Journal of Musculoskeletal Trauma

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.

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.

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.

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.

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