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선재명 국립중앙박물관·한국고고미술연구소 1999 동원학술논문집 Vol.2 No.-
고흥군은 전남의 동남단부에 위치한 반도이며, 삼면이 바다로 둘러싸인 자연환경을 지니고 있다. 이러한 지리적 특성으로 인해, 청동기시대 사람들도 주변의 해창만이나 고흥반도의 곡포(曲浦) 등 해안지대를 중심으로 모여 살면서 어로, 수렵, 채집, 농경 등 복합적인 생산 활동을 하였을 것으로 보인다. 본고에서는 광주박물관이 고흥군 두원문 운대리 중대, 점암면 신안리, 과역면 석봉리 등 3개 지역 지석묘 유적에 대해 실시한 발굴조사 결과를 소개하였다. 이 조사는 고흥-벌교 간 도로 확·포장공사 구간에 분포한 파괴가 불가피한 유적 9개소를 이전 복원하여 보존·활용할 목적으로 실시되었다. 조사 결과, 운대지석묘군 23기와 안치지석묘군 24기 등 총 47기의 지석묘 하부구조가 확인되었다. 운대와 안치지석묘 하부구조는 부석부가지석묘(敷石附加支石墓)로 묘역 내부에 장방형석곽을 갖는 형태가 기본이었다. 묘역의 형태는 원형 혹은 장방형, 타원형 등으로 다양하며, 표면에 두른 부석(敷石) 형태에도 차이를 보였다. 석곽은 지상식과 반지하식, 지상식으로 구분되며 홍도와 석도, 석검, 요령식동검, 천하석제 석옥 등 다수의 유물이 출토되었다.
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문영래,전용철,선재명 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.5
The shoulder pain is one of the most common problems to orthopaedic surgeons in clinic. Among therapeutic modality used to manage this pain, joint and periarticular injection, as well as suprascapular nerve block, show good clinical outcome. Ultrasound guidance is a safe technique, increasing the safety and accuracy of the procedure and reducing complications. An accurate understanding of the surface anatomy is important in performing the ultrasound-guided shoulder injections. This article aims to describe the surface anatomy and sono anatomy of both the shoulder and the surrounding structures and also summarize different infiltration techniques and peripheral nerve blocks. 견관절 주위 통증은 정형외과 의사가 외래에서 접하는 가장 흔한 문제 중 하나이다. 견관절 주위 통증을 치료하기 위한 여러 치료 방법 중 상견갑신경 차단술뿐만 아니라 관절 및 관절 주위 주사 요법은 좋은 임상적 결과를 보이고 있다. 초음파 유도하 주사요법은 안전한 테크닉으로 합병증을 줄이고 시술의 안전성과 정확도를 높이고 있다. 초음파 유도하 견관절 주위 주사요법을 하기 위해서는 표면 해부학을 정확히 숙지하는 것이 중요하다. 이 논문은 표면해부학에 대한 설명 및 견관절과 주위 구조물의 초음파 해부학을 기술하는 데 그 목적이 있다. 또한 여러 주사방법 및 신경 차단술에 대해 설명하고자 한다.
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축구 선수의 족관절 후방 삼각골 증후군 : 유병률, 진단 및 치료 Incidence, Diagnosis & Treatment
김현철,이경태,최경진,하상호,선재명,양경호 대한스포츠의학회 2001 대한스포츠의학회지 Vol.19 No.2
Os trigonum is developed from an accessory ossification center of the posterior aspect of the talus. Chronic impingement force between posterior lip of tibia and calcaneous, increase the prevalence of Os trigonum. In soccer, a drop shoot is most commonly used skill in all over a game, and affect Os trigonum syndrome cause of the posterior ankle pain, sometimes. From Jan. 1994 to Dec. 1996, the lateral ankle roentgenogram had been obtained in 50 soccer players to determine the incidence of os trigonum. Average age of the soccer players was 25.5 years. All 71 cases obtained from 50 ;layers had no symptom in posterior ankle at the time of X-ray check up. We differentiated the findings of lateral X-ray as isolated os trigonum, large posterior tubercle of the talus and normal. Of the 71 cases, 46.5% had the os trigonum, 26.8% large posterior tubercle of the talus, 26.8% normal. Average incidence of the os trigonum is reported about 8∼13% in normal population, but incidence of soccer players is significantly high.
