• 제목/요약/키워드: Great toe

검색결과 103건 처리시간 0.023초

Modified chevron 절골술을 이용한 무지외반증의 치험 (Modified Chevron Osteotomy for the Treatment of Hallux Valgus)

  • 이범구;박홍기;위성
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.95-101
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    • 1997
  • Hallux valgus has been characterized by a valgus deformity of the great toe at the metatarsophalangeal joint, along with medial deviation of the first metatarsal, and by three components. First, there is a valgus angle more than $20^{\circ}$ at the first, metatarsophalangeal joint. Second, there is a greater angle than $9^{\circ}$ between the first. and second metatarsals. Third, there is bursal hypertrophy at the medial eminence of the first metatarsals head. The etiology is multifactorial and many procedures have been reported in the treatment of hallux valgus. Most of the procedures are directed towards pain relief, correction of deformity, and preservation of dorsiflexion in the first metatarsophalangeal joint. One such treatment is the Modified chevron osteotomy. It is technically simple, and provides greater stability than a standard osteotomy, and allows early ambulation after surgery. We a reviewed 19 cases with 13 patients of hallux valgus deformity. They were all treated with the Modified chevron osteotomy at the Department of Orthopedic Surgery, Choong ang Gil Hospital, between June 1988 and May 1994. The results of the study were as follows; 1. The mean age was 36 years. Three patients(5 case) were male and ten patients(14 cases) were female. 2. The mean value of the hallux valgus angle was $34.1^{\circ}$, and the first to second intermetatarsal angle was $12.1^{\circ}$, preoperatively. These angles were corrected to $15.8^{\circ}$ and $8.5^{\circ}$, respectively. 3. The metatarsalgia subsided in 17 cases (89.5%). avascular necrosis, non union, and dorsal angulation complicatious were nonexistant. Early bone healing occurred in all cases. 4. The Modified chevron osteotomy is technically simple. It provides excellent pain relief, early ambulation, increased mechanical stability, and many avoids many complications such as AVN, non-union, and dorsal angulation.

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성장기 태권도 선수의 경기 손상 (Match Injuries Related to Adolescent Taekwondo Athletes)

  • 김성택;김창윤;신현호
    • 대한정형외과스포츠의학회지
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    • 제6권2호
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    • pp.99-104
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    • 2007
  • 목적: 성장기 태권도 선수들의 경기 손상을 분석하고 그 예 방법을 알아보고자 하였다. 대상 및 방법: 2005년 5월과 2006년 5월의 광주광역시에서 열린 전국 중 고교 태권도 대회에서 발생한 경기 손상 162예를 분석하였다. 결과: 경기 손상 162예에서 족부와 수부 손상이 많았고 골절 및 개방성 탈구, 개방성 골단판 골절 등의 심한 손상도 35예 있었다. 태권도 선수의 빠른 속도와 파괴력은 족부 무지가 접질릴 때 개방성 탈구를 가져 올 수 있고 가격 족부와 피격 상지에 골절을 가져 올 수 있다. 결론: 부상 선수들의 적절한 치료와 함께 훈련 손상 및 경기 손상이 누적되지 않도록 충분한 휴식이 요구되며, 경기 손상의 예방을 위해 경기장 매트, 발등 보호대 손 장갑의 보완과 팔꿈치 보호대의 착용 등이 필요할 것으로 사료된다.

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The Wearing Sense of Male Adult Shoes - Comparison of Common Shoes with Elevated Shoes -

  • Shim, Boo-Ja;Yoo, Hyun
    • 패션비즈니스
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    • 제11권6호
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    • pp.35-51
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    • 2007
  • This research was administered in order to know the effects of heels on the foot by comparing the foot environmental characteristics when common shoes and elevated shoes are worn. First, 157 male adults in their 20s through 40s living in Busan were the inquiry subjects to reveal the shoes-wearing reality of adult males. Second, 7 male adults in their early 20s became the subjects for the experiments of wearing common shoes and elevated shoes. 1. Inquiry Results of Shoes-Wearing Reality Common-shoes wearers were in the order: 20s (43.9%) > 30s (24.8%) > 40s (8.3%). Elevated-shoes wearers were mostly 20s (12.1%), followed by 30s (8.3%) and 40s (2.5%). Among the wearing effects of elevated shoes were 'looking taller' (66.7%), 'no height complex & more confidence' (30.6%), and 'higher work efficiency' (2.8%). In sum, 97.3% of the male subjects believed in great positive effects by wearing elevated shoes. 2. Shoes-Wearing Experiment Results In foot skin temperature, significant differences between the two groups were admitted in outer foot a (p<0.05) and other areas (p<0.001), except in the instep. Elevated-shoes group had bigger skin temperature, while the order of temperature was the instep, the big toe, inner foot a/b/c and outer foot a/b/c. Significant difference was accepted in total sweat rate (p<0.05) and local sweat rate (p<0.01). Elevated-shoes group appeared higher in both rates. Significant difference (p<0.001) between the two groups was recognized in fatigue degrees after wearing, whereas significance (p<0.05) in elevated-shoes group was approved in fatigue before and after exercise. So elevated-shoes group experienced more fatigue, especially after exercise.

