• Title/Summary/Keyword: 후방 탈구

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Traumatic Posterior Dislocation of the Shoulder with Ipsilateral Humeral Surgical Neck Fracture in a Child - A Case Report - (소아에서 동측 상완골 외과적 경부 골절을 동반한 외상성 견관절 후방 탈구 - 증례 보고 -)

  • Kang, Suk;Chung, Phil-Hyun;Kim, Jong-Pil;Kim, Young-Sung;Lee, Ho-Min;Kim, Jong-Hyun
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.80-83
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    • 2011
  • Purpose: Traumatic posterior dislocation of the shoulder in a child is extremely rare, and posterior dislocation of the shoulder concomitant with ipsilateral humeral surgical neck fracture has not been reported in a child previously in Korea. Materials and Methods: The authors treated a 10-year-old with posterior dislocation of left shoulder and an ipsilateral humeral surgical neck fracture, that occurred during Taekwondo practice, by open reduction of the shoulder and pin fixation under general anesthesia. Results: A normal range of motion with complete union and good remodeling was achieved without redislocation or avascular necrosis of humeral head at 1 year after surgery. Conclusion: The authors report a successfully treated case of traumatic posterior dislocation of the shoulder with an ipsilateral humeral surgical neck fracture in child.

Posterior Shoulder Dislocation with a Greater Tuberosity Fracture and Total Rupture of Rotator Cuff - A Case Report - (상완골 대결절 골절 및 회전근 개 전 파열이 동반된 견관절 후방 탈구 - 증례 보고 -)

  • Shin, Sung-Ryong;Kim, Do-Young;Lee, Sang-Soo;Ryu, Yun-Sik;Jung, Un-Seob;Choi, Hyun-Seok
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.227-231
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    • 2007
  • A posterior shoulder dislocation with a fracture is rare. Most fractures are impression fractures of the humeral head or lesser tuberosity fractures. However, there are no reports of a complete rupture of the rotator cuff with a combined posterior glenohumeral dislocation. We report a unique case of a posterior shoulder dislocation with an avulsion fracture of the greater tuberosity and a complete rupture of infraspinatus, teres minor and subscapularis tendons, which were treated surgically.

Treatment of Traumatic Sternoclavicular Joint Anterior Dislocation with a Sternal Fracture (흉골 골절과 동반된 외상성 흉쇄관절 전방 탈구의 치료)

  • Choi, Sung;Shin, Dong-Ju;Hwang, Seong-Mun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.76-81
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    • 2021
  • A traumatic dislocation of the sternoclavicular joint is a rare injury, and among them, anterior dislocation is more common than a posterior dislocation. Posterior dislocation is a potential risk by compressing the mediastinal structures, but an anterior dislocation has not been considered a risk. Traumatic sternoclavicular joint anterior dislocation associated with anterior angulation of a sternal fracture can develop mediastinal compression and have a risk in the same way as a posterior dislocation. This case report is about a traumatic sternoclavicular joint anterior dislocation with a sternal fracture accompanied by mediastinal compression that was treated surgically using a plate and showed relatively good clinical results. This rare case is reported along with a review of the relevant literature.

Bilateral Traumatic Locked Posterior Dislocation of the Shoulder - A Case Report - (외상 후 발생한 양측성의 견관절 잠긴 후방 탈구 - 증례 보고 -)

  • Lim, Jong-Min;Suh, Jeung-Tak;Ahn, Jae-Min
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.226-231
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    • 2009
  • Purpose: Bilateral traumatic locked posterior dislocations of the shoulder are very rare and there has been no report on the operative treatment for this injury in the Korean medical literature. Materials and Methods: We present here a case of bilateral locked posterior dislocations of the shoulders after trauma and this was successfully treated with open reduction and lesser tuberosity transfer on the right shoulder and subscapularis tendon transfer on the left shoulder. Results and Conclusion: Twenty-four months later, the clinical and radiologic results were excellent.

An Irreducible Posterolateral Dislocation of Knee by the Detached Femoral Cartilage - A Case Report - (대퇴 연골편에 의해 정복이 불가능한 슬관절 후외방 탈구 - 1예 보고 -)

  • Kim, Seong-Tae;Lee, Bong-Jin;Park, Woo-Sung;Lee, Sang-Hoon;Kim, Tae-Ho;Lee, Sung-Rak
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.126-129
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    • 2007
  • An irreducible dislocation of the knee joint is quite rare. Most irreducible knee dislocations are posterolateral dislocations and result from the soft tissue interposition. To the best of our knowledge, there is no report of an irreducible knee dislocation result from interposition of the detached cartilage from the medial femoral condyle. We present a case of 51 years old female with irreducible knee dislocation which was treated with an arthroscopic debridement of the detached cartilage, result in reduction of the joint, which is failed in closed reduction. And then we perform the delayed arthroscopic reconstructions for the ruptured anterior and posterior cruciate ligaments. Debridement of the interposed structure using the arthroscope allows for reduction of the joint and good result without the need for an open procedure.

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Neglected Elbow Dislocation Occurred 3 Years Ago: Open Reduction and Hinged External Fixation - A Case Report - (3년전이 경과된 진구성 주관절 탈구: 개방적 정복술과 경첩 외고정 장치 - 1예 보고 -)

  • Kim, Bo-Kun;Kim, Kyung-Cheon;Park, Jun-Yeong;Shin, Hyun-Dae
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.266-269
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    • 2010
  • Purpose: We report case of neglected elbow dislocation for three years. Material and method: A 45 years old female patient presented with neglected elbow dislocation for three years. Since the patient had contracture in both lateral and medial collateral ligament of elbow, dissection was done. After total separation of posterior articular capsule and incision of anterior articular capsule, by manual manipulation, reduction of radiohumeral and ulnohumeral joints were obtained. We applied modified Morrey type hinged external fixation in the elbow and done early elbow exercise. Result and Conclusion: Since we have experienced a satisfactory result in the case with neglected elbow dislocation for 3 years by using open reduction and hinged external fixation, we report it with the literature.

Posterior type II SLAP Lesion Combined with Posterior Bankart Lesion - A Case Report - (후방 Bankart 병변을 동반한 후방 II형 SLAP 병변 - 증례보고 -)

  • Cheon, Sang-Jin;Youn, Myung-Soo;Kim, Hui-Taek;Suh, Jeung-Tak
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.134-138
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    • 2008
  • SLAP(Superior labrum anterior to posterior) lesion is found in superior labrum injury alone and also combined with extension of the Bankart lesion(anteroinferior labral tear) in recurrent shoulder dislocation patients and rarely accompanied by the posterior Bankart lesion. There have been reports about SLAP lesions associated with various lesions, however, posterior type II SLAP lesion associated with posterior Bankart lesion has been rarely reported. In such a case, there are important technical tips in inserting anchors and suturing during arthroscopic repair. We experienced a rare case of posterior type II SLAP lesion associated with posterior Bankart lesion, occurred not after repetitive throwing(common mechanism) but after trauma in slipping down with the arm stretched during riding a bicycle. The satisfactory result was obtained after arthroscopic repair in this case.

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Treatment of Traumatic DislocationofMetacarpophalangeal Joint of the Thumb (무지 중수지 관절의 외상성 탈구 치료)

  • Rhee Seung-Koo;Song Seok-Whan;Lee Hwa-Sung;Chung Jin-Wha;Chung Do-Hyun;Lee Won-Hee
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.143-148
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    • 2002
  • Purpose: We examined patients to evaluate the clinical results of traumatic metacarpophalangeal(M-P) dislocations of the thumb, uncommon and irreducible. Materials and Methods: In 11 traumatic M-P dislocations of the thumb, the types of dislocations were 10 dorsal and 1 volar dislocations resulted from the impacted and hyperextended forces on thumb. Authors evaluated the possibility of closed reduction, the anatomical structures interfering with closed reduction, and the surgical approaches. Results: Eight cases were treated with open reduction through volar approach and two cases were treated with closed reduction. Joint fusion was done with a plate in a chronic case. Initial closed reduction was attempted in all cases, but succeeded in only 2 cases because the interposed ruptured volar plate, the flexor pollicis brevis tendon and ulnar sesamoid bone at the volar side of the M-Pjoint were the obstacles to reduce. The metacarpal head was caught in button-hole slit between theflexor pollicis brevis and the ruptured volar joint capsule in all cases. Conclusion: Similar with the M-P joint dislocations of other fingers, the dorsal complex M-P dislocations of the thumb due to hyper extension are unusual and can't easily be reduced by closed manipulation. It is necessary to pay attention to the ruptured volar plate, capsule, the subluxated portion ofthe sesamoid and flexor pollicis brevis as interfering structures.

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A Rare Case of Irreducible Knee Dislocation: Vastus Medialis Obliqus-Buttonholing of Medial Femoral Condyle - A Case Report - (정복 불가능한 슬관절 탈구의 드문 예: 내측광근의 단추구멍손상 - 증례 보고 -)

  • Kim, Hyoung-Soo;Park, Seung-Rim;Kang, Joon-Soon;Lee, Woo-Hyeong;Kim, Ki-Wook
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.41-44
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    • 2001
  • The muscular button holing of vastus medialis is a very rare case of irreducible knee dislocations, and rapid reduction of this can diminish the complications which delayed reduction accompanies. We diagnosed a patient who appeared posterolateral dislocation of the knee and protrusion of the medial femoral condyle with MRI grossly. That was reduced by open arthrotomy, followed the reconstruction of both cruciate ligaments and repair of medial collateral ligament. Patient didn't show joint instability except minor posterior sagging and had full range of motion postoperatively after 10 months.

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