저명한 불안정성을 가진 만성 족관절 염좌 환자의 족관절 골성 병변에 대한 분석

Analysis of Ankle Bony Abnormality in the Patients with Chronic Ankle Sprain and Marked Ankle Instability

  • 정철용 (부산의료원 정형외과) ;
  • 은일수 (부산의료원 정형외과) ;
  • 김병철 (부산의료원 정형외과) ;
  • 최성종 (부산의료원 정형외과) ;
  • 류총일 (부산대학교 의과대학 정형외과교실) ;
  • 김종균 (부산의료원 정형외과) ;
  • 최현수 (부산의료원 정형외과)
  • Jung, Chul-Yong (Department of Orthopaedic Surgery, Pusan Medical Center) ;
  • Eun, Il-Soo (Department of Orthopaedic Surgery, Pusan Medical Center) ;
  • Kim, Byung-Cheol (Department of Orthopaedic Surgery, Pusan Medical Center) ;
  • Choi, Sung-Jong (Department of Orthopaedic Surgery, Pusan Medical Center) ;
  • Yoo, Chong-Il (Department of Orthopaedic Surgery, Pusan National University College of Medicine) ;
  • Kim, Jong-Kyun (Department of Orthopaedic Surgery, Pusan Medical Center) ;
  • Choi, Hyun-Soo (Department of Orthopaedic Surgery, Pusan Medical Center)
  • 발행 : 2006.06.01

초록

Purpose: We analyzed the ankle bony abnormality of patients with marked ankle instability who had chronic ankle sprain more than 3 years. Materials and Methods: We evaluated the chronic ankle sprain (more than 3 years) patients with marked ankle instability tested by varus stress test and anterior draw test from March 2000 to December 2005. Eighty-nine patients (104 ankle) were evaluated and there were 38 males and 51 females. The mean age of patient at the time of diagnosis was 34.5 (range, 18 to 56 years). The average duration of morbidity was 7 years and 3 months (range, 3 years and 3 months to 21 years). The patients who had history of dislocation, fracture, malalignment, operated patients, and rheumatoid ones were excluded. Plain radiographs of AP, lateral, oblique and mortise view were checked. Results: Radilologic abnormalities were found at 74 ankles (71%) among 104 ankles. Frequent sequences of location were anterior talotibial osteophyte, medial malleolar osteophyte, Os subfibulare, lateral malleolar osteophyte. Posteior osteophyte, ankle arthritis, talar articular defect were rarely found. Conclusion: Seventy-one percent among patients with chronic ankle sprain and marked ankle instability showed more than one radiologic abnormalities. Thus, more exclusive and accurate ankle examination should be performed in these patients.

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