Monostotic Fibrous dysplasia is a relatively rare condition. Three such conditions are experienced at the Dept. of Orthopedic Surgery, Han-II Hospital during the period of September 1970 to June 1972. Two of three cases were involing shaft of left and right tibia respectively, one of which was complicated by pathologic fracture. The third case was on greater trochanter of right femur. All of three cases were treated with curertage and bone graft. Excllent results were obtained.
Femur ; Fibrous Dysplasia of Bone ; Fibrous Dysplasia, Monostotic ; Fractures, Spontaneous ; Orthopedics ; Tibia ; Transplants

From March 1973 to May 1979 at Hanil Hospital, seven patients with acute complete disiocation and three patients with chronic complete dislocation of the acromloelavlcular Joint had been treated surgically by Weaver and Dunn method which combines resection arthroplasty of the acromioclavicular jolnt with flxation of the clavlcle In an anatomical position by suture of the acromial end of the shortened coracoacromial ligament into the medullary canal of the clavicle. The results were considerably good In both acute and chronic cases. Full range of motion was observed on average In eight weeks in most cases.
Acromioclavicular Joint ; Arthroplasty ; Clavicle ; Dislocations ; Humans ; Joints ; Ligaments ; Methods ; Range of Motion, Articular ; Sutures

Anatomically olecranon fracture is an intra-articular fracure, so reduction must be exact. Using the principle of Zuggurtungsosteosynthese by Weber, Pauwels' clinical study of olecranon fracture showed the superiority of tension band. 15 patients with olecranon fracture of the ulna who were treated with tension band and could be followed at the Department of Orthopedic Surgery of Han Il Hospital from January, 1974 to December, 1980 have been reviewed. The result obtained is as follows. We obtained the more rigid fixation with modifying the standard tension band locating the end of K-wire in the cortex of opposite side cortex of ulna. So, the result of treatment was satisfactory.
Clinical Study ; Humans ; Olecranon Process ; Orthopedics ; Ulna

Transient synovitis of the hip joint in children was first described by Lovett and More in 1892and is the commonest cause of painful hip in children. It is characterized by pain and limp of acute onset, generally shart-lived, unassociated with structural changes in the femoral capital epiphysis demonstrable roentgenographically.. The pathology is of interest, not because it is a disabling condition, but because of the difficulties in differentiating it from more serious disease of the hip such as Legg-Calve-Perthes disease, tuberculosis, osteomyelitis and etc. The 76 cases so diagnosed at the Han-II hospital from 1974 to 1983 were reviewed and reported as follows; 1. There was probably associated with predisposing factors such as infection, and trauma. 2. The diagnostic criteria were clinical symptoms, laboratory and radiological findings. 3. The treatment was bed rest, skin traction on the affected leg, non-weight bearing, antibiotics, sedatives and in a few cases, INH was administrated for the prevention of the tuberculosis. 4. Four hips among them revealed later as Legg-Calve-Perthes disease and tuberculous arthritis of the hip joint.
Anti-Bacterial Agents ; Arthritis ; Bed Rest ; Causality ; Child ; Clinical Study ; Epiphyses ; Hip Joint ; Hip ; Humans ; Hypnotics and Sedatives ; Leg ; Legg-Calve-Perthes Disease ; Osteomyelitis ; Pathology ; Skin ; Synovitis ; Traction ; Tuberculosis

The pleomorphic xanthoastrocytoma has been known as a very rare type of glioma, which occurs mainly in the temporal lobe of the brain in young ages. It has distinctive characteristics regarding age, symptoms and signs, gross and microscopic features and relatively favorable prognosis despite of pleomorphism and bizarre giant cells in microscopic picture. The authors report a case of plemorphic xanthoastrocytoma presented with generalized seizure and review the past literatures.
Brain ; Giant Cells ; Glioma ; Prognosis ; Seizures ; Temporal Lobe

The authors reviewed one hundred and twenty cases of cerebellopontine angle(CPA) tumors that were operated upon at the department of neurosurgery of Seoul National University Hospital between 1977 and 1987. The pathologic diagnosis of the tumors were acoustic neurinoma(66%), meningioma(13%), epidermoid(5%) and trigeminal neurinoma(5%). The age incidence was most frequent in the 5th and the 6th decades and 6.7% of cases occurred at the pediatric ages. Acoustic neurinomas were frequent in the 5th decade and on admission more than half of patients were poor clinical grades with large tumors more than 3cm in diameter(78.5%). There was good correlation between the clinical grade and tumor size on admission. All of the acoustic tumors were operated through the suboccipital transmeatal approach and total removal was possible in 73% with 5% of motality rate. Facial nerve was preserved in 62% of total removal-cases and the size of tumor was the important factor for the total removal of tumor with preservation of facial nerve. Cerebellopontine angle meningioma comprised 13% of all CPA tumors and incidence of male to female ratio was 2:13. Operations were performed either through retromastoid suboccipital approach or combined supra-infratentorial approach. Total temoval was possible in 67% without mortality. Six trigeminal neurinomas were located:one in the middle fossa, one in the posterior fossa and the other four cases appearing as dumbbell shape. Total removal was possible in two cases and subtotal removal in four cases and the outcome was rather good in all cases. Pediatric CPA tumors were two each of medulloblastomas and ependymomas and one each of astrocytoma, primitive neuroectodermal tumor(PNET) and trigeminal neurinoma, Masson's hemagioendothelioma. Total removal was possible in four cases and the outcome was good in all cases.
Acoustics ; Astrocytoma ; Cerebellopontine Angle* ; Diagnosis ; Ependymoma ; Facial Nerve ; Female ; Humans ; Incidence ; Male ; Medulloblastoma ; Meningioma ; Mortality ; Neural Plate ; Neurilemmoma ; Neuroma, Acoustic* ; Neurosurgery ; Seoul

919 consecutive brain tumor cases and 665 consecutive spontaneous intracranial hemorrhage cases were reviewed for the analysis of cases in which spontaneous intracranial hemorrhage caused by brain tumor was confirmed with gross operative findings. Authors analyzed their incidence, patients' demography, tumor histology, clinical symptoms and signs, predisposing factor, tumor vascularity, type of hemorrhage, relations between the clinical symptoms and signs and the type of hemorrhage, relations between the location of tumor and the type of hemorrhage and the outcome of treatment. The conclusions are as follow; 1) The proportion of the hemorrhage caused by brain tumor to the total spontaneous intracranial hemorrhage was 5.1%(34/665). 2) The proportion of the spontaneous intracranial hemorrhage caused by brain tumor to the total brain tumor was 3.7%(34/919) and the proportion of that excluding pituitary adenoma was 2.5%(18/729). 3) Compared with the other brain tumors, oligodendroglioma and pituitary adenoma had significant tendency of hemorrhage(p<0.05, p<0.01, respectively) and meningioma had a significantly low incidence of hemorrhage(p<0.05). 4) The hemorrhage brought about major symptoms in 13 cases(72%), minor symptoms in 2 cases(11%). These cases showed no symptoms related to the hemorrhage. 5) Among the 18 cases of spontaneous intracranial hemorrhage caused by brain tumor, one case with the major attack died of postoperative pneumonia. There were additional 2 motalities which were not related to the preoperative hemorrhage. And most of the symptoms associated with the preoperative hemorrhage stabilized or improved with operative treatment.
Brain Neoplasms* ; Brain* ; Causality ; Demography ; Hemorrhage ; Incidence ; Intracranial Hemorrhages* ; Meningioma ; Oligodendroglioma ; Pituitary Neoplasms ; Pneumonia