89 results on '"Jae-Jung Jeong"'
Search Results
2. Narrow locking compression plate vs long philos plate for minimally invasive plate osteosynthesis of spiral humerus shaft fractures
- Author
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Jae-Jung Jeong, Sang-Eun Park, Hwan-Hee Lee, Jong-Hun Ji, Min-Sik Park, and Yong-Taek Park
- Subjects
Minimally invasive plate osteosynthesis (MIPO) ,Spiral humeral shaft fractures ,Narrow locking compression plate ,Long philos plate ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract Background Our hypothesis was that minimally invasive plate osteosynthesis (MIPO) using long philos plate (LPP) would show better clinical and radiological outcomes and less complications than narrow locking compression plate (NLCP) for spiral humerus shaft fractures with or without metaphyseal fracture extension. Methods From January 2009 to May 2016, we retrospectively studied 35 patients who underwent MIPO for spiral humerus shaft fractures with or without metaphyseal fracture extension (AO classification 12 A, B, C except A3). Eighteen patients underwent MIPO with a 4.5 mm NLCP (group I) in the early period of this study, while 17 patients underwent MIPO with LPP (group II) in the later period. Range of motion (ROM), pre- and post-operative anteroposterior (AP) and lateral angulation of the fracture, operation time, amount of bleeding, and functional outcomes including American Shoulder and Elbow Surgeons score, University of California at Los Angeles score, and Simple Shoulder Test score were analyzed at the final follow up. Results All patients had complete bony union and achieved satisfactory functional outcomes except 2 patients. In LPP group, better outcomes in postoperative fracture angulation on X-ray and operation time (p
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- 2019
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3. Rotational Distal Chevron Osteotomy for Correction of Hallux Valgus Associated with Metatarsus Adductus and Large Distal Metatarsal Articular Angle
- Author
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Jae-Jung Jeong MD
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Orthopedic surgery ,RD701-811 - Abstract
Category: Bunion Introduction/Purpose: Hallux valgus treatment in the setting of associated metatarsus adductus is less common and not well described. The presence of metatarsus adductus reduces the gap between the first and second metatarsals. Consequently, it complicates the measurement of the first-second intermetatarsal angle and can limit the area available for transposition of the first metatarsal head. If distal metatarsal articular angle (DMAA) is also increased here, it is difficult to correct. We investigated the effects of rotational distal chevron metatarsal osteotomy (DCMO) on hallux valgus associated with metatarsus adductus and increased DMAA. Methods: Twelve patients, (12 female, 15 feet), of average age 59 (SD 23) with symptomatic hallux valgus associated with metatarsus adductus and increased DMAA underwent a rotation DCMO and were reviewed at an average of 12 months postoperatively. Clinically preoperative and postoperative AOFAS hallux MP-IP scale and satisfaction after the surgery were analyzed. Radiologically hallux valgus angle, the 1st intermetatarsal angle, DMAA before and after the operation was analyzed. Results: Distal Chevron osteotomy was done in 15 cases. After DCMO, The distal fragment was translated to laterally as far as possible and rotated to reduce DMAA. Clinically AOFAS scale was increased from 65.3 points preoperatively to 92.2 points postoperatively. Two patients were not satisfied with the results. Radiologically hallux valgus angle was decreased from 21.8° preoperatively to 8.5° postoperatively. The first intermetatarsal angle was decreased from 11.8° preoperatively to 6.7° postoperatively. DMAA was decreased from 15.8° preoperatively to 5.5° postoperatively. Conclusion: The rotational DCMO was an effective procedure for correcting hallux valgus associated with metatarsus adductus and increased DMAA. It allowed good realignment of the first MTP joint without the need for lesser metatarsal surgery to reduce the metatarsus adductus.
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- 2019
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4. Does Flatfoot Deformity Develop After Transfer of Posterior Tibial Tendon for the Foot Drop Secondary to Peroneal Nerve Palsy?
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Seung-Myung Choi MD, Byung-ki Cho MD, PhD, Chan Kang MD, Jae-Jung Jeong M.D., Ph.D., and Jun-Beom Kim MD
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Orthopedic surgery ,RD701-811 - Abstract
Category: Other Introduction/Purpose: Posterior tibial tendon transfer is preferred by many colleagues for cases of drop foot caused by peroneal nerve palsy that are at least a year old with little chance of motor improvement. However, several studies have reported acquired flat foot deformity following tendon transfer, to best of our knowledge, no studies have been performed to assess whether posterior tibial tendon transfer influences occurrence of postoperative flat foot deformity quantitatively. Methods: With IRB approval, a retrospective review was performed. Twenty-four patients were followed for more than 2 years after anterior transfer of TP tendon by one surgeon for the foot drop by peroneal nerve palsy from 2008 to 2013. The mean age was 35.9 years, and the mean follow-up period was 50.5 months. There were 10 female and 14 male patients. The clinical evaluation consisted of the Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAM). The radiological evaluation consisted of the calcaenal pitch, Meary angle, heel alignment angle. As functional evaluation, isokinetic dynamometer muscle function analysis was performed. Results: The overall FAOS demonstrated a significant improvement from preoperative (55.6 on average) to postoperative measurement (89.2 on average) (P < .01), the ADL and sports subsection of FAAM demonstrated a improvement from preoperative to postoperative measurement (ADL: from 45.6 to 87.3; sports: from 32.8 to 81.5 on average, respectively; P < .01). Radiology revealed that there were no changes in the foot alignment from pre- to postoperative measurement. Postoperative isokinetic strength was significantly lower as compared contralateral normal side. Two patients sustained postoperative complications in the WTHG (16.7%). Conclusion: The results of our study demonstrated that there was no evidence that loss of the normal function of the tibialis posterior lead change in foot alignment such as flat foot deformity. Transfer of posterior tibial tendon offers successful result for the foot drop secondary to peroneal nerve palsy in selected cohorts, altough long-term peroids follow up would be needed.
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- 2016
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5. Analysis of Clinical Outcomes and Prognostic Factors in Bosworth Fractures
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Byung-ki Cho MD, PhD, Seung-Myung Choi MD, Chan Kang MD, Jae-Jung Jeong M.D., Ph.D., and Jun-Beom Kim MD
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Orthopedic surgery ,RD701-811 - Abstract
Category: Trauma Introduction/Purpose: Unlike routine ankle fractures, Bosworth fracture-dislocation lead to devastating complication such as compartment syndrome, neurovascular injury, and subsequent ankle OA more frequently. However, due to the low incidence of this injury, no study have reported clinical outcomes of Bosworth fracture in comparison to which of routine ankle fractures or these prognostic factors. Therefore this study was performed to assess and compare the outcomes of Bosworth fracture- dislocation to that of routine ankle fractures and understand the prognostic factors in order to prevent the irreversible and severe status. Methods: Twelve patients were followed for more than 1 years after surgical management for Bosworth fracture-dislocation. The mean age was 39.2 years, and the mean follow-up period was 38.4 months. All patients were treated with ORIF including syndesmosis fixation. The clinical evaluation consisted of the AOFAS ankle-hindfoot score, Olerud & Molander scale. Reduction of tibiofibular syndesmosis and restoration of the ankle mortise were evaluated with plain radiographs and 3-D CT. The clinical and radiological outcomes were compared to those of routine ankle fractures (50 patients). To detect prognostic factors affecting the clinical results, age, fixation methods, interval to operation, existence of post. malleolar fractue, shape of fibular fracture, number of syndesmotic screw, frequency of closed reduction trial were studied. Results: Clinical results of Bosworth fracture-dislocation showed improvement including AOFAS score (87.6 on average) and Olerud and Molaner scale (89.7 on average), and corresponded to those results of routine ankle fracture (p = 0.234). All the patients achieved union in 12.6 weeks on average. However, postoperative CT revealed syndesmotic diastasis in 5 of 12 cases As complication, there were two cases of compartment syndrome, 2 cases of posttraumatic OA, 2 cases of ankle stiffness. Interval to operation and frequency of closed reduction trial were foud to be predictive factors of poor outcomes (p = 0.003, 0.011 respectively). Conclusion: The results of our study showed that although the clinical results were comparable statistically, Bosworth fracture are more frequently associated with the development of complications than routine ankle fractures. More specifically, prolonged interval between occurrence of fracture and surgical fixation and repeated attempts of closed reduction are at risk for poor outcomes. A prospective study with sufficient power would be needed to further identify risk factors associated with complications.
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- 2016
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6. May-Thurner Syndrome Appearing as Recurrent Swelling and Cellulitis in the Left Leg and Foot.
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Jaehoon Kim, Woo-Jin Lee, and Jae-Jung Jeong
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FOOT radiography ,LEG radiography ,SEDENTARY lifestyles ,INFLAMMATION ,MAY-Thurner syndrome ,CELLULITIS ,LEG ,TREATMENT effectiveness ,FOOT ,EDEMA ,SYMPTOMS - Abstract
The authors have diagnosed and treated patients with May-Thurner syndrome who presented with recurrent edema and redness in the left lower leg and foot. Although May--Thurner syndrome is a rare vascular disease, its primary symptoms manifest as edema and redness in the left lower leg and foot, leading the patients to seek foot and ankle surgery. Suspicion should be directed towards May-Thurner syndrome if an obese individual who spends prolonged periods sitting repeatedly complains of edema and redness in the left lower leg and foot area, in which a blood clot forms due to compression of the left common iliac vein within the pelvis. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Deep vein thrombosis in the thigh: MR imaging in two cases with atypical presentations
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Yeon Soo, Lee, Jichang, Kim, and Jae Jung, Jeong
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Venous Thrombosis ,Leg ,Lower Extremity ,Thigh ,Humans ,Radiology, Nuclear Medicine and imaging ,Magnetic Resonance Imaging - Abstract
Deep vein thrombosis (DVT) is a common clinical problem affecting the lower extremities. Prompt imaging of suspected DVT is helpful for rapid diagnosis and proper treatment. However, patients without clear predisposing factors for DVT may be directed to alternative diagnoses of a musculoskeletal disorder. The few case reports and studies of magnetic resonance (MR) imaging of unsuspected DVT are limited to the calf and knee. Here, we report two cases with a rare presentation of thigh MR imaging of unsuspected DVT. Identifying branching, abnormal intraluminal signals on fluid-sensitive imaging, or rim-enhancing tubular structures within the edema of the thigh muscle is important for differentiating intramuscular DVT from other thigh pathologies.
