• Title/Summary/Keyword: Foot and Ankle

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Pigmented Villonodular Synovitis in Forefoot (A Case Report) (전족부에 발생한 색소 융모 결절성 활액막염 (1례 보고))

  • Kim, Jun Beom;Song, In Soo;Chon, Je Gyun;Kim, Tae In;Sun, Dong Hyuk;Lee, Kyung Tai
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.1
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    • pp.64-67
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    • 2013
  • Pigmented villonodular synovitis (PVNS) is a slowly, progressive, proliferative disorder of synovial tissue characterized by villous or nodular changes of synovial-lined joints, bursae, and tendon sheaths and most frequently affects the large joints, with the knee and hip. A few studies have been reported that occurred PVNS in small joint, but mainly in hands. It is a very rare condition that occurs in the small joints of the forefoot. We have experienced the case, which developed in small joint of the forefoot, and performed total synovectomy. After the operation, there was no recurrence. We report a case of PVNS in forefoot with a review of the literature.

Effect of Short Foot Exercise Using an Imagery Technique on Chronic Ankle Instability (심상 기법을 이용한 단축발 운동이 만성 발목 불안정성에 미치는 효과)

  • Lee, Dongjin;Ji, Sungha
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.1-10
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    • 2017
  • Purpose : This study was aimed at investgating the effect of short foot exercise(SFE) using an imagery technique on chronic ankle instability(CAI). Methods : Twenty subjects with chronic ankle instability were selected by using the Cumberland ankle instability tool. They were randomly assigned to one of two groups(10 in each group) : namely the short foot exercise group and imagery technique group. The short foot exercise group performed short foot exercise for 6 weeks(3 times a week, 15 min per session). The imagery technique group performed short foot exercise(3 times a week, 15 min per session) and the imagery technique(3 times a week, 5 min per session) for 6 weeks. We measured chronic ankle instability, balance and threshold of vibration sensation before and after exercise by using the Cumberland ankle instability tool, Biodex Balance System and VSA-II, respectively. Results : We found statistically significant differences in cumberland ankle instability tool, balance and threshold of vibration sensation between the groups(p<.05). Conclusion : We confirmed the effect of short foot exercise using an imagery technique. Thus, we thought these results could be used as basic data and reference for musculoskeletal therapy or intervention using an imagery technique.

Kinetics Analysis during Stance Phase of Fore Foot Contact versus Rear Foot Contact in Running

  • Cho, Woong;Han, Jae Woong;Kim, A Young;Park, Sung Kyu;Kim, Hyung Soo
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1084-1089
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    • 2017
  • The purpose of this study was to compare and analyze the difference of the ankle joint movements during landing. Seven adult males voluntarily participated in the study and the average foot size of the subjects was 269.8 mm. Image analysis equipment and the ground reaction force plate (landing type) was used to measure th kinetic variables. As a result of this study, it was confirmed that the vertical ground reaction force peak point appeared once in the barefoot with forefoot, while two peak points appeared in the barefoot and functional shoe foot with rear foot landing. About ankle angle, fore foot landing ankle angle, the average with bare foot landing was $-10.302^{\circ}$ and the average with functional shoe foot landing was $-2.919^{\circ}$. Also about rear foot landing, ankle angle was $11.648^{\circ}$ with bare foot landing and $15.994^{\circ}$ with functional shoe landing. The fore foot landing, ankle joint force analysis produced 1423.966N with barefoot and 1493.264N with functional shoes. But, the rear foot landing, ankle joint force analysis produced 1680.154N with barefoot and 1657.286N with functional shoes. This study suggest that the angle of ankle depends on the landing type and bare foot running/functionalized shod running, and ankle joint forces also depends on landing type.

Current Trends in the Treatment of Diabetic Foot: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (당뇨발 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Won, Sung Hun;Min, Tae-Hong;Chun, Dong-Il;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.30-39
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    • 2022
  • Purpose: This study aimed to report the current trends in the management of diabetic foot over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 40 questions was sent to all KFAS members in September 2021. The questions were mainly related to the demographics of patients with diabetic foot, diagnostic tools, and multidisciplinary treatment. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Seventy-eight of the 550 members (14.2%) responded to the survey. The most common demographic factors of diabetic foot patients were male dominance with a high percentage in the 60- to 70-year-old. Although the need for multidisciplinary treatment is highly recognized in the treatment of diabetic foot patients, the actual implementation rate is about 39%. The contrast-enhanced magnetic resonance imaging (88.5%) was reported to be the most used tool for the diagnosis of osteomyelitis of the diabetic foot. It was reported that the use of antibiotics was started empirically and then changed based on bacterial culture tests in 82.1% of patients. Simple wound dressing and antibiotic treatment were most frequently reported for mild ulcers. Conclusion: This study provides updated information on the current trends in the management of a diabetic foot in Korea. Both consensus and variations in the approach to patients with diabetic foot were identified by this survey study. Further efforts are required for better access to a multidisciplinary approach, such as appropriate insurance payment policies and patient education.

