Journal of Musculoskeletal Trauma

Combined Injuries of Pubic Ramus Fracture : The Role of Computerized Tomography: Choong Gil Lee, Jin Woo Kwon, Kyoung Tae Sohn, Seung Ho Shin, Jun Wook Park; J Korean Soc Fract 1999;12(1):40-46. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.40

Pelvic fractures in general can be divided into two major types, based on the amount of energy involved : low-energy mechanisms are usually fractures of individual bones of the pelvic ring and high-energy mechanisms results in more severe injury to the pelvic ring, generally producing pelvic ring disruption. Pelvic fractures resulting from low-energy mechanism are usually fractures of individual bones of the pelvic ring that do not damage the true integrity of the ring structure. These include avulsion fractures, isolated fractures of the sacrum, and iliac wing fracture. Computerized tomography permits confirmation of findings noted on plain film and delineates injury to the posterior ring. It facilitates subclassifying the fracture according to degree of severity, as in the Young classification. The purpose of this study is to evaluate the role of CT, which is to identify the combined injuries of pubic ramus fractures. The sacrum impacted fracture and sacroiliac joint injury are often unidentified and diagnosed as an isolated fracture to the pubic ramus. The 42 cases of pubic ramus fractures on conventional radiography were simultaneously performed CT from June 1996 to February 1998. The results of associated injuries were as follows. 1. In 34 cases (81%) posterior pelvic ring injuries (sacral fractures 28 cases, anterior sacroiliac joint widening 6 cases) were observed. 2. CT was very useful to diagnose the posterior pelvic injury and to determine the mechanisms of injury.

Citations

Citations to this article as recorded by

Deep-learning-based pelvic automatic segmentation in pelvic fractures
Jung Min Lee, Jun Young Park, Young Jae Kim, Kwang Gi Kim
Scientific Reports.2024;[Epub] CrossRef

114 View
0 Download
1 Crossref

Aorto-Innominate Venous Fistula after percutaneous kirschner wire fixation of the Sternoclavivular Joint Anterior Dislocation: A case report: Choong Gil Lee, Jin Woo Kwon, Kyoung Tae Sohn, Seung Ho Shin, Jong Cheon Park; J Korean Soc Fract 1998;11(4):953-957. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.953

Abstract PDF: Kirschner wire fixation in sternoclavicular dislocation poses a considerable risk of serious early or late complications. We report a case of Kirschner wire penetration into the innominate vein and aorta, which caused aortovenous fistula and congestive heart failure.

43 View
0 Download

Complications of Interlocking Intramedullary Nailing for the Humeral Shaft Fractures: Choong Gil Lee, Jin Woo Kwon, Kyoung Tae sohn, Seung Ho Shin, Jong Cheon Park; J Korean Soc Fract 1998;11(2):254-261. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.254

Abstract PDF: Locked intramedullary nailing has been used as a popular method in treating humeral shaft fracture because of relatively less invasive procedure, good stability and allowing early rehabilitation. However many problems such as rotator cuff injury, iatrogenic fracture, difficult distal locking at operation and painful limitation of shoulder motion due to protrusion of the nail above the greater tuberosity, frequent delayed or nonunion were reported. We reviewed our experience with 26 cases of humeral shaft fractures that were treated by interlocking intramedullary nailing to evaluate the pitfalls and the complications of this technique. the results were as follows. 1. In five cases(19.2%) iatrogenic fractures occured during nail insertion. Three were in the site of inlet and two were in the original fracture site. 2. In four cases(15.4%) painful limitation of shoulder motion was persisted for 2 months. Two were caused by subacromial impingement due to nail protrusion and two were by intraoperative rotator cuff injury. 3. Nonunion occured in two cases(7.7%) which were middle one third transverse fractures and were not fixed with distal locking screws. 4. Intraoperative and postoperative complication rate was 42.3%.

80 View
0 Download

Treatment of the Proximal Humeral Fracture by Bent Semitubular Plate: Choong Gil Lee, Jin Woo Kwon, Jae Hyum Park, Sung Ho Shin, Wan Eub Kim; J Korean Soc Fract 1997;10(3):634-639. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.634

Abstract PDF: There is no consensus on the best way to treat complicated fractures of the proximal humerus. Open reduction and internal fixation with plate is one of the most popular method, but it has several disadvantages. Thus we used bent semitubular plates to fix the proximal humeral fractures, which were reported by Szabo and Sehr. Moda etc. This method provided relatively firm fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted fractures. We treated 9 cases of proximal humerus fractures which were with bent semitubular plates from January 1992 to June 1996 and followed up more than 6 months. The following results were obtained. 1. The bent semitubular piate fixation was useful method even in treatment of comminuted or osteoporotic proximal humerus fractures. 2. The mean duration of radiologic bone union was postoperative 10 weeks. 3, Complications developed in 2 cases ; one case was plate failure and the other was humeral head penetration by blade portion. 4, According to Neer criteria 5 cases were excellent, 2 cases satisfactory, 1 case unsatisfactory and 1 case failure.

75 View
0 Download

Wrist Injury in Juvenile Gymnasts: Choong Gil Lee, Jin Woo Kwon, Jae Hyum Park, Sang Hoon Lee, Wan Eup Kim, Eun Sik Shin; J Korean Soc Fract 1996;9(4):1125-1130. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1125

Abstract PDF: In the adolescent gymnasts, recent studios have shown that wrist is particularly vulnerable to chronic stress. In the immature skeleton, growth plate is especially vulnerable to acute or chronic trauma since the joint capsule and ligamentous structures are strong. The purpose of this study is to report the frequency, finding of radiologic abnormalities and the type of sports to cause wrist pain. The authors examined 26 adolescent gymnasts, 20 males and 6 females. The age range was 11 years 10 months to 17 years 5 months for males and 11 years 9 months to 34 years 4 months for females. The results were as follows; 1. The radiologic abnormalities were found in 23 cases(88%), 19 males and 4 females. 2. Wrist pain was most frequently csused by pommel horse exercise in males and by floor exercise in females. 3. Among 23 cases, 18 showed widening of distal radial growth plates and irregularities of the margins of the growth plate(15 cases were bilateral). Widening of distal ulna growth plates were combineti in six cases, ulna styloid process fracture in 3 cases and radial styloid process fracture in 1 case. 4. Among 23 cases, 5 cases showed widening of distal radial metaphysis and increased ulnar tilting.

68 View
0 Download

Treatment of Radial Neck Fracture in Children: A Report of Six Cases: Choong Gil Lee, Jin Woo Kwon, Young Dae Park, Jae Hyum Park, Young Suk Lee; J Korean Soc Fract 1995;8(3):645-650. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.645

Abstract PDF: From December 1992, 6 fractures of the radial neck in children were treated at Sunrin General Hospital and followed up at least 6 months. The purpose of this study is to review the initial fracture angulation, associated injuries, method of treatment, and clinical and radiologic results. The following results were obtained; 1. There were 3 boys and 3 girls with an average age of 11 years. 2. Among 6 cases, associated injuries were accompanied in 4 cases. 3. Among 6 cases,5 cases were treated conservatively and 1 case of radial head posterior dislocation was treated by open reduction and pin fixation. 4. Angulation of less than 30 degrees were treated by simple cast immobilization(2 cases), of more than 30 degrees were by closed reduction and cast irnrnobilization(3 cases). 5. Elbow partial stiffness occurred in 2 cases.

100 View
0 Download

Treatment of Ankle Fractures in Children: Choong Gil Lee, Jin woo Kwon, young Dae Park, Jae Hyum Park, Sung Ho Shin; J Korean Soc Fract 1995;8(3):637-644. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.637

Abstract PDF: The purpose of this study is to find the effective treatment method by evaluating the frequency and causes of complication in each Salter-Harris types. The materials were 26 ankle physeal injuries treated from 1989 to 1994 with least follow-up of 12 months(ranged 12 to 62 months). The results were as follows. 1. There were 14 boys and 12 girls with an average age of 11 years(range,3-15years) 2. According to Dias and Tachdjian classification, mechanisms of injury were pronation-eversion external rotation type in 7, supination-inversion type in 6, supination-plantar flexion type in 4, supination-external rotation type in 2, Tillaux in 3, unclassified in 4. 3. Amomg 26 cases operative treatment was done in 11 cases that include 4 cases of closed reduction & percutaneous pinning and 7 cases of open reduction & internal fixation. 4. Among 26 cases, complication occurred in 4 cases, in which 3 cases were treated by closed reduction and cast irnrnobilization only or with percutaneous pinning. 5. It is most important for prevention of complication that Salter-Harris type II, III, IV fractures were to be reduced accurately and fixed adequately. 6. Because Tillaux fracture ocurs near the age of epiphyseal closure, there were no clinically significant deformity after long term follow up. In 3 cases of Tillaux fracture, the resluts were good.

