http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 신원주 ( Won Ju Shin ) (검색결과 5 건)
- 무료
- 기관 내 무료
- 유료
-
신원주,양상훈,박홍기,Shin, Won-Ju,Yang, Sang-Hoon,Park, Hong-Ki 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.1
Purpose: This study was performed to analyze the characteristics of calcaneocuboid joint involvement in intraarticular calcaneal fractures. Materials and Methods: Total number of 92 patients (111 cases) who underwent operation for intraarticular calcaneal fractures between Jan. 2000 and Oct. 2005 were included in this study. The preoperative computed tomographs of the subjects were retrospectively reviewed to analyze calcaneocuboid joint involvement. Results: It was revealed that 63 cases (56.8%) involved calcaneocuboid joint; 29cases (46.0%) showed type 1 (undisplaced or minimally displaced type, articular gap ${\le}1\;mm$), 16 cases (25.4%) exhibited type 2 (moderately displaced type, articular gap ${\ge}2\;mm$), 7 cases (11.1%) were included in type 3 (comminuted type) and 11 cases (17.5%) belonged to type 4 (fracture and dislocation). 48 out of 63 cases belonged to Sanders classification II and III that involved calcaneocuboid joint and included 25 cases (52.1%) of type 1 and 14 cases (29.2%) of type 2. Among 15 out of 63 cases included in Sanders classification IV, 4 (26.7%) showed type 1 and 6 (40.0%) belonged to type 4. According to our results, Sanders classification allowed to predict pattern of the involvement of calcaneocuboid joint (P<0.05). However, there was no statistically significant relationship between degree of posterior facet joint injuries and calcaneocuboid joint involvement (P>0.05). Conclusion: Calcaneocuboid joint involvement in intraarticular calcaneal fractures was common and more than half showed severe injuries. We concluded that further studies on the involvement of calcaneocuboid joint should be performed prior to surgical treatment of intraarticular calcaneal fractures.
-
김영규(Young-Kyu Kim),신원주(Won-Ju Shin) 대한정형외과학회 2004 대한정형외과학회지 Vol.39 No.2
목적: 견갑하근 건 심부 층의 부분 파열에 대한 전내측 충돌과의 관련성 및 치료 결과를 알아보고자 하였다. 대상 및 방법: 견갑하근 건 심부 층의 부분 파열로 수술적 치료를 받은 27예를 대상으로 하였으며 관절경상 견갑하근 건의 두께의 10% 미만의 파열이 9예, 10-30% 파열이 5예, 30% 이상이 5예, 종 파열이 8예였다. 견갑하근 건은 21예에서 변연 절제, 5예에서 관절경하 봉합, 1예에서 개방적 봉합을 시행하였고, 6예에서 관절와 순 또는 SLAP 병변의 봉합을 병행하였다. 수술전 이학적 검사, 자기 공명 영상 사진에서 측정한 오구 지수와 오구 상완 거리, 관절경상 동반 병변 및 전내측 충돌 여부를 분석하였다. 결과의 판정은 University of California at Los Angeles 견관절 평가 지수를 이용하였다. 결과: 전방 관절와 순 병변이 59%에서 동반되었고 Hawkins 검사에 양성인 경우가 16예(59%)였으며, 이 중 14예(88%)에서 관절와 순 병변이 관찰되었다. 결과는 81%에서 만족할만하였다. 결론: 파열된 견갑하근 건이 전방 관절와 순과 충돌하는 전내측 충돌이 동통을 초래할 수 있고 견갑하근 건 심부 층의 부분 파열을 보다 진행시킬 가능성이 있으며, Hawkins 검사가 견겁하근 건 부분 파열을 진단하는데 도움이 되리라 생각되었다. 또한 견갑하근 건의 부분 파열은 변연 절제 또는 봉합에 의해 만족할 만한 결과를 보일 수 있다고 사료되었다. Purpose: The purposes of this study were to investigate the relationship between partial thickness articular side tear of the subscapularis tendon and anterior internal impingement, and to evaluate the clinical outcomes. Materials and Methods: We reviewed 27 cases who underwent surgery for tears in the deep surface of the subscapularis tendon. On arthroscopic examination, fraying or tear less than 10% thickness of the subscapularis tendon was observed in 9 cases, 10-30% in 5, more than 30% in 5, and longitudinal tear in 8. Tears were treated with debridement only in 21 cases, arthroscopic repair in 5, and open repair in 1. Labral or SLAP repair was also performed in 6 cases. Analysis was done by the preoperative clinical test, coracoid index and coracohumeral distance from the MR images, associated lesion and the presence or absence of anterior internal impingement on arthroscopic evaluation. Clinical results were assessed using the University of California at Los Angeles shoulder rating scale. Results: Anterior labral lesions were present in 59% of the cases. Hawkins test was positive in 16 cases (59%). Among these cases, labral lesions were seen in 14 (88%). The results were satisfactory in 81%. Conclusion: We thought that anterior internal impingement between the partial thickness tear of the subscapularis tendon and the anterior glenoid labrum may cause shoulder pain and possibly induce progression of tear in deep surface of the subscapularis tendon, and Hawkins test is helpful for diagnosis. Satisfactory outcomes could be obtained with debridement or repair in partial tear of the deep surface of the subscapularis tendon.
