1.Diagnosis of Acute Anterior Cruciate Ligament Injuries.
Jin Hwan AHN ; Kwon Ick HA ; Hyung Kook KIM ; Dong Kook CHANG
The Journal of the Korean Orthopaedic Association 1998;33(2):273-279
The purposes of this study were to evaluate the diagnostic modalities of the acute rupture of anterior cruciate ligament(ACL) and to know the differences hetween complete and partial ACL rupture preoperatively, analyzing the methods of physical examimation and the clinical features in acutely injured patient. We analyzed the anterior drawer test, Lachman test, KT-2000 arthrometer, MRI findings and associated injuries in the 35 patients who were confirmed to have ACL rupture by arthroscopy of the knee joint, performed within a month after trauma. We divided the patients by arthroscopy into 2 groups: complete rupture group and the partial rupture group. Among the 35 cases of ACL rupture, there were 10 cases of partial rupture and 25 cases of complete rupture. The Lachman s test was the most sensitive method of the physical examinations in detecting acute ACL injuries, with 90% and 92% positive rate in each group retrospectively. KT-2000 arthrometer with more than 3mm side-to-side difference showed all positive findings except one. The findings of ACL rupture in MRI were discontinuity, increased signal intensity, ahnormal course of ACL fibers and so on. The sensitivity of MRI in diagnosing the acute injuries of ACL was 97.2% hut had difficulties in differentiating the complete from partial rupture. Associated injuries of the ACL injured knee were medial and lateral meniscus tear and medial collateral ligament injury. The diagnosis of acute ACL rupture was made possihle hy physical examinations and with use of the KT-2000 arthrometer and MRI was useful in detecting the ACL rupture or associated injuries but not in differentiating complete from partial rupture of the ACL.
Anterior Cruciate Ligament*
;
Arthroscopy
;
Collateral Ligaments
;
Diagnosis*
;
Humans
;
Knee
;
Knee Joint
;
Magnetic Resonance Imaging
;
Menisci, Tibial
;
Physical Examination
;
Retrospective Studies
;
Rupture
2.Diagnosis and treatment of facial asymmetry.
Choong Kook YI ; Hyun Ho CHANG ; Hee Kyung KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1991;17(3):1-10
No abstract available.
Diagnosis*
;
Facial Asymmetry*
3.Diagnosis and treatment of facial asymmetry.
Choong Kook YI ; Hyun Ho CHANG ; Hee Kyung KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1991;17(3):1-10
No abstract available.
Diagnosis*
;
Facial Asymmetry*
4.Coin perforation of the esophagus.
Sung Chul KIM ; Kook Yang PARK ; Shin Yeong LEE ; Chang Ho KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(3):306-309
No abstract available.
Esophagus*
;
Numismatics*
5.A Case of Calyceal Diverticlum Treated by Partial Nephrectomy.
Kwuang Pyung LEE ; Kong KIM ; Chang Kook KIM
Korean Journal of Urology 1973;14(1):71-74
Authors present here in a calyceal diverticulum complicated by chronic pyelonephritis, which was diagnosed on urinalysis, IVP, RGP and symptoms. Partial nephrectomy was done and confirmation was made by specimen gross findings and biopsy. The microscopic findings are as follows: The lining epithelium of the inner surface of the cystically dilated calyx is made up of transitional epithelial cells. The epithelium in the areas is eroded. The subepithelial interstitial tissue is fibrotic and infilterated with large numbers of chronic inflammatory cells, which also invade the underlying renal parenchyma.
Biopsy
;
Cytochrome P-450 CYP1A1
;
Diverticulum
;
Epithelial Cells
;
Epithelium
;
Nephrectomy*
;
Pyelonephritis
;
Urinalysis
6.Measurment of Functioning Hepatocyte Mass using Cardiac Blood Pool Clearance Rates of 99mTc-DISIDA.
Byung Soo KIM ; Kook Sang HAN ; Chang Ho CHOI ; Tae Yong MOON ; E Edmund KIM
Journal of the Korean Radiological Society 1994;30(3):583-587
PURPOSE: The authors investigated the ability of cardiac blood pool clearance rates(CBCR) of 99mTc-DiSiDA in the measure merit of functioning hepatocyte mass. MATERIALS AND METHODS: We measured the volume of Iobectomized liver after completion of postoperative scanning with CBCR of 99rnTc-DISIDA in 5 rabbits who the functional hepatic Iobectomy performed by ligation of hepatic artery, portal vein and biliary tracts. Regarding the measurement of CBCR of 99mTc-DISIDA, we set the time which was decreased to the half of the clearance amount of the cardiac radioactivity by hepatic extraction of 99mTc-DISIDA at the point of 50 sec after the renal peak of the radioactivity to prevent confusing with the blood dilution of the radioactivity, that have called DI-K50. RESULTS: The results were followed that the volumes of the functional hepatic Iobectomy in 5 rabbits were 25%, 25%, 41%, 52%, 75% and the residual functioning hepatocyte masses measured by CBCR of 99rnTc-DISIDA were preserved to 75. 1%, 70. 8%, 63. 0%, 52. 2%, 30. 8% respectively. CONCLUSION: we made decision that CBCR of 99rnTc-DISlDA was useful to evaluate the functioning hepatocyte mass.
