종자골 절제 후 족무지 관절의 운동 변화 (Range of Motion of Great Toe after Sesamoidectomy: A Cadaveric Study)

서지정보

· 발행기관 : 대한족부족관절학회
· 수록지 정보 : 대한족부족관절학회지 / 13권 / 2호 / 138 ~ 141페이지
· 저자명 : 정현욱, 김진구, 이우천, 문정석, 서진수

초록

Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been
used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of
range of motion of great toe after sesamoidectomy.
Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by
traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor
hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and
proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated
and the angular changes were measured.
Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy
and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than
2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal
articulations.
Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases
in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion
occurred with lateral sesamoidectomy.

영어초록

Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been
used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of
range of motion of great toe after sesamoidectomy.
Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by
traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor
hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and
proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated
and the angular changes were measured.
Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy
and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than
2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal
articulations.
Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases
in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion
occurred with lateral sesamoidectomy.

참고자료

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