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김현철,이경태,유재원,이상홍,선재명 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1
Purpose : Chronic ankle pain is one of the most popular problems with orthopedic clinicians, but it has complex etiologic factors in diagnosis. Recently, magnetic resornance imaging has used as common diagnostic modality in ligaments and tendon problems of ankle sprain. The purpose of this article is to determine the appearances and frequency of chronic ankle sprain by MRI, and to determine the value of MRI as a diagnostic tool. Materials and Methods : We have analysed MRI findings of 84 chronic sprained ankles over 6 months duration from September 1995 to January 1997. All cases had been past history of ankle injury. Among them, sports players ie, soccer, basket ball, competitive runner and ballet dancer are 51 cases( 60.7% ). Average age of patients is 27.06( 13 to 54 ) years old and sex ratio is 23:5. For the confirmative diagnosis, We adopted variable methods, ie, ultrasonogram, bone scan, CT scan, arthroscopic examination and surgical intervention. Results : The Etiologic factors of chronic ankle sprain by MRI includes 39 Lateral ankle instability due to Anterior Talofibular and Calcaneofibular ligamentous tear, 18 Peroneal tendon insufficiency ie, synovitis, longitudinal tear, subluxation and abnormal tendon insertion, 15 Osteochondral fracture of talus or tibia, 10 Anterior Impingement syndrome due to anterior bony spur, 9 Deltoid tear, 6 Os subfibulare, 4 Distal tibiofibular ligament abnormality, 3 Os subtibiale, 2 Ankle synovitis, 2 Intraarticular loose body. Conclusion : MRI study employed in hazy chronic ankle sprain is useful diagnostic modality. But, Diagnostic result using MRI was not correlated the clinical prognosis, and proper physical examination is important in the point of technical aspect to get the exact dissecting angle of MRI.
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무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 -
이경태,양기원,옹상석,김진영,선재명,Lee, Kyung-Tai,Young, Ki-Won,Ong, Sang-Suk,Kim, Jin-Young,Seon, Jae-Myoung 대한족부족관절학회 2000 대한족부족관절학회지 Vol.4 No.1
Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.
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신혈관성 고혈압쥐에서 Atrial Natriuretic Peptide가 혈관 기초장력에 미치는 영향
최석 ( Seok Choi ),김명룡 ( Myung Young Kim ),조남수 ( Nam Soo Cho ),선재명 ( Jae Myung Sun ),위희욱 ( Hee Wook Whi ),전제열 ( Jae Yeoul Jun ),윤평진 ( Pyung Jin Yoon ),정종훈 ( Jong Hoon Chung ),염철호 ( Cheol Ho Yeum ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.5
Purpose: Hypertension may be involved an alteration of intrinsic basal tone in vascular smooth muscle. The purpose of this study was to investigate the vasorelaxant effect of atrial natriuretic peptide (ANP) on isolated non-contracted aorta from two-kidney, one clip (2K1C) renovascular hypertensive rats. Methods: 2K1C hypertension was induced by clipping the left renal artery and were used 6 weeks later. Age-matched rats receiving a sham treatment, which served as controls. The thoracic aortae were mounted in tissue baths to measure the isometric tension. Results: ANP diminished basal tone in previously unstimulated thoracic aortic rings from 2K1C hypertensive rats, while it had no effect in the control rats. Endothelial destruction potentiated the vasorelaxant effect of ANP on basal tone in 2K1C rats. A similar potentiation of the ANP response was observed by pre-treatment with Nω-nitro-L-arginine methyl ester (L-NAME) or methylene blue in aortic rings with endothelium. Treatment with calcium-free Krebs decreased basal tone and abolished ANP-response. These effects were observed only in aortic rings from 2K1C rats. Similarly, staurosporine and calphostin C, inhibitors of protein kinase C (PKC), lowered basal tone and abolished ANP-response in hypertensive rats. Conclusion: These results demonstrate that ANP has a vasorelaxant effect on basal tone in 2K1C renovascular hypertension. Inhibition of ANP effects on basal tone by calcium-free Krebs and PKC antagonists suggests that altered Ca2+-active tone is involved in hypertension, that modifies the response of vascular smooth muscle to the ANP.
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