• 제목/요약/키워드: Flexor digitorum longus tendon

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장 족지 굴건 막의 결절종에 의해 유발된 족근 관 증후군의 치료 - 1예 보고 - (The Treatment of Tarsal Tunnel Syndrome caused by Ganglion of Flexor Digitorum Longus Tendon Sheath - A Case Report -)

  • 양승욱;신승준;송무호;최선진
    • 대한족부족관절학회지
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    • 제4권2호
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    • pp.79-82
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    • 2000
  • Tarsal tunnel syndrome caused by ganglion as space occupying lesion is unusual and known that excellent result can be expected from surgical treatment carried out soon after onset of the condition. The object of the current study is to report our experience of tarsal tunnel syndrome caused by ganglion of flexor digitorum longus tendon sheath treated with operative management in a 39 year-old man with a review of the literature.

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엄지발가락으로 가는 긴발가락굽힘근 힘줄: 해부학적 변이 연구 (The Tendinous Slip of the Flexor Digitorum Longus for the Great Toe: An Anatomic Variation)

  • 이주영;허미선
    • 해부∙생물인류학
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    • 제30권2호
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    • pp.61-65
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    • 2017
  • 이 연구는 엄지발가락으로 가는 긴발가락굽힘근 힘줄 변이를 관찰하여 기술하였고, 또한 다섯 발가락으로 가는 긴굽힘근 힘줄의 구성을 확인하였다. 재료는 한국 성인 시신 발 66쪽을 사용하였다. 발꿈치뼈와 발허리발가락관절에서 긴엄지굽힘근 힘줄과 긴발가락굽힘근 힘줄들을 벌레근과 함께 자른 후, 특히 엄지발가락으로 가는 긴엄지굽힘근 힘줄과 긴발가락굽힘근의 힘줄들을 관찰하였다. 발에서 긴발가락굽힘근 힘줄로부터 힘줄가닥이 갈라져 나와 엄지발가락으로 들어가는 경우가 52세 남성 시신의 양쪽 발에서 관찰되었다. 이 경우는 66쪽의 발에서 2예(3.0%)의 빈도로 나타났다. 엄지발가락으로 가는 긴발가락굽힘근 힘줄가닥은 엄지발가락으로 가는 긴굽힘근 힘줄의 얕은 부분을 구성하였고, 긴엄지굽힘근 힘줄은 엄지발가락으로 가는 긴굽힘근 힘줄의 깊은 부분을 구성하였다. 이 연구는 긴엄지굽힘근 힘줄과 긴발가락굽힘근 힘줄 사이 연결의 해부학적 변이를 나타내었으며, 이 결과는 다양한 수술과 생체역학 연구에 유용할 것으로 생각된다.

종골 분쇄 골절 후 장족지 굴곡건 유착에 의해 발생한 Checkrein 변형: 증례 보고 (Checkrein Deformity Due to Flexor Digitorum Longus Adhesion after Comminuted Calcaneus Fracture: A Case Report)

  • 김진수;이한상;양기원;이근우;조훈기;이상영
    • 대한족부족관절학회지
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    • 제19권1호
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    • pp.35-38
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    • 2015
  • The checkrein deformity describes tethering of the flexor hallucis longus tendon, which mainly occurs after fracture of the distal tibia. The deformity increases with dorsiflexion of the ankle and decreases or disappears with plantarflexion of the ankle. In some cases, the deformity may occasionally include the second and third toes. In the current study, the authors experienced secondary checkrein deformity of all lesser toes after open reduction and plate fixation for comminuted fracture of the calcaneus. As a treatment, plate and screws were removed, followed by an additional medial incision which showed a partially ruptured flexor digitorum longus tendon with severe adhesion. Resection of the adhesed tendon and tenodesis of its distal portion to the flexor hallucis longus was performed for correction of the checkrein deformity. Then the lessor toe checkrein deformity recovered immediately. The authors report on this rare lessor toe checkrein deformity after calcaneal fracture fixation with a review of literature.

수궐음 심포경근의 해부학적 고찰 (Study on the Anatomical Pericardium Meridian Muscle in Human)

  • 박경식
    • Korean Journal of Acupuncture
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    • 제22권1호
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    • pp.67-74
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    • 2005
  • Objectives : This study was carried to identify the component of the Pericardium Meridian Muscle in human. Methods : The regional muscle group was divided into outer, middle, and inner layer. The inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and to expose the inner structure of the Pericardium Meridian Muscle in the order of layers. Results We obtained the results as follows; He Perfcardium Meridian Muscle composed of the muscles, nerves and blood vessels. In human anatomy, it is present the difference between terms (that is, nerves or blood vessels which control the muscle of the Pericardium Meridian Muscle and those which pass near by the Pericardium Meridian Muscle). The inner composition of the Pericardium Meridian Muscle in human is as follows ; 1) Muscle P-1 : pectoralis major and minor muscles, intercostalis muscle(m.) P-2 : space between biceps brachialis m. heads. P-3 : tendon of biceps brachialis and brachialis m. P-4 : space between flexor carpi radialis m. and palmaris longus m. tendon(tend.), flexor digitorum superficialis m., flexor digitorum profundus m. P-5 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum superficialis m., flexor digitorum profundus m. tend. P-6 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum profundus m. tend., pronator quadratus m. H-7 : palmar carpal ligament, flexor retinaculum, radiad of flexor digitorum superficialis m. tend., ulnad of flexor pollicis longus tend. radiad of flexor digitorum profundus m. tend. H-8 : palmar carpal ligament, space between flexor digitorum superficialis m. tends., adductor follicis n., palmar interosseous m. H-9 : radiad of extensor tend. insertion. 2) Blood vessel P-1 : lateral cutaneous branch of 4th. intercostal artery, pectoral br. of Ihoracoacrornial art., 4th. intercostal artery(art) P-3 : intermediate basilic vein(v.), brachial art. P4 : intermediate antebrachial v., anterior interosseous art. P-5 : intermediate antebrarhial v., anterior interosseous art. P-6 : intermediate antebrachial v., anterior interosseous art. P-7 : intermediate antebrachial v., palmar carpal br. of radial art., anterior interosseous art. P-8 : superficial palmar arterial arch, palmar metacarpal art. P-9 : dorsal br. of palmar digital art. 3) Nerve P-1 : lateral cutaneous branch of 4th. intercostal nerve, medial pectoral nerve, 4th. intercostal nerve(n.) P-2 : lateral antebrachial cutaneous n. P-3 : medial antebrachial cutaneous n., median n. musrulocutaneous n. P-4 : medial antebrachial cutaneous n., anterior interosseous n. median n. P-5 : median n., anterior interosseous n. P-6 : median n., anterior interosseous n. P-7 : palmar br. of median n., median n., anterior interosseous n. P-8 : palmar br. of median n., palmar digital br. of median n., br. of median n., deep br. of ulnar n. P-9 : dorsal br. of palmar digital branch of median n. Conclusions : This study shows some differences from already established study on meridian Muscle.