Foot and ankle pain in soccer players (축구 선수에서의 발목 및 발의 통증)

  • Lee Kyung-Tai;Young Ki-Won;Kim Jae-Young;Cha Seung-Do;Kim Eung-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.36-41
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    • 2004
  • The purpose of this study is to describe the common injuries in soccer players in terms of the orthopaedic operative treatment. We classified foot pain to in forefoot , midfoot, plantar aspect and mentioned the cause, incidence and treatment methods. Ankle pain was classified to anterior, lateral, medial and posterir aspect of the ankle. In all injuries in soccer players, conservative treatment is primary treatment method and we treated operatively in no respond case inspite of the physical therapy and rehabilitation program for sufficient period. The anatomical repair was preferred and minimal invasive surgery was recommended if possible and then focus of treatment is to early return to previous full activities through the rehabilitation program for sufficient period. As a conclusion, it is necessory to understand the mechanism and cause of the common injuries in soccer players and to select the proper treatment method to the degree of the injuries.

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Application of Negative Pressure Wound Therapy in the Foot and Ankle Field (족부족관절 영역에서 음압창상처치의 적용)

  • Jungtae Ahn;Dae-Cheol Nam
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.2
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    • pp.41-47
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    • 2024
  • Negative pressure wound therapy (NPWT) has emerged as a valuable tool for managing complex wounds within the foot and ankle field. This review article discusses the expanding applications of NPWT in this specialized field. Specifically, it discusses the efficacy of NPWT for various wound types, including diabetic foot wounds, traumatic wounds, surgical wounds, and wounds involving exposed bone or soft tissue defects. NPWT demonstrates versatile utility for foot and ankle wound management by promoting healing, potentially reducing the need for secondary surgery, improving diabetic and neuropathic ulcer healing times and outcomes, and optimizing the healing of high-risk incisions. In addition, this review explores the underlying mechanisms through which NPWT might enhance wound healing. By synthesizing current evidence, this review provides a comprehensive overview of the role of NPWT in foot and ankle surgery and offers valuable insights to clinicians navigating the complexities of wound care in this challenging anatomical area.

Hyaluronic Acid and Platelet-Rich Plasma Injections in Foot and Ankle Disorders (족부족관절 질환에서 히알루론산과 혈소판 풍부 혈장 주사치료)

  • Gun-Woo Lee;Joonkyoo Kang
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.3
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    • pp.79-86
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    • 2023
  • Numerous nonoperative treatments have been used to reduce pain and improve the clinical outcomes of patients with foot and ankle disorders. Among these treatments, hyaluronic acid and platelet-rich plasma (PRP) injections have been used increasingly. This review analyzes the recent literature reporting the efficacy and indications for hyaluronic acid and PRP injections. Hyaluronic acid and PRP can be used safely as adjuncts. Hyaluronic acid injections have shown efficacy and have a promising role as an adjuvant treatment method. In addition, its indication has expanded to various foot and ankle diseases over osteoarthritis. On the other hand, the efficacy of PRP injection has not yet been clarified, and the lack of standardization of procedures for the preparation and administration of PRP makes it difficult to establish definitive treatment indications.

Nonoperative Management of Foot and Ankle Injury Related to Sports (스포츠와 관련된 족부 및 족관절 손상에 대한 비수술적 치료)

  • Gwak Heui-Chul;Seo Seung-Suk;Kim Chang-Wan
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.2
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    • pp.118-127
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    • 2004
  • The foot and ankle are one of the most common sites for acute musculoskeletal injuries related to sports activity. Foot and ankle injury includes ligament injury, tendon injury, bone and osteochondral injury, nerve injuy, heel pain syndrome, phalangeal injury. This is a article about nonoperative management of foot and ankle injury. Therefore, this article includes various exercise technique, range of motion, stretching for muscle relaxation, proprioception training for rehabilitation. We recommend that orthopedic surgeon should discuss with patient and specialist for treatment plan after foot and ankle injury

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Patient-Reported Outcome Measures of the Foot and Ankle (족부족관절 분야의 환자 자가 보고 결과 평가법)

  • Kim, Jiyoun;Kim, Bom Soo
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.1-8
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    • 2022
  • The patient-reported outcome measures (PROMs) are important in assessing the patient's overall health, lesion-specific outcomes, and condition-specific outcomes. PROMs are also known as "scoring systems" and are usually in questionnaires. There are almost a hundred different PROMs available in foot and ankle surgery. Each PROM has its merits, demerits, and validity. Selecting an appropriate PROM is important for adequately evaluating a patient's health status. This article summarizes the most frequently used PROMs in the literature on foot and ankle surgery and presents the authors' recommendations.

Ultrasonography of the Foot and Ankle (족부 및 족관절의 초음파)

  • Yeo, Eui-Dong;Kim, Hak Jun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.1
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    • pp.20-27
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    • 2013
  • The anatomical structures of foot and ankle are more superficial than other body structures. The ultrasonographic examinations are easy and useful diagnostic tools in the foot and ankle field. The interpretation of ultrasonographic findings depends on the observer's experiences of sonographical anatomy. Repeated ultrasonographic examination of the foot and ankle can improved the skills in diagnosing the disease of the foot and ankle.

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