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Bone & Soft Tissue Injuries Diagnosed by Magnetic Resonance Imaging in Thoracolumbar Fractures
Yong Min Kim, Dong Soo Kim, Eui Seong Choi, Hyun Chul Shon, Kyoung Jin Park, Gi Seok Han, Jae Jung Jeong, Kyoung Il Jeong, Yung Sung Kim
J Korean Fract Soc 2004;17(2):184-190.   Published online April 30, 2004
DOI: https://doi.org/10.12671/jkfs.2004.17.2.184
AbstractAbstract PDF
PURPOSE
To assess diagnostic efficacy of the MRI in thoracolumbar fractures, especially in changes of bone and soft tissue which cannot be documented by other diagnostic tools.
MATERIALS AND METHODS
Among 85 patients managed for thoracolumbar fractures between January 1997 and June 2003, MRI was performed in 30 patients to get more informations. Plain X-ray, CT and MRI of these cases were reviewed retrospectively by two orthopaedic spine surgeons and one radiologist to investigate the informations which only MRI could afford.
RESULTS
14 (46.7%) among 30 patients had occult fractures of vertebrae other than main fracture which had not been diagnosed as fractured. Besides 6 patients who showed distraction of posterior structure on plain X-ray, injury of posterior ligament complex was confirmed by MRI in 12(40%) patients. Additionally, MRI visualized other soft tissue injuries such as intramuscular and subcutaneous hematoma, changes of the spinal cord and intervertebral disc. In 16 among 30 patients, informations achieved from MRI were the most important factors in deciding treatment modality.
CONCLUSION
MRI seems to be efficient in visualizing not only soft tissue injury such as ligament but also occult fractures of additional vertebra in thoracolumbar fractures, therefore MRI seems to be an important diagnostic tool in decision of treatment modalities, especially in cases of uncertain stability.

Citations

Citations to this article as recorded by  
  • Measurement Discrepancy of Sagittal Parameters between Plain Radiography and 3D Computed Tomography in Thoracolumbar and Lumbar Fractures
    Dong-Soo Kim, Yong-Min Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho, Ji-Kang Park, Hyun-Cheol Lee
    Journal of the Korean Orthopaedic Association.2012; 47(3): 198.     CrossRef
  • Relationship between Lamina Fractures and Dural Tear in Low Lumbar Burst Fractures
    Ki-Chan An, Dae Hyun Park, Yong-Wook Kwon
    Journal of the Korean Fracture Society.2011; 24(3): 256.     CrossRef
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Treatment of Femoral Shaft Fractures with External Fixators in Children
Ha Yong Kim, Jong Hyun Park, Seung Hun Lee, Kap Jung Kim, Kwang Won Lee, Byung Sung Kim, Won Sik Choy
J Korean Soc Fract 2002;15(1):36-44.   Published online January 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.1.36
AbstractAbstract PDF
PURPOSE
This study was to assess the amount of overgrowth and convenience after external fixation of pediatric femoral fracture.
MATERIALS AND METHODS
Followed-up more than 18 months were 20 childrens treated with external fixator for femoral fracture(mean follow-up periods: 25.5 months). Mean age was 7.15 years(range: 4-11 years). End to end apposition was done on the closed reduction. Evaluation of the result was done with five parameters; clinical results, radiological results, parents`satisfaction with questionnaire, hospital fee and complications.
RESULTS
Clincal results were not any disability in all cases. No angulation deformity was estimated in all cases, and overgrowth was estimated average 4.8mm (range: -1 ~ 13mm). Answer for questionnaire was revealed satisfactory result. Total hospital fee was average 831 thousand won in external fixator group, and average 289 thousand won in treated group with cast.
CONCLUSION
We propose that external fixation in closed femoral shaft fractures of children could be a rational alternative mode of therapy, because it has excellent clinical & radiological results and parents were satisfied with its convenience & final results. Total hospital fee was statistically higher in external fixator group.

Citations

Citations to this article as recorded by  
  • Comparison of Flexible Intramedullary Nailing with External Fixation in Pediatric Femoral Shaft Fractures
    Do-Young Kim, Sung-Ryong Shin, Un-Seob Jeong, Yong-Wook Park, Sang-Soo Lee, Keun-Min Park
    The Journal of the Korean Orthopaedic Association.2008; 43(1): 30.     CrossRef
  • WDM-PON upstream transmission using Fabry–Perot laser diodes externally injected by polarization-insensitive spectrum-sliced supercontinuum pulses
    Yang Jing Wen, Chang-Joon Chae
    Optics Communications.2006; 260(2): 691.     CrossRef
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A clinical study of the patellar fracture
Ki Soo Kim, Seung Hee Ko, Kwang Joon Kim, Hyung Sung Kim, In Gui Back, Dong Myung Lee
J Korean Soc Fract 1993;6(2):255-261.   Published online November 30, 1993
DOI: https://doi.org/10.12671/jksf.1993.6.2.255
AbstractAbstract
No abstract available.
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