Congenitial elevation of the scapula, more commonly referred to as Sprengel's deformity, first was described by Eulenberg in 1963. After then, many authors have reported this abnormal condition and many surgical spproaches have been described. When evaluating a patient with congenital elevation of the scapula for surgical correction, cosmetic severity, functional impairment, associated congenital anomalies and the child's age should be consicdered. Since July, 1981, we have tried surgical correction in 8 patients with this deformity, and followed up for more one year except one patient. 6 patients between 3 years and 11 years of age were trested with Green's operation, and 2 patients, 22 years and 26 years of age were treated with supraspinous portion resection only. All of 7 patients, whose follow-up period is more than one year, gained more thsn 1 grade of cosmetic improvement, mean 17 of combined abduction and mean 1.6 cm of acspular lowering. Keloid formation was most common complication and was prevented by meticulous subcutsneous and subcuticular suture. Brschial plexus palsy was most serious complication and was prevented by avoiding overcorrection or by clavicular osteotomy or intraoperative EST.
Congenital Abnormalities ; Follow-Up Studies ; Humans ; Keloid ; Osteotomy ; Paralysis ; Scapula ; Sutures

No abstract available.

A 20-year-old woman presented with 2-year history of low back pain. She is a basketball player. There was neither major traumatic episode nor history of febrile illness, On plain roentgenograms, sclerosis and slightly decreased height of L5 vertebral body was detected while the intervertebral disc spaces were intact. We found that L5 body was destructed by materials showing high signal intensity on T2 weighted images and connecting the two adjacent disc spaces on MRI. The initial diagonsis included bone tumors. Vertebrectomy was done and the intravertebral material was revealed as degenerated nucleus pulposus.
Basketball ; Female ; Humans ; Intervertebral Disc ; Low Back Pain ; Magnetic Resonance Imaging ; Sclerosis ; Young Adult

Basal cell carcinoma is the most common skin cancer, especially on the eyelid and nose. As it rarely invades to a underlying bone or metastasizes an distant site, and is usually found at an early stage, it is regarded as a curative disease. However, basal cell carcinoma on the eyelid and nose may be resected incompletely due to efforts to preserve important structures or as a result of esthetic considerations. We experienced two cases of basal cell carcinoma with local invasion to underlying bone. One was a recurred case on the nasal area extending to the nasal bone arts medial wall of the ethmoid sinus. The lesion was widely resected and covered with a radial forearm free flap. The other was on the eyelid extending to the orbit. It was treated with orbital exenteration and resection of the involved eyelid. The defect was reconstructed with the temporalis muscle flap with split-thickness skin graft. These patients were followed up for 7 months with no evidence of recurrence. Since basal cell carcinoma can invade to the bone and metastasize to a distance site, it should be resected radically in the regions of the eyelid and nose.
Carcinoma, Basal Cell* ; Ethmoid Sinus ; Eyelids ; Forearm ; Free Tissue Flaps ; Humans ; Nasal Bone ; Nose ; Orbit ; Recurrence ; Skin ; Skin Neoplasms ; Transplants

No abstract available.
Hemolytic-Uremic Syndrome* ; Mycoplasma Infections* ; Mycoplasma*

This study involved 29 adult cats with acute spinal cord injuries produced experimentally in which a myelotomy was performed in 10 cats one hour(1-hour myelotomy group) after and in remaining 9 animals 6 hours(6-hour myelotomy group) after the injury. The remaining 10 animals served as controls and were only subjected to the spinal cord injury. The spinal cord injury with 400gm-cm blow was inflicted by dropping a 20gm cylindrical weight from a height of 20cm onto the impounder rested epidurally over the entire dorsal surface of the cord at T10 or T12 vertebral level. Under the operating microscope, a myelotomy, dorsal midline longitudinal, approximately 1.0cm to 1.5cm long, was made at the injury site. The myelotomy extended 4mm into cord completely through to the anterior surface of the cord. Animals were evaluated neurologically after the injury in time sequence of 4 hours, 8 hours, 2 days 4 days and 7 days after which they were sacrified, and the spinal cord and meninges were removed for pathological study. Acute spinal cord injury produced in this study immediately resulted in total paralysis of both hind limbs in all animals after injury and the weakness lasted throughout whole experimental period. There was no significant improvement in recovery of neurological function in control and in 6-hour yelotomy groups, but there was a significant improvement in recovery of motor function in the group of 1-hour myelotomy animals as compaired with the other groups. Histopathological findings of injured spinal cord were mainly those of hemorrhage, necrosis of cavity formation in the central gray and degenerative changes in the white and gray matters, and of edema and swelling of the spinal cord. In the group treated with myelotomy after the injury, the degree of destruction of the spinal cord was lesser histologically than those in control group, and that, in the group of 1-hour myelotomy, no central cavitation or necrosis were observed. It was observed that the neurological functional deficits tended to correlate with the degree of destruction to the spinal cord, and when the myelotomy was done earlier in the post-traumatic period and extended for the full depth of the cord, the improvement of neurological function and the prevention of further destruction of the spinal cord were significant. It is well to say that a number of possible mechanism to account for this beneficial effectiveness of myelotomy may be attributed to drainage of blood and necrotic tissue from the injury site. Myelotomy may prevent cavitation of spinal cord, and thus prevent the surviving axons from further damage, and it may reduce tissue pressure.
Adult ; Animals ; Axons ; Cats ; Drainage ; Edema ; Extremities ; Hemorrhage ; Humans ; Meninges ; Necrosis ; Paralysis ; Spinal Cord Injuries* ; Spinal Cord*

No abstract available.
Humans ; Hyperbilirubinemia* ; Infant, Newborn*

No abstract available.
Captopril* ; Child* ; Humans ; Nephrotic Syndrome*

No abstract available.
Captopril* ; Child* ; Humans ; Nephrotic Syndrome*

No abstract available.
Infant, Newborn ; Meconium Aspiration Syndrome