귀밑샘 점액표피양암종의 폐 전이에 연관된 비후성 골관절증의

송승택 ( Seung Taek Song ),유인설 ( In Seol Yoo ),김영 ( Young Kim ),박찬걸 ( Chan Keol Park ),윤환중 ( Hwan Jung Yun ),강성욱 ( Seong Wook Kang ),김진현 ( Jin Hyun Kim ) 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.5

Hypertrophic osteoarthropathy is a syndrome characterized by periosteal new bone formation, arthritis, and clubbing of the fingers and toes. The majority of cases occur secondarily to the conditions associated with pulmonary, cardiac, gastrointestinal disorders or other systemic diseases. There are many cases with malignancy worldwide. We report the first patient who had hypertrophic osteoarthropathy due to metastatic cancer after surgical removal for mucoepidermoid carcinoma of the parotid gland.

관절내 종골 골절 및 합병증에 대한 치료

정형진,한용택,송승택,이창수,Chung, Hyung-Jin,Han, Yong-Taek,Song, Seung-Taek,Lee, Chang-Soo 대한족부족관절학회 2003 대한족부족관절학회지 Vol.7 No.1

Purpose: The treatment of calcaneal fractures remains a controversy in orthopaedic field because of its complications. The purpose of this study is to evaluate the efficacy of the treatment of calcaneal fractures and its complications. Materials and Methods: Clinical and radiological results were retrospectively analyzed in 28 patients, 34 cases with fractures of calcaneus which were treated in our department from September 1998 to march 2003. Results: According to the Creighton-Nebraska Foundation Assessment score, there were 3 excellent, 11 good, and 12 fair 6 poor results. Bohler angle was corrected from $8.3^{\circ}$ to $18.3^{\circ}$, Gissane angle was corrected from $121^{\circ}$ to $135^{\circ}$, and calcaneal width was corrected from 46.8mm to 37mm. Conclusion: Open reduction and internal fixation for joint depression type calcaneal fractures thought to be a good method of treatment. Closed reduction and percutaneous axial pinning should be chosed in selected cases of tongue type fractures. In treatment of complicated calcaneal fractures as malunion, subtalar distraction arthrodesis and lateral wall exostectomy will reduce disability of the disease.

증례 : 호흡기; 선천성 낭성 선종양 기형에서 발견된 악성 변화 1예

최재우 ( Jae Woo Choi ),송승택 ( Seung Taek Song ),박연희 ( Yeon Hee Park ),박동일 ( Dong Il Park ),정재욱 ( Chae Uk Chung ),이충식 ( Choong Sik Lee ),정성수 ( Sung Soo Jung ) 대한내과학회 2014 대한내과학회지 Vol.86 No.4

폐에서 발생한 CCAM은 전형적으로 신생아에서 나타나는드문 선천성 기형이다. 성인에서는 type I CCAM이 다른 호흡기 이상들과 관련하여 극히 드물게 보고되고 있다. 하지만만성 기침과 같이 서서히 발생하는 증상들이 있거나 영상의학검사에서 낭종 병터가 있는 경우에는 악성 변형 가능성이있는 선천성 이상 병터일 수 있기 때문에 추가적인 검사가필요하다. 이러한 병터의 진단과 치료를 위해서 전산화 단층촬영과 수술적 생검이 고려되어야 한다. 저자들은 수술적 절제한 CCAM에서 국내 처음으로 악성 변형을 관찰하였기에문헌고찰과 함께 보고하는 바이다. Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare condition with the potential for malignant transformation. Several cases that presented with malignant changes have been reported worldwide. However, no report about a malignant transformation case in a CCAM in Korea has been published. We report the first patient who had a malignant change in a CCAM. A 32-year-old female underwent a bilobectomy for a cystic lung lesion that was a type 1 CCAM associated with malig-nant transformation. A biopsy specimen from the resected cystic lesion showed foci of adenocarcinoma. (Korean J Med 2014;8 6:500-504)

