• 제목/요약/키워드: 후족부

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무지 외반증에서 원위 갈매기형 절골술 후 발생한 제1 중족골 두 무혈성 괴사 (1예 보고) (Avascular Necrosis of the First Metatarsal Head after Distal Chevron Osteotomy for Hallux Valgus (A Case Report))

  • 정운섭;이중호;박용욱
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.115-119
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    • 2007
  • Avascular necrosis of the first metatarsal head is uncommon. It is most often seen following a distal metatarsal osteotomy for hallux valgus. Although many cases may be subclinical, it is a powerful cause of failure of bunion surgery. Avascular necrosis of the first metatarsal head results in a series of events that begins with phases of avascularity; revascularization, with or without collapse; and reossification. Collapse may result in degenerative change of the metatarsophalangeal joint. We have recently experienced a case of avascular necrosis of the first metatarsal head.

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국소 스테로이드 반복 주사후 발생한 자발적 아킬레스건 파열 -증례 보고- (Spontaneous Achilles Tendon Rupture After Repeated Local Steroid Injention - A Case Report -)

  • 정형진;최정윤
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.218-220
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    • 2004
  • It is known that steroids increase the risk for tendon ruptures. Despite this local steroids are still used in the treatment of achilles tendinitis. 46-year-old women had occurred achilles tendon rupture after repeated local steroid injection. Intraoperatively, necrotic change were seen at both side of ruptured end. Like this, tendon rupture after repeated steroid injection often result in a large defect, which needed surgical repair. After debridement of ruptured end, tenorrhaphy with single Krackow method and plantaris tendon augmentation was done. The patient showed favorable result with return to range in a degree of activity levels.

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뇌성마비로 인한 양측성 첨내반족 변형의 수술적 치료 후 발생한 종외반족 변형의 치료(1예 보고) (Treatment of Calcaneovalgus Deformity Following Operative Treatment of Diplegic Equinovarus Deformity in Cerebral Palsy Patient (A Case Report))

  • 김유미;이우천;정웅서
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.197-202
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    • 2009
  • Calcaneal or calcaneovalgus deformity can occur after surgical treatment of equinus or eguinovarus deformity in cerebral palsy patient. It is a serious complication and the results of many conservative and operative treatments are reported unsatisfactory. We experienced one case of both calcaneovalgus deformity following operative treatment of diplegic equinovarus deformity in a spastic cerebral palsy patient and report about the result of the treatment.

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족관절 외과의 점액낭염 절제술 후 발생한 활액막 누공의 수술적 치료: 증례 보고 (Surgery for Synovial Fistula after Excision of the Lateral Malleolar Bursitis of the Ankle: A Case Report)

  • 장효석;최홍준
    • 대한족부족관절학회지
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    • 제19권3호
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    • pp.118-121
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    • 2015
  • Lateral malleolar bursitis of the ankle is a commonly encountered disease in the department of orthopedic surgery. Although most cases of lateral malleolar bursitis are managed by conservative treatments, operative treatment is considered in cases of infected bursitis or complication after surgery. There are several potential complications associated with operative treatment, including wound healing problem, skin necrosis, nerve injury, or recurrence. However, synovial fistula of the ankle as a complication after surgery for lateral malleolar bursitis has not been previously reported. The author experienced the complication of synovial fistula after surgery for lateral malleolar bursitis and obtained a satisfactory result in revision surgery for the complication, which was coverage of the fistular formation with a periosteal flap from the distal fibula.

변형된 Jones 술식 후에 발생한 단무지 신전건의 연장을 치료하기 위한 제2 장족지 신전건의 분리 이전술 (Split Transfer of Extensor Digitorum Longus of the Second Toe for Elongation of EHB after Modified Jones' Procedure)

  • 김정래;이우천
    • 대한족부족관절학회지
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    • 제15권3호
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    • pp.183-186
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    • 2011
  • Extensor hallucis brevis (EHB) is only extensor of the first metatarsophalangeal (MTP) joint after modified Jones procedure. Therefore preserving the normal insertion of the EHB has been emphasized during that procedure. We experienced a case of EHB rupture after modified Jones procedure and had satisfied surgical outcome by partial transfer of extensor digitorum longus (EDL) of second toe.

