Journal of Musculoskeletal Trauma

Comparison study between valgus and varus type in Neer 's 3 and 4 part proximal humerus fracture: Chang Hyuk Choi, Koing Woo Kwon, Shin Kun Kim, Sang Wook Lee, Dong Kyu Shin, Seung Jin Lee; J Korean Soc Fract 2002;15(4):558-565. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.558

Abstract PDF: PURPOSE
We reclassified three- and four-part proximal humerus fractures by Neer ' s classification into valgus & varus type, and compared the results of these groups. MATERIALS & METHODS: 21 cases classified as three- and four-part fracture in Neer 's classification were treated surgically and followed for 12 months. We reclassfied the 21cases valgus and varus type fractures, according to angulation of fractures, facing of humeral head, and dominant displaced tuberosity. Functional evaluation was done by UCLA shoulder rating scale.
RESULTS
Neer 's three- and four-part proximal humerus fractures could be reclassified based on angulation, facing of humeral head, and dominant tuberosity displacement. The functional results according to UCLA shoulder rating scale were good or excellant in 8 of 9 cases of valgus type(89%), and at 4 in 10 cases of varus type(40%). The clinical result of the valgus type was better than that of the varus type.
CONCLUSION
Based on reclassification system of proximal humerus fractures, clinical results and radiographic findings including angulation, facing of head, and dominant tuberosity displacement showed close relationship. Neurovascular complication were more frequent in the varus type. Therefore, careful evaluation including surgical approach and soft tissue status should be considered in the varus type of complex proximal humerus fracture.

Radiologic and clinical evaluation about treatment of ankle fracture: Chang Hyuk Choi, Koing Woo Kwon, Shin Kun Kim, Sang Wook Lee, Dong Kyu Shin, Dong Hwan Um; J Korean Soc Fract 2002;15(2):209-215. Published online April 30, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.2.209

Abstract PDF: PURPOSE
The purpose of this article is to evaluate the factors affecting clinical result after surgical treatment of ankle fracture. We evaluate the radiologic features of initial, post-operative and last follow up ankle anteroposterior view.
MATERIALS AND METHODS
From Feb. 1997 to Jan. 2000, we operated 58 cases of ankle fractures involving bimalleolar and lateral malleolar area. 35 cases which were followed more than one year were enrolled into the study. We evaluated the clinical results according to radiologic features such as lateral displacement, height difference between both malleoli, mortise width, talar tilt and joint space width.
RESULTS
According to Olerud Moland Ankle score, 16 cases(46%) had excellent result and 9 cases(26%) had good result. Radiologically the average initial lateral displacement, height difference, mortise width in the group which had good and excellent results were 1.64mm, 8.85mm, 0.49 and that in the group of fair and poor result were 1.5mm, 10.57mm, 0.48, respectively.(P>0.05) CONCLUSION: The relationship between clinical result and radiologic features in the ankle bimalleolar and lateral malleolar fractures were not proved statistically. However, the tendency of affecting good clinical results which had malleolar height correction was seen.

The statistical analysis of factors influencing union of claviclefractures: Shin Kun Kim, Koing Woo Kwon, Sang Wook Lee, Yung Seok Chung; J Korean Soc Fract 1992;5(1):37-42. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.37

No abstract available.

Citations

Citations to this article as recorded by

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P Kingsly, M Sathish, N Deen Muhammad Ismail
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Clinics in Orthopedic Surgery.2010; 2(3): 154. CrossRef

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