ÃÖ½Å³í¹®¸®ºä
   
Investigation of the Relationship Between Flatfoot and Patellar Subluxation in Adolescents.
±Û¾´ÀÌ : °ü¸®ÀÚ ³¯Â¥ : 2017-03-15 (¼ö) 05:38 Á¶È¸ : 1962
º¯Çü¹ß ÃÖ¿ë¹Î.pdf (520.0K), Down : 0, 2017-03-18 07:36:33

Investigation of the Relationship Between Flatfoot and Patellar Subluxation in Adolescents.

Han Y, Duan D, Zhao K, Wang X, Ouyang L, Liu G.

J Foot Ankle Surg. 2017 Jan - Feb;56(1):15-18

 

 

Introduction

flatfoot deformity´Â û¼Ò³â ½Ã±â¿¡ ÈçÇÏ°Ô ³ªÅ¸³ª¸ç, ÀÌÈÄ ¸¸¼ºÀûÀ¸·Î ¹ß¸ñ °üÀý ¹®Á¦¸¦ ÀÏÀ¸Å°´Â ÁúȯÀÌ´Ù. Patellar subluxation ¶ÇÇÑ Ã»¼Ò³â ½Ã±â¿¡ ¹ß»ýÇÒ ¼ö ÀÖ´Â ÈçÇÑ ¹«¸­ ÅëÁõÀÇ Áß¿äÇÑ ¿äÀÎÀÌ´Ù.  flatfoot deformity´Â ÇÏÁö üÁ¤Áß¼±ÀÇ º¯È­¸¦ ÃÊ·¡ÇÏ°Ô µÇ°í ±×¿¡ µû¶ó ¹«¸­ÀÇ ±¸Á¶Àû ¹®Á¦¿Í ¹«¸­ ¿Ü¹ÝÀ» ÃÊ·¡ÇÏ°Ô µÈ´Ù. µû¶ó¼­ flatfoot¿¡ µû¸¥ ¹«¸­ÀÇ ±â´É ƯÈ÷ patellar subluxation¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» ¾Ë¾Æº¸°íÀÚ ÇÑ´Ù.

 

Patients and Methods

¼­ ÀÖ´Â »óÅ¿¡¼­ ÃÔ¿µÇÑ ¹æ»ç¼± °Ë»ç¿¡¼­ medial arch °¢µµ°¡ 130µµ ÀÌ»óÀÎ planovalgus deformity¸¦ °¡Áø 24¼¼ ÀÌÇÏ È¯ÀÚ¸¦ ´ë»óÀ¸·Î ÇÏ¿´À¸¸ç, ÃÑ 72¸íÀÇ È¯ÀÚ (³² 32, ¿© 40)À¸·Î Æò±Õ ¿¬·ÉÀº 15.4¡¾4¿´´Ù. ¶ÇÇÑ heel valgus angle, arch index, Q-angleÀ» ÇÔ²² ÃøÁ¤ÇÏ¿´´Ù.

 

Result

Heel valgus angleÀº 5.9¡¾2.4, arch index 0.34¡¾0.06, Q-angle 19¡¾3.5¿´À¸¸ç, Q-angleÀº heel valgus angle(r ¨ù 0.818, p < .001) °ú arch index(r ¨ù 0.655, p < .001) Á÷Á¢ÀûÀÎ °ü·Ã¼ºÀÌ ÀÖ¾ú´Ù.

 

Discussion

Q-angle°ú Heel valgus angle ¹× arch indexÀÇ Á÷Á¢ÀûÀÎ °ü·Ã¼ºÀº °á±¹ patellar subluxation ¹ß»ý À§ÇèÀ» Áõ°¡ ½ÃŲ´Ù´Â °ÍÀº flatfootÀº knee jointÀÇ ¸ð¾çÀÇ º¯ÇüÀ» ÃÊ·¡ÇÏ°í patellar subluxation ¹ß»ýÇÏ°Ô µÈ´Ù´Â °ÍÀ» ¶æÇÑ´Ù. Q-angleÀÌ Ä¿Áú¼ö·Ï femoral condyleÀÇ Çü¼ºÀÌ »ó´ëÀûÀ¸·Î ÆòÆòÇØÁö°Ô µÇ°í patellar subluxationÀÌ ¹ß»ýÇÏ´Â °æÇ⼺À» Áö´Ï°Ô µÇ´Â °ÍÀÌ´Ù. FlatfootÀº plantar fasciitis, achilles tendonitis, patellofemoral arthritis¿Í °°Àº ±Ù°ñ°Ý ÁúȯÀ» ÀÏÀ¸Å°´Â predisposing factor·Î »çÀü¿¡ ¿¹¹æÇÏ´Â °ÍÀÌ Áß¿äÇÏ°Ú´Ù.

 

Conclusion

FlatfootÀº patellar subluxation°ú ¹ÐÁ¢ÇÑ °ü·ÃÀ» °¡Áö°í ÀÖÀ½À¸·Î ¿Ü·¡¿¡¼­ ¹«¸­ÅëÁõ ¶Ç´Â ¹ß ÅëÁõÀ¸·Î ¿Â û¼Ò³â±â ȯÀÚ¿¡¼­ flatfootÀÇ À¯¹«¸¦ È®ÀÎÇÏ°í ÇÏÁö üÁ¤Áß¼± ¹× ¹«¸­ °üÀýÀÇ ¿îµ¿·Â Çâ»ó µîÀ» À§ÇÏ¿© medial arch pad³ª custom insoles µîÀÇ Ãʱâ Ä¡·á°¡ Áß¿äÇÏ°Ú´Ù


À̸§ Æнº¿öµå
ºñ¹Ð±Û (üũÇÏ¸é ±Û¾´À̸¸ ³»¿ëÀ» È®ÀÎÇÒ ¼ö ÀÖ½À´Ï´Ù.)
¿ÞÂÊÀÇ ±ÛÀÚ¸¦ ÀÔ·ÂÇϼ¼¿ä.