1.Nonunion of Clavicle
Sung Kwan HWANG ; Jae Hong LEE
The Journal of the Korean Orthopaedic Association 1989;24(3):817-823
Although the clavicle is probably the most commonly fractured bone, nonunions are rare. We experienced 19 cases of clavicle nonunions, trested at the Depatment of Orthopedic Surgery of Wonju Christian Hospital, between January 1980 and June 1988(seven years and six months). This study focused on predisposing factors in relation to nonunion of clavicle and treatment. The factors predisposing to nonunion were middle and lateral 1/3 of clavicle, primary open reduction, severe trauma with associated injury and persistent gross displscement of fregment. Among the 19 patients, 16 patients were treated with semitubular plating and iliac bone grafting, 2 patients with the resection of the distal fregment and one patient was treated with treated with K-wire fixation and bone graft. All patients achived good union by the postoperative 10.7 week on average and symptomes disappeared. It was concluded that symptomatic nonunion of the clavicle could be trested by operation, and the procedure of choice seemed to be rigid internal fixation with plate applied in compression and bone graft.
Bone Transplantation
;
Causality
;
Clavicle
;
Gangwon-do
;
Humans
;
Orthopedics
;
Transplants
2.Neonatal Lupus Syndrome.
Seung jae HONG ; Il jun HWANG ; Do hyung KIM
The Journal of the Korean Rheumatism Association 2005;12(3):245-246
No abstract available.
3.A Case of Hemolyic Disease of Newborn Caused by Anti-c and Anti-E Antibody.
Chul Hong KIM ; Hwang Jae YOO ; Ik Jin SONG ; Jae Hong PARK ; Young Tak YIM
Korean Journal of Perinatology 1997;8(4):433-436
Hemolytic disease of newborn due to Rhesus incompatibility occurs mostly by anti-Rh(D) antibodies. But recently, because of Rh(D) immune globuin prophylaxis, Rh(D) incompatibility is decreased and importance of minor group incompatibility is increasing. The majority of minor blood group incompatibilities are anti-c, anti-E or anti-Kell, but hemolytic diseases caused by combination of these antibodies are relatively rare. The 21 day-old male neonate was admitted because of pallor and poor feeding for 2 days. Laboratory data showed severe normochromic and normocytic anemia with increased reticulocyte and bilirubin. Patient's and his mothers blood type was B, Rh(D) positive. Minor blood groups of mother's and sons were different and anti-c and anti-E antibody were detected in mother's serum. After transfusions of two times with anti-c and anti-E free B, Rh(D) positive blood, the baby was discharged at 11th hospital day with good general condition.
Anemia
;
Antibodies
;
Bilirubin
;
Blood Group Antigens
;
Blood Group Incompatibility
;
Erythroblastosis, Fetal
;
Humans
;
Infant, Newborn*
;
Male
;
Mothers
;
Pallor
;
Reticulocytes
4.Changes of root length and crestal bone height before and after the orthodontic treatment in nail biting patients.
Chung Ju HWANG ; Jae Hong YANG
Korean Journal of Orthodontics 2004;34(1):47-61
Although the purpose of orthodontic treatment is to increase the function and esthetics of the jaws along with increasing stability, there are many side effects during the treatment itself, such as root resorption and alveolar bone resorption. Such resorption of the apical root is unpredictable, and may even proceed into the dentin layer. Once the process has begun, it is irreversible. By evaluating the effect of many oral habits, especially that of nail biting, in correlation with the root and the periodontal tissues, the appropriate biomechanics for orthodontic treatment can be taken into consideration, along with the possibility of root resorption and alveolar bone loss during orthodontic treatment, and any legal problems that might occur. Among the male and female patients of the ages 10~15 without skeletal deformity, 63 were chosen as the experiment group with known nail biting habits at time of examination, and within the same age group without nail biting habits as the control. After the orthodontic treatment, number of the experiment group was 31 and the control group was 22. The periapical radiographies of anterior teeth were taken and the assesment of the root length and alveolar bone level were taken before(T1) and after(T2) the orthodontic treatment. The results from this study were as follows : 1. Before the orthodontic treatment, average crown-to-root ratio of the experimental group showed noticeably high values in 4 maxillary incisors and mandibular right central incisor. 2. Before the orthodontic treatment, comparing the root length, maxillary and mandibular right central incisors and both mandibular incisors had a smaller value in the experimental group. 3. Before the orthodontic treatment, comparing and evaluating the alveolar bone loss measured from the cemento-enamel junction to the alveolar bone crest, some crestal bone of the experiment group showed greater loss than the control. 4. After the orthodontic treatment, there was shortening of the root length and loss of the crestal bone in both groups. 5. After the orthodontic treatment, the changes of C/R ratio and the shortening of root length were significantly high in the experimental group. 6. After the orthodontic treatment, the level of alveolar crestal bone showed greater loss in the experimental group.
