• 대한관절경학회지
• /
• 제10권1호
• /
• pp.108-111
• /
• 2006

저자들은 우 슬관절에 발생한 이중 내측 활막추벽 증후군 환자를 경험하였기에 보고한다. 일반적으로 활막추벽 증후군은 전형적인 증상이나 통증이 없을수 있으며, 다양한 골관절 증상을 유발하는 다른 슬내장증의 원인들과 감별진단이 요구된다. 결정적인 진단에는 MRI와 관절경술이 필요하며, 증상이 있는 경우 관절경적 제거술에 의해 증상의 호전이 이루어진다고 보고된다. 본 환자는 앉거나 계단을 오를 때, 우 슬관절 동통을 호소하였고, MRI상 전형적인 이중 내측 활막추벽이 관찰되어 관절경적 절제술을 시행하였다. 술후 환자는 만족스러운 임상호전을 보였다.

• Clinics in Shoulder and Elbow
• /
• 제18권4호
• /
• pp.197-205
• /
• 2015

Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying (one medial-row tie among 4 medial-row sutures) on the medial-row in double-row suture-bridge configuration ($2{\times}2$ anchor with $4{\times}4$ suture stands). Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using $2{\times}2$ anchor double-row configuration. The mean age was 61.3 years (range, 31-81 years). Two double-loaded suture anchors were used for medial-row. Four medial-row stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre- and postoperative MRI. Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery. Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears.

• Clinics in Shoulder and Elbow
• /
• 제1권1호
• /
• pp.100-108
• /
• 1998

Surgical treatment of cubital tunnel syndrome has been reported according to a wide variety of techniques since the end of the last century. Theses range from simple decompression to various forms of nerve transposition and medial epicondylectomy. However, we could find only few reports which compare the results between different types of operations. The treatment results of medial epicondylectomy and anterior subcutaneous transposition, were analysed retrospectively. From March 1984 to January 1996, a total of 110 patients had operations for cubital tunnel syndrome. Seventy four of them were followed-up for more than one year, and only they were included in this study. Anterior subcutaneous transposition was performed in 26 patients; and medial epicondylectomy in 48 patients. There were 52 males and 22 females, with an average age of 34 years (range, 13 to 75). The average follow-up period was 40 months (range, 12 to 132). Grading system by Gabel and Amadio were used for evaluation of the patients; pain, sensory and motor dysfunction were checked preoperatively and at last follow-up. In 26 patients of anterior subcutaneous transposition, 7 (27%) were graded as excellent, 11 (42%) good, 3 (12%) fair and 5 (19%) poor. In 48 patients of medial epicondylectomy, 16 (34%) were excellent, 27 (56%) good, 3 (6%) fair and 2 (4%) poor. Sixty nine percent were excellent or good in anterior subcutaneous transposition group, while ninty percent in medial epicondylectomy group. This difference was significant statistically (p<0.01 )., From our experiences, we suggest medial epicondylectomy for the treatment of cubital tunnel syndrome, rather than anterior subcutaneous transposition.

• 대한관절경학회지
• /
• 제16권1호
• /
• pp.60-65
• /
• 2012

외측 원판형 연골판은 비교적 흔히 관찰할 수 있으나, 내측 원판형 연골판은 매우 드문 반월상 연골판 기형이다. 외측 원판형 연골판의 발생율은 1.4%에서 15.5%이며, 내측 원판형 연골판의 발생율은 0.06%에서 0.3%로 외측에 비해 현저히 낮게 보고되고 있다. 저자들은 좌측 슬관절은 증상이 있고 우측은 증상이 없는 양측성 내측 원판형 연골판 1명과 환측 슬관절에만 파열을 동반한 일측성 내측 원판형 연골판 1명을 자기공명영상 검사 및 관절경 검사로 발견하여, 증상이 있는 내측 원판형 연골판을 부분 절제술로 치료하여 증상 호전을 보였다. 저자들은 2명, 3예의 내측 원판형 연골판을 경험하였기에 보고하고자 한다.

• 한방재활의학과학회지
• /
• 제23권2호
• /
• pp.151-161
• /
• 2013

Objectives : The purpose of this study was to compare the effects of acupuncture and medial branch block(collaborative treatment) with just medial branch block regarding acute low back pain. Methods : Forty inpatients who received treatment between January 2012 and February 2013 were divided into 2 groups. The East-West treatment group(EW group, n=20) received one treatment of medial branch block and then acupuncture afterwards. The Western treatment group(W group, n=20) received one treatment of medial branch block. Both groups continued to receive manual therapy 3 times a week. Evaluations were made before medial branch block, 7 days after, and 14 days after using the Numerical Rating Scale(NRS). Results : Compared to before treatment, the NRS score of both EW and W groups after 7 and 14 days of treatment significantly decreased(p=0.0001). But only the EW group showed additional improvement between days 7 and 14(p=0.005). Regarding group comparison, the NRS score of the EW group was significantly lower than the W group at 7 days(p=0.037), and even more at 14 days(p<0.0001). Conclusions : Although medial branch block alone significantly improved acute low back pain, collaborative treatment with acupuncture was even more effective, with increased efficacy as time passed. Further research is recommended regarding the effects of collaborative treatment with acupuncture on acute low back pain.

