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초자연골 유리체를 동반한 견봉하 공간의 활막 연골종증 - 증례 보고 -
김준범,박종석,권세원,소재완,김민수,양성석,Kim, Jun-Bum,Park, Jong-Suk,Kwon, Sai-Won,Soh, Jae-Wan,Kim, Min-Soo,Yang, Seong-Suk 대한관절경학회 2012 대한관절경학회지 Vol.16 No.2
활막 연골종증(synovial chondromatosis)은 관절 활막에 존재하는 활액막 세포가 연골모세포로의 화생에 의해 발생하는 것으로 슬관절, 고관절 등의 큰 관절에 주로 발생하며 견관절에 발생하는 경우는 드물다. 술전에 진단하기는 어려운 경우가 많으며, 수술적 활액막 절제술이 치료에 효과적이다. 저자들은 어깨 관절의 불편감과 통증을 호소하는 44세 여자환자에서 초자연골로 구성된 유리체를 동반한 견봉하 공간의 연골종증을 경험하여 이를 문헌 고찰과 함께 보고하고자 한다. Synovial chondromatosis developes by metaplasia of synovial cell into chondroblast in synovium of joint. It most commonly involves large joints such as knee or hip, and rarely occurs in shoulder joint. It is often difficult to be diagnosed preoperatively and surgical synovectomy is known to be effective treatment. We encountered a case of synovial chondromatosis with hyaline cartilage forming loose body in subacromial and subdeltoid synovium on the shoulder of a 44-year old female suffered by pain and discomfort. The authors report this case with a review of the relevant literature.
전족부에 발생한 색소 융모 결절성 활액막염 (1례 보고)
김준범,송인수,전재균,김태인,선동혁,이경태,Kim, Jun Beom,Song, In Soo,Chon, Je Gyun,Kim, Tae In,Sun, Dong Hyuk,Lee, Kyung Tai 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.1
Pigmented villonodular synovitis (PVNS) is a slowly, progressive, proliferative disorder of synovial tissue characterized by villous or nodular changes of synovial-lined joints, bursae, and tendon sheaths and most frequently affects the large joints, with the knee and hip. A few studies have been reported that occurred PVNS in small joint, but mainly in hands. It is a very rare condition that occurs in the small joints of the forefoot. We have experienced the case, which developed in small joint of the forefoot, and performed total synovectomy. After the operation, there was no recurrence. We report a case of PVNS in forefoot with a review of the literature.
김준범,차진한,김상윤,Kim, Joon-Buhm,Cha, Jin-Han,Kim, Sang-Yoon 대한미세수술학회 1992 Archives of reconstructive microsurgery Vol.1 No.1
Benign peripheral nerve tumors, although infrequent, must be considered as a possible cause of pain and disability in the extremities. There are three varieties of these tumors that are of clinical importance: neurilemmomas, neurofibromas, and post-traumatic neuroma. Neurilemmomas are the most common primary solitary tumor of the peripheral nerve trunks, and are almost always benign, Neurofibromas may occur as a solitary nerve tumor, but can present as multiple lesions as in von Recklinghausen's disease. Clinically, this tumor may presents as a solitary mass in the subcutaneous tissue which is centrally located with the nerve fibers travelling through the tumor mass. Traumatic neuroma is the proliferation of nerve elements with connective tissue during the process of regeneration from severed nerves undergoing Wallerian degeration, and is therefore not a true neoplasm. A neuroma-in-countinuity is the result of partial severance of a nerve, or of a crushing or traction injury in which all or part of the epineurium and perineurium is intact. We experienced each of the three varieties. With magnification, the neurilemmoma was removed by meticulous dissection from the parent nerve preserving the normal fascicles to which it was attached. The neurofibroma was excised and the nerve was reconstructed with interposed vein graft and the neuroma-in-continuity was excised and reconstructed with sural nerve graft. We report histologic characteristics of each tumors and the methods to repair the nerve defects after tumor excision with brief discussion.
LCD 제조공정 종사근로자의 극저주파자기장 노출특성 연구
김준범,강준혁,정은교,정기효 한국산업보건학회 2022 한국산업보건학회지 Vol.32 No.1
Objectives: The aim of this study is to evaluate exposure levels of the extremely low frequency magnetic fields(ELF-MF) radiated from various electric facilities in Liquid Crystal Display(LCD) manufacturing processes. Methods: This study measured the exposure levels of personal and local ELF-MF for the electronic facilities installed in two LCD manufacturing companies. Samplers were installed around workers’ waist during working hours to identify personal exposure levels, and direct reading equipment were located at 3 cm, 10 cm, and 30 cm away from the surface of the electronic facilities to measure local exposure levels. Average and maximum(ceiling) values were calculated for personal and local exposure levels. Results: Average and maximum of personal exposure levels for each worker were 0.56(mean) ± 0.02(SE) μT and 6.31 ± 0.75 μT, respectively. Statistical analyses of the study found that maximum of the personal exposure levels for engineers was significantly higher than that for operators since engineers spend more time near the electronic facilities for repairing. The range of maximum personal exposure levels was 0.50 ~ 43.50 μT and its highest level was equivalent to 4.35 % of ACGIH(American Conference of Governmental Industrial Hygienists) exposure limit value(1 mT). Maximum of local exposure levels was 8.18 ± 0.52 μT and the electronic facilities with higher exposure levels were roof rail and electric panel, which were not related to direct manufacturing. The range of maximum local exposure levels was 0.60 ~ 287.20 μT and its highest level was equivalent to 28.7 % of the ACGIH exposure limit value. Lastly, the local exposure levels significantly decreased as the measurement distance from the electronic facilities increased. Conclusions: Maximum of personal and local exposure levels did not exceed the exposure limit value of ACGIH. However, it is recommended to keep the workers as far as possible from the sources of ELF-MF.