• 제목/요약/키워드: 인제의과대학

검색결과 229건 처리시간 0.024초

내과의 부분후방절골술을 통한 거골연골모세포종의 수술적 치료: 증례 보고 (Surgical Treatment of Talar Chondroblastoma via Partial Posterior Medial Malleolar Osteotomy: A Case Report)

  • 유오준;서진수;김한성;최준영
    • 대한족부족관절학회지
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    • 제27권2호
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    • pp.75-78
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    • 2023
  • During bone tumor resection, many cases require medial malleolar osteotomy to achieve adequate access to the operative field. Various osteotomy methods have been developed to address this issue, including oblique, transverse, reverse V-shape, and step-cut osteotomies. However, medial malleolar osteotomy has several drawbacks, such as the excessive disruption of the joint surface, unstable screw fixation when fixing the medial malleolus, and iatrogenic medial ankle joint arthritis due to articular displacement during the reduction of the osteotomy site. In addition, there is a possibility of injury to the posterior tibial artery, tibial nerve, or posterior tibialis tendon if the osteotomy range is too aggressive. Therefore, the authors propose a new osteotomy method, which has shown promising clinical results, namely, partial posterior medial malleolar osteotomy. This method minimizes articular involvement and provides adequate access to the operative field during talar body bone tumor resection.

COVID-19 백신 투여 이후 발생한 심한 사지 자반증이 절단을 요하는 당뇨발에 미치는 영향: 증례 보고 (Effect of Severe Limb Purpura Following the Administration of COVID-19 Vaccination on a Diabetic Foot Requiring Amputation: A Case Report)

  • 김병호;서진수;장선희;최준영
    • 대한족부족관절학회지
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    • 제26권1호
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    • pp.48-53
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    • 2022
  • The current SARS-CoV-2 coronavirus disease 2019 (COVID-19) pandemic has been a particular challenge for diabetes patients. Since these patients are at a higher risk of COVID-19, they have been prioritized for vaccination. In this report, we describe the case of a patient scheduled for diabetic foot amputation who received the first dose of ChAdOx1 nCov-19 vaccine and subsequently developed severe purpura in his genitalia and both of his hands and feet, accompanied by acute renal failure. The operation had to be postponed as severe limb purpura appeared just before the operation. With adequate management for acute renal failure and topical steroid application for the severe purpura lesions, a successful outcome could be obtained after the delayed first ray amputation. We recommend that COVID-19 vaccination should be carefully administered in patients with a diabetic foot requiring amputation.

출혈을 동반한 경막내 수외 뇌실막세포종: 증례 보고 (Intradural Extramedullary Ependymoma with Hemorrhage: A Case Report)

  • 최창원;이선주;팽성화;조화진
    • 대한영상의학회지
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    • 제84권6호
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    • pp.1414-1420
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    • 2023
  • 뇌실막세포종은 일반적으로 성인의 척수내 위치에서 발견된다. 경막내 수외 뇌실막세포종은 드물다. 또한, 뇌실막세포종은 일반적으로 출혈 없이 T1 강조영상에서 등- 또는 저신호강도를 나타낸다. 저자들은 43세 여성에서 발생한 드문 출혈을 동반하며 T1 강조영상에서 고신호강도를 보인 경막내 수외 뇌실막세포종으로 확진된 1예를 보고하고자 한다.

상소뇌동맥영역을 공급하는 지속성 원시 삼차신경동맥 변이 (Persistent Trigeminal Artery Variant Terminating in the Ipsilateral Superior Cerebellar Artery)

  • 박태영;이병훈;황윤준;이지영;배석현
    • 대한영상의학회지
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    • 제83권1호
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    • pp.184-188
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    • 2022
  • 지속성 원시 삼차신경동맥은 퇴화하지 않고 남아있는 내경동맥-기저추골동맥 문합이다. 변형 지속성 원시 삼차신경동맥은 드문 비정상적인 문합으로, 내경동맥과 기저동맥의 연결 없이 내경동맥에서 직접 혈관이 분지 되어 소뇌 동맥의 영역에 혈액을 공급한다. 본 연구진들은 그중에서도 변형 지속성 원시 삼차신경동맥이 동측의 상소뇌동맥 영역에 직접 혈액을 공급하는 특히 드문 증례를 발견하였다. 시행된 전산화단층촬영 혈관조영술, 디지털감산 혈관 조영술, 자기공명 혈관조영술 사진을 이용하여 이를 보고하고자 한다. 추가적으로 본 연구진들은 지속성 원시 삼차신경동맥과 변형 지속성 원시 삼차신경동맥의 발생학과 임상적 의미에 대하여 검토하였다.