도관 나사를 이용한 상완골 골수강내 금속정 제거술

안종국(Jong-Kuk Ahn),송승택(Seung-Taek Song),성열보(Yerl-Bo Sung),염재광(Jae-Kwang Yum),김동수(Dong-Soo Kim) 대한정형외과학회 2003 대한정형외과학회지 Vol.38 No.1

한국인 베체트병 환자에서 T-bet 유전자 다형성에 관한 연구

김진현 ( Jin Hyun Kim ),이윤종 ( Yun Jong Lee ),황재희 ( Jae Hee Hwang ),백한주 ( Han Joo Baek ),강성욱 ( Seong Wook Kang ),배영덕 ( Young Deok Bae ),송승택 ( Seung Taek Song ),최효진 ( Hyo Jin Choi ),송주경 ( Ju Kyoung Song ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.4

Objective: Behcet`s disease (BD) is a chronic systemic inflammatory disease with unknown etiology. A number of clinical and laboratory findings suggest a strongly polarized Th1 immune response in BD. T-bet is a newly identified Th1 specific T-box transcription factor selectively expressed in Th1 cells. However, it is not yet clear whether the T-bet protein is involved in the proposed Th1-mediated pathogenesis of BD at the transcriptional level. Therefore, this study investigated the potential associations of two single nucleotide polymorphisms (SNPs) at positions -99 (C/G) and -1993 (T/C) in the exon and promoter regions of the TBX21 gene with susceptibility to BD in the Korean population. Methods: 105 patients with BD and 105 healthy controls were studied. All subjects were genotyped using restriction fragment length polymorphism analysis. The genotypes of the two groups were compared with the chi-square or Fisher`s exact tests. Results: The genotypic and allelic distributions of the two SNPs did not differ significantly between the two groups. Furthermore, no associations between the polymorphisms and clinical manifestations were found, except a central nervous system manifestation and arthritis. Furthermore, no associations between the polymorphisms and severity were identified. Conclusion: TBX21 gene polymorphisms were not associated with susceptibility, clinical manifestations, or severity of BD in the Korean population.

주관절 만성 후방 탈구에 대한 주두를 이용한 구상돌기 재건술

김진호,송승택,손영진 대한골절학회 2002 대한골절학회지 Vol.15 No.3

구상돌기 골절을 동반한 주관절 후방 탈구시 주관절의 불안정성이 관찰되면 구상돌기의 관혈적 정복이 필요하다고 보고 되고 있다. 급성손상에서 구상 돌기에 대한 정복이 실패한 후에 발생한 주관절의 운동 제한과 지속적인 후방 탈구의 치료에는 신연 관절 성형술, 주관절 치환술, 관절 융합술, 구상동기 재건술 등의 방법이 있다. 본교실에서는 구상돌기 골절을 동반한 주관절 후방 탈구 후에 발생한 주관절의 운동 제한과 지속적인 후방 탈구를 호소하는 28세 남자 환자에서 동측의 주두를 이용한 구상돌기 재건술을 시행하여 만족할 만한 결과를 얻었기에 보고하는 바이다. It is reported when posterior dislocation of the elbow with the fracture of the coronoid process is occurred, if they can't achieve the reduction of coronoid process, the patient would have the elbow instability. That is required to open reduction of coronoid process. Limitation of the elbow motion and persistent posterior dislocation of the elbow result from failure of reduction of coronoid process in acute injury. That patients have been treated by distraction arthroplasty, total elbow replacement, arthrodesis, and coronoid process reconstruction. We experienced one case that had a excellent result from reconstruction of the coronoid process using a graft from the olecranon of same side in 28 years old man.

