Journal of Musculoskeletal Trauma

Clay-Shoveler's Fracture in an 18-Year-Old Cheerleader: A Case Report: Il Yeong Hwang, Sun Jae Park, Jae Ryong Cha; J Korean Fract Soc 2018;31(2):57-60. Published online April 30, 2018; DOI: https://doi.org/10.12671/jkfs.2018.31.2.57

Clay-Shoveler's fracture refers to a fracture that is solely developed on the spinous process of the cervical spine or the thoracic vertebrae. This fracture rarely occurs during sporting activities. In this case, an 18-year-old female developed the fracture on the spinous process of the 7th cervical spine and 1st thoracic vertebrae due to the repetitive practice of cheerleading. The patient's pain was improved by wearing a support device and taking an anti-inflammatory analgesic drug and muscle relaxant. Her case is being followed-up at the outpatient department.

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An unusual cause of neck pain in the physiotherapy clinic: Neglected clay-shoveler's fracture
GaneshSingh Dharmshaktu
Indian Journal of Physical Therapy and Research.2020; 2(2): 147. CrossRef

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Clinical Results after Percutaneous Surgical Treatment of Intra-articular Fracture of the Distal Radius: Jae Ryong Cha, Jung Hoei Ku, Hyung Lae Cho, Jin Wan Kim, Yoo Dae Kim, Young Il Park, Seong Hwak Hong; J Korean Fract Soc 2005;18(3):304-310. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.304

Abstract PDF: PURPOSE
To evaluate the clinical and radiologic results of percutaneous surgical treatment of the intra-articular fractures of the distal radius, we have compared the results of percutaneous pinning and the combination of percutaneous pinning with external fixation after closed reduction.
MATERIALS AND METHODS
We analysed the results of 52 patients with intra-articular fracture who received the operative treatment with closed reduction in the period of June, 1995 to June, 2001 and also were in regular follow-up at least one year. We used the subjective analysis by Cole & Obletz and the objective analysis by Scheck.
RESULTS
We have found the outcome that 83.3% of percutaneous pinning were graded above "Good" in type B and C1 and 82.2% of the combination treatment of percutaneous pinning with external fixation were graded above "Good" in type C2 and C3.
CONCLUSION
The percutaneous pinning and external fixator after closed reduction in intra-articular fractures of the distal radius are considered useful to restore the articular congruity and make good clinical results.

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The role of the coronoid process fracture in the elbow dislocation: Yong Girl Rhee, Jae Ryong Cha; J Korean Soc Fract 2001;14(3):491-498. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.491

Abstract PDF

PURPOSE
To evaluate whether the size of the coronoid process fracture influence on elbow instability, to recognize the requirement of surgery and to report the final results after operation.
MATERIALS AND METHODS
We performed the operative treatment for 10 cases among 17 coronoid process fractures with elbow dislocation from December 1995 to January 1999, and evaluated operative cases. According to Reagan & Morrey classification, 3 cases(30%) belong to type I, 4 cases(40%) type II and 3 cases(30%) type III. The major mode of injury was fall down accident(70%) and most common associated injury was radial head fracture(70%). In all case, the elbow was inevitably subluxated when flexed beyond 45degreesregardless the size of the fragment segment. This lead us to performed the fixation of coronoid process fracture and the reconstruction of the ruptured articular capsule. Two patients who had had recurrent posterolateral instability due to severe capsular damage at initial injury and previous excision of the radial head underwent the total elbow replacement.
RESULTS
According to Mayo elbow performance index, results were graded as excellent in 7 cases(70%), good in 1 cases(10%), and at two case of radial head excision had been performed previously, the results had been graded as poor, but after total elbow replacement they were good. At final results, all of them resulted in more than good. Postoperative range of motion averaged 6 degrees in extension and 128 degrees in forward flexion and there was significantly a tendency for less motion of a forward flexion with more involvement of coronoid fragment.
CONCLUSION
In cases of the elbow dislocation, instability of the elbow is correlated with the severity of the damaged articular capsule and ligament regardless of the size of the coronoid process fracture. The early excision of the fractured radial head should be avoided not to run into total elbow replacement.

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Surgical Outcomes after Olecranon Plating with Retrograde Coronoid Process Screw Fixation through the Plate Hole in the Bifocal Fracture of the Proximal Ulna
Seong-Eun Byun, Ho-Jae Lee, Junhyun Kim, Sang-June Lee, Uk Kim, Soo-Hong Han
Journal of the Korean Orthopaedic Association.2016; 51(5): 403. CrossRef

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