• Journal of Korean Foot and Ankle Society
• /
• v.11 no.2
• /
• pp.123-129
• /
• 2007

Purpose: The aim of this study was to analyze radiological change of Kager's triangle in patients with retrocalcaneal disorders. Materials and Methods: Areas of Kager's triangle and calcaneus were calculated with Heron's Formula. Average of area ratio (area of Kager's triangle / area of calcaneus) was calculated for comparison and analysis, according to disease activity and aging process. One-tailed Z-test was done with the average of area ratio. Results: Average of area ratio (area of Kager's trianlge / area of calcaneous) tends to decrease according to aging process and disease existence. Conclusion: Because area of Kager's triangle in patients with retrocalcaneal disorders tends to change according to disease activity and aging process, we should consider clinical correlation between the anatomical structure of Kager's triangle and retrocalcaneal symptoms.

• Journal of Korean Foot and Ankle Society
• /
• v.11 no.2
• /
• pp.244-247
• /
• 2007

Cause of flexible flat foot is predominantly idiopathic but pediatric flexible flatfoot is typically congenital. Neuromuscular disorders, tarsal coalition and prehallux are possible causes and there has been a controversy for diagnosis and surgical treatment guideline. Therefore we present 11-year old male with prehallux and flexible flat foot who was treated with Kidner procedure and subtalar arthroereisis using Kalix endoprothesis and reported good clinical outcome at 2-years follow up postoperatively.

• Korean Journal of Veterinary Research
• /
• v.35 no.3
• /
• pp.625-630
• /
• 1995

During the period from june 1994 to february 1995 influence of free stall with concrete floor on profile of blood chemistry and clinico-morphopathogenesis of foot disease on 266 cows were studied. The results obtained as follow. 1. No differences between value of blood chemistry in normal and lame cows with foot disease were observed. 2. 20.7% of the cows were clinically lame. 3. Prevalence of clinical digital disorders were investigated: hyperplasia interdigitalis(45.8%), pododermatitis circumscripta(22.4%), dermatitis interdigitalis(9.4%), erosio ungulae(5.9%), phlegmona interdigitalis(3.5%), pododermatitis septica traumatica(3.5%), dermatitis digitalis(2.4%), white line disease(2.4%), pododermatitis aseptica diffusa(2.4%), dermatitis verrucosa(1.2%), fissura ungulae(1.2%) 4. Most claw lesions were located on lateral hindclaws and interdigital space of hindclaws.

• Journal of Biosystems Engineering
• /
• v.34 no.1
• /
• pp.57-62
• /
• 2009

Kinematic analysis of MTC (Muscle-Tendon Complex) units is a key indicator for diagnosis of patients with musculoskeletal disorders because the contracture or shortening of musculo-tendinous units is known to produce pathological gaits. Therefore, the principal objective of this study was to assess the length change in the triceps surae prior to and after wearing an AFO (Ankle-Foot Orthoses) in patients with musculoskeletal disorders during a gait. In this study, analyses were conducted using a Muscle Tendon Complex model coupled with the trajectory data from markers attached to anatomical landmarks. As a result, the maximum length change in the triceps surae during a gait was 4.87% when a barefoot walking group and a walking group with AFO were compared. In particular, the difference in length changes between both groups in Soleus MTC units was found to be statistically significant in all gait phases. Our results revealed that MTC length in the AFO walking group was clearly increased over that of the barefoot walking group. In the future, further studies will be required in order to more adequately assess musculoskeletal disorders using many cases studies with regard to agricultural working conditions because this study deals with the kinematic analysis of musculo-tendinous units in the case of clinical experiments.

• Journal of Acupuncture Research
• /
• v.23 no.3
• /
• pp.57-65
• /
• 2006

Objectives : It is known that the five Su points are very useful clinically. The following study was undertaken in order to find out the general characteristic and the origin of the five Su points. Methods: We investigated the relation of symptoms that are treated by five Su points and Shi-Dong Suo-Sheng-Bing(是動 所生病). The main reference book was Zhen Jiu Jia Yi jing(鍼灸甲乙經) and the author took Liver Meridian of Foot Gworeum(足厥陰肝經) as an example. Results : 1. Five Su point of Liver Meridian of Foot Gworeum(足厥陰肝經) treats Shi-Dong-Bing(是動病) of Liver Meridian of Foot Gworeum. It is peculiarity of Five Su point of Liver Meridian of Foot Gworeum, differed from the others acupoints. Symptoms of Shi-Dang-Bing appears with the abnormal pulsation of Merdian Gi(脈氣), and the special feature of Shi-Dang-Bing is the symptoms are consisted of disorders of whole body, trobles of an internal organ, and psychosomatic disorders. 2. In , it is described the part of pulse feeling for Shi-Dong-Bing(是動病) of Liver Meridian of Foot Gworeum(足厥陰肝經) as ‘A region that is 2 Chon(寸) from the basic digital joint of the first toe’. This region is agree with the acupoint of Liver Meridian of Foot Gworeum in , . And Haeng-gan(行間) Tae-chung(太衝), members of five Su-points of Liver Meridian of Foot Gworeum is situated the same region. So we suppose that the part of pulse feeling for Shi-Dong-Bing of Liver Meridian of Foot Gworeum is transformed into Haeng-gan(行間) Tae-chung(太衝), among the five Su points.

