• Title/Summary/Keyword: orthopedic

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Operative Treatment of Chronic Recurrent Dislocation of Peroneal Tendon (A Case Report) (외상성 만성 비골건 탈구의 수술적 치료 (1예 보고))

  • Lee, Do-Young;Kang, Jae-Do;Lim, Moon-Sup;Yoon, Hyeong-Jo
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.120-122
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    • 2007
  • Traumatic dislocation of the peroneal tendon is an infrequent injury. This injury is caused by forceful dorsiflexion of the foot accompanied by a powerful contraction of the peroneal muscles. This mechanism of injury tears the superior peroneal retinaculum and allows the tendons to snap anteriorly. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by bone block surgery using autograft of lateral fibula and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

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Treatment of Superficial Peroneal Nerve Entrapment Syndrome under Local Anesthesia using Ultrasonogram (초음파를 이용한 국소마취하 표재비골신경 포착증후군의 치료)

  • Lee, Kyung-Chan;Kwak, Ji-Hoon;Hwang, Chul-Ho;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.215-219
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    • 2013
  • Purpose: To review the outcomes of surgical treatment for superficial peroneal nerve entrapment. Materials and Methods: Ultrasonogram was used for diagnosis and surgical treatment. Seven superficial peroneal nerve entrapment were surgically treated with follow up of average 16 months (range, 6~29 months). Three patients were male and four patients were female with mean age 36.7 years (range, 19~51 years). Four cases developed after repetitive ankle sprain and three cases had no etiology. Results: Operation was performed mini-open and subcutaneous fasciotomy under local anesthesia. The results were excellent in two cases, good in four cases, fair in one case. Conclusion: Ultrasonogram was useful for diagnosis and surgical treatment of superficial peroneal nerve entrapment syndrome.

Suprascapular Nerve Entrapment by Ganglion Cyst - 2 Cases Report - (결절종에 의한 상겹갑 신경 포착 신경병증 -2례 보고-)

  • Kyung Hee-Soo;Kim Sung-Jung;Kim Poong-Taek;Kim Young-Woo
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.109-114
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    • 2000
  • Ganglion cysts causing suprascapular nerve compression are uncommon cause of suprascapular nerve entrapment. The advent of magnetic resonance imaging and its application in patients with shoulder pain has improved the ability to diagnose cystic lesions causing extrinsic compression of the suprascapular nerve. We present two cases of suprascapular nerve compression by ganglion cyst which was decompressed by surgical excision. Suprascapular nerve compression was also revealed by magnetic resonance imaging(MRI), electromyogram(EMG) and clinical present of muscle atrophy and motor weakness. In each case, the symptom was resolved after sugical excision of the cystic lesion. We experienced two cases of suprascapular nerve entrapment by ganglion cyst and report the clinical, radiological and pathological findings in detail.

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Correction of Post Burn Extension Contracture of 4, 5th Toes Using Free Flap

  • Choi, Soo Joong;Jung, Jae-Kyun;Kwon, Bong Cheol;Lee, Yong Beom
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.90-93
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    • 2013
  • Old post burn contractures on feet still remain challenging problem for reconstructive surgeon. A 43-year-old male visited Hallym University Sacred Heart Hospital with the complain of foot deformity and difficulties in shoe fitting. His right 4th and 5th toes were inverted at dorsal foot. We released the contracture of 4, 5th metatarsophalangeal joint and lengthened extensor tendon by Z-plasty, and covered the resultant defect with the anterolateral thigh flap. The flap was successful and the deformity was corrected. As there have been few reports on reconstruction of foot dorsum, especially on post burn extension contractures in the toes, we report a rare case of contracture release and coverage by free flap.

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Compartment Syndrome of the Upper Extremity Induced by Extravasation of Contrast Media after Computed Tomography: A Case Report

  • Jung, Jae-Won;Lim, Young-Jae;Kim, Beom-Soo;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.20 no.4
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    • pp.240-243
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    • 2017
  • The incidence of contrast media extravasation has been increasing gradually. Most contrast media extravasations only can cause pain, swelling and erythema. However, in more severe cases, skin necrosis, ulceration, or compartment syndrome may occur, often necessitating a surgery. Early diagnosis and treatment should be established on the spot in order to avoid such a severe damage. We present a case of 42-year-old woman with a compartment syndrome in the right upper extremity caused by extravasation of computed tomography contrast media.

