Forty one cases of patella fractures which were treated at the Department of Orthopaedic Surgery, Catholic Medical College during the period from January 1971 to March 1974 were presented. Most fractures encountered in man of 3rd and 4th decades, sixty percent of fracture was in the mid-pole of patella and thirty percent in the lower pole. Twenty nine(29%) fracture was induced by direct blow and remainders by indirect violence. When the knee joint was immobilized in 15 flexion with crlinder cast in certain period of time, early joint mobility was restored after the discontinuence of the cast. The tibial tubercle-plasty in association with fracture reduction to increase quadriceps power and to prevent late occureace of patellofemoral arthritis gave satisfactory result in two cases.
Arthritis ; Joints ; Knee Joint ; Patella ; Violence

Nowadays the clinical impression in Korea is that genu varum uncommon though there was high incidence of this deformity by vitamin D deficiency in the early 1900. Authors reviewed the case histories and x-ray of 18 patients treated for this condition at the Dept. of Orthopaedics, St. Mary's hospital for past 5 years: 17 patients were under 5 years of age. 12 patients had rachitic bowIeg and among them four had active ricket. Six patients had physiologic bowleg deformity. Classification in four grades according to severity of bowleg is attempted. Among the cases eleven patients having less than 10 degree of bowleg treated conservatively with good end result, but corrective osteotomy is routinely scheduled for seven patients having bowleg of knee over 10 degree and resist to treatment. Lasting it is stressed that physiologic bowleg shoud be distinguished from pathologic one. Diagnosis of bow leg can not be made before age of 2–3 years, that is, before transitional phase of development of knee angle.
Classification ; Congenital Abnormalities ; Diagnosis ; Genu Varum ; Humans ; Incidence ; Knee ; Korea ; Osteotomy ; Vitamin D Deficiency

No abstract available.
Breast Neoplasms* ; Breast* ; Eflornithine* ; Estrogens ; Humans* ; MCF-7 Cells ; Phosphorylation* ; Polyamines

With the improvement of economic conditions and medical care, the average life span has increased, thus making geriatrics an important consideration in the medical field. Degenerative changes of the cervical spine in aged are not uncommon. Also it is well known tha subjects with radiologic features of cervical spondylosis may be symptom free. On the other hand, cervical myelopathy may occur in the presence of minimal spondylosis as shown radiologically. This discrepancy between symptoms and radiologic features seems to be attributed to the differences in the initial structure of the cervical spine. The authors surveyed at random the various radiographic measurements of 300 Koreans having normal cervical spines and 120 Koreans with cervical spondylosis. The results of the survey are as follows: 1. Osteophyte was noticed more frequently at the 3 rd, 4 th and 5 th cervical vertebrae. 2. Lordosis angle was greater in spondylosis group than in normal group, which might be attributed to paravertebral muscle spasm. 3. Normal sagittal diameter of the canal decreased between C3-C6 and the narrowest was at C4 level. The sagittal diameter, on the average, was 1.5 mm shorter than in European population and 1 mm longer than Japanese. This might be attributed to the difference in the body height. 4. In the normal spine group the average interpedicular distance was greatest at the 5 th, and 6 th cervical vertebra. In the cervical spondylosis group the average interpedicular distance was greater than in normal population it was greatest at the 5 th and 6 th cervical vertebra.
Animals ; Asian Continental Ancestry Group ; Body Height ; Cervical Vertebrae ; Female ; Geriatrics ; Hand ; Humans ; Lordosis ; Osteophyte ; Spasm ; Spinal Cord Diseases ; Spine ; Spondylosis

Since Lebert stated, in 1851, that fibroblastic and sarcomatous tumors of the intracranial cavity had different survival times, many neuropathologists tried to set up histopathological grading system predicting the prognosis of the tumor of the nervous system. Especially, the histological assessment of the aggressiveness of meningiomas has not always been useful in conforming the biological characteristics of these tumors, and the definition of malignancy is still subject to controversy. However, metastases from meningioma to remote sites have always been considered rarities. The authors experienced a case of metastatic meningioma, hemangiopericytic type, with a history of recurrence. A forty years old male patient received a craniotomy to remove a mass in right parasagittal region, in June 1981. He had suffered from Jacksonian type of seizure started from left foot throuth leg, thigh, and arm to face. During operation, a well defined mass was noted in left parasagittal region with cleavage plane. The tumor was completely removed with cauterization of invasion site. In microscopic examination, the mass had typical findings of hemangiopericytic type of meningioma. In September 1987, he received a repeat operation to remove a recurred tumor mass in vertex, at age of forty-six. The removed tumor revealed same histologic features as those seen in primary tumor. In January 1990, at age of forty-nine, he noted pain and tenderness on the right iliac crest and the left iliac tuberosity, Plain pelvis AP x-ray ad Pelvis CT scan revealed osteolytic expansile mass lesions involving both iliac bones, the body of second sacral vertebra, and the right superior ramus of the pelvic bone. An open biopsy of the iliac bone was performed. The microscopic findings of the bone lesion were same as reccruent lesion of the brain.
Male ; Humans ; Biopsy ; Meningioma ; Neoplasm Metastasis

