• Clinics in Shoulder and Elbow
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• 제9권1호
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• pp.119-123
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• 2006

Isolated avulsion of the lesser tuberosity of the humerus in adolescent is rare injury. The mechanism of injury is acute forced external rotation and with the arm in abduction which has been reported in children participating in sports such as football, hockey, volleyball, wrestling and skateboarding. The diagnosis is often delayed despite chronic pain and disability. Authors report the unique case of a skeletally immature adolescent Judo player who had an isolated avulsion of the lesser tuberosity of the humerus with the references.

• 대한관절경학회지
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• 제2권2호
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• pp.173-176
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• 1998

Isolated posterior cruciate ligament injuries are rare and their management is controversial. But, there is general concept that a bony avulsion of posterior cruciate ligament should be repaired. The treatments for the bony avulsion of posterior cruciate ligament were conservative treatment, open reduction and internal fixation and arthroscopic fixation. We report 2 cases of posterior cruciate ligament avulsion fractures, which were arthroscopically reduced and stabilized with cannulated screws and Kirschner wires, and introduce the arthroscopic fixation technique.

• 대한정형외과스포츠의학회지
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• 제1권1호
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• pp.61-64
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• 2002

소아에서후방십자인대의경골부착부위의견열골절은발생빈도가매우낮으며그보고된경우도드물다. 이에저자들은슬관절동통과종창을주소로내원하였으며, 슬관절 후방 슬와부에압통과 종창, 혈관절증, 후방 불안정성, 경골의 후방 전위, 슬관절신전제한소견을보이고있으며 방사선학적검사상후방십자인대의경골과간후면 부착부위에견열골절을 보이는13세 소년에게서 슬관절후방슬와부를 통한 견인 봉합술(pull-out suture)로 고정하여 치료한1예의 결과를 문헌 고찰과 함께보고하고자한다.

• 대한정형외과학회지
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• 제55권5호
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• pp.450-455
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• 2020

슬관절의 반월상연골 손상 중 내측 반월상연골 후방 기시부 파열은 잘 알려져 있다. 내측 반월상연골 전방 기시부 파열은 매우 드물게 보고되고 있으나 내측 반월상연골 전방 기시부의 외상성 견열 골절은 보고된 바가 없다. 저자들은 내측 반월상연골 전방 기시부 견열 골절을 경험하여 관절경적으로 치료한 증례를 보고하고자 한다.

• 대한족부족관절학회지
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• 제15권3호
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• pp.175-178
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• 2011

Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.

• 대한관절경학회지
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• 제10권2호
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• pp.184-186
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• 2006

슬관절 외측 측부 인대 단독 손상은 인대 부착부의 견열 골절, 또는 인대 실질 내 파열로 인한 것으로 보고되고 있다. 외측 측부 인대의 견열 골절의 치료는 anchor나 staple을 이용한 일차 봉합을 주로 시행하였다. 반월상 연골의 수복을 위하여 사용된 staple의 이완(loosening)이나 이동은 보고된 바 있으나, 외측 측부 인대의 복원을 위한 staple이 이완되거나, 이동한 예는 아직 보고되지 않았다. 저자들은 외측 측부 인대 복원을 위하여 사용된 staple이 관절 내로 이동한 예를 경험하여 이를 보고하고자 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권3호
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• pp.123-133
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• 2024

Dentoalveolar (DA) trauma, which can involve tooth, alveolar bone, and surrounding soft tissues, is a significant dentofacial emergency. In emergency settings, physicians might lack comprehensive knowledge of timely procedures, causing delays for specialist referral. This systematic review assesses the literature on isolated DA fractures, emphasizing intervention timing and splinting techniques and duration in both children and adults. This systematic review adhered to PRISMA guidelines and involved a thorough search across PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 1980 to December 2022. Inclusion and exclusion criteria guided study selection, with data extraction and analysis centered on demographics, etiology, injury site, diagnostics, treatment timelines, and outcomes in pediatric (2-12 years) and adult (>12 years) populations. This review analyzed 26 studies, categorized by age into pediatrics (2-12 years) and adults (>12 years). Falls were a common etiology, primarily affecting the anterior maxilla. Immediate management involved replantation, repositioning, and splinting within 24 hours (pediatric) or 48 hours (adult). Composite resin-bonded splints were common. Endodontic treatment was done within a timeframe of 3 days to 12 weeks for children and 2-12 weeks for adults. Tailored management based on patient age, tooth development stage, time elapsed, and resource availability is essential.

• Clinics in Shoulder and Elbow
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• 제19권3호
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• pp.155-162
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• 2016

Background: The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. Methods: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. Results: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. Conclusions: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability.