Journal of Musculoskeletal Trauma

Original Article

Alterations in Serum Levels of Receptor Activator of Nuclear Factor-kappa B Ligand and Osteoprotegerin in Patients with Head Injury and Fracture: Shin Young Park, Kuen Tak Suh, Chang Hoon Ryu, Seung Hun Woo, Jung Sub Lee, Seong Gang Kim; J Korean Fract Soc 2008;21(2):145-150. Published online April 30, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.2.145

PURPOSE
Receptor activator of nuclear factor-kappa B ligand (RANKL), osteoprotegerin (OPG) have been shown to be important regulators of osteoclastogenesis during bone remodeling, and their expressions were examined during fracture healing in a mouse model of tibial fracture. However, studies linking RANKL and OPG in patients with head injury and fracture are lacking. We evaluated the changes in serum levels of RANKL and OPG in patients with head injury and fracture (head injury group) and in patients with fracture (fracture group) and compared these with levels found in healthy control subjects.
MATERIALS AND METHODS
18 male patients of head injury and fracture and 20 male patients of fracture alone were enrolled. 20 healthy men were recruited to serve as controls. Within the first few hours of admission to hospital, at 4, 8 and 12 weeks after injury 20 ml of blood were obtained from 18 patients with head injury and fracture and 20 patients with fracture only.
RESULTS
RANKL levels were significantly lower in the head injury group than in the fracture group at 8 and 12 weeks after injury. OPG levels were significantly higher in the head injury group than in the fracture group at 4, 8 and 12 weeks after injury. RANKL/OPG ratios were significantly lower in the head injury group than in the controls immediately after and 4, 8 and 12 weeks after injury, and were significantly lower in the head injury group than in the fracture group at 8 and 12 weeks after injury.
CONCLUSION
We have shown changes in the profiles of RANKL, OPG and RANKL to OPG ratio. The altered RANKL, OPG and RANKL/OPG ratio in the head injury group lasted longer than in those of the fracture group.

Citations

Citations to this article as recorded by

Affirmative Effect of Hwaweo-jeon (Huayu-jian) in Osteoblast Cells and Tibia Fracture-induced Mice
Soo-Hwan Lee, Kira Parichuk, Yun-yeop Cha
Journal of Korean Medicine Rehabilitation.2020; 30(1): 13. CrossRef

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Case Report

Unilateral Facet dislocation of Lumbosacral Junction: a case report: Bu Hwan Kim, Jong In Im, Yong Kyun Im, Chang Hoon Ryu; J Korean Soc Fract 1999;12(1):98-102. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.98

Abstract PDF: Unilateral lumbosacral facet dislocation is very rare. In a review of literatures, only 14 cases have been documented. We could not find any report about this unusual injury in Korea. The mechanism of injury is hyperflexion and rotation. In general, attention is drawn to the association of fractured transverse process as an important clue to diagnosis. Attempts at closed reduction are futile, and the treatment of choice is open reduction and internal fixation with lumbosacral fusion.

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