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- 저자 : Eun-Sun Moon(문은선) (검색결과 74 건)
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중수지 관절부 신전건 탈구에서 실시간 표시 초음파의 진단적 가치
문은선,박용철,김명선,Moon, Eun-Sun,Park, Yong-Cheol,Kim, Myung-Sun 대한정형외과초음파학회 2008 대한정형외과 초음파학회지 Vol.1 No.1
Purpose: We studied the diagnostic value of dynamic US in the extensor tendon dislocation at the metacarpophalangeal joint. Materials and Methods: From January 2007 to October, we studied 6 cases that had been diagnosed and followed over 5 months (2-10) in average. US examination using a 10-MHz linear transducer were performed in three cases. The causes of dislocations were traumatic in 5 cases and congenital in one case. Results: In only 3 cases which could not be diagnosed clinically, we performed US. In dynamic US, all three cases showed the extensor tendon dislocation evidently. Operative findings were sagittal band rupture in 4 cases, capsular loosening in one case and sagittal band thinning in one case. Sagittal band repair was performed in 4 cases and capsular augmentation in one case. In case of congenital dislocation showing 4 digital extensor tendon dislocations in right hand, we operated only the second extensor by sagittal band repair with augmentation by looping. At last follow-up, no case showed recurrence or limitation of motion. Conclusion: In case of extensor tendon dislocation without apparent clinical finding, US with dynamic study has so great value that it can detect the dislocation in real time, which is superior to MRI.
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상완골 원위부 분쇄골절에 대한 새로운 금속판을 이용한 내고정 치험 - 3례 보고 -
문은선(Eun Sun Moon),노성만(Sung Man Rowe),허정태(Jung Tae Hur) 대한골절학회 1992 대한골절학회지 Vol.5 No.2
Comminuted fractures of the distal end of the humerus in adult are notoriously difficult to treat, and had reported many problems. Because anatomical structure around the alecranon fossa was composed by weak trabecular bone, accurate anatomical reduction and rigid fixation of the fracture fragment was not easily achieved by ordinary concept and implants. Recently, various anatomical plates for the fractures of the metaphyseal area of long bone were developed and relatively good results were reported. The authors developed new anatomical plate for distal humerus which had an well adaptable and more malleable characteristics for the fracture of the distal humerus. We report our short experience, of 3 cases treated with this plate.
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문은선(Eun Sun Moon),김연성(Yeon Sung Kim) 대한골절학회 1991 대한골절학회지 Vol.4 No.1
Isolated fracture of the capitellum humeri is rare, and method of treatment is also controversials. Three patients with fracture of the capitellum of the humerus were treated in the Dept of Orthopedics at Chonnam University Hospital between January 1988 and June 1990. Two of them treated by open reduction and internal fixation with navicular screw. and one by immediate excision of the fragment. Results were all satisfactouy. We report. these cases with a review of the literatures.
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안정성 주상골 불유합에 대해 골이식을 동반하지 않는 수술적 치료 결과
문은선 ( Eun Sun Moon ),김명선 ( Myung Sun Kim ),공일규 ( Il Kyu Kong ),최민선 ( Min Sun Choi ) 대한골절학회 2010 대한골절학회지 Vol.23 No.1
Purpose: To evaluate the results of Acutrak-screw fixation without bone-graft for the treatment of stable scaphoid nonunion and to assess its prognostic factors. Materials and Methods: Fifteen patients who underwent internal fixation using Acutrak-screw without bone graft for stable scaphoid nonunion were studied. Standard radiographs and CT were analyzed for degenerative changes (presence of cystic change and periscaphoid osteoarthritis), the nonunion site using fragment ratio and union. Clinically, patients age and the interval to surgery were evaluated. Results: Mean follow-up duration was 31 months and 11 of 15 (73.3 percentages) cases healed at mean time of 12.8 weeks. Fragment ratio of nonunion site was 37.2 percentages in nonunion group and 54.2 percentages in union group (p=0.016). Presence of cystic change and periscaphoid osteoarthritis showed no singnificant statistical difference in both groups. Younger age lower than 20 years was closely related with bone union (p=0.001). But there were little correlation between bone union and interval to surgery. Conclusion: Internal fixation without bone graft showed 73.3 percentages of overall union rate in the treatment of stable scaphoid nonunion. And young patients who have distally located stable scaphoid nonunion can be successfully treated with internal fixation without bone graft.
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