• Title/Summary/Keyword: 관절경 검사

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Clinical Results after ACL Reconstruction using Tibialis Anterior Tendon Allograft and Hamstring Tendon Autograft (동종 전경골건과 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술의 결과 비교)

  • Yoon, Kyoung-Ho;Bae, Dae-Kyung;So, Dong-Hyuk;Lee, Jeong-Hwan;Kim, Jeong-Weon;Park, Soo-Yeon
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.2
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    • pp.85-91
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    • 2007
  • Purpose: To analyze the clinical results and second look arthroscopic findings of anterior cruciate ligament(ACL) reconstruction with a tibialis anterior tendon allograft and a hamstring tendon autograft. Materials and Methods: We reviewed the cases of athroscopic ACL reconstructions using allogenous tibialis anterior(TA) tendon and autogenous hamstring tendon done from March, 2002 to August, 2005 and followed-up more than 1 year. The 250 cases were included in this study and allogenous TA tendon was used in 150 cases and autogenous hamstring tendon in 100 cases. The mean follow-up period was 15 months and 14 months, respectively. The clinical evaluation was done by Lachman test, Pivot shift test, KT-1000 arthrometer and International Knee Documentation Committee(IKDC) knee score. Graft tension, synovial coverage were observed in cases of second look arthroscopy. Results: At final follow-up, there was no significance between the two groups in clinical examination. On second look arthroscopy, synovial coverage was better in autogenous hamstring tendon group than allogenous TA tendon group(p=0.005). But no difference was found in graft tension(p>0.05). Conclusion: There were no significant differences between the two groups in the clinical results. But autogenous hamstring tendon group had better synovial coverage than allogenous TA tendon group in second look arthroscopy.

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Arthroscopic Assisted Reduction and Internal Fixation of Lateral Femoral Epiphyseal Injury in Old Adolescent Soccer Player - Report of 1 Case - (청소년기 축구선수에서 원위 대퇴외과 성장판 손상의 관절경하 정복 및 내고정 - 1례 보고-)

  • Lee, Yong-Seuk;Jung, Jae-Kyoung;Kong, Chae-Kwan;Shin, Yoon-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.1
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    • pp.66-69
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    • 2007
  • Sports-related knee injuries frequently occur in adolescent period and fractures are more common than ligamentous Injuries in this age group because of physiologic characteristics. We operated an adolescent soccer player with lateral femoral epiphyseal injury using arthroscopic assisted reduction and infernal fixation. In $2^{nd}$ look arthroscopy and metal removal at postoperative 2 years, articular cartilage was healed with good congruity and lower extremity entire long film showed normal axial alignment without residual deformity.

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Tuberculous Subdeltoid Bursitis - A Case Report - (결핵성 삼각근하 점액낭염 - 증례 보고 -)

  • Lee, Woo-Seung;Yoon, Jung-Ro;Kang, Kyu-Bok;Yang, Jae-Hyuk;Lim, Hyung-Tae
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.45-48
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    • 2010
  • We report a case of an 85-year-old woman with tuberculous subdeltoid bursitis. Tubeculous bursitis without adjacent joint tuberculosis may occur any site but it is rare. It is common in bursae subjected to trauma like trochanteric, prepatellar, olecranon and so on. Because the clinical findings or physical examination of tuberculous subdeltoid bursitis are similar to rotator cuff disorder and the MRI or arthroscopic findings are similar to synovial diseases, careful differential diagnosis is necessary.

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Arthroscopic Excisional Debridement of Cyst-like lesion in juxta-articular Knee Joint (관절경을 이용한 슬관절주위 낭종유사 병변의 절제제거술)

  • Ko, Sang-Hun;Cho, Sung-Do;Kim, Jong-Oh
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.70-75
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    • 2003
  • Purpose : A cyst-like lesion within and around the knee joint is very rare, with very few articles available in the literature. The aim of this study is to evaluate effectiveness of arthroscopic treatment of cyst-like lesion within and around the knee joint which reported rarely. Materials and Methods : We are reporting 14 cases of cyst-like lesion around the knee joint. Our cases include 3 ganglion cyst in infrapatellar fat pad, 1 fibroma, 1 giant cell tumor and 1 epidermoid cyst which have not yet been reported. The diagnosis of cyst-like lesion in Juxta-articular knee Joint was made only by MRI study and we confirmed pathology. Male was 9, female was 5 cases, average age was 24(11-43)year old. Follow up was average 45(12months-8years)months. Minimum follow up was 12 months. Results : All the patients were treated arthroscopic excisional debridements successfully. All the cases were excellent result in last follow up by functional criteria in Lysholm knee score average 98.9(95-100). All examimation was normal except 3 cases in last follow up. But all patients satisfied in arthroscopic treatment. Conclusion : Arthroscopic excisional debridement of the cyst-1ike lesion in juxta-arthcular knee joint is excellent method, but long term follow up needed in the future.

