1.Congenital High Scapula Associated with Anomaly of the Acromion: A Case Report
Jun Dong CHANG ; Jung Chang LEE
The Journal of the Korean Orthopaedic Association 1990;25(5):1566-1571
Congenital high scapula, more commonly referred to as Sprengel's deformity, was first described by Eulenberg in 1863. Usually other congenital anomalies are associated such as absent or fused ribs, chest wall asymmetry, Klippel-Feil syndrome, cervical ribs, congenital scoliosis, cervical spina biffida was treated with the excision of the elongated acromion and the resection of prominent elongated acromion to be described is an extremely rare malformation. We experienced one case of congenital high scapula associated with anomaly of the acromion, which was treated with the excision of the elongated acromion and the resection of prominent supermedial border of the scapula for the purpose of the cosmetic and functional correction. After 1 year follow up, abduction was improved by only 10 degrees in the glenohumeral joint with the definite cosmetic improvement.
Acromion
;
Cervical Rib
;
Congenital Abnormalities
;
Follow-Up Studies
;
Klippel-Feil Syndrome
;
Ribs
;
Scapula
;
Scoliosis
;
Shoulder Joint
;
Thoracic Wall
2.A Clinical Study of the Mechanism of Injury of Juvenile Tillaux Fracture and Triplane Fracture
Jun Dong CHANG ; Jung Chang LEE
The Journal of the Korean Orthopaedic Association 1990;25(5):1377-1384
The juvenile Tillaux fracture and the triplane fracture of the distal end of the tibia in adolescents are considered uncommon injuries and the mechanism of both injuries has been uncertain. It has been postulated that both fractures probably are caused by external rotation of the foot. We atempted to evaluate the mechanism of injury as well as to conform the role of the external rotation of the foot for the juvenile Tillaux fracture and triplane fracture. From 1983 to 1988 at the department of orthopedic surgery, college of medicine, Hallym University, we evaluated the cases of nine adolescent patients with the juvenile Tillaux fracture and nine patients with the triplane fracture of the distal tibial epiphysis. We confirmed that external rotation force produced the triplane fracture as well as juvenile Tillaux fracture. And we could postulate that the triplane fracture needed further external rotation force, less closure of the distal tibial epiphysis, and more complicated mechanism of injury than the juvenile Tillaux fracture. The knowledge of these mechanism of injury enables us to use a rational manipulative approach to reduce these fractures.
Adolescent
;
Clinical Study
;
Epiphyses
;
Foot
;
Humans
;
Orthopedics
;
Tibia
3.A Clinical Study of the Adolescent ankle Fracture
Jun Dong CHANG ; Sung Il SHIN ; Jung Chang LEE
The Journal of the Korean Orthopaedic Association 1990;25(4):1032-1043
The distal tibial physes begins its closure about 18 months prior to complete cessation of the tibial growth, closing first in its midportion, then medially, and finally, laterally. So the patterns of the ankle fracture during this period would be different from those of the adult or the children before this period. During the six year period from 1983 to 1988 at the department of orthopedic surgery, college of medi-cine, Hallym University, we found and analysed 54 adolescent patients with the ankle fracture which developed before the closure of the distal tibial growth plate, which were followed up more than 1 year. The results were as follows 1. During the 6 year period of this study, the adolescent ankle fracture comprise 4.4% (54 cases) of all the ankle fractures(1158 cases). Injury occurred more often in male than in female(44 versus 10). The mean age was 13.7 years. 2. The most common cause of injury was traffic accident being in 26 cases(48.1%), the next was slip down accident in 11 cases, and the third was sports activity in 10 cases. 3. The incidence of the adoescent ankle fractures using the Salter-Harris classification revealed 20 (37%) type II, 7 (13%) type III, 5 (9.3%) type IV, and 4 (7.4%) type I and that using the Dias and Tachdjian classification revealed 14 (25.9%) Supination-Inversion, 10 (18.5%) Supination-External rotation, 7 (12.7%) Pronation-Eversion-External rotation, and 1 (1.9%) no adjustable fracture. There were 9 (16.7%) Tillaux and 9 (16.7%) triplane fractures, which were belonged to both classifications 4. The treatments performed were closed reduction and cast immobilization for 28 cases (51.9 %), open reduction and internal fixation for 20 cases (37%), and closed reduction and percutaneous pinning for 6 cases. 5. There were complications experienced in 9 cases, which were 3 premature epiphyseal closure, 3 joint surface incongruity, 2 angular deformity, and 1 leg shortening. 6. For the prevention of the complication, the treatment of the adolecsent ankle fracture should be treated like as adult fracture.
