• 대한족부족관절학회지
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• 제4권1호
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• pp.48-54
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• 2000

Haglund's syndrome produces retrocalcaneal bursitis or achilles tendinitis due to impingement of posterior superior bursal projection of calcaneus on insertional fibers of achilles tendon. Haglund's syndrome has been mainly associated with wearing rigid counter shoes and with athletes. We experienced three case of late sequelae of secondary Haglund's syndrome after malunion of tongue type calcaneus fracture. It is to be the first description of secondary Haglund's syndrome after calcaneus malunion and also the first report as the late complication of calcaneus fractures. Three cases were all tongue type intraarticular fractures and were treated with $45^{\circ}$ superior angle resection of superior calcaneal tuberosity. Clinical results by modified Rowe score were excellent with complete pain relief for all three cases.

• 대한골관절종양학회지
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• 제11권2호
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• pp.204-207
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• 2005

골육종은 슬관절 주위에 호발하며 족부에 발생하는 경우는 흔하지 않다. 20세 남자 환자가 수개월간 지속된 좌측 종골 부위의 통증으로 내원하였으며 종골의 골육종으로 진단하여 슬하부 절단술 및 술 후 화학요법을 시행하였다. 이에 저자들은 종골에 발생한 골육종 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

• 대한한방소아과학회지
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• 제22권2호
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• pp.155-170
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• 2008

Objectives : The purpose of this study was to have better data and to make efficient clinical reviews about children's growth based on two methods; X-ray of hand, and ultrasound of calcaneus. Methods : The study was composed of 100 patients(50 of boys and 50 of girls) who visited in department of pediatrics, O O university oriental hospital considering growth and their development. Bone age was measured by the TW3 method's RUS score in simple X-ray image of hand and bone density through ultrasonic image of calcaneus. To predict children's estimated height, their parent's height, bone age, and present height's percentile was measured. Results and Conclusions : 1. The bone age results from X-ray image of hand and ultrasonic image of calcaneus were correlated. Younger children have older bone age from hand's X-ray than the one from calcaneus's ultrasound. Older children have older bone age from calcaneus's ultrasound than one from hand's X-ray. 2. Predicted adult height by bone age(BH) of hand's X-ray and BH of calcaneus's ultrasound were correlated, but predicted adult height by inheritance(IH) was not correlated with others. 3. Bone age and predicted adult height were correlated with age, height, weight, BMI, and especially with age and height. 4. Measuring bone age by X-ray image of hand and ultrasonic image of calcaneus was simple and effective way of estimating children's growth and development.

• The Journal of Korean Physical Therapy
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• 제8권1호
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• pp.33-47
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• 1996

This study was performed to examine the correlation between calcaneus to tibia angle and Q-angle, and the effects of step width and toe out angle on the calcaneus to tibia angle and Q-angle. The age of participated subjects was from 19 to 29 years(Mean=22.95, SD=2.23) who have no significant orthopedic and neurological dysfunction. The marking tapes for measurement of Q-angle and calcaneus to tibia angle were placed on seven location of each subject. Video data were collected while the subject walked on a walking grid. The result as follows : 1. There were significant differences in the step width, toe out angle, and Q-angle but not calcaneus to tibia angle between male and female. 2. There were significant differences in toe calcaneus to tibia angle and Q-angle n step width increased, respectively. 3. There were significant differences between tee out angle and calcaneus to tibia angle but not toe out angle and q-angle. 4. There was statistically significant correlation between calcaneus to tibia angle and Q-angle.

• 한국방사선학회논문지
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• 제7권2호
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• pp.107-112
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• 2013

