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Grice-Green 변형 술기를 이용한 편평 외반족 변형의 치료 결과
왕준호,이석현,이영구,Wang, Joon-Ho,Lee, Seok-Hyun,Lee, Young-Koo 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.1
Purpose: The author modified the technique of Grice-Green, for managing flexible flat foot, with severe hindfoot valgus and possible dorsiflexion more than $15^{\circ}$. The purpose of this study was to evaluate the efficacy and results of this modified technique. Material and Methods: Total of 6 patients, 11 cases of pes planovalgus were operatively managed with Modified Grice-Green procedure from Nov. 1996 to April 2002. Total 11 cases in 6 patients were managed; 9 cases in 5 males, 2 cases in one female. The average age of the patients were 7.3 years (5.1-13.3 years). Average follow up period was 3.9 years (1.2-6.7 years). Patients were evaluated preoperatively and at last follow up radiologically and clinically. Radiologic evaluation were done by measuring the talocalcaneal and talo-$1^{st}$ metatarsal angles with the anteroposterior view; and by measuring the talo-$1^{st}$ metatarsal angles with the lateral view. The clinical outcome were rated by subjective and objective improvement level. Results: On follow up, 9 cases were complete satisfied, 2 cases were satisfied with minor reservation and no case had major reservations or dissatisfaction. Objective results were rated as excellent in 9 cases, good in 2 cases. Average preoperative talo-calcaneal and talo-$1^{st}$ metatarsal angles on anteroposterior radiograms were $34.4^{\circ}$ ($16-40^{\circ}$) and $32^{\circ}$ ($8-48^{\circ}$) respectively; which postoperatively on last follow up were $20^{\circ}$ ($3-37^{\circ}$) and $15.6^{\circ}$ ($3-34^{\circ}$) respectively. Average Preoperative talo-$1^{st}$ metatarsal angle on lateral radiogram was $18.4^{\circ}$ ($6-30^{\circ}$); which postoperatively on last follow up was $6.7^{\circ}$ ($-6-17^{\circ}$). Conclusion: Modified Grice-Green operative procedure is effective and satisfactory procedure for planovalgus deformity in children. but for more accurate results, more patients and further follow up period are needed.
왕준호,정주선,박원하 대한의사협회 2011 대한의사협회지 Vol.54 No.7
In this study, the cause, diagnosis, and treatment of common lower limb injuries during the sports activities were presented. Sports injuries of the lower limbs are the most common injuries in the sports medicine field due to the high level of use of the lower limbs during sports activities. The common causes of leg injuries in athletes are traumatic force over the critical limit of normal tissue, repetitive microtrauma, and overuse. Common hip and pelvis problems encountered by the authors include trochanteric bursitis, snapping hip syndrome, and labral tears. The anterior and posterior cruciate ligaments, medial and lateral collateral ligaments, and meniscus have been most frequently involved in sports injuries affecting the knees. Lateral ankle sprain represents one of common injuries in the athletic population. Common overuse injuries are tendinopathies, stress fractures, chronic exertional compartment syndrome, and shin splints. Athletic activity provides a variety of positive benefits to participants’ health. To safely continue those activities, an injury prevention program focusing on injuries that may occur in specific sports activities is recommended for participants. Early diagnosis and proper treatment are also important in promoting prompt recovery and preventing secondary injuries.
왕준호,이재동,김정주,박형석,진춘조,강문수,신희용,노경빈,송경섭,정화숙 대한소화기내시경학회 2003 Clinical Endoscopy Vol.27 No.3
Ectopic pancreas rarely produces clinical symptoms. Most commonly reported symptoms were abdominal pain, epigastric discomfort, nausea, vomiting, and bleeding. However, presentation of specific symptoms due to its size and location, including obstructive jaundice, and pyloric obstruction are possible. Ectopic pancreas is subject to various pathological changes occurring in the pancreas itself; namely, cyst, pancreatitis, hemorrhage, necrosis, and neoplastic change. We present a case of 60-year old woman with right upper quadrant pain in whom the surgical pathologic diagnosis was ectopic pancreas of the stomach complicated by pancreatitis and pseudocyst formation. (Korean J Gastrointest Endosc 2003;27:175-179) 이소성 췌장은 주로 위와 십이지장에 위치하며 증상 없이 대부분 우연히 발견되고 증상이 있는 경우에는 상복부 동통 등 대부분 비특이적이다. 그러나 위치하는 부위와 크기에 따라 유문부 협착, 장중첩증, 총담관 폐쇄 등이 나타날 수 있으며 정상 췌장에서 나타나는 모든 병적인 변화를 겪을 수 있는데, 급․만성 췌장염, 낭종, 농양, 출혈 및 괴사, 양성 또는 악성 종양 등이 발생하여 이소성 췌장을 진단하기도 한다. 저자들은 우상복부 통증으로 내원한 60세 여자 환자에서 위 유문부에 위치한 이소성 췌장에 급성 췌장염과 가성낭종이 생긴 경우를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.