1.A Case of Werdnig Hoffmann Disease.
Woo Jung KIM ; Dong Ku LEE ; Kyung Tai WHANG
Journal of the Korean Pediatric Society 1985;28(1):103-106
No abstract available.
Spinal Muscular Atrophies of Childhood*
3.Phantom Phenomena in Traumatic Amputation
Eun Yong LEE ; Dong Eun KIM ; Man Ku YOU
The Journal of the Korean Orthopaedic Association 1979;14(2):255-264
Sixty amputees who had traumatic amputations due to industrial accidents were examined on their phantom limb and phantom pain phenomena and the following results were obtained. 1. Fifty-three (93%) of sixty amputees experienced phantom limb and twenty-four (40%) experienced phantom pain. The incidence of phantom pain in the lower limb amputation (59%) is greater than that of upper limb amputation (29%). 2. Amputees with asthenic body status gave higher incidence (56%) of phantom pain than those with muscular body status (20%). None of amputees with obese body status experienced phantom pain. 3. The sensation of strong current and cramping were most predominant sensations in the phantom pain. 4. Twenty-eight (93%) of thirty amputees had experienced painless phantom limb longer than four months. 5. Six (55%) of eleven upper limb amputees with phantom pain experienced pain sensation at the tips of fingers and nine (69%) of thirteen lower limb amputees with phantom pain experienced pain at the great toe. 6. Fifty-three (88%) of sixty amputees experienced telescoping of the lost limb and twenty-three (38%) of sixty amputees experienced jerking movement of the stump. 7. In fifty-four (90%) of sixty amputees, trigger zones triggering pain in the phantom limb were found in the healthy part of the body. 8. Twenty-two (40%) of fifty-five male amputees experienced burning sensation in the phantom limb associated with urination, defecation or ejaculation. 9. Cold temperature was predominant, aggrevating factor of the phantom pain. Fitting prosthesis and alcohol intake were predominant, relieving factor of the phantom pain.
Accidents, Occupational
;
Amputation
;
Amputation, Traumatic
;
Amputees
;
Burns
;
Cold Temperature
;
Defecation
;
Ejaculation
;
Extremities
;
Fingers
;
Humans
;
Incidence
;
Lower Extremity
;
Male
;
Muscle Cramp
;
Phantom Limb
;
Prostheses and Implants
;
Sensation
;
Toes
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Upper Extremity
;
Urination
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
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Clinical Study
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Congenital Abnormalities
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Fractures, Closed
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Fractures, Comminuted
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Fractures, Open
;
Hospitals, General
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Humans
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Male
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Methods
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Necrosis
;
Osteomyelitis
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Tibia
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Weight-Bearing
6.Correction of kyphotic deformity in ankylosing spondylitis by posterior vertebral body decancellation: a case report.
Sung Joon KIM ; Jae Lim CHO ; Tae Seung KIM ; Hong Ku KANG ; Il Dong SONG
The Journal of the Korean Orthopaedic Association 1991;26(4):1333-1337
No abstract available.
Congenital Abnormalities*
;
Spondylitis, Ankylosing*
7.Different Patterns of Meniscal Tears in Recent Anterior Cruciate Ligament ( ACL ) Ruptures and Chronic ACL-deficient Knees.
Ryuh Sub KIM ; Myung Ku KIM ; Suk Myun KO ; Kwan Hee LEE ; Dong Hun CHOI
The Journal of the Korean Orthopaedic Association 1999;34(5):905-910
PURPOSE: We tried to outline the incidence and characteristics of meniscal tears in recent lesions and chronic insufficiency of the ACL. MATERIALS AND METHODS: Through this retrospective study of 103 reconstructions of the anterior cruciate ligament (ACL) performed between Jun 1996 to Sep 1998, according to a more accurate evaluation, ACL-deficient knees can be classified into two different stages (recent, chronic injuries). RESULTS: Overall, there was a significantly increasing incidence of meniscal tears in chronic injuries (P<0.05). A predominance of lateral meniscal tears were demonstrated with recent injuries, whereas the incidence of medial meniscal tears increased significantly with chronic injuries (P<0.05). CONCLUSIONS: This study highlights the increase of lateral meniscal lesion in recent ACL rupture and increase of severe meniscal lesion, especially medial meniscus, with progressive worsening of knee instability after an ACL injury. Although not significant, meniscal tears in the recent injuries were more amenable to repair. The results suggest that maximal meniscal preservation is best achieved with ACL reconstruction shortly after injury.