족관절 골관절염에서 히알루론산 관절 내 주사 (Intra-Articular Hyaluronic Acid Injection in Ankle Osteoarthritis)

  • 박용욱
    • 대한족부족관절학회지
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    • 제15권3호
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    • pp.115-118
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    • 2011
  • 족관절 내 히알루론산 주사 후 효과에 대한 참고 자료를 살펴 본 결과 대부분의 연구들이 족관절 내 히알루론산 주사에 대한 효과와 안전에 대해 긍정적으로 보고하고 있지만, 아직까지는 결론을 짓기는 어렵다고 하겠다. 추후 많은 환자를 대상으로 한 무작위 이중맹검 위약대조군 연구(randomized double-blind placebo-controlled trials)를 통해 그 결과를 평가해야 할 것으로 사료되며, 또한 장기 추시를 통해 효과 발현 시기 및 지속 기간을 평가해야 할 것이다.

후 경골 정맥의 정맥류에 의해 발생된 족근관 증후군(2예보고) (Tarsal Tunnel Syndrome secondary to the Varicosis of Posterior Tibial Vein (Two Cases Report))

  • 이진영;김갑래;반태서
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.216-219
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    • 2008
  • Tarsal tunnel syndrome is a complex of symptoms resulting from the compression of the posterior tibial nerve or its branches. Many studies have done on etiologic agents. We reported two cases of tarsal tunnel syndrome secondary to the varicosis of posterior tibial vein. Symptoms were relieved after excision of the varicosis, neurolysis and reposition of posterior tibial nerve.

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설상형 종골 골절의 부정 유합 후에 발생한 Haglund씨 증후군 - 3례 보고 - (Late Sequelae of Secondary Haglund's Syndrome after Malunion of Tongue Type Calcaneus Fracture - Report of Three Cases -)

  • 정홍근;노한진
    • 대한족부족관절학회지
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    • 제4권1호
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    • pp.48-54
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    • 2000
  • Haglund's syndrome produces retrocalcaneal bursitis or achilles tendinitis due to impingement of posterior superior bursal projection of calcaneus on insertional fibers of achilles tendon. Haglund's syndrome has been mainly associated with wearing rigid counter shoes and with athletes. We experienced three case of late sequelae of secondary Haglund's syndrome after malunion of tongue type calcaneus fracture. It is to be the first description of secondary Haglund's syndrome after calcaneus malunion and also the first report as the late complication of calcaneus fractures. Three cases were all tongue type intraarticular fractures and were treated with $45^{\circ}$ superior angle resection of superior calcaneal tuberosity. Clinical results by modified Rowe score were excellent with complete pain relief for all three cases.

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모턴씨 신경종(족지간 신경염) (Morton's Neuroma (Interdigital Neuritis))

  • 박현우
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.58-61
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    • 2011
  • 전족부 통증의 주요 원인 중의 하나인 모턴씨 신경종, 즉 족지간 신경염은 진정한 종양이 아니라 신경 포착 증후군의 일종으로 이해되고 있으며, 진단 시 정확한 이학적 검사와 함께 전족부 통증의 원인이 되는 다른 질환과도 감별해야 한다. 치료에 있어서는 적절한 보존적 치료에도 증상 호전이 되지 않는 환자에게 수술적 치료로서 신경절제술이 주로 시행되어 약 80%의 환자가 만족하는 좋은 결과를 보고하고 있으나, 수술 후 만족스럽지 않은 결과를 보이는 2~35%의 환자를 적절히 처치함으로써 족지간 신경염의 치료 결과를 좀 더 만족스럽게 할 수 있을 것이다.

관혈적 정복술 및 내고정술 후 군인에게 발생한 경비골 원위부 골결합증(1예 보고) (Distal Tibiofibular Synostosis after Open Reduction and Internal Fixation in a Military Soldier (A Case Report))

  • 이준영;남기영;송경철
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.105-107
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    • 2010
  • The scanty literature on distal tibiofibular synostosis includes descriptions of relatively few specific complaints. Here we report a case of a 24-year-old young soldier who sustained a left ankle lateral malleolar fracture about 6 months ago and was initially treated by the open reduction and internal fixation with plate & screw. But 6 months later, he suffered from an vague ankle pain, each time the symptoms occurred right after an active ambulation, ankle dorsiflexion, especially when he had exercised aggressively. The radiographs revealed that there was a mature distal tibiofibular synostosis. We treated the patient with surgical excision of synostosis. Post-operative condition was satisfied to all concern and the result was found to be excellent during one-year follow-up.