• Journal of the Korean Society for Precision Engineering
• /
• v.24 no.1 s.190
• /
• pp.85-92
• /
• 2007

In the present study, three-dimensional motion analyses were performed to determine biomechanics of the lower extremity in unexpected missing foot steps for ten healthy young volunteers. In unexpected missing foot steps, the whole plantar surface of the foot or the heel contacted to the ground. A rapid ankle dorsiflexion was found right after missing foot steps and an increased plantarflexion moment was noted during loading response. After the unexpected situation, the breaking force increased rapidly. At this time, both tibialis anterior and soleus were simultaneously activated. Moreover, the range of motion at ankle, knee and hip significantly decreased during stance. In pre-swing, rectus femoris and biceps femoris prevented the collapse of the lower limbs. During late stance, propulsive forces decreased and thus, both plantarflexion moment and power generation were significantly reduced. On the opposite side, hip extension and pelvic upward motion during terminal swing were significant. Due to the shortened pre-swing, the energy generation at the ankle to push sufficiently off the ground was greatly reduced. This preliminary study would be helpful to understand the biomechanics of unexpected dynamic perturbations and valuable to prevent frequent falling of the elderly and patients with gait disorders.

• Journal of Korean Foot and Ankle Society
• /
• v.21 no.4
• /
• pp.156-164
• /
• 2017

Purpose: Foot and ankle disease (FAD) is a frequent cause of morbidity among the homeless population. Various conditions, exacerbated by malnutrition, poor lifestyle habits, psychiatric disorders, physical injuries, poor hygiene, and limited access to healthcare, have been described in this population. The purpose of this study was to investigate the cognition and management status of FAD in shelter based homeless people. Materials and Methods: Fifty-two male and twenty-five female volunteer homeless individuals were recruited from two homeless shelters. Each person completed a questionnaire assessing any presence of pain, pain management, as well as foot and ankle care status. A foot and ankle surgeon examined the physical status of the individual's foot and ankle, including tenderness and instability. A radiologic evaluation was done for 18 male and 11 female homeless people who agreed to participate in this test for the existence osteophyte or joint space narrowing representing osteoarthritis and some reference angles for hallux valgus, flatfoot and cavus foot. Results: Homeless people had higher prevalence of body mass index, diabetes, and smoking than the general population. The most prevalent infectious disease was fungal infection (male 78%, female 68%), with a low compliance of management for FAD. Conclusion: Although most of shelter-based homeless people showed an acceptable foot and ankle management status, the potential risk for FAD development and exacerbation of mild FAD was high.

• Journal of Korean Foot and Ankle Society
• /
• v.17 no.1
• /
• pp.11-16
• /
• 2013

Freiberg's disease is a osteochondrosis of a metatarsal head that is recognized as primarily a disorder of the second metatarsal. It is seen more often in girls. Pain and limitation of motion of the affected joint is the predominant clincal feature. The radiographic appearance demonstrates from osteosclerosis in the early stage to osteolysis with collapse in the later stage. Conservative therapy may take the form of rest, a stiff shoe, and even a cast support to decrease the stress across the joint. Surgical intervention may also be of benefit. Surgery have been attempted either to modify the diseae process or to salvage the situation once the metatarsophalangeal joint develops degenerative changes. Metatarsophalangeal joint instability is common cause of forefoot pain that can develop in association with a traumatic episode and inflamatory tissue disorders as well as neighboring toe deformities. The second ray is by far the most frequently involved. The diagnosis can be made by clinical observation and physical examination including drawer test. Many surgical procedures have beem recommended when conservative treatment has failed. Procedures described range from soft tissue releases and tendon trasfer to the direct plantar plate repair combined with a Weil osteotomy.

• Journal of the Ergonomics Society of Korea
• /
• v.25 no.3
• /
• pp.17-24
• /
• 2006

In this paper, we propose a stress analysis on foot by lifting task attitudes. Maximum force and peak pressure were measured on 8 body regions by Pedar system in order to analysis the stress which is affected by task style and angle on foot when Manual Materials Handling task. As for the peak pressure of the whole foot as to the task height during the lifting task, the height from Knuckle to Shoulder was the least in the peak pressure. Also, as for the maximum force and the peak pressure of the whole foot as to the task angle during the lifting task, it could be seen that the more an angle increases, the stress influencing on a foot jumps. As for the maximum force and the peak pressure by foot region as to the task height in case of the lifting task, the height from Knuckle to Shoulder is indicated the smallest value in the maximum force and the peak pressure, thus there is necessary to attain the work design that considered this. Also, as for the maximum force by foot region as to the task angle in case of the lifting task, 0° tasking is indicated to be least, thus there is necessity to be attained the tasking design in a bid to prevent the existence of an angle. The results of this paper are thought to be helpful to the suitable work design, to the prevention of musculoskeletal disorders related to the lower limbs, and to the design of ergonomic safety shoes.

• Journal of Korean Foot and Ankle Society
• /
• v.19 no.1
• /
• pp.32-34
• /
• 2015

Accessory navicular is a congenital anomaly appearing in the secondary ossification center on the tuberosity of the navicular that may cause flatfoot. Bipartite medial cuneiform is another rare congenital anomaly occurring as two primary ossification centers in the medial cuneiform. The authors report a rare case of symptomatic bilateral accessory navicular with bipartite medial cuneiform and flatfoot deformity in a 19-year-old man with a review of the literature.