• 제목/요약/키워드: talus

검색결과 203건 처리시간 0.026초

단순 방사선 상에서 발견할 수 없었던 거골 골연골 병변의 MRI 소견과 관절경 소견 (MRI and Arthroscopy of Osteochondral Lesion of the Talus which was not visible on Plasin Radiography)

  • 이우천;심재찬;최덕신
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.195-200
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    • 2002
  • Purpose: To investigate the MRI and arthroscopic findings of osteochondral lesion of the talus which looked normal on plane radiography. Materials and methods: We investigated the MRI and arthroscopic findings of seven osteochondral lesions in which there were no abnormal finding on plane radiography and no cystic changes on MRI. Average age was 31 years(range, 19-43 years). Arthroscopic findings were classified according to the Ferkel's criteria. Results: History of injury was reported in all cases and the average duration from injury to presentation was 4 years and 4 months. Low signal change in T1WI was found in 6 of 7 lesions, no signal change in 1 case. Low signal change in T2WI was found in 4, no signal change in 3. 6 STIR images were obtained. High signal change was found in 3, no signal change in 2 and intermediate signal change was in 1. Arthroscopic grading was A in 1, C in 1, D in 2 , E in 1 and F in 2. We could not find any correlation between the findings on MRI and arthroscopic examination. Conclusion: We suggest arthroscopic examination is needed for accurate diagnosis of the osteochondral lesions of the talus which looked normal on plane radiography, because they have various MRl findings and high likelihood of existence of unstable cartilage lesions.

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한반도 서남부 암설사면지형의 분포가능성 예측 및 검증 (Prediction and Verification of Distribution Potential of the Debris Landforms in the Southwest Region of the Korean Peninsula)

  • 이성호;장동호
    • 한국지형학회지
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    • 제27권2호
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    • pp.1-17
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    • 2020
  • This study evaluated a debris landform distribution potential area map in the southwest region of the Korean peninsula. A GIS spatial integration technique and logistic regression method were used to produce a distribution potential area map. Seven topographic and environmental factors were considered for analysis and 28 different data set were combined and used to get most effective results. Moreover, in an accuracy assessment, the extracted results of the Distribution Potential area were evaluated by conducting a cross-validation module. Block stream showed the highest accuracy in the combination No. 6, and that DEM (digital elevation model) and TWI (topographic wetness index) have relatively high influences on the production of the Block stream Distribution Potential area map. Talus showed the highest accuracy in the combination No. 13. We also found that slope, TWI and geology have relatively high influences on the production of the Talus Distribution Potential area map. In addition, fieldwork confirmed the accuracy of the input data that were used in this study, and the slope and geology were also similar. It was also determined that these input data were relatively accurate. In the case of angularity, the block stream was composed of sub-rounded and sub-angular systems and Talus showed differences according to the terrain formation. Although the results of the rebound strain measurement using a Schmidt's hammer did not shown any difference in topographic conditions, it is determined that the rebound strain results reflected the underlying geological setting.

한국인 사체에서의 정상 거골의 실측 (The Measurement of Normal Talus in Korean Cadaver)

  • 하동준;곽희철;김전교;김정한;이창락;김영준;이정한;하병호;김의철
    • 대한족부족관절학회지
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    • 제20권4호
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    • pp.163-169
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    • 2016
  • Purpose: To investigate the measured values of the talus in Koreans. Materials and Methods: We measured 88 tali from 44 cadavers that have been donated between December 2012 and December 2015. Of the cadavers, 27 were male and 17 were female. Their mean age was 73 years. The length and width of the talus were measured using a digital goniometer and vernier caliper. Results: The values of cadaveric measurement, mean maximal width and length, width and length of the dome anterior, width and length of the posterior facet, height and length of the trochlear medial facet, and height and length of the trochlear lateral facet were $43.6{\pm}2.6mm$, $56.5{\pm}3.3mm$, $32.5{\pm}2.0mm$, $42.2{\pm}2.7mm$, $22.2{\pm}2.2mm$, $34.7{\pm}2.0mm$, $15.3{\pm}1.3mm$, $33.3{\pm}2.9mm$, $25.3{\pm}3.3mm$, and $30.8{\pm}2.4mm$ for men and $38.9{\pm}1.6mm$, $53.6{\pm}2.4mm$, $27.9{\pm}2.1mm$, $37.4{\pm}3.2mm$, $20.6{\pm}0.8mm$, $31.9{\pm}1.2mm$, $13.6{\pm}2.6mm$, $28.4{\pm}2.5mm$, $24.9{\pm}2.1mm$, and $28.9{\pm}1.4mm$ for women, respectively. The size of the talus showed an accuracy of 86% when anteroposterior diameter was greater than 59 mm. A difference in the size of the right and left talus was not observed. The mean inclination and declination angles were $24.4^{\circ}{\pm}4.2^{\circ}$ and $28.2^{\circ}{\pm}5.4^{\circ}$ for men, and $24.6^{\circ}{\pm}3.6^{\circ}$ and $24.7^{\circ}{\pm}6.7^{\circ}$ for women (p=0.980, p=0.018), respectively, at least $15^{\circ}$, which showed a big difference for every object up to $37^{\circ}$. Conclusion: This paper, to the best of our knowledge, is the first study to measure the talus in Koreans. There were differences by gender and ethnicity in the in measured talus values. The measurements were smaller than European-Americans and greater than Japanese.

