Journal of Musculoskeletal Trauma

Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report: Moon Chan Kim, Jae Lim Cho, Hung Tae Chung, Dong Jun Kim, In Bo Kim; J Korean Fract Soc 2011;24(1):96-99. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.96

Abstract PDF: For valgus impacted four part fracture of the proximal humerus, surgical stabilization and early mobilization of the joint can produce the best clinical outcomes. But, we have experienced a case of conservative treatment and gained good clinical results. We have reported this case and included a review of the relevant literatures.

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Comparison of the Result of Vertebroplasty and Conservative Treatment in Osteoporotic Vertebral Compression Fracture: Ye Soo Park, Woo Jin Cho, Jae Lim Cho; J Korean Fract Soc 2006;19(3):363-368. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.363

PURPOSE
To evaluate the results of vertebroplasty and conservative treatment in osteoporotic vertebral compression fractures.
MATERIALS AND METHODS
Patients were divided randomly into 2 groups; Group I (conservative treatment) and Group II (vertebroplasty). There are 14 cases in group I and 16 cases in group II. Radiologically, the progression of compression was observed. Clinical evaluation was done using Denis pain scale. In both groups, prolonged pain with nonunion or avascular necrosis that resulted in surgical intervention was evaluated as complication. In group II, the complication associated the procedures were evaluated.
RESULTS
Group II was superior to conservative treatment in terms of maintaining vertebral height radiologically. The characteristics of symptom improvement were the same in two groups. There were cement leakage among group II but they did not influence to the results. In group I, 2 subjects needed surgery due to prolonged pain. In group II, 1 subject needed surgery due to prolonged pain and there were 3 cement leakage cases which were insignificant.
CONCLUSION
In vertebroplasty group, complications associated the procedures were noted. In conservative treatment group, more patients needed operation. Therefore, we should be very prudent when we choose the treatment of the osteoporotic vertebral compression fracture.

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A Case Report of the Korean Medical Treatment of Dysphagia and Anorexia after Lumbar Compression Fracture
Hye-mi Jo, Eun-chang Lee, Hye-soo Youn, Choong-hyun Park, Da-young Han, Da-hae Jung, Jung-eun Lee
The Journal of Internal Korean Medicine.2022; 43(2): 219. CrossRef
A Retrospective Clinical Survey of Vertebral Compression Fractures
Ji Hye Oh, Yun Kyu Lee, Jae Soo Kim, Hyun Jong Lee, Sung Chul Lim
Journal of Acupuncture Research.2018; 35(4): 219. CrossRef
Lumbar Spine Fracture
Seung-Wook Back, Hyun-Joong Cho, Ye-Soo Park
Journal of the Korean Fracture Society.2011; 24(3): 277. CrossRef

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Relevancy of Posterior Column Injury and Dural Tear in Unstable Burst Fracture: Ye Soo Park, Kee Hun Son, Ki Chul Park, Il Hoon Sung, Jae Lim Cho; J Korean Fract Soc 2005;18(1):65-68. Published online January 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.1.65

Abstract PDF

PURPOSE
To analyze the pattern of posterior column injury in unstable burst fractures and to predict the possibility of dural injury.
MATERIALS AND METHODS
Retrospective review was carried out on 22 patients of unstable burst fracture from Nov. 1996 to Sep. 2003. The pattern posterior column injury was analyzed by simple x-ray, CT and MRI findings. In simple x-ray, authors analyzed laminar fracture, posterior facet injury, inter-spinous widening and inter-spinous malalignment, posterior bony injury by CT, posterior inter-spinous ligament injury and dural tear by MRI. The statistical analysis was performed using Mann-Whitney test and Chi-square test.
RESULTS
There were 13 men and 9 women, and mean age was 41 years-old (18~65). The level of injury showed 15 cases in T12-L2, 6 in L3, 3 L4. In simple x-ray, findings were showed 13 cases (59.1%) in laminar fracture, 7 (31.8%) in posterior facet injury, 16 (72.7%) in inter-spinous widening and 8 (36.4%) in inter-spinous malalignment. In CT, findings were showed 13 (59.1%) in laminar fracture, 10 (45.5%) in posterior facet injury, 9 (40.9%) in transverse process fracture. In MRI, findings were showed 18 (81.8%) in posterior inter-spinous ligament injury and were not showed dural tear. The combined cases of posterior bony and ligamentous injury was 6 (27%) and 5 of 6 showed dural tear and the analysis of dural tear and radiologic findings was showed positive correlation (p=0.004).
CONCLUSION
Posterior ligament injury was more frequent than bony injury in unstable burst fracture. Among the posterior bony injuries, dural tear was more frequent in facet injury. Authors confirmed all dural tear with operation. In cases of posterior bony injury combined with ligamentous injuries, the possibility of dural tear was significantly higher than that of single structural injury (p=0.004).

