• 제목/요약/키워드: Metatarsal bone

검색결과 97건 처리시간 0.017초

모턴씨 신경종의 수술적 치료를 위한 중족골 교정 절골술 (Corrective Osteotomy of Metatarsal Bone for Surgical Treatment of Morton's Neuroma)

  • 주인탁;장호성;박현우
    • 대한족부족관절학회지
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    • 제19권2호
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    • pp.58-62
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    • 2015
  • Purpose: The purpose of this report is to investigate the clinical and radiological results of corrective osteotomy of the 3rd metatarsal bone for shortening and dorsal displacement without exposure around neuroma. Materials and Methods: Twelve cases of patients who underwent corrective osteotomy of metatarsal bone for a Morton's neuroma from November 2013 to September 2014 were retrospectively reviewed. Corrective osteotomy was performed through a dorsal approach at the 3rd metatarsal bone base and distal metatarsal bone was displaced dorsally and proximally. Preoperative and postoperative pain assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score and radiographs were evaluated. Results: The mean age of patients was 41.4 years, and the mean follow-up period was 10.7 months. AOFAS score improved from 52 preoperatively to 90 postoperatively. The 3rd metatarsal bone was shortened by an average of 3.39 mm and elevated by 2.38 mm. Conclusion: Corrective osteotomy of metatarsal bone can be regarded as a new surgical option for Morton's neuroma without exposure around neuroma.

송아지의 뒷발가락 결손증 (Ectrodactyly in a Holstein calf)

  • 김종섭
    • 대한수의학회지
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    • 제36권2호
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    • pp.283-287
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    • 1996
  • An abnormal female Holstein calf with ectrodactyly of right hindlimb was observed macroscopically and radiographically, and the results were summarized as follows. 1. The central and fourth tarsal bones in the left hindlimb were separated. 2. The tarsus in the right hindlimb consisted of five pieces; the talus, calcaneus, central and first tarsal bones were separated, and the second, third and fourth tarsal bones were fused. 3. The large metatarsal bone in the right hindlimb was fused rudimentary fourth metatarsal bone and well developed third metatarsal bone. 4. The phalanges of the lateral(fourth) digit were absent in the right hindlimb.

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중족골에 발생한 단순 골낭종 - 1예 보고 - (Simple bone cyst which occurs in the metatarsal bone)

  • 라종득;박현수;임창석;정태원
    • 대한족부족관절학회지
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    • 제7권2호
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    • pp.279-282
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    • 2003
  • Most simple bone cysts are found in the metaphysis of the long bone, such as proximal humerus or proximal femur. Appropriate treatment is aspiration of the cyst followed by instillation of methylprednisolone or curettage with bone graft. We experienced 1 case of the simple bone cyst of the metatarsal bone. This case was treated by curettage and inserting allograft into the defect.

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Osteoid osteoma of the third metatarsal bone: A case report

  • Moon, Dae Gon;Nam, Kwang Woo;Hyun, Chang Lim;Seo, Kyu Bum
    • Journal of Medicine and Life Science
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    • 제15권1호
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    • pp.27-30
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    • 2018
  • Osteoid osteoma is a benign bone tumor composed of osteoid and atypical bone. The most commonly known sites of following tumor are long tubular bones, especially femur and tibia. Yet, development of osteoid osteoma in the foot is unusual, and there aren't much reported literatures of metatarsal osteoid osteoma. In this article, we report a case of the osteoid osteoma in the 3rd metatarsal bone of a 14-year-old male patient.

제 1 중족골에 발생한 기괴 방골성 골연골성 증식증: 증례 보고 (Bizarre Parosteal Osteochondromatous Proliferation in the First Metatarsal Bone: A Case Report)

  • 김우성;정유훈;오상훈;한은미
    • 대한골관절종양학회지
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    • 제20권2호
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    • pp.104-108
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    • 2014
  • 기괴 방골성 골연골성 증식증(Nora씨 병변)은 드문 발생률을 가진 양성 종양으로 주로 수부 및 족부의 단관골에서 발생하는 것으로 알려져 있으나 중족골에서 발생한 증례가 국내에서 보고된 경우는 매우 드물다. 저자들은 중족골에 발생한 기괴 방골성 골연골성 증식증을 경험하였기에 문헌고찰과 함께 보고한다.

족부에 발생한 재발 연골 유점액 섬유종의 치료 - 1예 보고- (Chondromyxoid Fibroma of the First Metatarsal - A Case Recurred after Curettage and Bone Graft -)

  • 오인석;김명구;이상형
    • 대한골관절종양학회지
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    • 제9권1호
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    • pp.110-114
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    • 2003
  • 연골 유점액 섬유종은 젊은 층에서 발생하며 비교적 드문 양성종양이나 재발률이 높은 것으로 알려져 있다. 경골의 근위 1/3의 골간단에 대부분 발생하며 족부에도 20%에서 발생한다고 보고하였다. 저자는 족부에 발생한 연골 유점액 섬유종 1례에 대하여 1차 소파술 및 골 이식술을 시행하였으며 술 후 7개월에 재발하여 전절제술 및 장골 이식술을 시행하여 24개월간 추시 후 만족스러운 결과를 얻었다.

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발가락과다증(polydactyly)인 1개의 여분의 뒷다리가 왼쪽 둔부위에 부착된 닭의 다리과다증(polymelia) 1례 (A case of polydactylic polymelia with an extra pelvic limb attached at the left pelvic region in a fowl)

  • 김종섭;원청길;하정기;연성찬
    • 대한수의학회지
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    • 제41권1호
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    • pp.7-11
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    • 2001
  • The abnormal female fowl (Arbor Acres broiler) of 40-day-old, which was polymelia with polydactyly was observed macroscopically and radiographically. An extra pelvic limb was attached at the left pelvic region. The extra pelvic limb consisted of an underdeveloped and malformed Os coxae like bone, femur like bone, tibia and fibula like bones, tarsal and metatarsal like bones, and five digits. The tarsal bones of two normal pelvic limbs and one extra pelvic limb were not fused with tibia and metatarsal bones respectively. The metatarsus of extra pelvic limb consisted of a single bone derived from several components. In a case of normal, first metatarsal bone remains independent. However in this case. all of metatarsal bones were fused. The extra pelvic limb was polydactyly. The digits consisted of the first and extra digit of three. the second and third of four. and the fourth of five phalanges. In each toe the last phalanx was pointed and formed the claw. The first and the second digits were polyphalangia [hyperphalangia]. The extra digit was microdactylia and brachydactyly.

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한국재래산양의 후지골격에 관한 해부학적 연구 (Anatomical Studies on the Skeleton of Pelvic Limb of Korean Native Goat)

