• 제목/요약/키워드: 아킬레스

검색결과 104건 처리시간 0.026초

달리기 운동을 하는 사람에서 무릎 손상의 예방과 재활 (Prevention and Rehabilitation of Runner's Knee Injury)

  • 서승석;김정한
    • 대한정형외과스포츠의학회지
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    • 제9권1호
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    • pp.22-27
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    • 2010
  • 도시화, 사회 경제적 발달로 인하여 많은 사람들이 달리기 운동을 즐기고 있다. 달리기는 단순한 운동이지만 반복적인 동작을 하기 때문에 관절에 특이적인 손상이 발생될 수가 있다. 달리기 운동 손상의 원인은 급성기의 손상보다는 만성적인 과사용 증후군으로 인한 것이 대부분이다. 또한 달리기를 할 때 흔히 동반되는 손상은 전방 슬관절 통증, 장경 인대 증후군, 피로 골절, 족저 근막염, 아킬레스 건염, 후방 경골 인대 증후군 등이 있다. 달리기 운동 손상의 가장 흔한 부위는 무릎 관절이다. 이에 저자들은 문헌 고찰을 하여, 달리기 운동 손상 중에서 무릎에서 발생하는 손상의 종류, 원인, 예방, 재활적인 치료 등을 중심으로 알아보고자 한다.

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초음파로 진단한 아킬레스건염으로 오인된 발목 후방의 종양 -증례 보고- (Ultrasonographic Diagnosis of Soft Tissue Tumor that was Misdiagnosed as Achilles Tendinitis)

  • 남우동;김의석;한계영;이강
    • 대한정형외과 초음파학회지
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    • 제5권2호
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    • pp.102-105
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    • 2012
  • 족근 관절 및 하지 후방의 통증은 비교적 흔히 발생하는 증상으로 이를 유발할 수 있는 질환은 매우 다양하게 존재하며 대표적으로 아킬레스건병증이나 후방 구획을 형성하는 여러 근육 및 힘줄의 염증이나 파열 등이 있다. 신경초종은 신경집 기원의 양성 종양으로 크기 증가에 따른 주변 구조물의 압박으로 인해 여러 임상 증상을 일으킬 수 있다. 만성 아킬레스건병증과 유사한 임상 증상을 유발하는 후방 경골 신경초종은 초음파 등의 영상학적 검사에 의한 감별 진단을 시행치 아니할 경우 간과하기 쉬운 질환으로, 저자들은 이를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

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강선 견인을 이용한 아킬레스 건 파열의 수술적 치료 (Repair of Achilles tendon tear with distal wire pulling)

  • 김부환;이상훈;허무중;유성호
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.86-91
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    • 2002
  • Purpose: This study was designed to evaluate whether the method "Distal pulling with wire" after primary repair of Achilles tendon, can result in early restoration of ankle motion. Materials and Methods: In 14 cases of tendocalcaneus repair, the proximal stump was pulled down distally by wire and fixed the ends of wire to the transcalcaneal K - wire. We evaluated the range of motion of ankle joint at 4th, 6th, 12th week in 10 patients whom we followed up for more than 1 year. We evaluated the results of Achilles tendon repair by Hooker's criteria. Results: Range of motion of ankle joint revealed as follows. Degree of mean dorsiflexion improved - $5.1^{\circ},\;15.0^{\circ},\;22.4^{\circ}$ at 4th, 6th and 12th week respectively, while plantarflexion improved $21.5^{\circ},\;32.7^{\circ}$ and $42.3^{\circ}$ respectively. At one year follow up, seven of them had no problems in active daily life and sports activities. According to Hooker's criteria, the result rated excellent in nine, satisfactory in one. Conclusion: Early gain of ankle joint motion was possible by "Distal pulling with wire" after primary repair of Achilles tendon.

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거의 자연 발생된 양측 아킬레스건의 파열 - 1예 보고 - (Almost Spontaneously Developed Rupture of Bilateral Achilles Tendons - 1 case report -)

  • 박인헌;송경원;신성일;이진영;박성진;현윤석
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.106-110
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    • 2002
  • The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

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전방 십자 인대 재건술 후 발생한 전경골 결절종 - 1례 보고 - (Pretibial Ganglion Cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction - A Case Report -)

  • 전호승;전승주;김종민;서영래
    • 대한관절경학회지
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    • 제14권2호
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    • pp.124-127
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    • 2010
  • 전방 십자 인대 재건술 후에 발생한 전경골 결절종은 매우 드문 합병증으로 국내외에 그 보고가 매우 적으며, 몇몇 저자들이 그 발생 시기 및 원인들이 다양하다고 보고하고 있다. 저자들은 34세 남자에서 아킬레스 동종건과 생체 흡수성 간섭나사를 이용한 관절경적 전방 십자 인대 재건술 후 발생한 전경골 결절종 1예를 치험하였기에, 그 발생 원인 및 치료를 포함하여 문헌 고찰과 함께 보고하고자 한다.