-
-
백종륜,박종웅,이범구,문도현,김영규,박홍기,전득수,심재앙,신원주,권부경,Baek, Jong-Ryoon,Park, Jong-Woong,Lee, Beom-Koo,Moon, Do-Hyun,Kim, Young-Kyu,Park, Hong-Ki,Jun, Deuk-Soo,Sim, Jae-Ang,Shin, Won-Ju,Kwon, Boo-Kyung 대한미세수술학회 2008 Archives of reconstructive microsurgery Vol.17 No.2
Purpose: The aim of this study was to evaluate the outcome and the effectiveness of local flaps in lower extremity reconstruction. Materials and Methods: We have performed lower extremity reconstruction with local flap in 14 cases (10 males and 4 females) from May 2006 to February 2008. The mean age was 40.1 years (range, 16~67). The defect site was the tibia in 5 cases, the ankle in 1 case and the foot in 8 cases. The local flaps were reverse flow sural artery flap in 7 cases, gastrocnemius flap in 3 cases, lateral supramalleolar flap in 2 cases, dorsalis pedis flap in 1 case and medial hemisoleus flap in 1 case. Results: All flaps were survived. Venous congestion was developed in 1 case of the rerverse flow sural artery flap but healed with secondary rotational flap. Other flaps were good without any complications. Conclusion: If we choose precisely indicated local flap in lower extremity reconstruction, the resultant coverage of defect would be excellent.
-
정복되지 않는 Hohl 과 Moore의 제 2형 경골 고평부 골절-탈구의 수술적 치료의 3년 추시 결과 : 1예 보고 1 Case Report
이범구,엄기석,신원주 대한슬관절학회 2003 대한슬관절학회지 Vol.15 No.1
Hohl 과 Moore 에 의해 정의된 경골 고평부 골절 탈구는 슬관절에 고 에너지의 외력이 작용하여 발생되며, 많은 경우에 슬와 동맥, 비골 신경, 십자 인대 손상이 동반된다. 본 저자들은 골절편이 정복되지 않는 골절성 탈수 제 2형을 경험하였다. 즉, 외측 경골과의 전체 골절이 있으며 후방 탈구 된 후, 내측 전위 되어 있고 비골 골두가 골절의 정복을 막으며 슬와 동맥이 골절 부위에 끼었던 Hohl 과 Moore의 제 2형을 경험하였다. 이에 후방 도달법과 비골두 절골술을 통한 관혈적 정복 및 내고정을 하여 3년간 추시 관찰 하였기에 보고 하는 바이다. Intraarticular proximal tibia fracture and dislocation patterns, that were proposed by Hohl and Moore, are generally caused by high energy mechanism. These fracture and dislocation patterns are known to be combined with injuries of popliteal artery, peroneal nerve cruciate ligament in many cases. We experienced a case irreducible Hohl and Moore fracture-dislocation patterns type 2, in which posterior dislocation with medially displced entire lateral condyle that could not be reduced by closed mean for fibular head blocking the proper reduction. Additionally, popliteal artery was entrapted into the fracture site. We carried out open reduction and screw fixation via posterior approach and with fibular osteomy. We followed the patient for 3 years.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
