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후천적 성인 편평족: 병태생리, 진단과 비수술적 치료

Acquired Adult Flatfoot: Pathophysiology, Diagnosis, and Nonoperative Treatment

  • 성기선 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
  • 유인상 (성균관대학교 의과대학 삼성서울병원 정형외과학교실)
  • Sung, Ki-Sun (Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yu, In-Sang (Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2014.07.03
  • 심사 : 2014.08.10
  • 발행 : 2014.09.15

초록

Acquired adult flatfoot is a deformity characterized by a decreased medial longitudinal arch and a hindfoot valgus with or without forefoot abduction. The etiologies of this deformity include posterior tibial tendon dysfunction, rheumatoid arthritis, trauma, Charcot's joint, neurologic deficit, and damage to the medial spring ligament complex or plantar fascia. Among these, posterior tibial tendon dysfunction is the most well-known cause. Although posterior tibial tendon dysfunction has been regarded as a synonym of acquired adult acquired flatfoot, failure of the ligaments supporting the arch can also result in progressive deformity even without a posterior tibial tendon problem. The authors describe the pathophysiology, diagnosis, and nonoperative treatment of acquired adult flatfoot, focusing on posterior tibial tendon dysfunction.

키워드

참고문헌

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피인용 문헌

  1. 편평족의 진단 vol.20, pp.1, 2016, https://doi.org/10.14193/jkfas.2016.20.1.1
  2. 편평족의 치료 vol.20, pp.1, 2014, https://doi.org/10.14193/jkfas.2016.20.1.6