Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery.
Aged ; Arthroplasty ; Female ; Humans ; Humeral Head* ; Osteonecrosis* ; Risk Factors ; Rotator Cuff* ; Shoulder ; Tears

Four cases of incontinentia pigmenti (Bloch-Sulzberger type) in a mother and three her daughter were presented and literatures were reviewed. In all three daughters vesicles appeared on toes at three weeks after birth and ehanged to pigmented patches surrounded by erythematous verrucous margin, which were then gradually spread to whole body. Pigmentation is dirty, irregular and bizarr. Severe itching sensation was complained and vesicles or bulla were formed easily due to scratching and external trauma. In mother, onset of the disease was not clear but generalized dirty pigmentation is showed. Dentition was delayed in 3rd daughter (Dental eruption was begun at 10 month old and 11 teeth was showed at now, 2 year old). Histopathological findings are compatible with incontinentia pigmenti and epidermo-dermaI separation is observed in a experimentally induced bullae, indicating a characterized epidermolysis bullosa. Strict limitation in the occurence of disease in females of one family, accompanying with epidermolysis bullosa simplex is unusual and interesting in genetical aspects and pathogenesis.
Dentition ; Epidermolysis Bullosa ; Epidermolysis Bullosa Simplex ; Female ; Humans ; Incontinentia Pigmenti* ; Infant ; Mothers ; Nuclear Family ; Parturition ; Pigmentation ; Pruritus ; Sensation ; Toes ; Tooth

No abstract available.
Ectromelia*

No abstract available.
Anemia, Dyserythropoietic, Congenital*

No abstract available.
Erythrocytes*

No abstract available.
Erythrocytes*

Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery.
Aged ; Arthroplasty ; Female ; Humans ; Humeral Head ; Osteonecrosis ; Risk Factors ; Rotator Cuff ; Shoulder ; Tears

The blood bank of the Seoul National University Hospital has joined the U.K. National External Quality Assessment Scheme(NEQAS) for Blood Group Serology since 1992. We reported correct answers on all occasions for thirty-six samples tested for ABO, RhD typing, and direct antiglobulin test. Among 36 antibody screening and antibody,,identification tests, we missed one anti-S. Among 96 crossmatchings, we made 4 major errors and one minor error. It was interesting that all of the major errors we made were from the sample delivered in mid-summer. Since the items included in the domestic program for the external quality control of blood group serology are very limited in Korea, joining any international quality control program will be necessary for larger blood banks to assure quality of varirous blood bank tests being performed.
Blood Banks ; Coombs Test ; Korea ; Mass Screening ; Quality Control ; Seoul

BACKGROUND: This study was designed to compare the hemodynamic changes in response to direct laryngoscopy of the McCoy blade and the Macintosh blade. METHODS: Sixty patients scheduled for elective gynecologic surgery were randomly allocated into two groups. The induction of anesthesia was done with thiopental sodium 5 mg/kg, fentanyl 2 mcg/kg, vecuronium 0.1 mg/kg. When the train of four arrived came at 0/4, the vocal cords were visualized with either the McCoy or the Macintosh laryngoscope blade for 10 seconds. Heart rate and blood pressure were recorded at 1 minute intervals for 5 minutes. RESULTS: Laryngoscopy caused significant increases in arterial blood pressure in both groups, while it had no effect on heart rate in either group. There were no significant differences in blood pressure and heart rate responses to laryngoscopy in the blades. CONCLUSIONS: The McCoy and the Macintosh blade show similar changes in heart rate and blood pressure after laryngoscopy.
Anesthesia ; Arterial Pressure ; Blood Pressure ; Female ; Fentanyl ; Gynecologic Surgical Procedures ; Heart Rate ; Hemodynamics* ; Humans ; Laryngoscopes* ; Laryngoscopy ; Thiopental ; Vecuronium Bromide ; Vocal Cords

No abstract available.
Free Tissue Flaps* ; Humans ; Leriche Syndrome* ; Lower Extremity*