Two Solitary Lesions of Fibrous Dysplasia in the Tibia (A Case Report) (경골 내에 동시에 발생한 독립된 2개의 섬유성 골 이형성증(1예 보고))

  • Lee, Jin-Young;Kim, Gab-Lae;Kang, Jung-Woo;Ahn, Joo-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.1
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    • pp.32-35
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    • 2011
  • Fibrous dysplasia is a benign disease that causes replacement of the medullary bone with fibrous tissue in one or more bones. Long bone like femur, tibia and fibular are often affected and occurring under 30 years old. We report a case of two solitary lesions of fibrous dysplasia with pathologic fracture treated with bone curettage, bone graft, plate fixation, who complains of lower leg pain.

Sterile Abscess at the Heel Pad (A Case Report) (뒤꿈치 족저부에 발생한 무균 농양(1예 보고))

  • Kim, Gab-Lae;Shin, Sung-Il;Kim, Tae-Hwa;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.236-239
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    • 2009
  • Heel abscesses present as heel pain that progressively worsens, with associated tenderness and fullness a the heel pad. To our knowledge, there are fews reports in the literature describing a spontaneous heel pad abscess. A 48-years old woman presented spontaneously with pain, erythema, edema and increased warmth to this right foot. She has no underlying disease and steroid injection history. A radiologic examination was suggestive of an abscess. Follow incision and drainage, cultures that were taken during the surgical procedure did not produce any organism. The patient was discharged home and recovered from the abscess without recurrence or further surgical intervention.

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Open Synovectomy in Diffuse Pigmented Villonodular Synovitis of Ankle Joint (A Case Report) (족관절에 발생한 미만성 색소 융모 결절성 활액막염의 개방적 절제술(1예 보고))

  • Kim, Bo-Hyeon;Kwon, Soon-Eok;Kang, Shin-Taek;Park, Se-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.211-213
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    • 2009
  • Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder that affects synovium, tendon sheath and bursa. Although the condition can present in any joint, knee joint is the most commonly affected site and only 2.5% of cases occur in foot and ankle joint. PVNS occurs in two types: localized and diffuse. Localized type is characterized by focal involvement of the synovium with either nodular or pedunculated masses, Diffuse type affects virtually the entire synovium. Diffuse type has reported more recurrence rate. We have experienced a patient who has diffuse type PVNS of ankle joint and report an optimal method of surgical treatment.

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Autogenous Osteochondral Graft for Freiberg's Disease (A Case Report) (자가 골연골 이식술을 이용한 Freiberg 병의 치료(1예 보고))

  • Kim, Hyong-Nyun;Eom, Sang-Wha;Suh, Dong-Hyun;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.223-226
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    • 2009
  • Freiberg disease is a osteochondrosis of the lesser metatarsal heads. Various surgical treatment have been recommanded including joint debridement and metatarsal head reshaping, metatarsal dorsal wedge osteotomy, metatarsal head excision and joint arthroplasty. Autogenous osteochondral graft for the treatment of Freiberg disease is an effective restorative procedure that provides early range of motion exercise, weight bearing, and reduces other morbidity. We report a case of late stage Freiberg disease treated with arthrotomy, removal of loose body and autogenous osteochondral graft.

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Charcot Spine Treated Using a Single Staged Posterolateral Costotransversectomy Approach in a Patient with Traumatic Spinal Cord Injury

  • Kim, Tae-Woo;Seo, Eun-Min;Hwang, Jung-Taek;Kwak, Byung-Chan
    • Journal of Korean Neurosurgical Society
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    • v.54 no.6
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    • pp.532-536
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    • 2013
  • Charcot spine is a progressive and destructive process that affects the vertebral bodies, intervertebral discs, and posterior facets. It is the result from repetitive microtrauma in patients who have decreased joint protective mechanisms due to loss of deep pain and proprioceptive sensation, typically because of spinal cord injury. The objective of the study is to report an unusual case of Charcot spine, as a late complication of traumatic spinal cord injury, treated by a circumferential arthrodesis performed with a single staged posterolateral costotransversectomy approach.