거골 골연골병변의 수술적 치료: 관절경적 골수 자극술(다발성 천공 또는 미세 골절술) (Operative Treatment of Osteochondral Lesion of the Talus: Arthroscopic Bone Marrow Stimulation (Multiple Drilling or Microfracture))

  • 곽희철;은일수
    • 대한족부족관절학회지
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    • 제24권2호
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    • pp.48-54
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    • 2020
  • Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. Various terms are used to describe this clinical entity, including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. Several treatment options are available; the choice of treatment is based on the type and size of the defect and the treating clinician's preference. Arthroscopic microfracture (a bone marrow stimulation technique) is a common and effective surgical strategy in patients with small lesions or in those in whom non-operative treatment has failed. This study had the following aims: 1) to review the historical background, etiology, and classification systems of OLT; 2) to describe a systematic approach to arthroscopic bone marrow stimulation for OLT; and 3) to determine the characteristics that are useful for assessing osteochondral lesions, including age, size, type (chondral, subchondral, cystic), stability, displacement, location, and containment of the lesion.

진성 적혈구 증다증 환자에서 발생한 발목뼈 결핵 1 예 (A Case of Tarsal Bone Tuberculosis in a Patient with Polycythemia Vera)

  • 고성애;정선영;손세훈;김동근;박성우;허지안;이경희;김민경;현명수
    • Journal of Yeungnam Medical Science
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    • 제26권1호
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    • pp.44-48
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    • 2009
  • Talus tuberculosis is a rare disease, even in an endemic tuberculosis area. In reviews of the worldwide literature, only 18 cases of talus tuberculosis have been reported. Recently, we experienced a case of a 70-year-old polycythemia vera patient with right metatarsopharyngeal joint pain for 2 months duration who was diagnosed with talus tuberculosis with prostate involvement. Tuberculosis should be considered as one of the causes of monoarticulitis, especially in countries, where the disease is endemic. Additionally, we highly recommend taking a biopsy of the site of suspected infection because an early diagnosis is the key to successful treatment.

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관절경 하 미세골절술 이후에도 통증이 지속되는 거골의 내측 골연골병변에 대하여 이차 관절경 수술과 함께 시행된 과상부절골술: 증례 보고 (Supramalleolar Osteotomy Combined with Redo Arthroscopy for a Patient with Persistent Pain after Primary Arthroscopic Microfracture for Medial Osteochondral Lesion of the Talus: A Case Report)

  • 송태훈;서진수;최준영
    • 대한족부족관절학회지
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    • 제27권2호
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    • pp.71-74
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    • 2023
  • A medial opening wedge supramalleolar osteotomy (SMO) introduced by Takakura et al. is a useful realignment procedure for patients with ankle joint arthritis and varus malalignment by shifting the weight-bearing axis laterally and redistributing the loads on the ankle joint. When pain persists after arthroscopic microfracture in patients with medial osteochondral lesion of the talus (OLT), redo arthroscopy, osteochondral autograft transplantation, autologous chondrocyte implantation, or matrix-induced chondrogenesis might be indicated. On the other hand, there is insufficient scientific evidence for realignment surgery through SMO, while the effect of realignment surgery has been studied consecutively for osteochondral lesions of the knee. Therefore, this paper reports a patient with medial OLT who underwent redo arthroscopy combined with SMO for persistent pain after primary arthroscopic microfracture.

공간통합 모델을 적용한 암괴류 및 애추 지형 분포가능지 추출 (Extraction of Potential Area for Block Stream and Talus Using Spatial Integration Model)

  • 이성호;장동호
    • 한국지형학회지
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    • 제26권2호
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    • pp.1-14
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    • 2019
  • This study analyzed the relativity between block stream and talus distributions by employing a likelihood ratio approach. Possible distribution sites for each debris slope landform were extracted by applying a spatial integration model, in which we combined fuzzy set model, Bayesian predictive model, and logistic regression model. Moreover, to verify model performance, a success rate curve was prepared by cross-validation. The results showed that elevation, slope, curvature, topographic wetness index, geology, soil drainage, and soil depth were closely related to the debris slope landform sites. In addition, all spatial integration models displayed an accuracy of over 90%. The accuracy of the distribution potential area map of the block stream was highest in the logistic regression model (93.79%). Eventually, the accuracy of the distribution potential area map of the talus was also highest in the logistic regression model (97.02%). We expect that the present results will provide essential data and propose methodologies to improve the performance of efficient and systematic micro-landform studies. Moreover, our research will potentially help to enhance field research and topographic resource management.

