1.Two Part Triplane Fracture with Extention through Medial Malleolus: Four Cases Report.
Seung Do CHA ; Hyung Soo KIM ; Soo Tae CHUNG ; Jeong Hyun YOO ; Jai Hyung PARK ; Joo Hak KIM ; Yong Hoon KIM
Journal of Korean Foot and Ankle Society 2009;13(2):179-183
The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias.Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.
Congenital Abnormalities
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Epiphyses
;
Growth Plate
;
Joints
2.Slipped Capital Femoral Epiphysis after Curettage of Juxtaphyseal Chondromyxoid Fibroma of the Femoral Neck.
In Young OK ; Yang Guk CHUNG ; Yang Soo KIM ; Seung Hwan HONG
The Journal of the Korean Orthopaedic Association 2003;38(1):101-103
Chondromyxoid fibroma is a relatively rare benign but potentially aggressive tumor of cartilagenous origin. It usually occurs in the metaphysis of the long bones and the most common site of involvement is near the growth plate of the proximal tibia. We experienced a case of chondromyxoid fibroma, which occurred in the juxtaphyseal portion of the femoral neck. It was treated by curettage and allogenic bone graft initially. Twenty-seven months after this first operation, the capital femoral epiphysis slipped, which was treated by screw fixation. Here, report a case of SCFE after curettage and bone graft for juxtaphyseal chondromyxoid fibroma at the femoral neck and include a brief review of literature.
Curettage*
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Epiphyses
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Femur Neck*
;
Fibroma*
;
Growth Plate
;
Slipped Capital Femoral Epiphyses*
;
Tibia
;
Transplants
3.Treatment of Slipped Capital Femoral Epiphysis: Percutaneous fixation with cannulated screw
Sung Joon KIM ; Kuhn Sung WHANG ; Joo Hee HAN ; Oh Jae KWON
The Journal of the Korean Orthopaedic Association 1995;30(4):876-885
The goals of treatment of the slipped capital femoral eiphysis(SCFE) are to stabilize the slipped epiphysis, prevent further slipping and induce early closure of the epiphyseal plate. Mutiple pinning was used for the treatment but in recent years, percutaneous in-situ fixation technique with 1 or 2 cannulated screws is preferred due to the advantages of low rate of complication such as pin penetration. We report the results of experimental study and the functional results after percutaneous pinning. The purpose of the experimental study was the investigation for changes of the screw length and the site of screw entry point according to the degree of slipping by bony model. The entry point of the screw was changed toward anterior and proximal portion of femoral neck and the length of inserting screw was changed to be shorter according to the degree of slip. We have treated 10 patients(13 hips) with slipped capital femoral epiphysis(SCFE) at our department since Jan. 1989. Among them, 6 patients(7 hips) could be followed for more than 2 years. There were 5 boys and 1 girl. One case was affected on the both hip. The average age at operation was 11.8 year old. All cases were obese. Degree of slipping was showed 6 cases in mild and 1 case in moderate. The slipping of acute onset was 3 cases, acute-on chronic 3 cases and chronic 1 case. In radiographic results, 6 cases were showing in Grade 0, 1 case was in Grade II. In functional results, 3 cases were excellent, 3 cases in good and 1 case in poor. One poor functional result was a case complicated by chondrolysis.
Epiphyses
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Female
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Femur
;
Femur Neck
;
Growth Plate
;
Hip
;
Humans
;
Slipped Capital Femoral Epiphyses
4.Limbic Bone of Vertebra 3 case of acute symptomatic limbic bone of vertebrae
The Journal of the Korean Orthopaedic Association 1979;14(3):568-571
Limbic bone or persistant epiphysis seen roentgenographically on the anterosuperior aspects of the vertebral bodies represents another form of discal extrusion, seperating a small fragment of bone from the body of the involved vertebra. Lindblom, in 1951, demonstrated the pathophysiology with discography. Anterior herniation of the nucleus pulposus was also revealed by discography by Cloword and Buzaid in 1952. The authors reviewed 3 cases of limbic bone of the vertebrae.
Epiphyses
;
Spine
5.Tibia Vara (Osteochondrosis Deformans Tibiae, Blount's Disease), Adolescent Type: A Case Report
Young Rai KEYM ; Myung Chul YOU ; Kwon Ick HA
The Journal of the Korean Orthopaedic Association 1973;8(2):145-147
The disease Blount called tibia vara in 1937, is characterized by a failure of growth localized to the postero-medial part of the upper tibial metaphysis and epiphysis. The growth of the epiphyseal cartilage as well as that of the metaphysis and the epiphysis is disturbed, with consequent angulation of the tibia at the upper epiphysis which may, in untreated cases, produce bizarre deformities. Blount described two different types of tibia vara, an infantile type and an adolescent type. Presenting case is an adolescent type. He is 11 year old boy. The deformed tibia is corrected by osteotomy.
Adolescent
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Congenital Abnormalities
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Epiphyses
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Growth Plate
;
Humans
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Male
;
Osteotomy
;
Tibia
6.Chondroblastoma: Analysis of 20 Cases
Hwan Mo LEE ; Soo Bong HAHN ; Dae Yong HAN ; Nam Hyun KIM ; Byeong Mun PARK ; Jun Suck SEO
The Journal of the Korean Orthopaedic Association 1990;25(4):1174-1182
Chondroblastoma is a rare primary neoplasm of bone which involves the epiphysis of the long bone and develops mostly in the 2nd decade of life. We reviewed the cases of twenty patients with chondroblastoma who were treated at the Department of Orthopaedic Surgery, Yonsei University College of Medicine between 1969 and 1989. All patients were followed for 1 year or longer. The results were as follows. 1. The proximal end of the humerus(25%) and the proximal end of the femur(25%) were the most common sites. 2. 85% of patients were between 11 to 20 years old and male to female ratio was 3:2. 3. The most common symptom was pain and in 30% of patients it was appeared after minor trauma. 4. The average diameter of lesion is 4.2cm in its long axis and the more longer the duration, the more larger the size of lesion. 5. Involvement of the epiphyseal plate was twice as common in the patients with a closing plate as in those with an open one. 6. The most common microscopic finding was the presence of chondroblast and chondroid matrix. 7. Two patients(10%) had a local recurrence. 8. The final functional results were considered to be good in sixteen(80%) patients. 9. Accurste localization of the lesion during biopsy is very important especially in the case of deep seated lesion.
Biopsy
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Chondroblastoma
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Chondrocytes
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Epiphyses
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Female
;
Growth Plate
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Humans
;
Male
;
Recurrence
7.Separation of Unfused Olecranon Epiphysis in an Adult Baseball Pitcher: A Case Report
The Journal of the Korean Orthopaedic Association 1995;30(6):1841-1845
Unfused olecranon epiphysis has been reported rarely. We found an unfused olecranon tip within joint and a few small spurs on the apposing olecranon fossa and removed it successfully through the arthroscope. We think that it is a part of secondary ossification center of the olecranon and tbat it was separated through the epiphyseal plate by repetitive impaction of the tip of the olecranon into the olecranon fossa during pitching. In conclusion, fusion of the intra-articular part(articular center) of the olecranon epiphysis can not occur by nature. Repetitive extension overload during pitching may cause symptoms, and could be treated with arthroscopic control.
Adult
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Arthroscopes
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Baseball
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Epiphyses
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Growth Plate
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Humans
;
Joints
;
Olecranon Process
8.A Case of Panhypopituitarism Due to Craniopharyngioma with Slipped Capitalis Femoral Epiphysis.
Jun Hee LEE ; Kyung Rae KIM ; Hi Yan PARK ; Jin Yang JU ; Young Duk CHAE ; Soo Jee YOON ; Ki Joong KIM ; Woo Il PARK ; Bong Soo CHA ; Young Duk SONG ; Sung Kil LIM ; Hyun Chul LEE ; Kap Bum HUH
Journal of Korean Society of Endocrinology 2002;17(1):104-109
Craniopharyngioma accounts for 3% to 5% of intracranial tumors and is the second most common neoplasm in the sellar region. Panhypopituitarism associated with craniopharyngioma has been reported in 7% of all patients with craniopharyngioma. Slipped capital femoral epiphysis is the condition in which the femoral head slips downward and backward on the femoral neck at the epiphyseal plate due to growth disturbance of capital physis, the actual cause of which is unknown. It is a disease of adolescence, during which many physiologic hormonal changes occur. The clinical association between slipped capital femoral epiphysis and endocrine disease is well known. There have been four cases of slipped capital femoral epiphysis associated with endocrine disorders in Korea. This is the first Korean case report of slipped capital femoral epiphysis combined with craniopharyngioma caused by hypopituitarism
Adolescent
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Craniopharyngioma*
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Endocrine System Diseases
;
Epiphyses*
;
Femur Neck
;
Growth Plate
;
Head
;
Humans
;
Hypopituitarism
;
Korea
;
Slipped Capital Femoral Epiphyses
9.Chondroblastoma of Temporal Bone.
Shi Chan KIM ; In Seok MOON ; Hae Yun KANG ; Won Sang LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 2002;45(2):174-177
Chondroblastoma is an uncommon primary benign bone tumor that usually arises in the epiphyses of the long bones. Chondroblastoma of temporal bone is extremely rare. Its biological nature is often benign but is sometimes aggressive because of the local invasion. Recently, the authors have experienced two cases of chondroblastoma of temporal bone which were completely excised. We report these cases of chondroblastoma of the temporal bone with a review of literature.
Chondroblastoma*
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Epiphyses
;
Temporal Bone*
10.A clinical study on slipped capital femoral epiphysis.
Byeong Mun PARK ; Hui Wan PARK ; Seok Beom LEE ; Jin Oh PARK
The Journal of the Korean Orthopaedic Association 1993;28(3):1061-1068
No abstract available.
Slipped Capital Femoral Epiphyses*