• Title/Summary/Keyword: 정형외과

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Dual Plate Fixation for Displaced Transverse Fracture of the Lower Sacrum (전위된 하부 천골 횡골절에 대한 이중 금속판을 이용한 내고정술)

  • Choi, Dong-Hyuk;Park, Ji-Hun;Shim, Seong-Woo;Choi, Yong-Soo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.2
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    • pp.178-182
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    • 2020
  • Isolated fractures of lower sacrum are commonly treated conservatively in most cases because of low energy damage and stable fracture. However, surgical treatment is required in displaced unstable fracture. But the surgical technique is not established and even case reports are not common. We reported a case of displaced transverse fracture of the lower sacrum that was treated with an open reduction and dual plate fixation.

Testicular Dislocation Associated with Pelvic Ring Injury (골반환 손상과 동반된 고환 탈구)

  • Kim, Bum-Soo;Lee, Hohyoung;Kim, Seong-Tae;Lim, Hyeon Gyu
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.540-544
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    • 2020
  • Unstable pelvis ring trauma can accompany urologic injuries such as bladder, ureter, or urethral injuries. In very rare cases, testicular dislocation can accompany a pelvic ring injury. Testicular dislocation causes pain, but can be regarded as the pain caused by pelvic ring injury. If not detected early, testicular dislocation may result in gangrenous testes. The authors report a case of pelvic ring injury with testicular dislocation.

Intratendinous Tophaceous Gout Mimicking Cellulitis after Achilles Tendon Repair (봉와직염으로 오인된 아킬레스건 봉합술 후 발생한 아킬레스건 내 결절성 통풍)

  • Shin, Woo Jin;Hong, Sung-Ha;Suh, Seung-Pyo;Lee, Seung Gi
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.261-265
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    • 2021
  • A diagnosis of gout is often straightforward because gout has well known clinical presentations, laboratory analyses, and radiologic features. On the other hand, gout can mimic other diseases by showing a range of atypical clinical manifestations. This paper reports a 35-year-old male with no prior history of gout who developed tophaceous gout at his previously repaired Achilles tendon 11 years after surgery. He was initially misdiagnosed with cellulitis because of his atypical clinical features. This case is presented with a review of the relevant literature.

Cervical Spinal Cord Injury Caused by Acupuncture (침 시술 이후 발생한 경추 척수 손상)

  • Woo, Young-Ha;Lee, Ji-Min;Shim, Dae-Moo;Bae, Hyuk
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.550-553
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    • 2020
  • Acupuncture, which is a procedure of inserting needles in a specific portion of the body to control pain, is conducted widely. The procedure is considered relatively safe because of its minimal side effects and low occurrence (1 in 200,000). On the other hand, its side effects include neurological damage, infection, hematoma, emphysema, etc. The authors report a case of cervical neurological damage that occurred after an acupuncture procedure.

Hemarthrosis Occurred after Arthroscopic Rotator Cuff Repair in a Chronic Renal Failure Patient with a Stenosis in an Ipsilateral Arteriovenous Fistula (동측의 동정맥루를 가진 만성 신부전증 환자의 회전근개 파열에 대한 관절경적 수술 이후 발생한 혈관절증)

  • Huh, Soon Ho;Kim, Se Jin;Park, Jin Yeong;Kang, Kyung Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.366-371
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    • 2019
  • Hemarthrosis occurring after arthroscopic surgery for lesions of the shoulder joint is a very rare complication that can develop due to an injury to the blood vessels when an anterior portal is formed. This is a complication that rarely develops in patients who are taking antithrombotic drugs or who do not have associated diseases, such as thrombocytopenia. We report a case of hemarthrosis that occurred after performing arthroscopic surgery to repair a rotator cuff tear in a patient with a stenosis in an arteriovenous fistula for hemodialysis in the ipsilateral upper arm.

Flexor Digitorum Avulsion Secondary to Enchondroma of the Distal Phalanx (원위지골 내연골종에 이차적으로 발생한 심수지 굴곡건의 견열손상)

  • Moon, Sung Hoon;Hong, Chul Gie;Lee, Woon Sang;Park, Jin Woo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.447-451
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    • 2019
  • This case report describes the unusual occurrence of a flexor digitorum profundus avulsion secondary to an enchondroma of the distal phalanx of the middle finger. The enchondroma was treated by simple curettage with an autogenous bone graft harvested from the olecranon. The avulsed bone fragment was reattached to the distal phalanx using the pull-out suture technique. Bony union and full function of the digit were achieved.

Ultrasound-Guided Shoulder Injections (초음파 유도하 견관절 주사요법)

  • Moon, Young Lae;Jun, Yong Cheol;Sun, Jae Myeong
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.393-401
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    • 2019
  • The shoulder pain is one of the most common problems to orthopaedic surgeons in clinic. Among therapeutic modality used to manage this pain, joint and periarticular injection, as well as suprascapular nerve block, show good clinical outcome. Ultrasound guidance is a safe technique, increasing the safety and accuracy of the procedure and reducing complications. An accurate understanding of the surface anatomy is important in performing the ultrasound-guided shoulder injections. This article aims to describe the surface anatomy and sono anatomy of both the shoulder and the surrounding structures and also summarize different infiltration techniques and peripheral nerve blocks.

Distraction Osteogenesis Combined with a Plate to Treat Brachymetacarpia (금속판과 병합한 신연 골형성술을 이용한 단중수증의 치료)

  • Jegal, Midum;Kim, Hyo Kon;Ha, Sung Han;Lee, Gi Jun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.457-462
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    • 2019
  • The treatment of a brachymetacarpia using conventional distraction osteogenesis requires holding an external fixator following distraction for stability, which causes prolonged discomfort that adversely affects the patient's daily activities. This paper reports a case of a 20-year-old male of brachymetacarpia treated with distraction osteogenesis combined with a plate reducing the period of an external fixator, allowing rapid return to the daily activities, and presenting good clinical results.

Avulsion Fracture of the Anterior Medial Meniscus Root (내측 반월상연골 전방 기시부 견열 골절)

  • Min, Kyoung-Dae;Cho, Whi-Je;Kim, Kyoung-Bum
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.450-455
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    • 2020
  • Posterior root tear of the medial meniscus are well known. Although very rare, there are reports of anterior root tears of the medial meniscus but no reports on traumatic bony avulsion of the anterior medial meniscus root. This paper reports a case of an isolated bony avulsion of the anterior medial meniscus root, which was successfully repaired arthroscopically.

Reverse Total Shoulder Arthroplasty: Clinical Results and Prevention of Complications (역행성 견관절 전치환술: 임상 결과와 합병증 예방)

  • Rhee, Yong Girl;Youn, Seung-Min;Rhee, Sung-Min
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.367-376
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    • 2021
  • An increasing number of reverse total shoulder arthroplasty procedures has been performed since its introduction to South Korea in 2007. This review discusses the biomechanical rationale behind the development of reverse total shoulder arthroplasty and its outcomes over time. In addition, this paper mentions ways to minimize the risk of complications that may occur and how to manage those complications.