1.Clinical review of surgical procedures in patients over 65 years of age.
hyun hun SHIN ; Dae Hwa CHOI ; Chang Woo LEE
Journal of the Korean Surgical Society 1993;44(6):839-846
No abstract available.
Humans
2.An Experimental Study about the Effect of Tibial Lengthening on the Soft Tissue in Rabbits.
Hyun Dae SHIN ; Kwang Jin RHEE ; Young Mo KIM
The Journal of the Korean Orthopaedic Association 1998;33(3):840-857
Most studies of limb lengthening have concentrated on the osteotomy. In the present study, the response of soft tissue (muscle, artery, nerve) to different length, rates or rhythms of distraction have been investigated to define the nature of any damage and to see whether new muscle is created. The purposes of the this study are to evaluate the optimum condition for soft tissue during limb lengthening and to study the effect of different rates & rhythms of tibial lengthening on the soft tissue in rabbits hy observing the changes of muscle, artery and nerve. We lengthened the right tihiae of fifty-four growing New Zealand white rabbits by callotasis. The left tibiae were used as control. The rabbits were divided into three different rates & rhythms groups: Group 1 (increments of 0.5mm /day, divided 2 times/day), Group II (increments of 0.5mm/day, divided 3 times/day), Group III (increments of 10mm/day, divided 2 times/day). Each Group was subdivided into three lengthening groups: 1 ( 10% lengthening), 2 (20% lengthening), 3 (30% lengthening). At the end of lengthening, histopathologic & histomorphometric studies were done on the medial heads of gastrocnemius muscles, the posterior tibial artery and the posterior tibial nerve. In the histopathological study, these were stained by hematoxylin eosin, PAS and observed by light microscopy. Electron microscopic examination was done in all samples. In light microscopic findings, the sum of scores of the following five suhjects, each counted from 0 to 3, were analysed for individual groups between the experimental side and the control by the Mann-Whitney test and the kruskal-Wallis test. The following conclusions were made hased on the above observations; 1. There was no significant difference between groups I, II and III, but there was a significant dif-ference between the 10%, 20% and 30% lengthening groups by histopathologic study. And the predominant responses of muscle to the lengthening were atrophy and endomysial fibrosis. 2. There was no change in the proportion of the muscle fiber types by histomophomeric study. 3.ln the initial phase, the muscle adaptation to the gradual lengthening was attained by sliding in Jess than 20% distraction but finally the muscle was regenerated by new muscle formation. 4. Major soft tissue complication to the gradual lengthening was induced by muscle. But arteries & nerves were well adapted to the gradual lengthening up to 30% Iengthening.
Arteries
;
Atrophy
;
Eosine Yellowish-(YS)
;
Extremities
;
Fibrosis
;
Head
;
Hematoxylin
;
Microscopy
;
Muscles
;
Osteogenesis, Distraction
;
Osteotomy
;
Rabbits*
;
Tibia
;
Tibial Arteries
;
Tibial Nerve
3.MRI of avascular necrosis of femoral head; Correlation with radiograph, radionuclide scan, clinical fidings and histologic examination.
Won Sik CHOY ; Kwang Won LEE ; Whan Jeung KIM ; Hyun Dae SHIN ; Hyun CHU
The Journal of the Korean Orthopaedic Association 1993;28(1):23-31
No abstract available.
Head*
;
Magnetic Resonance Imaging*
;
Necrosis*
4.Factors and Surgical Pitfalls Causing Nonunion.
Journal of the Korean Fracture Society 2008;21(2):180-185
No abstract available.
5.A case of salmonella group C meningitis.
Dae Chul KIM ; Ju Hyun HAN ; So Young LEE ; Jeh Hoon SHIN ; In Joon SEOL
Journal of the Korean Pediatric Society 1992;35(10):1449-1453
No abstract available.
Meningitis*
;
Salmonella*
6.A case of malignant lymphoma presenting as acute renal failure.
Hyun Jae SHIN ; Dae Ryong CHA ; Won Yong CHO ; Hyoung Kyu KIM ; Nam Hee WON
Korean Journal of Nephrology 1993;12(3):470-475
No abstract available.
Acute Kidney Injury*
;
Lymphoma*
7.Repair Integrity and Functional Outcomes after Arthroscopic Repair of Transtendinous Full-thickness Rotator Cuff Tears Minimum Two-year Follow-up.
Kyung Cheon KIM ; Woo Yong LEE ; Hyun Dae SHIN ; Young Mo KIM ; Sun Cheol HAN
Clinics in Shoulder and Elbow 2017;20(4):183-188
BACKGROUND: To evaluate the clinical outcomes and associated repair integrity in patients treated with arthroscopic repair for a transtendinous rotator cuff tear followed by resection of the remnant rotator cuff tendon. METHODS: Between July 2007 and July 2011, we retrospectively reviewed patients who were treated for transtendinous full-thickness tears in the tendinous portion of the rotator cuff by arthroscopic repair. Clinical outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score, the Shoulder Rating Scale of the University of California at Los Angeles (UCLA), the Constant-Murley score, a visual analogue scale (VAS) pain score, and range of motion (ROM). The repair integrity was determined by magnetic resonance imaging or ultrasonography. RESULTS: There were 19 shoulders with transtendinous full-thickness tears in the tendinous portion of the rotator cuff. The ASES, UCLA, Constant-Murley, and VAS pain scores showed significant improvements in function and symptoms (all p<0.001). The active ROM for forward flexion and abduction was also significantly improved (p=0.002 and p<0.001, respectively). The postoperative radiological examination showed cuff integrity without a re-tear in 68.4% of patients. However, the UCLA, ASES, and Constant-Murley scores were not significantly different between healed and re-torn group (p=0.530, p=0.885, and p=0.262, respectively). CONCLUSIONS: Although repair of transtendinous rotator cuff tears followed by resection of the remnant rotator cuff tendon in the footprint has a relatively high re-tear rate, no significant difference was observed in the short-term clinical results between the re-tear and healed groups.
