Journal of Korean Orthopaedic Sports Medicine (대한정형외과스포츠의학회지)
- Volume 1 Issue 1
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- Pages.71-74
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- 2002
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- 1598-5695(pISSN)
Osteochondral Ridge of Ankle Joint - Anterior Impingement Syndrome of Ankle Joint -
족관절의 골-연골성 골극증 - 족관절 전방 충돌 증후군 -
- Rhee Seung-Koo (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Woo Young-Kyun (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Song Seok-Whan (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Kwon Soon-Yong (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Lee Wha-Sung (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Chung Jin-Wha (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea) ;
- Oh Jae-Chan (Department of Orthopaedic surgery, College of Medicine, The Catholic University of Korea,St. Mary’s Hospital, Catholic University of Korea)
- 이승구 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 우영균 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 송석환 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 권순용 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 이화성 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 정진화 (가톨릭대학교의과대학성모병원정형외과학교실) ;
- 오재찬 (가톨릭대학교의과대학성모병원정형외과학교실)
- Published : 2002.03.01
Abstract
Purpose : To evaluate the clinical and radiological characteristics of osteochondral ridges of talus and ankle. Materials and Methods : We have analyzed their clinical symptoms and signs, radiologic and CT findings and post-operative results in 17 ankle joints of 14 patients (bilateral in 3), followed them for average 13 months after surgical excision. Results : No definite trauma, but mostly in male after middle age. Their chief complaints are pain on ankle, especially in dorsiflexion or squatting position, and symptom durations are very long, more than average 15 months. Definite diagnosis was made by lateral radiograms of ankle joint. Osteochondral ridges are common in talar neck (10 cases), tibia (4 cases) and both side (3 cases). After excision of osteophytes, all patients gained normal ankle without pain and any limited motion. Conclusions : Anterior impingement syndromes are common in middle aged male, but no definite correlation with sports. Plantar and dorsiflexed lateral radiographs are helpful in definite diagnosis for impingement, and surgical excision is best for treatment.
목적 : 중년기이후의남성에서, 경골 원위 관절면의 전방이나, 거골경부의배부, 또는거골과경골의원위부관절면양측에골극이발생하여족관절배굴장애와통증을호소하는소위, 족관절전방충돌증후군(족관절전방부위골-연골성골극증)의수술경과및방사선학적검사상골극발생부위의특이성을알아보고자한다. 대상및방법 : 1994년3월부터2001년3월까지본대학부속성모병원정형외과에서족관절전방충돌증후군으로진단되어수술가료한14명17족관절(양측3예)를대상으로하였다. 14명17족관절(양측이환3예)중우측이13예, 좌측이4예였고, 14명모두남자였고, 평균연령은47세였다. 명백한족관절외상력은없었으나, 족관절통증(특히배굴시)과쪼그려앉기장애가주소로서평균15개월(4개월