• 대한족부족관절학회지
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• 제23권2호
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• pp.78-81
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• 2019

Hallux valgus with metatarsus adductus is difficult to treat and has a higher risk of recurrence after correction. Some treatments for hallux valgus with metatarsus adductus have been reported, but these are extensive procedures with a risk of complications associated with the shortening and malposition of the lesser metatarsals. The technique described here is easier to perform and has several advantages over the previously reported techniques.

• 대한족부족관절학회지
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• 제19권3호
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• pp.132-135
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• 2015

We experienced a rare case of parosteal lipoma, which located on the periosteum of the foot 4th metatarsus. A 22-year-old woman visited the hospital with painful mass in her foot. Based on the assessment of plain radiographs, computed tomography scan, and magnetic resonance image, it was suspected as lipoma. Marginal excision was performed and parosteal lipoma was confirmed histologically. Any local recurrence and complications were not observed in 2 years after surgery.

• 한국운동역학회지
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• 제22권1호
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• pp.35-42
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• 2012

The aim of the present study was to investigate effect of running speed conditions on the kinematic pattern of the metatarsus, mid-foot, calcaneus. Twenty-two healthy young adults were made to run on treadmill at three different running speeds(normal speed, 9.2; slow speed, 7.4; fast speed, 11.1km/hr.) and the trajectories of the 10 reflective markers for each subject were recorded by an eight-camera motion capture system at 200 Hz. Three-dimensional angles for the foot segment in the support phase during running were calculated according to Euler's technique. Results showed that running speed did not affect the peak of the dorsi/plantar flexion, inversion/eversion, and adduction/abduction or their range of motion for each foot segment. However, when the running speed was fast, significant differences were found in the peak of the plantar flexion, eversion, and adduction and ROM(range of motion) of the dorsi/plantar flexion, inversion/eversion, and adduction/abduction between the foot segments, metatarsus, mid-foot, and calcaneus. It was proposed that the foot segment should be analyzed from a multi-segment system point of view on the basis of anatomical reference during locomotion.

• 한국가금학회지
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• 제17권4호
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• pp.296-302
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• 1990

Aflatoxin $B_1$($AFB_1$ 0 또는 1ppm)과 Vitamin $D_3$($VD_3$0, 500, 1,000 또는 1,500IU/kg)의 교호작용을 조사코자, Hubbard계통 broiler 병아리 336수를 이용, 2$\times$4 요인시험이 실시되었으며, 전체8처리가 3반복으로 설계되어 탈지건조 중족골의 회분 및 무기물함량과 중량 등을 측정하였다. 얻어진 결과를 요약하면 다음과 같다. L 중족골의 신선중량에 있어서 $AFB_1$ 급여에 의한 차이는 나타내지 않았으며 $VD_3$의 수준이 증가됨에 따라 감소되는 경향을 보였다(P＜.01). 2. 탈지건조 중족골의 회분함양을 보면 $AFB_1$의 급여로 인하여 감소되었으며(P＜.01), $VD_3$수준이 증가될 때 반대로 증가되었다(P＜.01). 교호효과는 인정되지 않았으나 $AFB_1$ 1ppm 급여로 인한 회분감소를 극복하기 위하여 $VD_3$ 1,500IU/kg의 급여가 필요하다는 것이 증명되었다. 3. Ca의 함양은 AFB$_1$급여의 영향을 받지 않았으나 $VD_3$에 의하여 증가되는 경향을 보였다(P＜0.05). 4. P의 함양은 $AFB_1$급여로 감소되었으나(P＜.01) $VD_3$의 영향은 없었다. 5. Cu의 함양은 AFB$_1$$AFB_1$에 의하여 감소되었다(P＜.05). 6. Na Mg, K, Zn, Fe 및 Mn의 함량은 $AFB_1$이나 $VD_3$에 의하여 영향을 받지 않았다.

• 한국가금학회지
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• 제20권3호
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• pp.133-140
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• 1993

