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외상성 역동적 무지 내반증(1예 보고)

Traumatic Dynamic Hallux Varus (A Case Report)

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초록

The first metatarsophalangeal joint injury is common in professional soldiers and athletes. But this was rarely reported. A professional soldier has varus instability in the first metatarsophalangeal joint due to hyperextension. In the MR Imaging, weavy appearance in lateral collateral ligament and high signal change in plantar plate was shown. So he has surgical treatment using reconstructive procedure. At first, 4th extensor digitorum longus tendon was splitted longitudinally and harvested, second triangular shape reconstruction on lateral joint line was done using harvested tendon. One year later, fifteen degrees was limited compared with intact side. Reconstruction using 4th extensor digitorum longus tendon in traumatic dynamic hallux varus was good method.

Abstract

The first metatarsophalangeal joint injury is common in professional soldiers and athletes. But this was rarely reported. A professional soldier has varus instability in the first metatarsophalangeal joint due to hyperextension. In the MR Imaging, weavy appearance in lateral collateral ligament and high signal change in plantar plate was shown. So he has surgical treatment using reconstructive procedure. At first, 4th extensor digitorum longus tendon was splitted longitudinally and harvested, second triangular shape reconstruction on lateral joint line was done using harvested tendon. One year later, fifteen degrees was limited compared with intact side. Reconstruction using 4th extensor digitorum longus tendon in traumatic dynamic hallux varus was good method.

참고문헌 (9)

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  3. Fabeck LG, "Traumatic hallux valgus following rupture of the medial collateral ligament of the first metatarsophalangeal joint: a case report", J Foot Ankle Surg, 41, pp.125~128 (2002)
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  8. Mullis DL, "A disabling sports injury of the great toe", Foot Ankle, 1, pp.22~25 (1980)
  9. Shin YW, "Open lateral collateral ligament injury of the interphalangeal joint of the great toe in adolescents during Taekwondo", Am J Sports Med, 36, pp.158~161 (2008)

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