Journal of Musculoskeletal Trauma

Original Articles

Radiologic Evaluation of the Ankle Joint: Comparison of Different criteria & its A vailability of Clinical Practice: Deuk Soo Hwang, Seung Ho Yune, Kwang Jin Rhee, June Kyu Lee, Je Taek Jeong; J Korean Soc Fract 1998;11(4):880-885. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.880

Abstract PDF: Generally it is Known that the best clinical results in treatment of injuries of the ankle are obtained by anatomical restoration of the joint. For objective measurements of tibiotalar joint, some investigators ued different criteria and defined the specific reference points under variable angle of internally rotated anteroposterior projection. But, occasionally we didn't acquire the accurate roentgenographic finding that was suggested by investigators. So, we check the variable angle of internal rotation film in addition to angle suggested by investigators and compare the criteria between them. The purpose of this study is to evaluate availability of internally rotated mortise view and its criteria in clinical practice. Following results was acquired. First, there was no significant difference in measuring the medical clear space on depand on variability of rotation angle. Second, the overlapping distance of tibiofibular syndesmosis decreased by increasing internal rotation angle, but was not under 1mm (ie, index of injury). A third, to measure the Weber's 3 criteria, we need to check the variable internal rotation angle, if necessary. Finally, we acquired the normal range of measurement about Tile's 2 criteria by variable internal rotation angle.

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Evaluation of Treatment for Clavicle fracture: Comparision between Conservative Versus Operative Treatment: Kyung Jin Song, Ki Young Chang, Byung Yun Hwang; J Korean Soc Fract 1995;8(1):181-187. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.181

Abstract PDF: There is still controversies in the treatment of clavicle fracture between conservative versus operative treatment. We reviewed one hundred thirth-six patients(141 cases) treated conservatively and operatively since February 1981 to September 1993 at Chonbuk National University Hospital. The mean follow-up was forth-six months ranging from six months to twelve years. Fifty cases treated surgically and ninty-one cases treated conservatively. In the surgical treatment group, mostly treated with intramedullary nailling with K-wires or Steinmann pin and plating with screws, with or without bone graft. We tried to evaluate the result of treatment between these two treatment groups in the viewpoint of criteria of pain, deformity, limitation of motion, subjective symptoms and disturbance of daily activities and also in the viewpoint of complications like nonunion, malunion, motion limitaion, infection and metal failures. The most common complication of the conservative treatment was malunion and nonunion was the most common complication in the operative treatment. Satisfactory results obtained in 89% of operative treatment group in the functional group and 88% of operative treatment group in the functional evaluation scale. Each clavicle fracture should be treated according to their degree of comminution, site of fracture, neurovascular injury, associated injury and doctors experience as which cases can promptly be treated either conservatively or operatively. But we would like insist of surgical treatment for the cases necessitating surgery for the provention of nonunion, malunion and joint stiffness what are common complications in the conservative treatment of clavicle fractures.

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