• Title/Summary/Keyword: Subtalar

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Surgical Treatment of Type II Talar Neck Fractures (제 2형 거골 경부 골절의 수술적 치료)

  • Jeon, Taek-Soo;Kim, Sang-Bum;Kim, Sung-Hun;Kim, Tae-Kyun;Kim, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.91-96
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    • 2007
  • Purpose: To evaluate the clinical results and determine appropriate methods of surgical treatment about type II talar neck fracture. Materials and Methods: Among nineteen patients who received surgical treatment for type II talar neck fracture from May 2000 to May 2005. Fourteen patients with a follow-up period of more than 1 year were divided into two groups. Six patients reduced by closed reduction (Group A) with screw fixation and eight patients reduced by open reduction with screw fixation. We analyzed preoperative, postoperative and follow-up simple radiographs and reviewed patient hospital records retrospectively. Clinical results were evaluated by Hawkins scoring system. We analyzed pain, limp, range of motion of ankle and subtalar joint. Results: Five patients (83.3%) in group A and seven patients (87.7%) in group B had excellent and good clinical results. There were no complications including avascular necrosis, delayed union, nonunion. Conclusion: Closed reduction with screw fixation of talar neck fracture shows correct reduction and satisfactory results. But because of short term period of follow-up, we need long term results.

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Treatment of Open Calcaneal Fracture with Massive Bone Loss using Femoral Head Allograft and Myocutaneous Free Flap (A Case Report) (종골 외측 1/2 이상의 결손을 동반한 개방성 골절의 동종 대퇴골두 이식과 유리 피판술을 이용한 치료 (1예 보고))

  • Sung, Ki-Sun;Eun, Sang-Soo;Mun, Goo-Hyoun
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.111-114
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    • 2007
  • Open calcaneal fracture with more than lateral half of bone loss and soft tissue defect occurred in 17 year-old male patient due to motor vehicle accident. Soft tissue defect included heel pad, peroneal tendon. Bone loss involved mainly most part of inferior tuberosity but not subtalar joint. Open dressing and debridement were done daily in operating room and antibiotics administration was started. After granulation tissue formed, femoral head allograft was performed and fixed with 6.0 mm screws to replace bone defect. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap. No sign of infection nor major osteolysis was observed in 15 months follow up period. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap.

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Comparison Between Functional Taping and Deep Friction Massage on Balance and Gait Ability in patients with Plantar Fasciitis (기능적 테이핑과 심부마찰 마사지가 족저근막염 환자의 균형과 보행능력에 미치는 효과 비교)

  • Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.25-31
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    • 2015
  • Background: A chronic condition that has a fine rupture and inflammation that occurs in the plantar fascia medial calcaneal origin or occur during the rough part is called plantar fasciitis heel pain plantar fasciitis. Using functional taping to fix the subtalar joint were investigated through an experiment for how much the elastic taping effect than applying it to correct by applying the inelastic taping. This study was performed to change the balance and walking ability shown by the groups that do not apply to the application of the functional group taping. Methods: 20 people functional taping group 10 patients, deep friction massage was applied to the group to 10 people. The duration of the experiment were divided into groups going deep friction massage and the month after you apply before applying the functional taping. Results: Analysis showed statistically significant improvement in all time in both groups. All functional taping group and deep friction massage group had no significant difference with respect to balance and walking ability. Conclusion: When you saw the results of this study showed functional taping group is plantar fasciitis is the patients for treatment to mark fasciitis patients than those applying deep friction massage effects that increase is believed to help the symptoms of recovery.

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Gait Analysis on the Elderly Women with Foot Scan (Foot Scan 측정을 통한 노년 여성의 보행 분석)

  • Kim, Seong-Suk;Kim, Hee-Eun
    • Fashion & Textile Research Journal
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    • v.15 no.4
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    • pp.613-619
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    • 2013
  • This study compares the gait characteristics of elderly women during barefoot walking and walking with sneakers. We measured foot angles, max foot pressure, peak plantar pressure of each plantar region, velocity of Center of Pressure(COP), and axis shifting of COP with an RS-scan system. Elderly women's foot angles were narrower when walking with sneakers than when barefoot walking. We found that the subtalar joint angle (representing ankle joint flexibility) affected walking stability. Regarding the peak plantar pressure of each foot region, pressures were high in the medial regions and the pressures greatly varied depending on the region measured during barefoot walking. The COP moved significantly faster when walking with sneakers than barefoot walking and suggests that elderly women walked faster in sneakers. Axis shifting of the COP decreased during walking with sneakers and indicated that gait balance improved when walking with sneakers. The findings of the present study can be utilized as foundational data for elderly women's gait characteristics as well as data for the production of functional footwear. Future research that focuses on various types of shoes, age groups, and gender are recommended for the development of more functional footwear for stable gaits.

