1.The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study.
Chul Hyun CHO ; Hyung Gyu JANG ; Ui Jun PARK ; Hyoung Tae KIM
Clinics in Shoulder and Elbow 2017;20(1):18-23
BACKGROUND: To assess the incidence of venous thromboembolism (VTE) following shoulder surgery and to evaluate the role of postoperative duplex ultrasonography. METHODS: The study comprised a total of 224 patients who underwent shoulder surgery, including 180 shoulder arthroscopic surgeries, 28 shoulder arthroplasties, and 16 plate fixations for proximal humerus fracture between January 2014 and December 2014. The mean age of patients was 59.0 years, and there were 81 men and 143 women. Clinical data, including body mass index, blood tests, metabolic work-up for liver and renal function, previous, and present medical history, were evaluated. Duplex ultrasonography in the operative arm was performed on 2 to 4 days after surgery. RESULTS: The overall incidence of VTE following shoulder surgery was 0.45% (1/224). One patient with open reduction and plate fixation for proximal humerus fracture had asymptomatic deep vein thrombosis that showed complete remission after anticoagulant medication during a 2-month period. Four patients had asymptomatic superficial cephalic vein thrombosis and complete remission without any treatment. There was no case of pulmonary embolism. CONCLUSIONS: The incidence of VTE following shoulder surgery was extremely low in Asians. Duplex ultrasonography may be not considered a routine follow-up of shoulder surgery and can be selectively performed in high-risk or symptomatic patients for VTE.
Arm
;
Arthroplasty
;
Arthroscopy
;
Asian Continental Ancestry Group
;
Body Mass Index
;
Female
;
Follow-Up Studies
;
Hematologic Tests
;
Humans
;
Humerus
;
Incidence*
;
Liver
;
Male
;
Pilot Projects*
;
Pulmonary Embolism
;
Shoulder*
;
Thrombosis
;
Ultrasonography
;
Veins
;
Venous Thromboembolism*
;
Venous Thrombosis
2.A Case of Normal Spontaneous Vaginal Delivery in a Woman with Bicornuate Uterus 3 weeks after Expelling the Decidual Cast due to Spurious Labor of Contralateral Horn.
Sung Gyu JANG ; Young Ae LEE ; Byung Sub SHIN ; Ha Jung KIM ; Gee Hyung KIM ; Gyu Sub LEE ; Won Hee KIM
Korean Journal of Obstetrics and Gynecology 2000;43(8):1497-1500
3.A case of bilateral polycystic kidney diagnosed prenatally by ultrasonography.
Byung Soo KIM ; Jung Gyu LEE ; Kil Hyung LEE ; Sung Ki HONG ; Man Jong LEE ; Ha Jong JANG
Korean Journal of Obstetrics and Gynecology 1993;36(7):1016-1020
No abstract available.
Polycystic Kidney Diseases*
;
Ultrasonography*
4.Acute Longus Colli Tendinitis without Calcification.
Chul Hyung KANG ; Eun Seok SON ; Du Hwan KIM ; Hyung Gyu JANG
The Journal of the Korean Orthopaedic Association 2015;50(3):264-267
Calcific tendinitis of the longus colli is an inflammatory disease caused by calcium hydroxyapatite crystal deposition in the longus colli tendon of the prevertebral space. It is also known as retropharyngeal calcific tendinitis or prevertebral tendinitis. The typical imaging characteristics of this entity are calcifications on the superior insertion of the longus colli tendons at the C1-2 level and fluid collection in the retropharyngeal space. However, we introduce a case of acute longus colli tendinitis without definite calcification deposition on image findings.
Durapatite
;
Tendinopathy*
;
Tendons
5.Radiologic Findings of Malignant Retroperitoneal Fibrosis.