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후천적 성인 편평족 변형의 수술적 치료 (Operative Treatment of Acquired Adult Flatfoot)

  • 안치영;안재훈;김만수
    • 대한족부족관절학회지
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    • 제18권3호
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    • pp.93-99
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    • 2014
  • Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.

족저부에 발생한 건활막 연골종증(1예 보고) (Tenosynovial Chondromatosis on Plantar Area (A Case Report))

  • 황정수;정필현;강석;김종필;김영성;양철호;이종임
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.214-217
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    • 2009
  • Tenosynovial chondromatosis is a multinodular cartilaginous proliferation that arises from the tenosynovial membranes. It is rare, benign neoplasm, most commonly affects the tendon of the wrist and hand. It is clinically important because of its high rate of recurrence with a unique histopathological pattern which not infrequently displays considerable focal cellular atypia and hypercellurality nevertheless it is benign, but it has not been well recognized because of its rarity. We report here a rare case of tenosynovial chondromatosis of the tendon sheath of flexor hallucis longus and flexor digitorum longus in plantar area.

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장 족지 굴건 막의 결절종과 내측 족저 신경의 다병소성 점액성 변성을 동반한 족근 관 증후군 -1예 보고- (Ganglion of Flexor Digitorum Longus Tendon Sheath and Multifocal Myxoid Degeneration of Medial Plantar Nerve Producing Tarsal Tunnel Syndrome - A Case Report -)

  • 정화재;신헌규;강동호
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.213-215
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    • 2005
  • Tarsal tunnel syndrome caused by space occupying lesion is unusual but it rarely occur by ganglion which is presented below the flexor retinaculum due to compression neuropathy of posterior tibial nerve and its branches. The object of the current study is to report our experience of surgical treatment about tarsal tunnel syndrome caused by the ganglion of flexor digitorum longus tendon sheath and multifocal myxoid degeneration of medial plantar nerve with a review of the literatures.

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반복적인 골프 스윙으로 인한 노쪽손목굽힘근 힘줄의 파열 (Flexor Carpi Radialis Tendon Rupture due to Repetitive Golf Swing)

  • 이상철;고성훈;장진혁;안재기
    • Clinical Pain
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    • 제18권2호
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    • pp.107-110
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    • 2019
  • Flexor carpi radialis (FCR) muscle is located in the forearm anteriorly that runs through a synovial fibro-osseous tunnel in the forearm. We described a case of FCR tendon rupture due to repetitive overuse injury. A 55-year-old man, right-hand dominant, presented with right forearm pain and swelling which started 3 days ago while playing amateur golf. Focal tenderness and bruising over volo-ulnar region of the right forearm were examined. Plain radiographs showed soft tissue edema around lesion area and no detectable fracture. Ultrasonography showed multiple hypoechoic lesions suspected as hematoma of the flexor muscle group. After done magnetic resonance imaging, he was diagnosed with rupture of FCR tendon at proximal origin and strain of flexor digitorum superficialis and palmaris longus muscle. He received compressive dressing and restriction of wrist range of motion for three weeks. Two months later, remaining traces of lesions were observed at the follow-up ultrasonography and the pain disappeared.

무지 신전건에 발생한 섬유종: 증례 보고 (Fibroma of the Extensor Digitorum Longus and Extensor Digitorum Brevis Conjoined Tendon Sheath: A Case Report)

  • 박세진;이인규;조용운
    • 대한족부족관절학회지
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    • 제23권2호
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    • pp.74-77
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    • 2019
  • Fibroma of the tendon sheath (FTS) was initially described in 1936 by Geschickter and Copeland as a benign firmed soft tissue tumor that is rare and less common than another soft tissue tumors, especially giant cell tumors (GCT) of the tendon sheath. The common distinct feature is a slow-growing least painful rare entity arising from the tendon or tendon sheath. FTS is detected mostly in the fingers, hands and wrists but less commonly in the foot. Very few cases of FTS have been described arising from a flexor tendon of the foot. This article describes a 51-year-old patient with FTS that developed in the extensor tendon of the foot, which is the only known FTS to form in this area. Heterogeneous low signal intensity in both the T1- and T2-weighted images was observed in magnetic resonance imaging. The lesion was excised completely by open surgery. Histologically, it showed randomly arranged, fibroblast-like spindle cells in dense fibrous tissue and had insufficient hemosiderin-laden macrophages that are typical for GCT.