• 제목/요약/키워드: 비골신경

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표재비골신경 포착증후군(1예 보고) (Superficial Peroneal Nerve Entrapment Syndrome (A Case Report))

  • 채수욱;김영진;최병산;송하헌
    • 대한족부족관절학회지
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    • 제16권1호
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    • pp.62-64
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    • 2012
  • Superficial peroneal nerve entrapment is an uncommon compression neuropathy, and is frequently associated with a fascial defect and a muscle hernia. The standard treatment of that was the nerve decompression by complete or limited fasciotomy. But, we experienced a case of superficial peroneal nerve entrapment had satisfactory surgical outcome by fascial repair of peroneus muscle.

비후된 비골 결절에 의해 발생한 비복신경 포착 및 장비골건의 건막염: 증례 보고 (Sural Nerve Entrapment and Tenosynovitis of Peroneus Longus by Hypertrophied Peroneal Tubercle: A Case Report)

  • 이동주;최준영;서진수
    • 대한족부족관절학회지
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    • 제22권3호
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    • pp.131-134
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    • 2018
  • A hypertrophied peroneal tubercle can present as a bony prominence at the lateral aspect of the foot and a peroneal tenosynovitis or tear. We report a case of a 52-year-old man complaining of lateral foot tingling pain and numbness. The sural nerve entrapment and peroneus longus tenosynovitis by hypertrophied peroneal tubercle were confirmed. Good results were obtained after excision of the hypertrophied peroneal tubercle and sural nerve release.

Computer Assisted Surgery(CAS)를 이용한 개방형 근위경골절골술 시 전내측피질골경사각이 경골후방경사각에 미치는 영향 (Effect of Anteromedial Cortex Oblique Angle on Change of Tibial Posterior Slope Angle in High Tibial Osteotomy Using Computer Assisted Surgery (CAS))

  • 이호상;김재정;왕준호;김철웅
    • 대한기계학회논문집B
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    • 제36권3호
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    • pp.351-361
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    • 2012
  • 슬관절 내반슬과 외반슬의 부정정렬을 교정하는 방법 중 대표적인 수술법이 근위경골절골술이다. 개방형 쐐기 근위경골절골술(OWHTO)의 경우 근위비골 인접부의 경골외측 비골신경을 손상시킬 우려가 없고, 수술도중 교정각의 개방 정도를 임의대로 조절 변경 가능한 장점으로 최근 선호되고 있다. 그러나 술후 관상면에서의 외반 및 내반 교정은 바르게 이루어지는 반면, 시상면에서는 수술자가 의도하지 않은 경골내측고평부의 후방경사각(PSA) 변화가 발생한다는 문제점이 있다. 저자들은 이와 같은 문제의 극복을 위해 Computer Assisted Surgery를 이용한 근위경골절골술 기법을 자체적으로 개발하였고, 근위경골부의 CT 이미지 3차원 재건과 컴퓨터를 이용한 가상절골술을 수행하였다. 또한 술후에도 후방경사각(PSA)이 변화하지 않는 수술기법에 대해 제시하였다. 본 연구결과는 환자고유의 전내측피질골 경사각(ACOA)과 후방경사각(PSA)의 명확한 관계성에 대해 제시해줄 것이며 환자마다 다른 최적의 후방경사각 결정법에 대해 제시해 줄 것으로 판단된다.

중증근무력증에서 반복신경자극검사시 각 근육들의 진단적 민감성 (Diagnostic Sensitivity of Several Muscles in Repetitive Nerve Stimulation Test for Myasthenia Gravis)

  • 김현직;임성환;이승엽;하정상;김욱년
    • Journal of Yeungnam Medical Science
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    • 제18권2호
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    • pp.277-286
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    • 2001
  • 본 연구는 반복신경자극검사시 통상적으로 사용하는 근육에 비근과 팔꿈치근을 포함시켜 중증근무력증의 유형에 따라 RNST를 시행할 경우 유형별로 가장 유용한 근육이 무엇인지를 알아보았는데, 제I형의 경우에는 안면근육인 안윤근이나, 또는 통계적으로 차이가 없는 비골근이 RNST 검사에 유용한 것으로 생각되고 제 IIa 또는 IIb형의 경우에는 상지근육인 팔꿈치근이 가장 유용한 근육으로 생각되며 팔꿈치근이 정상일 경우 안면근육을 이용하는 것이 진단율을 높일 수 있을 것이라고 생각된다. 결론적으로 중증근무력증에서 반복자극검사시 I형일 경우 진단에 있어서 안윤근을 먼저 검사하고 필요할 경우 비골근으로 대치할 수 있으며, IIa형 이상의 중증근무력증 환자에서는 팔꿈치근을 우선적으로 검사하는 것이 진단적 민감성을 높일 수 있을 것이라고 생각된다.

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총비골신경마비의 근골격계 초음파를 이용한 침도치료 임상증례 (The Case Report of Common Peroneal Nerve Palsy Treated with Musculoskeletal Ultrasound-guided Acupotomy Therapy)

  • 김성하;박만용;이상미;정호현;박세운;박옥주;김성철
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.177-185
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    • 2012
  • Objectives : The objective of this case report was to observe the effect of musculoskeletal ultrasound-guided acupotomy therapy on common peroneal nerve palsy. Methods : From June, 2010 to September, 2012, 3 patients clinically diagnosed as common peroneal nerve palsy were treated with general oriental medicine therapy (acupuncture, pharmacopuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The foot drop of the patients was remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy hasnotable effect in improving symptoms of common peroneal nerve palsy. As though we had not widly experienced in this treatment, more research is needed.

전침을 이용한 족하수(Foot drop)환자 치험2례 (Case Report of Foot Drop Patient Treated with Electroacupuncture)

  • 이종영;원승환;김두용;김성혜;박희수;황정수
    • Journal of Acupuncture Research
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    • 제22권5호
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    • pp.161-166
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    • 2005
  • 본 증례는 원인을 알 수 없는 비골신경마비로 인해 발생한 하수족(Foot drop)환자를 전침치료로 호전시킨 치험례로 전침이 마비성 질환에 유효하여 향후 다양한 마비성 질환에 응용할 수 있도록 많은 임상 연구가 필요하다고 사료된다.

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족하수를 동반한 비골신경마비의 환자 1례에 대한 한의학 복합치료 증례보고 (Case Report of Peroneal Nerve Palsy with Foot Drop Treated with Complex Korean Medical Treatment)

  • 김민수;이지영;염승룡;권영달
    • 동의생리병리학회지
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    • 제30권5호
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    • pp.360-365
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    • 2016
  • The purpose of this study is to suggest a possibility of the Korean medical treatment in patient with peroneal nerve palsy, and to suggest importance of differential diagnosis of foot drop. Peroneal nerve pasly was diagnosed by lumbar spine magnetic resonance imaging(MRI) and electromyogram(EMG). The patient was treated with acupuncture, herbal medicine, bee-venom acupuncture and moxibustion from March 7th to May 2nd. We measured Numerical Rating Scale(NRS), Range of Motion(ROM) of the ankle, and observed the change in body temperature using Digital Infrared Thermal Imaging(DITI). After received Korean medical treatment, the patient showed improvement in all the scales mentioned above. The result showed that Korean medical treatment is effective in peroneal nerve palsy before operation.

발처짐 증상으로 발현된 총비골신경의 슈반세포종 (Schwannoma of Common Peroneal Nerve Presenting)

  • 조수현;이지훈;우호걸;정유진;김상범;신원철
    • Annals of Clinical Neurophysiology
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    • 제16권2호
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    • pp.74-76
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    • 2014
  • Foot drop is usually derived from peroneal nerve injury. Traumatic causes of peroneal nerve injury are more common than insidious causes including metabolic syndromes and mass lesions. We present a case with common peroneal neuropathy due to schwannoma, which is extremely rare. Complete excision of the mass lead to a gradual improvement of the symptoms. Schwannoma should be considered as a cause of common peroneal neuropathy.

척추마취후 발생한 마미증후군과 총비골신경마비 -증례 보고- (Cauda Equina Syndrome and Common Peroneal Nerve Palsy after Spinal Anesthesia -A case report-)

  • 윤경봉;이영복;김순열;이정원
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.390-393
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    • 1995
  • Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the patient was noted to have a right L1 to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms improved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.

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원위 경골 삼면골절 후 발생한 장무지신전건의 체크레인 변형 및 심부비골신경이 포착된 신전지대 증후군: 증례 보고 (The Checkrein Deformity of Extensor Hallucis Longus Tendon and Extensor Retinaculum Syndrome with Deep Peroneal Nerve Entrapment after Triplane Fracture: A Case Report)

  • 곽현곤;안정태;이재훈
    • 대한족부족관절학회지
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    • 제25권3호
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    • pp.145-148
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    • 2021
  • A checkrein deformity can occur after a distal tibiofibular fracture. Usually, a checkrein deformity due to a dysfunction of the extensor hallucis longus muscle is rarer than that of the flexor hallucis longus. Only a few related studies have been reported. The authors encountered an extensor hallucis longus checkrein deformity due to extensor retinaculum syndrome while managing a triplane fracture. In magnetic resonance imaging, an increase in the heterogeneous signal was observed on the T2-weighted images suggesting muscle necrosis or ischemic changes in a part of the extensor hallucis muscle. Postoperative great toe motor weakness, unintentional movement, sensory changes, and weakness improved spontaneously during the follow-up.