Yu Jin CHANG ; Hae Kyung LEE ; Hyung Hwan KIM ; Jang Gyu CHA ; Hyun Sook HONG ; Gui Hyang KWON ; Deuk Lin CHOI
Journal of the Korean Radiological Society 1997;37(5):899-904
PURPOSE: To evaluate the radioloic findings of malignant retroperitoneal fibrosis. MATERIALS AND METHODS: Post-contrast CT (n=9) and urographic (n=7) findings of nine patients with malignant retroperitoneal fibrosis were retrospectively analyzed. Primary tumors were found to be advanced gastric cancer (n=6), early gastric cancer (n=1), breast cancer (n=1), and cervical cancer (n=1). We analyzed CT findings with regard to the site of soft tissue lesion, ureteral involvement, the presence or absence of hydronephrosis, and distant metastasis. The level and length of ureteral involvement, presence or abscence of ureteral stenosis, and ureteral displacement as seen on urography, were analyzed. RESULTS: On CT scans, enhanced soft tissue lesions (mass, 5 cases; plaque, 4 cases) encircling the abdominal aorta and IVC were noted in all cases. Thickening of the ureteral wall (n=8), hydronephrosis (n=9), and enlarged lymph node (n=5) were also seen. On urography, irregular stenosis and medial displacement of ureters from level L2 to S2 were noted in all cases. The length of ureteral involvement was 4-6.5cm. CONCLUSION: The common CT findings of malignant retroperitoneal fibrosis were enhanced soft tissue lesion encircling the abdominal aorta and IVC, hydronephrosis, and thickening of the ureteral wall. On urography, ureteral stenosis and medial displacement were seen.
Aorta, Abdominal
;
Breast Neoplasms
;
Constriction, Pathologic
;
Humans
;
Hydronephrosis
;
Lymph Nodes
;
Neoplasm Metastasis
;
Retroperitoneal Fibrosis*
;
Retrospective Studies
;
Stomach Neoplasms
;
Tomography, X-Ray Computed
;
Ureter
;
Urography
;
Uterine Cervical Neoplasms
6.Cementless Total Hip Arthroplasty with Subtrochanteric Transverse Shortening Osteotomy in Patients with High Hip Dislocation.
Gyo Wook KIM ; Kyung Jae LEE ; Byung Woo MIN ; Ki Cheor BAE ; Hyung Gyu JANG
Hip & Pelvis 2014;26(1):22-28
PURPOSE: The purpose of this study was to evaluate the clinical and radiographic results of cementless total hip arthroplasty (THA) with subtrochanteric transverse shortening osteotomy in patients with high hip dislocation. MATERIALS AND METHODS: Eighteen patients with high hip dislocation who underwent cementless THA combined with a subtrochanteric transverse shortening osteotomy, plate or cable fixation and bone graft on the osteotomy site between 2001 and 2012 were evaluated in this study. The mean duration of follow-up was 5.2 (2-8.3) years. We evaluated Harris hip score, limping, limb length discrepancy as a clinical parameter and osteolysis, loosening and union of the osteotomy site as a radiographic parameter. RESULTS: Harris hip scores at the final follow-up showed improvement of limping and limb length discrepancy in all cases. And, with the exception of two cases of infection, there were no loosening and osteolysis. All cases showed union of the osteotomy site. There were two cases of infection and one case of dislocation as a complication. Infection occurred in two patients who underwent reoperation and one patient developed sciatic nerve palsy. CONCLUSION: Cementless THA with subtrochanteric transverse shortening osteotomy showed relatively satisfactory clinical and radiologic results. However, the incidence of complications, such as infection, is relatively high, therefore, careful attention is needed.
Arthroplasty, Replacement, Hip*
;
Dislocations
;
Extremities
;
Follow-Up Studies
;
Hip
;
Hip Dislocation*
;
Hip Dislocation, Congenital
;
Humans
;
Incidence
;
Osteolysis
;
Osteotomy*
;
Reoperation
;
Sciatic Neuropathy
;
Transplants
7.Growth conditions and biotypes of gardnerella vaginalis.
Jung Gyu LEE ; Kil Hyung LEE ; Byung Soo KIM ; Ha Jong JANG ; Se Joon HAN ; Nam Woong YANG ; Sung Hee SHIN
Korean Journal of Obstetrics and Gynecology 1993;36(6):837-846
No abstract available.
Gardnerella vaginalis*
;
Gardnerella*
8.Mid-term Results of Revision Total Hip Arthroplasty Using Modular Cementless Femoral Stems.