본 연구는 비타민 D$_{3}$(VD$_{3}$) 결핍 병아리에게 자외선을 상이한 간격으로 조사하여 경과시간에 따라 다리의 중족골을 채취하여 회분, Ca, P의 수준을 조사코자 실시되었다. 육용 Hubbard 계통 199수의 초생추(대조구 10수＋3조사간격$\times$9조사 후 경과시간$\times$7반복)를 무창약등 육추사에 넣고 VD$_{3}$ 결핍사료로 3주간 사육한 후, 0.068 mJ/$\textrm{cm}^2$(10분간)의 선량으로 297nm의 UVB 광선을 3회 조사하되 조사간격을 0, 12 또는 24시간 간격으로 하였다. 조사 후 0, 6, 12, 18, 24, 48, 96, 144또는 240시간에 병아리의 중족골을 채취하였다. 중족골은 부착조직을 제거하고 탈지, 건조, 화화하여 회분, Ca, P 함량을 측정하였다. Ca은 원자흡수분광광도법으로, P은 ammonium metavanadate 법으로 비색정량하였다. UVB를 30분간 무간격으로 조사하였을 때 중족골의 Ca함량은 계속 증가되어 240시간에 16.75%에 도달하였다. P의 함량은 UVB 조사후 점점 증가되어 144시간에 최고치 9.75%를 나타내었으며, 회분함량은 UVB 조사후 점점 증가하여 240시간에 42.75%에 이르렀다. 12시간 간격으로 10분간씩 3회 조사하였을 때에는 중족골의 Ca 함량이 12시간에 작은 peak(13.31%), 144시간에 큰 peak (16.91%)를 보였다. P의 함량은 12시간에 작은 peak(7.18%), 240시간에 큰 수준(8.34%)을 보였다. 회분 함량은 UVB 조사후 계속 증가하여 240시간에 46.53%의 높은 값을 나타내었다. 도중의 Ca과 P의 작은 peak는 아마 12시간 및 24시간 전에 조사하였던 UVB의 영향인 것으로 생각된다. 24시간 간격으로 10분간씩 3회 조사했을 때 중족골의 Ca 함량은 점차 증가되어 96시간에 최고치 24.18%를 보였고 P함량은 역시 96시간에 최고치 7.29%를 나타내었으며, 회분 함량은 240시간까지 계속 증가되어 45.73%에 이르렀다. UVB조사 후 경과시간에 따라 살펴보면 중족골의 Ca와 P 함량은 UVB 조사후 96~144시간에 최고치에 도달했으나 회분함량은 240시간까지 계속 증가하는 모습을 보였다. 다음 UVB의 조사방법에 따라 종족골의 Ca함량을 봤을 때 무간격으로 조사시 240시간까지 계속 증가하였고, 12시간 간격으로 조사시 144시간에 최고치를, 24시간 간격으로 조사시에는 96시간에 최고치를 나타내었으며 회분 함량을 봤을 때 12시간 또는 24시간 간격으로 조사하였을 경우가 무간격으로 조사하였을 때보다 더 높은 수준을 보였으므로 24시간 간격으로 10분간씩 조사하는 것이 바람직한 것으로 생각되었다.

• 대한족부족관절학회지
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• 제4권2호
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• pp.72-78
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• 2000

Purpose: To validate the major bony causes and postoperative results of the first metatarsal head plantar pain. Materials and Methods: We experienced one case of the fracture and non-union of the medial sesamoid treated by autogenous calcaneal bone graft, one case of the fracture and non-union and two cases of the hypoplasia of the medial sesamoid treated by excision of medial sesamoid, one case of the arthrosis between the first metatarsal head and the medial sesamoid treated by plantar 1/2 partial excision of the medial sesamoid, and two cases of the metatarsus primus nexus treated by basal metatarsal closing wedge osteotomy between October 1995 and September 1999. The mean follow-up period was 28 months. We evaluated the results by using of the clinical rating systems for the hallux and the radiographic findings. Results: An excellent results were achieved in all cases except one which was preoperatively diagnosed as metatarsus primus nexus. But, clinically this one case also satisfied with the postoperative result. Radiologically, We did not find the malunion or nonunion of the medial sesamoid treated by bone graft and of the metatarsus primus flex us treated by basal metatarsal closing wedge osteotomy. And also we did not find the postoperative fracture of the medial sesamoid treated by plantar 1/2 partial excision. There were no postoperative complications in all cases. Conclusion: We think that the good results may be achieved from the patients with the plantar pain of the first metatarsal head by the exact diagnosis and aggressive treatments.

• 대한족부족관절학회지
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• 제17권2호
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• pp.121-129
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• 2013

