Journal of Yeungnam Medical Science

In Sook Lee

2 Articles

Avulsion injuries: an update on radiologic findings: Changwon Choi, Sun Joo Lee, Hye Jung Choo, In Sook Lee, Sung Kwan Kim; Yeungnam Univ J Med. 2021;38(4):289-307. Published online August 13, 2021; DOI: https://doi.org/10.12701/yujm.2021.01102

11,064 View
224 Download
6 Crossref

Avulsion injuries result from the application of a tensile force to a musculoskeletal unit or ligament. Although injuries tend to occur more commonly in skeletally immature populations due to the weakness of their apophysis, adults may also be subject to avulsion fractures, particularly those with osteoporotic bones. The most common sites of avulsion injuries in adolescents and children are apophyses of the pelvis and knee. In adults, avulsion injuries commonly occur within the tendon due to underlying degeneration or tendinosis. However, any location can be involved in avulsion injuries. Radiography is the first imaging modality to diagnose avulsion injury, although advanced imaging modalities are occasionally required to identify subtle lesions or to fully delineate the extent of the injury. Ultrasonography has a high spatial resolution with a dynamic assessment potential and allows the comparison of a bone avulsion with the opposite side. Computed tomography is more sensitive for depicting a tiny osseous fragment located adjacent to the expected attachment site of a ligament, tendon, or capsule. Moreover, magnetic resonance imaging is the best imaging modality for the evaluation of soft tissue abnormalities, especially the affected muscles, tendons, and ligaments. Acute avulsion injuries usually manifest as avulsed bone fragments. In contrast, chronic injuries can easily mimic other disease processes, such as infections or neoplasms. Therefore, recognizing the vulnerable sites and characteristic imaging features of avulsion fractures would be helpful in ensuring accurate diagnosis and appropriate patient management. To this end, familiarity with musculoskeletal anatomy and mechanism of injury is necessary.

Citations

Citations to this article as recorded by

Surgical management of posterior ligament complex stripping in an adolescent spinal flexion distraction injury: A case report and literature review
Dong-Ju Lim
International Journal of Surgery Case Reports.2024; 114: 109195. CrossRef
Ischial Tuberosity Avulsion Fracture Mimicking Calcified Mass on Plain Films: A Case Report
Mason A Williams, Lena Naffaa
Cureus.2024;[Epub] CrossRef
ESR essentials: MRI of the knee—practice recommendations by ESSR
Anagha P. Parkar, Miraude E. A. P. M. Adriaensen
European Radiology.2024; 34(10): 6590. CrossRef
Subtle Avulsion of the Anterior Superior Iliac Spine With Incidental Finding of Coxa Profunda
Josh Landers, Evan Rosenzweig
JOSPT Cases.2024; 4(3): 139. CrossRef
Adolescent Male With Sudden, Severe Onset Right Groin Pain
Michael Hofer, Carl A. Germann, Peter Croft, Timothy Sweeney
Annals of Emergency Medicine.2024; 84(4): 447. CrossRef
Isolated fracture of the lesser tuberosity of the humerus – a rare injury that requires surgical treatment
Miodrag Glisic, Vladan Stevanovic, Aleksandar Jevtic, Uros Jovicevic, Ivan Jankovic
Vojnosanitetski pregled.2023; 80(3): 279. CrossRef

Preoperative arterial embolization of heterotopic ossification around the hip joint: Jin Hyeok Kim, Chankue Park, Seung Min Son, Won Chul Shin, Joo Yeon Jang, Hee Seok Jeong, In Sook Lee, Tae Young Moon; Yeungnam Univ J Med. 2018;35(1):130-134. Published online June 30, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.1.130

5,074 View
30 Download
4 Crossref

Abstract PDF

Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

Citations

Citations to this article as recorded by

Embolization followed by resection of the heterotopic hip joint ossification with spinal cord injury
Takahiro Igei, Satoshi Nakasone, Masato Ishihara, Masamichi Onaga, Kotaro Nishida
Journal of Orthopaedic Science.2024; 29(1): 454. CrossRef
Preoperative Arterial Embolization for Heterotopic Ossification of the Hip
Nicolas Papalexis, Giuliano Peta, Costantino Errani, Marco Miceli, Giancarlo Facchini
Journal of Vascular and Interventional Radiology.2023; 34(4): 608. CrossRef
Neurogenic heterotopic ossification: A review. Part 2
Vladimir A. Novikov, Alina M. Khodorovskaya, Valery V. Umnov, Evgenii V. Melchenko, Dmitry V. Umnov
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery.2023; 11(4): 557. CrossRef
ENDOVASCULAR TREATMENT BEFORE OPERATIONS IN CLINIC OF TRAUMATOLOGY AND ORTHOPAEDICS
S. Prozorov, P. Ivanov, N. Zadneprovsky
Vrach.2023; : 21. CrossRef

Author index