• 대한족부족관절학회지
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• 제24권4호
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• pp.161-164
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• 2020

A peroneal dislocation is a rare disease that is often misdiagnosed as a simple sprain and can be treated inadequately in the acute phase. For this reason, it is important to have an appropriate diagnosis in the early stages because it can progress to chronic and recurrent conditions. Surgical treatment is considered mainly when progressing to chronic recurrent dislocation. Recently, patients with an acute peroneal dislocation tend to prefer surgical treatment, so accurate initial diagnosis and management are very important. This paper reports a case of chronic recurrent peroneal tendon dislocation in both ankle joints, which was treated by a superior peroneal retinaculum reconstruction and a groove deepening procedure.

• 대한족부족관절학회지
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• 제11권1호
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• pp.120-122
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• 2007

Traumatic dislocation of the peroneal tendon is an infrequent injury. This injury is caused by forceful dorsiflexion of the foot accompanied by a powerful contraction of the peroneal muscles. This mechanism of injury tears the superior peroneal retinaculum and allows the tendons to snap anteriorly. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by bone block surgery using autograft of lateral fibula and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

• 대한족부족관절학회지
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• 제3권1호
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• pp.62-65
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• 1999

Traumatic dislocation of the peroneal tendon is a rare injury. It should be distinguished from other conditions that can cause pain and disability of lateral aspect of the ankle joint. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by deepening of the peroneal groove of the lateral malleolus and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권2호
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• pp.209-214
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• 1999

Chronic recurrent TMJ dislocation results in difficulty of mastication, speaking, and swallowing due to the limitation of the mandibular movement. Etiologic factors are considered as the looseness of the capsule and ligaments, the decrease of the articular eminence, condylar morphologic change, muscular disharmony near by TMJ, and the decrease of the vertical length of the mandibular ramus. Treatment approach has been suggested that surgical methods are selected for the correction of the etiologic factors when conservative treatments are not effective. Many surgical methods have been reported such as eminectomy, eminence augmentation, condylotomy, and zygomatic arch down fracture technique. We performed the eminence augmentation through interpositional bone graft in chronic recurrent TMJ dislocation. This method leads to favorable postoperative result without recurrence and complication, so we report the case with related references.

• 대한족부족관절학회지
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• 제24권4호
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• pp.168-172
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• 2020

Chronic recurrent peroneal dislocation often responds poorly to conservative treatment. Surgical treatment has been reported to be more effective than conservative treatment, and various surgical treatment methods are available: superior peroneal retinaculum repair or reattachment, peroneal groove deepening procedures, rerouting procedures, or bone block procedures. Although various treatment options have been reported, there is no consensus regarding which treatment is better. This paper proposes a distal fibular rotational plasty that can prevent recurrent peroneal dislocations and recover its function well by securing a stable peroneal tendon excursion space.

• Imaging Science in Dentistry
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• 제42권1호
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• pp.13-18
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• 2012

Purpose : The aim of this study was to investigate the effect of the autologous blood injection (ABI) for chronic recurrent temporomandibular joint (TMJ) dislocation using magnetic resonance imaging (MRI). Materials and Methods : ABI was applied to 14 patients who had chronic recurrent TMJ dislocation. MRIs of the patients were taken and compared before and one month after the injection. Results : All of the patients had no dislocations of their TMJs on clinical examination one month after the injection. In the pre-injection, unilateral or bilateral TMJ dislocations were observed on MRIs in all patients. One month after the injection, TMJ dislocations were not observed in MRI evaluation of any patients. A significant structural change that caused by ABI was not observed. Conclusion : The procedure was easy to perform and it caused no foreign body reaction. However, it was unclear how the procedure prevented the dislocation.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제38권5호
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• pp.305-309
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• 2012

Temporomandibular joint (TMJ) subluxation and dislocation are uncommon but very unpleasant and distressing conditions to patients. Subluxation of the TMJ is an excessively abnormal condylar excursion secondary to flaccidity and laxity of the capsule. When the condyle head excurses anterior to the eminence upon wide opening, it can return to the fossa by self-manipulation or non-surgical conservative reduction. Surgery is recommended if a complete dislocation, so-called open lock, occurs as a chronic or recurrent protracted condition that cannot be reduced voluntarily. A range of surgical procedures can be performed to limit condylar hypermobility inclusing soft tissue tethering, creation of articular obstacles, removal of mechanical blockade and augmentation of articular eminence using different kinds of grafts. In the present case, a 74-year-old woman was diagnosed with a chronic TMJ dislocation that had lasted for 6 months. Bilateral condylectomy was performed and the post-operative results were good without functional limitations or recurrence.

• 대한정형외과 초음파학회지
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• 제1권1호
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• pp.58-63
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• 2008

비골 건 탈구 손상의 발생 기전은 전형적으로 대부분이 발목 외상 후에 발생하며, 발목이 심하게 배부 굴곡된 상태에서 비골 건이 갑작스럽고 심하게 구축하는 경우에 흔히 발생한다. 본 손상이 재발하는 경우에는 단 비골 건 파열이 자주 동반되며, 초음파 검사로 비골 구에서 탈구 되는 소견을 확인 할 수 있다. 만성 재발성 탈구는 수술적 치료가 필요하며 비골 구를 깊게 하는 술식을 시행하여 좋은 결과를 얻을 수 있다. 전 경골건의 비외상성 파열은 고령 층 중 활동성 높은 부류에서 만성 자극에 의한 마멸, 국소적 스테로이드 주사, 당뇨병성 건염이나 염증성 관절증과 같은 전신질환에 의해 건의 연속성이 약화된 상태에서 호발한다.

• Journal of Oral Medicine and Pain
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• 제38권4호
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• pp.319-324
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• 2013

턱관절의 탈구는 과두가 관절와를 벗어나 환자 스스로 원래 위치로 정복하지 못할 때 발생한다. 양측성 전방 탈구가 가장 흔하며 탈구의 빈도와 발생 기간에 따라 급성, 만성, 재발성으로 분류하기도 한다. 턱관절 탈구의 치료법으로 수조작 같은 보존적 방법부터 수술적 접근법까지 다양한 방법들이 있으며 치료법의 선택은 주로 탈구가 발생한 기간에 따라 달라진다. 본 증례를 통해서 수조작을 시행하여 턱관절의 탈구를 성공적으로 치료한 증례와 과두의 정복에 실패했으나 만성적으로 적응된 환자에서 수술적 치료 대신 보철 치료로 교합을 회복시켜준 사례를 소개하고 그 의의에 대해 고찰해보고자 한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제36권1호
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• pp.16-20
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• 2014

Mandibular condylar hyperplasia is an uncommon condition of excessive unilateral growth of the condyle causing facial asymmetry and occlusal alterations. The etiology of condylar hyperplasia is unclear, but several factors are suspected, including previous trauma, hormonal disturbances, and abnormal functional loadings. Acute or chronic recurrent dislocation of temporomandibular joint (TMJ) is common, but long-standing dislocation is rare. We present two cases of the exophytic condylar hyperplasia that lasted for over 20 years with TMJ dislocation. In both cases, we performed a condyloplasty to restore normal occlusion and facial symmetry, with satisfactory results.