Phenol에 의(依)한 요부교감신경절(腰部交感神經節) 차단(遮斷) -증예(症例) 보고(報告)- (Phenol Lumbar Sympathetic Block for Buerger's Disease)

  • 문화영;정창영;박찬진
    • The Korean Journal of Pain
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    • 제1권1호
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    • pp.120-124
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    • 1988
  • 제1족지단(第一足趾端)에 심한 통증(痛症)과 궤양(潰瘍)으로 입원한 31세(歲)의 Buerger 병(病) 환자(患者)에 X-선조(線造) 영하(影下)에서 7% phenol을 사용한 제(第)1, 2 및 3 요부교감신경절차단(腰部交感神經節遮斷)을 시행하였다. 교감신경절차단후(交感神經節遮斷後) 족지(足趾)의 통증완화(痛症緩和)와 온감(溫感)을 느낄 수 있었으며 이후 2회(回)의 2.5% bupivacaine을 이용한 경막외강차단(硬膜外腔遮斷) 후 통증(痛症)소실과 함께 순환혈류(循環血流) 개선(改善)을 plethysmogram으로 확인할 수 있어서 성공적인 교감신경절차단술(交感神經節遮術)이 시행됐다고 볼 수 있어 문헌적(文獻的) 고찰(考察)과 함께 보고(報告)하는 바이다.

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An optical fibre monitoring system for evaluating the performance of a soil nailed slope

  • Zhu, Hong-Hu;Ho, Albert N.L.;Yin, Jian-Hua;Sun, H.W.;Pei, Hua-Fu;Hong, Cheng-Yu
    • Smart Structures and Systems
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    • 제9권5호
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    • pp.393-410
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    • 2012
  • Conventional geotechnical instrumentation techniques available for monitoring of slopes, especially soil-nailed slopes have limitations such as electromagnetic interference, low accuracy, poor longterm reliability and difficulty in mounting a series of strain sensors on a soil nail bar with a small-diameter. This paper presents a slope monitoring system based on fibre Bragg grating (FBG) sensing technology. This monitoring system is designed to perform long-term monitoring of slope movements, strains along soil nails, and other slope reinforcement elements. All these FBG sensors are fabricated and calibrated in laboratory and a trial of this monitoring system has been successfully conducted on a roadside slope in Hong Kong. As part of the slope stability improvement works, soil nails and a toe support soldier-pile wall were constructed. During the slope works, more than 100 FBG sensors were installed on a soil nail, a soldier pile, and an in- place inclinometer. The paper presents the layout and arrangement of the instruments as well as the installation procedures adopted. Monitoring data have been collected since March 2008. This trial has demonstrated the great potential of the optical fibre monitoring system for long-term monitoring of slope performance. The advantages of the slope monitoring system and experience gained in the field implementation are also discussed in the paper.

여성구두의 디자인 특성에 관한 연구 -2000년대를 중심으로- (A study on the characteristics of female shoes in 2000's)

  • 채민정;구교정;채진미
    • 한국생활과학회지
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    • 제17권5호
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    • pp.975-987
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    • 2008
  • The purpose of this thesis is to conduct a thorough research on shoes of 2000s, understand the changes and analyze the differences and the characteristics of the shoe designs of the past and present in order to predict and indicate the future direction of the women shoe designs. The shoes of the millennium not only kept the old fashioned shapes but also showed futuristic shapes. With the increasing importance of shoes in fashion, shoes with various images were created. As far as the materials are concerned, natural materials and artificial materials were both used. The colors were vivid and the futuristic colors. On the other hand, pastel toned colors and romantic colors were used in many different designs and shapes regardlees of the seasons. Straps and hills differed from the oldies. Heavy decorations were added to strap shoes to form a whole new design and hills show geometrical platforms or the avantgarde like heights. Feminine images overwhelmed the shoe designs of the millennium. To elaborate, Pumps displayed feminine images the most for it showed a high frequency number regardless of the seasons. Shoes are presented in aesthetical perspective rather then functional or practical perspectives that are based on human nature. Cultural, social, environmental and some part religious factors had a great influence on the evolution on the shoes. Especially in the 2000s, future oriented concepts were implemented on shoe designs, resulting a wider range of expressiveness and in the end leading to a more creative shoe designing. Changes in shoe designs could be pointed out in many ways according to the shapes materials, colors, modeling of decorations or also with the diverting trends.

