• Title/Summary/Keyword: orthopaedic

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Abnormal insertion of the anterior horn of medial meniscus to misdiagnosis to horizontal tear - A case report - (횡 파열로 오인하게 하는 내측 반월상 연골 전각부의 비정상적 삽입 - 증례 보고 -)

  • Kim, Dong-Hee;Gwark, Ji-Yong;Park, Jin-Seung;Hwang, Sun-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.124-128
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    • 2011
  • Many types of meniscal anomalies have been reported. The authors encountered one case of anomalous insertion of the anterior horn of the medial meniscus to the anterior horn of the lateral meniscus, which ran up along the course of the transverse ligament. This anomalous band was detected in MRI of the knee as a horizontal tear of anterior horn of the lateral meniscus but found during the operation as a anomalous insertion of the anterior horn of the medial meniscus. We report the case with a review of the literature.

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Pretibial Cyst after Anterior Cruciate Ligament Reconstruction Using bio-absorbable interference screw fixation - A Case Report - (생체분해성간섭나사를 이용한 전방십자인대 재건술 후 발생한 경골 근위부 낭종-증례 보고-)

  • Chun, Keun Churl;Kim, Jung Woo;Kim, Tae Kuyn;Chun, Churl Hong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.57-61
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    • 2012
  • Pretibial cyst formation is a rare complication after anterior cruciate ligament (ACL) reconstruction and there are only few cases reported. Pretibial cyst can be caused by variable reasons. Foreign body reaction due to breakdown of bio-absorbable screw for fixation, graft necrosis at tibial site, joint fluid leakage to tunnel and incomplete incorporation of graft to bony tunnel. The authors experienced one case of massive pretibial cyst after arthroscopic ACL reconstruction using bio-absorbable interference screw in 38-year-old male patient. Thus, authors report this rare case with literature view.

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Scapulothoracic Dissociation during Arresting - A Case Report - (체포 과정에서 발생한 견갑 - 흉곽 해리 - 증례보고 -)

  • Kim, Hyoung-Soo;Yoo, Jeong-Hyun;Yeom, Ju-Sang;Bae, Won-Ha
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.146-150
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    • 2008
  • Scapulothoracic dissociation is a rare injury caused by blunt force or massive traction to the anterolateral shoulder girdle with disruption of scapulothoracic articulation. This injury is characterized by massive soft-tissue swelling of the shoulder with intact skin, lateralization of damaged scapular. It frequently is accompanied by various musculoskeletal injuries and neurovascular injuries. 33-year-old man sustained a scapulothoracic dissociation without fracture and Vascular injuries during arresting. We report diagnostic method, clinical finding and non-operative management with literatures.

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Almost Spontaneously Developed Rupture of Bilateral Achilles Tendons - 1 case report - (거의 자연 발생된 양측 아킬레스건의 파열 - 1예 보고 -)

  • Park, In-Heon;Song, Kyung-Won;Shin, Sung-Il;Lee, Jin-Young;Park, Sung-Jin;Hyun, Youn-Seok
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.106-110
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    • 2002
  • The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

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Lateral Supramalleolar Flap for Reconstruction of Soft Tissue Defect around the Ankle Joint

  • Han, Soo-Hong;Kim, Seong-Hui;Lee, Soon-Chul;Lee, Ho-Jae;Kim, Woo-Hyun;Bong, Sun-Tae;Song, Won-Tae
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.13-17
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    • 2014
  • Purpose: Soft tissue defect on foot and ankle is vulnerable and requires a thin flap for improvement of aesthetic and functional results. Lateral supramalleolar flap is a simple and fast procedure, which can preserve and supply reliable constant blood flow, and causes fewer donor site complications. The authors reviewed our cases and report the clinical results. Materials and Methods: Ten cases of soft tissue defects on the lower leg, around the ankle were treated with lateral supramalleolar flap. There were seven males and three females with a mean age of 54.8 years. The mean size of flaps was $5.9{\times}6.3$ cm and the mean follow-up period was 23 months. Flap survival and postoperative complications were evaluated. Results: Nine flaps survived completely without loss of flap. There was one case of partial wound dehiscence requiring debridement and repair, and another case of necrotic flap change requiring partial bone resection and closure. All patients were capable of weight bearing ambulation at the last follow up. Conclusion: The authors suggest that the lateral supramalleolar flap could be a useful option for treatment of soft tissue defect around the ankle joint.