  • 김진상;이흥식;이인세;윤여성
    • 대한수의학회지
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    • 제28권1호
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    • pp.1-16
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    • 1988
  • The anatomical structure of pelvic limb, of thirty-one adult Korean native goats (Body weight: 14~17kg) was observed after skeletal preparation, and the osteometry was performed in each bone. The results were as follows: 1. The pelvic limb of the Korean native goat was composed of the hip bone, femur, patella, tibia, fibula, tarsal bones, metatarsal bone, phalanges and sesamoid bones. 2. The hip bone consisted of the ilium, ischium and pubis which fused each other, The gluteal surface of the ilium was directed dorsolaterally. The tuber sacrale and tuber coxae were formed at the dorsal apex and ventrolateral part of the iliac wing, respectively. The lesser ischiatic notch was deeper than the greater one. The ischiatic tubercles were triangular form and consisted of the dorsal, lateral and caudal ischiatic tubercles. The left and right hip bone indexes were 67.08, 66.20, the acetabular indexes were 93.78 and 92.10 and the obturator foramen. indexes were 53.84 and 54.77, respectively. 3. In femur, both of the greater and lesser trochanter were well developed but the third trochanter was not observed. The left and right femur indexes were 26.55 and 26.14, head indexes were 81.66 and 81.49 and the trochlear-epicondyle indexes were 42.47 and 41.63, respectively. 4. The patella was observed as an isosceles triangle with base lying proximal and the cranial surface was more convex. 5. The tibial shaft was sigmoid form and the popliteal notch was deep. There was a large nutrient foramen at the cranial aspect of the cranial intercondylar area. The tibial indexes were 22.09 in left and 21.10 in right. 6. The proximal extremity of the fibula was fused with the lateral condyle of the tibia but the distal one was observed independently as the malleolar bone. 7. The tarsal bones were five in number; the talus, calcaneus, centroquartal tarsal bone, first tarsal bone, and second-third tarsal bone. 8. The metatarsal bone was composed of a large metatarsal bone. resulted from the fusion of the third and fourth metatarsal bones, The structure of metatarsal bone was similar to the metacarpal bone but longer about 7mm. 9. The phalanges and sesamoid bones were similar to these of the thoratic limb. 10. The ratios of the lengths among the hip bone, femur, tibia and metafarsal bone were 1.71 : 1.54 : 1.73 : 1.00 in left and 1.68 : 1.53 : 1.72 : 1.00 in right, respectively.

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양측 제 1,4 단중족증의 자가골을 이용한 일단계 골연장술(1예 보고) (One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone (A case report))

  • 김동희;정덕환;한정수;이재훈;박재용;오경일;탁대현
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.182-185
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    • 2010
  • 19 years old girl presented with bilateral 1, 4th brachymetatarsia. We have used an autograft interposition technique to lengthen the brachymetatarsia involving first and fourth metatarsal. The technique was to graft the bone fragment from the relatively long second and third metatarsal bone to be used as an autograft to the short first and fourth metatarsal bone. The method is superior in not having the necessity of a long term external fixator which is needed using callotasis method and in also avoiding the inconvenience of performing an allograft. Absence of donor site complication during autograft from iliac bone is also an advantage to be mentioned. Our technique can therefore be ascertained as a successful method in both cosmetic results and improvement of symptoms including reduction in length of recovery.

운동선수의 제5 중족골 피로골절 (Fifth Metatarsal Stress Fracture)

  • 이경태;박영욱;제갈혁;김준범
    • 대한족부족관절학회지
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    • 제16권2호
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    • pp.87-93
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    • 2012
  • Fractures located at the metaphyseal/diaphyseal junction at the base of the fifth metatarsal were first described by Sir Robert Jones in 1902. However, ever since, there has been disagreement and debate regarding the diagnosis, classification, pathomechanics, the incidences, and potential causes of delayed unions and nonunions, and the optimal method of treatment. It appears to be widely agreed that proximal fractures of the metaphyseal/diaphyseal region of the fifth metatarsal are prone to delayed union or even nonunion. Several classifications of proximal fifth metatarsal stress fractures have been devised. Torg et al. classified fractures involving the proximal part of the diaphysis of the fifth metatarsal into three types. The Torg classification is a good grading system that can be used to determine the type of surgery needed as well as for the prediction of prognosis. The ''plantar gap'' might add to the decision-making process for surgery and improve the prediction of patient prognosis. In addition, the new classification using 'plantar gap' might be used for classification of fifth metatarsal stress fracture. Fifth metatarsal stress fractures can be treated conservatively or surgically, and excellent results have been reported for surgery with rapid recovery in athletes. Intramedullary screw fixation has become a popular form of fixation for fifth metatarsal stress fractures. Bone grafting presents the problems of a longer recovery time and additional skin incision for harvesting. The modified tension band wiring is an useful and simple option for surgical treatment of challenging fifth metatarsal stress fractures.