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후방십자인대 재건술 후 사체 아킬레스 이식건의 초기연신거동 (Initial Lengthening Behavior of Cadaveric Achilles Tendon Graft After Posterior Cruciate Ligament Reconstruction)

  • 김철웅;배지훈;이호상;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1461-1466
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    • 2008
  • In the case of Posterior Cruciate Ligament (PCL), the most frequent mechanism is the dashboard injury, which is directly pressurized to the anterior of the proximal tibia in the state of the knee hyperflexion. The PCL associated ligament damage happens when the posterior injury, the varus, the valgus, the hyperextension and the severe vagus torque are out of the critical value of PCL. After the successful operation cases of Anterior Cruciate Ligament (ACL) reconstruction using the allograft were informed from 1986, a number of results kept over the maximum 10 years were reported. Unfortunately, PCL reconstruction are crowded the surgery techniques such as the graft, the tibia fixing method, the fixation device, the location of the femoral tunnel, the number of the graft bundles and PCL reconstruction to access to the stability of the normal joint is being developed. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The initial extension of the Achilles tendon by the fixing device and its location under the cyclic loading, were observed.

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PCL 재건술용 아킬레스 이식건의 종골편 고정법과 연부조직 고정법에 따른 활주거동 (Slippage Behavior Due to the Calcaneus Fixation and Achilles Tendon Soft Tissue in Posterior Cruciate Ligament (PCL) Reconstruction)

  • 김철웅;이호상;배지훈;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1527-1532
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    • 2008
  • 45% of the sports accidents is the knee damage and the representative case is the damage of an Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament(PCL). Although the past different views of ACL reconstruction comes to an agreement, the disputes of PCL is remained yet. The most important engineering approach for these various surgery techniques is accurately to understand and to evaluate the fatigue behavior depending on the stress flow and the stress distribution under the allotted load and the cyclic load, which are caused by the graft fixing device, the proximal tibia of the PCL reconstructing structure. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The relationships between the slippage, the extension ratio, and the slippage ratio by the heel bone fixing method and the soft tissue fixing method of the Achilles tendon were also defined. This research will be the essential data to help the resonable operating techniques for the next PCL reconstruction.

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건염의 물리치료 후 VAS의 변화와 초음파 영상소견상의 면적 변화에 대한 상관성 연구 - 극상근 건염, 외측상과염, 아킬레스건염을 중심으로 - (Interrelationship research between difference of VAS and lesion area in Sono-Graphic after physical therapy of tendinitis. - Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis -)

  • 김정선;박지환
    • 대한정형도수물리치료학회지
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    • 제14권1호
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    • pp.24-30
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    • 2008
  • Purpose : The patients who have Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis are our targets, so we want to know their opinions in order to take Sono-graphic tests and to study utility value of Sono-graphic. Object and Methods : The case of 30 patients with Tendinitis results, we classified with three categories, Supraspinatus tendinitis, Lateral epicondylitis and Achilles tendinitis. Case by case, before medical treatment, we executed the inspections which are Sound side and Affected side. After 4 weeks of medical treatment, we executed the inspection which is Sono-graphic. Objectively comparing with Sono-graphic, we measured VAS(Visual Analog Scale) before and after physical therapy. Results : We could learn that VAS (Visual Analog Scale) and Sono-graphic wore decreased about changing the lesion area of each disease. For example, Supraspinatus tendinitis is from case 1 and case 2, Lateral epicondylitis is from case 8, case 9 and case 10, Achilles tendinitis is from case 16, case 17 and case 18. Conclusion : About organization of complicated anatomy, we could learn general ideas about Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis. And finally the results which appeared between the decrements of VAS and Sono-graphic are similar.

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근막추나와 한방치료 및 그라스톤테크닉을 병행하여 호전된 아킬레스건염 증례보고 1례 (A Case Report on a Patient of Achilles Tendinitis Treated with Gyeon-mak Chuna, Korean Medicine and Graston Technique)

  • 박재홍;오은영;이흔주;김영준;신유빈
    • 한방재활의학과학회지
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    • 제25권1호
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    • pp.103-110
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    • 2015
  • The objective of this study is to report the improved case of Achilles tendinitis treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient diagnosed with Achilles tendinitis is hospitalized at Department of Korean Rehabilitation Medicine, Samse Hospital of Korean Medicine. The subject is treated by herbal medicine, acupuncture, Gyeon-mak chuna and Graston technique. This study was measured by Visual Analogue Scale (VAS) score, walking time without pain per 6 minutes (6MWT) and American orthopaedic foot and ankle society Hind foot scale (AOFAS). The patient showed decreased VAS, AOFAS and improved 6MWT after treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient showed reduced pain and positive effect on activities of daily living.

침도침술을 시행한 아킬레스건염 증례보고 (Case Study of Oriental Medicine Treatment with acupotomy Therapy of the Achilles Tendinitis)

  • 장은하;임나라;나원민;김성철
    • 대한약침학회지
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    • 제11권4호
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    • pp.87-94
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    • 2008
  • Purpose In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of Achilles Tendinitis Methods From 4th August, 2008 to 14th August, 2008, 1 female patient diagnosed as Chronic Achilles Tendinitis (clinical diagnosed) was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results The patient's chief complaints- Lt. heel pain and stiffness, dorsi-flexion limitation, nodules in the achilles tendon- were notably improved. Conclusions This study demonstrates that oriental medical treatment with acuputomy therapy has significant effect in improving symptoms of achilles tendinitis. as though we had not wide experience in this treatment, more research is needed.