We have many unsolved problems about the femoral neck fracture, especially non-union of the fracture and avascular necrosis of the femoral head. It seems clear that underlying these are two basic problems; first, the mechanical difficulties in maintaining secure fixation; and second, biological factors interfering with union, paramount of which is damage to the blood supply of the femoral head. Intra-capsular fracture of the femoral neck heals in the same way as other intra-articular fractures-only by endosteal and not by periosteal repair. If the femoral head has an intact blood supply, repair appears early on both sides of the fracture. But if the femoral head is not viable, this repair appears only on the neck side of the fracture. It can migrate into the head and heal the fracture only if there is close apposition and rigid fixation of well reduced fracture fragments. Clearly the femoral neck fracture heals not by periosteal callus but by callus arising from the marrow supporting structure. Yet there is still no reliable clinical method of determining early the union of the femoral neck fracture and the viability of the femoral head. The femoral head intra-osseous venography, first described by Hulth (1953), to predict viability of the femoral head after fracture of the femoral neck has been carried by various previous authors (Hulth1953 1956 1958, Dahlgren 1959, Harrison 1962, Hulth and Johansson 1962, Nagai 1962). However, they did not mention healing process of fractures of the femoral neck in these studies. To observe the fracture healing and to predict the viability of the femoral head, authors adopted a femoral trochanteric intra-osseous venographic technique. The precedure was carried out under the control of a T-V image intensifier. Venous drainage of the femoral head parallels the arterial supply. There are several venous drainage routes in the hip region; the medial and lateral circumflex vein, gluteal vein, nutrient vein, femoral vein, vein of the ligamentum teres and obturator vein. With the aid of a T-V image intensifier, a bone marrow needle is driven 1 inch below the femoral greater trochanter. When the tip of the needle is in the marrow cavity, about 30cc, of 75% Urograffin is injected. Next X-rays are taken at intervals of 2 seconds, the last film at 5 minutes. A positive venography is one in which venous drainage is seen, and opaque fluid is seen in mottled distribution throughout neck region and part of the head. A negative venography is one in which no venous drainage is seen, on the contrary, opaque fluid pools within the trochanteric region are evident and remain for at least 5 minutes. A positive venography indicates that the head has an intact circulation, thus it may be predicted that the fracture can unite and the head is alive. Negative venography suggests that fracture union is not and will not take place and that the head may be dead. This study provided information about fracture heaIing processes and vascularities of the femoral head and its surrounding tissues during and after fractures healing. We have found that trochanteric intra-osseous venography is a useful diagnostic tool in hip injuries.
Biological Factors ; Bone Marrow ; Bony Callus ; Drainage ; Femoral Neck Fractures ; Femoral Vein ; Femur ; Femur Neck ; Fracture Healing ; Head ; Hip Injuries ; Hip ; Methods ; Neck ; Necrosis ; Needles ; Phlebography ; Round Ligaments ; Veins

No abstract available.
Arthritis* ; Knee*

Ossification of the anterior longitudinal ligament of the spine was first reported by Dr. Forestier and Dr.Rotes in 1950. However, in no other countries but Japan there have been reports on the ossification of the posterior longitudinal ligament of the spine which was first reported by Tsukimoto in 1960. About 45% of ossification of the posterior longitudinal ligament of the spine have a combination of ossification of the anterior longitudinal ligament and yet it is considered to be a variety of the spinal geriatric conditions, favorable to the cervical spine. The condition develops similar symptoms of cervical spondylosis. Authors report two cases of ossification of posterior longitudinal ligament of cervical spine of Korean nationals at St. Marys hospital, Catholic Medical College.
Japan ; Longitudinal Ligaments ; Ossification of Posterior Longitudinal Ligament ; Spine ; Spondylosis

Fracture of capitellum humeri, so called Kocher fracture, was first described by Haln in 1853. It is rare and has been occured 0.5% to 1% of incidence of all elbow fracture. The mechanism of this fracture mostly results when one tries to break a fall and lands on the hand with the elbow in some degree of flexing or falls directly on the elbow in a position of full flexion. This case had been occured in a secondary motion
Accidental Falls ; Athletes ; Elbow ; Hand ; Humans ; Incidence ; Methods ; Weight Lifting

The eccrine poroma was described first by Pinkus et al. in 1956 as a subgroup of benign solid hidradenoma with the histologic structure resembling acrosyringium. The histologic appearance of eccrine poroma greatly resembles that of seborrheic keratosis and basal cell carcinoma. But the clinical lesion is fairly unique and the tumor is most commonly found almost exclusively on the foot, in the skin of the plantar surface. During the past four years, the authors experienced five cases of eccrine poroma which were diagnosed by histopathological examination of the tumor mass. All the cases occurred in the sole and lateral sides of the foot as well. Clinical and pathological features were reviewed and a brief review of the literatures was done.