STUDY DESIGN: A case report. OBJECTIVES: To report a case of simultaneous pulmonary and renal embolisms after balloon kyphoplasty and review relevant literature. SUMMARY OF LITERATURE REVIEW: Pulmonary or renal embolism caused by cement leakage during balloon kyphoplasty is a rare complication but can be fatal. MATERIALS AND METHODS: An 84-year-old female patient was treated with balloon kyphoplasty for an osteoporotic compression fracture. Pulmonary and renal embolisms were detected after the procedure and the patient was treated conservatively. RESULTS: After conservative treatment, embolism-related symptoms were not found during the follow-up period. CONCLUSIONS: We encountered a case of simultaneous pulmonary and renal cement embolisms which occurred during kyphoplasty. This is a very rare but potentially serious complication. However, the patient had no long-term sequelae after conservative treatment.
Aged, 80 and over ; Embolism* ; Female ; Follow-Up Studies ; Fractures, Compression ; Humans ; Kyphoplasty* ; Pulmonary Embolism ; Spine

Angioleiomyomas are relatively uncommon benign tumors originating from smooth cells of a blood vessel. Although curative by surgical excision, they are rarely diagnosed definitely before surgery. We report on a case of calcified angioleiomyoma occurring on the sole, which was treated by surgical excision without recurrence and a review of literature is presented.
Angiomyoma* ; Blood Vessels ; Foot ; Recurrence

Arthroscopic treatment for osteoarthritis of the knee has been widely performed as one of the surgical options, in spite of persisting concerns regarding its efficacy. Arthroscopic debridement is a general term that is used to cover many procedures, including lavage, partial meniscectomy, removal of loose body, synovectomy, chondroplasty, removal of offending osteophytes, and/or microfracture. Recently, the role of arthroscopy in managing the osteoarthritic knee has been challenged by elusive consensus on its usefulness. Therefore, we review the available literatures for the arthroscopic intervention in knee osteoarthritis and summarized evidences for proper patient selection, which is a paramount factor to achieve the surgical goal of the arthroscopic treatment in osteoarthritic knee.
Arthroscopy ; Consensus ; Debridement ; Knee ; Osteoarthritis ; Osteoarthritis, Knee ; Osteophyte ; Patient Selection ; Therapeutic Irrigation

PURPOSE: To recommend optimal surgical techniques in cases of remaining anterior instability after Bankart repair, according to the amount of remaning labrum. MATERIALS AND METHODS: Between December 1996 and April 1999, we experienced 27 pateints that have undergone arthroscopy for recurrent shoulder dislocation. They were followed over 1 year (1 year to 3 year 2 months) and classified into three groups: Group I (Arthroscopic Bankart repair by transglenoid technique); 9 cases, Group II (Arthroscopic Bankart repair by suture anchor); 11 cases, Group III (Arthroscopic Bankart repair by transglenoid technique with suture anchor); 7 cases. RESULTS: A significant difference was found between Group I and Group III patients with poor or no remaining labrum, especially in teims of shoulder stability and range of motion recovery. CONCLUSION: Arthroscopic Bankart repair by suture anchor in a shoulder that has good labrum produced a good result. However, in a shoulder with poor labrum, the combination method of transglenoid technique with suture anchor should be considered to reduce recurrency.
Arthroscopy ; Humans ; Range of Motion, Articular ; Shoulder ; Shoulder Dislocation ; Suture Anchors ; Sutures

OBJECTIVES: This study aimed to investigate the psychiatric status of HIV-infected/AIDS inpatients in a general hospital over the past 2.5 years. METHODS: A retrospective chart review was conducted of psychiatric consultations performed between January 1, 2011, and July 30, 2013. The records of 97 HIV-infected/AIDS patients were analyzed. These included a total of 282 psychiatric consultations. RESULTS: Of the 97 patients, 91(93.8%) were male, the mean age was 48 years, and mean number of consultations was 2.8. Depressed mood was reported in 102 consultations(23.8%), insomnia in 60(14.0%), and anxiety in 31(7.2%). Psychiatric disorders diagnosed on initial consultation included depressive disorder(37 patients ; 37.0%), cognitive disorder(11 ; 11.0%), and delirium(9 ; 9.0%). Recommended psychotropic medication included Lorazepam(99 ; 17.2%), Escitalopram(90 ; 15.7%), and Quetiapine(84 ; 14.6%). CONCLUSIONS: The main complaints of HIV-infected/AIDS patients were depressed mood, insomnia, and suicidal ideation(including suicide attempts). In total, 85(93.3%) patients of those consulted were diagnosed as meeting the criteria for a psychiatric condition. However, considering that only 16.9% of patients consulted received follow-up treatment, longitudinal research is needed to examine the influence of psychiatric disorders on the transmission of HIV-infection/AIDS, as well as on prognosis and treatment adherence.
Anxiety ; Follow-Up Studies ; HIV ; Hospitals, General ; Humans ; Inpatients ; Male ; Prognosis ; Referral and Consultation ; Retrospective Studies ; Sleep Initiation and Maintenance Disorders ; Suicide

An isolated avulsion fracture of the subscapularis from the lesser tuberosity of the proximal humerus is rare in the pediatric population and only a couple of cases have been described in literature. A 12-yearold right-handed boy, was admitted to the hospital with left shoulder pain after falling down the previ-ous day. Physical examination revealed tenderness on the lesser tuberosity and intertubercular groove of the humerus and a limited range of motion. Ultrasonography, computed tomography, and magnetic resonance imaging showed an isolated avulsion fracture of the subscapularis tendon from the lesser tuberosity of the humerus, accompanied by medial subluxation of the long head of the biceps tendon.In this case, a subscapularis avulsion fracture which is rare in this age group was detected at an early stage, and surgical treatment resulted in positive outcomes. Subscapularis avulsion fractures in children are difficult to diagnose in the early stages, and if not treated on time, the symptomatic improvement may be delayed. Timely and accurate diagnosis and treatment can help faster return to normal activi-ties. We would therefore like to report this case with a literature review.