Hyung Gyu JANG ; Kyung Jae LEE ; Byung Woo MIN ; Hee Uk YE ; Kyung Hwan LIM
Hip & Pelvis 2015;27(3):135-140
PURPOSE: The purpose of this study was to evaluate the clinical and radiological results of revision total hip arthroplasty using modular distal fixation stems for proximal femoral deficiency. MATERIALS AND METHODS: Forty-five patients (47 hips) were analyzed more than 24 months after revision total hip arthroplasty that used modular distal fixation stems and was performed between 2006 and 2012. There were proximal femoral defects in all cases. Preoperative femoral defect classification revealed Paprosky type II in 31 cases, type IIIA in 7, and type IIIB in 9. The mean duration of follow-up was 53.4 (25-100) months. We evaluated the Harris hip score (HHS), walking ability according to Koval as clinical parameters, stem stability, and stem position change as radiographic parameters. Kaplan-Meier survival analysis was performed. RESULTS: The average HHS improved form 39.5 points to 91.3 points and walking ability also improved in most cases; all patients had stable fixation of the femoral stem. Postoperative complications included 5 cases of infection and 2 cases of dislocation. The survival rate with the end point of re-revision surgery due to infection or dislocation was 86% after 8-year follow-up. CONCLUSION: Cementless revision total hip arthroplasty using modular femoral stems is useful because the stems can be stably fixed on the diaphyseal portion of the femur, which has relatively good bone quality at mid-term follow-up.
Arthroplasty, Replacement, Hip*
;
Classification
;
Dislocations
;
Femur
;
Follow-Up Studies
;
Hip
;
Humans
;
Postoperative Complications
;
Survival Rate
;
Walking
9.Identification and Biochemical Reactions of Enterococci by a Simplified Identification System.
Young UH ; In Ho JANG ; Gyu Yel HWANG ; Kap Jun YOON ; Hyung Hoan LEE
Korean Journal of Clinical Microbiology 1999;2(1):58-63
BACKGROUND: The accurate and rapid identification of enterococci can provide clinician's decision making of antimicrobial therapy because enterococci are usually multiresistant to commonly used antimicrobial agents and antimicrobial resistance patterns are different according to enterococcal species. Accuracy of identification system depends mainly on data base such as positive rate of biochemical reactions, relative frequency of occurrence of biotype, and isolation frequency of microorganisms. The purpose of this study was to analyze the isolation rate and biotype frequency of enterococci isolated from clinical specimens. METHODS: We used a simplified identification system for the identification of the enterococci from clinical specimens during the period of June 1998 to November 1998. Biochemical phenotypes of 500 isolates of enterococci were also analyzed by a simplified identification system consisting of eight conventional biochemical tests. RESULTS: Enterococci were isolated from urine (36.4%), wound (35.0%) and blood (7.2%) in order of decreasing frequency. Among the isolates, 67.8% were E. faecalis, 23.0% E. faecium, 2.2% E. hirae/durans, 2.0% E. casseliflavus, and 1.0% E. hirae. The simplified identification system of enterococci identified 93.6% of all isolates to species level. The system identified 98.5% of E. faecalis but only 89.6% of E. faecium. CONCLUSIONS: Our simplified identification system based on eight biochemical tests offer a simple, reliable and economic method for the identification of clinical isolates of enterococci, but further studies are needed for the improvement of accuracy and identification rate.
Anti-Infective Agents
;
Decision Making
;
Enterococcus
;
Phenotype
;
Wounds and Injuries
10.Trigeminal Neuralgia Caused by a Tortuous and Dilated Vertebral Artery.
Seung Gi KIM ; Sang Hyung LEE ; Woong Kyu JANG ; Dong Gyu KIM ; Dae Hee HAN
Journal of Korean Neurosurgical Society 1993;22(5):672-676
The authors present a 67-year-old man who developed trigeminal neuralia caused by a dolichoectatic vertebrobasilar artery. Brain magnetic resonance imaging showed a tubular structure traversed the anterior surface of the sbrainstem, which compressed the left ven trilateral pons in the region of the trigeminal root entry zone. Vertebral angiography demonstrated a tortuous dilated vertebrobasilar artery. Microvascular decompression of the trigeminal nerve from the dolichoectatic vertebral artery and simultaneous selective trigeminal rhizotomy were performed. Postoperatively, the patient was relieved of pain but suffered a hearing deficit in the ipsilateral side.
Aged
;
Angiography
;
Arteries
;
Brain
;
Hearing
;
Humans
;
Magnetic Resonance Imaging
;
Microvascular Decompression Surgery
;
Pons
;
Rhizotomy
;
Trigeminal Nerve
;
Trigeminal Neuralgia*
;
Vertebral Artery*