1.A Classification of Polydactyly and Its Application to The Treatment
Goo Hyun BAEK ; Moon Sang CHUNG ; Dong Jun KIM
The Journal of the Korean Orthopaedic Association 1995;30(3):510-517
Polydactyly is one of the most common congenital anomalies of the limb, however its surgical treatment varies from simple excision to reconstruction. The purpose of this study is to present out classification of polydactyly in which the type of surgery was concerned primarily. Two hundred and thirty five digits(134 fingers and 101 toes) in 188 patients were operated from 1980 to 1992. We divided the polydactyly into two types-the simple type, in which the extradigit arises from only one digit, and the complex type in which the extradigit connects more than two adjacent main digits. The simple type was subdivided into joint type(type I), in that the extradigit has its own joint in its origine; epiphyseal type(type II), the extradigit share common epiphysis with main digit; and hypoplastic type(type III), the extradigit is connected only by soft tissue to the main digit. The epiphyseal type(type II) was further divided into subtype A(type IIA), in that the origin seems to be directly derived from the epiphysis; and subtype B(type IIB), which resemble an osteochondroma. Type III and type IIB can be treated by simple excision, however the type I and type IIB can be treated by arthroplasty with or without osteotomy as well as excision of extradigit. Result of surgical treatment in 1 digit of the simple form, which siginifies the extradigit arising from only one digit, are good in 193 digits(91%), fair 14(6.6%), and poor 5(2.4%) after an average follow-up period of 20 months. Our principles in the surgical treatment of polydactyly was treatment according to the type, and early treatment.
Arthroplasty
;
Classification
;
Epiphyses
;
Extremities
;
Fingers
;
Follow-Up Studies
;
Humans
;
Joints
;
Osteochondroma
;
Osteotomy
;
Polydactyly
3.Interpositional Arthroplasty using Pronator Quadratus Pedicled Bone for the Treatment of Stage III Kienbock's Disease.
Moon Sang CHUNG ; Goo Hyun BAEK ; Il Ung HWANG ; Deuk Soo JUN ; Sang Rim KIM
The Journal of the Korean Orthopaedic Association 1998;33(5):1227-1232
Between 1984 and 1996, 8 patients who were suffered from stage g Kienbock's disease underwent interpositional arthroplasty using pronator quadratus pedicled bone. Patients comprised 2 males and 6 females, with an average age of 33 years(range 19-47). Range of motion of the wrist, residual pain, grip strength, and carpal height ratio of the patients were analyzed. The follow-up period was between 1.5 years and 12.5 years(average 5.5 years). The arc of flexion-extension of the wrist was increased from average 74 degrees preoperatively to 96 degrees postoperatively. Among eight patients, five were free of pain and three had intermittent pain during heavy work. None of eight patients had any discomfort in daily work and changed his or her occupation. The grip strength was average 83% of the normal side. Carpal height ratio was average 0.48 preoperatively and was not changed postoperatively. Clinical results, assessed by Lichtman-Evans criteria, showed 4 good and 4 fair. The interpositional arthroplasty using pronator quadratus pedicled bone was considered as a very effective method for the treatment of stage III Kienbock's disease.
Arthroplasty*
;
Female
;
Follow-Up Studies
;
Hand Strength
;
Humans
;
Male
;
Occupations
;
Osteonecrosis*
;
Range of Motion, Articular
;
Wrist
4.The Internationalization of the Korean Radiological Society.
Young Goo KIM ; Kun Sang KIM ; Byung Ihn CHOI ; Man Chung HAN ; Seung Hyup KIM
Journal of the Korean Radiological Society 1995;33(3):333-337
Toward the beginning of the twenty-first century, the world experiences the dramatic changes in politics, economics and culture, and it is evident that the Korean medical field will not be able to survive provided it doesn't prepare ourselves to adapt to those changes. The Korean Medical Society held a forum for the active operation of the medical society, inviting several leading affiliated societies, to meet the needs of the times. This review describes the summary of the presentation that the authors made on behalf of the Korean Radiological Society in the forum, including the organization, current status of academic activity, current status of international communication, and problems encountered in the internationalization of the Korean Radiological Society.
