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Intraarticular Soft Tissue Injuries in Fractures of the Distal Radius: A Descriptive Arthroscopic Study
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Seok Beom Lee, Chang Beom Lee
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J Korean Soc Fract 2001;14(4):726-732. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.726
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Abstract
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- PURPOSE
The aim of this study was to determine prevalence of the associated intraarticular soft tissue lesions with fractures of the distal radius by arthroscopic evaluation of the wrist joint and thus to avoid poor outcome after the conventional treatment.
MATERIAL AND METHOD: Medical records, radiographs and arthroscopic findings of 27 patients with fractures of the distal radius that underwent arthroscopic procedures were reviewed . Relationships between fracture pattern and associated lesions of the triangular fibrocartilage complex (TFCC), scapholunate and lunotriquetral ligaments were investigated. RESULTS 71% of fractures of the distal radius were associated with soft tissue lesions. Among those, tear of the triangular fibrocartilage complex was the most prevalent (47%). Associated lesions such as TFCC, scapholaunate and lunotriquetral lesion were more common with inraarticular fracture, while severe nature of the lesion that neccessiated pinning and/or arthroscopic repair was more common with extraarticular fractures of the distal radius. CONCLUSION Incidence of the associated soft tissue lesions in this study were comparably high with the latest publications. The authors suggest strongly that wrist arthroscopy should accompay any procedure for fractures of the distal radius, if it is to be done under anesthetic control, to get more favorable outcome.
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- Arthroscopic Repair for Traumatic Peripheral Tear of Triangular Fibrocartilage Complex
Seung-Ju Jeon, Chan-Sam Moon, Ho-Seung Jeon, Haeng-Kee Noh, Sung-Hwan Kim Journal of the Korean Fracture Society.2007; 20(4): 330. CrossRef
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Treatment of the Posterior Lip Fracture of Distal Tibia Using Posteromedial Apprroach
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Chung Nam Kang, Jong oh Kim, Seok Beom Lee, Oh Yong Kang, Min Soo Shin
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J Korean Soc Fract 1995;8(3):594-599. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.594
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Abstract
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- The primary goal of treatment of the posterior lip fracture is to effect the returning of normal function that is accomplished by the early institution of motion.
A variety of both open and closed treatment have been recommended, but many authors have advocated internal fixation of large fragments that compromise 25 per cent or more of the articular surface on the lateral radiography Open reduction with internal fixation of the posterior lip fragment has been associated with technical problems. VisualiBation of the articular surface is obscure by overhanging of the posterior tibial margin and talus. And than efforts at open reduction of posterior lip fragments are frequently unsuccessful. We used the posteromedial approach to this lesion.
The results obtained from this study were as follows; 1. Of the 17 cases, male was 9 cases(53%), female was 8 cases(47%) the most common victim was twentieth and thirtieth decades.
2. The mean afticular surface involvement of the posterior lip fragments in the sagittal plane were 28 percent.
3. The location of posterior lip fragment was central(2 cases), posteromedial(6 cases), posterolateral(9 cases).
4. The posteromedial approach affords the most predictable way to cary out an absolutely anatomic reduction of posterior lip fractures and a low complication rate.
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Citations
Citations to this article as recorded by 
- Treatment of the Posterior Malleolar Fracture Using Posterior Approach
Hyun Wook Chung, Dong Hwan Kim, Si Hoon Yoo, Jin Soo Suh Journal of the Korean Fracture Society.2010; 23(1): 50. CrossRef - Radiologic Analysis and Treatment of Posterior Malleolar Fractures of the Ankle
Jae Sung Lee, Soo Yong Kang, Han Jun Lee, Young Bong Ko Journal of the Korean Fracture Society.2009; 22(2): 98. CrossRef
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Treatment of Intertrochanteric Fractures of femur in Elderly Patient with Osteoporosis
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Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Yeo Hon Yun, Seok Beom Lee, Dong Jun Kim, Chung Hyok Choi, Dong Wook Kim, Seok Woo Kim
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J Korean Soc Fract 1994;7(2):404-411. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.404
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- With the age of our population advancing, the number of elderly osteoporotic patients with comminuted intertrochanteric fractures of the femur has increased dramatically. Intertrochanteric fractures of the femur usually occur in a more elderly age group than femoral neck fractures of the femur usually occur in a more elderly age group than femoral neck fractures. Intertrochanteric fractures are best treated by intenal fixation, since this mehod provides satisfactory positioning of the fragments and obviates the hazards of recumbency. However, in some caces with severe osteoporosis, arthroplasty is an excellent altemative to the internal fixation.
From 1987 to 1992, thirty-six intertrochanteric fractures of femur in the elderly patients(over 60 years of age) were treated by operation at the department of orthopaedic surgery in the Ewha Womans University Hospital. Thirty-three caces were internally fixated with the sliding-compression hip screws-plates(30), the Gamma interlocking intramedullary nails(2), the Rohs plate(1), and in three caces endoprosthetic or total hip replacement arthroplaties were performed.
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