No abstract available.

This paper was prepared to determine the effects of degree of initial angulation and the method of treatment toward the end results, and also to report cases of twenty-one children with a radial neck lowed up more than 12 months. The results are as follows: 1. An average follow up period was 34 months, and were ranged from 12 months to 70 months. 2. Displacement patterns of fracture were angulation in 5 cases, partial translocation in 11cases, and total displacement in 5 cases, and translocated fracture was most frequent. According to the degree of angulation, in 10 cases angulation was minor(below 30 degrees), in 8 cases moderate(30–60 degrees), and in 3 cases severe (above 60 degrees). 3. One case was treated by simple cast immobilization, 9 cases were treated by gentle closed reduction, 3 cases were by percutaneus pin reduction with K-wire, 7 cases were by open reduction and K-wires fixation, and 1 case was by closed reduction and incorporating cast immobilization. 4. The results of 20 cases were excellent in range of motion without specific complication. Without considering about the method of treatment, when angulation was severe, more time was required for recovery(Wilcoxon 2-simple test P < 0.02). When the degree of angulation was less than 60 degree, the functional recovery was faster with closed reduction than with open reduction, but with the angulation more 60 degree, there was no significant difference(Spearman correlation coefficient=0.599, P value < 0.05). In conclusion, the severity of initial displacement and the method of treatment were considered to be factors that could affect the recovery time.
Child ; Follow-Up Studies ; Humans ; Immobilization ; Methods ; Neck ; Range of Motion, Articular

The authors presented a case of malignant melanoma of the choroid which had been unsuspected clinically. The patient, 38-year-old female, came to Korea General Hospital on Dec. 5-1973 because of blind painful eye and white pupil in the left side. And she was told at local clinic that she had retinal detachment in that eye about 3 years ago. We thought of this case as secondary glaucoma due to swollen lens behind at first. Therefore cryoextraction of the lens was performed for relieving the ocular pain, on Dec. 5-1973. Increased I.O.P., however, had been persisted and ocular pain had not been improved until the patient entered this hospital again on Jan. 25-1974. Enucleation was performed and choroidal malignant melanoma (spindle type) was proven by histopathological study. The patient was instructive to us that we should always remind the possibilities of intraocular tumor behind the opaque media, in cases of unilateral glaucomatous blind eye with shallow anterior chamber.
Adult ; Anterior Chamber ; Choroid* ; Female ; Glaucoma ; Hospitals, General ; Humans ; Korea ; Melanoma* ; Pupil ; Retinal Detachment

BACKGROUND: Aspiration pneumonia remains a serious result associated with general anesthesia. Therefore, we studied the effectiveness of preanesthetic ranitidine in increasing gastric pH to prevent aspiration pneumonia. METHODS: Eighty patients scheduled for elective surgery were randomly divided into four groups with twenty patients in each group. Patients in control group were not given preanesthetic ranitidine; patients in group I received 300 mg of ranitidine orally at night before surgery, patients in group II received 150 mg of ranitidine orally both the night before surgery and one hour before surgery respecvtively and patients in group III recieved 150mg of ranitidine orally one hour before surgery. RESULTS: Compared with control group, the mean gastric pH of preanesthesia and 1 hour after anesthetic induction increased significantly in the group I, II, III (P<0.0001). There was significant increased gastric pH in the group II compared with group I and III. CONCLUSIONS: These results demonstrate that ranitidine markedly increase the gastric pH. So, we recommend that patients receiving general anesthesia would be taken Hz-antagonist such as ranitidine preoperatively.
Anesthesia, General ; Humans ; Hydrogen-Ion Concentration* ; Pneumonia, Aspiration ; Premedication ; Ranitidine*

Penile amputation is an unusual injury. There are several reports in the literature describing successful primary reanastomosis. We have an experience of a case of completely amputated penis that was reimplanted with the techniques of microvascular anastomosis of the dorsal arteries. The result was satisfactory for both urinary and sexual function. Herein we report this case with the review of the literatures.
Amputation ; Arteries ; Male ; Microsurgery ; Penis* ; Replantation*

Miescher syndrome comprises congenital acanthosis nigricans, hypertrichosis, failure to thrive and short stature, dysmorphism especially of the jaws and oral cavity, insulin-resistant diabetes mellitus, and a characteristic general appearance. This report concerns a rare case of 12-year-old girl having insulin resistant diabetic mellitus with Miescher syndrome. The relevant literature was reviewed.
Acanthosis Nigricans ; Child ; Diabetes Mellitus* ; Failure to Thrive ; Female ; Humans ; Hypertrichosis ; Insulin ; Jaw ; Mouth

During 5 months from April to August, 1990, 114 patients with urinary stone were treated without anesthesia by extracorporeal shock wave lithotripsy (ESWL) with the Wolf Piezolith 2300 lithotriptor. Of these 114 patients, 95 comprising 98 renal units with stones followed more than 1 month after ESWL, were evaluated. The results were obtained as follows ; l. The average patient age was 44 years, with a range of 19 to 65 years. The sex ratio was similar, All cases were treated on the out-patient basis. 2. The locations of stones were kidney in 61 cases ( 62.2%) including 8 cases of staghorn calculi and ureter in 37 cases (37.8%). 3. The average sessions of treatment were 2.6 and average treatment time was 31 minutes. 4. Pain from ESWL was tolerable for almost all patients in whom ESWL were performed without anesthetics or analgesics. Only 2 of 95 patients required analgesics. 5.Complete fragmentation (into particles less than 2mm in size) was achieved in 94.9% of the cases, with 75.5% being completely free of stone at 1 month. 6.The auxiliary measurements such as hydration with diuresis, ureteral stenting were needed in 11.2% of cases. Hydration with diuresis was induced in 7 cases for the localization of the ureteral stone. 7. The post-ESWL complications were mild and controlled with conservative management. We conclude that extracorporeal shock wave lithotripsy monotherapy with Wolf Piezolith 2300 lithotriptor was considered to be effective and safe procedure for the treatment of urinary stones.
Analgesics ; Anesthesia ; Anesthetics ; Calculi ; Diuresis ; Humans ; Kidney ; Lithotripsy* ; Outpatients ; Sex Ratio ; Shock* ; Stents ; Ureter ; Urinary Calculi ; Wolves*

