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최중근,이재준,윤승렬,임수재,이병일,나수균,Choi, Joong-Geun,Lee, Jae-Joon,Yoon, Syung-Ryul,Yim, Soo-Jae,Lee, Byung-Il,Rha, Soo-Gyun 대한근골격종양학회 1998 대한골관절종양학회지 Vol.4 No.2
Sarcoidosis is a multi systemic granulomatous disease of unknown etiology and pathogenesis. The granulomas are non-caseating, and the organs that are affected most frequently are the lungs, the skin, and the eyes. However it may also involve the liver, spleen, bone, nervous system, and other organs. The diagnosis is based on the identification of noncaseating granuloma in the tissues involved, excluding other granulomatous conditions. The diagnosis of sarcoid joint disease is often made in retrospect and only when the lung or eye is involved. We report a case of sarcoid synovitis in knee joint with review of literature.
최중근,김숙,김병흠,Choi, Joong-Geun,Kim, Sook,Kim, Byung-Heum 대한근골격종양학회 2002 대한골관절종양학회지 Vol.8 No.2
Benign fibrous histiocytoma of the infrapatella fat pad is very rare. We report one case of the benign fibrous histiocytoma involved between the patella fat pad and synovium. Diagnostic arthroscopic procedure was performed to investigate the retrobulging shape of synovium without specific synovial changes, and there was no meniscal structural deformity and abnormality of joint motion. The lesion was completely resected. At 24 monthes follow-up was performed, and the function of knee was to be sufficient. 슬관절에서의 양성 섬유성 조직구종은 매우 드문 질환으로 우연히 발견되는 경우가 많고, 가장 호발하는 부위는 수지 및 완관절과 족지 및 족관절의 건초나 활액막에 발생하는 것으로 알려져있다. 조직학적으로 병변의 위치에 관계없이 유사한 소견을 보이고 대부분은 특별한 증상이 없으나 관절운동 제한, 동통 등의 동반증상이 발생하며 치료는 절제술만으로도 충분하다. 저자들은 슬개하 지방체와 활액막 사이에 발생한 양성 섬유성 조직구종의 1례를 치료 경험하게되어 진단적 관절경 검사 시행 후 변연부 절제수술을 시행하여 병변을 치유하였다. 수술 후 24개월의 추적 관찰상 재발은 없었으며 또한 슬관절 기능도 만족할만 하였다.
폐쇄성 족관절 골절에 동반된 후경골건 파열 - 1예 보고 -
최중근,우승한,Choi, Joong-Geun,Woo, Seung-Han 대한족부족관절학회 2002 대한족부족관절학회지 Vol.6 No.1
Traumatic ruptures of tibialis posterior tendon are much less common and consequently have received little attention. A tibialis posterior tendon rupture associated with a closed medial malleolar fracture occured in a 32 years old man due to slip down. The tendon rupture was not diagnosed before surgery but was recognized at the time of open operation. The treatment was open reduction and internal fixation at the bony fragments with primary repair of the tendon. This tendon injury, although rare, should be considered in the management of ankle fracture because the tendon rupture could easily have been overlooked and failure to recognize this at the time of injury may result in poor long - term ankle function despite a well- healed fracture.
후천성 갈퀴족 변형의 선택적 건연장술 - 증례 보고 4례 -
최중근,최성우,이경욱,Choi, Joong-Geun,Choi, Sung-Woo,Lee, Kyung-Wook 대한족부족관절학회 2003 대한족부족관절학회지 Vol.7 No.2
Rare complications of distal tibia fracture are claw-toe deformity, cavus deformity and checkrein deformity. These complications may be due to contracture of the muscles of the deep posterior compartment of the leg after a compartment syndrome. These 4 cases were treated by selective tendon lengthening of flexor tendon at the retromalleolar level.
전내측 도달법을 이용한 후방 십자 인대 결절종의 관절경적 치료
최중근,Choi, Joong-Geun 대한관절경학회 1998 대한관절경학회지 Vol.2 No.1
Ganglion cysts of the cruciate ligaments of the knee are rare and their pathogenesis is uncertain. A few cases of the cyst of the posterior cruciate ligament were reported in the literature. We have arthroscopically treated sucessfully the ganglion cysts of the posterior cruciate ligament through the anteromedial portal. We reported three cases of ganglion cyst of the posterior cruciate ligament with brief of literatures.
배양 내피세포에 감염시킨 Vibrio vulnificus 균의 전자현미경적 연구
최중근,고광균 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1
To elucidate the pathogenesis of hematogenous V. vulnificus infection in fulminant Vibrio septicemia, V. vulnificus was inoculated in cultured human endothelial cells. Endothelial cells were prepared from the umbilical vein that was freshly isolated from human umbilical cord. The ultrastructural change demonstrated a sequence of steps which occurred with V. vulnificus invasion of the cultured human endothelial cells and the results were follows. 1. The cytopathic effect was appeared at the initial attachment stage of V. vulnificus infection. The characteristic of cytopathic effect were the formation of severe vacuolization and cell lysis. 2. The present study demonstrates that the reason of destruction of endothelial cell was caused by the production of toxic products than the growth of V. vulnificus.
경골 간부와 근위부의 분절 및 분쇄 골절의 Retrograde Ender 정을 이용한 치료
임수재,윤승렬,최중근,최근선 대한골절학회 1999 대한골절학회지 Vol.12 No.3
Purpose: To present the result of retrograde Ender pinning technique for treatment of comminuted segmental fracture of the proximal tibial shaft. Materials and Methods: From 1994 to 1998, we treated twenty-one cases of the comminuted segmental proximal tibial shaft fracture with the retrograde Ender pinning technique. We have followed up the clinical results. Results: The clinical bone union time was average eleven weeks, and the radiologic bone union time was average nineteen weeks. Conclusion: In the treatment of comminuted segmental proximal tibial shaft fracture, the retrograde Ender pinning technique is useful. The method improves fixation of the proximal fragment, is simple and effective, provides good fixation of the tibia in patients in whom stabilization of several fractures is required, and can be used for fixation of tibial shaft fracture with soft tissue damage.
상완골 과간 분쇄 골절이 경주두 도달법과 후방 도달법을 이용한 치료의 비교
김상기,최창욱,김연일,나수균,최중근 대한골절학회 1996 대한골절학회지 Vol.9 No.4
The comminuted intercondylar fracture of the distal humerus is rather uncommon injury. Because of anatomic complexity of the distal humerus. any incongrousness makes loss of function of the elbow joint. Hence, for the complete restoration of the articular surface and joint motion, wide exposure is necessary, while stable internal fixation and early post operative exercise should bc conducted. With the frequency of comminution and displacement. this intraarticular fracture is difficult to treat. But the fabrication of new implants and development of surgical approach method has increased the reliability of operative stabilization. The authors compared 16 patients of distal humeral fracture treated with transolecranon approach and Campbell's posterior approach at The Department of Orthopaedic Surgery. College of Medicine, Soonchunhyang University from Dec. 1991 to Oct. 1994 and following results were obtained: In transolecranon approach, the operation time was slightly longer with technical difficulties. However, we had excellent exposure of posterior aspect of lower end of the humerus and had a good range of motion. especially in flexion contracture compared with posterior approach. Also, we hardly observed complications of fracture of the olecranon in tansolecranon approach.
김연일,서유성,임수재,윤승렬,최중근,정연철 대한골절학회 1999 대한골절학회지 Vol.12 No.2
Traumatic hip dislocation in childhood is rare. Factors predisposing to abnormal results are delayed reduction and severe trauma. We experienced 8 year-old girl with traumatic posterior hip dislocation and treated with immediate closed reduction. At 30 months follow-up, our patient had good functional and good roentgenographic result with no posttraumatic arthritis or posttraumatic avascular necrosis. So we report this case with review of literature.