• 제목/요약/키워드: Tendon transfer

검색결과 94건 처리시간 0.029초

Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction: A Retrospective Study of Functional Outcome and Results

  • Chung, Soo Tai;Warner, Jon J.P.
    • Clinics in Shoulder and Elbow
    • /
    • 제18권4호
    • /
    • pp.229-236
    • /
    • 2015
  • Background: Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed by split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Methods: Twenty-five patients showed positive results upon long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range, 12-120 months). Four patients had non-traumatic etiologies and 22 patients had traumatic etiologies. On follow-up assessment for functional improvement, a Constant-Murley score was used. Twenty-one patients were completely evaluated, while five patients who had less than 12 months of follow-up were excluded. Results: Pain relief was achieved in 19 of the 21 patients, with 20 patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from $108^{\circ}$ (range, $20^{\circ}-165^{\circ}$) preoperatively to $151^{\circ}$ (range, $125^{\circ}-170^{\circ}$) postoperatively. The mean Constant-Murley score improved from 57.7 (range, 21-86) preoperatively to 86.9 (range, 42-98) postoperatively. A recurrence developed in one patient. Of the 21 patients, ten had excellent results, six had good results, four had fair results, and one had poor results. Conclusions: Most patients with severe symptomatic scapular winging showed functional improvement and pain relief with resolution of scapular winging.

태권도 선수에서 발생한 장 족무지 신전건의 파열: 2예 보고 (Extensor Hallucis Longus Tendon Rupture in TaeKwonDo Players: Two Case Report)

  • 이경태;김진수;양기원;김재영;최재혁;박현규;김병관
    • 대한족부족관절학회지
    • /
    • 제10권1호
    • /
    • pp.101-104
    • /
    • 2006
  • Occasionally, extensor hallucis longus tendon (EHL) ruptures becames open by laceration and spontaneous rupture of EHL that has previous story of diabetes mellitus, steroid injection, systemic steroid administration, operation and rheumatoid arthritis. But, closed traumatic EHL ruptures are reported rarely. Especially, we diagnosed the closed EHL ruptures in TaeKwonDo players. We reported the 2 patients, differently treated end to end anastomosis and EHL transfer, had the course and treatment methods. Be care the prognosis can be altered according to the treatment time and method.

  • PDF

프리스트레스트 콘크리트 박스 거더 교량의 프리스트레스 손실 추정에 관한 연구 (A Study on the Estimation of Prestress Losses in Prestressed Concrete Box Girder Bridges)

  • 오병환;양인환;김지상
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제5권2호
    • /
    • pp.111-120
    • /
    • 2001
  • This paper aims at estimating instantaneous prestress losses by measuring the actual prestress forces in prestressed concrete (PSC) box girder bridges. Measurement were taken to study initial prestress losses such as friction losses and slip losses. A new strain gauge system was developed to measure strains in internal tendons. The system was installed on a total of 20 tendons in a PSC box girder bridges. The variation of prestress forces were monitored during prestressing tendon and after prestress transfer. The prestress losses are also calculated including friction losses and slip losses. The measured data were compared with the theoretical values. The result shows that the measured prestress forces agree well with the theoretical values. It is shown that prestress force of each strand in the same tendon is a bit different. This study also shows that prestress losses of continuity tendons during prestress transfer are significantly different each other, which results from the variety of buttress location and tendon profile. The present study provides realistic information on the estimation of actual prestress forces and losses in PSC box girder bridges.

