• Title/Summary/Keyword: orthopedic

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A cavernous Hemangioma After a Removal of a Pigmented Villonodular Synovitis in Mid-foot (A Case Report) (색소 융모 결절성 활액막염 제거 후 발생한 중족부 해면 혈관종(1예 보고))

  • Song, Kyoung-Won;Kim, Gab-Lae;Kim, Tae-Hwa;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.97-100
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    • 2010
  • Hemangioma are not rare tumors. They can be found in almost any of the vascular structures of the body. Hemangiomas involving the deep structures of the extremities may produce extremely difficult therapeutic problems for the orthopedic surgeon. Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder that affects synovium, tendon sheath and bursa. Although the condition can present in any joint, knee joint is the most commonly affected site and only 2.5% of cases occur in foot and ankle joint. We have experienced a patient who has of foot and report an optimal method of surgical treatment. Authors report the result of hemangioma in mid-foot which arise from removal of a pigmented villonodular synovitis that has low out break rate of benign tumor in mid-foot with literature review.

Surgical Treatment of Using Acutrak Screw for Ankle Medial Malleolar Fracture (Acutrak 나사를 이용한 족관절 내과 골절의 치료)

  • Kim, Kwang-Yeol;Kim, Hyoung-Cheon;Ahn, Su-Han;Yun, Hyoung-Jo;Cho, Sung-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.84-89
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    • 2010
  • Purpose: The purpose of this study is to evaluate the clinical and radiologic results of using Acutrak screws for treating ankle medial malleolar fracture. Materials and Methods: We reviewed 38 cases of ankle medial malleolar fracture treated with Acutrak screws from February 2005 to May 2008. Results: In clinical result, there were 30 exellent cases, 7 good cases, 1 fair case. In radiologic result, there is no case with reduction loss. Average union time is 10.5 weeks. Conclusion: We conclude that Acutrak screw fixation is a useful method for ankle medial malleolar fracture, there are many advantages in accurate anatomical reduction, small incision, short operative time.

An Intraosseous Epidermoid Cyst That Originated from the Nail Bed of Great Toe with Concurrent Joint Infection: A Case Report

  • Chung, Myung Ki;Park, Moon Seok;Kim, Yong Sung;Lee, Taeseung;Lee, Kyoung Min;Cho, Byung Chae
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.50-53
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    • 2016
  • We report on a rare case of an intraosseous epidermoid cyst in the distal phalanx of the great toe with concurrent infection in a 71-year-old woman with diabetes mellitus. The lesion was initially considered simple infectious arthritis and concomitant osteomyelitis in a patient with diabetes. However, after surgery, an intraosseous epidermoid cyst originating from the nail bed and involving the articular surface of the distal phalanx was detected. The epidermoid cyst may have contributed to the infectious arthritis in the interphalangeal joint. The lesion was treated via mass excision, arthrotomy, debridement, and intravenous antibiotics.

Stiff-Person Syndrome: Diagnostic Difficulty (근육 강직 증후군: 진단적 어려움)

  • Lee, Jeong-Kil;Kang, Chan;Kim, Sang-Bum;An, Byung-Kuk;Lee, Gi-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.131-134
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    • 2019
  • Stiff-person syndrome is a rare disorder, and the natural history of the syndrome has not been completely ascertained. The symptoms range from mild to severe and can progress over time: the final result can be significant disability. However, this syndrome is often misdiagnosed due to a lack of understanding of the clinical manifestations. We report the case of a patient who presented with slowly progressing gait disturbance and lower extremity pain and was later diagnosed as suffering from stiff-person syndrome. The patient experienced symptomatic improvement after the administration of benzodiazepines. No recurrence of symptoms has been reported. If the characteristic clinical features and electromyography findings of the syndrome are accurately interpreted, diagnosis of patients with abnormal muscle tension can be effectively done.

Lumbar Compression Fracture Following Snowboard Injury - Case Report - (스노우 보드 손상에 의한 요추 압박 골절 - 증례 보고 -)

  • Chung, Kook-Jin;Chung, Yung-Khee;Noh, Kyu-Cheol;Hong, Sung-Koo;Yoo, Jung-Han
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.128-132
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    • 2005
  • With the introduction of working 5 days a week, people who are participating in sports activity has been increased so rapidly, therefore sports related injuries also has continued to grow. Among winter sports, snowboard has been gaining popularity among adolescents and young adults. But, snowboard related injuries, especially spinal injuries, has been rarely documented. We report a case of lumbar compression fracture following snowboard injury.