역행성 골수강내 금속정 고정술로 치료한 성인 대퇴골골절의 장기추시 결과

성열보,박수철,안종국,염재광,정형진,김진호,송승택,한용택 대한골절학회 2002 대한골절학회지 Vol.15 No.3

목 적 : 순행성 골수강내 금속정 고정술은 성인 대퇴골 골절의 효과적인 수술적 요법으로서 많이 쓰이고 있다. 동측의 대퇴골 경부 골절, 전자간 골절, 비구 골절 그리고 다발성 골절이 동반된 대퇴간부 골절의 경우 사용된 역행성 골수강내 금속정 고정술은 매우 효과적인 수술적 방법이며 임산부, 비만, 외상성 슬관절 절개, 양측 하지 외상인 경우도 적응증이 된다. 저자들은 대퇴골 골절 후 역행성 골수강내 금속정 고정술을 시행 받은 환자의 장기간(2년이상) 추시를 통하여 그 결과와 합병증에 대하여 보고하고자 한다. 대상 및 방법 : 1994년 3월부터 1999년 3월까지 인제 대학교 의과대학 상계백병원에서 역행성 골수강내 금속정 고정술을 시행받고 2년이상 추시가 가능 했던 37예의 환자를 대상으로 연구하였다. 원위부 나사못 부전, 금속정의 이동, 불유합 등은 방사선 소견으로 슬관절 운동 제한, 기타 합병증은 임상적 소견으로 그 결과를 파악하였다. 결 과 : 1) 골유합기간은 평균 17주였다. 2) 술후 슬관절운동은 대부분 정상 범위로 회복되었으나(33/37), 4예에서 관절 운동범위가 제한(굴곡< 100도)되었다. 그러나 수상 당시 손상 정도가 심하였던 경우였고 역행성 금속정 내고정 때문은 아닌것으로 판단되었다. 3) 불유합과 부정유합이 각각 1예가 있었다. 4) 술후 감염이나 대퇴골 단축을 없었다. 4예에서 원위 나사목 부전이 있었으나 금속정의 이동은 없었다. 결 론 : 역행성 골수강내 금속정 고정술은 대퇴골 간부 골절에서 선택할 수 있는 효과적인 수술적 방법이다. 동측 대퇴 골절, 경골 간부골절, 슬관절 전치환술후 대퇴 골절 등이 이에 속한다. 역행성 골수강내 금속정 고정술은 대퇴골 간부 골절에서 올바른 적응증과 숙련된 술자에 의해 시행되어질 경우, 골유합률과 부정유합, 불유합, 술후 감염은 순행성 골수강내 금속정 고정술과 유의한 차이가 없으며, 수술 시간 및 수술 중 혈액 소실은 적었다. 술관절 합병증은 2년이상의 추시 관찰동안에 순행성 골수강내 금속정 고정술과의 의미있는 차이를 보이지 않았다. Purpose : Antegrade intramedullary nailing of the femur is effective method of treatment for patients with femoral shaft fractures. But retrograde IM nailing is another effective method, especially in femoral shaft fractures concomitant with ipsilateral femoral neck, intertrochanteric fractures, acetabular fracture, multiple fracture and obesity, pregnancy, traumatic arthrotomy of the knee joint, bilateral femur fractures, and floating knee injuries are also indicated. The purpose of this study is to verify the effectiveness of retrograde IM nailing after long-term follow-up by retrospective evaluation. Materials and Methods : A retrospective review of the medical charts and X-rays about 37 patients who were operated by retrograde nailing and all patients were minimally followed up about 2 years. Results were evaluated radiologically for screw breakage, nail migration, nonunion and clinically for knee ROM limitation, infection. Results : The results were as follows; 1) union was achieved at on average of 17 weeks. 2) Full range of knee motion was gained in 33/37 cases. Knee-stiffness occurred in 4 cases, Severity of initial trauma might affect such results but not, retrograde nailing 3) 2 complications, were found nonunion and delayed union. 4) There were not postoperative infection and femoral shortening. There were distal screw breakage in 4 cases but, the others were not migrated. Conclusion : Retrograde IM nailing of femoral fracture is an effective method in selected cases such as ipsilateral femoral neck fractures, floating knees, post-TKRA femoral fracture and so on. If retrograde IM nailing is operated by skillful surgeon and appled to absolute indication, the result is no significant difference of antegrade IM nail such as bone union, nonunion and postoperative infection. Nevertheless, operation time is shorter and blood loss lesser. Significant knee problems related to this technique could not be identified for 2 years followed up,