반월형 절골술을 이용한 무지 외반증의 치료 (Proximal Dome Osteotomy for Hallux Valgus)

  • 박용욱;김도영;이상수;윤태경;노규철;손현일
    • 대한족부족관절학회지
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    • 제7권2호
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    • pp.174-178
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    • 2003
  • Purpose: The purpose of this study was to evaluate the radiographic results and complications after the proximal dome osteotomy for hallux valgus. Material and Methods: 127 cases of clinically moderate to severe hallux valgus from October 1994 to September 1997 were included in this study. All had been surgically corrected with proximal dome osteotomy, bunionectomy, and distal soft tissue release. We compared the hallux valgus angle(HVA) and intermetatarsal angle(IMA) at preoperative, postoperative 3 weeks, postoperative 6 weeks, and postoperative 3 months. Also we reviewed the postoperative com plications. Result: The HVA averaged $34.1^{\circ}$ at preoperative, $4.3^{\circ}$ at 3 weeks after operation, $8.1^{\circ}$ at 6 weeks after operation, and $10.2^{\circ}$ at 3 months after operation. The lMA averaged $14.6^{\circ}$ at preoperative, $5.1^{\circ}$ at 3 weeks after operation, $5.6^{\circ}$ at 6 weeks after operation, and $7.3^{\circ}$ at 3 months after operation. We experienced 7 cases of malunion, 5 cases of limitation of motin at the first metatarso-phalangeal joint, 3 cases of hallux varus deformity, 2 cases of delayed union. Conclusion: Proximal dome osteotomy for moderate to severe hallux valgus deformity was considered as one of the effective treatment methods. And we try to avoid limitation of motion at the first metatarso-phalangeal joint after operation.

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Docetaxel 투여 후 발생한 조갑하 농양 및 조갑 박리증 1예 (A Case of Subungal Abscess and Onycholysis Induced by Docetaxel)

  • 정한영;이창률;김형중;안철민;장윤수
    • Tuberculosis and Respiratory Diseases
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    • 제62권2호
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    • pp.125-128
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    • 2007
  • Docetaxel은 비소세포암에서 널리 사용되는 taxoid 계열의 항암제로, 조갑변화의 부작용은 한국에서 드물게 알려져 있다. 저자들은 비소세포암 4기인 62세 남환이 5차례 docetaxel 및 carboplatin 항암치료시행 7일 후 발생한 조갑하 농양 및 조갑 박리의 진단과 치료 1예를 경험하여 문헌 고찰과 함께 보고하는 바이다.

무용전공 여대생들의 등속성 최대우력에 영향을 미치는 인체계측적 요인 (The Anthropometric Factors in Isokinetic Peak Torque of Young Female Dancers)

  • 원종임;이영정
    • 한국전문물리치료학회지
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    • 제14권3호
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    • pp.41-47
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    • 2007
  • Dance movements consist of combinations of movements such as jumping, rotation, maintaining balance, leg lifts, and plantar flexion with toe shoes. Dance movements require great muscle strength of lower extremities as well as muscular endurance. The purposes of this study were to investigate correlation between the anthropometric variables and the peak torque in young female dancers and to identify variables that affect isokinetic peak torque. Twenty-six female dancers ($19.7{\pm}1.2$ years of age) performed concentric maximum force efforts on the knee extensors and flexors at $60^{\circ}/sec$ and $120^{\circ}/sec$, the ankle plantar flexors (PF) and dorsiflexors (DF) at $30^{\circ}/sec$ and $120^{\circ}/sec$. Antropometric variables such as age, height, weight, body mass index (BMI), thigh girth, calf girth and duration of dance training were measured. To identify antropometric variables related to muscle strength, Pearson correlations were computed and a stepwise multiple regression analysis was performed. Pearson correlation coefficients of Knee extensor at $60^{\circ}/sec$ and $120^{\circ}/sec$ revealed moderate positive associations with BMI and thigh girth. Pearson correlation coefficients of ankle PF revealed low-to-moderate positive associations with height. Ankle DF also revealed moderate positive associations with BMI and calf girth. The main predictor variables of knee extensor at 60/sec, were stepwise multiple regression, age, height, thigh and girth.

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Comparison of Sesamoid Bone Position and Hallux Valgus Angle in Weight Bearing Conditions between Subjects with and without Hallux Valgus

  • Kim, Moon-Hwan;Jeon, In-Cheol;Hwang, Ui-Jae;Kim, Young
    • The Journal of Korean Physical Therapy
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    • 제28권6호
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    • pp.381-384
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    • 2016
  • Purpose: Previous studies reported changes in the first metatarsophalangeal (MTP) joint angle in relation with and without weight bearing, but it is unclear whether sesamoid bone of the great toe changes in weight bearing conditions particularly in subjects with hallux valgus (HV). To investigate how weight bearing conditions can affect the position of the medial sesamoid bone (MSB), first MTP joint angle, and second intermetatarsal angle (IMA) in the recruited subjects. Methods: Subjects were recruited 24 with HV and 21 without HV in study. X-rays were taken in the weight bearing and non-weight bearing conditions. The distance of the MSB, first MTP joint angle, and second IMA were measured from the radiographs. Data were analyzed by paired and Independent t-test. The statistical significance level was p<0.05. Results: In both groups, the first MTP joint angles and the distance of the MSB were significantly smaller, while the second IMA was significantly greater in the weight bearing condition. The difference in the distance of the MSB between the two postures was significantly greater in the group with HV. Conclusion: Weight bearing can affect the first MTP joint angle, second IMA, and position of the MSB; the change in the position of the MSB in weight bearing was greater in the group with hallux valgus. The difference in these variables between weight bearing and non-weight bearing conditions may be considered when measuring HV.