• 대한족부족관절학회지
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• 제15권2호
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• pp.110-113
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• 2011

Ossification of the Achilles tendon is a rare condition that is characterized by the presence of an ossific mass contained within the substance of the tendon. The ossified mass is usually asymptomatic but when it grows large and painful, it deteriorates the function of Achilles tendon. We report a case of ossification of the Achilles tendon, which was successfully treated by removal of the ossific mass and proximal flexor hallucis longus (FHL) tendon transfer.

• 대한족부족관절학회지
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• 제8권1호
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• pp.114-115
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• 2004

A 18-year-old male soccer player had painful triggering and occasional locking of the great toe caused by entrapment of the flexor hallucis longus tendon within the flexor sheath posterior to the right medial malleolus. After other treatment modalities failed, the condition was relieved by a surgical procedure that removed the nodule on the flexor hallucis longus tendon and the ganglion under flexor retinaculum. Tendon rupture was not found, although there was tendinitis.

• 대한족부족관절학회지
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• 제10권2호
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• pp.168-172
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• 2006

Purpose: Theaim of this study was to review the results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer. Materials and Methods: Five cases of Achilles tendon infection in five patients were treated using reverse sural arterialized flap and/or flexor hallucis longus transfer at our hospital with followed up of average 23.6 months (range, 13-43 months). Three patients were male and average age at surgery was 52.0 years (range, 42-59 years). Clinical results were evaluated by the method of Percy and Conochie, and the isokinetic peak torque value was interpreted according to the guideline of Sapega. Results: The clinical result was excellent in three cases, good in one case and fair in one case. The isometric peak torque value for $30^{\circ}$ per second was normal in two cases, possibly abnormal in one case, and probably abnormal in two cases, and for $120^{\circ}$, normal in one case, probably abnormal in four cases. Five cases in five patients were satisfied with the result of treatment. Conclusion: We can expect satisfactory results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.

• 대한족부족관절학회지
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• 제19권3호
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• pp.114-117
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• 2015

Deep infection of Achilles tendon is one of the serious complications that occur after open repair of the tendon. It sometimes leads to a very large tendon defect during the course of treatment. We report on a case of massive defect in Achilles tendon, which was successfully treated with Achilles tendon allograft and flexor hallucis longus tendon transfer.

• 대한족부족관절학회지
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• 제14권2호
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• pp.173-176
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• 2010

Synovial chondromatosis is a benign lesion forming multiple round cartilagenous nodules or osseous loose bodies in joint cavity. Predilection sites are known as knee, hip and elbow joints. However, the involvement of ankle joint was rarely reported in the literature. Moreover, extraarticular chondromatosis in synovial sheath or bursa of extremities is extremely rare. We present a case of synovial chondromatosis of the left ankle joint and flexor hallucis longus tendon sheath.

• 대한족부족관절학회지
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• 제13권1호
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• pp.23-27
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• 2009

Purpose: The purpose of this study was to evaluate the clinical outcome of neglected Achilles tendon rupture treated with reconstruction and augmentation with flexor hallucis longus (FHL) tendon using one incision technique. Materials and Methods: Between July 2006 and March 2008, eleven patients with neglected Achilles tendon rupture received surgical treatment. Through one incision technique, augmentation with auto FHL tendon transfer was performed using a Bio-Interference screw (Arthrex, Naples, FL) and followed by V-Y advancement (5 cases) or gastronemius fascial turn-down flap procedure (6 cases). After mean follow up of 20.7 months (range, 11.8-33.3 weeks), clinical outcomes were evaluated with Visual Analogue Scale (VAS), American Orthopedic Foot and Ankle Society (AOFAS) score, 10 repetitive double heel raise test, 10 repetitive single heel raise test and subjective satisfaction. Results: The length of the gap after debridement was $5.4{\pm}2.0$ cm. The VAS improved from $4.1{\pm}0.9$ to $1.5{\pm}0.8$ at last follow up (p<0.05). The AOFAS score increased from $38.9{\pm}12.2$ to $91.5{\pm}8.9$ at last follow up (p<0.05). Eight patients were satisfied with excellent results and three were satisfied with good results. All patients were able to perform 10 repetitive double heel raise and nine out of eleven patients were able to perform 10 repetitive single heel raise at last follow up. There were no complications including deep infection or re-rupture. Conclusion: Augmentation with FHL tendon transfer and reconstruction with V-Y advancement or turn-down flap through one incision technique appeared to be effective and safe. This technique is recommendable for the treatment of neglected Achilles tendon rupture.

• 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.

• 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.

• 대한족부족관절학회:학술대회논문집
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• 대한족부족관절학회 2008년도 추계학술대회 및 총회
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• pp.51-51
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• 2008

• 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.