Tarsal Tunnel Syndrome Associated with Gout Tophi: A Case Report

Park, Sam Guk,Park, Chul Hyun,Ahn, Hyo Se Korean FootAnkle Society 2016 대한족부족관절학회지 Vol.20 No.2

Tarsal tunnel syndrome is an entrapment neuropathy of the posterior tibial nerve or its branches in the fibro-osseous tunnel beneath the flexor retinaculum. This pathology is associated with multiple etiologies, including trauma, space-occupying lesions, and impaired biomechanics. We report a case of tarsal tunnel syndrome associated with gout tophi in a patient with untreated gout along with a review of the relevant literature on tarsal tunnel syndrome.

Use of an arthroscopic bridging graft for irreparable rotator cuff tears with the modified mason-allen stitch using a tendon autograft

Sam-Guk Park,hyun-gyu seok 대한견주관절의학회 2022 대한견주관절학회 학술대회논문집 Vol.2022 No.4

Could immediate treatment change the management method of digital tendon musculotendinous junction avulsion?: a systematic review

Park, Sam-Guk Yeungnam University College of Medicine 2017 Yeungnam University Journal of Medicine Vol.34 No.2

Background: We conducted a systematic review of the literature to investigate the correlation between the interval to treatment and management of tendon avulsion ruptures in the musculotendinous junction (MTJ) of the forearm. Methods: A thorough literatures search for studies of tendon avulsion injuries at the forearm was conducted using PubMed, MEDLINE, CINAHL, and Cochrane databases in accordance with the PRISMA guidelines. In total, five case series and 15 case reports accounting for 87 injured tendons involving 60 patients were selected for the analysis. Results: Twenty-six patients had 44 tendon injuries associated with avulsion amputations, 31 patients had 38 tendon ruptures associated with closed avulsion injuries and three patients had five tendon ruptures associated with open avulsion injuries. Eighteen of the 49 (37%) patients were immediately treated for tendon ruptures and one of the 32 (3%) tendon ruptures treated via elective surgery was directly repaired. Additionally, 18 of the 30 (60%) tendons were directly repaired and 12 of the 30 (40%) tendons were transferred or side-to-side repaired in the immediately treated series. In contrast, one of the 28 (4%) tendon ruptures were directly repaired and 27 of the 28 (96%) tendons were transferred or side-to-side repaired in the electively treated series. Conclusion: In managing digital tendon avulsions at the MTJ, an immediate treatment could provide an opportunity to repair the ruptured tendon directly to the muscle.

Could immediate treatment change the management method of digital tendon musculotendinous junction avulsion?: a systematic review

( Sam-guk Park ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.2

Background: We conducted a systematic review of the literature to investigate the correlation between the interval to treatment and management of tendon avulsion ruptures in the musculotendinous junction (MTJ) of the forearm. Methods: A thorough literatures search for studies of tendon avulsion injuries at the forearm was conducted using PubMed, MEDLINE, CINAHL, and Cochrane databases in accordance with the PRISMA guidelines. In total, five case series and 15 case reports accounting for 87 injured tendons involving 60 patients were selected for the analysis. Results: Twenty-six patients had 44 tendon injuries associated with avulsion amputations, 31 patients had 38 tendon ruptures associated with closed avulsion injuries and three patients had five tendon ruptures associated with open avulsion injuries. Eighteen of the 49 (37%) patients were immediately treated for tendon ruptures and one of the 32 (3%) tendon ruptures treated via elective surgery was directly repaired. Additionally, 18 of the 30 (60%) tendons were directly repaired and 12 of the 30 (40%) tendons were transferred or side-to-side repaired in the immediately treated series. In contrast, one of the 28 (4%) tendon ruptures were directly repaired and 27 of the 28 (96%) tendons were transferred or side-to-side repaired in the electively treated series. Conclusion: In managing digital tendon avulsions at the MTJ, an immediate treatment could provide an opportunity to repair the ruptured tendon directly to the muscle.

Arthroscopy Assisted 2 Cannulated Screw Fixation for Transverse Glenoid Fracture

Sam-Guk Park 대한견주관절의학회 2016 대한견주관절학회지 Vol.19 No.2

Arthroscopy is recognized as an important adjunct in treatment of intra-articular fractures. The author reports on successful treatment of a displaced transverse glenoid cavity fracture, reduced and fixed with arthroscopic assist, using two cannulated screws perpendicular to the fracture surface, in a patient with frail chest. One screw passed through the Neviaser portal, and the other screw passed through the base of the coracoid process. Arthroscopy assisted reduction and 2 cannulated screw fixation through the Neviaser portal and coracoid base appears to be a good method for treatment of transverse glenoid fractures.

Towards optimal reverse total shoulder arthroplasty design: reconsidering the role of lateralized implants

Sam-Guk Park,Hyun-Gyu Seok 대한견주관절학회 2024 대한견주관절의학회지 Vol.27 No.1

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Arthroscopic Excision of Delayed Diagnosed Intra-articular Osteoid Osteoma of the Elbow

Sam Guk Park,Duk Seop Shin,Joon Hyuk Choi,Ho Dong Na,Jae Woo Park 대한견주관절의학회 2018 대한견주관절학회지 Vol.21 No.3

An intra-articular osteoid osteoma is a very rare cause of elbow pain, and its diagnosis and treatment remain challenging. Delayed diagnosis may lead to arthritic change of the joint. In this study, the authors present the occurrence of intra-articular osteoid osteoma in the right elbow of a 15-year-old male patient who presented with prolonged pain and limited motion owing to delayed diagnosis. After confirming the nidus of osteoid osteoma from radiographic evaluation, the lesion was completely removed arthroscopically. The patient presented a complete relief of symptoms and full range of motion. This is the first domestic report of successful arthroscopic treatment of an intra-articular osteoid osteoma of the elbow.

불안정성 상완골 근위부 골절에서 내측 지지 금속판 고정술

박삼국(Park Sam-Guk),고영진(Ko Young-Jin) 대한견주관절의학회 2018 대한견주관절학회 학술대회논문집 Vol.2018 No.3

골유합 부전의 대사적, 역학적 원인

박삼국 ( Sam-guk Park ),손욱진 ( Oog Jin Shon ) 대한골절학회 2017 대한골절학회지 Vol.30 No.1

불유합은 골절 치료 후 가장 우려되는 합병증의 하나로 환자 및 의사들이 결과를 알 수 없는 긴 치료를 견뎌내야 하는 인내를 요구하게 한다. 저자들은 불유합의 위험인자에 관한 문헌을 고찰하여 골절 간격, 안정성, 골괴사와 유합 기전, 골다공성 골절과 고정 방법, 골절의 양상, 연부조직 손상, 국소감염, 다발성 골절과 같은 역학적 인자와 나이, 동반 이환, 흡연, 알코올 중독, 약물과 같은 대사적 인자에 관한 최근 경향을 살펴보았다. 불유합의 원인을 조금씩 알게 되면서 내고정 기구 및 수술 방법에서 많은 발전이 지속되고 있고, 대사적 인자의 작용 기전에 관한 지식도 넓어지면서 불유합의 복합적 치료 방법이 각광을 받고 있다. 골절 및 불유합 치료 시 위험인자와 치료에 있어서의 발전된 부분을 고려하여 더 좋은 계획을 세울 수 있기를 바라는 바이다. Non-union is one of the most devastating complications after fracture fixation. It usually results in prolonged treatment duration and unpredictable results. We reviewed the literature to identify recent information regarding the following: risk factors of nonunion; mechanical risk factors, including fracture gap width and stability, osteonecrosis and healing mechanism, osteoporotic fracture and fixation method, the characteristics of fracture, soft tissue injury, local infection, and multiple fractures; as well as the metabolic risk factors, including age, comorbidities, smoking, alcoholism, and medications. The technique and devices for fracture treatment have been developed, and treatments of nonunion are evolving according to the enhancement of our understanding of nonunion. Clinicians should refer to the risk factors and advancements while developing a treatment plan.

대퇴 원위부 관절내 골절 치료 후 중기 추시 결과

박삼국 ( Sam Guk Park ),문정재 ( Jeong Jae Moon ),손욱진 ( Oog Jin Shon ) 대한골절학회 2016 대한골절학회지 Vol.29 No.4

목 적: 고 에너지에 의한 대퇴 원위부 관절내 골절(AO/OTA 33-B & C)을 당한 50세 이하의 청장년 환자에서 골유합술시행 후 방사선적 및 임상적 중기 추시 결과 및 외상 후 골관절염의 진행을 알아보고자 하였다. 대상 및 방법: 2008년 1월부터 2013년 1월까지 상기 조건을 만족하고 3년 이상 추시가 가능했던 21예를 대상으로 하였다. 방사선적으로 하지 정렬의 회복, 골유합 기간 및 외상 후 골관절염의 진행여부를 확인하고, 임상적으로는 관절의 운동 범위 및 Knee Society score (KSS)를 평가하였다. 결 과: 평균 골유합 기간은 18.2주였고, 하지의 정렬 회복은 모두 정상 범위였다. 3년 이상 최종 추시 결과 7예에서 외상후 골관절염이 진행되었고, 이는 골절의 분류, Hoffa 골절을 포함한 관상면 골절 및 나이와 관련이 있었다. 최종 추시 관절의 운동 범위는 평균 128.7o, KSS 중 knee 점수는 평균 86.1점, functional 점수는 평균 85.1점으로 나타났으며, 1년 추시에 비하여 모두 향상되었다. 결 론: 따라서 3년 이상 중기 결과는 방사선적 및 임상적으로 만족할 만하였고, 예후에 결정적인 영향을 미치는 외상 후골관절염의 진행은 33.3%에서만 경도로 진행하는 것을 확인하였다. Purpose: This study was to evaluate the radiological and clinical mid-term results and the presence of post-traumatic osteoarthritis after osteosynthesis in patients under the age of 50 years undergoing osteosynthesis for distal femur intra-articular fractures (AO/OTA 33-B & C) from high-energy trauma. Materials and Methods: Between January 2008 and January 2013, a total of twenty-one patients with more than three years of follow-up were enrolled. Recovery of the alignment of the lower extremity, union period, and the presence of post-traumatic osteoarthritis were confirmed by follow-up radiographs. Clinically, the range of motion, pain on fracture lesion, and Knee Society score (KSS) were evaluated. Results: The average duration of union was 18.2 weeks (10-28 weeks), and the alignment of the lower extremity was within normal range in all patients. Seven patients showed post-traumatic osteoarthritis at the final follow-up after more than three years. The presence of post-traumatic osteoarthritis was associated with the classification of fractures, coronal plane fracture, and age. The average range of motion, knee score among KSS, and function score at the last follow-up were 128.7o, 86.1, and 85.1, all showing a greater improvement when compared with the one year follow-up scores. Conclusion: The mid-term result was radiologically and clinically satisfactory. Furthermore, only 33.3% of patients showed a slight progress of post-traumatic osteoarthritis, which critically effects the prognosis.