인체의 신비-손

문명상,조정훈,안덕선,Mun, Myeong-Sang,Jo, Jeong-Hun,An, Deok-Seon 한국건강관리협회 2007 건강소식 Vol.31 No.1

사람의 뼈의 총 개수는 206개, 이 중 양손이 차지하는 뼈의 개수는 무려 54개이다. 말 그대로‘손바닥만한’기관에 우리 몸 전체 뼈의 25%가 들어있다는 말이다. 손은 14개의 손가락 뼈, 5개의 손바닥 뼈, 8개의 손목뼈로 구성돼 자유자재로또 정교하게 움직일 수 있다. 손에는 수많은 미세 혈류가 분포되어 있으며 모든 신체 조직과 연결된 신경을 이용해서 움직이며 또한 지식과 정보를 다루고 있는인체의 중요한 부분이기도 하다. 인체의 신비를 보여주는 우리 몸의 기관 그 첫 번째 손에 대해서 대전 선병원 정형외과 문명상 교수, 경희의료원 한방병원 부인과 조정훈 교수, 고려대 성형외과 안덕선 교수의 도움말로 알아본다.

Mycobacterium Tuberculosis in Spinal Tuberculosis

문명상,김성심,문한림,김동현 대한척추외과학회 2017 Asian Spine Journal Vol.11 No.1

Even in an era of remarkable medical advances, there is an issue of why tuberculosis remains in the list of disastrous diseases, afflicting humans and causing suffering. There has not been a plausible answer to this, and it has been suggested that clinicians and medical scientists could presently not win the war against the tubercle bacilli. With regards to this issue, based on the authors’ own clinical and research experiences, in this review, the available literature was revisited in order to address the raised questions and to provide recent information on characteristics of tubercle bacilli and possible ways to more effectively treat tuberculosis.

달리기중 발생된 골반골 각부위의 견열 골절

문명상,이인주,이홍섭 대한스포츠의학회 1984 대한스포츠의학회지 Vol.2 No.1

골수염에 대한 Fucidin의 임상경험

문명상,이인주,정구효 최신의학사 1985 最新醫學 Vol.28 No.12

Effect of Congenital C4–5 Synostosis on Adjacent Mobile Segments: Radiographic Assessment

문명상,Choi Won Rak,Lim Hyuon Gyu,Jeon Seong Man,Yu Chang Geun 대한척추외과학회 2021 Asian Spine Journal Vol.15 No.2

Study Design: Prospective case series.Purpose: To assess the corporal morphology of the fused body and adjacent segment conditions.Overview of Literature: It is known that two fused vertebral bodies take the similar shape of the single body with inwaisting, with or without caudal flaring of the fused body, and that the fused body can cause the fusion disease at the adjacent segment that can be a risk factor for potential neurological compromise.Methods: Radiograms of the 11 study subjects (six men and five women), aged 22–90 years who visited the outpatients’ clinic for various neck complaints without trauma history were examined. C4–5 synostosis was an incidental finding in all the subjects.Results: All the fused bodies were inwaisted and had anterior caudal breaking but no interior corporal flaring. Adjacent segment disease was not found in eight patients aged <40 years. Disk degeneration was found at C3–4 and C5–6 in three patients each and at C6–7 in two patients. Disk degeneration was limited to the adjacent segments.Conclusions: Degenerative disk changes are associated with the natural aging process, and the corporal morphology of the fused vertebral becomes inwaisted similar to that in the single vertebrae.

Preoperative Nutritional Status of the Surgical Patients in Jeju

문명상,김성수,이상엽,전달재,윤민근,김성심,문한림 대한정형외과학회 2014 Clinics in Orthopedic Surgery Vol.6 No.3

postBackground:To assess the preoperative nutritional status of patients with various disorders and to provide data for pre- and postoperative patient management plans, particularly in the elderly. There is no published information on age-matched and disease-matched preoperative nutritional/immunologic status for orthopedic patients, especially in the elderly, in Jeju. Methods: In total, 331 patients with four categories of orthopedic conditions were assessed: 92 elective surgery patients, 59 arthroplasty patients, 145 patients with fractures, and 35 infection patients. Malnutrition was defined as body mass index (BMI) below 18 kg/m2 of expected body weight (below 20% of normal), serum albumin/globulin ratio below 1.5 (normal range, 1.5 to 2.3), albumin level below 3.5 g/dL, total lymphocyte count below 1,500 cells/mm3, and lymphocyte/monocyte ratio below 5 versus 1. Results: In 92 elective surgery patients, the average BMI was 23 kg/m2, hemoglobin was 15 g/dL, lymphocytes (2,486 cells)/monocytes (465 cells) ratio was 6.1, and the albumin (4.4 g/dL)/globulin (2.5 g/dL) ratio as a protein quotient was 1.7. Among the 59 hip and knee arthroplasty patients, the average BMI was 25 kg/m2, hemoglobin was 12 g/dL, lymphocytes (2,038 cells)/monocytes (391 cells) ratio was 6.6, and albumin (4.1 g/dL)/globulin (2.4 g/dL) ratio was 1.6. No subject showed malnutrition. Among the 145 fracture patients, the average BMI was 23 kg/m2. The hemoglobin level was 13 g/dL, monocytes (495 cells)/lymphocytes (1,905 cells) ratio was 1 versus 4.6, and albumin (4.1 d/gL)/globulin (2.5 d/gL) ratio was 1.6. However, both ratios decreased after 70 years of age. Among the 17 of 35 infection patients, albumin levels were below 3.5 g/dL, the average BMI was 22 kg/m2, lymphocytes (1,532 cells)/monocytes (545 cells) ratio was 2.4 versus 1, and albumin (3.0 g/dL)/globulin (3.3 g/dL) ratio was 0.9, while in 18 patients albumin levels were over 3.5 g/dL, the average BMI was 22 kg/m2, hemoglobin was 12 g/dL, lymphocytes (1,998 cells)/monocytes (583 cells) ratio was 3 versus 1, and albumin/globulin ratio was 1.4. Thus, in the infection group, approximately 50% of the patients showed poor nutrition and immunosuppression. Conclusions: It was found that nutritional and immune condition deteriorated gradually to some degree in elderly patients over 60 years of age.

Spinopelvic Orientation on Radiographs in Various Body Postures: Upright Standing, Chair Sitting, Japanese Style Kneel Sitting, and Korean Style Cross-Legged Sitting

문명상,Hohyoung Lee,Seong-Tae Kim,김상재,김동석 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.3

Background: Several previous studies reported on the impact of upright standing and chair sitting on the sagittal spinopelvic alignment. However, there are no studies on the impact of the two Asian (Korean and Japanese) style floor-sitting positions on the sagittal spinopelvic alignment. The purpose of this study was to evaluate the impact of four different body postures (standing, chair sitting, kneel sitting, and cross-legged sitting) on the sagittal spinopelvic alignment. Methods: Sixteen selected healthy volunteers (10 males and six females) were subjects of this pilot study. In all subjects, radiographs were taken in comfortable standing and sitting positions. All spinal curvatures including lumbar lordotic angle (LLA), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) were measured on the radiographs. Results: In standing position, the average LLA, SS, PT, and PI were 37.1°, 35.3°, 15.7°, and 51.0°, respectively. In chair sitting, the average LLA, SS, PT, and PI were 17.9°, 20.3°, 28.2°, and 49.5°, respectively. In kneel sitting (Japanese style), the average LLA, SS, PT, and PI were 31.8°, 38.3°, 14.2°, and 52.5°, respectively. In cross-legged sitting (Korean style), the average LLA, SS, PT, and PI were 9.8°, 13.4°, 38.3°, and 51.7°, respectively. LLA in standing (37.1°) and kneel sitting (31.8°) were very similar. Remarkable reduction in LLA was observed in Korean-style cross-legged sitting (9.8°), and LLA in chair sitting (17.9°) was about half of that in standing. SS was similar in standing (35.3°) and kneel sitting (38.3°), and it was reduced remarkably in cross-legged sitting (13.4°). PT was largest in cross-legged sitting (38.3°), and it was similar between standing (15.7°) and kneel sitting (14.2°). PIs were similar in all positions. Conclusions: The kneel sitting position did not show significant differences with the standing position when assessed using four parameters related to the sagittal spinopelvic alignment, whereas chair sitting and cross-legged sitting positions significantly altered the spinopelvic alignment compared to the standing position.

Traumatic Absence of the Shaft of the Radius in a Child: A 15-Year Follow-up after Reconstruction by a Modified Define’s One Bone Forearm Procedure

문명상,김동현,문영완,김성수,문한림,김성심 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.2

Traumatic absence of the entire radial shaft in children has not been reported though there are a few reports of adult cases. We report a 5-year-old boy with traumatic absence of the entire right radial shaft. The Define’s reconstruction procedure was chosen to localize the surgery only to the distal forearm and avoid further additional damage to the forearm muscles. The child’s forearm was successfully reconstructed by the authors’ modified Define’s procedure, which was followed until his maturity. Hand function was well maintained.

족근골에 발생한 고립성 골낭종 : 증례 보고 Case Report

문명상,이규성,양승욱,심규형 최신의학사 1986 最新醫學 Vol.29 No.4

대퇴골 전자부 골절에 대한 임상적 고찰

문명상(Moon Myung Sang),김인(Kim In),정영복(Chung Young Bok) 대한정형외과학회 1977 대한정형외과학회지 Vol.12 No.2