발목 병변을 관찰하는 단순 방사선촬영은 여러 가지가 있다. 그 중에서 Ankle Broden법은 발꿈치뼈(Calcaneus) 및 발목뼈(Ankle Joint)의 결합상태와 발목뼈의 발꿈치뼈 골절(Calcaneus Fracture), Subtentaculum Tali Frature를 관찰하기 위하여 촬영을 한다. 이 촬영법은 전 후면과 측면뿐 아니라, 사면 상(oblique view)이나 축 상(axial view)의 촬영을 하며 잦은 부상이 발생하는 목말뼈 발꿈치뼈간, 발꿈치뼈 발배뼈간 결합상을 보기 위해 주로 촬영을 한다. 본 연구는 석고처치 환자들은 발목관절이 영상에 잘 묘출되기가 어렵기 때문에 발목뼈 사이의 관계 및 연부조직의 구조적 변화와 Subtalar joint, Calcaneus Fracture, Subtentaculum Tali Frature에 따른 목말뼈 발꿈치뼈의 골 결합 (talocalcaneal coalition)을 관찰하기 위한 Harris-Beath View($30^{\circ}{\sim}55^{\circ}$) 촬영 시 평가에 유용한 발목뼈의 결합상을 얻을 수 있는 각도를 알아보고자 하였다. 연구의 진행은 40명의 환자에게서 획득한 영상을 평가하였으며, 평가결과 $25^{\circ}$의 촬영상은 목말밑 관절(subtalar joint)이 열려져 분리되지 않았고 또한, Subtentaculum Tali Frature에 중복되어 보였다. $30^{\circ}$의 촬영상은 발꿈치뼈 골절(Calcaneus Fracture), Subtentaculum Tali Frature, 목말밑관절(subtalar joint과 후방 관절면의 앞부분이 가장 잘 나타나고 Calcaneo Navicularcoalition, Talocal Canealcoalition, Naviculo Cuneiform coalition의 결합상태가 명확하게 보였다. $35^{\circ}$의 촬영상은 목말밑관절(subtalar joimt), 목말뼈(talus), 발뒤꿈치뼈의 뒤쪽관절면이 명확하고 발목발꿈치관절(talocalcaneal joint)의 분리정도가 좋고 발목뼈굴(sinus tarsi)이 넓게 나타나며 좋은 평가가 되었다. $45^{\circ}$영역에서는 연부조직과 석고 분리를 판별할 수 있었고 가쪽복사와 뼈 밀도가 명확하게 보였다. $35^{\circ}$에 비해 발꿈치뼈(Calcaneus)이 분리되었지만 영상이 왜곡되어 보였다. Calcaneus, Subtentaculum Tali Frature는 $25^{\circ}$에서 $1.20{\pm}0.414$, $30^{\circ}$에서는 $2.47{\pm}0.516$, $35^{\circ}$에서는 $2.87{\pm}0.352$, $45^{\circ}$에서는 $2.27{\pm}0.458$로 나타났고 통계적으로 유의한 차이가 나타났다(p<0.05). 왜곡의 정도를 포함시키면 $30^{\circ}$영역의 왜곡이 적게 나타났고, $40^{\circ}$ 영역은 심한 왜곡현상을 보였다. 따라서 Ankle(Broden)촬영에서 $30{\sim}35^{\circ}$상이 가장 좋은 영상이었으며, $30{\sim}40^{\circ}$상에서는 Calcaneus Fracture, Subtentaculum Tali Frature의 진단에 가장 좋은 영상을 묘출하였다.

• 대한족부족관절학회지
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• 제10권1호
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• pp.84-87
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• 2006

Purpose: To review the results of surgical decompression for tarsal tunnel syndrome associated with calcaneus fractures. Materials and Methods: Six tarsal tunnel syndromes in five patients were surgically decompressed at our hospital with followed up of average 26.0 months (range, $12{\sim}36$ months). All patients were male and average age at surgery was 50.0 years (range, $33{\sim}69$years). All five cases developed after calcaneus fractures including one bilateral case. Clinical results were assessed according to the criteria of Pfeiffer and Cracchiolo. Results: The result was good in three cases, fair in one case and poor in two cases. Four cases in four patients were satisfied with the result of treatment. Conclusion: Clinical results of surgical treatment for tarsal tunnel syndrome associated with calcaneus fracture of the foot or ankle was improved and maintained in four of six cases.

• 대한족부족관절학회지
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• 제10권2호
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• pp.196-200
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• 2006

Purpose: To study prognostic factors of unilateral calcaneus fracture underwent surgery. Materials and Methods: We selected appropriate 60 cases of 236 calcaneus fracture cases between March 1985 and March 2004, and analyzed the correlation between sex, age, smoking, injury mechanism, Essex-Lopresti classification of calcaneus fracture, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle and Visual Analogue Scale (VAS), P.S. Kerr's Calcaneal Fracture Score (CFSS). The average age was 41.4 and average follow up period was 74 (12 to 240) months. Results: For follow up period, average VAS is 3.43 and CFSS is 81.23. The sex, age, smoking, injury mechanism, and preoperative, postoperative, postoperative 1 year Bohler angle had no correlation with the prognosis. But the Essex-Lopresti classification of calcaneus fracture, tongue type had better prognosis than joint depression type (VAS : p=0.041, CFSS : p=0.021). Conclusion: In unilateral calcaneus fracture, the sex, age, smoking, injury mechanism, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle had no correlation with the prognosis of fracture, but in Essex-Lopresti classification, the tongue type fracture had better prognosis than the joint depression type.

