1.Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors.
Chang Hyuk CHOI ; Seok Jun KIM ; Seung Bum CHAE ; Jae Keun LEE ; Dong Young KIM
Clinics in Shoulder and Elbow 2016;19(2):78-83
BACKGROUND: We investigated the risk factors for the recurrence of anterior shoulder instability after arthroscopic surgery with suture anchors and the clinical outcomes after reoperation. METHODS: A total of 281 patients (February 2001 to December 2012) were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores. RESULTS: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. The size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation. CONCLUSIONS: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence was the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor.
Arthroscopy*
;
Dislocations
;
Elbow
;
Humans
;
Joint Instability
;
Recurrence*
;
Reoperation
;
Risk Factors*
;
Shoulder*
;
Surgeons
;
Suture Anchors*
;
Sutures*
2.Corrigendum: Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors.
Chang Hyuk CHOI ; Seok Jun KIM ; Seung Bum CHAE ; Jae Keun LEE ; Dong Young KIM
Clinics in Shoulder and Elbow 2016;19(3):186-186
In the published article by Choi et al., a part of expression of the Abstract and the Conclusion section in the main body text have been corrected. Underlined text should be read carefully.
3.Esophagus, Stomach & Intestine; A Case of Ectopic Pancreas of the Duodenum with Massive upper Gastrointestinal Bleeding.
In Sik CHUNG ; Sang Bok CHA ; Doo Ho PARK ; Hiun Suk CHAE ; Soo Hyuk OH ; Ki Uk CHANG ; Kyu Young CHOI
Korean Journal of Gastrointestinal Endoscopy 1997;17(2):195-199
Ectopic pancreas is commonly located at stomach, duodenum and jejunum. It is a relatively rare entity and is usually of no clinical importance which especially is a very rare source of massive upper gastrointestinal bleeding. We have recently experienced a case of an ectopic pancreas in the second portion of the duodenum which was proven to be a source of massive gastrointestinal bleeding by duodenoscopy and was confirmed by surgical exploration.
Duodenoscopy
;
Duodenum*
;
Esophagus*
;
Hemorrhage*
;
Intestines*
;
Jejunum
;
Pancreas*
;
Stomach*
4.Valgus Laxity of Elbow Joint in High School Weight Lifters: Ultrasonographic Assessment.
Chang Hyuk CHOI ; Se Sik KIM ; Chang Min PARK ; Seung Bum CHAE ; Ho Jin CHANG
The Korean Journal of Sports Medicine 2013;31(2):85-91
We evaluated abnormalities in medial portion of elbow in high-school weightlifter compared with the non weightlifter using a stress radiography and ultrsonography. The experimental group(G1) was 26 high school weightlifters with an average age of 17 years old (range, 16.18 years). The control group (G2) were comprised of 25 age matched general students. Both groups received physical examination, simple and valgus stress radiography and ultrasonography on both side of elbow. Physical examination showed 26.9% (14/52 elbows) tenderness and 19.2% (10/52 elbows) valgus laxity in G1, no tenderness and laxity in G2. There were no differences in medial joint gaps on simple radiography (G1, 3.3 mm, G2, 2.7 mm; p>0.05), but the valgus stress view showed 5.6+/-0.8 mm medial joint gap in G1 and 3.8+/-0.8 mm in G2 (p<0.001). Ultrasonography in G1, angular deformity was found in 67.3% (36/52) and G2 all in normal (p<0.01). The horizontal distance was an average 4.9+/-1.23 mm for the G1 and 3.1+/-0.78 mm for the G2 (p<0.001). Vertical distance of the proximal portion of the ulna was average 0.58+/-0.94 mm for the G1 and 1.59+/-0.49 mm for the G2 (p<0.001). In G1, angular deformity of male was 50% (15/30 elbows) and female was 95% (21/22 elbows) (p<0.001). Change of horizontal and vertical distance were larger in female (p<0.05). In conclusion, there were increased incidence of medial elbow joint laxity in high school weightlifter, especially in female, regardless of career. Sustained valgus laxity could be prone to ulnar collateral ligament injury and should be evaluated with ultrasonography-assisted dynamic study.
Collateral Ligaments
;
Congenital Abnormalities
;
Elbow Joint*
;
Elbow*
;
Female
;
Humans
;
Incidence
;
Joints
;
Male
;
Physical Examination
;
Radiography
;
Ulna
;
Ultrasonography
5.Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring.
