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KMID : 1123820080100010071
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Health & sports medicine
2008 Volume.10 No. 1 p.71 ~ p.78
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Treatment and therapeutic exercise of osteochondritis dissecans of the talar dome in basketball player. A case-control study
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Kim Yong-Kweon
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Abstract
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The purpose of this study was to helpful to understand the information about treatment and therapeutic exercise of osteochondritis dissecans of the talar dome(ODT) through case study. The subject of this study is 26 years old and pro-basketball player. He had been surgery with arthroscopic synovectomy, multiple drilling and open spur excision of the talus. After the surgery, he had been therapeutic exercised for right ankle during 4 months in specific sports clinic.
During his rehabilitation periods, the symptoms and signs of the patient was wrote on his chart and analyzed the range of motion(ROM), AOFAS score and MRI view of ankle. The ROM of plantar flexion of ankle was still high deference(34.2%) from the value of un-involved ankle at 6 weeks of postoperative. But the motion of ankle dorsiflexion was 12% deference from that the un-involved ankle. The ROM of inversion and eversion of ankle was within normal limit at 4 weeks of postoperative. When involved ROM compared with that of un-involved ROM after 16 weeks of postoperative. It has been increased ROM of plantar flexion(6.8%) and dorsiflexion(14.2%). Also, the AOFAS score increased to 84 point. The MRI view was a little changes to positive effects. However, these results suggested that three months was too short for the finding of the positive changes on ODT compared with pre-operative.
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KEYWORD
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ankle, OCD, talus, rehabilitation, basketball
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