Lateral epicondylitis with rupture of the radial collateral ligament of the elbow has not been reported in the literature. We report on a case of a recreational golfer who had not received steroid injection and had no trauma history. The patient was treated with open surgical repair. At 2 years follow-up, satisfactory clinical and radiological outcomes were observed with return to pre-injury level. The authors report this case and review the literature.
Collateral Ligaments* ; Elbow* ; Follow-Up Studies ; Humans ; Ligaments* ; Rupture ; Rupture, Spontaneous* ; Tendons*

No abstract available.
Gangwon-do* ; Patch Tests*

No Abstract Available.
Gonadotropin-Releasing Hormone* ; Receptors, LHRH*

Characteristic residual deformities are thought to be unavoidable in most bilateral complete cleft lip and palate patients. Newly-adopted designs and modified surgical strategies were applied to 40 consecutive patients of bilateral complete cleft lip and palate and some characteristic deformities could be overcome. The future midline on the lateral lip segment was marked on the white roll of thickest vermilion and the alar base was transposed medially without circumalar incision. The prolabial width was reduced to 4-5 mm in consideration of further widening. To evaluate the outcome of bilateral cleft lip repair, 15 patients with adequate photographic records were assessed separately and overall by a panel of judges. Gross facial attractiveness of the visual analog recording scale correlated well with the cleft impairment scale. Full-bodied vermilion with tubercle was achieved and upper lip tightening and tower lip pouting could be avoided. Adequate philtral width was maintained over a 3-year follow-up. Nasal tip projection and proper alar position could be accomplished without circumalar incision. Cleft impairment scale showed impaired characteristics os short columella, no nostril sill, transverse nostril axis, flat and undimpled philtrum, convex-profiled upper lip and a downward drawn nose. Columellar length and nostril axis were expected to improve with growth and development. Absence of the philtral dimple and convex-profilled upper lip still remain to be solved. A reliable, easy to perform, and inexpensive evaluation protocol was provided for bilateral cleft lip repair and selected surgical procedures and postoperative outcomes could be assessed with photographic records.
Axis, Cervical Vertebra ; Cleft Lip* ; Congenital Abnormalities ; Follow-Up Studies ; Growth and Development ; Humans ; Lip* ; Nose ; Palate*

No abstract available.
Alopecia* ; Mucinosis, Follicular*

No abstract available.
Folliculitis* ; Hair*

No abstract available.
Humans ; Spinal Cord Injuries* ; Spinal Cord* ; Urinary Bladder*

The electrocardiographic and echocardiographic analysis was made on 23 patients with atrial septal defect of ostium secundum type, who were confirmed by right heart catheterization under admission at hanyang University Hospital from january 1979 to July 1981. Following results were obtained: 1) In the 23 patients, 13 were male and 10 female. Their ages ranged from 6 to 45 years, mean age being 19.9 years. 2) In 18 patients(78.3%), the QRS axis was between +90degrees and +150degrees. No significant correlations could be demonstrated between QRS axis and some hemodynamic parameters(right ventricular systolic pressure, pulmonary artery mean pressure and pulmonic to systemic flow ratio), and also, between QRS axis and the size of right ventricular dimension index. 3) Right ventricular outflow tract hypertrophy, right ventricular hypertrophy and complete right bundle branch block pattern in Lead V3R or V1were observed in 95.7% of ostium secundum defect. No significant correlations could be found between types of QRS complexes and some hemodynamic parameters(right ventricular systolic pressure, pulmonary artery mean pressure and pulmonic to systemic flow ratio), and also, between types of QRS complex and the size of right ventricular dimension index. 4) The mean amplitude of S wave in precordial Lead V6was 7.6mm. There was a definite correlation between the amplitude of S wave in Lead V6and right ventricular systolic pressure. No significant correlations could be demonstrated betwen the amplitude of s wave in Lead V6and some hemodynamic parameters(pulmonary artery mean pressure and pulmonic to systemic flow ratio), and also, the size of right ventricular dimension index. 5) Right ventricular dimension index was increased in all cases but one. A significant correlation was found between the size of right ventricular dimension index and pulmonary artery mean pressure, whereas no significant correlation could be demonstrated between the size of right ventricular dimension index and pulmonic to systemic flow ratio. 6) 95.7% of 23 patients with ostium secudum defect showed paradoxical septal motion was proved not to be associated with other congenital heart disease by cardiac catheterization. The pulmonic to systemic flow ratio in groups of septal motion type A was significantly increased than that of normal septal motion group, whereas no significantl relation between types of septal motion and the size of right ventricular dimension index was observed.
Arteries ; Axis, Cervical Vertebra ; Blood Pressure ; Bundle-Branch Block ; Cardiac Catheterization ; Cardiac Catheters ; Echocardiography* ; Electrocardiography* ; Female ; Heart Defects, Congenital ; Heart Septal Defects, Atrial* ; Hemodynamics ; Humans ; Hypertrophy ; Hypertrophy, Right Ventricular ; Male ; Pulmonary Artery

No abstract available.
Nicotine*

The dual muscle flap (Latissimus dorsi+ Serratus anterior muscle) based on the thoraco-dorsal vascular system for limb reconstruction has been infrequently reported. We have used this flap as a free flap for limb reconstruction in four patients (3 cases in lower linb, 1 in upper limb). A Latissmusi dorsi muscle or musculocutaneous flap and Serratus anterior muscle flap were used and all cases healed satisfactorily. The indications for this flap are to resurface two separate defects simultaneously or to resurface very large defects. It has the advantage of requiring anastomosis of one vascular pedicle only. This flap is particularly suitable for resurfacing defects wider than their length, in relation to the long axis of the limb.
Axis, Cervical Vertebra ; Extremities* ; Free Tissue Flaps ; Humans ; Myocutaneous Flap