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- 2021
8. Diagnosis and treatment of Charcot arthropathy in diabetic patients
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Jae Jung Jeong
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musculoskeletal diseases ,medicine.medical_specialty ,business.industry ,Arthropathy ,medicine ,General Medicine ,medicine.disease ,business ,Dermatology - Abstract
Background: Charcot joint or neurogenic arthropathy in diabetes is a late complication invading the foot and ankle that results in dislocation, instability, and deformity of the affected area. Sensory neuropathy leads to numbness and malalignment of the foot and ankle or inadequate post-traumatic response, which results in progressive fractures, multiple joint dislocations, ulcerations, osteomyelitis, and amputation. Because of such serious consequences, understanding of pathophysiology is important in determining treatment strategies. Early diagnosis and appropriate treatment can prevent this destructive process.Current Concepts: The number of adults diabetic patients continuously increases. Health care and life expectancy will continue to improve with the development of medicine. As a result, the incidence of diabetes-related complications will increase. Diabetic Charcot joint will have a serious negative impact on the quality of life and financial burden on the diabetic patients. The goal of treatment for Charcot joint is not to build a normal foot, but to make a stable plantigrade foot that can be worn shoes. Therefore, it would be most important to understand the progress and characteristics of the disease and to develop an appropriate plan in order to select the appropriate treatment method.Discussion and Conclusion: Understanding Charcot joint and familiarization with its appropriate treatment should reduce the number of the cases of diabetic Charcot joint patients with disabilities or amputations.
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- 2021
9. Distal chevron metatarsal osteotomy is a viable treatment option for hallux valgus with metatarsus adductus—multicentre retrospective study
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Taehong Kee, Sangpil So, Dong-Kyo Seo, Ho Seong Lee, Young Rak Choi, Jae-Jung Jeong, and Jaehyung Lee
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medicine.medical_specialty ,Visual analogue scale ,Radiography ,Metatarsus adductus ,03 medical and health sciences ,0302 clinical medicine ,Deformity ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Hallux Valgus ,Metatarsal Bones ,Retrospective Studies ,Metatarsus Varus ,030203 arthritis & rheumatology ,030222 orthopedics ,biology ,business.industry ,Retrospective cohort study ,biology.organism_classification ,Osteotomy ,Surgery ,Valgus ,Concomitant ,Orthopedic surgery ,medicine.symptom ,business - Abstract
The purpose of this study was to evaluate the radiographic and clinical outcomes of patients with hallux valgus (HV) with concomitant metatarsus adductus (MA) treated with distal chevron metatarsal osteotomy (DCMO), without any procedure for the second or third metatarsal.A multicentre retrospective study involving four hospitals was conducted. A total of 45 feet from 38 patients who had received DCMO for HV with MA with at least one year post-operative follow-up were analysed. HV angle (HVâ), inter-metatarsal angle (IMâ), MA angle (MAâ), and the lateral sesamoid grade were measured. Foot function index (FFI) and visual analogue scale (VAS) were recorded. Patients were divided into mild (18° ≤ MAâ 20°) and moderate (20° ≤ MAâ) MA groups, and results were compared.The mean HVâ and IMâ improved significantly from 35.1° and 14.4° pre-operatively to 10.6° and 7.1° one year post-operatively (p 0.001). There were no differences in pre-operative HVâ, IMâ, or the sesamoid grade, and also no difference in post-operative HVâ or the sesamoid grade between mild and moderate MA groups. Only the mean post-operative IMâ showed a difference between the two groups (8.3° vs. 6.3°; p = 0.019). All clauses of FFI and VAS improved significantly (p 0.001). When the extent of improvement was compared between the two groups, there were no significant differences in any category (p 0.05). The total rate of recurrence (HVâ ≥ 20°) was 11.1% (5/45), and although the moderate group (4/29, 13.8%) had a higher proportion than the mild group (1/16, 6.3%), this was not statistically significant (p = 0.641).DCMO for patients with HV with MA had satisfactory radiographic and clinical outcomes with minimal recurrence. Except in cases of severe combined deformity, we recommend performing DCMO alone without any additional procedure or manipulation of the other metatarsals as a viable treatment option.
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- 2021
10. Nonoperative Treatment of Achilles Tendinopathy
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Jae Jung Jeong
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medicine.medical_specialty ,business.industry ,Medicine ,Tendinopathy ,business ,medicine.disease ,Nonoperative treatment ,Surgery - Published
- 2021
11. Medialization of medial row anchor via the Nevasier portal yield enhanced footprint and outcomes in medium-to-large rotator cuff tears
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Jae-Jung Jeong, Won-Ha Hwang, Seungbae Oh, Kaushal Patel, Jong-Hun Ji, and Joon-Hyung Cho
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Male ,medicine.medical_specialty ,Rotator Cuff Injuries ,Footprint ,Arthroscopy ,03 medical and health sciences ,0302 clinical medicine ,Suture Anchors ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rotator cuff ,Aged ,Retrospective Studies ,030222 orthopedics ,business.industry ,Suture Techniques ,030229 sport sciences ,Middle Aged ,Surgery ,Tendon ,Radiography ,medicine.anatomical_structure ,Coronal plane ,Cuff ,Orthopedic surgery ,Tears ,Female ,Range of motion ,business - Abstract
To evaluate clinical and radiological outcomes of medial row anchor insertion between 90° or 45° (deadman) angle in the suture-bridge rotator cuff repair of medium-to-large rotator cuff tears. This retrospective analysis included 113 consecutive patients undergoing arthroscopic suture-bridge repair for medium-to-large rotator cuff tears (mean tear size: 2.8 × 2.3 cm) between 2010 and 2013. The patients were divided into two groups: group I (53 patients) and group II (60 patients) involving 90° and 45° medial row anchors, respectively. The conventional lateral row anchors were inserted in the suture-bridge repair. The clinical outcomes at 2 years and radiological outcomes including re-tear or footprint coverage (anteroposterior length and mediolateral width) of the repaired tendon using postoperative MRI were evaluated. Clinical outcome scores were significantly improved in both groups. However, Group I (90° anchor insertion group) showed better clinical scores without the difference of range of motion. The postoperative MRI revealed enlarged footprint coverage with 90° medial row anchor. The repaired footprint cuff size (mediolateral width) in the coronal plane MRI showed a statistically significant difference (45°: 19 mm vs. 90°: 24 mm) (p
- Published
- 2019
12. Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly
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Won-Ha Whang, Jong-Hun Ji, Bong-Seok Choi, Sang-Eun Park, Chae-Gwan Kong, and Jae-Jung Jeong
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Periprosthetic ,Bone healing ,03 medical and health sciences ,0302 clinical medicine ,Notching ,Asian People ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Acromion ,Range of Motion, Articular ,Aged ,Aged, 80 and over ,030222 orthopedics ,Shoulder Joint ,business.industry ,030229 sport sciences ,General Medicine ,Humerus ,medicine.disease ,Arthroplasty ,Surgery ,medicine.anatomical_structure ,Arthroplasty, Replacement, Shoulder ,Orthopedic surgery ,Shoulder Fractures ,Female ,Heterotopic ossification ,business ,Case series - Abstract
Fracture stem of the reverse total shoulder arthroplasty (RTSA) was designed for better tuberosity bone healing for the proximal bone defect of complex proximal humeral fractures (PHF). Our purpose was to compare the clinical and radiological outcomes of patients using fracture stem vs non-fracture (conventional) stem of RTSA in complex PHF of elderly patients. Between 2008 March and 2017 June, 48 patients who had undergone an RTSA with non-fracture or fracture stem for complex PHF with a minimum 18 months of follow-up were evaluated. Finally, total 45 patients with a mean age of 80 ± 7 years (65–92 years) were enrolled because three patients were excluded due to age related mortality. We divided them into two groups: 25 patients using non-fracture stem (non-fracture stem group) in the early period of this study, and consecutive 20 patients using fracture stem (fracture stem group) in the later period. Between two groups, we compared clinical and radiologic outcomes such as tuberosity failure, heterotopic ossification (HO), dislocation, acromion fracture, notching, loosening and periprosthetic fracture. In all patients, clinical outcomes were improved significantly and tuberosity failure was found in 62% (28/45). Between two groups, there were no statistically significant differences on clinical outcomes and radiologic outcomes except UCLA score. As complications, two humeral stem revision was performed due to tuberosity failure related HO and stem loosening with subsequent periprosthetic fracture in non-fracture stem group. Compared to non-fracture stem, fracture stem usage of RTSA in complex PHF of elderly patients has no significant different impact on clinical and radiological outcomes. However, tuberosity failure related secondary HO of non-fracture stem might be responsible for stem loosening and periprosthetic fracture in the RTSA for complex PHF of elderly patients. Level IV, case series study.
- Published
- 2019
13. Delayed Lateral Row Anchor Failure in Suture Bridge Rotator Cuff Repair: A Report of 3 Cases
- Author
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Jong-Hun Ji, Jae Jung Jeong, and Seok Jae Park
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medicine.medical_specialty ,Future studies ,Insertion angle ,Geography, Planning and Development ,Footprint ,Case Report ,Management, Monitoring, Policy and Law ,03 medical and health sciences ,0302 clinical medicine ,Lateral row anchors ,medicine ,Suture bridge rotator cuff repair ,Rotator cuff ,Repair strength ,Orthodontics ,Suture bridge ,030222 orthopedics ,business.industry ,030229 sport sciences ,medicine.anatomical_structure ,Pull-out ,Single row ,Orthopedic surgery ,Cuff ,Osteoporotic bone ,business - Abstract
Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.
