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태권도 선수에서 발생된 장 무지 신전건 기능 부전의 치험예 - 2증례 보고 -
차승도,김형수,정수태,유정현,박재형,김주학 대한스포츠의학회 2007 대한스포츠의학회지 Vol.25 No.2
Single injury of EHL tendon is very rare and in most cases, injuries of adjacent structures are combined by direct trauma. Though there are several reports of EHL rupture by direct trauma, closed rupture following distal tibial shaft fracture, spontaneous rupture by osteophyte at dorsum of first metatarsal bone and adhesion after local operation, there is no report about EHL tendon dysfunction without injuries. We report operative treatment result with a review of the relevant literature about our experience of EHL tendon dysfunction without injuries in two Taekwondo athletes.
차승도,김재영,이경태,양기원,김응수,박신이,Cha, Seung-Do,Kim, J-Young,Lee, Kyung-Tai,Young, Ki-Won,Kim, Eung-Su,Park, Shin-Yi 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.2
Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).
차승도,김형수,정수태,유정현,박재형,김주학,김용훈,Cha, Seung-Do,Kim, Hyung-Soo,Chung, Soo-Tae,Yoo, Jeong-Hyun,Park, Jai-Hyung,Kim, Joo-Hak,Kim, Yong-Hoon 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2
The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias-Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.
차승도,김형수,정수태,박재형,김주학,염주상,이창현,Cha, Seung-Do,Kim, Hyung-Soo,Jung, Soo-Tae,Park, Jae-Hyung,Kim, Joo-Hak,Yeom, Joo-Sang,Lee, Chang-Hyun 대한족부족관절학회 2008 대한족부족관절학회지 Vol.12 No.2
Peroneal tendon dislocation in association with calcaneal fracture is not common and difficult to diagnose and is often overlooked. It can result in peroneal tendon tear and tenosynovitis which in turn lead to ankle pain and dysfunction. Early detection with through physical examination and CT scan is important to reduce the subsequent tendon dysfunction. We experienced 6 cases of peroneal tendon dislocation associated with calcaneal fracture, and treated 3 of them at the time of fracture operation and treated the other 3 after calcaneal fracture surgery due to sustained pain. We report the results with a review of the literature.
Arthroscopic Assessment of Intra-Articular Lesion after Surgery for Rotational Ankle Fracture
차승도,곽재용,곽희철,하동준,김종엽,김우철,장유찬 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.4
Background: The purpose of this study was to report findings of exploratory arthroscopic assessment performed in conjunction with removal of internal fixation device placed in the initial surgery for rotational ankle fracture. Methods: A total of 53 patients (33 male, 20 female) who underwent surgery for rotational ankle fracture between November 2002 and February 2008 were retrospectively reviewed. All patients gave consent to the exploratory arthroscopic surgery for the removal of internal fixation devices placed in the initial surgery. Lauge-Hansen classification system of ankle fractures was assessed for all patients. Intra-articular lesions (osteochondral lesion, loose body, and fibrosis) were evaluated via ankle arthroscopy. Comparative analysis was then performed between radiological classification of ankle fracture/patient’s symptoms and arthroscopic findings. Results: Lauge-Hansen classification system of ankle fractures included supination-external rotation type (n = 35), pronationexternal rotation type (n = 9), and pronation-abduction type (n = 9). A total of 33 patients exhibited symptoms of pain or discomfort while walking whereas 20 exhibited no symptoms. Arthroscopic findings included abnormal findings around the syndesmosis area (n = 35), intra-articular fibrosis (n = 51), osteochondral lesions of the talus (n = 33), loose bodies (n = 6), synovitis (n = 13), and anterior bony impingement syndrome (n = 3). Intra-articular fibrosis was seen in 31 of symptomatic patients (93.9%). Pain or discomfort with activity caused by soft tissue impingement with meniscus-like intra-articular fibrosis were found in 19 patients. There was statistical significance (p = 0.02) between symptoms (pain and discomfort) and the findings of meniscus-like fibrosis compared to the group without any symptom. Conclusions: Arthroscopic examination combined with treatment of intra-articular fibrosis arising from ankle fracture surgery may help improve surgical outcomes.