A new serum marker of prostatic cancer, prostate specific antigen(PSA), has shown promising results in clinical trials. The concentration of PSA in serum was measured using a Tandem-Re radioimmunometric assay and prostate acid phosphatase(PAP), the reference serum marker, was measured using a enzymatic assay, in 149 patients including 23 patients with prostatic cancer, 94 patients with benign prostatic hyperplasia(BPH), and 32 controls free of prostate disorders. The following results were obtained. 1. In normal control group, the mean(+/-SD) PSA value was 1.21+/-0.96ng/ml(range, 0.1 to 3.7), and the mean PAP value was 0.29+/-0.13ng/ml(range, 0.1 to 0.5). 2. The mean PSA levels were 63.07ng/ml and 6.27ng/ml in patients with prostatic cancer and BPH, respectively(p<0.01). 3. PSA was increased in 39.4 percent and PAP in 4.3 percent of patients with BPH. 4. The levels of PSA were elevated in 6.4 percent of the patients with stage A, 64.68 percent with stage C and 73.29 percent with stage D prostatic carcinoma whereas those of PAP were elevated in 30.4 percent of the patients above stage C. 5. The sensitivity and specificity for PSA were 91.3 percent and 60.6 percent, respectively. We conclude that PSA is more sensitive than PAP in the detection of prostatic cancer and will probably be more useful serum marker in monitoring therapy for prostatic carcinoma.
Biomarkers ; Enzyme Assays ; Humans ; Prostate* ; Prostate-Specific Antigen* ; Prostatic Diseases* ; Prostatic Neoplasms ; Sensitivity and Specificity

The femoral neck fracture in children are extremely rare and occur secondary to severe trauma. Many authors recommend early anatomical reduction and firm internal fixation because of many complications after treatment. Eleven displaced femoral neck fractures in children who were treated at the Keimyung University Dong San Medical Center from February, 1989 to February, 1993. Following results were obtained, after clinical and radiological evaluations. 1. Fractures of the femoral neck in children occurred from five to sixteen years, the highest inci dence was between ten and thirteen years of age. 2. The main causes of the fracture were traffic accident in 9 cases. 3. 10 cases were treated by arthrotomy, open reduction and internal fixation and one by closed reduction and internal fixation. 4. Operation were performed within 24 hrs after trauma in 5 cases, within 5 days in 4 cases, and 2 cases were performed within 10 days after trauma. 5. According to the classification of Delbet and Colonna(12), cervicotrochanteric fracture(type III) was the most common type(7 cases). 6. The degrees of displacement were 4 cases totally displaced, one case more than two third dis placed, 4 cases 1/3 to 2/3 displaced, and 2 cases less than one third displaced. 7. Complications were transient AVN confirmed by bone scan(1 case) and coxa vara due to nonunion(1 case). 8. According to the Ratliffs assessment(22) the results were good in 9 cases, fair in one, and poor in one.
Accidents, Traffic ; Child ; Classification ; Coxa Vara ; Decompression ; Femoral Neck Fractures ; Femur Neck ; Humans

Total hip replacement for adults with severe acetabular dysplasia presents a difficult problem because deficient bone stock and soft tissue contractures usually prevent sitting at the normal anatomic level. The rationales of high hip center are due to high failure rate of bulk structural weight bearing graft, good short-term result of hemispherical cementless acetabular component in revision surgery, high hip center but not lateral which does not adversely affect the biomechanics of the hip, and intimate apposition with viable host bone. We represented the short-term results of 21 total hip replacements with proximal placement of the acetabular cup than the anatomical position that is normally used. The mean duration of follow up was 18 months(range, 12-58 months) and the mean age of the patient was fifty-one years(range, thirty to sixty-seven years). Most of these hips had a major deficiency or defect of the acetabular bone stock. They had an aver- age Harris hip score of 47 points preoperatively and 90 points postoperatively. Roentgenographic measurements showed that the mean change in the height of the center of the hip postoperatively was only +6.6 millimeters and the mean change of horizontal location of them was 10 millimeters medial to the preoperative position. Postoperative complications included calcar fracture(1 case), trochanteric bursitis(1 case), postop- erative dislocation(1 case) and one case of radiological loosening of the acetabular component. The center of the hip in THR is not a crucial parameter with regard to the long-term stability of acetabular component, so our recommendation is to place the acetabular component at a more proximal but not lateral position if strong bone stock is available. But future studies of high hip center need to address femoral component longevity.
Acetabulum ; Adult ; Arthroplasty, Replacement, Hip ; Contracture ; Femur ; Follow-Up Studies ; Hip Joint ; Hip ; Humans ; Longevity ; Osteoarthritis ; Postoperative Complications ; Transplants ; Weight-Bearing