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Vascular Malformation of Flexor Hallucis Longus Muscle Associated with a Flexion Deformities of Toes: A Case Report

장무지 굴곡근의 혈관성 기형에 동반된 발가락의 굴곡 변형: 증례 보고

  • Ahn, Jong-Chul (Department of Orthopaedic Surgery, Yeungnam University College of Medicine) ;
  • Kim, Jung-Rae (Department of Orthopaedic Surgery, Yeungnam University College of Medicine) ;
  • Shin, Ji-Hoon (Department of Orthopaedic Surgery, Yeungnam University College of Medicine) ;
  • Shin, Duk-Seop (Department of Orthopaedic Surgery, Yeungnam University College of Medicine)
  • 안종철 (영남대학교 의과대학 정형외과학교실) ;
  • 김정래 (영남대학교 의과대학 정형외과학교실) ;
  • 신지훈 (영남대학교 의과대학 정형외과학교실) ;
  • 신덕섭 (영남대학교 의과대학 정형외과학교실)
  • Received : 2011.10.18
  • Accepted : 2011.11.25
  • Published : 2011.12.30

Abstract

Vascular malformations may typically present with palpable mass that can be either asymptomatic or can present with symptoms including swelling and pain. On rare occasions, vascular malformation of muscle may produce joint deformities caused by contracture of the involved muscle. When vascular malformation involves the flexor muscle of the leg, ankle equinus deformity may occur. However, there are no reports of toe deformities secondary to intermuscular or intramuscular vascular malformations of flexor muscles of toe. Thus, we report a case of vascular malformation of flexor hallucis longus muscle with flexion contracture of toes in a 40-years-old woman who was treated with surgical excision.

혈관성 기형은 주로 무통성 종괴나 종창과 통증을 수반한 종괴의 형태로 나타난다. 드문 경우에서, 근육에 발생한 혈관성 기형은 침범한 근육의 위축을 유발하여 관절의 변형을 초래한다. 혈관성 기형이 하퇴부의 굴곡근에 발생한 경우 발목의 첨족 변형을 유발한다. 그러나, 발가락의 장족지 또는 장무지 굴곡근에 혈관성 기형이 발생하여 발가락의 굴곡 변형을 초래한 것에 대한 문헌 보고의 예는 없다. 이에 저자들은 40세 여자 환자에서 장무지 굴곡근에 발생한 혈관성 기형으로 인해 유발된 발가락의 굴곡 변형을 경험하고 수술적 절제술을 통해 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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