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근위 장 무지 굴근건 이전술을 이용한 아킬레스건 골화증의 치료(1예 보고)

Proximal Flexor Hallucis Longus Tendon Transfer for the Ossification of the Achilles Tendon (A Case Report)

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초록

Ossification of the Achilles tendon is a rare condition that is characterized by the presence of an ossific mass contained within the substance of the tendon. The ossified mass is usually asymptomatic but when it grows large and painful, it deteriorates the function of Achilles tendon. We report a case of ossification of the Achilles tendon, which was successfully treated by removal of the ossific mass and proximal flexor hallucis longus (FHL) tendon transfer.

Abstract

Ossification of the Achilles tendon is a rare condition that is characterized by the presence of an ossific mass contained within the substance of the tendon. The ossified mass is usually asymptomatic but when it grows large and painful, it deteriorates the function of Achilles tendon. We report a case of ossification of the Achilles tendon, which was successfully treated by removal of the ossific mass and proximal flexor hallucis longus (FHL) tendon transfer.

참고문헌 (13)

  1. Suh JS, "Ossification of the Achilles tendon in a child", J Korean Foot Ankle Soc, 6, pp.224~228 (2002)
  2. 곽지훈, "아킬레스 건 부분 파열 후 발생한 이소성 골화(1예 보고)", 대한족부족관절학회지, 13(1), pp.99~102 (2009), 대한족부족관절학회
  3. Sobel E, "Ossification of a ruptured achilles tendon: a case report in a diabetic patient", J Foot Ankle Surg, 41, pp.330~334 (2002)
  4. Yu JS, "Ossification of the Achilles tendon: Imaging abnormalities in 12 patients", Skeletal Radiol, 23, pp.127~131 (1994)
  5. Uhthoff HK, "Calcifying tendinitis: a new concept of its pathogenesis", Clin Orthop Relat Res, 118, pp.164~168 (1976)
  6. Mann RA, "Chronic rupture of the Achilles tendon: a new technique of repair", J Bone Joint Surg Am, 73, pp.214~219 (1991)
  7. Wapner KL, "Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer", Foot Ankle, 14, pp.443~449 (1993)
  8. Den Hartog BD, "Use of proximal flexor hallucis longus transfer in severe calcific Achilles tendinosis", Tech Foot Ankle Surg, 1, pp.145~150 (2002)
  9. Den Hartog BD, "Insertional Achilles tendinosis: pathogenesis and treatment", Foot Ankle Clin, 14, pp.639~650 (2009)
  10. Den Hartog BD, "Flexor hallucis longus transfer for chronic Achilles tendonosis", Foot Ankle Int, 24, pp.233~237 (2003)
  11. Richardson DR, "Evaluation of the hallux morbidity of single-incision flexor hallucis longus tendon transfer", Foot Ankle Int, 30, pp.627~630 (2009)
  12. Will RE, "Outcome of single incision flexor hallucis longus transfer for chronic achilles tendinopathy", Foot Ankle Int, 30, pp.315~317 (2009)
  13. Coull R, "Flexor hallucis longus tendon transfer: evaluation of postoperative morbidity", Foot Ankle Int, 24, pp.931~934 (2003)

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