Journal of Musculoskeletal Trauma

Crush Syndrome: Traumatic Rhabdomyolysis, Reperfusion Injury: Yong-Cheol Yoon; J Korean Fract Soc 2023;36(2):62-68. Published online April 30, 2023; DOI: https://doi.org/10.12671/jkfs.2023.36.2.62

Abstract PDF: A crush injury causes damage to bones, muscles, blood vessels, nerves, and other tissues caused due to pressure. Crush syndrome is a reperfusion injury that occurs throughout the body after a crush injury and leads to traumatic rhabdomyolysis, in which muscle fibers are broken down. Owing to the decreased blood supply, inflammation, and changes in metabolic activity, fluids and electrolytes in the blood can move into tissues, causing hypovolemic shock. In addition, toxic substances resulting from cell destruction can circulate through the bloodstream, causing electrolyte imbalances, renal failure, arrhythmias, and cardiac arrest, with approximately 15% of patients with acute renal failure dying. The treatment for crush syndrome involves aggressive fluid therapy and correction of the electrolyte imbalances, while patients with acute renal failure may require dialysis. Surgical treatment may include debridement and irrigation of necrotic tissue, and fasciotomy is necessary to address compartment syndrome, a complication that may arise.

230 View
6 Download

The Mid-Term Result after Osteosynthesis of Intra-Articular Fractures of Distal Femur: Sam Guk Park, Jeong Jae Moon, Oog Jin Shon; J Korean Fract Soc 2016;29(4):242-249. Published online October 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.4.242

PURPOSE
This study was to evaluate the radiological and clinical mid-term results and the presence of post-traumatic osteoarthritis after osteosynthesis in patients under the age of 50 years undergoing osteosynthesis for distal femur intra-articular fractures (AO/OTA 33-B & C) from high-energy trauma.
MATERIALS AND METHODS
Between January 2008 and January 2013, a total of twenty-one patients with more than three years of follow-up were enrolled. Recovery of the alignment of the lower extremity, union period, and the presence of post-traumatic osteoarthritis were confirmed by follow-up radiographs. Clinically, the range of motion, pain on fracture lesion, and Knee Society score (KSS) were evaluated.
RESULTS
The average duration of union was 18.2 weeks (10-28 weeks), and the alignment of the lower extremity was within normal range in all patients. Seven patients showed post-traumatic osteoarthritis at the final follow-up after more than three years. The presence of post-traumatic osteoarthritis was associated with the classification of fractures, coronal plane fracture, and age. The average range of motion, knee score among KSS, and function score at the last follow-up were 128.7Â°, 86.1, and 85.1, all showing a greater improvement when compared with the one-year follow-up scores.
CONCLUSION
The mid-term result was radiologically and clinically satisfactory. Furthermore, only 33.3% of patients showed a slight progress of post-traumatic osteoarthritis, which critically effects the prognosis.

Citations

Citations to this article as recorded by

Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta‐analysis
Byung-Ho Yoon, In Keun Park, Youngwoo Kim, Hyoung-Keun Oh, Suk Kyu Choo, Yerl-Bo Sung
Archives of Orthopaedic and Trauma Surgery.2021; 141(2): 225. CrossRef

124 View
0 Download
1 Crossref

Is CT Angiography a Reliable Tool for Diagnosis of Traumatic Vessel Injury in the Lower Extremities?: Jong Hyuk Park, Kwang Bok Lee, Hyuk Park, Jun Mo Lee; J Korean Fract Soc 2012;25(1):26-30. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.26

Abstract PDF: PURPOSE
Computed tomographic (CT) angiography is the first choice of diagnosis in traumatic vessel injury in the lower extremities, replacing angiography. The purpose of this study was to investigate the clinical reliability of CT angiography through a retrospective study.
MATERIALS AND METHODS
Seventeen patients underwent CT angiography before surgery for traumatic vessel injury in the lower extremities from 2009 to 2010, and a comparative analysis of operative findings in all patients with a positive predictive value and sensitivity were measured.
RESULTS
In all patients, 16 artery ruptures and 1 compartment syndrome occurred. In 15 artery ruptures, preoperative findings of CT angiography and surgical findings were consistent, and the positive predictive value was 93.8%. One patient with posterior tibial artery rupture was revealed as normal in CT angiography; thus, sensitivity was 93.8% (15/16 patients), and the accuracy rate was 88.2% (15/17 patients).
CONCLUSION
Though CT angiography is a reliable tool for diagnosis in traumatic vessel injury in the lower extremities, a more invasive test will be needed, especially peripheral angiography or diagnostic exploration, in cases of relatively small vessel injuries around the ankle or compartment syndrome because of low accuracy.

