• 제목/요약/키워드: 전거비 인대

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단 비골건을 이용한 만성 족관절 불안정성의 수술적 치료

  • 박용욱
    • 대한정형외과스포츠의학회지
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    • 제7권1호
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    • pp.15-18
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    • 2008
  • Chrisman-Snook 술식은 광범위한 절개 및 비복 신경 손상 우려 등과 함께 기술적으로 복잡하다고 여겨지고 있으나, 단비골건을 전부 희생하지 않고 전거비 인대와 종비 인대를 함께 재건하면서 동시에 이식건의 등장성을 확보할 수 있어 술 후 환자의 만족도가 비교적 높고 재발 가능성이 적은 훌륭한 술식으로 사료된다.

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족관절 중등도 불안정성의 관절경적 전거비인대 봉합 - 증례 보고 - (Arthroscopic Anterior Talofibular Ligament Repair for Grade II Chronic Ankle Instability - Two Cases Report -)

  • 송백용;양기원;김진수;박영욱;김태원;이경태
    • 대한관절경학회지
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    • 제15권1호
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    • pp.22-27
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    • 2011
  • 족관절 인대 봉합수술은 만성 족관절 불안정성의 치료에 많이 사용되는 술기로서 최근에는 족관절의 관절경술을 추가로 시행하여 관절내 병변 등을 확인하고 치료하는 것이 권유되고 있다. 저자들은 연골 손상을 동반한 족관절 중등도 불안전성 환자에서 관절경적 다발성 천공술과 함께 관절경하에 생체 흡수성 나사못을 이용한 전거비 인대 고정술을 시행하고, 그 결과를 문헌 고찰과 함께 보고 하고자 한다.

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족지 신전건을 이용한 만성 족관절 불안정성의 재건 (Reconstruction of Chronic Ankle Instability with the Toe Extensor Tendon)

  • 안재훈
    • 대한정형외과스포츠의학회지
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    • 제6권2호
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    • pp.88-91
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    • 2007
  • 급성 족관절 염좌 후 발생하는 지속적인 불안정성은 일부의 환자들에서 결국 인대 재건술을 필요로 하게 된다. 족관절의 외측 안정성을 다시 얻기 위해 전거비 인대와 종비 인대의 직접적인 봉합에서부터 자가 조직이나 동종 조직을 이용한 재건까지 50가지가 넘는 수술적 방법들이 기술되어 왔다. 저자는 그 중의 한 가지인 제4 장 족지 신전건을 이용한 족관절의 해부학적 인대 재건술에 대해 그 이론적 근거와 술기를 기술하고자 한다.

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반건양근 건을 이용한 족관절 외측 인대의 해부학적 재건 (Anatomical Reconstruction of the Lateral Ankle Ligaments using Semitendinosus)

  • 이우천
    • 대한정형외과스포츠의학회지
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    • 제7권1호
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    • pp.19-23
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    • 2008
  • 족관절 만성 외측 불안정증을 비해부학적인 방법으로 재건한 후에 발생하는 여러가지 문제점들을 해결하기 위하여 해부학적으로 재건하는 여러가지 방법이 보고되었다. 해부학적인 위치로 재건하는 것이 정상 관절 역학과 안정성을 회복하는데 중요하다. 해부학적인 재건 방법의 가장 큰 문제점은 인대를 정상적인 주행 방향으로 재건하는 것이 매우 어렵다는 점인데, 저자는 전거비 인대와 종비 인대가 서로 인접하여 위치하므로 두 인대의 비골측 부착부에 한 개의 터널을 만드는 것이 각각의 인대가 통과 할 별도의 터널을 만드는 것보다 좀 더 해부학적이라고 생각하였다. 이 논문에서는 외측 인대의 해부학적 재건에 필요한 기초 지식을 알아보고 반건양건을 이용한 재건 수술 방법을 소개하였다.

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전거비 인대의 개방성 견인 골절: 증례 보고 (Acute Anterior Talofibular Ligament Open Type Avulsion Fracture: A Case Report)

  • 강찬;이기수;이정길
    • 대한족부족관절학회지
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    • 제22권4호
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    • pp.170-172
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    • 2018
  • An ankle sprain is a relatively common sports-related injury but a severe open ankle sprain (SOAS) is very rare. A 27-year-old female athlete was injured during running and was hospitalized because of an inversed ankle injury with an open wound. She was diagnosed initially with an open-avulsion fracture at the tip of the fibula with an anterior talofibular ligament tear. The patient was finally diagnosed with SOAS from the surgical findings and literature review. SOAS should also be considered if there is a transverse open wound at the time of an ankle injury.

소아에서 발생한 전거비 인대 거골 부착부 견열 골절(1예 보고) (Avulsion Fracture of the Talar Attachment of the Anterior Talofibular Ligament in Pediatric Patient (A Case Report))

  • 조형래;황태혁;왕태현;김근영
    • 대한족부족관절학회지
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    • 제15권3호
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    • pp.175-178
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    • 2011
  • Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.

전열침(傳熱鍼)이 급·만성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy for Anterior Talofibular Ligament Injury Induced by Acute and Chronic Ankle Sprain)

  • 장효길;허동석
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.181-190
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute and chronic ankle sprain. Methods: From April 19, 2010 to May 30, 2011 the 79 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medical hospital, Dae-Jeon university with ankle sprain were performed heating-conduction acupuncture therapy on anterior taIofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results: 1. The pain threshold and VAS score showed significant improvement on acute subacute, chronic anterior talofibular ligament injury group. 2. The difference in pain threshold and VAS score between acute, subacute, chronic phase group was not significant. Conclusions: Heating-conduction acupuncture therapy has clinical effects of pan reduction on patient with anterior talofibular ligament injury.

전열침(가칭)이 급성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy(tentatively called) for Anterior Talofibular Ligament Injury Induced by Acute Ankle Sprain)

  • 안순선;장효길;허동석
    • 한방재활의학과학회지
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    • 제19권4호
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    • pp.127-134
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    • 2009
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute ankle sprain. Methods : From October 31, 2008 to July 21, 2009, the 11 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with Pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold score and the VAS score showed statistical significant improvement after 1st treatment. 2. The pain threshold score and the VAS score showed improvement but had no statistical significance after 2nd treatment. 3. The difference between left and right were not statistical significant in pain threshold score and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with anterior talofibular ligament injury induced by acute ankle sprain.

전열침(傳熱鍼)이 급성 족관절 염좌로 인한 전거비·종비 인대 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy for Anterior Talofibular and Calcaneofibular Ligament Injury Induced by Acute Ankle Sprain)

  • 안순선;허동석
    • 한방재활의학과학회지
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    • 제20권3호
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    • pp.119-129
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    • 2010
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on ligament injury induced by acute ankle sprain. Methods : From september 16, 2008 to April 17, 2010, the 28 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental Medical hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular and calcaneofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold and the VAS score showed statistical significant improvement after 1st treatment on calcaneofibular and anterior talofibular ligament injury. 2. The VAS score after 2nd treatment on calcaneofibular and anterior talofibular ligament injury showed statistical significant improvement compared with that after 1st treatment. 3. The pain threshold after 2nd treatment on calcaneofibular and anterior talofibular ligament injury did not show statistical significant improvement compared with that after 1st treatment. 4. The difference between anterior talofibular and calcaneofibular ligament injury was not statistical significant in pain threshold and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with calcaneofibular ligament injury as well as anterior talofibular ligament induced by acute ankle sprain.