• Title/Summary/Keyword: great toe

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Analysis of Foot Characteristics According to the Classification of Foot Types of Junior High School Girls (여자 중학생의 발의 형태분류에 따른 유형별 특성 분석)

  • Lim, Ji-Young
    • Fashion & Textile Research Journal
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    • v.9 no.3
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    • pp.319-326
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    • 2007
  • The health of feet is connected with individual's health and affects a man's activity. Shoes need to be designed to protect feet and to absorb the impact of land. In order to choose suitable shoes for feet, the foot size and shape must be considered, so it is essential to grasp the exact size and shape of the foot. This study aims to present fundamental data on shoes' easy order prototype development for choosing shoes of good wearing comfort, by classifying feet size and shape junior high school boys in the early adolescent period. The subject were 217 Korean junior high school girls in age from 14 to 16 years old. The subjects were directly measured anthropometrically and indirectly analyzed photographically. 7 factors were extracted through factor analysis and those factors comprised 78.59% of total variance. The factors were characterized foot length, foot girth and width, foot shape around the fifth toes, foot shape around the first toes, angle of foot breadth, foot height, and foot length of upper foot. 3 clusters as their foot shape were categorized using 7 factor scores by cluster analysis. Type 1 had smaller in foot girth, width and length than other types and with deformed fifth toe. Type 2 had average size and high foot shape. Type 3 was characterized by long large foot with deformed first toe. The results would be a great support in producing and choosing appropriate shoes if forms are classified by subdividing foot form classification and extract a factor which shows only the foot sole shape.

Functional Evaluation of Thumb Reconstruction according to the Level of Amputation (절단부위에 따른 수무지 재건의 기능적 평가)

  • Lee, Kwang-Suk;Park, Joung-Woong;Suh, Dong-Hun;Chung, Woong-Kyo
    • Archives of Reconstructive Microsurgery
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    • v.7 no.2
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    • pp.135-145
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    • 1998
  • In 1980 Morrison and O'Brien reported their experiences about the reconstruction of amputated thumb using wrap-around neurovascular free flap from the great toe with a nonvascularized iliac bone graft. From then it has been considered to be a good reconstructive procedure for the amputated thumb, but it's indication has been limited distal to the metacarpophalangeal(MP) joint. We have performed 37 cases of wrap-around free flap from the great toe for the reconstruction of thumb amputated at distal or proximal to the MP joint and investigated their functional results according to the level of amputation. Level of amputation was distal to the MP joint in 25 cases and proximal to it in 12 cases. Pinching and grasping power, two point discrimination and the amount of opposition to the other fingers were compared to the uninjured hand. Pinching and grasping power were not significantly different according to the level of amputation but the amount of two point discrimination was significantly high in the cases amputated proximal to the MP joint. The opposition of reconstructed thumb to the other fingers was completely possible in all cases amputated distal to the MP joint. In 12 cases amputated proximal to the MP joint of the thumb, opposition was completely possible in 6 cases in which the iliac bone block was fixated in the position of $30^{\circ}$ flexion and $45^{\circ}$ internal rotation but in 6 cases in the fixation of $30^{\circ}$ flexion and $30^{\circ}$ internal rotation, the opposition of reconstructed thumb to the ring and little fingers were impossible in 5 cases and only to the little finger in 1 case. In this study, we concluded that even if amputation proximal to the MP joint, it is no more contraindication of the wrap-around free flap procedure for thumb reconstruction, however in these cases we recommend iliac bone block fixation in the position of $30^{\circ}$ flexion and $45^{\circ}$ infernal rotation for the better functional outcome.

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Measurement of the Angle related Hallux Valgus in Normal Korean Adults (무지외반증에서 한국인의 정상 방사선각도 계측치에 대한 연구)

  • Lee, Kyung-Tai;Song, Joon-Sub
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.11-14
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    • 1997
  • Hallux valgus is a complex deformity which contains static subluxation of the first metatarsophalangeal joint with lateral deviation of the great toe and medial deviation of the first metatarsal bone. Among the several parameters, radiographic indices are the important ones in the choice of the treatment method. Even though, the normal values of the western peoples are already estabilished, there was no standard values for Korean who has different genetics, and cultural background, till now. So, we tried to estimate the noraml values of the HVA (hallux valgus angle ), IMA ( Intermetatarsal angle) and DMAA (Distal Metatarsal Articular surface Angle) in a normal adult. Fifty normal adult (each 25 male and female) were chosen and took 100 cases of foot radiograph and radiologic indices of the hallux valgus were measured. Average age at the investigation was 34.5 years old. The average HVA is $13.3^{\circ}$, IMA is $8.5^{\circ}$ and DMAA is $34.6^{\circ}$.

