시스템을 개발하고자하였다. 처리구는 무처리, NPK(250-160-160), NK(250-0-160), PK(0-160-160kg/ha)의 5처리로 설정하여 산국을 재배한 결과, 건물수량은 NPK처리구가 PK처리구에 비하여 4.0배의 증수가 있었으며, 다른 처리구보다 무기이온의 흡수율, 생육 및 수량에서 NPK처리구가 가장 우수하였다. 식용으로 많이 쓰이는 꽃의 주요 아미노산은 proline, glutamic acid과 aspartic acid이였고, 다른 처리구들에 비하여 NPK처리구가 높은 함량을 보였다. 혈압강하효과가 우수한 cumambrin A는 PK처리구에 비하여 NPK처리구가 6.2배의 증수효과가 있었다. NK처리구는 NP처리구보다 cumambrin A의함량을 높이기 위해서는 인산의 시용보다 칼리의 시용이 더 요구되며, 야외포장에서의 인산과 칼리의 적정 시비량의 설정이 필요하다고 판단된다. To establish the fertilization condition to increase the productivity of Chrysanthemum boreale M. with high quality, the effects of three nutrients (N, P, K) on the yields and the effective components were investigated in the pot scale. NPK was applied by chemical fertilizers with N-P_2O_5-K_2O = 250-160-160 kg/ha as a main treatment, and NP (N-P_2O_5 = 250-160 kg/ha), NK (N-KO = 250-160 kg/ha), and PK (PO_2-KO_5 = 160-160 kg/ha) treatments were settled as comparison. Dry yields of C. boreale M. was increased significantly to 4 fold higher by nitrogen. Nitrogen increased apparently plant growth and inorganic nutrient uptake. In the flower, which is most useful and edible part as a herbal medicine, main amino acids were glutamic acid and aspartic acids, and the total content was increased significantly by three elements of application. In addition, the content of cumambrin A, which is known to have the effect of blood-pressure reduction, was increased source to 6.2 times by nitrogen higher than that in PK treatment. Potassium was more effective in biosyndiesis of cumatnbrin A than phosphorus, but the biological pathway was not clear, still.

서혜부 이하 혈관재건술에 있어서 이식편 개존에 영향을 미치는 인자에 대한 분석

손재호,권우형,서보양,권굉보,박원규 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1

이면성 및 도플러 심초음파도를 이용하여 진단한 선천성 거대 좌회선지-좌심실 관동맥루

진승원,박준철,이영중,유병현,박현옥,김용주,윤호중,김재형,홍순조,최규보,권종범,원용순,박건 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

Comparative Cytoarchitectonic Studies on Posterior Transverse Temporal Gyral Cortex and Superior Temporal Gyral Cortex with the Effect of Aging and Brain Weight Increase in Human Brain

Yang, Bo Kyu,Lee, Byung Lan,Seoung, Key June Seoul National University 1987 The seoul journal of medicine Vol.28 No.3

Case Reports : Bilateral Necrotizing Fasciitis around the Hips Differentiated from Fournier Gangrene: A Case Report

( Bo Kyu Yang ),( Seung Rim Yi ),( Ye Hyun Lee ),( Hyun See Kim ),( Seok Woo Nam ),( Young Joon Ahn ),( Seong Wan Kim ),( Sung Wook Yang ),( Se Hyuk Im ) 대한고관절학회 2014 Hip and Pelvis Vol.26 No.4

As an emergency encountered in orthopedic practice requiring prompt diagnosis and aggressive treatment, necrotizing fasciitis around the hip must be discriminated from Fournier gangrene. The current case report describes a patient who suffered from bilateral type I necrotizing fasciitis around the hips, which was alleviated by prompt surgical debridement and intensive postoperative care.

Ischial Tuberosity Avulsion Stress Fracture after Short Period of Repetitive Training

( Bo-kyu Yang ),( Seung-rim Yi ),( Young-joon Ahn ),( Se-hyuk Im ),( Sang-hyun Park ) 대한고관절학회 2016 Hip and Pelvis Vol.28 No.3

Fatigue fracture of the pelvis is the form of fracture due to repetitive micro-stress accumulation, can be affected by a number of factors such as patient’s nutritional status, biomechanics, social status and so on. Still there is no study about precise standard degree of external force that lead to stress fracture, but it may caused by compression force, traction force or complex force and others. Avulsion stress to ischial tuberosity or anterior superior iliac spine by attached muscle is known as the main factor for the avulsion fracture. This report will deal with 19 years old conscripted policeman who occurred ischial tuberosity avulsion fracture after training of 6- hour running for 5 days accompanying hip hyper-flexion motion. This reports aims to provide case study of stress fracture occurred after 5 days of exercise which is relatively short period who had no specific trauma history or pain.

Single port access Laparoscopic hysterectomy using conventional Laparoscopic instruments

( Jung Bo Yang ),( Young Bok Koh ),( Chang Soo Shin ),( Jang Kyu Kim ),( Won Kyu Choi ),( Ki Hwan Lee ) 대한산부인과학회 2011 대한산부인과학회 학술대회 Vol.97 No.-

반건양건에 의한 발음성 슬관절

양보규(Bo Kyu Yang),한성호(Sung Ho Hahn),이승림(Seung Rim Yi),안영준(Young Joon Ahn),유재호(Jae Ho Yoo),전도환(Do Whan Jeon),길경민(Kyung Min Kil) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.1

여러 원인에 의해 드물게 슬관절에 마찰음을 감지할 수 있는데 대부분 외측 반월상 연골판의 전위나 원판형 연골판을 가지고 있는 예에서 나타나며, 그 외 대퇴 이두건, 반건양건, 장경대, 슬와건 등에 의해서도 나타난다. 외상 경험이 있는 환자에서 슬관절의 내측부에 동통과 함께 반건양건에 의해 생기는 발음성 슬관절 환자를 경험하여 수술적 치료 후 좋은 결과를 얻어 문헌과 함께 보고하과 한다. Snapping syndrome has rarely been reported in the knee. A snapping knee mainly occurs in the case of a translation of the lateral meniscus or a lateral discoid meniscus. Other causes include biceps femoris tendon, semitendinosus iliotibial band, and popliteus tendon. We recently experienced a case of a snapping knee caused by the semitendinosus tendon passing over the medial tibial condyle as a result of trauma.