Arthroscopy
;
California
;
Elbow
;
Follow-Up Studies*
;
Humans
;
Magnetic Resonance Imaging
;
Range of Motion, Articular
;
Retrospective Studies
;
Rotator Cuff*
;
Shoulder
;
Surgeons
;
Tears*
;
Tendons
;
Ultrasonography
8.Clinical Manifestations and Prognosis of Patient with Traumatic Optic Neuropathy.
Journal of the Korean Ophthalmological Society 2016;57(11):1770-1776
PURPOSE: To investigate the clinical manifestations, management, ophthalmologic complications, and prognosis of traumatic optic neuropathy. METHODS: A retrospective survey of 55 patients who visited Chosun Hospital from April 2009 to February 2016 was performed. The sex, age, causes, fracture characteristics, neurologic injury, and combined craniofacial bone fractures of patients who were diagnosed with traumatic optic neuropathy were statistically analyzed. Also, we investigated the rate of visual impairment in the patients with intracranial hemorrhaging and craniofacial fracture on radiologic examination and development of sensory strabismus. RESULTS: Traffic accidents were the most common cause of traumatic optic neuropathy. Among the patients, more than 60% showed severe visual impairment of less than 0.1 that lasted until the final observation. Altitudinal visual defects were the most common visual field defect and presented as marginal atrophy and central scotoma. While intracranial hemorrhaging was showed in 52.4% of the patients, craniofacial fracture was observed in 90.5% of the patients. The initial visual acuity was decreased when the patient presented with orbital fracture located in the retrobulbar area. Intravenous high-dose steroid injection did not affect visual prognosis. Sensory strabismus occurred more commonly under conditions of poor initial vision (p = 0.007) or young age (p < 0.001). CONCLUSIONS: Traumatic optic neuropathy in Korea has a high rate of initial visual impairment with poor prognosis of vision. In addition, high-dose intravenous steroid injection did not result in visual improvement.
Accidents, Traffic
;
Atrophy
;
Fractures, Bone
;
Humans
;
Korea
;
Optic Nerve Injuries*
;
Orbital Fractures
;
Prognosis*
;
Retrospective Studies
;
Scotoma
;
Strabismus
;
Vision Disorders
;
Visual Acuity
;
Visual Fields
9.Clinical Manifestations and Prognosis of Convergence Insufficiency after Craniofacial Trauma.
Journal of the Korean Ophthalmological Society 2015;56(10):1604-1609
PURPOSE: To evaluate the clinical manifestation and prognosis of convergence insufficiency after craniofacial trauma. METHODS: Twelve patients injured by craniofacial trauma were analyzed for the cause of trauma, ocular and accompanied non-ocular symptoms, presence of loss of consciousness, presence of craniofacial fracture and intracranial hemorrhage, treatment modality for ocular symptoms, change in strabismic angle and near point of convergence (NPC) after treatment and prognosis using clinical records from April 2008 to December 2014. RESULTS: Traffic accidents (8 patients) were the leading cause of trauma. Near diplopia (11 patients) was the leading type of ocular symptom and other following symptoms included headache, asthenopia and reading difficulty. Ten patients experienced loss of consciousness and craniofacial fracture and intracranial hemorrhage were observed in 7 patients. Intracranial hemorrhage and craniofacial fracture occurred in 3 patients and only 1 patient had neither intracranial hemorrhage nor craniofacial fracture. All 12 patients performed orthoptic exercises, but no improvement of near strabismic angle, NPC and ocular symptoms was observed. However, 4 patients who received surgery demonstrated improvement in near strabismic angle, NPC and ocular symptoms. CONCLUSIONS: Convergence insufficiency after craniofacial trauma occurred by relatively strong traumatic force and had a poor outcome in non-surgical methods such as orthoptic exercise. Surgery was an effective treatment method rather than orthoptic exercise.
Accidents, Traffic
;
Asthenopia
;
Diplopia
;
Exercise
;
Headache
;
Humans
;
Intracranial Hemorrhages
;
Ocular Motility Disorders*
;
Orthoptics
;
Prognosis*
;
Unconsciousness
10.Two Cases of Clothing Dermatitis.
Joo Hyun CHOI ; Dae Hun SUH ; Ai Young LEE ; Yoo Shin LEE
Korean Journal of Dermatology 1990;28(6):765-768
Clothing dermatitis is a rare disease. The distribution of the eruption coincides with the places on the skin where the garment fits most snugly. It is developed by the chemicals and the dyes rather than textile itself. We experienced 2 cases of clothing dermatitis, one of which was caused by formaldehyde in clothing.
Clothing*
;
Coloring Agents
;
Dermatitis*
;
Formaldehyde
;
Rare Diseases
;
Skin
;
Textiles