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Arthroscopic Repair of the Postero-medial or Postero-lateral Capsule Tear in the Knee Joint - Technical Note - (슬관절 후내측 혹은 후외측 관절막 파열의 관절경적 봉합술 - 수술 수기 -)

  • Ahn Jin-Hwan;Cho Yang-Bum;Lee Yong-Seuk
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.135-139
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    • 2001
  • Purpose : Repair of the posterior capsule tear at the time of the operation for the chronic postero-lateral or postero-medial rotary instability has not been reported. We describe the arthroscopic repair of the posterior capsule tear using the posterior trans-septal portal. Method : After conducting basic arthroscopic examination of the knee, postero-medial and postero-lateral portals are secure to make the posterior trans-septal portal, through which the postero-medial and postero-lateral capsule tears are repaired using the suture hook under the arthroscopic guidance. Conclusion : When arthroscopic reconstruction of PCL insufficiency or postero-lateral rotaty instability that accompanies postero-medial or postero-lateral capsular tears. rising the posterior traits-septal portal could ensure better visualization of the capsule and a subsequent more accurate repair of the capsule. Since it significantly lessened instability, it could contribute to an achievement of successful clinical results.

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상완 이두 건 장 두의 부분 파열

  • 김영규
    • Clinics in Shoulder and Elbow
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    • v.7 no.2
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    • pp.83-89
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    • 2004
  • 상완 이두 건 부분 파열은 관절경 검사를 시행하지 않는 한 진단이 매우 어렵다. 이학적 검사는 대체적으로 비특이적이나 이두 구 근처에서 압통의 유무를 확인하는 것이 중요하며 이두 구에 마취제 국소 주사가 진단에 도움이 될 수 있다. 치료로는 보존적 치료를 중요시하여야 하나 지속적인 동통이 존재할 경우에는 동통으로 인한 일상생활의 제한 및 견관절 기능의 소실을 고려하여 적극적인 수술적 치료가 요할 것으로 사료되며. 특히 고령의 경우 이두 구 근처에서의 상완 이두 건 부분 파열은 건 유리술이 도움이 될 것으로 생각된다.

Long-term Follow-up Results of the Localized Pigmented Villonodular Synovitis of the Knee (more than 5 years) (슬관절 국소형 색소융모결절성 활액막염의 장기 추시 결과 (5년이상))

  • Lee, Byung-Il;Choi, Hyung-Suk;Min, Kyung-Dae;Rah, Soo-Kyun;Cho, Sang-Hyuck
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.37-44
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    • 2008
  • Purpose: To purpose of this study was to review the long-term follow up results of surgical treatment of the localized pigmented villonodular synovitis in the knee. Materials and Methods: We evaluated and analyzed 6 patients (6 cases) who underwent arthroscopy and excisional biopsy as pigmented villonodular synovitis from March 1988 to June 2002. The clinical diagnosis was confirmed by pathologic findings. All patients had been managed with arthroscopic excision, but two patients underwent mini-open excision. The recurrence was evaluated by the loss of preoperative symptom and physical examination for range of motion, pain and finding of swelling. Results: According to the arthroscopic findings, all patients had localized form of pigmented villonodular synovitis. Three patients had pedunculated type (one of them had torsion) and the two patients had nodular type and one patient had mixed type. All patients had improvement in pain, swelling and range of motion and there was no evidence of recurrence. Conclusion: In terms of long term follow up results, precise preoperative diagnosis and the adequate surgical treatment, especially arthroscopic excision for the localized pigmented villonodular synovitis, would be considered one of the fundamental modality to expect the good results.

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Arthroscopic Evaluation of Graft Extrusion after Lateral Meniscal Allograft Transplantation - A Case Report - (외측 반월상 연골 이식술 후 이식물 탈출의 관절경적 평가 -증례 보고-)

  • Kim, Hee-Chun;Kim, Taik-Sun;Kim, Young-Bae;Yang, Jai-Hyuk;Kim, Jin-Kak;Yoon, Jung-Ro
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.76-78
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    • 2013
  • The meniscus is considered "extruded" when it extends beyond the tibial margins more than 3 mm in a coronal view of magnetic resonance imaging (MRI). However, identifying the meniscal extrusion intraoperatively may be difficult because of the simple fact that most of the arthroscopic procedures are done in knee flexion position while follow up MRI studies area taken at knee extension position. Here, we demonstrate the arthroscopic technique for evaluating the meniscal extrusion.

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Medial Discoid Meniscus - A Report of Two Patients - (내측 원판형 연골 - 2명 보고 -)

  • Koh, Hae Seok;Park, Beom Seok;Choi, Seing Pil;Kang, Do Jun
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.60-65
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    • 2012
  • Although the lateral discoid meniscus has been observed frequently, the medial discoid meniscus is an extremely rare anomaly. The incidence of lateral discoid menisci ranges from 1.4% to 15.5% and the incidence of medial discoid menisci ranges from 0.06% to 0.3%. We present 1 patient of bilateral medial discoid menisci with tear on left side and 1 patient of unilateral medial discoid meniscus with tear, that were diagnosed by magnetic resonance imaging (MRI) and arthroscopy. We performed partial meniscectomy on 2 cases of symptomatic medial discoid menisci under arthroscopy and meniscus-related symptoms were relieved. We report 3 cases of 2 patients with medial discoid meniscus.

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