• Title/Summary/Keyword: Isolated avulsion

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Isolated Avulsion of the Lesser Tuberosity of the Humerus in an Adolescent Judo Player - A Case Report - (청소년기 유도 선수에 발생한 상완골 소결절 단독 견열 골절 - 증례 보고 -)

  • Yum, Jae-Kwang;Chung, Hyung-Jin;Choi, Eul-O;Lee, Sang-Lim
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.119-123
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    • 2006
  • Isolated avulsion of the lesser tuberosity of the humerus in adolescent is rare injury. The mechanism of injury is acute forced external rotation and with the arm in abduction which has been reported in children participating in sports such as football, hockey, volleyball, wrestling and skateboarding. The diagnosis is often delayed despite chronic pain and disability. Authors report the unique case of a skeletally immature adolescent Judo player who had an isolated avulsion of the lesser tuberosity of the humerus with the references.

Arthroscopic Fixation for Avulsion Fracture of the Posterior Cruciate Ligament(Cases Report) (후방십자인대 견열 골절의 관절경적 정복술(증례 보고))

  • Kim, Kyung Taek;Sohn, Sung Keun;Yang, Sung Wook
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.173-176
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    • 1998
  • Isolated posterior cruciate ligament injuries are rare and their management is controversial. But, there is general concept that a bony avulsion of posterior cruciate ligament should be repaired. The treatments for the bony avulsion of posterior cruciate ligament were conservative treatment, open reduction and internal fixation and arthroscopic fixation. We report 2 cases of posterior cruciate ligament avulsion fractures, which were arthroscopically reduced and stabilized with cannulated screws and Kirschner wires, and introduce the arthroscopic fixation technique.

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Avulsion of the Tibial Attachment of the Posterior Cruciate Ligament in a 13-year-old child - A Case Report - (13세 소아에서 후방십자인대의 경골 부착 부위의 견열 골절 - 증례보고-)

  • Lee Kwang-Won;Lee Seung-Hun;Kim Ha-Yong;Kim Byung-Sung;Choy Won-Sik
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.61-64
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    • 2002
  • The authors report one case of isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament. A 13 years old boy was admitted for right knee pain and swelling after the soccer injury on his knee. Hemarthrosis and posterior instability were present. Simple roentgenographic examination showed an isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament. Open approach through the popliteal fossa was used and bony fragment was fixed into its bed using pull-out sutures. Postoperatively, a long leg cast was applied for 4 weeks. The patient was followed for 6 months. He returned to his previous activity levels. There was no residual laxity. Isolated avulsion of the posterior cruciate ligament from the tibia before the epiphyseal fusion is very rare in children. We reported one case of our experience and its result.

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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.

Avulsion Fracture of the Talar Attachment of the Anterior Talofibular Ligament in Pediatric Patient (A Case Report) (소아에서 발생한 전거비 인대 거골 부착부 견열 골절(1예 보고))

  • Cho, Hyung-Lae;Hwang, Tae-Hyok;Wang, Tae-Hyun;Kim, Keun-Young
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.175-178
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    • 2011
  • Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.

Intraarticular Migration of the Staple Used for Extraarticular Lateral Collateral Ligament Repair - A Case Report - (슬관절 외측 측부인대 복원술시 사용된 staple의 관절내 이동 - 증례 보고 -)

  • Yoo, Jae-Chul;Bae, Sang-Wook;Kim, Byung-Kwan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.184-186
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    • 2006
  • Isolated lateral collateral ligament injury has been reported as avulsion fracture of attachment site or intrasubstance tear. The treatment of avulsion fracture of lateral collateral ligament was primary repair with anchor or staple. There are some reports about loosening or migration of staple which used in repairing meniscus of knee. There is, however, no report about loosening or migration of staple which was used for lateral collateral ligament repair. We report a case of migrated staple that was used for lateral collateral ligament repair, which was migrated to intraarticular posterolateral corner of the knee.

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Evidence-based management of isolated dentoalveolar fractures: a systematic review

  • Samriddhi Burman;Babu Lal;Ragavi Alagarsamy;Jitendra Kumar;Ankush Ankush;Anshul J. Rai;Md Yunus
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.3
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    • pp.123-133
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    • 2024
  • Dentoalveolar (DA) trauma, which can involve tooth, alveolar bone, and surrounding soft tissues, is a significant dentofacial emergency. In emergency settings, physicians might lack comprehensive knowledge of timely procedures, causing delays for specialist referral. This systematic review assesses the literature on isolated DA fractures, emphasizing intervention timing and splinting techniques and duration in both children and adults. This systematic review adhered to PRISMA guidelines and involved a thorough search across PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 1980 to December 2022. Inclusion and exclusion criteria guided study selection, with data extraction and analysis centered on demographics, etiology, injury site, diagnostics, treatment timelines, and outcomes in pediatric (2-12 years) and adult (>12 years) populations. This review analyzed 26 studies, categorized by age into pediatrics (2-12 years) and adults (>12 years). Falls were a common etiology, primarily affecting the anterior maxilla. Immediate management involved replantation, repositioning, and splinting within 24 hours (pediatric) or 48 hours (adult). Composite resin-bonded splints were common. Endodontic treatment was done within a timeframe of 3 days to 12 weeks for children and 2-12 weeks for adults. Tailored management based on patient age, tooth development stage, time elapsed, and resource availability is essential.

Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography

  • Kim, Do Hoon;Kim, Do Yeon;Choi, Hye Yeon;Park, Ji Soon;Lee, Ye Hyun;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.155-162
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    • 2016
  • Background: The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. Methods: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. Results: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. Conclusions: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability.