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J Trauma Inj : Journal of Trauma and Injury



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Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea
Sung Jin An, Sang Hyun Lee, Gi-Ho Moon
J Trauma Inj. 2021;34(1):50-56.   Published online November 30, 2020
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  • 82 Download
  • 1 Citations
AbstractAbstract PDF

Fractures are common in the military population, but limited studies have investigated the incidence of fractures among Korean military personnel. Hence, this study aimed to clarify this issue.


Eligible subjects were patients who had sustained a fracture and were registered in the N-DEMIS (the medical records system of participating hospitals) from June 2017 to May 2019. Fractures were categorized according to the fracture site, patients’ age, sex, and type of duty.


In total, 23,687 patients with 23,981 fractures were included. There were 216 patients with multiple fractures, of whom 156 had fractures at two sites, 42 had fractures at three sites, and 18 had fractures at four sites. Of the 23,687 patients, 23,340 were men and 347 were women. The incidence of fractures in men and women was 12.96 per 1,000 person-years and 0.19 per 1,000 person-years, respectively. In terms of the broad location of fractures, the percentage of fractures was the highest in the hand, followed by the foot and lower leg. When the location of fractures was analyzed more specifically, the percentage of fractures was the highest in the phalanx (thumb and fingers), followed by the ankle and metacarpal bones.


Hand, foot, ankle, and wrist fractures were the most commonly encountered fractures in the Korean military population. To prevent the loss of combat power due to non-battle-related injuries, thorough preparation is necessary, including protective equipment and preliminary training for areas with a high frequency of fracture occurrence.



Citations to this article as recorded by  
  • Systematic Review and Meta-analysis of Exercise for the Prevention of Musculoskeletal Injuries in Soldiers
    Hoyong Sung, Geon Hui Kim, On Lee, Jaewoo Kim, Kyoung Bae Kim, Hyo Youl Moon, Yeon Soo Kim
    The Korean Journal of Sports Medicine.2024; 42(1): 1.     CrossRef
Treatment of Hamate Body Coronal Fracture
Sang Hyun Lee, Nu Ri Kim, Jae Hoon Jang, Tae Young Ahn
J Trauma Inj. 2014;27(3):57-62.
  • 1,655 View
  • 31 Download
AbstractAbstract PDF
A hamate body coronal fracture is well known as a very rare fracture in the carpal bones and is also hard to diagnose in initial stage due to the bone's architecture. We report our experience in treatment of such a fracture, and we present a review of the relevant literatures.
Four patients who experienced hamate body coronal fractures from October 2006 to October 2013 were enrolled in this study. One patient also had an associated Capitate fracture, and two patients had associated dislocations of the 4th metacarpal joint. We performed open reduction and mini-screw fixation on the four patients. In addition, a K-wire was fixed for the two patients with dislocations.
The average follow-up period was 24.5 months after surgery, and bone union was observed at the 8th week after surgery. We confirmed that bone union had been completed for all the patients, and functional tests showed that joint motion was in the normal range without complications.
When a patient has consistent pain on the ulnar side of the wrist, a hamate fracture should be suspected. Computer tomography is better than a simple X-ray scan for confirming the diagnosis of a hamate body coronal fracture. An open reduction and mini-screw fixation led to a good result.

J Trauma Inj : Journal of Trauma and Injury