Politics
;
Societies, Medical
5.Radiologic study on differential diagnosis of intestinal tuberculosis and intestinal Behcet's disease
Jong Chul KIM ; Young Goo KIM ; Sang Joon KIM ; Byung Ihn CHOI ; Jae Hyung PARK
Journal of the Korean Radiological Society 1986;22(1):111-118
Radilogic findings in 30 patients with intestinal tubeculosis and 10 patients with intestinal Behcet'sdiseases, who had been diagnosed at seoul National University Hospital during the recent 5 years, were analysedretrospectively to evaluate the radiologic differential diagnosis of the two diseases. Intestinal tuberculosisseverely involved the cecum, the ileocecal valve, the distal ileum and colons, but Behcet's disease mainlyinvolved th distal ileum and infrequently the ileocecal valve and the cecum. The ulcers in tuberculosis wereusually multiple small barium collected areas among psuedopolyps on the contrary, those in Behcet's disease weremultiple, discrete, well marginated, geographic, ring-like deep penetrating or collar-button shaped. Intestinaltuberculosis tended to involved long segments of intestines, with severer mucosal irregularity and deformity ofthe ileocecal valve and the ascending colon in comparison with Behcet's disease. Mesenteric and/or peritonealinvolvment were accompanied in 1/3 cases of intestinal tuberculosis,a nd active pulmonary tuberculosis or pleuraleffusion also in 1/3 cases of intestinal tuberculosis.
Barium
;
Cecum
;
Colon
;
Colon, Ascending
;
Congenital Abnormalities
;
Diagnosis, Differential
;
Humans
;
Ileocecal Valve
;
Ileum
;
Intestines
;
Seoul
;
Tuberculosis
;
Tuberculosis, Pulmonary
;
Ulcer
6.Ureteral obstruction secondary to inflammatory abdominal aortic aneurysm.
Jung Sang LEE ; Won Seok YANG ; Yoon Goo KIM ; Jin Suk HAN ; Suhnggwon KIM ; Seung Hyup KIM ; Sang Joon KIM
Korean Journal of Nephrology 1991;10(3):412-419
No abstract available.
Aortic Aneurysm, Abdominal*
;
Ureter*
;
Ureteral Obstruction*
7.Clinical menifestations of tuberculosis in chronic renal failure.
Hyung Jin YOON ; Yoon Goo KIM ; Curie AHN ; Jin Suk HAN ; Auhnggwon KIM ; Jung Sang LEE
Korean Journal of Nephrology 1991;10(3):352-359
No abstract available.
Kidney Failure, Chronic*
;
Tuberculosis*
8.Piezoelectric lithotripsy of gallstones: an in vitro study of sonographic characteristics and fragmentation.
Jong Kyung MOON ; Yoon Jin OH ; Young Goo KIM ; In Sup SONG ; Kun Sang KIM
Journal of the Korean Radiological Society 1991;27(5):592-596
No abstract available.
Gallstones*
;
Lithotripsy*
;
Ultrasonography*
9.Plain film findings of acute appendicitis -complicated vs. uncompli- cated cases-.
Sae Yeul CHUNG ; Young Goo KIM ; Kounn Sik SONG ; Kun Sang KIM
Journal of the Korean Radiological Society 1991;27(1):129-131
No abstract available.
Appendicitis*
10.Nerve Compression Syndromes of the Upper Extremities
Moon Sang CHUNG ; Hee Joong KIM ; Sung Il BIN ; Bong Goo YEO ; Yong Min KIM
The Journal of the Korean Orthopaedic Association 1990;25(3):899-907
Nerve compression syndromes can be caused by compression of the peripheral nerve from interior or exterior of the nerve. In the upper extremities, brachial plexus, ulnar nerve and median nerve can be compressed in thoracic outlet syndrome, cubital tunnel syndrome and carpal tunnel syndrome respectively. Because these syndromes are caused by compression, decompressive management can be expected to be the principle of treatment. From Jan. 1980 to Dec. 1988, 94 patients were admitted and treated for nerve compression syndromes of the upper extremities in Seoul National University Hospital. Among these, 52 patients suffered from carpal tunnel syndrome and operation was performed to 86 hands. Twelve patients suffered from thoracic outlet syndrome and 25 from cubital tunnel syndrome. Ten patients were treated with conservative method and 84 with decompressive surgery. Satisfactory results were obtained in 92.3% of carpal tunnel syndrome and 84% of cubital tunnel syndrome. Of 4 operated cases of thoracic outlet syndrome, 3 cases were satisfactory.
Brachial Plexus
;
Carpal Tunnel Syndrome
;
Cubital Tunnel Syndrome
;
Hand
;
Humans
;
Median Nerve
;
Methods
;
Nerve Compression Syndromes
;
Peripheral Nerves
;
Seoul
;
Thoracic Outlet Syndrome
;
Ulnar Nerve
;
Upper Extremity