Journal of Musculoskeletal Trauma

Operative Treatment in the Delayed Diagnosed Fracture and Dislocation of Hamatometacarpal Joint: Suk Ha Lee, Jong Wong Park, Jin Il Kim, Seoung Joon Lee; J Korean Fract Soc 2011;24(3):249-255. Published online July 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.3.249

PURPOSE
The purpose is to evaluate and report the results that treated with open reduction and internal fixation in delayed diagnosed fracture and dislocation of the hamatometacarpal joint.
MATERIALS AND METHODS
We evaluated 12 cases that had been treated with open reduction and internal fixation in delayed diagnosed fracture and dislocation of the hamatometacarpal joint. The mean interval between injury and operation was 34 days (21~60 days), the mean age of 12 cases was 28.1 years old, and mean follow-up period was 18 months. The computer tomography was done in all cases and the fracture and dislocation types were classified by Cain's classification. For the evaluation of results, pain scale, grasping power, range of motion of wrist and metacarpophalangeal joint were analyzed preoperatively and at final follow up, and the arthritic change of the hamatometacarpal joint was also checked.
RESULTS
According to Cain's classification, type Ia was one case, type Ib was two, type II was six, and type III was three. The pain scale was improved from 7.75 preoperatively to 0.92 at last follow up. The mean grasping power was improved up to 97.5% of normal. The preoperative range of motion of the wrist joint measured to be 60 degrees in extension and 70 degrees in flexion; the final range of motion indicated to be 75 degrees in extension and 80 degrees in flexion. The preoperative range of motion of the metacarpophalangeal joint measured to be 0 degrees in extension and 70 degrees in flexion; the final range of motion indicated to be 0 degrees in extension and 85 degrees in flexion. Carpometacarpal arthritis was developed in two cases.
CONCLUSION
The open reduction and internal fixation is considered as one of good treatment option in the delayed diagnosed hamatometacarpal fracture and dislocation.

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Reliability of classification of ring and little finger carpometacarpal joint fracture subluxations: a comparison between two-dimensional computed tomography and three-dimensional computed tomography classifications
J. H. Kim, S.-S. Kwon, S. J. Moon, J. S. Choe, H. I. Kwak, S. Y. Lee, H. J. Le, J. Y. Kim
Journal of Hand Surgery (European Volume).2016; 41(4): 448. CrossRef
Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint
Chul-Hyung Kang, Eun-Sok Son, Chul-Hyun Cho
Journal of the Korean Society for Surgery of the Hand.2013; 18(4): 184. CrossRef

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Combined Femoral and Sciatic Nerve Palsy Associated with Acetabular Fracture and Dislocation: A Case Report: Ki Chul Park, Kang Wook Kim, Young Ho Kim; J Korean Fract Soc 2005;18(3):341-344. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.341

Abstract PDF

Sciatic nerve palsy is the most common nerve injury associated with acetabular fracture and dislocation, but femoral nerve injury is known to be very rare because of relative protected position of nerve between the iliacus and psoas muscle, and as far as we know only one report was noted in English about combined femoral and sciatic nerve injury associated with acetabular fracture and dislocation, so we hereby report a case of combined femoral and sciatic nerve palsy associated with acetabular fracture and dislocation.

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Effects of Unilateral Sciatic Nerve Injury on Unaffected Hindlimb Muscles of Rats
Jin Il Kim, Myoung-Ae Choe
Journal of Korean Academy of Nursing.2009; 39(3): 393. CrossRef

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Posterior Dislocation of Elbow Joint with Fracture of Radial Head and Coronoid Process (Terrible triad of Elbow Fracture and Dislocation): case report: Eui Hwan Ahn, Sung Tae Lee, Hyun Sik Ahn; J Korean Soc Fract 2000;13(4):1011-1015. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1011

Abstract PDF: Dislocation of the elbow with fracture of the radial head and the coronoid process is a complex injury that includes severe damage to both soft tissue and bone. The above injury is named as 'terrible triad of elbow fracture and dislocation'. This injury is very rare and difficult to treat and this combined lesion has been reported to have a worse prognosis than either of the single injury. The complications of ectopic ossification, recurrent dislocation, and loss of motion are recognized as a source of considerable concern to the treating orthopaedic surgeon. Many authors emphasized the importance of fixation of coronoid process. The proper management of radial head fracture is controversial. Whatever method used, the elbow must be stable enough to permit early motion. We treated 2 patients who sustained posterior dislocation of elbow with fracture of radial head and coronoid process. First case was treated by closed reduction for dislocation of elbow immediately. After 2 days, radial head was excised and coronoid process was fixed with pulled-out technique. Second case was treated by closed reduction for dislocation of elbow immediately. After 3 days, radial head was treated with open reduction and internal fixation with K-wire and teared anular ligament was repaired. Clinical result of both cases was good

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Surgical Treatment of the Fracture and Dislocation of the Elbow and Early Controlled Mobilization: Young Kye Kim, Ki Young Kang; J Korean Soc Fract 2000;13(1):186-192. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.186

Abstract PDF: PURPOSE
: To assess the results according to the injury types of fracture-dislocation of the elbow and to evaluate the stability after early controlled mobilization.
MATERIALS AND METHODS
: Twenty-two patients were managed with open reduction and internal fixation, sometimes using the compass hinged external fixator. Most common direction of dislocation was posterior(46%) and most common associated fracture was radial head and neck fracture(36%). patients were treated with various methods regarding the types of fracture and immediate mobilization using the hinged functional brace.
RESULTS
: Of 11 cases associated with radial head fracture. 9 cases had excellent or good results and 2 cases combined with concomitant other fracture had fair results. Of 5 cases associated with olecranon fracture, 2 cases with severe comminuted fracture had fair or poor results. All of 6 cases associated with coronoid or medial condyle fracture had good results. Late instability was not observed in any of 22 cases.
CONCLUSION
: This study revealed that more combined lesion and comminution of the fracture had worse functional results. Late instability from immediate controlled mobilization was not observed.

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fracture and Dislocation of the Elbow Treated with Compass Elbow Hinge: Hyung Bin Park, Hae Ryong song; J Korean Soc Fract 1998;11(3):709-717. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.709

Abstract PDF: Post-traumatic elbow stiffness is a common and disastrous complication after acute elbow injury. prolonged immobilization universally leads to stiffness. Stable fixation and controlled, gradual increase in range of motion is prferred for the treatment of comminuted intraarticular fracture and acute unstable dislocation of elbow. In comminuted intraarticular fracture of elbow, the Compass Elbow Hinge provides additional stability for fixation devices used to fix intraarticular fractures and simultaneously permits measured and controlled joint mobilization. In instability after reduction of elbow dislocation, the Compass Elbow Hinge helps to protect the soft tissue from undesirable stresses during healing. The purpose of this study is to evaluate the results of the Compass Elbow Hinge in maintaining and restoring mobility in the acutely injured elbow. The authors reviewed 11 consecutive patients who had the Compass Elbow Hinge applied for acute elbow instability. The average duration of application was 7 weeks. Follow-up averaged 18 months, adn motion averaged 96 degrees in flexion/extension plane. Comcentric stability was restored in all but one case, one case of resubluxation required reconstruction of medial collateral ligament, following which, the elbow was stable. According to the Mayo elbow performance index there were 8 excellent, 2 good and 1 fair result. The Compass Elbow Hinge helps to facilitate management of complex osseo-ligamentous injuries of the elbow. It decreases the incidence of sequelae such as stiffness and instability by permitting early mobilization through a kinematically normal range of motion without jeopardizing soft tissue healing.

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A treatment for the Fracture-Dislocation of the Talus: Sung Kwan Hwang, Kwang Jong Yoo; J Korean Soc Fract 1996;9(4):1016-1025. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1016

Abstract PDF: Fractures of the talus are uncommon injuries. Because of the unique blood supply and biomechanical features. the complication of the displaced fractures are frequent and long term disabilities are so severe that the importance of proper treatment is emphasized. A clinicaT evaluation of 25 patients with fracture of the talus has been made from January, 1985 to December, 1994 and followed them more than 12 months for each. The result were as follows; 1. There are 20 men and 5 women and the average age was 31.2 years. 2. The common causes of fracture were traffic accidents in 13 cases(52%) and fall from height in 9 cases(32%). 3. According to the classification by Hawkins, four of the fractures were included in type I, eight in type II, six in type III, one in type IV and six in body and process. 4. All 4 cases in type I. 1 case in type II and 4 cases in body and process fractures were treated conservatively, 7 cases in type II, 6 cases in type III, 1 case in type IV and 2 cases in body and process fractures were treated operatively. 5. According to the Hawkins criteria, final result were as follows; excellent in 10 cases, good in 7 cases, fair in 5 cases, poor in 3 cases. 6. Among the operatively treated type II, III, IV, delayed operations wrre performed in type II(2 cases). type III(3 cases). The final results of the delayed operations were good in one case, fair in one cases, poor in three cases. In conclusion, the results of the delayed operation were worse than those of the early operation, so we think that the early operation of talar fracture and dislocation will give good results.

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Yvascular Injuries Associated with Fracture and Dislocastion of the Knee: Sung Joon Kim, Il Yong Choi, Jae Lim Cho, Soo Tai Chung; J Korean Soc Fract 1990;3(1):40-45. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.40

Abstract PDF: Injury of the popliteal artery associated with fracture and dislocastion of the knee is uncommon, But, when the fracture and dislocation of the knee occurs, it frequently associated with vascular injuries, and vascular injury can be a very serious one because of ischemia that necessitates amputation. Sixteen vascular injuries combined by fractures and dislocation of the knee between March, 1985 and February, 1989 have been reviewed and the results are as follows. 1. There were 11 cases of proximal tibial fracture, 2 cases of distal femoral fracture and 3 cases of knee dislocation. 2. The site of injury which is proximal to insertion of the soleus muscle were 15 cases. 3. There were contusion in 11 cases, rupture in 4 cases and laceration in 1 case. 4. One of the 2 cases(50%) that were treated within 12 hours after injury survived, while two to 10 cases(20%) that were treated after 24 hours following injury survived. 5. The open reduction and internal fixation was done in 5 cases, the skeletal traction in 1 case, and cast immobilization in 10 cases. 6. Finally, the B-K amputation was done in 4 cases, A-K amputation in 6 cases, knee disarticulation in 2 cases.

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