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Treatment for the Stress Fracture of the Proximal Phalanx of the Great Toe in a Basketball Player with Hallux Valgus (A Case Report).

Chul Hyun PARK ; Woo Chun LEE

Journal of Korean Foot and Ankle Society.2012;16(1):70-72.

Stress fractures of the proximal phalanx of the great toe are rare. This fractures have been associated with halux valgus deformity in most reports. We performed open reduction and internal fixation with distal chevron osteotomy for the stress fracture of the proximal phalanx of the great toe in a basketball player with hallux valgus, and obtained successful bony union and rapid return to sports.
Basketball ; Congenital Abnormalities ; Fractures, Stress ; Hallux ; Hallux Valgus ; Osteotomy ; Sports ; Toes

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Lateral Sliding Calcaneal Osteotomy for Bilateral Talocalcaneal Coalition with Complete Bone Bridge (A Case Report).

Seok Won KIM ; Byung Ki CHO ; Yong Min KIM ; Dong Soo KIM ; Eui Sung CHOI ; Hyun Chul SHON ; Kyoung Jin PARK ; Ji Kang PARK

Journal of Korean Foot and Ankle Society.2012;16(1):65-69.

Talocalcaneal coalition known as the most common tarsal coalition is a congenital failure of segmentation. Talocalcaneal coalition with complete bone bridge is very rare, and there are few references in the literature about the clinical results and the operative method for this type of tarsal coalition. We report a case of 15 years old female with complete talocalcaneal coalition, who showed good clinical results by lateral sliding calcaneal osteotomy.
Female ; Humans ; Osteotomy

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Superficial Peroneal Nerve Entrapment Syndrome (A Case Report).

Soo Uk CHAE ; Yeung Jin KIM ; Byong San CHOI ; Ha Heon SONG

Journal of Korean Foot and Ankle Society.2012;16(1):62-64.

Superficial peroneal nerve entrapment is an uncommon compression neuropathy, and is frequently associated with a fascial defect and a muscle hernia. The standard treatment of that was the nerve decompression by complete or limited fasciotomy. But, we experienced a case of superficial peroneal nerve entrapment had satisfactory surgical outcome by fascial repair of peroneus muscle.
Decompression ; Hernia ; Muscles ; Peroneal Nerve

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Resection Arthroplasty for the Treatment of Joint Stiffness after Dislocation of the Four Lateral Lesser Metatarsophalangeal Joints (A Case Report).

Chul Hyun PARK ; Woo Chun LEE

Journal of Korean Foot and Ankle Society.2012;16(1):58-61.

Motion of the metatarsophalangeal joints is essential for the normal gait. Therefore it is important to recover the motion of normal joint in the treatment of stiffness of the metatarsophalangeal joints. However, there have been no report about the treatment of stiffness of the four lateral lesser metatarsophalangeal joints yet. We report an experience that good clinical and radiographic results were obtained after resection arthroplasty for the post-traumatic stiffness of the four lateral lesser metatarsophalangeal joints.
Arthroplasty ; Dislocations ; Gait ; Joints ; Metatarsophalangeal Joint

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Computerized Measurement on Angular Parameters for Hallux Valgus: Comparison of 100% and 150% Magnified Digital Radiography.

Il Hoon SUNG ; Doo Yeon LEE ; Chang Ho SUNG ; Woo Young SEO

Journal of Korean Foot and Ankle Society.2012;16(1):53-57.