• 대한족부족관절학회지
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• 제17권2호
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• pp.143-149
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• 2013

Purpose: Open reduction and internal fixation of calcaneal fracture using plate has been used. While numerous plates have been manufactured, most of the conventional plates are designed for westerners, realistically the size is larger for Korean. The domestic products, on the other hand, often have the undesirable screw holes and path. Therefore, we measured the radiologic parameter of Korean calcaneus for providing the plate and screw hole placements. Materials and Methods: We measured the outer lines and angles with over the 20 years old 291 females and 322 males. A: Length of inferior plane of calcaneus, B: Length of anterior plane of calcaneus, C: Length from line A to sinus tarsi, D: Length from line A to posterior point of posterior facet, E: Length from line A to calcaneal tuberosity, F: Length of posterior facet, G: Length from anterior point of line A to C, H: Length from line C to line D, a: Angle between A and B, b: Gissane angle, c: Bohler angle, d: Calcaneal pitch angle using Marosis m-view$^{(R)}$. Results: Mean A, B, C, D, E, F, G, H were 63.6, 26.4, 23.2, 43.7, 40.5, 26.9, 12.8, 18.1 mm. Mean a, b, c, d angle were 105.8, 122.4, 32.4, $20.5^{\circ}$. Male's calcaneus is significantly bigger than female's (p<0.001). Conclusion: AP calcaneus length 63.6 mm, maximal height 43.7 mm is considered to be helpful in making the Korean calcaneal plate.

• 대한족부족관절학회지
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• 제18권1호
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• pp.14-18
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• 2014

Purpose: The purpose of this report is to evaluate the measured values of normal Korean calcaneus by conduct of a cadaveric study. Materials and Methods: A total of 42 calcanei were obtained from Korean cadavers. A digital goniometer was used for measurement of B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle of calcaneus. A vernier caliper was used for measurement of the maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus. Results: The average B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle was $32.3^{\circ}{\pm}5.0^{\circ}$, $114.4^{\circ}{\pm}8.2^{\circ}$, $61.2^{\circ}{\pm}4.4^{\circ}$, and $60.3^{\circ}{\pm}7.6^{\circ}$. The average maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus was $74.2{\pm}3.0mm$, $43.0{\pm}4.0mm$, and $42.5{\pm}3.0mm$. Conclusion: The measured values of normal Korean calcaneus were lower than the values reported in the international literature. Therefore, development of appropriate instruments reflecting the anatomical characteristics of Koreans will be needed.

• 대한방사선기술학회지:방사선기술과학
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• 제40권3호
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• pp.401-405
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• 2017

본 연구에서는 정량적 초음파 측정 방식으로 획득한 골밀도를 남녀 간에 차이를 비교 분석 하였다. D대학에 재학 중인 104명(여자 69명, 남자 35명)의 학생을 대상으로 일반적 특성 및 골다공증 위험요인에 대해 설문조사를 실시하였고, 골밀도는 정량적 초음파 측정(QUS, quantitative ultrasonometry)으로 모든 참여자의 양측 종골(calcaneus)을 각 1회씩 측정하였다. SPSS ver. 19.0 프로그램 사용하여 남녀 간에 골밀도 차이를 독립표본 T-검정(Independent T-test)으로 유의성을 검증하였다. 전체 대상자 104명 중 여자 69(66.3%)명, 남자 35(33.7%)명으로 여자가 많았다. 왼쪽 종골의 T-값은 여자 0.443으로 남자 0.031 보다 높았다(p=0.161). 오른쪽 종골의 T-값 또한 여자가 남자 보다 높았다(0.555 vs. 0.049, p=0.161). 남녀 모두 왼쪽 종골 보다 오른쪽 종골의 T-값이 높았지만, 통계적인 유의성은 없었다(p>0.05). 신체활동량이 많을수록 양쪽 종골 모두 T-값도 증가하는 양상을 보였지만, 통계학적인 유의성은 없었다(p>0.05). 양측 종골의 골밀도는 남자 보다 여자가 높았고, 신체활동량이 많을수록 증가하였다.