Accidents, Traffic
;
Adolescent
;
Adult
;
Ankle Fractures
;
Ankle
;
Child
;
Classification
;
Clinical Study
;
Congenital Abnormalities
;
Growth Plate
;
Humans
;
Immobilization
;
Incidence
;
Joints
;
Leg
;
Male
;
Orthopedics
;
Sports
4.A case report of multifocal gouty bursitis.
Hyung Ku YOON ; Kwang Pyo JEON ; Kuk Whan OH ; Dong Jun KIM ; Ki Dong JUNG
The Journal of the Korean Orthopaedic Association 1991;26(2):544-547
No abstract available.
Bursitis*
5.A Clinical Study of closed Flexible IM Nail for Fractures of Distal one
Hyung Ku YOON ; Kwang Pyo JEON ; Kuk Hwan OH ; Dong Jun KIM ; Ki Dong JUNG
The Journal of the Korean Orthopaedic Association 1990;25(5):1310-1316
Fractures of the tibia are frequently encountered in mordern civilized society. Especially, those in distal 1/3 of the tibia have so many problems, such as angular deformity, osteomyelitis and nonunion because of anatomically scanty soft tissue. Many modalities of the treatment of fracture of distal 1/3 of the tibia were introduced. Among them, interlocking IM nailings were considered as one of the best modality. But, in interlocking IM nail, reaming of the medullary canal which destroys the endosteal circulation and causes thermal necrosis of the inner aspect of the cortical bone results in delayed union. And also, procedure for distal screw fixation is difficult and time-consuming. As for using flexible IM nails for fractures of distal 1/3 of the tibia, it was considered as not so satisfactory method due to lack of stability of fixation. However, the stability of fixation can be strengthened with fanning of the nails in distal fragment, using more than 3 nails and delay the protected weight bearing. Authors studied 25 cases of fractures of distal 1/3 of the tibia treated with closed flexible IM nailing at Sung Ae General Hospital, from July., 1987 to July., 1989, and obtained following results: 1. Among 25 cases, 4th decades were most common and males were more commonly involved. 2. Traffic accidents were the most common causes of injury and majority of 16 open fractures and 19 comminuted fractures, were caused by high energy mechanism. Among open fractures, type II were most common. 3. Two angular deformities less than 10 degrees, one proximal migration and one checkrein deformity were observed as complications, but, no clinically significant complications were noted. 4. The time for radiological union were 14.5 weeks in group without fibular fracture and 15.1 weeks in group with fibular fracture, and 14.0 weeks in closed fracture group and 17.2 weeks in open fracture group, and average in 15.6 weeks.
Accidents, Traffic
;
Clinical Study
;
Congenital Abnormalities
;
Fractures, Closed
;
Fractures, Comminuted
;
Fractures, Open
;
Hospitals, General
;
Humans
;
Male
;
Methods
;
Necrosis
;
Osteomyelitis
;
Tibia
;
Weight-Bearing
6.Impact of Increased Tobacco Price on Adult Smoking Rate in South Korea.
Health Policy and Management 2017;27(3):219-228
BACKGROUND: The purpose of this study is to investigate impact of increased tobacco price in 2015 on the adult smoking rate in South Korea. METHODS: This study used 6th Korea National Health and Nutrition Examination Survey from 2013 to 2015. Total 14,860 adults were included in the analysis. The chi-square test, univariate- and multivariate survey logistic regressions, and subgroup analysis were conducted. RESULTS: Results show that adult smoking rate before price increase were 19.08% and after price increase were 16.69%. Adjusted by variables associated with smoking behavior and others, multivariate survey logistic regressions revealed that smoking rate decreased after introduction of increased tobacco price policy (odds ratio [OR], 0.745; 95% confidence interval [CI], 0.575 to 0.967) and the impact was different by various social status (male: OR, 0.688; 95% CI, 0.523 to 0.905; age over 60: OR, 0.487; 95% CI, 0.315 to 0.754; rural area: OR, 0.531; 95% CI, 0.309 to 0.912; household income Q1: OR, 0.593; 95% CI, 0.352 to 0.999; household income Q4, OR, 0.616; 95% CI, 0.386 to 0.983). CONCLUSION: The study revealed decreased smoking rate after increased tobacco price policy and different trend depending on various social characteristics. We recommend that government agencies and policy makers should pursue tobacco price control policy continuously and population specific manner and concurrently non-price policy should be implemented as well.