  • PDF

진구성 만성 아킬레스 건 파열의 수술적 치료의 결과 (Surgical Outcome of Reconstruction of Neglected Chronic Achilles Tendon Ruptures)

  • 성기선;허재원
    • 대한족부족관절학회지
    • /
    • 제14권2호
    • /
    • pp.109-114
    • /
    • 2010
  • Purpose: The purpose of this study was to report the surgical outcome of reconstruction of neglected chronic Achilles tendon ruptures with various methods including Achilles tendon allograft. Materials and Methods: Between October 2003 and November 2008, 8 consecutive neglected chronic Achilles tendon ruptures with the defect gap of more than 4 cm underwent surgical reconstruction including V-Y advancement, gastrocnemius fascial turn-down flap, flexor hallucis longus transfer and Achilles tendon allograft. There were 7 males and 1 female who were evaluated at more than 18 months after surgery. At the time of followup, all patients were assessed with regard to postoperative complications, their self-reported level of satisfaction, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scale, 10 repetitive single heel rise, single leg hopping test, and ankle range of motion. Results: The AOFAS score increased from average 71.4 (50-87) to 96.4 (86-100). All patients were able to perform 10-repetitive single heel raise and single leg hopping at the latest follow up. No patient experienced wound complications and deep infection. Six patients were rated as 'excellent' and the other two as 'good'. Conclusion: Neglected chronic Achilles tendon ruptures could be successfully treated with careful selection of the reconstruction method according to the amount of defect gap. With an extensive defect, Achilles tendon allograft can be a good option when the reconstruction is not feasible otherwise.

Biceps long head tendon revisited: a case report of split tendon arising from single origin

  • 김경천;이광진;신현대;변기용
    • 대한견주관절학회:학술대회논문집
    • /
    • 대한견주관절학회 2008년도 제16차 학술대회
    • /
    • pp.165-165
    • /
    • 2008
  • A 27-year-old, right-hand-dominant woman with a posttraumatic anterior shoulder dislocation 3 months earlier after traYc accident presented because of pain and limited range of motion in the right shoulder. On physical examination, the patient had negative instability tests and a sulcus sign. On arthroscopic examination, a bifurcate long biceps tendon with two limbs was observed about 1 cm distal to the origin in the supraglenoid tubercle. We found no evidence of a tear in the long biceps tendon on probing, and the margin of each limb was smooth and round. Although this anatomic variant may be benign, its presence might be associated with other shoulder pathology. It is interesting to speculate whether the aberrant biceps anatomy in our patient contributed to transfer of injury at dislocation to the rotator cuff rather than to the classic anterior-inferior capsulolabral complex. In addition, recognition of the described anatomic variant on arthroscopy can aid the shoulder surgeon in focusing treatment on the actual pathology.

  • PDF

Tumescent Local Anesthesia for Hand Surgery: Improved Results, Cost Effectiveness, and Wide-Awake Patient Satisfaction

  • Lalonde, Donald;Martin, Alison
    • Archives of Plastic Surgery
    • /
    • 제41권4호
    • /
    • pp.312-316
    • /
    • 2014
  • This is a review article of the wide-awake approach to hand surgery. More than 95% of all hand surgery can now be performed without a tourniquet. Epinephrine is injected with lidocaine for hemostasis and anesthesia instead of a tourniquet and sedation. This is sedation-free surgery, much like a visit to a dental office. The myth of danger of using epinephrine in the finger is reviewed. The wide awake technique is greatly improving results in tendon repair, tenolysis, and tendon transfer. Here, we will explain its advantages.

요족의 진단과 치료 (Diagnosis and Treatment of Cavus Foot)

  • 서재완;최우진;이진우
    • 대한족부족관절학회지
    • /
    • 제20권2호
    • /
    • pp.55-61
    • /
    • 2016
  • The cavus foot is a deformity characterized by an elevated medial longitudinal arch and a hindfoot varus with plantarflexed 1st ray. The etiology of cavus foot is usually related to neuromuscular disease or idiopathic cause. Thorough clinical and radiographic evaluation is required for differentiating etiology of the cavus. Most cases of cavus foot are stable and slowly progressive deformities which can initially be managed with conservative treatment including orthoses and physical therapies. Determining whether the deformity is flexible or rigid, the apex of the deformity and any muscle imbalances in foot and ankle is important for achievement of an adequately balanced plantigrade foot. Treatment should include systematic preoperative planning for selection of appropriate procedures for maintaining a functional and flexible foot with combinations of soft-tissue release, osteotomy, tendon transfer, and arthrodesis.