• 제목/요약/키워드: 비골건 탈구

검색결과 10건 처리시간 0.019초

비골 건 및 전방 경골 건 질환의 진단 및 치료 (Diagnosis and Treatment of the Peroneal Tendon and Tibialis Anterior Tendon Disorders)

  • 정홍근
    • 대한정형외과 초음파학회지
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    • 제1권1호
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    • pp.58-63
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    • 2008
  • 비골 건 탈구 손상의 발생 기전은 전형적으로 대부분이 발목 외상 후에 발생하며, 발목이 심하게 배부 굴곡된 상태에서 비골 건이 갑작스럽고 심하게 구축하는 경우에 흔히 발생한다. 본 손상이 재발하는 경우에는 단 비골 건 파열이 자주 동반되며, 초음파 검사로 비골 구에서 탈구 되는 소견을 확인 할 수 있다. 만성 재발성 탈구는 수술적 치료가 필요하며 비골 구를 깊게 하는 술식을 시행하여 좋은 결과를 얻을 수 있다. 전 경골건의 비외상성 파열은 고령 층 중 활동성 높은 부류에서 만성 자극에 의한 마멸, 국소적 스테로이드 주사, 당뇨병성 건염이나 염증성 관절증과 같은 전신질환에 의해 건의 연속성이 약화된 상태에서 호발한다.

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만성 비골건 재발성 탈구에서 원위 비골 회전 성형술: 술기 보고 (Distal Fibular Rotational Plasty for Chronic Peroneal Tendon Recurrent Dislocation: A Technical Report)

  • 서재완;박현우
    • 대한족부족관절학회지
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    • 제24권4호
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    • pp.168-172
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    • 2020
  • Chronic recurrent peroneal dislocation often responds poorly to conservative treatment. Surgical treatment has been reported to be more effective than conservative treatment, and various surgical treatment methods are available: superior peroneal retinaculum repair or reattachment, peroneal groove deepening procedures, rerouting procedures, or bone block procedures. Although various treatment options have been reported, there is no consensus regarding which treatment is better. This paper proposes a distal fibular rotational plasty that can prevent recurrent peroneal dislocations and recover its function well by securing a stable peroneal tendon excursion space.

외상성 만성 비골건 탈구의 수술적 치료 (1예 보고) (Operative Treatment of Chronic Recurrent Dislocation of Peroneal Tendon (A Case Report))

  • 이도영;강재도;임문섭;윤형조
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.120-122
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    • 2007
  • Traumatic dislocation of the peroneal tendon is an infrequent injury. This injury is caused by forceful dorsiflexion of the foot accompanied by a powerful contraction of the peroneal muscles. This mechanism of injury tears the superior peroneal retinaculum and allows the tendons to snap anteriorly. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by bone block surgery using autograft of lateral fibula and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

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만성 재발성 비골건 탈구의 수술적 치료 -1례 보고- (Operative Treatment of Chronic Recurrent Dislocation of Peroneal Tendon -Report of one case-)

  • 최호림;유현종;임영택;이상선;전재균
    • 대한족부족관절학회지
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    • 제3권1호
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    • pp.62-65
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    • 1999
  • Traumatic dislocation of the peroneal tendon is a rare injury. It should be distinguished from other conditions that can cause pain and disability of lateral aspect of the ankle joint. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by deepening of the peroneal groove of the lateral malleolus and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

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양측 족관절에 발생한 만성 재발성 비골건 탈구의 수술적 치료: 증례 보고 (Operative Treatment for Bilateral Chronic Recurrent Dislocation of the Peroneal Tendon: A Case Report)

  • 나화엽;송우석;이주영
    • 대한족부족관절학회지
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    • 제24권4호
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    • pp.161-164
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    • 2020
  • A peroneal dislocation is a rare disease that is often misdiagnosed as a simple sprain and can be treated inadequately in the acute phase. For this reason, it is important to have an appropriate diagnosis in the early stages because it can progress to chronic and recurrent conditions. Surgical treatment is considered mainly when progressing to chronic recurrent dislocation. Recently, patients with an acute peroneal dislocation tend to prefer surgical treatment, so accurate initial diagnosis and management are very important. This paper reports a case of chronic recurrent peroneal tendon dislocation in both ankle joints, which was treated by a superior peroneal retinaculum reconstruction and a groove deepening procedure.

족관절 삼과 골절과 동반된 장 비골건 탈구(1예 보고) (Peroneus Longus Dislocation associated with Trimalleolar Fracture (A Case Report))

  • 황인환;김광열;김형천;임문섭;이지훈;조성준
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.227-229
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    • 2009
  • Traumatic dislocation of the peroneus longus tendon is an often unrecognized injury which has been reported to occur most commonly during sports activity. Most acute cases with early detection can be treated by simple repair of the tendon or retinaculum using one of several procedures available. Accurate treatment through a comprehensive evaluation of the ankle injury prevents suboptimal and sometimes unrecorrectable outcomes. The authors experienced concomitantly the peroneus longus tendon dislocation associated with a trimalleolar fracture of the ankle. We report this case a brief review of the literature.

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종골 골절과 동반된 비골건 탈구(6예보고) (Peroneal Tendon Dislocation associated with Calcaneal Fracture (Six Cases Report))

  • 차승도;김형수;정수태;박재형;김주학;염주상;이창현
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.210-215
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    • 2008
  • Peroneal tendon dislocation in association with calcaneal fracture is not common and difficult to diagnose and is often overlooked. It can result in peroneal tendon tear and tenosynovitis which in turn lead to ankle pain and dysfunction. Early detection with through physical examination and CT scan is important to reduce the subsequent tendon dysfunction. We experienced 6 cases of peroneal tendon dislocation associated with calcaneal fracture, and treated 3 of them at the time of fracture operation and treated the other 3 after calcaneal fracture surgery due to sustained pain. We report the results with a review of the literature.

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만성 습관성 비골 건 탈구 - 4예 보고 - (Recurrent Peroneal Tendon Dislocation - Four cases report -)

  • 강호정;권오룡;심동준;강응식;한수봉
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.100-105
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    • 2002
  • Purpose: The purpose of this study is to report four operative cases of recurrent peroneal tendon dislocation being effectively treated by superior peroneal retinaculum reconstructive operation and rerouting of calcaneofibular ligament. Materials and Methods: Four male adults with recurrent peroneal tendon dislocation including one of patient with redislocation after the treatment of plication of inferior peroneal retinaculum were followed up after being treated with superior peroneal retinaculum reconstructive operation using Achilles tendon and rerouting of calcaneofibular ligament. Results: All patients followed up for over one year revealed no pain and no redislocation. One patient who experienced redislocation after the treatment of plication of inferior peroneal retinaculum had no other complication after the treatment of superior peroneal retinaculum reconstructive operation using Achilles tendon. Conclusion: The reconstructive operation presumed to be effective for recurrent peroneal tendon dislocation.

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