• 대한관절경학회지
• /
• 제13권3호
• /
• pp.259-263
• /
• 2009

슬개골 추벽은 슬관절 형성이 시작되는 태생기 관절낭을 나누는 활막이 완전히 흡수되지 않고 남아있는 잔유물이다. 추벽은 위치에 따라 슬개 상, 슬개 내, 슬개 하, 슬개 외측 추벽으로 분류된다. 위치에 따른 4가지 형태의 추벽중 임상적으로 문제를 가장 많이 일으키는 것은 슬개 내측 추벽이다. 이러한 슬개 내측 추벽 증후군으로 인한 대퇴골 내과의 연골 연화증 및 연골 결손에 대한 문헌은 보고되어 있다.하지만 Outerbridge 분류 Grade III-IV, $2{\times}1.5cm$ 크기 이상의 양측성 거대 연골 결손에 대한 문헌은 없어 관절경적 치료 후 문헌 고찰과 함께 이를 보고 하고자 한다.

• PNF and Movement
• /
• 제19권1호
• /
• pp.43-55
• /
• 2021

Purpose: The purpose of this study was to determine the effects of contract relaxation and a combination of isotonics in proprioceptive neuromucular facilitation (PNF) on hip and lumbopelvic motions of male patients with chronic low back pain. Methods: As the subjects of this study, a total of 45 male patients with chronic low back pain were divided into groups: 15 who underwent contract relaxation (CR) of the PNF of their hip joints, 15 who underwent a combination of isotonics (CI) of the PNF, and 15 who underwent both techniques. A device for analyzing three-dimensional motion was used to measure hip medial rotation angles, lumbopelvic rotation angles, and hip medial rotation angles at the start of lumbopelvic rotation during hip medial rotation. A two-way repeated measures ANOVA was used to compare the average values. Results: There were interactions in the hip medial rotation angles, lumbopelvic rotation angles and hip medial rotation angles at the start of lumbopelvic rotation based on the methods and periods of exercise (p < 0.05). The CR and the CR+CI groups displayed more increased hip medial angles when compared to the CI group. The CR+CI group had more decreased lumbopelvic rotation angles when compared to the CR and the CI groups. The CR+CI group had more increased hip medial rotation angles at the start of lumbopelvic rotation when compared to the CR and the CI groups. Conclusion: It can be concluded that the combination of stretching and stability exercises was effective in male patients with chronic low back pain who showed limited hip medial rotation.

• 대한수학회논문집
• /
• 제38권2호
• /
• pp.561-573
• /
• 2023

In this paper, we extend the medial triangle theorem and Varignon's theorem to generic two-dimensional polygons and highlight the role played by diagonals in this process. One of the results is a synthetic definition of the concept of median for an n-sided polygon.

• 대한관절경학회지
• /
• 제2권1호
• /
• pp.93-96
• /
• 1998

We treated 10 cases of the medial malleolar fracture of the ankle by open reduction and internal fixation from June 1997 to December 1997. After the rigid internal fixation, we measured the gap of the fracture site and the step off of the articular surface by special instrument under the ankle arthroscopy whether it was reduced anatomically or not. And we tried to know the necessity of the arthroscopically assisted reduction and fixation in the medial malleolar fracture of the ankle. Under the arthroscopic view, all 10 cases were anatomically reduced as less than 1 mm of gap of the fracture site and less than 1mm of step off of the articular surface after open reduction and internal fixation in the medial malleolar fractures. In conclusion, through the arthroscopic management, it has advantage in finding and treating the accompanying intraarticular lesion, but also has disadvantage in setting the arthroscope and prolonging the operation time.

• 한국임상수의학회지
• /
• 제16권2호
• /
• pp.497-500
• /
• 1999

A 4 years old male mixed breed dog, which weighed 25.5 kg, referred to Veterinary Teaching Hospital at College of Veterinary Medicine in Chonnam National University, because of chronic hindleg lameness. Click sound by flexion and extension of stifle joint, positive reaction by cranial drawer movement, fat pad sign and tibial position in cranial drawer position on the lateral radiographic view, medial patellar luxation (grade II), and lameness score 2.5 at standing and 2 at walking in right hindleg were showed. Under general anesthesia with enflurane, after medial arthrotomy, it was performed to remove remnants of cranial cruciate ligament and torn medial menisci and joint closed. In modified retinacular imbrication technique, one lateral fabellar/tuberosity suture, one medial fabellar/tuberosity suture, and one imbrication suture adjacent to the patella were placed. At 9 days after operation, lameness score 0 was observed and general condition was excellent.