Fracture of the coracoid process are rare and those associating with a complete acromioclavlcular separation is even more rare. The mechanism of injury may be attributed to either direct or indirect trauma. Most coracoid fractures are minimally displaced because It is by maintained by the coracoclavicular ligament and coracoacromial ligaments. Usually good result is obtained In the coracoid fracture by non-operative treatment. On the other hand open reduction Is rarely Indicated. The case we are reporting was treated by open reduction and Internal fixation of the acromloclavicular joint using two Kirschner wires, and screw fixation was done for the fracture of the base of the coracoid process. Review of the literature ls also done.
Bone Wires ; Dislocations ; Hand ; Joints ; Ligaments

The present study is an observation of 678 cases of children's fractures; which was treated in the Dept. of Orthopedic Surgery, inchon Christian Hospital, for the past ten years, from 1968 to 1978. The peak age was in from 5 years to 6 years. The sex ratio was 2.9 male to 1 female. The ratio between the right and left extremity was nearly equal. The frequency of fracture of the upper extermity was silghtly dominant then lower extremity. The cause of fracture was fall down Injury in nealy 70% of all cases. The epiphyseal Injury was noted as 16.8% of total orthapedic cases. The most common type of Salter & Harris Classiflcation was type II or 56.1%. Mostly all of children's fractures were treated by closed method, and others were treated by open reduction. Complication Included 29 cases of changed carring angle 18 cases of traumatic arthritis and 8 cases of malunlted supracondylar fracture and 3 cases of postoperative Infections and 2 cases of radial nerve palsy and 3 cases of delayed ulnar nerve palsy of the elbow. In fractures of the femur, 3 cases of the peroneal nerve palsy and 2 cases of leg longth discrepancy was noted. Brief discussion and review of Iiterature is presented.
Arthritis ; Elbow ; Extremities ; Female ; Femur ; Humans ; Incheon ; Leg ; Lower Extremity ; Male ; Methods ; Orthopedics ; Paralysis ; Peroneal Nerve ; Radial Nerve ; Sex Ratio ; Ulnar Neuropathies

No abstract available.
Humans*

No abstract available.
Suction* ; Tonsillectomy*

PURPOSE: To determine the necessity of site-specific bone mineral density(BMD) measurement and the difference between the BMD of the two femora using DXA in the evaluation of osteoporosis. MATERIALS & METHODS: Total BMD and regional BMD(Lumbar spine, femoral neck, Ward's area, intertrochanter area) were measured on seventy-eight healthy persons without previons diseases, and the statistical significance analyzed. RESULTS: Total BMD did not reliably reflect the site-specific BMD. There was a high correlation between BMD in opposing femora. Correlation coefficients between the femoral neck, Ward's area, trochanter area were 0. 939, 0.874 and 0.916 respectively. CONCLUSION: We conclude that a measuremnt of site-specific BMD is necessory because the total BMD can not reliably predict the regional BMD. The measurement of BMD in one femur can predict the BMD of the contralateral femur. If there is no history of femoral neck disease, unilateral BMD measurement is recommended for femoral evaluation.
Absorptiometry, Photon* ; Femur ; Femur Neck ; Humans ; Osteoporosis ; Spine

A total of 14 children underwent 29 treatments with EDAP-LT01 extracorporeal shock wave lithotripsy for urinary tract stones between February, 1987 and ugust, 1988. The results were obtained as follows : 1. The sex ratio was about A 2:1, 9 (64.3%) in male and 5 (35.7%) in female patients. The average patient age was 7.1 years with a range of 2 to 16 years. 2. Treated stone locations were kidney in 8 children (57.1% ) ; calyx in 6 (42.8% ) and renal pelvis in 2 (14.3% ) and ureter in 6 (42.9% ) ; upper ureter in 2 (14.3% ) and lower ureter in 4 (28.6 %). There were multiple renal stone in 4 (28.6% ) and bilateral renal stone in 1 (7.1%), the average stone size was 1.6cm with a range of 0.7 to 3.1cm. 3. The average numbers of treatment were 1.8 sessions and the average treatment time was 38.7 minutes. The average storage required was 107 in one session. 4. Of the 11 patients whose age was less than 10 years, 10 (71.4% ) required caudal anesthesia. Three patients whose age was more than 10 years treated without any type of anesthesia. 5. The total average success rate of treatment-ended 11 patients was 81.8% in stones of 0.7-3.0cm. The cause of failed ESWL were stone component in 1 and impacted stone in 1. 6. All or the patients were not required the pre and post-ESWL additional manipulation. ESWL complications were not required admission and surgical management. Therefore, we confirmed that EDAP-LT01 ESWL is a safe, effective and easily applicable technique for treatment of urinary stones in children.
Anesthesia ; Anesthesia, Caudal ; Child* ; Female ; Humans ; Kidney ; Kidney Pelvis ; Lithotripsy* ; Male ; Sex Ratio ; Shock* ; Ureter ; Urinary Calculi

