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- 검색키워드
- 주제어 : Soft tissue impingement (검색결과 2 건)
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성일훈,김석환,심규동,이준환,강창남,Sung, Il-Hoon,Kim, Suk-Hwan,Shim, Kyu-Dong,Lee, Jun-Hwan,Kang, Chang-Nam 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2
Purpose: To evaluate clinical features of ankle lesions, associated with anterior soft tissue impingement. Materials and Methods: We retrospectively reviewed 21 patients who had chronic anterior ankle pain as initial symptom and associated ankle lesions with anterior soft tissue impingement. Based on preoperative radiologic findings, physical examination intra-operative findings, appropriate procedures were done for lesions by either arthroscopic or minimal open procedure or combined. Clinical evaluation was done using American Orthopedic Foot and Ankle Society, ankle-hind foot score (AOFAS score) and visual analog scale (VAS) on last follow up. Results: Associated lesion(s) to anterior soft tissue impingement of the ankle were 16 cases of osteochondral lesion of talus, 14 cases of bony impingement, 6 cases of ankle lateral instability, 5 cases of loose body, 4 cases of os subfibulare. AOFAS score was $58.9\;{\pm}\;5.1$ preoperatively and $74\;{\pm}\;9.1$ on last follow up. Clinical satisfaction score using VAS showed excellent in 3 cases, good in 11, fair in 3, poor in 4. Conclusion: The patients who had anterior soft tissue impingement would have various associated lesions on their ankle. In such cases, preoperative counseling for variety of postoperative results would be needed.
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외상 후 족관절 연부조직 충돌증후군: 관절경적 및 영상의학적 분석
정홍근 ( Hong Geun Jung ),이성태 ( Sung Tae Lee ),박재용 ( Jae Yong Park ),배의정 ( Eui Jung Bae ),이호준 ( Ho Joon Lee ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.2
We evaluated the arthroscopic and MRI findings of the post-traumatic ankle soft tissue impingement (ASTI) and the clinical outcome of arthroscopic debridement. Thirty-one ASTI patients were treated with arthroscopic debridement from 2006 to 2008 and 24 patients were followed-up for at least 6 months. Mean age at surgery was 33.0 year-old and mean follow-up period was 16 months. Twenty-nine cases had past trauma history of ankle sprain. The locations of the soft tissue lesions were 42% at anterolateral, 19% anteromedial and 3% medial gutter of the ankle joint. Synovitis was 58% while fibrotic lesion was 32%. VAS pain score decreased from mean 6.8 to 2.2 and American Orthopedic Foot and Ankle Society (AOFAS) functional score also improved from mean 64 to 89 after surgery (p<0.05). Twenty-two patients (92%) were satisfied with the surgery. We found that the diagnostic rate of the ASTI was 75% by MRI and the soft tissue impingement lesions were more common with synovitis than fibrosis. We also achieved favorable clinical outcome with arthroscopic debridement.
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