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New Technique for Posterolateral Instability of The Knee: Posterolateral Reconstruction Using The Tibialis Posterior Tendon Allograft (슬관절 후외측 불안정성 치료의 새 기법: 동종 후경골건을 이용한 후외측 재건술)

  • Kim Sung-Jae;Ryu Sang-Wook;Cheon Yong-Min;Yong Suk-Won;Kim Bo-Ram
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.136-141
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    • 2003
  • Posterolateral instability of the knee is known as one of the most challenging injuries . Although several procedures have been designed for the posterolateral instability, there is no gold standard management yet. We present a technique for posterolateral instability of the knee using tibialis posterior tendon allograft, which reconstructed lateral collateral ligament and popliteal tendon.

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Lesions of the Bilateral Ischial Tuberosity in a Tae-Kwon-Do Athlete - A Case Report - (태권도 선수에서의 양측성 좌골 조면 병변 - 증례 보고 -)

  • Min, Kyoung-Dae;Choi, Sang-Wook;Ryoo, Kee-Hun;Lee, Byung-Ill;Kim, Jun-Beom
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.122-125
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    • 2007
  • Avulsion of the ischial tuberosity is an acute injury caused by sudden contraction of the hamstrings, typically occurs in early adolescence, whereas ischial apophysitis has a more insidious onset during times of increased activity and its diagnosis is often missed. Authors present a rare case of having neglected avulsion fracture of the the ischial tuberosity in one side and ischial apophysitis in the other side with characteristic radiological features in a 16-year-old male who was an active Tae-Kwon-Do player.

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Internal Fixation Using Clavicle Hook Plates for Distal Clavicle Fractures

  • Kim, Kwang-Yul;Kim, Hyung-Chun;Cho, Sung-Jun;Ahn, Su-Han;Kim, Dong-Seon
    • Clinics in Shoulder and Elbow
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    • v.18 no.1
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    • pp.21-27
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    • 2015
  • Background: To report the radiological and clinical outcomes of internal fixation using distal clavicle hook plates for distal clavicle fractures. Methods: From April 2008 to December 2012, 32 patients with distal clavicle fractures underwent surgery using an AO hook plate. The reduction was qualified and evaluated according to the radiological findings. The evaluation of the clinical outcomes was performed with the University of California at Los Angeles (UCLA) score, the Korean Shoulder score, and the visual analogue scale (VAS) pain score. Results: By radiological evaluation, we found that 31 of 32 patients showed anatomical reduction and solid bone union. Although we obtained satisfactory UCLA scores, Korean Shoulder Scale scores, and VAS pain scores, 12 cases of complications were present. We found 4 cases of osteolysis of the acromion, 1 case of nonunion, 3 cases of periprosthetic fractures, 3 cases of subacromial pain, and 1 case of skin irritation. We performed re-operations in 2 patients. Conclusions: To avoid complications associated with clavicle hook plates, choosing the appropriate hook size and bending of the hook according to the slope of the acromion undersurface is critical. Also, we believe that early removal of clavicle plates may help reduce complications.

Arthroscopic treatment of Pigmented Villonodular Synovitis with combined Rotator Cuff Tear - 3 Case Reports - (견관절에서 회전근 개 파열이 동반된 색소성 융모성 활액막염의 관절경적 치료 - 증례보고 3예 -)

  • Ji, Jong-Hun;Kim, Weon-Yoo;Han, Chang-Hwan;Kim, Young-Yel;Kim, Seung-Jun;Kim, Ji-Chang
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.111-118
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    • 2006
  • Most pigmented villonodular synovitis (PVNS) is occurred in knee joint and finger of hand. PVNS is rarely occurred in shoulder joint. In English and French literatures, less than 30 cases were reported. We report 3 PVNS cases with rotator cuff tears, which was treated by arthroscoic extensive synovectomy, debridement and rotator cuff repair. The PVNS with rotator cuff tear in shoulder joint was rarely reported in the Korean literature.

Panner's Disease Occurred in a Five-year-old Child: A Preliminary Case Report

  • Kim, Doo Hyun;Kim, Tae Gyun;Heo, Youn Moo;Hwang, Cheol Mog;Jun, June Bum;Yi, Jin Woong
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.176-178
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    • 2016
  • Panner's disease, osteonecrosis of the capitellum of the elbow, was first reported by Panner in 1927. The disease occurs mainly in boys between 6 and 15 years old and shows unilateral distribution. Pain, stiffness, localized tenderness over the lateral condyle of the elbow, and decreased range of motion are the typical clinical symptoms. Conservative treatment is generally recommended for patients in the early stage of this disease. A few cases of Panner's disease have been reported and few are related to long-term follow-up results. To the best of our knowledge, all reported cases were over six years. Therefore, we report on a five-year-old boy diagnosed as Panner's disease that showed resorption and regeneration of the humeral capitellum with no limitation of motion over three years. The current study was exempted from review by the institutional review board because it was a single retrospective case report. Informed consent was obtained from the patient's guardian.