Journal of Musculoskeletal Trauma

The combined qudriple lesion : fracture of acromion, distal end of clavicle, distal coracoid and glenoid rim associated with anterior shoulder dislocation: A Case Report: Ryup Sub Kim, Suk Myun Ko, Kyu jung Cho, Hyeok Chae Jeong, Dong Hun Choi; J Korean Soc Fract 2000;13(3):550-554. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.550

Abstract PDF: A distal clavicle fracture, as a single fracture, has been reported frequently in the literature. However, combined anterior shoulder dislocations with fracture of the coracoid or acromion is very rare. Fracture of the coracoid or the acromion are even uncommon, represent 3-5% and 9-12% of scapular fractures respectively, which account for 1 perecnt of all fractures. Combined anterior shoulder dislocations with distal end clavicle or glenoid rim fractures are also rare. We observed the concurrent quadruple lesion: fracture of acromion, distal end of clavicle, distal coracoid and glenoid rim associated with anterior shoulder dislocation. To our knowledge, this combined injury has not been reported previously in the literature. Therefore, We presented the proposed mechanism of injury, course of treatment, and its clinical outcome with brief review of literature.

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Clinical Experiences of the Femoral Unicondylar Fractures: Ryuh Sup Kim, Suk Myun Ko, Kyu Jung Cho, Dong Hun Choi, Hyun Woo Park; J Korean Soc Fract 2000;13(3):479-487. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.479

Abstract PDF: PURPOSE
The femoral unicondylar fractures occur less frequently than the supracondylar or intercondylar femoral fractures. We document the problems and results in the treatment of these fractures.
MATERIALS AND METHODS
Eleven patients with minimal follow-up peroid of 12 months were included. In the methods of treatment, the operation with by closed or open reduction and internal fixation with screws was used for 7 cases, the conservative treatment for 4 cases. The therapeutic outcomes were rated by the Lysholm knee scoring scale.
RESULTS
The concomitant injuries including neurovascular, collateral or cruciate ligaments and capsular structures of knee to ipsilateral extremity were frequent events. The therapeutic outcomes were significantly affected by associated injuries. The only 5 cases had satisfactory result by the Lysholm knee scoring scale.
CONCLUSION
These injuries have been considered to be the result of high-energy trauma on flexed knee. The open reduction and internal screw fixation of the femoral unicondylar fractures are necessary for good results because those are unstable and easily displaced. The associated disruption of the cruciate ligament was frequently associated injury and, significantly affected to the therapeutic outcome.

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Treatment of Humerus Fracture using Ilizarov External Fixator: Suk Myun Ko, Myung Gu Kim, Ryuh Sup Kim, In Suk Oh, Joung Yoon Lee, Hyeok Chae Jeong; J Korean Soc Fract 2000;13(1):30-37. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.30

PURPOSE
Recently, the incidence of humerus fracture not allowing open reduction and internal fixation has been increased with increment of traffic accident and industrial accident. But, there have been a few reports in the use of Ilizarov external fixator. The purpose of this study is to report the authors'experience with Ilizarov external fixation for the treatment of the patients with fractures of the humerus.
MATERIALS AND METHODS
From June 1996 to July 1998, we reviewed sixteen patients with humeral fracture who were treated by the Ilizarov external fixator. Three fractures were in the middle third of the shaft; two, in the proximal third; two, in the distal third; seven, in the proximalmiddle; two, in the middle-distal. The fractures that were located within the joint of the shoulder or the elbow were excluded. Five fractures had been open and six had been associated with multiple trauma. Two had been initially treated by open reduction and internal fixation but failed : one, because of infection; the other, because of loss of fixation. We performed the Ilizarov external fixator procedure in the case of soft tissue trauma so severe that internal fixation was impossible, and in the case of the comminution too extensive and severe for internal fixation.
RESULTS
The average time to radiologic union was 12.7 weeks. According to Stewart and Hundley's functional assessment system, excellent or good results were obtained in 14 cases. There was no poor result.
CONCLUSION
Although the Ilizarov external fixator was a technically demanding procedure, it was a good method comparing with any other operative methods for the treatment of fractures of the humerus not allowing the open reduction and internal fixation.