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Scaled Test on the Behavior of the Toe of Drilled Shaft on Rock Mass (암반에 근입된 말뚝의 선단 거동 특성에 관한 축소모형시험 연구)

  • Park, Woan-Suh;Choi, Se-Keun;Jeon, Seok-Won;Han, Yong-Hee
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.1166-1171
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    • 2008
  • Despite of the increasing number of the application of drilled shaft piles in construction site, most studies on pile capacity have been focused on the side shear resistance. But it is common that the drilled shaft is socketed on the rock so as to use its bearing resistance. The prediction of the end movement and characteristics of the bearing capacity of the pile is great important as well. Therefore, a series of scaled model tests were carried out in order to study the characteristics of the bearing capacity on rock mass. The material of the test block was cement mortar which was mixed with sand, cement and water, and the size of a test block size was $240{\times}240{\times}240mm$. The axial load was applied by a miniaturized pile of 45mm in diameter and flat jacks and steel plate were used for confinement to simulate the real underground loading conditions. The relation of load-displacement was measured in various different conditions of rock mass such as strength, discontinuity of the rock mass and in-situ stress, so q-w curves of the end of the pile were presented for each condition.

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Reverdin Osteotomy for the Treatment of Hallux Valgus (Reverdin 절골술을 이용한 무지외반증의 치료)

  • Kang, Jae-Do;Kim, Kang-Yul;Lim, Moon-Sup;Park, Hyun-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.15-20
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    • 2002
  • Authors studied 24 cases in 18 patients with the hallux valgus deformity treated by Reverdin osteotomy at Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital from January 1995 to December 1999. Reverdin osteotomy is one of the distal metatarsal osteotomies in the treatment of hallux valgus in adults. We performed Reverdin osteotomy on 24 cases (18 patients) for painful hallux valgus associated with an increased hallux valgus angle (> 35degrees) and first-second intermetatarsal angle(>13 degrees). The results were as follows. 1. The average first-second intermetatarsal angle was 16.8 degrees and average valgus angle was 37.3 degrees, preoperatively. they were corrected to 7.8 degrees and 12 degrees respectively. 2. The metatarsalgia of the great toe was subsided in all cases and they were satisfied with the result of their operations in respect to cosmetically and functionally. Avascular necrosis of capital fragment, nonunion, and dorsal angulation were not developed in any case. But one case had superficial wound infection and delayed union, presumably due to secondary infection.

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A Ganglion Cyst around the Tarsal Tunnel Detected by Ultrasonography and MRI -A case report- (초음파와 자기공명영상으로 발견된 족근관 주위 결절성 낭종 -증례보고-)

  • Park, Soo Young;Nahm, Francis Sahngun;An, Sang Bum;Kim, Yong Chul;Lee, Sang Chul
    • The Korean Journal of Pain
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    • v.22 no.1
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    • pp.65-67
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    • 2009
  • Tarsal tunnel syndrome is often misdiagnosed it shares clinical features with other diseases of the lower extremity such as lumbar radiculopathy and arthritis. Failure to diagnose and treat neuropathies effectively can cause permanent neuropathic pain. We report a case of a ganglion cyst detected early using ultrasonography and MRI in a 51-year-old man who complained of rapidly aggravating pain, numbness and paresthesia on the great toe and the first metatarsal area in the sole, symptoms that resembled tarsal tunnel syndrome. Surgical treatment could be performed early with no permanent sequelae. We could also avoid repeated steroid injections or prescription medications.

