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10 "Fracture"
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Case reports
Treatment of Isolated Sternal Fracture with Ultrasound-Guided Paravertebral Nerve Block: a Case Report and Literature Review
Jun-Mo Park, Hyunjeong Kim
Kosin Med J. 2019;34(2):152-160.   Published online December 31, 2019
DOI: https://doi.org/10.7180/kmj.2019.34.2.152
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Abstract PDFPubReader   ePub   

In the case of isolated sternal fractures, conservative treatment with analgesics is common, but pain can persist for more than 10 weeks, which can significantly interfere with daily life. Ultrasound-guided paravertebral nerve block is reported to be a successful means of pain control in patients with chest wall injury or rib fracture.

A 70-year-old female patient presented with anterior chest pain that had persisted for 2 weeks despite conservative treatment. Sagittal reconstruction chest computed tomography and sternum lateral oblique x-ray revealed an isolated sternal fracture. An ultrasound-guided bilateral paravertebral nerve block was performed for pain control. After performing the procedure twice at a 1-week interval, the patient reported complete pain alleviation, and no other problems were observed over the 3-month follow-up period.

Ultrasound-guided bilateral paravertebral nerve block can help patients with isolated sternal fractures to manage pain and return to normal activities sooner than with oral analgesics.

A Comminuted Spiral Fracture with Butterfly Fragment of Distal Humerus by Arm Wrestling -A Case Report-
Gun Woo Lee, Jung-Hwan Son, Tae-Hun Kim
Kosin Med J. 2012;27(1):57-60.   Published online June 11, 2012
DOI: https://doi.org/10.7180/kmj.2012.27.1.57
  • 1,222 View
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  • 1 Citations
Abstract PDFPubReader   ePub   

The fracture of the humerus during arm wrestling are uncommon, but may occur in the shaft or medial condyle. In the shaft of humerus, the fractures are usually spiral and between the middle and distal third, with or without neurological involvement. A case of a comminuted spiral fracture with butterfly fragment of the distal third of the humerus is reported which had occurred during arm wrestling and was treated by open reduction and internal fixation. The possible mechanism of injury and the question of treatment are discussed.

Citations

Citations to this article as recorded by  
  • A Study on the Nutritional Status in Hospitalized Patients with Pulmonary Tuberculosis
    Hyunjai You, Yangha Kim
    The Korean Journal of Nutrition.2009; 42(7): 615.     CrossRef
Original articles
Treatment of Unstable Intertrochanteric Fracture with Bipolar Hemiarthroplasty of Hip in Elderly Population-Short-term Results-
Gun Woo Lee, Jae-Man Kwak, So Hak Chung
Kosin Med J. 2012;27(1):37-43.   Published online June 11, 2012
DOI: https://doi.org/10.7180/kmj.2012.27.1.37
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Abstract PDFPubReader   ePub   
Objectives

The aim of this study is to evaluate the short-term results and complications of treating the intertrochanteric fracture with bipolar hemiarthroplasty (BHA) in elderly population.

Methods

We retrospectively reviewed 31 unstable intertrochanteric fracture patients who were treated with BHA between January 2007 and August 2009 in older populations more than 65 years old. The 6 males and 25 females had a mean age of 79.8 years (range: 66-88) and a mean follow-up of 36.3 months (range: 24-55). We analyzed the radiological outcomes, functional recovery grade, using Jensen's social function score and Harris hip score (HHS), and complications.

Results

The average operation time and blood loss was 148.9 min (range, 110-215 min) and 455.2 mL (range, 200-1200 mL). Mean preoperative and postoperative hemoglobin (Hb) was 10.9 g/dL (range, 8.6-13.4 g/dL) and 10.5 g/dL (range, 5.1-14.1 g/dL) respectively. Average 1.3 pints of blood transfusion was performed. Ambulation with (or without) crutch was possible at mean 6.8 days postoperatively. The stability and alignment indices were adequate in all cases at final follow-up. On clinical results, the average HHS score, was changed from 79.7 points (range, 44-100) preoperatively to 73.0 points (range, 46-92) postoperatively, and the preoperative and postoperative Jensen's score was 1.8 (range, 1-3) and 2.1 (range, 1-4) respectively.

Conclusions

The BHA is an acceptable alternative for unstable intertrochanteric fractures in older population.

asal Packing with Airway Silicone Splint and Vaseline Gauze After Closed Reduction of Nasal Bone Fracture
Yea Sik Han
Kosin Med J. 2010;25(2):82-86.   Published online December 31, 2010
  • 245 View
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Anterolateral Plating of Distal Tibial Fracture by Minimally Invasive Plate Osteosynthesis Technique
Gu Hee Jung
Kosin Med J. 2009;24(1):14-17.   Published online June 30, 2009
  • 231 View
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Case reports
Femur Fracture in A Young Epileptic Person Taking Phenytoin
Yun Suk Ha, Kwang Soo Kim
Kosin Med J. 2009;24(1):176-179.   Published online June 30, 2009
  • 206 View
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A Case of Severe Renal Osteodystrophy with Pathologic Fractures of Vertebra
Song Ju Lee, Eun Mi Lee, Hark Rim, Yeon Soon Jung, Jae Ho Jang
Kosin Med J. 2008;23(4):234-238.   Published online December 31, 2008
  • 241 View
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Original article
Treatment of Tibial Fracture using Locking Compression Plate Surgical Experience and Early Clinical Results in 18 Fractures
Young Ho Kwon, Gu Hee Jung, Young Kyun Park
Kosin Med J. 2008;23(2):24-28.   Published online June 30, 2008
  • 243 View
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Case reports
Ankle Fracture
Jae Ho Jang, Jung Ho Rah, Jeong Hwan Shon, Jae Do Kim, Sung Keun Sohn
The Journal of Kosin Medical College. 1987;3(1):59-70.
  • 246 View
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A Case of Treatment of Growing Skull Fracture with Fascia Lata, Pericranial Patch and Rib Bone Graft
Myung Jong Lee, Woo Chang Chung, Dong Hyun Kim, Eul Je Joh, Suk Choo Chang, Yong Soon Hwang
The Journal of Kosin Medical College. 1996;11(1-2):135-142.
  • 194 View
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KMJ : Kosin Medical Journal