No abstract available.
Fibroma*

No abstract available.
Dislocations*

The hand is a part of the human body, which has a complex structure, various functions and is one of the parts of the body most susceptible to trauma. With the increasing number of the traffic and occupational accidents proportionate to the rapld development of modern culture, fracture of the hand have become one of the commonest fracture of the human body. The object of treatment of fracture of the hand is to restore function the greatest degree possible with exact diagnosis and proper treatment based on the knowledge of anatomical structure and function. The authors have reviewed 228 cases of fractures of the hand (fracture with severe soft tissue injury were excluded) which were treated in the department of orthopedic surgery, Severance hospital from 1969 to 1978. The following results were obtained; 1. Fractures occured more commonly In man (80.3%) than woman. 2. Fractures occured more commonly in the second decade and the group between 10 and 30 years of age accounted for 73.7% of all fractures. 3. There was no significant differnnce between the left and right side. (105:123) 4. The commonest cause of the fracture was traffic accident (38.6%), machinary injury was the second (21.1%). 5. Most of the patients were brought to our hospital within 12 hours after injury (61.8%). 6. The most frequently fractured bone was the metacarpal (34.4%), then the proximal phalanx (28.1%), distal phalanx (16.9%), middle phalanx (10.5%) in decreasing frequency. 7. The average time for clinical union was 4.2 weeks in the case of the distal phalanx, 6.8 weeks in middle phalanx, 7.3 weeks in proximal phalanx and 6.5 weeks in metacarpal. 8. Complications were found in 8.3% of all cases and angulation deformlty was the most frequent.
Accidents, Occupational ; Accidents, Traffic ; Clinical Study ; Diagnosis ; Female ; Hand ; Human Body ; Humans ; Orthopedics ; Soft Tissue Injuries

Pyogenic osteomyelitis is a frequent and difficult disease in treatment in orthopedic surgery. The various manifestation of the disease related to the causative organisms, the sites of involvement, the pathogenesis and the clinical course tend to give a bad prognosis after treatment. This study consists of three hundred and twenty four cases of pyogenic osteomyelitis which are studied at the Department of Orthopedic Surgery, Yonsei University hospital for 7 years and 8 months from January 1973 to August 1979. The results are as follows: 1. The frequency of the disease was highest in 1977 but not significant. 2. Femur and tibia were most frequently involved. (65.4%). 3. Age distribution showed the highest incidence between 6 and 15 years of age. (60.6%) Sex ratio was 2(M):1(F) 4. The causative organism was mostly Staphylococcus. (80.5%) The coagulase(+) Staphylococcus showed the highest sensitivity to cefamezine (88.8%) and the highest resistance to penicillin. (89.7%) 5. The treatment had been carried out case by case with variable methods. Author considered the best method of treatment was early decompression and massive antibiotic therapy in acute osteomyelitis, and saucerization with closed irrigation system in chronic osteomyelitis.
Age Distribution ; Cefazolin ; Decompression ; Femur ; Incidence ; Methods ; Orthopedics ; Osteomyelitis ; Penicillins ; Prognosis ; Sex Ratio ; Staphylococcus ; Tibia

No abstract available.
Peripheral Arterial Disease*

PURPOSE: The purpose of this study was to evaluate the CT findings of thyroglossal duct cysts MATERIALS AND METHODS: Sixteen patients with pathologically proved thyroglossal duct cysts were included in the study. CT scans were assessed'retrospectively for shape, size, location, density of the central portions, septations, rim enhancement, changes in the adjacent fascial planes and investment within the strap muscles in the infrahyoid cysts. RESULT: Thirteen cases of thyroglossal duct cysts were seen as round or oval cystic masses, two cases of them were seen as irregular-shaped Iobulated cystic masses, and one case was seen as ovoid soft tissue mass. The cysts were from 1.4 to 5.7cm in diameter(mean, 2.6cm). The cyst was infrahyoid in 15 cases and suprahyoid in one case. The cyst was located in midline in eight cases, off midline in four cases, and both midline and off midline in four cases. The density of the central portions ranged from 15 to 82HU(mean, 32HU). Septations were noted in four cases. Rim enhancement was seen in 14 cases(93%), and heterogenously enhancing soft tissue mass was seen in one case. In four cases, abnormal fascial planes were observed. All but one of the infrahyoid cysts(14/15) were embedded within the strap muscles, and one case of them was located anteriorly to strap muscles. CONCLUSION: CT permits one to make the diagnosis a thyroglossal duct cyst with a high degree of accuracy, as it can differentiate thyroglossal duct cysts from the other anterior neck masses by their typical location, characteristic morphology, and investment within the strap muscles.
Diagnosis ; Humans ; Investments ; Muscles ; Neck ; Thyroglossal Cyst* ; Tomography, X-Ray Computed

No abstract available.
Granuloma, Plasma Cell* ; Urinary Bladder*

No abstract available.
Granuloma, Plasma Cell* ; Urinary Bladder*

Patients with severe hypertension present the anesthesiologist with considerable difficulty. Without adequate treatment, serious problems may develop including myocardial ischemia or infarction, cerebral thrombosis or hemorrhage and renal damage during perioperative periods. However, drug interactions between antihypertensives and anesthetics may also be severe enough to produce synergistic bradycardia and hypotension. We have experienced managing a case with severe bradycardia and hypotension following halothane induction in a patient receiving beta-adrenergic blocker. This case illustrates the drug interaction between beta-adrenergic blocker and halothane.
Adrenergic Antagonists* ; Anesthetics ; Antihypertensive Agents ; Bradycardia* ; Cerebral Infarction ; Drug Interactions ; Halothane* ; Hemorrhage ; Humans ; Hypertension ; Hypotension* ; Myocardial Ischemia ; Perioperative Period ; Thrombosis

It is already well known that there are relatively many patients in Korea who have hepatitis B surface antigen. Anesthesiologists are often put into such a dilemma that they can't decide definitely whether going on procedures or not for HBsAg positive patients with or without mildly impaired liver function. The effects of enflurane, isoflurane and regional anesthesia on the liver function were compared in 85 patients with hepatitis B surface antigen. All the patients were randomly divided into 3 groups of enflurane(n=8), isoflurane(n=60) and regional anesthesia(n=17), and subdivided into 4 groups according to the preoperative value of liver functuion test and the presence of hepatitis B e antigen. Liver function tests were performed preoperatively, and on the 1st, 3rd and 7th, days postoperatively. Postoperative values of liver function tests were compared to preoperative ones within each group, and were also compared between groups. The results showed no significant differences between groups of hepatitis B eantigen positive and hepatitis B e antigen negative, but showed slight differences between anesthetics or anesthetic methads. In conclusion, anesthetic management of hepatitis B surface antigen positive patients could be performed without regard to the presence of hepatitis B e antigen. However, regional anesthesia seemed to be better than inhalation anesthesia in patients with hepatitis B surface antigen.
Anesthesia, Conduction* ; Anesthesia, Inhalation ; Anesthetics ; Enflurane* ; Hepatitis B ; Hepatitis B Surface Antigens* ; Humans ; Isoflurane* ; Korea ; Liver Function Tests ; Liver*