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KMID : 0896719980020010019
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Journal of the Korean Society of Foot Surgery
1998 Volume.2 No. 1 p.19 ~ p.29
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Correlationship Between Degree of Displacement and Range of Motion of the Subtalar joint after Calcaneal fracture
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Park In-Heon
Lee Kee-Byung
Song Kyung-Won
Lee Jin-Young
Lee Eung-Joo
Park Rae-Seong
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Abstract
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The characteristics of the patients after the calcaneal fracture that vrere associated with an unaatisfactory outcome were subtalar incongruity, decreased Bohler angle ratio of the fractured to the normal side, an age of more than fifty years, work involving strenuous labor, and increased time missed from work due to the injury, The purpose of this study was to examine the reliability of measurements of the range of motion of the subtalap joint. To determine reliability, evaluates of the correlatioinship between the degree of the displacement of the subtalar joint and Circle draw test after the calcaneal fracture. Fifty patients who had had fifty five calcaneal fractures were managed with open reduction and internal fixation. The resulte were reviewed retraspect,ively, bet.ween 4months and three years after the operation, with use of an eualuation aystem for the subtalar joint and with plain radiographs. At follow up evaluation, the result was assessed on the basis of restoration of anatomy and function of the subtalar joint. We evaluated the subtalar joint with plnin films that consist of anteroposterior projection, lateral projection, calcaneal axial view, and Broden’s view, and the me;surements of the displacement of the subtalar joiint surface after the calcaneal fracture. And we evaluated the range of motion of the subtalar joint with Circle draw test for physical evaluation. Circle draw test was evatuated and demonstrated the motion of flexian supination adduction and extension pronation abduction of the subtalar joint. And there are correlationship between the degree of the displacement and range of motion of the subtalsr joint after the calcaneal fracture. The report critical1y reviews methords used to measure Circle draw test for physical examination af the follow up after the calcaneal fracture.
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KEYWORD
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Calcaneal fracture, Subtalar joint, Circle draw test
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Listed journal information
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