PURPOSE: To study computerized measurements of angular parameters on 100% and 150% resized digital radiography of hallux valgus deformity. MATERIALS AND METHODS: 30 digital radiography of standing foot anteroposterior view of hallux valgus patients were included. Two observers(A, B) independently measured hallux valgus angle (HVA), 1-2 intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) in two times on both 100%-size and 150% magnified images respectively, using computerized measurement software tools. The results were interpreted with the statistical software program, Statistical Analysis System, version 9.2. RESULTS: In repeated measurements of each observer, measurements on 150% magnified image showed no differences of all three parameters and with 100%-size image, there were differences of HVA (observer A) and 1-2 IMA (observer B) (p>0.05). When testing interobserver reliability, both observers showed differences in measurement of HVA and DMAA (p<0.05), but no differences in measurement of 1-2 IMA in both images. Within the 95% confidence interval, limits of error of measurements between two observers on HVA, IMA and DMAA were 2.7degrees 1.4degrees and 5.0degrees respectively in 100%-size images, and 2.6degrees, 1.6degrees and 4.7degrees respectively in 150% magnified images. CONCLUSION: In computerized measurements for angular parameters of hallux valgus with digital radiography, 150% magnified images showed intraobserver reliability. Both 100% and 150% magnified images failed to show interobserver reliability. Measurement of 1-2 IMA in both 100% and 150% images showed less interobserver error.
Azasteroids ; Dihydrotestosterone ; Foot ; Hallux ; Hallux Valgus ; Humans ; Metatarsal Bones ; Radiographic Image Enhancement ; Software

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Result of Joint Preserving Surgery Using Axial Shortening Metatarsal Osteotomy for the Treatment of Severe Hallux Valgus and Claw Toes Deformity in Advanced Rheumatoid Arthritis.

Il Hyun NAM ; Gil Yeong AHN ; Gi Hyuk MOON ; Yeong Hyeon LEE ; Seong Pil CHOI ; Ho Gyu KIM ; Dong Ho OH

Journal of Korean Foot and Ankle Society.2012;16(1):47-52.

PURPOSE: The purpose of this study is to evaluate the effect of axial shortening metatarsal osteotomy on the treatment of advanced rheumatoid arthritis patients with severe hallux valgus and claw toe deformity of lesser toes which is used for preserving the metatarsophalangeal joint. MATERIALS AND METHODS: From January 2005 to June 2009, 18 cases of axial shortening metatarsal osteotomy in advanced rheumatoid arthritis were reviewed ; all of them followed up for more than 2 years after surgical procedures and the mean follow up period was 3.4 years. We performed axial shortening Scarf osteotomy and Akin osteotomy for hallux valgus and Weil osteotomy with soft tissue release for claw toe of lesser toes, respectively. We measured preoperative and postoperative hallux valgus angle, each metatarsal shortening length and the range of motion of the metatarsophalangeal joints through radiographic and clinical examination and compared them each other. Clinical results were evaluated by American Orthopedic Foot and Ankle Society (AOFAS) score and subjective satisfaction of the patients. RESULTS: The hallux valgus angle was reduced from the preoperative mean value of 44.8 degree to 9.0 degree postoperatively and the range of motion of the metatarsophalangeal joint of great toe and lesser toes was increased from the mean of 21.7 degree and 11.0 degree preoperatively to 38.0 degree and 32.5 degree, respectively at postoperation. Also, the mean AOFAS score was improved from 26.5 points to 67.4 points. CONCLUSION: Axial shortening osteotomy is a useful method to correct the deformity and preserve the metatarsophalangeal joint for severe hallux valgus and claw toe deformity in advanced rheumatoid arthritis.
Animals ; Ankle ; Arthritis, Rheumatoid ; Congenital Abnormalities ; Follow-Up Studies ; Foot ; Hallux ; Hallux Valgus ; Hammer Toe Syndrome ; Hoof and Claw ; Humans ; Joints ; Metatarsal Bones ; Metatarsophalangeal Joint ; Orthopedics ; Osteotomy ; Range of Motion, Articular ; Toes

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Treatment of Acute Achilles Tendon Rupture.

Tae Hoon LEE ; Hak Jun KIM ; Young Sik JEON

Journal of Korean Foot and Ankle Society.2015;19(3):77-80. doi:10.14193/jkfas.2015.19.3.77

Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.
Achilles Tendon* ; Humans ; Rehabilitation ; Rupture* ; Sports ; Suture Techniques ; Sutures ; Weight-Bearing

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Medial Horizontal Suture Fixation of the Akin Osteotomy: A Technical Report.