Anterior Cruciate Ligament*
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Incidence
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Knee*
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Menisci, Tibial
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Retrospective Studies
;
Rupture*
8.Real-time ultrasonographic findings of biliary ascariasis
Seong Ku WOO ; Dong Wook SUNG ; Young Tae KO ; Ho Kyun KIM ; Soon Yong KIM
Journal of the Korean Radiological Society 1983;19(2):407-413
Although the ultlrasonography has been regarded as a main procedure in the diagnosis of bile duct andgallbladder diseases, a few reports concerning the ultrasonographic findings of biliary ascariasis appeared in theliterature. Seven cases of real-time ultrasonographic diagnosis of biliary ascariasis were made in our hospitalduring last 15 months. In six, the diagnosis was confirmed by surgery or radiographic examination. The resultswere as follows; 1. The characteristic long, thick, highly reflective echo without distal acoustic shadowing inthe extra and/or in tra-hepatic ducts were seen in all six proven cases. 2. The echogenic, nonshadowing images ofthe worms were seen as single stripe in five cases(containing a central longitudinal, anechoic tube, suggestingits digestive tract in three cases ) or multiple stripes in one case. But so-called coiled appearance or amorphousfragments were not seen in our cases. 3. Associated findings were as follows; mild to moderate dilatation of theextrahepatic duct in all six duct in 1 case, intrahepatic stone in 1 case, contracted gallbladder containingsingle stone in 1 case and evidence of cholecystitis in 4 cases. 4. One false positive diagnosis of ascariasis inthe gallbladder is considered due to reverberation artefact. No false negative was seen.
Acoustics
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Artifacts
;
Ascariasis
;
Bile Ducts
;
Cholecystitis
;
Diagnosis
;
Dilatation
;
Gallbladder
;
Gastrointestinal Tract
;
Shadowing (Histology)
9.Surgical Tacties for Large Sellar and Parasellar Tumors.
Sang Soo HA ; Hyung Dong KIM ; Ki Uk KIM ; Ku Hong KIM
Journal of Korean Neurosurgical Society 1996;25(4):746-757
We analyzed 56 operations in 45 patients with sellar and parasellar tumors from March, 1990 to May, 1995, to evaluate the determining factors in selecting the surgical approaches for large and giant sellar and suprasellar tumors, based on clinical, endocrinological and radiological findings. The definition of "large" is when the longest diameter of the tumor is more than 20mm on radiographic studies and the term "small" is applied to tumor of diameter below 19mm. The results were as follows: 1) Number of the patients with small tumor was 14(31.1%) and all of them were treated with single stage transsphenoidal approach, and 42 operations were performed in 31(68.9%) patients with large tumors. 2) The approaches for large tumors were: transsphenoidal approach in 32 cases: pterional approach 5 cases: subfrontal interhemispheric approach 4 cases; and subfrontal paramedian approach 1 case. 3) The rate of complete removal for large and giant tumors in the first operation was 29.0%; in second operation, 72.7%; overall the rate was 54.8%. 4) Complications were; transient type diabetes insipidus in 24 cases; meningitis 2 cases; hypothalamic injury 3 cases; CSF rhinorrhea 1 case; and cerebral infarction 1 case; and death 1 case. 5) There was significant relationship between the size of the tumor and tumor types(p<0.05) and the degree of suprasellar extension(p>0.05) but not wih destruction of the sellar floor(p<0.05). 6) There was significant relationship between the surgical approaches and size of the tumors(p>0.05). 7) In case of incomplete removal with first transsphenoidal approach, a second operation seems to be helpful. 8) In second stage transcranial approach following first transsphenoidal approach, it is easier to remove the tumor due to the decreased tumor size and thus, a reduced need for marked brain retraction. From our findings, we suggest guidelines in choosing the surgical approach for sellar and parasellar tumors as follows: 1) Many of the tumors in the sellae and suprasellar area can be removed successfully by transsphenoidal approach. 2) Taranssphenoidal approach can be repeated safely in stage O, A, B and C, if the diaphragm sella remains intact. 3) Tanscranial approach is recommended primarily in stage D & E, if intrasellar portion of the tumor is not significant or opening of the diaphragm sella is narrow. 4) Transsphenoidal approach followed by transcranial approach is adequate in stage D & E, if significant amount of the tumor remaining in the sella or sellar floor is severely destructed(Grage III, IV).
Brain
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Cerebral Infarction
;
Diabetes Insipidus
;
Diaphragm
;
Humans
;
Meningitis
10.Anterior Tibial Muscle Hernia Treated with Local Periosteal Rotational Flap: A Case Report.
Jun Ku LEE ; Hyung Ku YOON ; Dong Eun SHIN ; Jae hwa KIM ; Dong Hoon LEE
Journal of the Korean Fracture Society 2012;25(4):331-334
Tibialis anterior muscle hernia is the most common hernia among lower extremity muscles. This condition can be diagnosed by physical examination and radiologic findings, especially by dynamic ultrasonography. There are surgical methods of treatment for muscle hernia, including direct repair, fasciotomy, fascial patch grafting using autologous fascia lata or synthetic mesh. We report a case of tibialis anterior muscle hernia treated with local periosteal rotational flap. Because there are several advantages to the local periosteal rotational flap, such as lack of donor site morbidity, lack of skin irritation, low cost, simplicity, and an easy approach, this technique could be an option for tibialis anterior muscle hernia.
Fascia Lata
;
Hernia
;
Humans
;
Lower Extremity
;
Muscle, Skeletal
;
Muscles
;
Physical Examination
;
Skin
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Tissue Donors
;
Transplants