Seung Bum CHAE ; Chang Hyuk CHOI ; Dong Young KIM
Journal of the Korean Fracture Society 2016;29(2):107-113
PURPOSE: We attempted to evaluate the clinical results of modified tension band wiring (MTBW) with additional K-wire fixation and suture for distal clavicle fracture. MATERIALS AND METHODS: Fifty-nine patients with a distal clavicle fracture from May 2009 to December 2013 treated with MTBW were enrolled in this study. Their fracture types were type 2, 12; and type 3, 33; type 4, 8; and type 5, 6 according to Craig classification group II; average age was 47.2 years with a mean follow-up period of 27.9 months. The operations were performed within a mean of 3.1 days a fter t rauma. The c linical results were evaluated u sing University of California at Los Angeles scores (UCLA), American Shoulder and Elbow Surgeons scores (ASES) and Korean Shoulder Society scores (KSS) at 1 year after surgery. RESULTS: Radiographic bone union was achieved at a mean of 3.7 months after the operation. In the last observation, their range of motion was forward flexion 159.0°, external rotation 59.8°, and internal rotation 4.3 points, and there were 2 cases of nonunion. Each average functional score was UCLA 31.3 points, KSS 91.6 points, and ASES 93.0 points. CONCLUSION: For the surgical treatment of distal clavicle fractures, MTBW with additional K-wire fixation and suture is a useful technique allowing early range of motion exercises, minimizing soft tissue damage, and preserving the acromio-clavicular joint.
California
;
Classification
;
Clavicle*
;
Elbow
;
Exercise
;
Follow-Up Studies
;
Humans
;
Joints
;
Range of Motion, Articular
;
Shoulder
;
Sutures*
6.Coronary Angiography with Multidetector row Computed Tomography: Part II - Clinical Aspects.
Dong Hun KIM ; Sang Il CHOI ; Kyung Won LEE ; Hyuk Jae CHANG ; Woo Young CHUNG ; In Ho CHAE ; Dong Ju CHOI ; Cheong LIM ; Joong Haeng CHOH ; Jae Hyung PARK
Journal of the Korean Radiological Society 2004;51(4):409-416
An application of the multi-detector computed tomography (MDCT) for cardiac imaging is the non-invasive CT angiographic assessment of the cardiac morphology and the coronary arteries. The most important application is for the non-invasive diagnosis of coronary artery disease, and this includes assessment of coronary artery anomaly and stenosis, the evaluation of non-calcified atherosclerotic plaque and the follow-up examinations after stent deployment and bypass surgery. In the study, we have illustrated a variety of diseases of the coronay artery by using MDCT. These may facilitate the understanding of MDCT features of coronary artery lesions.
Arteries
;
Constriction, Pathologic
;
Coronary Angiography*
;
Coronary Artery Disease
;
Coronary Vessels
;
Diagnosis
;
Follow-Up Studies
;
Multidetector Computed Tomography*
;
Plaque, Atherosclerotic
;
Stents
7.Primary Hepatic Amyloidosis: Report of an Unusual Case Presenting as a Mass.
Rak Chae SON ; Jae Chun CHANG ; Joon Hyuk CHOI
Korean Journal of Radiology 2011;12(3):382-385
Hepatic involvement of amyloidosis is common. Diffuse infiltration with hepatomegaly is a usual radiologic finding of hepatic amyloidosis. To our knowledge, this is the first case of amyloidosis involving the liver that presented as a mass.
Aged
;
Amyloidosis/*radiography/ultrasonography
;
Biopsy, Needle
;
Contrast Media/diagnostic use
;
Female
;
Humans
;
Liver Diseases/*radiography/ultrasonography
;
*Tomography, X-Ray Computed
8.The etiology of acute viral hepatitis for the last 3 years at a single institution in Seoul.
Jang Sik MUN ; Hyung Joon KIM ; Hue CHAE ; Sang Joong KIM ; Hong Ju MOON ; Hyun Woong LEE ; Chang Hwan CHOI ; Jae Hyuk DO ; Sae Kyung CHANG
Korean Journal of Medicine 2008;74(6):624-631
BACKGROUND/AIMS: Hepatitis A is increasing during the recent years in Korea, and sporadic cases of hepatitis E are not rare. We investigated the etiology of acute viral hepatitis, including 27 cases of coinfection with hepatitis A and E, during the last 3 years. METHODS: Retrospective analysis of one hundred eleven patients with acute viral hepatitis at Chung-Ang University Hospital was done from January 2005 to July 2007. The patients were positive for any one of the following tests: IgM anti-HAV, IgM anti-HBc, HCV RNA and IgM anti-HEV. RESULTS: The proportions of acute viral hepatitis A, B and C were 94.6% (105/111), 4.5% (5/111) and 0.9% (1/111), respectively. Among the patients with hepatitis A, 27 patients (24.3%) were positive for IgM anti-HEV. We analyzed 105 patients with either hepatitis A only or they had coinfection of hepatitis A and E. The mean age, the duration of the hospital stay, the mean levels of serum transaminase, bilirubin and albumin and the protrombin time were similar between the patients with hepatitis A only and those with coinfection of hepatitis A and E. All the patients were discharged without serious complication such as fulminant hepatic failure. The biochemical liver function tests were normalized in all patients within 8 weeks. CONCLUSIONS: The most common etiology of acute viral hepatitis in Koreans was the hepatitis A virus. Patients coinfected with hepatitis A and E were observed. The patients with coinfection of hepatitis A and E showed no significant difference in their clinical features and laboratory parameters, as compared to the patients with hepatitis A only.