Paraplegia Following Celiac Plexus Block -A case report- (복강신경총 차단후 하지마비 -증례 보고-)

  • Na, Ae-Ja;Moon, Dong-Eon;Suh, Jae-Hyun
    • The Korean Journal of Pain
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    • v.6 no.1
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    • pp.129-132
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    • 1993
  • Paraplegia complicating a block of the celiac plexus with alcohol for recurrent stomach cancer is described. A 33 year old male patient was admitted to control for severe epigastric pain. With the patient in prone position, the needle was advanced further than 2 cm on the anterior margin of $L_1$ vertebral body under fluoroscopy. 3 ml of 1% lidocaine and 5 ml of conray were injected through each needle, and the diffusion of the contrast medium was checked, This was followed by 7 ml of pure alcohol and 8 ml of 50% alcohol for each needle. At that time, the patient was very satisfied with loss of abdominal pain. About 30 minutes after injection of alcohol, suddenly patient complained of severe burning pain on back and both extremities. Thereafter, loss of sensation and paralysis in both extremities were developed slowly. The senstivity to cold recovered 3 days after block. By the 33rd day after the block, sensation had recovered in both extremities, the bladder and rectum. Movement of the right ankle joint and left great toe was also possible.

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The Checkrein Deformity of Extensor Hallucis Longus Tendon and Extensor Retinaculum Syndrome with Deep Peroneal Nerve Entrapment after Triplane Fracture: A Case Report (원위 경골 삼면골절 후 발생한 장무지신전건의 체크레인 변형 및 심부비골신경이 포착된 신전지대 증후군: 증례 보고)

  • Gwak, Hyungon;Ahn, Jungtae;Lee, Jae Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.3
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    • pp.145-148
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    • 2021
  • A checkrein deformity can occur after a distal tibiofibular fracture. Usually, a checkrein deformity due to a dysfunction of the extensor hallucis longus muscle is rarer than that of the flexor hallucis longus. Only a few related studies have been reported. The authors encountered an extensor hallucis longus checkrein deformity due to extensor retinaculum syndrome while managing a triplane fracture. In magnetic resonance imaging, an increase in the heterogeneous signal was observed on the T2-weighted images suggesting muscle necrosis or ischemic changes in a part of the extensor hallucis muscle. Postoperative great toe motor weakness, unintentional movement, sensory changes, and weakness improved spontaneously during the follow-up.

Bioabsorbable Screws Used in Hallux Valgus Treatment Using Proximal Chevron Osteotomy (무지외반증 환자의 근위 갈매기형 절골술에서 생체 흡수성 나사못을 이용한 고정)

  • Shin, Woo-Jin;Chung, Young-Woo;An, Ki-Yong;Seo, Jae-Woong
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.181-183
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    • 2018
  • Hallux valgus is a deformity that causes pain in the first metatarsophalangeal joint. Surgical methods are quite diverse and a range of osteotomies are used at the proximal and distal part of the metatarsal bone and proximal phalange. Fixation methods, such as plate, screw, K-wire, and others have been used in various ways. The fixation device is often removed with various side effects due to the fixation devices. In the case of instruments that are absorbed in vivo, these procedures are not necessary to remove and there is an advantage of not performing the second operation. Three patients were treated, in which a proximal chevron osteotomy was used with a bioabsorbable screw (K-$MET^{TM}$; U&I Corporation).

Bilateral Checkrein Deformities of the Hallux Following Intramuscular Sarcoidosis: A Case Report (근육 내 사르코이드증 후 발생한 양측 무지의 체크레인 변형: 증례 보고)

  • Min Gyu Kyung;Sangyun Yun;Dong Yeon Lee
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.2
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    • pp.71-74
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    • 2024
  • This report presents a unique case of checkrein deformities in both halluces following isolated intramuscular sarcoidosis, a rare occurrence given the infrequent musculoskeletal involvement in sarcoidosis. Typically resulting from flexor hallucis longus tendon entrapment by scar tissue post-trauma, the checkrein deformity reported in this paper presented with unusual metatarsophalangeal joint flexion and interphalangeal joint extension during ankle dorsiflexion. A 49-year-old woman with a history of intramuscular sarcoidosis presented with a great toe deformity and discomfort while wearing shoes, leading to a diagnosis of dynamic deformity, possibly attributed to tendon tethering by sarcoidosis. Surgical treatments, including abductor hallucis muscle intratendinous tenotomy, flexor hallucis longus Z-plasty lengthening, Weil osteotomy, and Kirschner wire fixation, significantly improved the functional scores and patient discomfort. This report underscores the importance of recognizing dynamic deformities and the potential for rare diseases, such as sarcoidosis, to cause such conditions, highlighting the need for careful diagnosis and tailored surgical intervention for atypical checkrein deformities.