While scaphoid injuries are the most common carpal bone injuries, injuries to other carpal bones also occur frequently, accounting for about 40% of all carpal bone injuries. These non-scaphoid injuries are often complex, typically resulting from high-energy trauma and involving damage to two or more carpal bones or surrounding soft tissues. The carpus is a complex joint with eight carpal bones, making an accurate initial diagnosis challenging in many cases. A missed diagnosis or delayed treatment can lead to complications such as malunion, nonunion, avascular necrosis, and carpal instability. These complications can result in arthritis, neurovascular compression, and tendon rupture, causing chronic pain and functional impairment of the wrist joint. Therefore, careful attention to diagnosis and treatment is essential at the time of injury.

While scaphoid injuries are the most common carpal bone injuries, injuries to other carpal bones also occur frequently, accounting for about 40% of all carpal bone injuries. These non-scaphoid injuries are often complex, typically resulting from high-energy trauma and involving damage to two or more carpal bones or surrounding soft tissues. The carpus is a complex joint with eight carpal bones, making an accurate initial diagnosis challenging in many cases. A missed diagnosis or delayed treatment can lead to complications such as malunion, nonunion, avascular necrosis, and carpal instability. These complications can result in arthritis, neurovascular compression, and tendon rupture, causing chronic pain and functional impairment of the wrist joint. Therefore, careful attention to diagnosis and treatment is essential at the time of injury.

While scaphoid injuries are the most common carpal bone injuries, injuries to other carpal bones also occur frequently, accounting for about 40% of all carpal bone injuries. These non-scaphoid injuries are often complex, typically resulting from high-energy trauma and involving damage to two or more carpal bones or surrounding soft tissues. The carpus is a complex joint with eight carpal bones, making an accurate initial diagnosis challenging in many cases. A missed diagnosis or delayed treatment can lead to complications such as malunion, nonunion, avascular necrosis, and carpal instability. These complications can result in arthritis, neurovascular compression, and tendon rupture, causing chronic pain and functional impairment of the wrist joint. Therefore, careful attention to diagnosis and treatment is essential at the time of injury.

The association between occupational asbestos exposure and the subsequent development of malignant mesothelioma of pleura is well recognized. We analyzed an asbestos body by energy dispersive X-ray analyser in a case of malignant mesothelioma of pleura who had a history of asbestos exposure 30 years ago. In transmission electron microscope, the asbestos body was composed of a core of refractile thin asbestos fiber bundle and beaded masses of electron-dense iron and protein complex. The core fibers were analyzed as an amphibole type crocidolite fiber [(Na2Fe3Fe2(Si8O22)(OH)2] which composed of high content of silicon, iron and sodium.
Asbestos* ; Asbestos, Crocidolite ; Iron ; Mesothelioma* ; Pleura ; Silicon ; Sodium

Descending necrotizing mediastinitis (DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.
Drainage ; Humans ; Male ; Mediastinitis* ; Mediastinum ; Middle Aged ; Neck

Synovial sarcoma is a malignant soft tissue tumor that primarily occurs in the paraarticular regions, especially in the knee. They are composed of keratin-positive epithelial cells and vimentin-positive spindle cells. We report a 76 year old woman with a primary synovial sarcoma in the mediastinum that had severe adhesion to the right side of pericardium. Primary synovial sarcoma in the mediastinum is extremely rare and this is the first case reported in the Korean literature. The mass including the pericardium was resected and the defect was closed with Gore-Tex patch. The patient is well and free of disease 6 months after the operation.
Aged ; Epithelial Cells ; Female ; Humans ; Knee ; Mediastinum* ; Pericardium ; Polytetrafluoroethylene ; Sarcoma, Synovial*

Conventional surgery for aortic arch aneurysms have many postoperative complications and a high mortality rate due to prolonged cardiopulmonary bypass time, especially in high risk patients. In this report, we present two cases of a hybrid procedure that involves open brachiocephalic bypass with concomitant endovascular arch stent grafting in high risk patients with distal aortic arch aneurysm.
Aneurysm ; Aorta, Thoracic ; Cardiopulmonary Bypass ; Chimera ; Humans ; Postoperative Complications ; Stents ; Transplants

We examined the ultrastructural features of the lung parenchyma and the expression of apoptosis of the respiratory cells by TUNEL technique. Male Sprague-Dawley rats (n=30) were intra-tracheally injected with cadmium (2.5 mg/kg) into both lungs. The light and electron microscopic features of the lung tissues were examined on Days 1, 3, 7 and 10 after the injection of cadmium. Specimen preparations for the light and electron microscopic TUNEL stains were performed. Ultrastructurally, on Days 1 and 3, the alveolar spaces were filled with edematous fluid, and desquamated type I epithelial cells. On Days 7 and 10, the alveolar spaces and interstitium were patchy infiltrated with young fibroblasts and some collagen deposition. The light microscopic TUNEL stain showed that apoptosis of the alveolar cells was most prominent on Day 1, and then the number of apoptosis was markedly decreased on Days 3, 7 and 10. The electron microscopic TUNEL stain showed the electron dense homogenous nuclear expression, and the formation of intra-nuclear blebs which protrude to the outside of nuclei. On Days 7 and 10, there are frequent apoptotic nuclear bodies in the alveolar macrophages. We could examine the identification of the equivocal apoptotic cells and various morphologic expression of apoptotic nuclei on the electron microscopic TUNEL stain.
Acetone/pharmacology ; Animals ; Apoptosis ; Cadmium/metabolism/*pharmacology ; Cell Nucleus/metabolism ; *In Situ Nick-End Labeling ; Lung/*cytology/*injuries/pathology/*ultrastructure ; Male ; Microscopy, Electron ; Microscopy, Electron, Scanning ; Pulmonary Alveoli/metabolism ; Rats ; Rats, Sprague-Dawley ; Support, Non-U.S. Gov't ; Time Factors

No abstract available.
Arteriovenous Fistula* ; Laminectomy*

Spinal cord ganglioglioma is an extremely rare tumor. Authors present a 6-year old boy who had a holocord ganglioglioma with a long history of kypho-scoliosis. The mass was located entirely in the spinal cord and mixed cystic and solid with variable consistencies. The color was grayish purple-yellow in soft part, and pale yellow-white in scirrhoid part. It was not well demarcated by surrounding normal spinal cord in major parts.
Child ; Ganglioglioma* ; Humans ; Male ; Spinal Cord