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Contributing Factors of Radial Nerve Palsy Associated with Humeral Shaft Fracture
Tae-Soo Park, Joon-Hwan Lee, Tai-Seung Kim, Kwang-Hyun Lee, Ki-Chul Park
Journal of the Korean Fracture Society.2008; 21(4): 292. CrossRef

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Management of Displaced-Extension Type Supracondylar Fractures of Humerus in Children: Suk Myun Ko, Myung Ku Kim, Kyoung Ho Moon, Ryuh Sup Kim, Kyu Jung Cho, Dong Hun Choi; J Korean Soc Fract 1999;12(2):351-360. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.351

Abstract PDF: From June 1996 to February 1998, we reviewed the cases of 27 patients who had a displaced - extension type supracondylar fracture of the humerus retrospectively. The mean length of follow-up was 1.3 years. According to Gartland classification, type II was 7 cases (26%), type III-A was 11 cases (41%), type III-B was 9 cases (33%). We treated with three different methods, including closed reduction and percutaneous Kirschner-wire fixation, skeletal traction, and cast application after closed reduction. In type II fractures, we used two parallel lateral pins. In type III fractures, we used 2 lateral parallel pins followed by 1 medial crossed pin predominantly. The results of treatment were assessed using the criteria of Flynn et al. We graded cosmetic and functional factors separately. Satisfactory results were achieved by percutaneous K-wire fixation(96%). There were seven neural lesions. These were the result of injury and not of the treatment, with exception of one case. Neural injuries spontaneously resolved at a mean of 2.5 months(range 1.5 to 5 months) after injury. Varus deformity was present in one patient. There was no Volkman's ischemic contracture. Percutaneous Kirschnerwire fixation is advocated as the method of choice for the majority of displaced-extension type supracondylar humerus fractures in children.

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Treatment of Tibial Fractures with the Ilizarov External Fixator: Suk Myun Ko, Myung Ku Kim, Jung Yoon Lee, In Suk Oh, Sang Eun Kim; J Korean Soc Fract 1998;11(4):833-840. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.833

Abstract PDF: Between June 1996 and July 1997, 29 tibial fracture patients were treated using the Ilizarov method and apparatus. The mean follow-up petiod was 18 months. Among 29 cases, 11 were closed fractures with comminution and 18 were open fractures. There were 2 Gustilo-Anderson type I, 5 type II, and 11 type III open tibial fractures. Complications included 4 pin tract average time from application of the device to complete fracture healing was 26.3 weeks. According to Tucker's functional criteria, the results were 14 excellent, 9 good, 4 fair, 2 poor. No practical contraindications to the use of the Ilizarov device in the management of tibial fractures were encountered. We concluded that Ilizarov method is indeed a useful adjunct for the treatment of either open or closed tibial fractures.

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Femoral Stress Fractures in Civilians who are not military recruits and athlethes :Two cases report: Myung Ku Kim, Suk Myun Ko, Kyung Ho Mun; J Korean Soc Fract 1998;11(4):784-789. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.784

Abstract PDF: We reports two cases of femoral stress fractures, one at femoral neck, the other at distal femur. Femoral stress fracture is not uncommon in reported literature, but most of reported cases limited in military recruits and athlethes. There are few reports about femoral stress fractures of civilians. Early dignosis is difficult because complaints are vague and poorly localized, so displacement occurs and misdiagnosis is made. The purpose of this report is to call attention to the importance of early diagnosis of stress fracture of the femur so that displacement and misdiagnosis, which may lead to prolonged in capacitation or to the necessity for surgical intervention, may be prevented.

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