37 View
0 Download

Posterior Fracture Dislocation of the Hip with Fracture of the Femoral Head: Choong Gil Lee, Jin Woo Kwon, Jun Wan Park, Young Dae Park, Sung Ho Shin; J Korean Soc Fract 1994;7(2):302-307. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.302

Abstract PDF: The femoral head rarely is fractured in fracture-dislocation of the hip and probably result from forces transmitted axially along the femoral shaft with the hip flexed 60 degrees or less in neutral abduction and adduction. Pipkin subclassified Epstein-Thompson type 5 fracture-dislocations into four additional subtypes according to head fragment location and presence of neck, acetabulum fracture. Hougaard and Thomsen reviewed 203 posterior hip dislocations and found that 13 patients with a fracture of the femoral head(Pipkin type 1,2). 1 with fractures of femoral head and neck(Pipkin type 3), 2 with fractures of femoral had and acetabulum(Pipkin type 4). Epstein, Wiss, and Cozen reported that 11 cases of Pipkin type 1,26 of type 2,8 of type 3, and 10 of type 4. We experienced 2 cases of Pipkin type 3 and 3 of type 4 from January, 1990 and the results obtained were as follows. 1. By Pipkin classification, type 3 was 2 cases and type 4 was 3 cases. 2. In 2 cases of type 3, was treated by primary bipolar endoprosthesis due to comminution of head, neck and the other was by emergency open reduction of dislocation, multiple Knowles pinning of neck fracture, screw fixation of large head fragmnt, multiple knowles pinning of neck fracture, screw fixation of large head fragment, and quardratus femoris pedicled bone graft. 3. In 3 cases of type 4, one was reduced successfully by manipulation and treated conservatively. Two cases were initially treated by closed reduction and delayed open screws fixation of large acetabular rim fragments, during which head fragments were not removed. 4. There had been no clinical or radiological evidence of avascular necrosis of femoral head at 17 months follow up, but increased isotope uptake on bone scanning in type 3 patient. 5. All type 4 patients had not complained of hip pain and no evidence of radiological avascular necrosis of femoral heads at average 29 months follow up.

92 View
0 Download

The treatment of pathologic fracture of the proximal fimur by solitary bone cyst in children report of two cases: Choong Gil Lee, Jin Woo Kwon, Soo Young Kim, Sang Hoon Lee; J Korean Soc Fract 1993;6(2):352-356. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.352

Abstract PDF: No abstract available.

42 View
0 Download

Chronic isolated distal radioulnar dislocation in child a case report: Choong Gil Lee, Jin Woo Kwon, Soo Yong Kim, Jae Hyun Park; J Korean Soc Fract 1993;6(1):165-168. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.165

Abstract PDF: No abstract available.

107 View
0 Download

Treatment for Two-part Fracture of the Humerus Surgieal Neck by Ender Nailing: Choong Gil Lee, Jin Woo Kwon, Soo Yong Kim, Kyung Tae Son; J Korean Soc Fract 1992;5(2):348-355. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.348

Abstract PDF: There is no consensus on the best way to treat complicated fractures of the proximal humerus. We treated two-part surgical neck fractures which were not suitable for conservative method by semi-open reduction and Ender nailing with addition of cancellous bone graft. This method provided good three-point fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted surgical neck fractures. Between June 1989 and February 1992, Ender nailinss were performed for two-part surgical neck fractures, and among those cases 16 were followed for more than 1 year. The results of study were as follows ; 1. All cases were treated by seml-open reduction and Ender nailing with additional cancelous bone graft. 2. Ender nails were inserted through retrograde entry in all cases. 3. Complications developed in 3 cases ; one case of proximal migration of Ender nail and two of shooter joint partlal stiffness. 4. The mean duration of radiologic bone union was postoperative 9 weeks. 5. According to Neer criteria 11 cases were good, 3 fair and 2 poor results.

85 View
0 Download

Search