Journal of Musculoskeletal Trauma

Eui Seong Choi

3 Articles

Bone & Soft Tissue Injuries Diagnosed by Magnetic Resonance Imaging in Thoracolumbar Fractures: Yong Min Kim, Dong Soo Kim, Eui Seong Choi, Hyun Chul Shon, Kyoung Jin Park, Gi Seok Han, Jae Jung Jeong, Kyoung Il Jeong, Yung Sung Kim; J Korean Fract Soc 2004;17(2):184-190. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.184

PURPOSE
To assess diagnostic efficacy of the MRI in thoracolumbar fractures, especially in changes of bone and soft tissue which cannot be documented by other diagnostic tools.
MATERIALS AND METHODS
Among 85 patients managed for thoracolumbar fractures between January 1997 and June 2003, MRI was performed in 30 patients to get more informations. Plain X-ray, CT and MRI of these cases were reviewed retrospectively by two orthopaedic spine surgeons and one radiologist to investigate the informations which only MRI could afford.
RESULTS
14 (46.7%) among 30 patients had occult fractures of vertebrae other than main fracture which had not been diagnosed as fractured. Besides 6 patients who showed distraction of posterior structure on plain X-ray, injury of posterior ligament complex was confirmed by MRI in 12(40%) patients. Additionally, MRI visualized other soft tissue injuries such as intramuscular and subcutaneous hematoma, changes of the spinal cord and intervertebral disc. In 16 among 30 patients, informations achieved from MRI were the most important factors in deciding treatment modality.
CONCLUSION
MRI seems to be efficient in visualizing not only soft tissue injury such as ligament but also occult fractures of additional vertebra in thoracolumbar fractures, therefore MRI seems to be an important diagnostic tool in decision of treatment modalities, especially in cases of uncertain stability.

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Measurement Discrepancy of Sagittal Parameters between Plain Radiography and 3D Computed Tomography in Thoracolumbar and Lumbar Fractures
Dong-Soo Kim, Yong-Min Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho, Ji-Kang Park, Hyun-Cheol Lee
Journal of the Korean Orthopaedic Association.2012; 47(3): 198. CrossRef
Relationship between Lamina Fractures and Dural Tear in Low Lumbar Burst Fractures
Ki-Chan An, Dae Hyun Park, Yong-Wook Kwon
Journal of the Korean Fracture Society.2011; 24(3): 256. CrossRef

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Results of cross pinning fixation for supracondylar fracture of the humerus in children: considering adequate reduction and instability: Jong Hun Jee, Bong Soon Chang, Seung Baik Kang, Choong Hee Won, Eui Seong Choi; J Korean Soc Fract 1998;11(4):985-993. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.985

Abstract PDF: The supracondylar fracture of the humerus is the most common fracture of the elbow in children. New trends of treatment is that if satisfactory reduction is achieved by manual reduction, medial and lateral cross percutaneous pin fixation is better than others for stable fixation. Among many complications, cubitus varus deformity most commonly results from inaccurate reduction and failure in maintenance of fixation. The obliquity of the fracture, together with internal rotation, causes angular deformity. The angulation and coronal rotation, or tilting of distal fragment, often cause the deformity and limitation of motion of elbow. The porty-two Gartland type II, III supracondylar fractures of the humerus were treated by losed reduction or open reduction with percutaneous pinning or internal fixation from May 1993 to December 1995. The results were as follows; 1. the frequency of difference above 5degree in Baumann's angle was relatively high if fracture line is oblique on lateral roentgenogram or medial column comminution is present, that means unstable reduction. 2. In average, 2.7 pins were needed for reduction and maintenance of stability at this time. 3. Even though a few degree of rotation(5mm), translation(2-4mm) and angulation(5-10degree) were present at immediate reduction, carrying angle and Baumann's angle of follow-up period were often remained about the similar values compared with healthy side. If acceptable intraoperative carrying angle was achieved and a few degree of rotation, translation and angulation were permitted after reduction, varus deformity and limitation of motion of elbow were rerely caused. so repeating forceful manual reduction for anatomical reduction must be avoided because the final results may become progressively remodelled to normal.

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Clinical Result of Surgical Treatment in Distal Femur Fractures using Dynamic Compression Screw and Blade Plate: Seung Baik Kang, Joong Hee Won, Bong Soon Chang, Eui Seong Choi, Jin Seon Yoo, Hee Joong Kim; J Korean Soc Fract 1996;9(3):557-566. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.557

Abstract PDF: The fracture of distal femur, which include the supracondylar region, intercondylar region and knee joint, have many problems by nature. It is almost all comminuted fracture and has a some difficulty in approach. Early attempts at internal fixation frequently gave unacceptably high rates of malunion, nonunion, and infection. Traditionally, nonsurgical treatment has been favored. Over the past 15 years, improved and meticulous techniques of internal fixation has been shown to yield good to excellent results. Also a number of excellent devices are now available. We reviewed the patients who were admitted for fractures of the distal femur and were treated by the surgical treatments at department of Orthopaedic Surgery, Chungbuk National University Hospital from July 1993 through Augrst 1994. Fourteen cases were followed for more than one year. An average age at operation was 54 years (range, 18-74 years). The analysis group consisted of 9 males and 5 females. The cause of injuries were motor cycle injury in 8 cases, in-car accident in 2 cases, pedestrian injury in 2 cases and fall down in 2 cases. According to the classifications of AO, 4 cases were type Al, 2 were type A2, 2 were type A3, Cl was 1 case, C2 were 2 cases and C3 were 3 cases. Open fractures were 2 cases. Blade plate was used in 10 cases and DCS(dynamic compression screw) in 4 cases. With serial follow-up X-ray, ROM of knee and Neers scoring system, evaluation was performed. Excellent or good results were obtained in 13 cases (93%). Deep infection was developed in one case. At last follow-up, ROM was satisfactory. Blad plate was very useful for severe osteoporotic patient. For comminuted, displaced intra-articular fractures such as Type C, extensile surgical approach was most useful.

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