대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제17권1호
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  • Pages.11-16
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  • 2013
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지

프라이버그병과 중족지 관절 불안정

Freiberg's Disease and Metatarsophalangeal Joint Instability

  • 양기원 (을지대학교 의과대학 을지병원 족부 정형외과) ;
  • 김진수 (을지대학교 의과대학 을지병원 족부 정형외과) ;
  • 조주원 (을지대학교 의과대학 을지병원 족부 정형외과)
  • Young, Kiwon (Surgery of Foot and Ankle, Eulji Medical Center, Eulji University, College of Medicine) ;
  • Kim, Jinsu (Surgery of Foot and Ankle, Eulji Medical Center, Eulji University, College of Medicine) ;
  • Joh, Joowon (Surgery of Foot and Ankle, Eulji Medical Center, Eulji University, College of Medicine)
  • 투고 : 2013.01.20
  • 심사 : 2013.02.14
  • 발행 : 2013.03.15
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초록

Freiberg's disease is a osteochondrosis of a metatarsal head that is recognized as primarily a disorder of the second metatarsal. It is seen more often in girls. Pain and limitation of motion of the affected joint is the predominant clincal feature. The radiographic appearance demonstrates from osteosclerosis in the early stage to osteolysis with collapse in the later stage. Conservative therapy may take the form of rest, a stiff shoe, and even a cast support to decrease the stress across the joint. Surgical intervention may also be of benefit. Surgery have been attempted either to modify the diseae process or to salvage the situation once the metatarsophalangeal joint develops degenerative changes. Metatarsophalangeal joint instability is common cause of forefoot pain that can develop in association with a traumatic episode and inflamatory tissue disorders as well as neighboring toe deformities. The second ray is by far the most frequently involved. The diagnosis can be made by clinical observation and physical examination including drawer test. Many surgical procedures have beem recommended when conservative treatment has failed. Procedures described range from soft tissue releases and tendon trasfer to the direct plantar plate repair combined with a Weil osteotomy.

키워드

참고문헌

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