회원작품

  • 대한건축사협회
    • 건축사
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    • 8호통권137호
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    • pp.37-50
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    • 1980
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의과대학 학생과 졸업생 수행능력 평가를 위한 코호트 구축 설계 (Establishment of Cohorts to Evaluate the Performance of Students and Graduates at a Medical School)

  • 오민경;주현정;윤보영;이종태
    • 의학교육논단
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    • 제24권3호
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    • pp.250-260
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    • 2022
  • Evaluating the effectiveness of educational programs involves measuring learning processes as well as outcomes. It is essential to study cohorts of students and graduates to evaluate the long-term effects of educational programs with data generated both during education and after graduation. The purpose of this study was to establish cohorts of students and graduates to evaluate their performance, thereby providing a basis for evaluating the social accountability of medical education. In this study, student and graduate cohorts were built for both students currently enrolled and graduates at Inje University College of Medicine (IUCM). A model involving the process of cohort establishment and an evaluation indicator framework was developed. In the process of cohort establishment, the following steps were conducted: defining the goals and objectives of the student and graduate cohorts, organizing a cohort committee, developing regulations, registering cohorts, acquiring consent, and building a database. A framework of evaluation indicators according to the graduate roles of IUCM was developed by adapting Kirkpatrick's evaluation model. Next, items to be collected in student and graduate cohorts were selected, and the current status of existing data was analyzed. Moreover, a preliminary analysis was conducted, including analyses of the evaluation indicators and graduates' performance. This study suggests that it is necessary to include additional evaluation indicators considering students' learning environment and well-being in student cohorts and to develop strategies or methods for graduates to continue participating in data collection for a long-term study.

무지외반증 교정을 위한 최소침습적 근위 중족골 횡절골술 및 골수강 내 금속판 고정: 증례 보고 (Minimally Invasive Proximal Transverse Metatarsal Osteotomy Followed by Intramedullary Plate Fixation for Hallux Valgus Deformity: A Case Report)

  • 김종훈;서진수;최준영
    • 대한족부족관절학회지
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    • 제25권3호
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    • pp.141-144
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    • 2021
  • More than 120 surgical methods for the correction of hallux valgus deformities have been reported. For the correction of moderate to severe hallux valgus deformities with aesthetic demands, minimally invasive surgery at the proximal area can be considered. This paper reports a case of moderate hallux valgus deformity treated by a minimally invasive proximal transverse metatarsal osteotomy followed by intramedullary plate fixation.

비후된 비골 결절에 의해 발생한 비복신경 포착 및 장비골건의 건막염: 증례 보고 (Sural Nerve Entrapment and Tenosynovitis of Peroneus Longus by Hypertrophied Peroneal Tubercle: A Case Report)

  • 이동주;최준영;서진수
    • 대한족부족관절학회지
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    • 제22권3호
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    • pp.131-134
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    • 2018
  • A hypertrophied peroneal tubercle can present as a bony prominence at the lateral aspect of the foot and a peroneal tenosynovitis or tear. We report a case of a 52-year-old man complaining of lateral foot tingling pain and numbness. The sural nerve entrapment and peroneus longus tenosynovitis by hypertrophied peroneal tubercle were confirmed. Good results were obtained after excision of the hypertrophied peroneal tubercle and sural nerve release.

중간 설상골의 단독 배측 탈구 골절: 증례 보고 (Isolated Dorsal Dislocation of Intermediate Cuneiform: A Case Report)

  • 이동주;최준영;서진수
    • 대한족부족관절학회지
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    • 제23권1호
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    • pp.39-41
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    • 2019
  • An isolated dislocation of the intermediate cuneiform bone is a rare midfoot injury. This paper reports a case of a 60 year old man who fell from a height with his foot in the plantar flexed position. An isolated dorsal dislocation of the intermediated cuneiform was confirmed. Good results were obtained after an open reduction and internal fixation with a Lisfranc screw and Kirschner wire.

후비강에서 발생한 저등급의 섬유점액성 육종: 증례 보고 및 문헌 고찰 (Low-Grade Fibromyxoid Sarcoma Arising in Posterior Nasal Cavity: Case Report and Review of the Literature)

  • 손정협;이기진;조경래
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제61권11호
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    • pp.624-629
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    • 2018
  • Low-grade fibromyxoid sarcoma (LGFMS), a soft tissue tumor that has high recurrence and metastasizing potential, rarely occurs in the head and neck region. Therefore, the treatment for LGFMS in the facial area is challenging in terms of cosmetic and functional maintenance. The authors report a case of LGFMS in the posterior nasal cavity. It was completely removed in parallel with the nasal endoscopic and oral approach, but the lower margin was closed by preserving the soft palate. The patient is well without any recurrence or metastasis after 5 years of follow-up.