Bilateral Congenital Deficiency of The Anterior Cruciate Ligament (선천성 양측 전방십자인대 결핍)

  • Park Seung Rim;Kim Hyoung Soo;Kang Joon Soon;Lee Woo Hyeong;Lee Joo Hyung;Lee Tong Joo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.108-111
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    • 1997
  • Congenital deficiency of the anterior cruciate ligament (ACL) is a rare disorder that has been reported in association with other knee dysplasia like as congenital knee dislocation. congenital short femur, congenital absence of menisci, congenital ring meniscus, and thrombocytopenia-absent radius syndrome. There has been no published explanation about the etiology of bilaeral ACL deficiencies without other abnomality. The patient of congenital ACL deficiency must be carefully inspected about combined anomaly. Those efforts may be helful in treatment or ACL deficient patients and evaluation of pathophysiology or ACL deficiency. However there has not been a ruptured congenital deficiency of the ACL without other dysplasia or the knee and other congenital skeletal abnomalities. We reported a case of symptomatic bilateral congenital deficiencies of the ACL which have not been associated with other skeletal abnormalities.

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Surgical Treatment for Plantar Keratosis Using Vertical Chevron Osteotomy (배면 갈매기형 절골술을 이용한 족저각화증의 수술적 치료)

  • Yoo, Seong-Ho;Kim, Bu-Hwan;Song, Mu-Ho;Ahn, Seong-Jun;Lee, Min-Su;Kang, Suk-Woong
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.31-35
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    • 2010
  • Purpose: Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically. Materials and Methods: Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients' satisfaction and disappearance of plantar lesion. Results: The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared. Conclusion: We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.

Recurrent Dorsal Compartment Syndrome of the Upper Arm After Blunt Trauma

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong;Yang, Jae-Hoon;Kim, Dong-Kyu;Cha, Soo-Min
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2009.03a
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    • pp.160-160
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    • 2009
  • Compartment syndrome is not uncommon in the forearm or lower extremity, but it is relatively rare in the upper arm. This rarity might delay the diagnosis, especially in the unconscious or intoxicated patient. Therefore, a high index of suspicion is needed to make an accurate, early diagnosis. Although excessive muscle strain leading to localized compartment syndrome is seldom encountered in the upper arm, three cases of compartment syndrome in the upper arm after blunt injury have been reported. Interestingly, there were no bony injuries in any of these patients. However, there are only two reports of isolated dorsal compartment syndrome after blunt trauma. The present report presents the case of a patient who had blunt trauma to the upper arm that resulted in the development of compartment syndrome in the isolated dorsal compartment of the upper arm.

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Periosteal chondroma of the proximal humerus - A case report - (상완골에 발생한 골막 연골종 - 1례 보고 -)

  • Ahn B.W.;Jung S.W.;Kim B.H.;Cho J.I.;Wang K.T.;Kim W.S.;Kim C.K.
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.166-169
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    • 2005
  • Periosteal chondroma is a slow growing benign chondroid tumor. It erode the surface of cortex and induce a saucer shape defect. Histologically, it occasionally show hypercellularity, mitosis which can lead to the erroneous diagnosis of malignant tumor. Clinical, radiographic and pathological investigations are necessary to establish the diagnosis. Marginal excision proved an effective treatment. To our knowledge, this benign chondroid tumor of humerus has never been previously reported in Korea. We report a case of periosteal chondroma of proximal humerus mimicking periosteal chondrosarcoma.

Tardy Ulnar Nerve Palsy Caused by Bilateral Cubitus Varus Deformities - A Case Report - (양측성 내반주 변형에 동반된 지연성 척골 신경 마비(1례 보고))

  • Lee Sang Yup;Kim Jeong Hwan;Lee Sang Gug;Chung Chae Ik;Kim Young Hwan;Hwang Sik
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.209-213
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    • 1999
  • It is well known that tardy ulnar nerve palsy occurs with cubitus valgus deformity as a late complication after a nonunion of lateral condyle fracture of the humerus in childhood. On the other hand, cubitus varus deformity often results from malunion of supracondylar fractures of the humerus. However, reports of tardy ulnar nerve palsy in cubitus varus deformity are few. We report a patient with bilateral cubitus varus deformities with bilateral tardy ulnar nerve palsy which was confirmed with EMG. She was treated by step cut osteotomy(DeRosa and Graziano) with sub­cutaneous anterior transposition of ulnar nerve.

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