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Lumbar Spine Fracture
Seung-Wook Back, Hyun-Joong Cho, Ye-Soo Park
Journal of the Korean Fracture Society.2011; 24(3): 277. 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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Neglected Unilateral Subluxation of Facet Joint in Lumbar Spine of Multiple Trauma Patient: A Case Report: Ye Soo Park, Min Kun Kim, Jae Lim Cho; J Korean Soc Fract 2000;13(1):52-55. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.52

Abstract PDF: Unilateral dislocation or subluxation of a facet in lumbar spine is extremely rare, so it has been often neglected. The mechanism of injury is hyperflexion and distraction forces. As for the treatment of lumbar facet dislocation and subluxation, open reduction and internal fixation by the posterior approach has been recommended because the injuries are resistant to closed reduction and they may cause chronic instability. We report a case of neglected unilateral subluxation of facet joint in lumbar spine of multiple trauma patient, which was treated by open reduction and internal fixation with posterolateral fusion. In the multiple trauma patients, it is mandatory to the meticulous diagnosis and treatment.

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Conservative Treatment of Moderately Displaced S-H type II Injury in Distal Radius : a Report of 5 Cases: Tai Seung Kim, Ye Soo Park, Duck Keun Kim, Jae Lim Cho; J Korean Soc Fract 1997;10(3):718-725. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.718

Abstract PDF

Epiphyseal injury in children is most frequently developed in distal radius. Type II injury in Salter Harris classification is known to be most common. In most cases of Salter Harris type II injury, the conservative treatment such as closed reduction and cast immobilization is reported to be effective. However, in moderately displaced epiphyseal injury, repeated manipulation would give further damage to the epiphyseal plate and then results in premature closure of the epiphyseal plate and growth arrest. We experienced five cases of moderately displaced S-H type II injury of distal radius, which had been reduced immediately after injury by closed method at privatic clinic, but redisplaced. We did not try to get realignment because it had passed 6 to 14 days since fracture occurred. Rather, we thought maintaining of present position could be best. After the conservative treatment for five cases, we have evaluated follow up results over one year. The results were excellent. We hereby report it with literature review.

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Epiphyseal Fractures of the Distal Radius in the Children
Hui Taek Kim, Myung Soo Youn, Jong Seo Lee, Young Jun Choi, Yoon Jae Seong
Journal of the Korean Fracture Society.2008; 21(3): 225. CrossRef

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Disseminated Intravascular Coagulation Following Septic Shock in Multiple Open Fractures : a Case Report: Tai Seung Kim, Jae Lim Cho, Choong Hyeok Choi, Sung Hee Oh, Do Hyeung Kim, Kuhn Sung Whang; J Korean Soc Fract 1997;10(3):583-587. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.583

Abstract PDF: Disseminated intravascular coagulation is known to be a syndrome which can evoke compound derangement in the cascade mechanism of normal hemostasis, which causes depletion of coagulation factors, secondary fibrinolysis, and eventually massive and uncontrollable bleeding. Even though there still are not absolute criteria for diagnosis, some laboratory findings - platelet count, plasma fibrinogen, fibrinogen degradation product, plasma protamine test, etc - can suggest the possibility to diaglose. The basic principle in management is to eliminate the triggering mechanism as soon as possible and to cure the initial disease entities. In orthopedic point of view, disseminated intravascular coagulation can occur in the case of malignancy, massive trauma, infection, sepsis and so on. Authors report a case of disseminated intravascular coagulation occured in a 12 year 2 month old male patient who visited Hanyang university hospital in septic condition after emergency operations following multiple open fractures on his left femur. tibia and fibula in a motor-cycle accident.

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A Clinical Comparative Study for the Results of the Tibial Intercondylar Eminence Fracture: Hyun Kee Chung, Choong Hyeok Choi, Chang Ho Rho, Jae Lim Cho; J Korean Soc Fract 1996;9(3):656-664. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.656

Abstract PDF: The management of fractures of the tibial intercondylar eminence is uncomplicated when the fracture has minimal displacement(Type I) or when only one-third or a half of the eminence is elevated(Type II). However, the treatment of complete separation(Type III) has been controversial. Authors reviewed 35 cases in 35 patients of the tibial intercondylar eminence fracture at the Department of Orthopedic Surgery of Hanyang University Hospital from Jan. 1988 to Dec. 1994. The results were as follows: 1) There was a predisposition for male and prevalent age distribution was 2nd to 4th decade. 2) The most common cause of injury was traffic accident in 22 cases(62.9%). 3) The most common associated injury was rupture of MCL on the ipsilateral knee in 11 cases (37%). 4) According to the Meyers and Mckeevers classification, type III was most common in 24 cases(69%), type II was 7 cases(20%) and type I was 4 cases(11%). 5) The excellent or good result was 82% in conservative treatment group, 83% in screw fixation group and 92% in pull out suture group. 6) In case of small size and comminution of the fragment, it was difficult to fix the fragment with screw fixation. So, we recommend the method of fixation with pull out suture technique for small or comminuted type III fracture.