Bilirubin
;
Coinfection
;
Hepatitis
;
Hepatitis A
;
Hepatitis A Antibodies
;
Hepatitis A virus
;
Hepatitis E
;
Humans
;
Immunoglobulin M
;
Korea
;
Length of Stay
;
Liver Failure, Acute
;
Liver Function Tests
;
Retrospective Studies
;
RNA
9.Transverse Myelitis in Patient with Behcet's Disease.
Han Jun BAE ; Chang Gyu JUNG ; Ju Hyung LEE ; Tae Yul KIM ; Sunyoung LEE ; Jin Nyeong CHAE ; Hyuk Won CHANG ; Hyon Ah YI ; Sang Hyon KIM
Journal of Rheumatic Diseases 2012;19(1):39-42
Behcet's disease (BD) is a multisystem disorder presenting recurrent oral and genital ulcerations as well as ocular lesions, involving the nervous system in a subgroup of patients. BD develops at a young age and is frequently presented with an acute or subacute brainstem syndrome or hemiparesis, as well as with other various neurological manifestations, the syndrome is often included in the differential diagnosis of multiple sclerosis, stroke of the young adult, and other neurological disorders. Transverse myelitis (TM) is a clinical syndrome in which an immune-mediated process causes neural injury to the spinal cord, resulting in varying degrees of weakness, sensory alterations and autonomic dysfunction. Spinal Neuro-behcet's disease is rare case. We reported a 33-year old man who had been treated for BD for 3 years.
Brain Stem
;
Diagnosis, Differential
;
Humans
;
Multiple Sclerosis
;
Myelitis, Transverse
;
Nervous System
;
Nervous System Diseases
;
Neurologic Manifestations
;
Paresis
;
Spinal Cord
;
Stroke
;
Ulcer
;
Young Adult
10.Evaluation of Green Vac-Tube in Clinical Laboratory Tests.
Jee yong KIM ; Deok Hwa NAM ; Sun Hyung KIM ; Jin Hyuk YANG ; Soo Young YOON ; Chae Seung LIM ; Chang Kyu LEE ; Yoon jung CHO ; Young Kee KIM ; Kap No LEE
Journal of Laboratory Medicine and Quality Assurance 2008;30(2):307-314
BACKGROUND: Vacuum tubes are widely used in the clinical laboratory for routine tests. We compared a newly developed Green Vac-Tube (SPM, Gimje, Korea) with Vacutainer (BD, Franklin Lakes, NJ, USA) and Vacuette (Greiner Bio-One, Frickenhausen, Germany) in routine chemistry and hematology tests. METHODS: A total of 101 volunteers, 81 patients and 20 healthy volunteer, were recruited and we had collected blood samples with three kinds of EDTA tubes and those of serum separating tubes. The samples were evaluated for chemistry and hematology tests using TOSHIBA 200FR (Toshiba, Tokyo, Japan) and ADVIA (Siemens, Deerfield, IL, USA) respectively. Their results were statistically analyzed by paired t-test and Bland-Altman plot. RESULTS: Their clinical utilities were examined by CLIA'88 programs. Paired t-test analysis revealed that the results of ALP, AST, total bilirubin, CO2, Hct and MCV showed statistically significant differences between Green Vac-Tube and previously used two vacuum tubes. Similar significant differences were also observed between previous two vacuum tubes. And 194 (4.37%) cases among 5,151 cases were in the critical region by Bland-Altman plot. All different cases, except Na+, K+ however, were clinically acceptable by CLIA'88 programs. CONCLUSIONS: Green Vac-tube has good analytical performance compared to previously-used tubes.
Bilirubin
;
Edetic Acid
;
Hematology
;
Humans
;
Lakes
;
Tokyo
;
Vacuum