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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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Sung Hyun Lee 2 Articles
Avulsion Fractures in the Ankle and Foot
Gyeong Hoon Lim, Jae Won Kim, Sung Hyun Lee
J Korean Fract Soc 2024;37(2):102-116.   Published online April 30, 2024
DOI: https://doi.org/10.12671/jkfs.2024.37.2.102
AbstractAbstract PDF
An avulsion fracture occurs when a muscle-tendon unit attached to a bone produces sufficient force to tear a fragment of the bone. If not treated properly, this injury can lead to deformity, nonunion, malunion, pain, and disability. Although avulsion fractures around the foot and ankle can occur anywhere there are tendon and ligament attachments, they are common in the anterior talofibular ligament, anterior-inferior tibiotalar ligament, calcaneal tuberosity, the base of the fifth metatarsal, and navicular bone. The optimal treatment for each fracture depends on the location and severity of the fracture. Conservative treatment involves limiting weight bearing for a period, splint immobilization, and using various orthoses. Surgical treatment is usually reserved for cases of severe displacement or when nonsurgical treatment has failed. The goals of surgery include reduction of the fracture fragment, prevention of nonunion or malunion and soft tissue injury, and early return to function. The decision for each treatment modality may depend on the patient demographics or preferences and the surgeon experience. This review summarizes previous and current views on the pathogenesis, diagnosis, and treatment of common avulsion fractures to guide the treatment and diagnosis.
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Current Treatment of Calcaneal Fractures and Dislocation
Dae Jin Nam, Sung Hyun Lee
J Korean Fract Soc 2022;35(2):74-82.   Published online April 30, 2022
DOI: https://doi.org/10.12671/jkfs.2022.35.2.74
AbstractAbstract PDF
Calcaneal fractures are the most common fractures occurring in the tarsal bone. In the past, surgical treatments were not preferred because they were accompanied by severe comminution and soft tissue complications. In recent years, there have been great advancements in the treatment of calcaneal fractures owing to the development of new surgical techniques and instruments. However, a standard treatment method has not yet been established. In this review article, we summarize the latest information on the indications and treatment methods of calcaneal fractures.
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