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A Clinical Study for the Complications Following Treatment of Children Ankle Injury: Sung Jon Kim, Jae Lim Cho, Tai Seung Kim, Hyun Kyu Jang; J Korean Soc Fract 1992;5(2):244-252. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.244

Abstract PDF: The childrens ankle injury is different from that of adults in terms of the possibilities of injury to growth plate and influence to growth. Therefore accurate reduction under the knowledge of prognosis of the injured growth plate is very important. Many authors agree that the prognosls of injured growth plate is dependent on the injury type, the age of the patient at the onset of injuries, the method and accuracy of reduction. and whether the injuries open or closed. We treated 45 cases of children ankle injuries from August 1983 to June 1991 and evaluated the cases of eight children who had a injury loading to complication. Most of them had had a Salter-Harris type II or type III injury of the distal end of the tibia. Initially all the cases were treated with accurate reduction of thr physis as much as possible, but six of them developed growth disturbance including physeal arrest, temporary cessation of the growth and growth retardation, while two did growth stimulation.

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Surgical treatment of extensive fracture of the femoral shaftinvolving subtrochanteric area with judet plate: Sung Joong Kim, Jae Lim Cho, Tai Seung Kim, Jin Sub Kim; J Korean Soc Fract 1991;4(2):306-311. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.306

Abstract PDF: No abstract available.

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Treatment of supracondylar fractures of the humerus by percutaneouspinning in children: Sung Joon Kim, Jae Lim Cho, Euhn Sung Whang, Soo Tai Chung; J Korean Soc Fract 1991;4(1):30-36. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.30

Abstract PDF: No abstract available.

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Supracondylar-Intercondylar Fracture of the Femur Treatment by Internal Fixation Using May Anatomical Contouring Plate: Sung Joon Kim, Jae Lim Cho, Hyun Kee Chung, Sung Ju Lee; J Korean Soc Fract 1990;3(2):180-188. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.180

Abstract PDF: Between Jan. 1988 and Dec. 1989, 15 supracondylar-intercondylar fractures of the femur were treated in the department of orthopaedic surgery, Hanyang University, College of medicine. The advantages of the May Anatomical contouring plate are: 1. The device is self-reducting, so the reduction of the fracture was easy. 2. The device facilitates good condylar fixation even in the osteoportic bone of the elderly patients without destruction of the fragment. 3. Distal end of the jplate is not heavy, so any problem of the soft tissue was not encountered. 4. A small amount of equipment and procedure was required, so the time of operation could be shortened. The results were as follows: 1. Seven patients were male and four patients were femal. 2. The fracture was caused by a motor-vehicle accident in eight cases, a fall in two cases, and slip down in two cases. 3. There were one I, two II, two II, eight III fractures according to Neer classification. 4. The method of treatment was open reduction and figid iinternal fixation using May anatomical contouring plate. 5. 50% fo good to excellent results were obtained according to Neer rating system. 6. Complications included delayed union(1 case) and metal failure(1 case).

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Yvascular Injuries Associated with Fracture and Dislocastion of the Knee: Sung Joon Kim, Il Yong Choi, Jae Lim Cho, Soo Tai Chung; J Korean Soc Fract 1990;3(1):40-45. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.40

Abstract PDF: Injury of the popliteal artery associated with fracture and dislocastion of the knee is uncommon, But, when the fracture and dislocation of the knee occurs, it frequently associated with vascular injuries, and vascular injury can be a very serious one because of ischemia that necessitates amputation. Sixteen vascular injuries combined by fractures and dislocation of the knee between March, 1985 and February, 1989 have been reviewed and the results are as follows. 1. There were 11 cases of proximal tibial fracture, 2 cases of distal femoral fracture and 3 cases of knee dislocation. 2. The site of injury which is proximal to insertion of the soleus muscle were 15 cases. 3. There were contusion in 11 cases, rupture in 4 cases and laceration in 1 case. 4. One of the 2 cases(50%) that were treated within 12 hours after injury survived, while two to 10 cases(20%) that were treated after 24 hours following injury survived. 5. The open reduction and internal fixation was done in 5 cases, the skeletal traction in 1 case, and cast immobilization in 10 cases. 6. Finally, the B-K amputation was done in 4 cases, A-K amputation in 6 cases, knee disarticulation in 2 cases.

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