후외측 거골 골연골 병변을 동반한 삼각골 증후군(1예 보고)
Os Trigonum Syndrome with Posterolateral Osteochondral Lesion of Talus (A Case Report)
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Both os trigonum syndrome and osteochondral lesion of talus (OLT) are common causes of ankle pain and usually affect ballet dancers or athletes. Lateral osteochondral lesions, which usually result from traumatic event, are mostly located anterolateral talar dome but rare central or posterolateral. Moreover, there are technical difficulties such as position of patient or additional posterior portal to address posterolateral lesion by arthroscopy. Meanwhile, treatment of os trigonum syndrome using arthroscopic approach has been reported in many literatures recently. However, it has not been reported to diagnose both os trigonum syndrome and posterolateral OLT together and treat arthroscopically at one stage. The authors report a case of male patient who was diagnosed as os trigonum syndrome with posterolateral OLT and treated simultaneously by hindfoot arthroscopy. Symptom was improved immediately after the operation, and radiological findings at postoperative 16 months verified remarkable healing.
Abstract
Both os trigonum syndrome and osteochondral lesion of talus (OLT) are common causes of ankle pain and usually affect ballet dancers or athletes. Lateral osteochondral lesions, which usually result from traumatic event, are mostly located anterolateral talar dome but rare central or posterolateral. Moreover, there are technical difficulties such as position of patient or additional posterior portal to address posterolateral lesion by arthroscopy. Meanwhile, treatment of os trigonum syndrome using arthroscopic approach has been reported in many literatures recently. However, it has not been reported to diagnose both os trigonum syndrome and posterolateral OLT together and treat arthroscopically at one stage. The authors report a case of male patient who was diagnosed as os trigonum syndrome with posterolateral OLT and treated simultaneously by hindfoot arthroscopy. Symptom was improved immediately after the operation, and radiological findings at postoperative 16 months verified remarkable healing.
참고문헌 (10)
- Jerosch J, "Endoscopic resection of a symptomatic os trigonum", Knee Surg Sports Traumatol Arthrosc, 14, pp.1188~1193 (2006)
- van Dijk CN, "A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology", Arthroscopy, 16, pp.871~876 (2000)
- Marumoto JM, "Arthroscopic excision of the os trigonum: a new technique with preliminary clinical results", Foot Ankle Int, 18, pp.777~784 (1997)
- Bizarro AH, "On sesamoid and supernumerary bones of the limbs", J Anat, 55, pp.256~268 (1921)
- Chao W, "Os trigonum", Foot Ankle Clin, 9, pp.787~796 (2004)
- Horibe S, "A novel technique of arthroscopic excision of a symptomatic os trigonum", Arthroscopy, 24, pp.121~ (2008)
- Anderson IF, "Osteochondral fracture of the dome of the talus", J Bone Joint Surg Am, 71, pp.1143~1152 (1989)
- Ove PN, "Excision of posterolateral talar dome lesions through a medial transmalleolar approach", Foot Ankle, 9, pp.171~175 (1989)
- Abramowitz Y, "Outcome of resection of a symptomatic os trigonum", J Bone Joint Surg Am, 85, pp.1051~1057 (2003)
- Scholten PE, "Hindfoot endoscopy for posterior ankle impingement", J Bone Joint Surg Am, 90, pp.2665~2672 (2008)