Journal of Musculoskeletal Trauma

Flexor Pollicis Longus Tendon Rupture as a Complication of a Closed Distal Radius Fracture: A Case Report: Do Young Kim, Eun Min Seo, Woo Dong Nam, Seung Jae Park, Sang Soo Lee; J Korean Fract Soc 2011;24(2):191-194. Published online April 30, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.2.191

There are few reported cases of flexor pollicis longus tendon (FPL) rupture complicating a closed distal radius fracture. We report a case of FPL tendon rupture complicating a closed distal radius fracture. A 24-year-old male presented with a severe right wrist pain. He had a closed distal radius fracture that was treated by closed manual reduction. Three days later, he complained forearm pain and limitation of thumb motion. The physical examination revealed loss of active interphalangeal joint flexion of thumb. He was taken to the operating room. Intraoperatively, the FPL was found to be discontinuous at the level of the radius fracture site. The FPL was repaired by a modified Kessler technique, and the fracture was repaired with a volar plate. Clinicians must be cautious in possibility of tendon injury complicating a closed distal radius fracture and assessing patients with distal radius fracture following closed reduction.

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Acute Rupture of Flexor Tendons as a Complication of Distal Radius Fracture
Youn Moo Heo, Sang Bum Kim, Kwang Kyoun Kim, Doo Hyun Kim, Won Keun Park
Journal of the Korean Orthopaedic Association.2015; 50(1): 60. CrossRef

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Internal fixation with K-wires for the clavicular shaft fractures in young women: Do Young Kim, Yong Wook Park, Gun Il Im, Chang Kyun Lim, Sang Soo Lee, Hyun Chul Park; J Korean Soc Fract 2002;15(4):545-550. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.545

Abstract PDF: PURPOSE
To know the advantages and disadvantages of this procedure by analyzing the results of internal fixation with K-wires for clavicular shaft fractures in young women.
MATERIALS AND METHODS
Twelve patients were followed for more than 1 year after the operation. All patients were female and average age was 28 years with average follow-up of 14 months. All cases were displaced fractures of the middle third with tenting of the skin and 2 cases were type 1 open fractures. After the operation, we investigated time to union, changes of K-wire, scar and disadvantages periodically.
RESULTS
There was no nonunion and time to union averaged 11.8 weeks. Migration and bending of the K-wires occured in one case. The length of surgical scar was about 4cm and the K-wires were easily removed under local anesthesia. But all patients complained of frequent radiographic evaluation, relatively long period of immobilization and irritation of the K-wires on medial part of the clavicle.
CONCLUSION
We think that internal fixation with the K-wires is one of the effective treatment options for the clavicular shaft fractures in young women.

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Reconstruction of Medial Collateral Ligament in Old Posterior Dislocation of the Elbow: Sang Soo Lee, Ho Yeun Hwang, Dong Hee Lee, Il Hyun Nam, Sang Un Lee; J Korean Soc Fract 2000;13(3):576-583. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.576

Abstract PDF: PURPOSE
To evaluate and analyse the operative results of reconstruction of medial collateral ligament(MCL) in old posterior dislocation of the elbow.
MATERIALS AND METHODS
Nine patients (from 1989 to 1999) with old posterior dislocation of the elbow treated by operation were reviewed. We analysed the pattern of dislocation, associated injury, method of operation, complication and functional results. All patients were treated with open reduction. Reconstruction of MCL was undertaken in three patients of nine.
RESULTS
All nine patients who had underwent open reduction were improved in the flexion-extension motion of elbow. Three patients of nine underwent reconstructive surgery of MCL were much improved in the flexion-extension motion. But there is no differences in improving the pronation-supination motion between of them(P>0.05, ttest).
CONCLUSION
Precise understanding of MCL anatomy and appropriate intraoperative technique are mandatory. We achieved much more range of motion in the cases of reconstruction and early motion rather than those of immobilization for 3 weeks with K-wire. We believe reconstruction of MCL is a useful addition to treatment options for old elbow dislocation of elbow.

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Nonunion of the Clavicular Fracture: Sang Eun Lee, Il Hyun Nam, Sang Soo Lee, Dong Hee Lee, Keum Joo Lee; J Korean Soc Fract 1999;12(3):741-748. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.741

Abstract PDF

We analysed 20 cases of clavicular nonunions, treated by internal fixation with plate and bone graft at the Pohang St. Marrys Hospital between 1993 and 1997. Among them, sixteen patients had been treated with conservative method and four with surgery initially. Radiologically, seventeen nonunions were atrophic and three hypertrophic. Interposition of the injured soft tissue, inadequate reduction and insecure fixation were etiologic factors of nonunion in this study. The complete unionswere achieved in eighteen by plating with iliac bone graft and in two by intramedullary fixation with S-pin or Rush-pin each The average time for union was 14.2 weeks. The average length of follow-up was 16.5 months. The complications were limitation of motion in three patients and brachial plexus injury in one. Associated symptoms of the nonunion including pain disappeared in all patients. In this study, we discuss the cause and treatment of clavicular nonunion with specific attention to the rigid internal fixation and the outcome of treatment. We concluded that symptomatic nonunion of the clavicle could be treated by operation, and rigid internal fixation with plate and bone grafts are thought to be a reliable treatment for the nonunion of the clavicle.

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Costoclavicular Syndrome: A Case Report
Sung Keun Sohn, Sung Soo Kim, Chang Geun Song, Jong Ill Kwak
Journal of the Korean Fracture Society.2007; 20(1): 86. CrossRef

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Treatment of the Acromion Fracture: Sang Soo Lee, Bo Gun Seo, Dong Hee Lee, Il Hyun Nam, Sang Un Lee; J Korean Soc Fract 1998;11(4):941-946. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.941

Abstract PDF: Fractures of the acromion process are relatively rare, then no accepted treatment method has been established. The puroose of this study was to review of the acromion fracture in our cases, to determine trends in the mechanism of injury, the fracture pattern, and treatment method, and to evaluate the clinical results. 1. The types of fracture were type I-A in 4 cases, type I-B in 6 cases, type II in 6 cases, type III in 3 cases. 2. Clinical results were excellent in 9 cases(52.9%), good in 6 cases(29.4%), fair in 3 cases, poor in 1 case. 3. Type III fractures suggesting that early surgical intervention may be indicated.

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