• Title/Summary/Keyword: 정형외과

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Acute Infrapatellar Fat Pad Separation after Contusion in the Kneeling Position (슬관절의 과굴곡 상태에서 좌상 후 발생한 급성 슬개골하 지방괴의 분리 손상)

  • Yi, Seung Rim;Im, Se Hyuk;Cho, Eui Hwan
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.341-345
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    • 2021
  • The infrapatellar fat pad (IPFP) is one of three fat pads located about the anterior knee. Injury in this region is relatively common. Damage to the IPFP is caused mostly by an iatrogenic injury from a surgical procedure or repeated small collision trauma. The authors experienced a case of an IPFP injury, that has not been reported in the domestic or international literature. In this case, acute IPFP separation followed by a contusion at the anterior aspect of knee in the kneeling position, confirmed using magnetic resonance imaging. The patient was fully recovered with conservative treatment.

Remodeling of Traumatic Sternal Segment Dislocation in a 13-Year-Old Boy (13세 남아의 외상성 흉골 분절 탈구 후 재형성)

  • Kim, Kyungil;Cho, Yoon Joo;Lee, Han Yong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.82-86
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    • 2021
  • A traumatic sternal segment dislocation in children is very rare. Of the few cases reported, some recommended surgical treatment, while others reported good results by conservative treatment. Therefore, the treatment remains unclear. This paper reports a case of completely remodeled traumatic sternal segment dislocation in a 13-year-old boy treated by the restriction of activity and periodic observations.

Hip Arthrodesis to Treat Severe Hip Osteoarthritis in an Adolescent with Down Syndrome (다운증후군 청소년의 중증 고관절 골관절염에서 고관절 유합술)

  • Jung, Yu-Hun;Shin, Keun-Young;Lee, Joo-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.164-167
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    • 2021
  • Down syndrome is the most common chromosomal disorder and is accompanied by hip osteoarthritis in approximately 28% of patients. This paper reports a case of hip arthrodesis as a treatment for severe hip osteoarthritis in adolescent Down syndrome patients. When performing surgical treatment of patients with Down syndrome, it is necessary to take a comprehensive approach that considers not only the medical point of view, but also the psychological and economic requirements of the patient and their social environment.

Massive Hemorrhage Caused by a Non-Displaced Pubic Ramus Fracture from Low-Energy Trauma (저에너지 외상에 의한 비전위 치골지 골절에서 발생한 대량출혈)

  • Na, Hwa-Yeop;Shin, Keun-Young;Choe, Saehun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.557-561
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    • 2019
  • Most low-energy pelvic ring fractures in elderly patients are treated conservatively so that an initial evaluation for complications such as vascular injury is usually overlooked. An 81-year-old female, who was taking regular aspirin, visited the emergency room and was diagnosed with a simple non-displaced pubic ramus fracture from a low-energy fall from standing, which was complicated by massive hemorrhage from the overlooked injury of the corona mortis. Elderly patients with pelvic ring fractures can have a delayed presentation of vascular injuries, regardless of the degree of displacement of the fractures, which highlights the need for a careful physical examination and close monitoring.

Spinal Cord Injury and Neuro-Regeneration (척수 손상과 신경 재생)

  • Ahn, Joo-Hyun;Park, Hyung-Youl;Kim, Young-Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.498-508
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    • 2019
  • Recent advances in the understanding of the pathophysiology of spinal cord injury (SCI) and new therapeutic approaches have provided promising results for this incurable and debilitating central nervous system injury. Various neuro-protective and neuro-regenerative trials have been attempted to overcome SCIs. This review summarizes the reported experimental and clinical data regarding neuro-regenerative trials with the proven pathophysiology of SCI. In addition, the prerequisites for safe and effective clinical trials are discussed.

Stress Fracture of the Proximal Clavicle after Parallel Bars Exercise in a Young Male (젊은 남성에서 평행봉 운동 중 발생한 쇄골 근위부 피로 골절)

  • Kwon, Jieun;Lee, Ye Hyun;Cho, Joon Hee
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.287-291
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    • 2019
  • Although acute traumatic fractures of the clavicle are relatively common, stress fractures of the proximal clavicle are extremely rare. Stress fractures of the clavicle have often been reported after a radical neck dissection or radiation but rarely occur during excessive repetitive exercise in professional athletes. The authors report a case of a stress fracture of the proximal clavicle during exercise in a young man with no specific preceding factors, which has not been reported in the Korean literature.

Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note (모소낭의 재발률을 최소화하기 위한 Indigo-Carmine 염색시약을 이용한 광범위 절제술: 술기보고)

  • Hong, Chang-Hwa;Kim, Woo-Jong;Kim, Hak-Soo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.197-202
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    • 2019
  • The cause of a pilonidal cyst is unclear, and treatment is still under debate. In Korea, the incidence of this disease is lower than that of Western countries, and it has often been misdiagnosed as a simple abscess. When pilonidal cysts are diagnosed, the principle of treatment is not to leave a residue, and a wide excision is needed to reduce the recurrence rate. This paper introduces a wide excision technique using Indigo-carmine dye to minimize the recurrence of a pilonidal cyst.

Treatment of Spinal Infection Following Bilateral Total Knee Replacement Postoperative Infection (척추감염을 동반한 양측 슬관절 전치환술 후 감염의 치료)

  • Shim, Bum-Jin;Sohn, Oog-Jin;Cho, Chang-Woo
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.92-96
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    • 2017
  • Postoperative infection from total knee arthroplasty (TKA) is an issue drawing great attention, which can manifest as a local or general infection. Its development into sepsis has also occasionally been reported. Such sepsis is a critical complication that can spread to various parts of the body, which can ultimately lead to mortality. However, the cases where infection has spread to the spine do not have clear clinical signs, making diagnosis difficult. These cases are not found in the literature. Therefore, this is a case study on both postoperative infection from TKA that has developed into sepsis and spread to the spine.