From February 1987 to December 1990, 654 patients with renal stones completed the multiple ESWL monotherapies using the EDAP-LT01 piezoelectric lithotriptor. The location of stones was calyx in 452 patients. pelvis in 1O8. calyx and pelvis in 94 and the stone size ranged from 0.6 to 4.8cm (mean 1.9cm). The number of treatment sessions was 2 to 19 sessions (mean 4.7) with 72.2% of re-treatment rate. In accordance with increment of stone size, number of treatment increased but success rate decreased; 2.8 sessions. 96.2% for 0.6-<1 cm. 4.4, 93.2% for 1-<2 cm, 5.5. 87.7% for 2-<3 cm. 6.3, 65.5% for 3-<4 cm and 6.4, 58.8% for stones larger than 4 cm. Supposing 654 patients had been completed by 5 sessions only. 67.9% of success rate would have been expected. But. 88.4% (578,654) of success rate was obtained by multiple treatment up to 19 sessions, adding 20.5%. Auxiliary ureteral manipulations were required in 88 (13.5%) patients and there were no significant complications. Therefore. multiple ESWL monotherapy is considered to be a efficient. safe procedure as the first applicable method for treatment of larger renal stones and to extend the indications of ESWL for renal stone.
Humans ; Pelvis ; Ureter

Sixteen patients with prostatodynia underwent clinical studies including urodynamic study, MMPI, and endoscopy. As a control group, another 19 patients with nonbacterial prostatitis and 16 normal man of 20-40 years of age also underwent urodynamic study. The most characteristic urodynamic findings in patients with prostatodynia was a significant increase in maximum urethral closing pressure as compared to control group (mean, 140.9 : 92.1 : 84.1 cmH20). In prostatodynia group, peak urinary flow rate was also significantly decreased as compared to the control group (mean, 12.0: 17.8 : 23.9cc / sec). 11 of 16 patients with prostatodynia was found to have functional outlet obstruction, probably at sympathetically innervated urethral sphincter. And they were treated with minipress and diazepam, of whom 7 showed significant improvement both symptomatically and urodynamically. On MMPI 7patients with prostatodynia showed significant underlying psychiatric disorders, and were treated by psychiatric treatment, of whom 4 showed significant clinical improvement. 2 patients with prostatodynia showed vermontanal pseudopolyp suggestive of prostatitis, were treated with long term TMF-SMX administration, and showed significant improvement. It is suggested that prostatodynia may develop from urethral sphincter overactivity and underlying psychiatric disorders, and that at least some cases with prostatodynia are in fact prostatitis. Uroflowmetry, urethral pressure profile, MMPI study and repeated EPS study may be of help in deciding the treatment plan of prostatodynia.
Diazepam ; Endoscopy ; Humans ; MMPI ; Prazosin ; Prostatitis ; Urethra ; Urodynamics*

We experienced 11 cases of the vascular reconstructive surgeries for the vasculogenic impotence from Nov, l985 to Aug, l986. The results as follows: l. The age distribution was from 24 to 35 year old. 2. The arterial insufficiencies were 4 cases, the venous leak 5 cases and the venous leak combined with the arterial insufficiency 2 cases. 3. Epigastrico-dorsal anastomosis in 1 case and epigastrico-cavernosus anastomosis in 3 cases were performed for the arterial insufficiency, and vein ligation in 3 cases or arterialization of deep dorsal vein with inferior epigastric artery in 2 cases for the venous leak. And we performed implantation of the arterialized vein with inferior epigastric artery into corpus cavernosum in 1 case of the venous leak combined with the arterial insufficiency. 4. The overall success rate were good in 7 cases, fair in 2 cases and bad in 2 cases. This results imply that vascular reconstructive surgery is a valuable surgical method prior to penile prosthetic surgery in the vasculogenic impotent patients.
Adult ; Age Distribution ; Epigastric Arteries ; Female ; Humans ; Impotence, Vasculogenic* ; Ligation ; Male ; Veins

Histological findings in corpus cavernosum were retrospectively evaluated in 36 patients with erectile impotence. Biopsies were obtained during insertion of penile prosthesis from both corpora. The most prominent histological findings were fibrosis(63.9%) and hyalinization(50%). Peyronie`s disease was not clinically diagnosed in any patient. Our findings suggest that clinical penile cavernosal fibrosis is common and may be a significant etiologital factor in patients with erectile impotence.
Biopsy ; Erectile Dysfunction* ; Fibrosis* ; Humans ; Male ; Penile Prosthesis ; Retrospective Studies