An apomorphine-induced rotational test has been used in the evaluation of rat parkinsonian models lesioned with neurotoxin 6-hydroxydopamine (6-OHDA). Previous parkinsonian rat models have generally been characterized by unilateral destruction of both nigrosriatal pathway and mesolimbic pathway using 6-OHDA. The authors created partial lesioned rat parkinsonian models using 6-OHDA in which there is destruction of the dopaminergic nigrostriatal pathway and sparing of the mesolimbic pathway. Rats with unilateral lesions of the substantia nigra pars compacta(SNpc) were tested for rotational asymmetry using a cylindrical rotometer device with flat bottom(diameter, 30.5cm) after administration of apomorphine. After completion of the rotation test, the animals were sacrificed and their brains were immunolabeled for tyrosine hydroxylase(TH). Analysis of anatomical and behavioral data suggests that the pattern of rotation(pivotal rotation) is more reliable index for loss of TH-immunoreactive neurons in lesioned SNpc than the total number of rotational responses to apomorphine. The exact cause of the abnormal ipsiversive rotation which some rats showed is unclear. Further research should be pursued to explain this finding.
Animals ; Apomorphine ; Brain ; Models, Animal ; Neurons ; Oxidopamine* ; Parkinson Disease ; Rats* ; Substantia Nigra ; Tyrosine

STUDY DESIGN: A case report. OBJECTIVES: To report a case of cauda equine syndrome due to a lumbar intradural disc herniation. SUMMARY OF LITERATURE REVIEW: IDH is rare but there is a higher incidence of neurologic deficit in IDH. Therefore, it should be treated immediately. MATERIALS AND METHODS: A 34-year-old male patient was presented with cauda equina syndrome due to a lumbar intradural mass and underwent surgical excision. RESULTS: Operative findings and the histologic study revealed an intradural disc herniation. CONCLUSIONS: IDH is very rare lesion but should be considered in a differential diagnosis if preoperative MRI demonstrates an intradural lesion.
Adult ; Diagnosis, Differential ; Humans ; Incidence ; Magnetic Resonance Imaging ; Male ; Neurologic Manifestations ; Polyradiculopathy

Recent trend in the treatment of hypertensive intracerebral hematoma is stereotaxic surgery in preference to conservative treatment or conventional microsurgery. However, the three modalities of therapy have not been comparatively evaluated by objective criteria. Therefore, the authors analyzed 263 patients with hypertensive intracerebral hematoma who received various modes of treatment;54 CT guided stereotaxic evacuation, 73 craniotomy and 136 conserevative treatment. The results were summarized as followings: 1) In medium sized basal ganglia hematomas, the outcome of motor grade and Glagow outcome scale of craniotomy group, and the outcome of mental state, motor grade and Glasgow outcome scale of sterotactic evacuation group was better than that of conservative treatment group. 2) In two surgical groups, the subacute surgery group(24 hrs to 72 hrs) showed the best outcome of mental state but there was no significant difference between the outcomes of motor grade according to the time of surgery. 3) Among three groups, the mortality was the lowest in the stereotaxic evacuation group(9.3%) and highest in conservative treatment group(33.8%). In the patients with intraventricular hemorrhage, the mortality was significantly increas. 4) The stereotasic evacuation can minimize the brain damage and be performed under the local anesthesia. It can substitute the craniotomy or conservative treatment in the treatment of deep seated hematomas such as thalamus and basal ganglia.
Anesthesia, Local ; Basal Ganglia ; Brain ; Craniotomy ; Glasgow Outcome Scale ; Hematoma* ; Hemorrhage ; Humans ; Microsurgery ; Mortality ; Thalamus

PURPOSE: This study analyzed the treatment effects of drain insertion in the posteromedial portal after an arthroscopic synovectomy and posterior septum resection for pyogenic arthritis. MATERIALS AND METHODS: From June 2005 to December 2016, 56 cases (55 patients, 1 case of bilateral knee) were diagnosed with pyogenic arthritis and arthroscopic treatment was performed. Fourteen patients (25.0%) were identified with causative organisms. The average follow-up period was 12.3 months, and the mean age was 67.8 years old. Twenty-four cases were males and 31 cases were females. Kellgrene–Lawrence grade (K–L grade) I was 6 patients, II was 20 patients, III was 11 patients, and IV was 18 patients. Surgery was performed through six portal. The posterior septum was removed and a drainage tube was inserted from the posterior medial side to the posterior side of the joint. The Lysholm score was used after surgery for a functional evaluation. The K–L grade at the time of admission and at the last follow-up were compared for a radiological evaluation. RESULTS: The mean normalization period of the C-reactive protein was 59.8 days (6–164 days). Intravenous antibiotics were used for an average of 37.1 days. The results of the functional evaluation revealed a mean Lysholm score of 64.5 (30–98) in a total of 56 cases. Two reoperations was performed, but the treatment was completed with same method in all patients. The K–L grade was similar at the time of surgery and at the last follow-up (p>0.05). CONCLUSION: The method of drain insertion in the posteromedial portal after arthroscopic synovectomy and posterior septum resection for pyogenic arthritis is an effective technique that can obtain satisfactory results by inducing proper exudate discharge.
Anti-Bacterial Agents ; Arthritis ; Arthritis, Infectious ; Arthroscopy ; C-Reactive Protein ; Drainage ; Exudates and Transudates ; Female ; Follow-Up Studies ; Humans ; Joints ; Knee ; Male ; Methods