Purpose: To evaluate the radiographic characteristics of the tarsometatarsal osteoarthritis with hallux valgus deformity and report the clinical results of the operative treatment. Materials and Methods: This is a retrospective study of 20 patients, 22 feet who had been operated for non-traumatic tarsometatarsal osteoarthritis with hallux valgus (TMT group) and control group of hallux valgus patients without tarsometatarsal osteoarthritis (26 patients, 28 feet) from April 2004 to July 2011. Radiographic characteristics were compared between the groups, using hallux valgus angle, $1^{st}-2^{nd}$ intermetatarsal angle, metatarsal length ratio, metatarsus adductus angle, talonavicular coverage angle, talus-$1^{st}$ metatarsal angle, calcaneal pitch angle and medial cuneiform height. Pre- and postoperative difference of $1^{st}-2^{nd}$ metatarsal declination angle and distance between the $1^{st}-2^{nd}$ metatarsal head were evaluated. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). Results: Metatarsal length ratio was significantly larger in TMT group (p<0.001). Metatarsus adductus angle, talonavicular coverage angle, talus-$1^{st}$ metatarsal angle on lateral radiograph, calcaneal pitch angle and medial cuneiform height were different from control group (p<0.001, p<0.001, p=0.001, p=0.010, p=0.006). Postoperative declination of the $2^{nd}$ metatarsal and distance between the $1^{st}-2^{nd}$ metatarsal head were increased (p=0.009, p=0.001). The AOFAS and VAS score were improved (p<0.001, p<0.001). Conclusion: Non-traumatic osteoarthritis of the tarsometatarsal joints seems to be associated with long 2nd metatarsal length, metatarsus adductus and flatfoot deformity. Spur excision may be successful to relieve symptoms when the arthritis was diagnosed in early stage.

• 한국가금학회지
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• 제19권1호
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• pp.35-45
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• 1992

본 연구는 312nm의 자외선 조사시 상이한 조사선양이 병아리의 중족골내 회분 및 인 함량에 미치는 영향을 구명코자 실시되었다. Hubbard 계통 1일령 broiler 병아리에 비타민 D-결핍사료를 3주간 급여한 후 털을 뽑은 등에 0.32, 0.65 또는 0.98 J$\textrm{cm}^2$의 자외선을 조사하였다. 0~5일이 경과된 뒤, 병아리의 중족골을 채취하여 부착물 제거, 탈지, 건조, 회분한 다음 탈지건조골중의 회분함량을 측정하였으며 회분을 6N-HCl로 용해하여 P 함량을 조사하였다. 0.32 J/$\textrm{cm}^2$의 자외선 조사 직후 중족골 통분함량은 42%이었으나 1일 후에 46%로 증가되었으며 3일 후에는 40%로 감소되었다. 0.65 J/$\textrm{cm}^2$ 조사시에는 2일 후에 최고치 46%를 보였다. 0.98 J/$\textrm{cm}^2$ 조사시에는 중족골 회분함량이 1일 후 및 2일 후에 동일한 47%의 수준을 보였다. 3 자외선 선양 중 0.98 J/$\textrm{cm}^2$가 가장 많은 중족골 회분을 증가시켰다. 다음 탈지건조골중 P 함량을 보면 0.32 J/$\textrm{cm}^2$ 조사시 3일 후에 증가된 함량 19.4%를 나타내었고, 0.65 J/$\textrm{cm}^2$조사시에도 3일 후에 최고치 18.1%를 보였으며, 0.98 J/$\textrm{cm}^2$ 조사시에는 2일 후에 정점 20.0%를 나타내었다. 3선양중 0.98 J/$\textrm{cm}^2$가 가장 많은 P 함량을 증가시켰으며 또 가장 신속히 자외선 조사의 효과를 나타내었다.

• 대한인간공학회지
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• 제24권4호
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• pp.23-30
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• 2005

The mailman's shoes should be designed in due consideration of occupational features they spend most of times to walk. For that reason, the shoes required functions to reduce the foot fatigue and to protect body by dispersing the body weight to the whole foot. In this research, for the functional improvement of the insole, insoles are investigated and analyzed by biomechanics experimentation. Under the base of these experimental results, we develop insoles that can reduce the body load and muscular-skeletal disorder. The pressures are concentrated on the metatarsus and heel by the result of analyzing pressure distributions of the using shoes. Accordingly, we offer the prototype functional insole that is ranked from high pressure to low pressure on the base of a shock absorb function. This prototype functional insole is examined for statistical significance by pressure distribution areas. The experimental results show that pressure areas are dispersed to whole foot, for this reason, pressures of the metatarsus and heel are reduced. Results of this research can not only improve the function of insoles which is suitable for occupational features, but also be a base on constructing data bases for biomechanics gait insoles.

• 대한족부족관절학회지
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• 제9권1호
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• pp.42-46
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• 2005

Purpose: To evaluate the efficacy of distraction osteogenesis for fourth brachymetatarsia. Materials and Methods: Seven patients (10 cases) who were treated by distraction osteogenesis for fourth brachymetatarsia from March 2000 to December 2003 were reviewed retrospectively. Results: The average length gain of fourth metatarsus was 16.6 mm (37%) and the average healing index was 50 days/cm. The final results according to AOFAS functional scale were excellent in 8 cases and good in 2 cases. Conclusion: Distraction osteogenesis is an effective treatment for fourth brachymetatarsia in spite of some minor complications.