Young Phil YUNE ; Sanghwan KIM

Journal of Korean Foot and Ankle Society.2015;19(4):197-200. doi:10.14193/jkfas.2015.19.4.197

The Akin osteotomy is a complimentary procedure in hallux valgus surgery. Surgical techniques may vary depending on the operators or fixation devices. Suture fixation, for which a removal procedure is not necessary, can often be recommended. However, there is a risk of failure due to the thin cortex of the phalanx. We describe a new technique using Ethibond suture fixation in Akin osteotomy, which can lower the risk of phalangeal cortical failure and articular cartilage irritation. First, the Akin osteotomy was performed on the proximal phalanx 5 to 6 mm distal to the first metatarsophalangeal joint. Then bone holes were drilled from dorsum to plantar parallel to osteotomy with the Kirschner wire. The final procedure involved passing the Ethibond sutures connected to a straight needle through the holes and tying it. This fixation method offers an effective and easy technique for performance of Akin osteotomy.
Cartilage, Articular ; Hallux Valgus ; Metatarsophalangeal Joint ; Needles ; Osteotomy* ; Sutures*

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Melorheostosis with Synovial Chondromatosis of the Foot: A Report of Two Cases.

Chae Chil LEE ; Sang Woo KIM ; Hye Jeong CHOI ; Il Yeong HWANG ; Min Seok KIM

Journal of Korean Foot and Ankle Society.2015;19(4):193-196. doi:10.14193/jkfas.2015.19.4.193

Melorheostosis is a rare disease, belonging to the sclerotic bone dysplasia group. Initially described by Leri and Joanny in 1922, its etiology remains unknown. Onset is usually insidious, with deformity of the extremity, pain, limb stiffness, and limitation of motion in the joints. The typical radiographic appearance consists of irregular hyperostotic changes of the cortex, resembling melted wax dripping down one side of a candle. Treatment is usually symptomatic and conservative; however, conservative treatment is unsatisfactory due to functional issues when involving the distal extremity. We report on two cases of melorheostosis with synovial chondromatosis of the foot treated by mass excision.
Ankle ; Bone Diseases, Developmental ; Chondromatosis, Synovial* ; Congenital Abnormalities ; Extremities ; Foot* ; Joints ; Melorheostosis* ; Rare Diseases

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Analysis of Heel Pad Thickness in Korean.

Yong Jin KIM ; Hyeong Jik KIM ; Kwang Bok LEE

Journal of Korean Foot and Ankle Society.2015;19(4):188-192. doi:10.14193/jkfas.2015.19.4.188

PURPOSE: The purpose of this study is to provide Korean data on heel pad thickness according to age, gender, underlying disease, occupation, and body mass index (BMI). MATERIALS AND METHODS: A retrospective study was conducted on 670 patients who underwent foot lateral plain radiography and magnetic resonance imaging (MRI) between January 2010 and July 2014. Through measurements of heel pad thickness, the usefulness and accuracy of foot lateral plain radiography was evaluated, and the mean Korean heel pad thickness in the weight-bearing and non-weight-bearing conditions was also evaluated according to age, gender, underlying disease, occupation, and BMI. RESULTS: The 670 subjects with a mean age of 44 years (range, 12 to 84 years) consisted of 420 males and 250 females. The difference in heel pad thickness between non-weight-bearing foot lateral plain radiography and MRI was 0.69 mm. The heel pad thickness did not show a significant difference with age (p=0.08) and the presence of diabetes (p=0.09). With the increase in the Tegner score, the thickness of the heel pad increased (p=0.035), and subjects with a higher BMI had a thicker heel pad (p=0.03). The compressibility of the heel pad thickness showed no correlation with gender, diabetes, and Tegner score. Compressibility also increased with the increase in age and body weight. CONCLUSION: The mean Korean heel pad thickness measured through non-weight-bearing foot lateral plain radiography was 18.79 mm. The heel pad thickness increased with increasing BMI; however, age and diabetes did not show significant correlation. The compressibility of heel pad increased with the increase in age.
Body Mass Index ; Body Weight ; Female ; Foot ; Heel* ; Humans ; Magnetic Resonance Imaging ; Male ; Occupations ; Radiography ; Retrospective Studies ; Weight-Bearing

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