Administrative Personnel
;
Adult*
;
Family Characteristics
;
Government Agencies
;
Humans
;
Korea*
;
Logistic Models
;
Nutrition Surveys
;
Smoke*
;
Smoking*
;
Sociological Factors
;
Tobacco*
7.Impact of Increased Tobacco Price on Adult Smoking Rate in South Korea.
Health Policy and Management 2017;27(3):219-228
BACKGROUND: The purpose of this study is to investigate impact of increased tobacco price in 2015 on the adult smoking rate in South Korea. METHODS: This study used 6th Korea National Health and Nutrition Examination Survey from 2013 to 2015. Total 14,860 adults were included in the analysis. The chi-square test, univariate- and multivariate survey logistic regressions, and subgroup analysis were conducted. RESULTS: Results show that adult smoking rate before price increase were 19.08% and after price increase were 16.69%. Adjusted by variables associated with smoking behavior and others, multivariate survey logistic regressions revealed that smoking rate decreased after introduction of increased tobacco price policy (odds ratio [OR], 0.745; 95% confidence interval [CI], 0.575 to 0.967) and the impact was different by various social status (male: OR, 0.688; 95% CI, 0.523 to 0.905; age over 60: OR, 0.487; 95% CI, 0.315 to 0.754; rural area: OR, 0.531; 95% CI, 0.309 to 0.912; household income Q1: OR, 0.593; 95% CI, 0.352 to 0.999; household income Q4, OR, 0.616; 95% CI, 0.386 to 0.983). CONCLUSION: The study revealed decreased smoking rate after increased tobacco price policy and different trend depending on various social characteristics. We recommend that government agencies and policy makers should pursue tobacco price control policy continuously and population specific manner and concurrently non-price policy should be implemented as well.
Administrative Personnel
;
Adult*
;
Family Characteristics
;
Government Agencies
;
Humans
;
Korea*
;
Logistic Models
;
Nutrition Surveys
;
Smoke*
;
Smoking*
;
Sociological Factors
;
Tobacco*
8.A Case of laugier-Hunziker syndrome.
Jin Kyung HONG ; So Hee JUNG ; Dong Won LEE ; Jun Young LEE ; Baik Kee CHO
Korean Journal of Dermatology 1999;37(1):113-115
The Laugier-Hunziker syndrome is a rare syndrome characterized by macular hyperpigmentation of the lips and buccal mucosa associated with melanonychia. Onset is usually in adult life and no consistent systemic associations have been reported. Here we report a 39-year-old wonam with a longitudinal pigmented band on a finger and pigmented macules on the lip. We suggest that this is the first report in Korea and the syndrome is presumably more common than recognized.
Adult
;
Fingers
;
Humans
;
Hyperpigmentation
;
Korea
;
Lip
;
Mouth Mucosa
9.A Case of Neonatal Hyperthyroidism.
Gui Hee JUN ; Yeon Sang LEE ; Jung Ju KIM ; Dong Hak SHIN
Journal of the Korean Pediatric Society 1983;26(9):939-944
No abstract available.
Hyperthyroidism*
10.A Study on the Evaluation of the Psychogenic Etiology by the Symptom Checklist-90-Revigion(SCL-90-R) and Treatment in Female Urethral Syndrome Patients.
Jung Youle WHANG ; Jun Ho CHANG
Korean Journal of Urology 1989;30(5):714-721
From March 1983 to February 1988, 248 patients of female urethral syndrome were studied retrospectively. The results were as follows: 1. Both 113 cases of the patients group who showed female urethral syndrome and the same numbers of 113 as the control group who had been treated at this hospital with other medical diseases, were tested the Korean Manual of Symptom Checklist-90-Revision. In this way, female urethral syndrome patients scored up significantly higher on the anxiety, depression, and phobic anxietic symptoms than did the control group, and the results showed the evidence or psychosomatic etiologies on the female urethral syndrome (p<0.05 ). 2. Among the patients, the 135 patients were treated with transurethral fulguration, urethral dilatation and antibiotics. Tranquilizer and antidepressants were added to above mentioned treatment in another patients group, 113 patients. In this group, excellent result was obtained in cure rate. The cure rate was 83.2% (94 out of 113 cases) while only 57.8% (78 out of 135 cases) in group without tranquilizer and antidepressants in their treatment (p<0.06). 3. The tranquilizer and antidepressants did not influence on recurrence rate( p value ; not significant).
Anti-Bacterial Agents
;
Antidepressive Agents
;
Anxiety
;
Depression
;
Dilatation
;
Female*
;
Humans
;
Recurrence
;
Retrospective Studies