거골 내측 결절에 발생한 골연골종과 통풍 발작에 의한 발목 내측 충돌 증후군: 증례 보고 (Medial Ankle Impingement Syndrome due to Talar Osteochondroma and Gout Attack: A Case Report)

  • 경민규;전동준;이동연
    • 대한족부족관절학회지
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    • 제28권1호
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    • pp.31-35
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    • 2024
  • Osteochondromas are benign bone tumors typically found in the metaphyseal region of long bones. These tumors are often asymptomatic and detected incidentally. However, their occurrence in atypical sites such as the talus can pose significant diagnostic and treatment challenges. This report describes a rare case of osteochondroma of the medial tubercle of the talus, which is an unprecedented location based on a review of relevant literature. A 28-year-old male presented with worsening medial ankle pain and limping. Imaging revealed a lesion consistent with osteochondroma contributing to medial ankle impingement syndrome. Uniquely, this case also featured a coinciding gout attack in the ankle joint. Surgical removal of the lesion resulted in significant symptom relief and functional improvement. This case underscores the need to consider rare diagnoses, such as talar osteochondroma, when presented with persistent medial ankle pain and highlights the potential presence of concurrent conditions, such as gout.

거골 박리성 골 연골염의 관절경적 치료 (Arthroscopic Treatment of Osteochondritis Dissecans of the Talus)

  • 최종혁;천용민
    • 대한관절경학회지
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    • 제6권2호
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    • pp.161-170
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    • 2002
  • 목적 : 관절경을 이용한 거골 박리성 골연골염의 단순 절제술 후 그 결과를 알아보고 이차 관절경을 통하여 결손 부위의 육안 및 조직학적 변화를 알아보고자 하였다. 대상 및 방법 : 관절경으로 유리체 및 괴사 골 조직을 제거한후 출혈되는 기저부를 남겨두고 치료한 22예를 대상으로 하였으며, 임상적 및 기능적 평가를 하여 수술의 유용성을 알아보았다. 7예에서 이차 관절경을 술 후 3개월에서 8년 사이에 시행하여 병변 부위의 관찰 및 타 부위의 이차적인 병변을 관찰하였으며, 생검을 시행하여 결손부 재생 조직에 대한 조직학적 검사를 시행하였다. 추시 관찰은 평균 42개월(14개월$\~$8년) 이었다. 결과 : 최종 추시 관찰에서 Ankle-hindfoot(100점) 점수는 술 전 67점에서 술 후 82점으로 의미있는 호전을 보였고(p<0.003), 주관적 및 기능적 평가(100점)상 술 후 평균 82점으로 만족할 만한 결과를 얻었다. 이차 관절경상 결손부는 섬유성 조직으로 채워지는 양상을 보였으며, 시간의 경과에 따라 섬유성 조직보다는 섬유 연골 조직이 증가되는 소견을 보였다. 술 후 특이한 이차적인 병변의 발생은 관찰되지 않았다. 결론 : 관절경을 이용한 거골 박리성 골연골염에 대한 단순 절제술은 결손 부위를 남겨 놓고 치료하는 방법이나 이차적 병변의 발생없이 결손부가 채워지는 소견을 보여 유용한 방법으로 사료되었다.

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거골 골절 및 탈구의 임상적 고찰 (Clinical Observation and Treatment of Fracture-Dislocation of Talus)

  • 이동철;김세동;정해훈
    • Journal of Yeungnam Medical Science
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    • 제9권2호
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    • pp.302-311
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    • 1992
  • 1984년 부터 1991년까지 영남대학 병원에서 치료한 거골 골절 및 탈구 환자에서 최장 8년에서 최단 1년간 원격 추시하여 다음과 같은 결론을 얻었다. 1. 평균 30세 나이로 활동기 연령군이였으며, 전부 남자이었다. 2. 손상원인은 추락사고가 대부분이었으며, 교통사고, 스포츠손상 순이었다. 3. 거골 골절 및 탈구는 Marti-Weber 방법으로 분류하였으며, Type I 1례, Type II 1례, Type III 4례, Type IV 5례이였다. 4. 치료는 관혈적 정복술 및 내고정술을 6례에서 시행하였고, 나머지 5례는 도수정북솔로 치료하였다. 5. 치료 결과에 대한 평가는 Hawkins 등급 점수표를 이용하여 약 64%의 만족도를 얻을 수 있었으나, Type IV에서 결과가 좋지 않았다. 6. 합병증으로는 무혈성 괴사가 3례, 퇴행성 관절염이 8례, 불유합이 1례로 퇴행성 관절염의 빈도가 약 70%를 차지하였고, 거골하 관절에서 대부분 발생하였다. 7. 관절의 운동범위에서 건측에 비교하여, 족관절은 약 74%에서 유지되었으며, 거골하 관절은 건측에 비해 약 43%로 감소되었다. 이상에서 거골 골절 및 탈구시에는 빠른 관혈적 정복 및 내고정을 실시하고, 술후 적극적인 재활 치료를 하여 무혈성 괴사증이나, 퇴행성 관절염의 합병증을 줄이면 이차적인 수술을 하지 않을 수 있으며, 족관절의 기능도 가능한 유지할 수 있을 것으로 사료된다.

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