112 View
0 Download

Traumatic Simultaneous Bilateral Hip Dislocation in the Elderly Patient: A Case Report: Koing Woo Keon, Sang Bong Ko; J Korean Fract Soc 2007;20(4):335-338. Published online October 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.4.335

Abstract PDF: Traumatic simultaneous bilateral hip dislocation is reported rarely, but the most of them are limited in young patients. The authors managed the elderly patients whose both hip was dislocated traumatically, simultaneously and who didn't have any other underlying disease and other associated fracture - femur, hip joint and pelvis, with a review of the relevant literature.

120 View
0 Download

Arthroscopic Repair for Traumatic Peripheral Tear of Triangular Fibrocartilage Complex: Seung Ju Jeon, Chan Sam Moon, Ho Seung Jeon, Haeng Kee Noh, Sung Hwan Kim; J Korean Fract Soc 2007;20(4):330-334. Published online October 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.4.330

Abstract PDF: PURPOSE
To assess the results of an arthroscopic repair for traumatic peripheral tears of triangular fibrocartilage complex (TFCC, Palmer type Ib).
MATERIALS AND METHODS
10 patients with traumatic peripheral TFCC tear were treated with outside-in technique with arthroscope and evaluated with an average follow-up of 19 months (range, 15 to 28 months). The clinical outcomes were assessed with investigation of pain, range of motion, grip strength, return to job and patient's satisfaction.
RESULTS
The arthroscopic repair of traumatic peripheral TFCC tear resulted in significant pain relief and increase in functional ability of wrist, that is, 8 excellent, 1 good and 1 fair results. At last follow-up, the average of flexion was 79Â° (range 76~86Â°), average of extension was 78Â° (range 70~84Â°), average pronation was 85Â° (range 75~91Â°) and average supination was 87Â° (range 79~92Â°). Nine patients except one were back to their original job.
CONCLUSION
Arthroscopic repair of traumatic peripheral TFCC tear could be used for pain relief and increase in functional ability of wrist.

93 View
0 Download

Result of Early Active Range of Motion Exercise after Bankart Repair of Traumatic Anterior Instability: Haeng Kee Noh, Jong Woong Park, Jung Il Lee, Jung Ho Park; J Korean Fract Soc 2007;20(1):53-57. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.53

Abstract PDF: PURPOSE
To evaluate prospectively the results of early active exercise after open Bankart repair of traumatic anterior shoulder instability.
MATERIALS AND METHODS
From January, 2001 to June, 2003, 26 patients who were followed up at least 1 year after open Bankart repair for traumatic anterior shoulder instability were evaluated. Average age was 23.9 years old (range, 19~43) with 24 males and 2 females. We evaluated them using the functional shoulder scores (modified Rowe score, ASES score), range of motion, VAS pain scale, patient's subjective satisfaction and return to unlimited daily living activity.
RESULTS
The shoulder functional scores increased significantly. At last follow up, the final range of motion were flexion in average 5Â° deficit in comparison to normal side, external rotation in average 10o deficit, and internal rotation in T9. The patient's subjective satisfaction was good in 2l patients (81%). Return to unlimited daily activity was possible in 23 patients (88.5%), and 19 patients (73%) rejoined to sports activity before injury. There were complications including anterior recurrent subluxation in 1 case, weakness of subscapularis muscle in 1 case.
CONCLUSION
In traumatic anterior shoulder instability, early active range of motion exercise after open Bankart repair does not decrease shoulder stability. Early exercise can be useful for returning to previous level of sports activity in young active patients.