- Published
- 2018
14. Clinical Features of Tibialis Anterior Tendon Rupture.
- Author
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Sang-Eun Park, Huyn-Sik Jun, and Jae-Jung Jeong
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AGE distribution ,SKIN injuries ,TIBIALIS anterior ,SEX distribution ,TREATMENT delay (Medicine) ,DESCRIPTIVE statistics ,TENDON rupture ,RARE diseases ,SYMPTOMS - Abstract
Purpose: Tibialis anterior tendon rupture is uncommon and usually caused by laceration. Rupture with an open window is often considered simple laceration, and thus diagnosis is often overlooked or delayed. The purpose of this study was to analyze the clinical features of tibialis anterior tendon rupture. Materials and Methods: Twenty-two patients treated for tibialis anterior tendon rupture from March 2015 to December 2019 were examined. Age, sex, rupture etiology, rupture location, and diagnostic and treatment delays were investigated. Results: Mean patient age was 45.7 years, and there were 14 males and 8 females. In 18 cases, rupture was caused by laceration and in 4 by spontaneous rupture. Of the 18 cases caused by laceration, 8 were lawnmower related, 8 were glass injuries, and 2 were caused by crush or degloving injuries, respectively. Three of the 4 spontaneous rupture cases and 4 of the 18 caused by laceration were overlooked. Conclusion: Tibialis anterior tendon rupture is rare and is easily overlooked. Close physical examination is essential to arrive at a correct initial diagnosis in patients with acute or chronic rupture, and greater care is needed in cases of glass injury. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
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15. Narrow locking compression plate vs long philos plate for minimally invasive plate osteosynthesis of spiral humerus shaft fractures
- Author
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Hwan-Hee Lee, Jong-Hun Ji, Min-Sik Park, Yong-Taek Park, Jae-Jung Jeong, and Sang-Eun Park
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Male ,Humeral Fractures ,medicine.medical_specialty ,lcsh:Diseases of the musculoskeletal system ,Sports medicine ,medicine.medical_treatment ,Operative Time ,Elbow ,Spiral humeral shaft fractures ,Fracture Fixation, Internal ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Elbow Joint ,medicine ,Humans ,Minimally Invasive Surgical Procedures ,Narrow locking compression plate ,Orthopedics and Sports Medicine ,Postoperative Period ,Range of Motion, Articular ,Reduction (orthopedic surgery) ,Spiral ,Retrospective Studies ,Fixation (histology) ,Fracture Healing ,030203 arthritis & rheumatology ,030222 orthopedics ,business.industry ,Humerus ,Middle Aged ,Compression (physics) ,Prosthesis Failure ,Surgery ,body regions ,Treatment Outcome ,medicine.anatomical_structure ,Minimally invasive plate osteosynthesis (MIPO) ,Orthopedic surgery ,Long philos plate ,Female ,lcsh:RC925-935 ,Range of motion ,business ,Bone Plates ,Research Article - Abstract
Background Our hypothesis was that minimally invasive plate osteosynthesis (MIPO) using long philos plate (LPP) would show better clinical and radiological outcomes and less complications than narrow locking compression plate (NLCP) for spiral humerus shaft fractures with or without metaphyseal fracture extension. Methods From January 2009 to May 2016, we retrospectively studied 35 patients who underwent MIPO for spiral humerus shaft fractures with or without metaphyseal fracture extension (AO classification 12 A, B, C except A3). Eighteen patients underwent MIPO with a 4.5 mm NLCP (group I) in the early period of this study, while 17 patients underwent MIPO with LPP (group II) in the later period. Range of motion (ROM), pre- and post-operative anteroposterior (AP) and lateral angulation of the fracture, operation time, amount of bleeding, and functional outcomes including American Shoulder and Elbow Surgeons score, University of California at Los Angeles score, and Simple Shoulder Test score were analyzed at the final follow up. Results All patients had complete bony union and achieved satisfactory functional outcomes except 2 patients. In LPP group, better outcomes in postoperative fracture angulation on X-ray and operation time (p
- Published
- 2019
16. Trans-tendon suture bridge rotator cuff repair with tenotomized pathologic biceps tendon augmentation in high-grade PASTA lesions
- Author
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Jae-Jung Jeong, Jong-Hun Ji, Sang-Eun Park, Hwan-Hee Lee, Bong-Seok Choi, and Sehoon Jung
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Adult ,Male ,medicine.medical_specialty ,Biceps ,Rotator Cuff Injuries ,Avulsion ,Tendons ,03 medical and health sciences ,Rotator Cuff ,0302 clinical medicine ,Deformity ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rotator cuff ,Range of Motion, Articular ,Aged ,Retrospective Studies ,030222 orthopedics ,business.industry ,Suture Techniques ,030229 sport sciences ,General Medicine ,Middle Aged ,Plastic Surgery Procedures ,Tendon ,Surgery ,medicine.anatomical_structure ,Tenotomy ,Cuff ,Orthopedic surgery ,Female ,medicine.symptom ,Range of motion ,business - Abstract
The purpose of this study was to evaluate whether trans-tendon suture bridge repair with tenotomized pathologic biceps tendon augmentation improves mid-term clinical outcomes for high-grade partial articular-sided supraspinatus tendon avulsion (PASTA) lesions or not. A retrospective review of a consecutive series of arthroscopic trans-tendon suture bridge repair with tenotomized pathologic biceps tendon augmentation was conducted. Total 115 patients (44 men and 71 women) with minimum 2 years follow-up were enrolled in our study. Their mean age was 59.7 ± 7.6 (38–77) years and mean follow-up were 6.9 ± 2.5 (2 ~ 10) years. Clinical assessment and radiological outcomes using post-operative MRI were evaluated at last follow-up. All these tears were high-grade PASTA lesions in which mean cuff tear size (exposed footprint) was anteroposterior length 15.7 ± 6.3 mm (5–25 mm) and mediolateral width 10.1 ± 3.6 mm 6.4 mm (5–16 mm). At last follow-up, mean pain VAS, ASES, UCLA, and SST scores were improved from pre-operative values of 5, 59, 21, and 7 to post-operative values of 1, 84.4, 29.5, and 9.4, respectively (p value < 0.001). ROM such as forward flexion, abduction, and internal rotation to the back were improved from a pre-operative mean of 148° (±24), 144° (±24), L2 (Buttock-T7) to a post-operative mean of 161° (±10), 160.0° (±12), and T12 (L3–T5), respectively (p value < 0.001). Follow-up MRI showed Sugaya classification type I in 24 patients (20.9%), type II in 78 patients (67.8%), type III in 11 patients (9.6%) and type 4 in 2 patients (1.7%) were found. As complications, shoulder stiffness was found in five patients, Popeye deformity in two patients and retear in two patients. Revision surgery of the retear was performed in 2 patients. At the last follow-up, 17% (20/115 patients) reported occasional discomfort at the extremes of range of motion during a heavy work or sports activities. In high-grade PASTA lesions, arthroscopic trans-tendon suture bridge repair with tenotomized pathologic biceps tendon augmentation could be a useful treatment modality capable of preserving rotator cuff footprint, providing simultaneous biceps tenodesis, inducing better tendon healing and possibly preventing tendon buckling and residual pain of the conventional trans-tendon repair methods. These specific methods showed satisfactory outcomes and decreased residual shoulder discomfort (17%) at mid-term follow-up. Level IV, Retrospective case study.
- Published
- 2019
17. Comment on 'Alternative treatment for varus instability of the hallux interphalangeal joint: A case report'
- Author
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Sang Eun Park, Jae Jung Jeong, Bong Seok Choi, and Won Ha Hwang
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musculoskeletal diseases ,Metatarsophalangeal Joint ,medicine.medical_specialty ,Treatment outcome ,Tendon Transfer ,Metatarsophalangeal joints ,Case Report ,03 medical and health sciences ,0302 clinical medicine ,lcsh:Orthopedic surgery ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Letter to the Editor ,Orthodontics ,030222 orthopedics ,business.industry ,Forefoot ,030229 sport sciences ,General Medicine ,Alternative treatment ,Surgery ,Conservative treatment ,lcsh:RD701-811 ,medicine.anatomical_structure ,Ligament ,Hallux ,Interphalangeal Joint ,business - Abstract
Forefoot injuries are commonly caused by sport-related activities and are often around the metatarsophalangeal joints. The hallux interphalangeal (IP) joint is anatomically stable; therefore, injuries to this joint are considered to be rare compared with those to the metatarsophalangeal joint. Instability of the hallux IP joint has rarely been reported in barefoot contact sports, and its treatment has not been sufficiently explored.This study investigated chronic varus instability of the hallux IP joint. We performed a surgical reconstruction owing to conservative treatment failure. A good surgical outcome was achieved by reconstruction of the collateral ligament using the 4(th) extensor tendon-a promising alternative treatment option for this type of injury. This method indicated no morbidity outside the site of surgery and was more cost-effective than reconstruction using an allograft.
- Published
- 2021
18. Reverse total shoulder arthroplasty in the treatment of chronic anterior fracture dislocation complicated by a chronic full thickness retracted rotator cuff tear in an elderly patient
- Author
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Jong-Hun Ji, Jae-Jung Jeong, Ji-Yoon Ha, and Mohamed Shafi
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medicine.medical_specialty ,medicine.medical_treatment ,Rotator Cuff Injuries ,Rotator Cuff ,03 medical and health sciences ,Imaging, Three-Dimensional ,0302 clinical medicine ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Rotator cuff ,Elderly patient ,Aged ,030222 orthopedics ,Fracture Dislocation ,business.industry ,Shoulder Fracture ,Rotator cuff injury ,030229 sport sciences ,medicine.disease ,Arthroplasty ,Surgery ,medicine.anatomical_structure ,Arthroplasty, Replacement, Shoulder ,Chronic Disease ,Shoulder Fractures ,Fracture (geology) ,Female ,Full thickness ,Dislocation ,Tomography, X-Ray Computed ,business - Published
- 2016
19. Extra-Articular Ganglion Cysts around the Knee Joint
- Author
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Jae Jung Jeong, Sang Eun Park, Min Kyu Park, Karnav Panchal, Sung Ryeoll Park, Jong-Hun Ji, and Young-Yul Kim
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Treatment options ,Mean age ,Magnetic resonance imaging ,Knee Joint ,musculoskeletal system ,medicine.disease ,Surgery ,Ganglion cyst ,Cystic lesion ,Combined excision ,medicine ,Original Article ,Knee ,Popliteal ganglion cyst ,Orthopedics and Sports Medicine ,Extra-Articular ,Cyst ,Intra-articular ,business - Abstract
Purpose The purpose of this study was to report clinical results of open excision of extra-articular ganglion cysts around the knee joint combined with arthroscopic management of intra-articular pathologies if present. Materials and Methods Of the total 107 cases of cystic lesions around the knee, 23 cases of extra-articular ganglion cysts were reviewed between January 2006 and July 2011. There were 13 males and 10 females with a mean age of 48 years (range, 30 to 73 years). The mean follow-up duration was 40 months (range, 30 to 60 months). Preoperative magnetic resonance imaging (MRI) scan was done in all cases. Open surgical excision of the cyst was performed after arthroscopic management of intra-articular pathologies in all but 1 case. At the last follow-up, Lysholm and International Knee Documentation Committee (IKDC) scores were evaluated and MRI was conducted to detect recurrence. Results The mean Lysholm and IKDC scores showed significant improvement (p=0.005 and 0.013, respectively).The location of the cysts was anterior in 9, lateral in 7, medial in 6, and posterosuperior in 1. Intra-articular pathologies were found in 16/23 cases (69.6%). In 10/23 cases (43%), the cyst was connected to the knee joint. Three months postoperative MRI did not show any recurrence of ganglion cysts except for 1 case. Conclusions In the treatment of extra-articular ganglion cysts, MRI can be useful for detecting intra-articular lesions and connecting orifices, and arthroscopic management of intra-articular pathologies with open excision of the cyst should be considered as a viable treatment option.
