• 제목/요약/키워드: Recurrent dislocation

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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.

A Novel Treatment of Recurrent Temporomandibular Joint Dislocation with Intermaxillary Fixation Using Microimplant: A Case Report

  • Kee, In-Kyung;Byun, Jin-Seok;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제39권4호
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    • pp.156-162
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    • 2014
  • Dislocation of temporomandibular joint (TMJ) is troublesome condition which was most commonly shown far anteriorly displaced mandibular condyle to the articular eminence, thereby make it impossible to close one's mouth. It is often referred to as 'open lock' in clinically. Although anatomical modification of the articular eminence through eminectomy has been considered most satisfactory and efffective treatment for managing the recurrent dislocation, it seldom performs clinically due to its invasiveness and patient's reluctance. We thought a shortterm intermaxillary fixation could be of benefit to the patient suffering from recurrent dislocation. A 21-year-old male patient with recurrent TMJ dislocation which had developed after excessive mouth opening, was successfully treated with intermaxillay fixation using microimplant for 2 months. It is more conservative and less complicated method than eminectomy in treating recurrent TMJ dislocation. Transient intermaxillary fixation using microimplant and elastics could be one of treatment options for recurrent TMJ dislocation.

견관절 초기 전방 탈구와 재발성 전방 탈구 (Initial and Recurrent Anterior Dislocation in Shoulder)

  • 김영규;이재훈;김현민;이충훈
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.148-153
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    • 2005
  • 초기 탈구에서 시행한 조기 안정화 술식이 재발성 탈구의 Bankart 복원술 보다 좋은 결과를 나타내었으며 이는 관절경상 관찰되어진 관절낭 인대의 이완이나 관절와 연의 마멸이 결과에 영향을 미칠 수 있을 것으로 추정되었다. 또한 초기 탈구에서 발생된 Bankart 병변이 술기상으로 보다 쉽게 복원될 수 있으며 치유도 잘 되어 재발율이 감소될 것으로 생각되었고, 조기 수술적 치료를 통해 정상적인 일상 생활 및 스포츠 활동이 가능하리라 생각되었다. 따라서 활동력이 왕성하고 운동을 좋아하는 젊은 층이나 운동 선수에서는 문헌상에서 보고되고 있는 초기 탈구 후의 높은 재발율을 고려하여 초기 탈구 발생시 조기 안정화 술식이 유용할 것으로 사료되었다. 그러나 초기 탈구시 조기 안정화 술식을 시행할 지에 대해서는 보다 엄격한 적응이 요할 것으로 생각된다.

뇌졸중 환자에서 재발성 턱관절 탈구의 관리 : 증례보고 (CARE OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION IN CEREBROVASCULAR ACCIDENT PATIENT : REPORT OF A CASE)

  • 오지현;유재하;김종배
    • 대한장애인치과학회지
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    • 제11권2호
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    • pp.62-66
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    • 2015
  • Temporomandibular joint dislocation causes considerable pain, discomfort, and swelling. The anatomic construction of the articular fossa and the eminentia articularis may predispose to dislocation, and weakness of the connective tissue forming the capsule is believed to be a predisposing factor. The capsule may be stretched and, more rarely, torn. Dislocation may be unilateral or bilateral and may occur spontaneously after stretching of the mouth to its extreme open position, such as during a yawn or during a routine dental operation. Manual reduction with the patient under muscle-relaxing condition or anesthesia is recommended method. After the reduction of an acute dislocation, immobilization of the jaw is recommended to allow the stretched and sometimes torn capsule to heal, thus preventing recurrence. A Barton's bandage may be applied for 2 to 3 weeks to prevent the patient from opening the jaw too wide. But, it results in recurrent dislocation in the neurologically disabled patient, because of loose intermaxillary fixation. This is a case report about management of recurrent temporomandibular joint dislocation by multiple loop wirings and intermaxillary elastics in cerebrovascular accident patient.

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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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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개재골 이식술을 이용한 만성재발성 악관절 탈구의 외과적 처치 (SURGICAL TREATMENT OF CHRONIC RECURRENT TMJ DISLOCATION WITH EMINOPLASTY THROUGH INTERPOSITIONAL BONE GRAFT)

  • 김성곤;최유성
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권2호
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    • pp.209-214
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    • 1999
  • Chronic recurrent TMJ dislocation results in difficulty of mastication, speaking, and swallowing due to the limitation of the mandibular movement. Etiologic factors are considered as the looseness of the capsule and ligaments, the decrease of the articular eminence, condylar morphologic change, muscular disharmony near by TMJ, and the decrease of the vertical length of the mandibular ramus. Treatment approach has been suggested that surgical methods are selected for the correction of the etiologic factors when conservative treatments are not effective. Many surgical methods have been reported such as eminectomy, eminence augmentation, condylotomy, and zygomatic arch down fracture technique. We performed the eminence augmentation through interpositional bone graft in chronic recurrent TMJ dislocation. This method leads to favorable postoperative result without recurrence and complication, so we report the case with related references.

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