67 View
0 Download

Nontraumatic Myositis Ossificans with an Unusual Location: Case Report: Kwang Suk Lee, Sang Bum Kim, Dae Hee Lee, Hyung Joon Cho; J Korean Fract Soc 2005;18(4):481-484. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.481

Abstract PDF: Myositis Ossificans is known to be a benign heterotopic pseudomalignant bone formation in muscle and other soft tissue. When it is revealed as a localized form, 75% of the cases are associated with significant blunt trauma. We report a rare case of a nontraumatic ossificans in the lower leg of a 59-year-old woman, which has been spontaneously developed for 15 years.

88 View
0 Download

Neglected Traumatic Posterior Hip Dislocation in a Crutch-walking Patient: A Case Report: Yong Min Kim, Hyun Chul Shon, Dong Soo Kim, Eui Sung Choi, Kyung Jin Park, Se Hyuk Im; J Korean Fract Soc 2005;18(4):474-477. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.474

Abstract PDF: Traumatic posterior hip dislocation should be reduced emergently, but diagnosis could be delayed in a patient with head trauma or in developing countries. We have experienced neglected posterior hip dislocation for three months in a crutch-walking patient who had ipsilateral tibia fracture and alert mentality. Open reduction followed by six-weeks skeletal traction was performed. At one year follow-up, the reduced hip showed good range of motion with no evidence of avascular necrosis.

132 View
0 Download

Atraumatic Avulsion Fracture of Calcaneal Tuberosity in a Patient with Peripheral Neuropathy: A Case Report: Woo Chun Lee, Ki Heon Nam; J Korean Soc Fract 2001;14(1):85-90. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.85

Abstract PDF: Atraumatic calcaneal fractures associated with neurological abnormalities have been reported by several authors, and most of them are associated with diabetes. Chronic alcoholism is also a cause of neurological abnormality and neuropathic arthropathies associated with chronic alcoholism were reported. However we could not find any report of atraumatic calcaneal avulsion fracture associated with chronic alcoholism. We have treated a calcaneal avulsion fracture in a chronic alcoholic patient with open reduction and internal fixation, and the result was not satisfactory. We suggest that conservative treatment is better for the atraumatic calcaneal avulsion fracture in a chronic alcoholic patient with severe osteoporosis and neurological abnormalities.

87 View
0 Download

Reconstruction of Neglected Traumatic Radial Head Dislocation in Children: Dong Yeon Lee, Tae Joon Cho, In Ho Choi, Chin Youb Chung, Young Jin Sohn; J Korean Soc Fract 2000;13(4):1024-1032. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1024

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the clinical result of surgical reconstruction of the old traumatic radial head dislocation in children, and to delineate the optimal surgical procedure for it.
MATERIALS AND METHODS
Fifteen cases of the old traumatic radial head dislocation were included in this study, which had surgical reconstruction at the age of 15 years or less. Preoperative and postoperative clinical symptom, range of joint motion, and radiologic findings were reviewed. Reconstructions were performed by combination of various procedures, and the advantages and disadvanges of each procedures were analyzed.
RESULTS
All the preoperative complaints were relieved by the operation. In twelve cases out of 15, the radial head reduction was well maintained. The reasons for the loss of reduction were non-union of ulnar osteotomy site, and the neglected angular deformity at the proximal radius. Although forearm pronation was decreased in most cases, they did not affect most of the daily activities except in cases where the radioulnar osseocartilaginous bridge were complicated.
CONCLUSION
Our results justify the surgical reconstruction of neglected traumatic radial head dislocations in children. Complete clearing of radiocapitellar joint, accurate bony realignment and rigid fixation, appropriate annular ligament reconstruction, and temporary fixation with transcapitellar pin may ensure satisfactory result.

92 View
1 Download

Traumatic dislocation of hip in children: A Case Report of 30 Months Followup: Soo Jae Yim, Yeon Cheol Jeong, Seung Ryool Yoon, Joong Geun Choi, You Sung Suh, Yon Il Kim; J Korean Soc Fract 1999;12(2):361-364. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.361

Abstract PDF: Traumatic hip dislocation in childhood is rare. Factors predisposing to abnormal results are delayed reduction and severe trauma. We experienced 8 year-old girl with traumatic posterior hip dislocation and treated with immediate closed reduction. At 30 months follow-up, our patient had good functional and good roentgenographic result with no posttraumatic arthritis or posttraumatic avascular necrosis. So we report this case with review of literature.

48 View
0 Download

Traumatic Refracture : Report of 3 cases: Byung Ill Lee, Young Hoon Cho, Jae Eung Yoo, Soo Kyun Rah; J Korean Soc Fract 1997;10(4):940-944. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.940

Abstract PDF: Traumatic refracture refers to a recurrence of a fracture by a major trauma, after it had gained complete union from an earlier rracture through internal fixation. We report 3 cases of our experience in this relatively rare injury of long bone.

54 View
0 Download

Traumatic Bilateral Anterior and Posterior Dislocations of the Hips with a Unilateral Acetabular Posterior Column Fracture (Thompson and Epstein type IV): A Case Report: Young Sik Lee, Jung Dae Oh, Jin Tae Choi, Gyeong Rin Lim; J Korean Soc Fract 1997;10(4):766-771. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.766

Abstract PDF: A rare case of traumatic bilateral anterior and posterior dislocations of the hips occurred by passenger traffic accident . The right hip was dislocated posterosuperior to the right acetabulum with a linear acetabular posterior column tracture(Thompson and Epstein type IV) and left hip was dislocated anteroinferior to the left acetabulum(modified classification of Epstein type II A). The dislocations were successfully reduced by the Bigelows method for the right hip and the reverse Bigelows method for the left hip, and 4 weeks of Bucks traction was applied. He was able to return to full activity after 4 months. There was no sign of avascular necrosis at 3 years and 11 months follow-up.

83 View
0 Download

Simultaneous Asymmetric Bilateral Traumatic Hip Dislocation: A Cases Report: Byung Ill Lee, Bo Weon Jeong, Jae Eung Yoo, You Sung Suh, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1996;9(1):225-228. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.225

Abstract PDF

Hip dislocation represents 2 to 5% of all joint dislocations. Bilaterat dislocation of the hip joints is reported about 1.25% of all cases fo hip dislocations and therefore 0.025 to 0.050% of all joint dislocations. Dislocations in which one hip dislocates anteriorly and the other posteriorly are even rarer. Of all traumatic bilateral hip dislocations, bilateral simultaneous anterior and posterior dislocations in 40% of cases. This paper is a case report of a traumatic bilateral anterior and posterior dislocation of hips in a 24 year-old man injured by motor vehicle accident as a passenger. The patient was treated by means of closed reduction, traction and physical therapy. We report such a case.

Citations

Citations to this article as recorded by

Traumatic Bilateral Anterior Hip Dislocation: A Case Report
Sung-Taek Jung, Hyun-Jong Kim, Myung-Sun Kim, Young-Jin Kim, Sang-Kwan Cho
Journal of the Korean Fracture Society.2008; 21(1): 62. CrossRef

73 View
0 Download
1 Crossref

A Clinical Study of Traumatic Posterior Fracture-Dislocation of the Hip: 13 cases with operative treatment: Won Yoo Kim, Jin Young Kim, Kun Young Park, Chang Boon Jeong; J Korean Soc Fract 1994;7(2):457-464. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.457

Abstract PDF: Traumatic Posterior hip fracture-dislocation is uncommon injury, which induces the traumatic arthritis, joint contracture and avascular necrosis of the femoral head as a late complication. Among 23 patients with traumatic fracture-dislocation of the hips, 13 patients who underwent operative intervention were reviewed retrospectively: all patients were men ranging from 24 to 59 years old. A dash-board injury of car accident was leading cause of the traumatic dislocation in this series(9 cases, 64%). Associated injuries were found in 11 cases(84%). In follow-up ranging from 12 months to 36 months(averge, 18 months). Ten were treated by closed reduction; 6, by closed reduction followed by subsequent open reduction and internal fixation for unstable fracture of the acetabulum; 3, by primary open reduction; and 4, delayed open reduction. The results according to the Epstein and Thompson clinical criteria for evaluating results were good at 5 of 6 patients treated by closed reduction followed by open reduction for acetabular fracture. It was concluded that early closed reduction followed by open anatomic reduction with removal of all loose fragments of bone and cartilage and restoration of stability by internal fixation of the fracture of the acetaulum offers the best prognosis.

55 View
0 Download

Search