- Published
- 2015
20. Arthroscopic-assisted plate fixation for displaced large-sized comminuted greater tuberosity fractures of proximal humerus: a novel surgical technique
- Author
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Jong-Hun Ji, Jae-Jung Jeong, Sang-Eun Park, Karnav Panchal, Jong-Yun Lee, and Hyung-Ki Min
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Adult ,Male ,medicine.medical_specialty ,Biceps ,Arthroscopy ,Fracture Fixation, Internal ,03 medical and health sciences ,Fixation (surgical) ,0302 clinical medicine ,Suture Anchors ,Bone plate ,medicine ,Humans ,Orthopedics and Sports Medicine ,Range of Motion, Articular ,Fractures, Comminuted ,Aged ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,medicine.diagnostic_test ,Shoulder Fracture ,business.industry ,Suture Techniques ,Recovery of Function ,030229 sport sciences ,Middle Aged ,Surgery ,Treatment Outcome ,Orthopedic surgery ,Shoulder Fractures ,Female ,Tomography, X-Ray Computed ,business ,Range of motion ,Bone Plates ,Greater Tuberosity - Abstract
The purpose of the present study was to describe the use of a novel hybrid surgical technique—arthroscopic-assisted plate fixation—and evaluate its clinical and anatomical outcomes in the management of large, displaced greater tuberosity (GT) fractures with comminution. From 2009 to 2011, this novel technique was performed in 11 patients [2 men and 9 women; median age, 64 years (range 41–83 years)] with large, comminuted GT fractures, with fragment displacements of >5 mm. The preoperative mean posterior and superior migration of the fractured fragment, as measured on computed tomography (CT), was 19.5 and 5.5 mm, respectively. Two patients had shoulder fracture-dislocation, and three had associated undisplaced surgical neck fracture. The mean duration between injury and surgery was 4 days. The mean follow-up duration was 26 months. At the final follow-up, the mean postoperative ASES, UCLA and SST scores were 84, 29, and 8, respectively. The mean range of motion was as follows: forward flexion, 138°; abduction, 135°; external rotation at the side, 19°; and internal rotation, up to the L2 level. The mean posterior and superior displacements of fracture fragments on postoperative CT scan [0.7 ± 0.8 mm (range 0–2.1 mm) and 2.8 ± 0.5 mm (range 3.4–5.3 mm), respectively] were significantly improved (p
- Published
- 2015
21. Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft
- Author
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Jae-Jung Jeong, Hyung-Ki Min, Weon-Yoo Kim, Sang-Eun Park, Karnav Panchal, Ju-Yeong Kim, and Jong-Hun Ji
- Subjects
Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,Radiography ,medicine.medical_treatment ,Elbow ,Avascular necrosis ,Fracture Fixation, Internal ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Internal fixation ,Orthopedics and Sports Medicine ,Humerus ,030212 general & internal medicine ,Range of Motion, Articular ,Aged ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,business.industry ,Middle Aged ,Allografts ,medicine.disease ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Fibula ,Radiological weapon ,Orthopedic surgery ,Humeral Head ,Shoulder Fractures ,Female ,Tomography, X-Ray Computed ,business ,Range of motion ,Bone Plates ,Follow-Up Studies - Abstract
To evaluate the clinical and radiological outcomes of unstable proximal humeral fractures (PHFs) treated with a locking plate and fibular strut allograft. This study included 36 patients [7 men, 29 women; mean age, 68 years (range, 22–94 years)] with unstable PHFs with medial column disruption. All patients were treated with open reduction and internal fixation using a locking plate and fibular strut allograft. Post-operative assessment included clinical outcomes, shoulder range of motion, radiographic examination, and any complications. Post-operative radiological assessment including the humerus neck-shaft angle (NSA) and the humeral head height was performed. At the mean two year follow-up visit, the mean American Shoulder and Elbow Society (ASES) and University of California, Los Angeles (UCLA) scores were 77 and 28, respectively. According to the UCLA rating scale, the result was excellent in six, good in 20, fair in six, and poor in four cases. According to the Paavolainen method, 31 patients had good results with an NSA of 130 ± 10°; three patients showed fair results with an NSA of 100–120°, and two patients experienced a poor result with an NSA of
- Published
- 2015
22. Intratendinous Rotator Cuff Tears
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Jong-Hun Ji, Karnav Panchal, Sang-Eun Park, Jae-Jung Jeong, Jong-Ho Kim, Young-Yul Kim, and J. Lee
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Adult ,Male ,medicine.medical_specialty ,Elbow ,Physical Therapy, Sports Therapy and Rehabilitation ,Physical examination ,Lacerations ,Rotator Cuff Injuries ,Arthroscopy ,Rotator Cuff ,Prevalence ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rotator cuff ,Range of Motion, Articular ,Aged ,Pain Measurement ,Suture bridge ,Wound Healing ,medicine.diagnostic_test ,Shoulder Joint ,business.industry ,Suture Techniques ,Middle Aged ,Magnetic Resonance Imaging ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,External rotation ,Radiological weapon ,Tears ,Female ,business ,Range of motion ,Follow-Up Studies - Abstract
Background:Intratendinous tears of the rotator cuff are rare, and little has been written about them.Purpose:To investigate the prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears treated with transtendon suture bridge repair.Study Design:Case series; Level of evidence, 4.Methods:Included in the study were 33 patients (16 male, 17 female; mean age, 53.4 years) with arthroscopically confirmed intratendinous tears treated with transtendon suture bridge repair from March 2006 to July 2012. A history of trauma was found in 10 cases (30.3%). The dominant arm was involved in 26 cases (78.8%). The mean follow-up duration was 56 months. Preoperatively, a thorough physical examination was performed; at final follow-up, shoulder range of motion (ROM) in forward flexion, abduction, external rotation (ER) at the side, and internal rotation (IR) at the back was noted, and clinical outcomes (American Shoulder and Elbow Surgeons [ASES] score; University of California, Los Angeles [UCLA] score; visual analog scale [VAS] for pain; and Simple Shoulder Test [SST]) were recorded and compared with the preoperative data. Postoperative magnetic resonance imaging (MRI) was performed at 6 months to investigate rotator cuff healing status and repair integrity.Results:The prevalence of arthroscopically confirmed intratendinous tears was 4.7% among all arthroscopically treated partial-thickness rotator cuff tears. Impingement signs were positive in most of the patients (positive Hawkins-Kennedy test result in 78.8%, positive Neer sign in 66.7%, and either positive Hawkins-Kennedy test result or Neer sign in 84.8%). At final follow-up, mean ASES, UCLA, VAS, and SST scores improved significantly from a preoperative mean of 51.4, 18.9, 6.0, and 5.4, respectively, to a postoperative mean of 90.6, 32.9, 1.4, and 10.8, respectively ( P < .001). According to the UCLA rating scale, outcomes were excellent in 17, good in 13, and fair in 3 cases. Shoulder ROM in forward flexion, abduction, ER at the side, and IR at the back improved from a preoperative mean of 135°, 129°, 25°, and L2, respectively, to a postoperative mean of 161°, 160°, 29°, and T10, respectively ( P < .001 for all except ER). As per the Sugaya classification, on postoperative MRI, type I healing status was found in 10 (30.3%), type II in 18 (54.5%), and type III in 2 (6.1%) cases. None of the patients showed any evidence of retears.Conclusion:Transtendon suture bridge repair yielded satisfactory clinical and radiological outcomes in patients with intratendinous rotator cuff tears.
- Published
- 2014
23. Complications of Medial Unicompartmental Knee Arthroplasty
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Jong-Hun Ji, Sang Eun Park, Jae Jung Jeong, Ji Yoon Ha, Han-Vit Kang, and In Soo Song
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musculoskeletal diseases ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Osteoarthritis ,Prosthesis ,Postoperative complications ,Unicompartmental knee arthroplasty ,Deformity ,medicine ,Humans ,Orthopedics and Sports Medicine ,Intraoperative complications ,Arthroplasty, Replacement, Knee ,Reduction (orthopedic surgery) ,Aged ,Retrospective Studies ,Subluxation ,business.industry ,Middle Aged ,Osteoarthritis, Knee ,medicine.disease ,Bone cement ,Surgery ,Radiography ,Original Article ,Female ,Radiology ,medicine.symptom ,Range of motion ,business - Abstract
Background We report intra- and postoperative complications of unicompartmental knee arthroplasty (UKA). Methods This study was conducted on 246 cases of UKA which were performed for degenerative osteoarthritis confined to the medial compartment, from May 2002 to May 2010, for which follow-up periods longer than one year were available. Complications were divided into intra- and postoperative complications. Pre- and postoperative clinical scores, the range of motion, and radiologic findings were analyzed. Results Complications developed in a total of 24 cases (9.8%, 24/246). Among them, 6 cases had intraoperative complications while 18 had postoperative complications. Among the 6 intraoperative complications, one fracture of the medial tibial condyle, two fractures of the intercondylar eminence, one rupture of the medial collateral ligament, one widening of the peg hole leading to femoral component malposition and late failure, and one total knee arthroplasty (TKA) conversion of a large bony defect of tibial avascular necrosis were observed. Among the 18 postoperative complications, four cases of aseptic loosening of the femoral component, one soft tissue impingement due to malalignment, nine cases of polyethylene bearing dislocation, one case of suprapatellar bursitis, one periprosthetic fracture, one TKA conversion due to medial component overhanging, and one TKA conversion due to pain of unexplained cause were observed. Conclusions The mid-term clinical outcomes of UKA were excellent in our study. However, the incidence of complications was very high (9.8%). To prevent intra- and postoperative complications, proper selection of the patients and accurate surgical techniques are required.
- Published
- 2014
24. Immediate arthroscopy following ORIF for tibial plateau fractures provide early diagnosis and treatment of the combined intra-articular pathologies
- Author
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Seok-Jae Park, Seungbae Oh, Jae-Jung Jeong, Jong-Hun Ji, and Myung-Sup Ko
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Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Knee Injuries ,Time-to-Treatment ,03 medical and health sciences ,Arthroscopy ,Fracture Fixation, Internal ,0302 clinical medicine ,Intra articular ,Tibial plateau fracture ,medicine ,Internal fixation ,Humans ,Orthopedics and Sports Medicine ,Range of Motion, Articular ,Reduction (orthopedic surgery) ,Aged ,030222 orthopedics ,medicine.diagnostic_test ,business.industry ,030229 sport sciences ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,Tibial Fractures ,Open Fracture Reduction ,Early Diagnosis ,Concomitant ,Orthopedic surgery ,Female ,Range of motion ,business ,Tomography, X-Ray Computed - Abstract
To evaluate the effectiveness of immediate arthroscopy and clinical outcomes following open reduction and internal fixation (ORIF) of tibial plateau fractures. Sixty patients (36 men and 24 women, median age 56 (20–78) years) were divided into Group I (ORIF only: 26 patients, median age 58 (25–78) years) or Group II (ORIF with immediate arthroscopy: 34 patients, median age 55 (20–75) years) in tibial plateau fractures (Schatzker Type II–VI fractures). In the first part of this study, ORIF only was performed without arthroscopic treatment. In the second part, ORIF with immediate arthroscopic examination and treatment was performed. Clinical outcomes, utilizing range of motion (ROM), International Knee Documentation Committee (IKDC) score and hospital for special knee score (HSS) were assessed. At the final follow-up, HSS score was 81 ± 11 points in Group I and 83 ± 9 points in Group II. The IKDC score was 85 ± 8 points in Group I and 86 ± 6 points in Group II. In Group II, concomitant intra-articular lesions in 10 patients (29%) were found and treated simultaneously. However, there were no significant differences in clinical scores or ROM between the two groups. Immediate arthroscopy following ORIF for tibial plateau fracture is an effective procedure that provides accurate information for fracture reduction, leading to immediate treatment of concomitant intra-articular lesions without complications. III.
- Published
- 2017
25. Hallux valgus deformity of foot with tumoral calcinosis: An unusual presentation
- Author
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Jong-Hun Ji, Mohamed Shafi, Jae-Jung Jeong, and Jun-Ku Lee
- Subjects
Metatarsophalangeal Joint ,musculoskeletal diseases ,medicine.medical_specialty ,Elbow ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Hallux Valgus ,Valgus deformity ,biology ,business.industry ,Calcinosis ,Soft tissue ,Middle Aged ,medicine.disease ,biology.organism_classification ,Surgery ,Radiography ,Valgus ,medicine.anatomical_structure ,Tumoral calcinosis ,Female ,Differential diagnosis ,Presentation (obstetrics) ,business ,Foot (unit) - Abstract
Tumoral calcinosis is an uncommon disorder and characterized by development of calcified masses within the soft tissues near the large joints such as the hip, elbow, and shoulder and rarely occurs in the foot. We report a case of tumoral calcinosis at the first meta-tarso-phalangeal (MTP) joint of foot with hallux valgus deformity associated with bunion which required resection. Surgical excision of the calcific mass alone, without surgery to the minimal hallux valgus, resulted in resolution of symptoms, without recurrence of the lesion. Subsequently, speculative etiology, differential diagnostic considerations as well as the therapeutic interventions for tumoral calcinosis are discussed taking into consideration the current literature. We conclude that tumoral calcinosis should be considered in the differential diagnosis of a painful mass that develops in the small joints of the foot.
- Published
- 2014
26. Risk Factors Affecting Chronic Rupture of the Plantar Fascia
- Author
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Jae Jung Jeong, Young Rak Choi, Jeong Ho Seo, Jin Yong Lee, Sang Woo Kim, and Ho Seong Lee
- Subjects
Adult ,Male ,medicine.medical_specialty ,Heel ,Plantar fasciitis ,Body Mass Index ,Risk Factors ,medicine ,Humans ,Ankle dorsiflexion ,Orthopedics and Sports Medicine ,Fascia ,Glucocorticoids ,Aged ,Retrospective Studies ,Aged, 80 and over ,Rupture ,business.industry ,Treatment regimen ,Middle Aged ,Magnetic Resonance Imaging ,Surgery ,body regions ,medicine.anatomical_structure ,Fasciitis, Plantar ,Visual analog scale pain score ,Female ,Plantar fascia ,medicine.symptom ,business ,Calcaneal spur ,Body mass index - Abstract
Background: Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred primarily in athletes. However, plantar fascia ruptures have recently been reported in the setting of preexisting plantar fasciitis. We analyzed risk factors causing plantar fascia rupture in the presence of preexisting plantar fasciitis. Methods: We retrospectively reviewed 286 patients with plantar fasciitis who were referred from private clinics between March 2004 and February 2008. Patients were divided into those with or without a plantar fascia rupture. There were 35 patients in the rupture group and 251 in the nonrupture group. The clinical characteristics and risk factors for plantar fascia rupture were compared between the 2 groups. We compared age, gender, the affected site, visual analog scale pain score, previous treatment regimen, body mass index, degree of ankle dorsiflexion, the use of steroid injections, the extent of activity, calcaneal pitch angle, the presence of a calcaneal spur, and heel alignment between the 2 groups. Results: Of the assessed risk factors, only steroid injection was associated with the occurrence of a plantar fascia rupture. Among the 35 patients with a rupture, 33 had received steroid injections. The odds ratio of steroid injection was 33. Conclusion: Steroid injections for plantar fasciitis should be cautiously administered because of the higher risk for plantar fascia rupture. Level of Evidence: Level III, retrospective comparative study.
- Published
- 2013
27. Alternative treatment for varus instability of the hallux interphalangeal joint: A case report.
- Author
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Sang Eun Park, Bong Seok Choi, Won Ha Hwang, and Jae Jung Jeong
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- 2020
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28. Anterolateral Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures Using an Anterolateral Locking Plate.
- Author
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Dongwhan Suh, Hwan Hee Lee, Young Hoon Han, and Jae Jung Jeong
- Subjects
TIBIAL fractures ,BLISTERS ,ENDOSCOPIC surgery ,FRACTURE fixation ,COMPOUND fractures ,UNUNITED fractures ,HOSPITAL emergency services ,INTERNAL fixation in fractures ,RANGE of motion of joints ,SOFT tissue injuries ,SURGICAL complications ,TIBIA injuries ,TREATMENT effectiveness ,SEVERITY of illness index ,TREATMENT duration ,SURGICAL blood loss ,DORSIFLEXION ,PLANTARFLEXION ,DISEASE complications - Abstract
Purpose: Anterolateral minimally invasive plate osteosynthesis (MIPO) was performed to treat patients with distal tibial fractures associated with open fractures or extensive soft tissue injuries, which is limited medial MIPO. The treatment results of the anterolateral MIPO technique were evaluated and analyzed. Materials and Methods: Seventeen patients with distal tibial fractures associated with an open fracture or large bullae formation on the distal tibia medial side were treated with anterolateral MIPO using anterolateral locking plates. Within 24 hours of visiting the emergency room, external fixation was applied, and the medial side wound was managed. After damage control, the anterolateral locking plate was applied using an anterolateral MIPO technique. The union time, nonunion, or malunion were evaluated with regular postoperative radiographs. The ankle range of motion, operative time, blood loss, Iowa score, and wound complications were investigated. Results: Radiological evidence of bony union was obtained in all cases. The mean time to union was 16.7 weeks (12-25 weeks). The mean operation time was 44.0 minutes. Regarding the ankle range of motion, the mean dorsiflexion was 15°, and the mean plantarflexion was 35°. Satisfactory results were obtained in 15 out of 17 cases; five results were classified as excellent, four were good, and six were fair. The mean blood loss was 125.2 mL. Two complications were recorded. Conclusion: In distal tibial fractures with severe medial soft tissue damage caused by high-energy trauma, the staged anterolateral MIPO technique using anterolateral locking plates is a useful alternative treatment to achieving optimal wound care, rapid union with biological fixation, and intra-articular reduction. [ABSTRACT FROM AUTHOR]
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- 2020
- Full Text
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29. Pyoderma Gangrenosum Mimicking a Diabetic Foot Infection: A Case Report
- Author
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Sung Hoon Ha, Young Rak Choi, Jae Jung Jeong, and Ho Seong Lee
- Subjects
Male ,medicine.medical_specialty ,Debridement ,business.industry ,medicine.medical_treatment ,Middle Aged ,medicine.disease ,Ulcerative colitis ,Diabetic foot ,Diabetic Foot ,Pyoderma Gangrenosum ,Surgery ,Diagnosis, Differential ,Lesion ,Diabetic foot ulcer ,Cellulitis ,medicine ,Humans ,Orthopedics and Sports Medicine ,Diagnostic Errors ,medicine.symptom ,business ,Pyoderma gangrenosum ,Foot (unit) - Abstract
An adult with ulcerative colitis and diabetes presented with a painful, swollen, edematous left foot. Diagnostic images and laboratory tests were inconclusive. Antibiotics were started immediately but aggravated his symptoms, and the laboratory results worsened. His foot was debrided twice per protocol for treating diabetic foot ulcers or cellulitis. After debridement, his condition worsened rapidly. Pyoderma gangrenosum was correctly diagnosed on the basis of massive neutrophilic infiltration detected in the biopsy tissue and because the lesion was well-defined and colored deep red to violet, unlike the bullosis diabeticorum blisters observed in the diabetic foot. His foot improved with systemic corticosteroids and topical wound care, and a skin defect was treated with a skin graft. After 9 months, his foot was well healed. Pyoderma gangrenosum can be diagnosed by careful examination and must be distinguished from an ulcerated diabetic foot lesion.
- Published
- 2013
30. Post-traumatic pseudoaneurysm of the medial plantar artery combined with tarsal tunnel syndrome: two case reports
- Author
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Young-Yul Kim, Jae-Jung Jeong, Jong-Hun Ji, Ji-Chang Kim, Hwan-Hee Lee, and Sang-Eun Park
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Wounds, Nonpenetrating ,Pseudoaneurysm ,Aneurysm ,medicine.artery ,medicine ,Humans ,Orthopedics and Sports Medicine ,cardiovascular diseases ,Embolization ,Foot Injuries ,Lateral plantar artery ,Aged ,Foot ,business.industry ,General Medicine ,Tarsal tunnel syndrome ,Middle Aged ,medicine.disease ,Embolization, Therapeutic ,body regions ,Medial plantar artery ,Orthopedic surgery ,cardiovascular system ,Surgery ,Radiology ,Foot Injury ,business ,Aneurysm, False ,Tarsal Tunnel Syndrome - Abstract
Pseudoaneurysms in the foot are more often reported in the lateral plantar artery than the medial plantar artery, most likely because of its more superficial location. There are no reports of pseudoaneurysm of the medial plantar artery after trauma. We present two cases of pseudoaneurysm of the medial plantar artery after blunt foot trauma and foot laceration. This pseudoaneurysm compressed a posterior tibial nerve, resulting in tarsal tunnel syndrome. The patients were treated successfully using transcatheter embolization without the need for surgical intervention. The tarsal tunnel syndrome also subsided. Here, the authors report these cases and provide a review of literature.
- Published
- 2012
31. Double triggering of extensor digiti minimi: a case report
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Young-Yul Kim, Sang-Eun Park, Jong-Hun Ji, Hwan-Hee Lee, and Jae-Jung Jeong
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medicine.medical_specialty ,business.industry ,General Medicine ,Anatomy ,Tendon triggering ,musculoskeletal system ,body regions ,Young Adult ,Retinaculum ,Trigger Finger Disorder ,Orthopedic surgery ,Humans ,Medicine ,Female ,Orthopedics and Sports Medicine ,Surgery ,Ultrasonography ,business ,Rare disease - Abstract
Extensor tendon triggering is a rare disease entity. Even less common is a case of extensor digiti minimi (EDM) double triggering caused by impingement on the extensor retinaculum. Herein, we describe one patient with EDM double triggering developed at the extensor retinaculum and over the metacarpal head caused by its impingement on the extensor retinaculum.
- Published
- 2012
32. Does Flatfoot Deformity Develop After Transfer of Posterior Tibial Tendon for the Foot Drop Secondary to Peroneal Nerve Palsy?
- Author
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Chan Kang, Byung-Ki Cho, Seung-Myung Choi, Jun-Beom Kim, and Jae-Jung Jeong
- Subjects
Foot drop ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Flatfoot deformity ,Surgery ,Peroneal nerve palsy ,lcsh:RD701-811 ,lcsh:Orthopedic surgery ,Tendon transfer ,medicine ,Posterior tibial tendon ,medicine.symptom ,business ,Foot (unit) - Abstract
Category: Other Introduction/Purpose: Posterior tibial tendon transfer is preferred by many colleagues for cases of drop foot caused by peroneal nerve palsy that are at least a year old with little chance of motor improvement. However, several studies have reported acquired flat foot deformity following tendon transfer, to best of our knowledge, no studies have been performed to assess whether posterior tibial tendon transfer influences occurrence of postoperative flat foot deformity quantitatively. Methods: With IRB approval, a retrospective review was performed. Twenty-four patients were followed for more than 2 years after anterior transfer of TP tendon by one surgeon for the foot drop by peroneal nerve palsy from 2008 to 2013. The mean age was 35.9 years, and the mean follow-up period was 50.5 months. There were 10 female and 14 male patients. The clinical evaluation consisted of the Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAM). The radiological evaluation consisted of the calcaenal pitch, Meary angle, heel alignment angle. As functional evaluation, isokinetic dynamometer muscle function analysis was performed. Results: The overall FAOS demonstrated a significant improvement from preoperative (55.6 on average) to postoperative measurement (89.2 on average) (P < .01), the ADL and sports subsection of FAAM demonstrated a improvement from preoperative to postoperative measurement (ADL: from 45.6 to 87.3; sports: from 32.8 to 81.5 on average, respectively; P < .01). Radiology revealed that there were no changes in the foot alignment from pre- to postoperative measurement. Postoperative isokinetic strength was significantly lower as compared contralateral normal side. Two patients sustained postoperative complications in the WTHG (16.7%). Conclusion: The results of our study demonstrated that there was no evidence that loss of the normal function of the tibialis posterior lead change in foot alignment such as flat foot deformity. Transfer of posterior tibial tendon offers successful result for the foot drop secondary to peroneal nerve palsy in selected cohorts, altough long-term peroids follow up would be needed.
- Published
- 2016
33. Clinical and radiologic outcomes of arthroscopic suture bridge repair for the greater tuberosity fractures of the proximal humerus
- Author
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Kim Dw, Jae-Jung Jeong, Young-Yul Kim, Sang-Eun Park, Jong-Hun Ji, and Se-Won Lee
- Subjects
musculoskeletal diseases ,Adult ,Male ,medicine.medical_specialty ,Proximal humerus ,03 medical and health sciences ,Arthroscopy ,0302 clinical medicine ,Imaging, Three-Dimensional ,Tendon Injuries ,medicine ,Humans ,Orthopedics and Sports Medicine ,Postoperative Period ,Range of Motion, Articular ,Aged ,Suture bridge ,Aged, 80 and over ,030222 orthopedics ,medicine.diagnostic_test ,business.industry ,Suture Techniques ,030229 sport sciences ,General Medicine ,Middle Aged ,Magnetic Resonance Imaging ,Greater Tuberosity Fractures ,Surgery ,Radiography ,medicine.anatomical_structure ,Treatment Outcome ,Radiological weapon ,Orthopedic surgery ,Shoulder Fractures ,Shoulder joint ,Female ,business ,Tomography, X-Ray Computed - Abstract
To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint.From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated. Associated injuries occurred in 21 cases (52.5%): 8 rotator cuff tears; 7 SLAP lesions; 3 glenoid rim fractures; 3 Bankart lesions; 5 biceps tendon tears; 1 partial subscapularis tear; 1 combined subscapularis and biceps tendon tear, and 1 brachial plexus injury.At the final follow-up, the mean VAS score improved from 7 to 1; ASES, to 92; UCLA, to 32; KSS, to 90; and SST, to 10. Mean forward flexion, abduction, external rotation at the side, and internal rotation at the back were improved to 157°, 157°, 37° and T11, respectively. Mean residual superior and posterior displacement of the fracture was 0 (range -5 to 3.3) mm and 0.1 (-5.5 to 3.2) mm, respectively, compared to pre-operative displacement of 4.9 (0-14) mm and 4.5 (0-20) mm, respectively (p 0.001). Complications included anchor protrusion in five cases.Arthroscopic suture bridge repair was useful for the treatment of displaced GT fractures with or without comminution and the management of the combined lesions. At the final follow-up, meaningful remodeling of the GT fracture and satisfactory clinical outcomes could be achieved.
- Published
- 2016
34. Locked Floating First Metatarsal: Open Reduction and no Fixation - Case Report
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Young-Yul Kim, Jong-Hoon Ji, Sang Eun Park, and Jae Jung Jeong
- Subjects
medicine.medical_specialty ,business.industry ,First metatarsal ,Accidents, Traffic ,Magnetic Resonance Imaging ,Surgery ,Young Adult ,Fixation (surgical) ,Minor trauma ,otorhinolaryngologic diseases ,medicine ,Humans ,Female ,Orthopedics and Sports Medicine ,Metatarsal head ,Foot Injuries ,business ,Metatarsal Bones - Abstract
Almost all traumatic injuries can be classified using established criteria, but foot trauma can result in various combinations of injuries. Leibner et al. first described concomitant Lisfranc fracture-dislocation and complex dislocation of the metatarsophalangeal (MTP) joint, and coined the term ‘floating metatarsal.’ Since then several variants of floating metatarsal have been reported.2,4–7,9,10 Isolated floating metatarsal involving dislocation alone without fracture of the metatarsal is even more uncommon. We describe a case of an isolated locked floating metatarsal without fracture caused by minor trauma. In this case, the metatarsal head was button-holed and locked. The patient was treated by open reduction without fixation.
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- 2012
35. An anatomic and clinical study of the suprascapular and axillary nerve blocks for shoulder arthroscopy
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Sang Mook Lee, Jae-Jung Jeong, Yong-Seok Nam, Sang-Eun Park, Jong-Hun Ji, Kwang-Sub Kim, Min-Jeong Kwon, and Seung-Ho Han
- Subjects
Male ,medicine.medical_specialty ,Shoulder surgery ,medicine.medical_treatment ,Arthroscopy ,Scapula ,Cadaver ,medicine ,Humans ,Brachial Plexus ,Orthopedics and Sports Medicine ,Acromion ,Aged ,Pain Measurement ,Aged, 80 and over ,Pain, Postoperative ,medicine.diagnostic_test ,Shoulder Joint ,business.industry ,Teres major muscle ,Analgesia, Patient-Controlled ,Nerve Block ,General Medicine ,Middle Aged ,Suprascapular nerve ,Surgery ,medicine.anatomical_structure ,Axilla ,Female ,Axillary nerve ,Cadaveric spasm ,business - Abstract
Hypothesis The combination of suprascapular nerve block (SSNB) and axillary nerve block (ANB) has been reported to provide safe and effective analgesia for arthroscopic shoulder surgery. This study was designed to identify anatomic landmarks of the suprascapular nerve (SSN) and axillary nerve (AN) and to evaluate the effects of SSNB and ANB using the identified landmarks. Materials and Methods This study included 52 cadaveric shoulders and 30 patients in the anatomic and clinical studies, respectively. After the exact location of the SSN and AN was identified from the cadavers, the clinical study at the end of the operation and at 8, 16, 24, 32, 40, and 48 hours postoperatively was performed in 2 groups: without both SSNB and ANB (group I) and with both SSNB and ANB (group II). Results The SSN was located at a length of one-half (2/5-3/5, 88%) from the anterior tip of the acromion to the superior angle of the scapula and at a length of two-fifths (1/3-1/2, 100%) from the anterior tip of the acromion to the medial border of the spine. The AN was located at a length of three-fifths (2/5-4/5, 98%) from the acromial angle to the inferior insertion of the teres major muscle. The depth from the skin was 3.20 ± 0.58 cm for the SSN and 2.07 ± 0.45 cm for the AN. The clinical study showed that the total amount of analgesic for patient-controlled anesthesia was markedly decreased at the end of the operation and at 8 hours postoperatively in group II compared with group I. Conclusions The SSNB and ANB were considered to provide safe and effective analgesia in terms of early postoperative pain in arthroscopic shoulder surgery.
- Published
- 2011
36. Surgical management of pilon fractures with large segmental bone defects using fibular strut allografts: a report of two cases
- Author
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Jae Jung Jeong, Hyun-Taek Kang, Jong-Hun Ji, Young-Yul Kim, Sang-Eun Park, and Weon-Yoo Kim
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,medicine.medical_treatment ,Iliac crest ,Pilon fracture ,Locking plate ,Fixation (surgical) ,External fixation ,medicine ,Fibular strut allograft ,Orthopedics and Sports Medicine ,Multiple fractures ,business.industry ,musculoskeletal system ,medicine.disease ,Up-to date Review and Case Report ,Surgery ,surgical procedures, operative ,medicine.anatomical_structure ,Ankle ,Range of motion ,business ,Large segmental bone defect - Abstract
We present two patients with open pilon fractures with large bone defects treated successfully with fibular strut allografts. The patients were initially treated by massive irrigation, wound debridement, and temporary external fixation. After complete wound healing, the bone defects were managed. Because autologous iliac crest or fibular bone grafts were impossible to be harvested due to multiple fractures, the bone defects were reconstructed with fibular strut allografts. Fixation was performed with a periarticular distal tibia locking plate. At 2 months postoperatively, the patients ambulated with partial weight-bearing; at 6 months, they had full range of motion of the ankle joint and full weight-bearing.
- Published
- 2011
37. The Analysis and Treatment of Rotator Cuff Tear After Shoulder Dislocation in Middle-Aged and Elderly Patients
- Author
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Young-Yul Kim, Jae Jung Jeong, Sang Eun Park, Eun Su Shin, Bo Youn Park, and Jong-Hun Ji
- Subjects
medicine.medical_specialty ,business.industry ,Materials Science (miscellaneous) ,Mean age ,medicine.disease ,Ucla score ,General Business, Management and Accounting ,Industrial and Manufacturing Engineering ,Surgery ,Bankart lesion ,medicine.anatomical_structure ,Cuff ,medicine ,Tears ,Rotator cuff ,Business and International Management ,General Agricultural and Biological Sciences ,Range of motion ,business - Abstract
We reviewed 19 patients over 50 years of age who had rotator cuff tears com-bined with shoulder dislocation between October 2004 and October 2008. There were 7 males and 12females with a mean age 64.7 years (range, 50 to 78 years). The average follow-up duration was 22months (range, 8 to 56 months). We investigated the number of dislocations, the size of the cuff tear, thepresence of Bankart lesions and the time interval from dislocation to surgery. We also investigated theASES score, UCLA score, SST score, and shoulder range of motion before and after surgery. We ana-lyzed clinical outcomes and contributing factors.
- Published
- 2010
38. Effects of Beraprost Sodium Evaluated by Digital Infrared Thermal Imaging in Diabetic Patients with Peripheral Arterial Disease
- Author
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Seong Hyeon Park, Jae Jung Jeong, Jae Wan Soh, and Hyun-Woo Park
- Subjects
medicine.medical_specialty ,Arterial disease ,business.industry ,Internal medicine ,Cardiology ,medicine ,Infrared thermal imaging ,Beraprost sodium ,business ,Peripheral - Published
- 2018
39. Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction--a case report
- Author
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Jae-Jung, Jeong, Young-Yul, Kim, Jong-Hun, Ji, and Sang-Eun, Park
- Subjects
Fingers ,Joint Instability ,Radiography ,Reoperation ,Wrist Joint ,Adolescent ,Finger Joint ,Humans ,Female ,Collateral Ligaments ,Plastic Surgery Procedures - Abstract
Chronic proximal interphalangeal joint (PIPJ) instability of the finger is rare, and when it occurs usually requires surgical reconstruction. Complications arising from failed ligament reconstruction may result in a situation more difficult to address than the initial reconstruction. This situation is more likely for the finger than other orthopaedic reconstructions because the phalangeal bones are so small. We present a case of chronic radial PIPJ instability of the finger and severe bony defect caused by multiple failed ligament reconstructions that was treated successfully using a modification of the bone-ligament-bone graft technique.
- Published
- 2015
40. The examination of the effect of platelet rich plasma for curing achilles tendons of free moving rats after surgical ıncision and treatment
- Author
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Young-Yul Kim, Jong-Hun Ji, Sang Eun Park, and Jae Jung Jeong
- Subjects
medicine.medical_specialty ,business.industry ,Radiography ,Joint instability ,General Medicine ,Surgery ,medicine.anatomical_structure ,Ligament ,Medicine ,Orthopedics and Sports Medicine ,Finger joint ,business ,Interphalangeal Joint - Abstract
Chronic proximal interphalangeal joint (PIPJ) instability of the finger is rare, and when it occurs usually requires surgical reconstruction. Complications arising from failed ligament reconstruction may result in a situation more difficult to address than the initial reconstruction. This situation is more likely for the finger than other orthopaedic reconstructions because the phalangeal bones are so small. We present a case of chronic radial PIPJ instability of the finger and severe bony defect caused by multiple failed ligament reconstructions that was treated successfully using a modification of the bone-ligament-bone graft technique.
- Published
- 2015
41. Avulsion fracture of the acromial physis in a 14-year-old boy: a case report
- Author
-
Eui-Sung Choi, Dong-Soo Kim, Kyoung-Jin Park, Hyun-Chul Shon, Jae-Jung Jeong, and Yong-Min Kim
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Fracture Fixation, Internal ,Fractures, Bone ,Acromioclavicular ligament ,medicine ,Internal fixation ,Humans ,Orthopedics and Sports Medicine ,Nonoperative management ,Physis ,Reduction (orthopedic surgery) ,business.industry ,Avulsion fracture ,General Medicine ,medicine.disease ,Surgery ,Scapula ,medicine.anatomical_structure ,Acromioclavicular Joint ,Orthopedic surgery ,Ligaments, Articular ,business - Abstract
Scapular fractures are uncommon and among them acromial fractures are even more uncommon. Because the vast majority of acromial fractures are either non-displaced or minimally displaced, symptomatic and nonoperative management was performed. We describe a case of avulsion fracture of the acromial physis displaced by acromioclavicular ligament treated with open reduction and internal fixation, and include a review of the literature.
- Published
- 2014
42. Delayed Lateral Row Anchor Failure in Suture Bridge Rotator Cuff Repair: A Report of 3 Cases.
- Author
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Jae-Jung Jeong, Jong-Hun Ji, and Seok-Jae Park
- Subjects
- *
ROTATOR cuff , *BIOMECHANICS - Abstract
Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
43. The Clinical Features of Plantar Fascia Rupture
- Author
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Jong Yoon Lee, Ho Seong Lee, and Jae Jung Jeong
- Subjects
medicine.anatomical_structure ,business.industry ,Medicine ,Plantar fasciitis ,Plantar fascia ,Anatomy ,medicine.symptom ,business - Published
- 2017
44. Outcome After Arthroscopic Decompression of Inferior Labral Cysts Combined With Labral Repair
- Author
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Jun-Ku Lee, Sang-Eun Park, Jae-Min Lee, Young-Yul Kim, Jae-Jung Jeong, Karnav Panchal, and Jong-Hun Ji
- Subjects
musculoskeletal diseases ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,Decompression ,Elbow ,Physical examination ,Lacerations ,Arthroscopy ,Young Adult ,Shoulder Pain ,medicine ,Humans ,Orthopedics and Sports Medicine ,Cyst ,Young adult ,Range of Motion, Articular ,Wound Healing ,medicine.diagnostic_test ,business.industry ,Cysts ,Shoulder Joint ,Incidence (epidemiology) ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,Decompression, Surgical ,Magnetic Resonance Imaging ,Surgery ,medicine.anatomical_structure ,Treatment Outcome ,Chronic Pain ,Joint Diseases ,business ,Range of motion - Abstract
To analyze the clinical and radiologic outcomes of arthroscopic cyst decompression and labral repair in patients with inferior paralabral cysts with chronic shoulder pain.Between March 2006 and September 2012, 16 patients who were identified as having inferior paralabral cysts presented with chronic shoulder pain. All patients underwent a thorough physical examination and preoperative magnetic resonance arthrographic evaluation. The mean age was 30 years (range, 17 to 50 years). The mean follow-up period was 38 months (range, 16 to 60 months). Clinical outcome scores (American Shoulder and Elbow Surgeons; University of California, Los Angeles; and Simple Shoulder Test) and passive shoulder range of motion were evaluated at last follow-up. Follow-up magnetic resonance imaging was performed at a mean of 8 months to determine the labral healing status and assess for cyst recurrence.The incidence of isolated inferior paralabral cysts was 0.6% (16 of 2,656 cases). Of the patients, 8 had multiple cysts and 8 had a single cyst. The mean length and width of the cysts were 1.0 cm and 0.4 cm, respectively. Eight cases had a history of trauma, and 13 patients were involved in sports activities. Seventy-five percent of cases showed a positive relocation test. The mean American Shoulder and Elbow Surgeons; University of California, Los Angeles; and Simple Shoulder Test scores improved from 64, 22, and 8.7, respectively, preoperatively to 83, 31, and 10, respectively (P.001), at final follow-up. Shoulder range of motion did not show any significant improvement. The location of the labral tear was as follows: anteroinferior tear in 5 cases, posteroinferior tear in 8 cases, and combined anteroinferior and posteroinferior tear in 3 cases. All cysts were found to be in association with a labral tear. A mean of 2.7 anchors were used for inferior labral repair. These cysts were found only in male patients. None of the patients showed any evidence of cyst recurrence on follow-up magnetic resonance imaging.Inferior labral tears treated with cyst decompression and labral repair showed satisfactory clinical results without any recurrence. Inferior paralabral cysts should be considered in the differential diagnosis in patients presenting with chronic shoulder pain, particularly active male patients.Level IV, therapeutic case series.
- Published
- 2014
45. A detached arthroscopic lens within the shoulder joint: a case report
- Author
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Jong-Hun Ji, Jae‑Jung Jeong, Karnav Panchal, and Yong Park
- Subjects
musculoskeletal diseases ,Male ,medicine.medical_specialty ,Impingement syndrome ,Shoulder stiffness ,law.invention ,Arthroscopy ,Foreign-Body Migration ,law ,medicine ,Humans ,Orthopedics and Sports Medicine ,Range of Motion, Articular ,Device Removal ,Shoulder arthroscopy ,Unusual case ,business.industry ,Shoulder Joint ,General Medicine ,Middle Aged ,medicine.disease ,Foreign Bodies ,Surgery ,Lens (optics) ,medicine.anatomical_structure ,Shoulder Impingement Syndrome ,Male patient ,Orthopedic surgery ,Shoulder joint ,Equipment Failure ,business ,Arthroscopes - Abstract
Shoulder arthroscopy has become a common procedure in today’s orthopedic practice. The safety of this procedure has been well established, but there are some complications associated with every surgical procedure both minor and major. In the present era, with advanced arthroscopic instruments, it is rare to encounter the problem of instrument breakage during arthroscopic surgery. Here, we report an unusual case in which we found a detached arthroscopic lens within the shoulder joint. A 58-year-old male patient who was previously operated for shoulder arthroscopy for the treatment of impingement syndrome combined with shoulder stiffness. We performed shoulder arthroscopy again and removed the detached lens arthroscopically. This case warrants the need for the surgeon and the operating room staff to be well acquainted with the arthroscopic instruments and to check the instruments properly before and after the completion of the procedure. If the operating room staff would have identified the damage to the scope, encountered during the primary operation, we could have avoided the second procedure to remove the lens.
- Published
- 2014
46. Arthroscopic repair of large and massive rotator cuff tears using the biceps-incorporating technique: mid-term clinical and anatomical results
- Author
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Sang-Eun Park, Jae-Jung Jeong, Mohamed Shafi, and Jong-Hun Ji
- Subjects
musculoskeletal diseases ,Adult ,Male ,medicine.medical_specialty ,Glenoid Cavity ,Biceps ,Rotator Cuff Injuries ,Tendons ,Arthroscopy ,Rotator Cuff ,medicine ,Humans ,Orthopedics and Sports Medicine ,Rotator cuff ,Tendon healing ,Aged ,Aged, 80 and over ,business.industry ,Rotator cuff injury ,Anatomy ,Middle Aged ,musculoskeletal system ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,medicine.anatomical_structure ,Treatment Outcome ,Cuff ,Humeral Head ,Tears ,Female ,business ,Biceps tendon ,Upward migration - Abstract
The purpose of this study was to determine the anatomical and clinical outcomes of a biceps-incorporating rotator cuff repair without detaching the biceps origin from the glenoid in a large or massive rotator cuff tear, in which the biceps tendon could be incorporated into the cuff defect and help to provide tendon healing and prevent upward migration of the humeral head.Thirty-five consecutive patients with a mean age of 62 years (41-81 years) had primary arthroscopic repair of their large or massive rotator cuff in which biceps tendon incorporated into the cuff defect without detaching the biceps tendon from the glenoid was performed. Functional outcome was determined by the visual analog scale (VAS) for pain during motions, simple shoulder test (SST), the University of California, Los Angeles (UCLA) score, and the American Shoulder and Elbow Surgeons scores (ASES) (mean follow-up, 24 months). The continuity of rotator cuff mechanism was evaluated using the magnetic resonance imaging (MRI) among all the patients after 2 years.At the final follow-up, mean VAS scores increased significantly from 7.1 to 2.0 points, ASES scores from 35 to 83, UCLA scores from 14 to 30, and SST scores from 4 to 9, respectively (p0.05). Moreover, the range of motion was significantly increased except the external rotation from preoperative 27° to postoperative 33° (p = 0.183). MRI evaluation showed that 22 of 35 patients (63%) had heeled tendons and 7 patients (20%) had partial re-tear. Of 35 patients, 6 (17%) had a complete re-tear. Only 3 of these 6 patients were not satisfied with the result.Using this simple biceps-incorporating rotator cuff repair technique, we achieved good clinical and moderate anatomical results, and prevent superior migration of the humeral head in a large or massive rotator cuff tear.Level IV retrospective review.
- Published
- 2013
47. Underestimated Sacroiliac Joint Lesion on Computed Tomography in Pelvic Open-book Injury: A Case Report
- Author
-
Se-Won Lee, Han-Vit Kang, Jae-Jung Jeong, and Weon-Yoo Kim
- Subjects
medicine.medical_specialty ,Radiography ,Case Report ,Computed tomography ,Sacroiliac joint ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,Treatment plan ,medicine ,Orthopedics and Sports Medicine ,Pelvic bones ,030222 orthopedics ,medicine.diagnostic_test ,Pubic Symphysis Diastasis ,business.industry ,030208 emergency & critical care medicine ,Stress radiography ,Pubic symphysis diastasis ,medicine.disease ,Cartilage ,medicine.anatomical_structure ,Diastasis ,Surgery ,Radiology ,medicine.symptom ,business ,Fractures - Abstract
The classification of anteroposterior compression (APC) injury type is based on using static radiographs, stress radiographs are known as a useful adjunct in classifying type of APC pelvic injuries. According to a recent article, the intraoperative stress examination has led to a change in the treatment plan in more than 25% of patients on 22 patients presumed APC type I (symphyseal diastasis
- Published
- 2016
48. Hallux valgus correction using transarticular lateral release with distal chevron osteotomy
- Author
-
Woo Chun Lee, Ho Seong Lee, Dong Ho Lee, Young Rak Choi, In-Ho Jeon, Sang Woo Kim, and Jae Jung Jeong
- Subjects
Dorsum ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,Chevron osteotomy ,Radiography ,Treatment outcome ,Young Adult ,Akin osteotomy ,Medial approach ,Hallux Valgus correction ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Hallux Valgus ,Toe Phalanges ,Metatarsal Bones ,Aged ,Pain Measurement ,Lateral release ,business.industry ,food and beverages ,Middle Aged ,Surgery ,Osteotomy ,Treatment Outcome ,Female ,Sesamoid Bones ,business - Abstract
Transarticular lateral release through a medial incision can avoid a dorsal incision. This study investigated outcomes following hallux valgus correction using transarticular lateral release, distal chevron metatarsal osteotomy and Akin phalangeal osteotomy through one medial incision.Between June 2004 and May 2009, a single surgeon performed a transarticular lateral release, distal chevron metatarsal osteotomy and Akin phalangeal osteotomy through one medial incision for hallux valgus on a total of 103 feet of 68 patients. The average patient age at the time of surgery was 51 years, and the average followup was 27 months.The average preoperative and final followup results were: 1) hallux valgus angle improvement from 29 degrees to 5 degrees, 2) intermetatarsal angle from 13 degrees to 5 degrees and 3) medial sesamoid bone position from 3 to 1 (p0.05 for each variable). The average AOFAS scores were improved from 49 to 92, and the VAS pain scores were improved from 7 to 1 (p0.05 for both variables). No patient had a serious complication such as infection, avascular necrosis, nonunion, transfer-metatarsalgia, or first metatarsophalangeal joint arthritis.Hallux valgus correction using transarticular lateral release, distal chevron metatarsal osteotomy and Akin phalangeal osteotomy through one medial incision was found to be effective and safe. The advantages include that the procedure is simple, early ambulation is possible, and there is no dorsal scarring.
- Published
- 2012
49. Surgical treatment of non-diabetic chronic osteomyelitis involving the foot and ankle
- Author
-
Ho Seong Lee, Sang Woo Kim, Young Rak Choi, Jae Jung Jeong, and Jeong Ho Seo
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Arthrodesis ,Foot Diseases ,Diabetes mellitus ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Ankle Injuries ,Surgical treatment ,Aged ,Debridement ,Bone Transplantation ,business.industry ,Osteomyelitis ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,medicine.anatomical_structure ,Chronic osteomyelitis ,Chronic Disease ,Female ,Ankle ,business ,Foot (unit) ,Non diabetic - Abstract
Background: We evaluated the clinical characteristics and treatment outcomes of patients with chronic osteomyelitis in the foot and ankle in patients without diabetes. Methods: We reviewed 15 patients treated for chronic osteomyelitis involving the foot and ankle between September 2004 and March 2007. Patients with diabetes mellitus or who were immunocompromised were excluded. The cause of osteomyelitis, sites of occurrence, causative pathogens, and invasion of the adjacent joint(s) were reviewed, then the clinical characteristics were analyzed. Magnetic resonance imaging was performed to clarify the extent of infection and invasion of the adjacent joint. Surgical management included wide debridement, dead space control, and arthrodesis if there was invasion of the adjacent joint. The mean postoperative followup period was 3.3 years, during which recurrences and complications were evaluated. Results: Extrinsic causes accounted for 86.7% of the chronic osteomyelitis involving the foot and ankle. The most common cause of osteomyelitis was trauma with ten cases due to complications following fractures or dislocation. Methicillin-resistant Staphylococcus aureus and Pseudomonas were the most common causative pathogens. In 46.7% of the patients, the adjacent joint was involved and an arthrodesis was performed. The mean length of the hospital stay was 39.1 days. The average of number of surgeries was two. Fourteen of 15 patients had no recurrence. Conclusion: For the successful treatment of chronic osteomyelitis involving the foot and ankle, an arthrodesis based on invasion of the adjacent joint as well as wide debridement and dead space control was successful in this series. Level of Evidence: IV, Retrospective Case Series
- Published
- 2012
50. Subungual glomus cell proliferation in the toe: a case report
- Author
-
Ho Seong Lee, Jeong Ho Seo, Jae Jung Jeong, Sang Woo Kim, and Young Rak Choi
- Subjects
Adult ,medicine.medical_specialty ,Pathology ,Lesion ,Nail Diseases ,Glomus cell ,Glomus body ,Biopsy ,medicine ,Severe pain ,Humans ,Orthopedics and Sports Medicine ,Cell Proliferation ,medicine.diagnostic_test ,business.industry ,fungi ,Magnetic resonance imaging ,medicine.disease ,Glomus Tumor ,Surgery ,Glomus tumor ,Hallux ,Female ,Radiology ,medicine.symptom ,Ultrasonography ,business ,Pericytes - Abstract
Glomus tumors are rare benign neoplasms. They typically present with a triad of severe pain, point tenderness, and cold sensitivity. Most glomus tumors will form well-circumscribed nodules, and excisional biopsy of masses detected by ultrasonography or magnetic resonance imaging of the lesion can relieve the symptoms. We describe a 30-year-old female patient with nontumorous glomus cell proliferation with clinical symptoms similar to those of glomus tumors. The lesion was treated by exploration and excision, with a satisfactory clinical outcome.
- Published
- 2012
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