Anatomy and Biomechanics of the Patellofemoral Joint (슬개대퇴관절의 해부학과 생체역학에 관한 문헌적 고찰)

  • Choi, Byung-Ok
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.935-944
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    • 2001
  • The patellofemoral pint is formed by the articulation of the patella and femoral condyles in the trochlear groove. The complexity of the patellofemoral pint is magnified by the fact that the tibiofemoral pint works in conjunction with the patellofemoral pint. Additionally, other pints such as the subtalar pint., hip and sacroiliac pints indirectly contribute to the function of the patellofemoral pint. This pint has little bony stability, Soft tissue surrounds the pint to increase stability. The patellofemoral pint increases the mechanical advantage of the quadriceps muscles and resists mechanical loading. In patellofemoral dysfunction, patellofemoral contact pattern is disrupted. leading to excessive compression at the pint. When you treat the patellofemoral dysfunction, you should evaluate anatomic and biomechanic components and find factors of patellofemoral dysfunction. Hamstring tightness. weakness of VMO and tightness of lateral retinaculum lead to flexed knee and abnormal patella tracking and patellofemoral pint reaction force and patellofemoral dysfunction. A through understanding of the anatomy and biomechanics may assist the clinician in the recognition and treatment of patients with patellofemoral pain. Therefore physical therapists should apply modality as well as therapeutic exercise, stretching and strengthening. In this paper, I will discuss the germane anatomical structures and biomechanics of the patellofemoral pint.

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Chorpart's Dislocation: A Case Report (중족근 관절 탈구: 1예 보고)

  • Choi, Jun-Weon;Choi, Joon-Choil;Na, Hwa-Yeop;Shim, Dong-Joon;Kim, Young-Ho;Lee, Sang-Ho;Cho, Hyoung-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.121-124
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    • 2005
  • The midtarsal joint which consists of the talonavicular and calcaneocuboid joints lies transversely across the medial and lateral arches of the foot. Complete dislocation of this joint unassociated with fracture is extremely rare. A 36 year-old male who was injured by motor vehicle accident came to help for his left midfoot pain and deformity. We misdiagnosed as subtalar dislocation. Closed reduction was performed. We reviewed initial and post-reduction X-rays, and then we diagnosed as Chopart's dislocation. CT scan was taken; it showed fracture of the anterior process of the calcaneous.

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Comparison of the Muscle Activity Ratio of Tibialis Anterior and Extensor Digitorum Longus in Subjects with the Normal Toe and the Hammer Toe during the Active Ankle Dorsiflexion (발목관절의 능동적 배측굴곡 시 정상과 망치 발가락 대상자의 전경골근과 장지신근의 근 활성도 비의 비교)

  • Koh, Eun-Kyung;Jung, Do-Young;Kim, Tae-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.103-108
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    • 2011
  • Purpose : The purposes of this study were to compare the muscle activity ratio of tibialis anterior (TA) / extensor digitorum longus (EDL) during the active ankle dorsiflexion in subjects with the normal toe (NT) and the hammer toe (HT). Methods : Nineteen subjects with the NT group and nineteen subjects with the HT group were recruited for this study. The muscle activities of TA and EDL were measured by using surface electromyography (EMG) and the angles of ankle dorsiflexion and eversion of the subtalar joint were measured by using 3-dementional motion analysis during the active ankle dorsiflexion in prone position. Results : The muscle activity ratio of TA / EDL was significantly lower in the HT group compared to the NT group (p<.05). The angle of ankle dorsiflexion was significantly lower in the HT group compared to the NT group (p<.05). Conclusions : These results suggest that muscle imbalance between TA and EDL muscle and decreased ankle dorsiflexion range of motion may contribute to hammer toe deformity. Further studies are needed to confirm that the correcting of this imbalance and the increasing ankle dorsiflexion could improve toe alignment in the subjects with HT.

Treatment of the Intraarticular Calcaneal Fractures and its Complications (관절내 종골 골절 및 합병증에 대한 치료)

  • Chung, Hyung-Jin;Han, Yong-Taek;Song, Seung-Taek;Lee, Chang-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.68-77
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    • 2003
  • Purpose: The treatment of calcaneal fractures remains a controversy in orthopaedic field because of its complications. The purpose of this study is to evaluate the efficacy of the treatment of calcaneal fractures and its complications. Materials and Methods: Clinical and radiological results were retrospectively analyzed in 28 patients, 34 cases with fractures of calcaneus which were treated in our department from September 1998 to march 2003. Results: According to the Creighton-Nebraska Foundation Assessment score, there were 3 excellent, 11 good, and 12 fair 6 poor results. Bohler angle was corrected from $8.3^{\circ}$ to $18.3^{\circ}$, Gissane angle was corrected from $121^{\circ}$ to $135^{\circ}$, and calcaneal width was corrected from 46.8mm to 37mm. Conclusion: Open reduction and internal fixation for joint depression type calcaneal fractures thought to be a good method of treatment. Closed reduction and percutaneous axial pinning should be chosed in selected cases of tongue type fractures. In treatment of complicated calcaneal fractures as malunion, subtalar distraction arthrodesis and lateral wall exostectomy will reduce disability of the disease.

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Interpositional Arthroplasty Using Tibialis Anterior Tendon for Talonavicular Arthritis after Ankle Arthrodesis: A Case Report (족관절 유합술 후 발생한 거주상 관절염의 전경골 건 개재 관절성형술: 증례 보고)

  • Cho, Seong-Hee;Seo, Min-Seok;Lee, Eun-Chang;Nam, Dae-Cheol
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.50-53
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    • 2021
  • Ankle arthrodesis has been used frequently for end-stage ankle arthritis that does not respond to conservative treatment. On the other hand, there are concerns regarding the degenerative changes to the adjacent joint, such as the subtalar or talonavicular joint, due to the altered biomechanics after the loss of ankle motion. Because the arthrodesis for these midtarsal joints may overload stress on another contiguous joint, a salvage procedure should be considered rather than joint sacrificing. This paper reports a case of talonavicular arthritis after malunited ankle arthrodesis that was treated with interpositional arthroplasty using the tibialis anterior tendon.