Biliary Tract
;
Hepatic Artery
;
Hepatocytes*
;
Ligation
;
Liver
;
Portal Vein
;
Rabbits
;
Radioactivity
;
Technetium Tc 99m Disofenin*
7.Radiographic Characteristics of Male Breast Cancer.
Shin Ho KOOK ; Ki Keun OH ; Tae Hoon KIM ; Chang Yun PARK ; Ji Hyung KIM
Journal of the Korean Radiological Society 1995;32(4):667-671
PURPOSE: Our objective was to evaluate mammographic findings of breast cancer in men. MATERIALS AND METHODS: This study includes 9 man with breast cancer diagnosed pathologically by radical mastectomy. Clinical and pathologic data were obtained by review of patients' medical record. Mammograms were analysed retrospectively. RESULTS: Of the 9 patients, eight had masses with spiculated margin or schirrous pattern with irregular margin. One patient had no specific evidence of breast cancer mammographically. Microcalcifications were seen in three patients, these calcifications were irregular in shape and were clustered. Of the 8 cases, four patients had the masses at the right breast, four at the left breast. Locations of breast cancer were subareolar(n=4) and were eccentric(n=4) from the nipple. The most common location was the upper outer quadrant. On histologic evaluation, 7 cases were infiltrating ductal carcinomas, one case was mucinous adenocarcinoma, and the remainder was proved as combined form of intraductal and infiltrating ductal carcinoma. Axillary lymph node metastasis were found in 4 cases. CONCLUSION: Mammographic findings of male breast carcinoma were that of subareolar or eccentrically located mass. Calcifications were same to the patterns of calcification as female breast cancer.
Adenocarcinoma, Mucinous
;
Breast
;
Breast Neoplasms
;
Breast Neoplasms, Male*
;
Carcinoma, Ductal
;
Female
;
Humans
;
Lymph Nodes
;
Male
;
Male*
;
Mastectomy, Radical
;
Medical Records
;
Neoplasm Metastasis
;
Nipples
;
Retrospective Studies
8.Radiographic Characteristics of Male Breast Cancer.
Shin Ho KOOK ; Ki Keun OH ; Tae Hoon KIM ; Chang Yun PARK ; Ji Hyung KIM
Journal of the Korean Radiological Society 1995;32(4):667-671
PURPOSE: Our objective was to evaluate mammographic findings of breast cancer in men. MATERIALS AND METHODS: This study includes 9 man with breast cancer diagnosed pathologically by radical mastectomy. Clinical and pathologic data were obtained by review of patients' medical record. Mammograms were analysed retrospectively. RESULTS: Of the 9 patients, eight had masses with spiculated margin or schirrous pattern with irregular margin. One patient had no specific evidence of breast cancer mammographically. Microcalcifications were seen in three patients, these calcifications were irregular in shape and were clustered. Of the 8 cases, four patients had the masses at the right breast, four at the left breast. Locations of breast cancer were subareolar(n=4) and were eccentric(n=4) from the nipple. The most common location was the upper outer quadrant. On histologic evaluation, 7 cases were infiltrating ductal carcinomas, one case was mucinous adenocarcinoma, and the remainder was proved as combined form of intraductal and infiltrating ductal carcinoma. Axillary lymph node metastasis were found in 4 cases. CONCLUSION: Mammographic findings of male breast carcinoma were that of subareolar or eccentrically located mass. Calcifications were same to the patterns of calcification as female breast cancer.
Adenocarcinoma, Mucinous
;
Breast
;
Breast Neoplasms
;
Breast Neoplasms, Male*
;
Carcinoma, Ductal
;
Female
;
Humans
;
Lymph Nodes
;
Male
;
Male*
;
Mastectomy, Radical
;
Medical Records
;
Neoplasm Metastasis
;
Nipples
;
Retrospective Studies
9.A case of peripartum cardiomyopathy.
Chang Joo KIM ; Oh Sung KWON ; Hyung Kook KIM ; Tae Il CHO
Korean Journal of Obstetrics and Gynecology 1993;36(7):1620-1623
No abstract available.
Cardiomyopathies*
;
Peripartum Period*
10.Clinical Review of Tuberculous Meningitis in Children.
Hyung Kook KIM ; Mi Aie HAN ; Jong Wan KIM ; Chang Kyu OH ; Mahn Kyoo YANG
Journal of the Korean Pediatric Society 1988;31(7):892-900
No abstract available.
Child*
;
Humans
;
Tuberculosis, Meningeal*