Alveolar Bone Loss
;
Bone Resorption
;
Congenital Abnormalities
;
Dentin
;
Equidae
;
Esthetics
;
Female
;
Humans
;
Incisor
;
Jaw
;
Male
;
Nail Biting*
;
Root Resorption
;
Tooth
5.A Case of Hyperthyroidism Following Primary Hypotyroidism.
Han Sang CHO ; Hwang jae YOO ; Sang Ook PARK ; Jae Hong PARK ; Su Young KIM
Journal of the Korean Pediatric Society 1995;38(6):863-866
No abstract available.
Hyperthyroidism*
6.A Case of Lupus Vulgaris Followed by Miliary Tuberculosis.
Soon Nam SOH ; Yoo Jung HWANG ; Jae Hong KIM ; Joong Hwan KIM
Annals of Dermatology 1990;2(2):125-127
No abstract available.
Lupus Vulgaris*
;
Tuberculosis, Miliary*
7.Lateral Lithotomy Position for Simultaneous Retrograde and Antegrade Approach to the Ureter.
Sung Hoo HONG ; Jae Woong KIM ; Seong Il SEO ; Joon Chul KIM ; Tae Kon HWANG
Korean Journal of Urology 2001;42(2):213-217
PURPOSE: We applied lateral lithotomy position to the severe ureteral stricture cases supposed to fail with only retrograde approach. MATERIAL AND METHODS: From October 1997 to April 1999, 13 patients with severe ureteral stricture (lenghth>2cm or complete obstruction) supposed to fail with only retrograde approach and one patient with study. The causes of ureteral strictures were pelvic malignancy in 5, tuberculosis in 4, trauma in 2 and others in 2. The patient's ipsilateral shoulder was rotated and fixed like lateral position. And ipsilateral pelvis was elevated with sandbag or pad and rotated about 45 degrees, too. The retrograde approach was tried at first, if fail, antegrade approach was combined. RESULTS: We could insert ureteral stent via retrograde approach only in 3 patients and we needed aid of antegrade approach for passage through ureteral stricture in the other 11 patients (79%). Percutaneous antegrade approaches were combined in those 11 patients and we could pass the guide wire and indwell the stent in 10 of 11 patients (91%) using this position. CONCLUSIONS: The lateral lithotomy position was very helpful to the simultaneous retrograde and antegrade approach in severe fibrotic or malignant ureteral strictures.
Constriction, Pathologic
;
Humans
;
Pelvis
;
Shoulder
;
Stents
;
Tuberculosis
;
Ureter*
8.The Effect of Oral Ketoconazole in Dermatophytosis.
Jahng Won JUNN ; Do Hun HWANG ; Chang Hoon KWAK ; Jae Hong KIM ; Joong Hwan KIM
Korean Journal of Dermatology 1984;22(1):16-21
Seventeen volunteers with cutaneous dermatophytosis were enrolled in a clinical trial to evaluate the effectiveness of oral ketoconazole. The group included six patients with tinea cruris(6 malcs), four with tinea corporis, including one with tinea faciai, (3 males, 1 female), three with tinea versicolor(3 males) and four with tinea capitis(3 males, 1 female). The oral ketoconazole was taken within 10 minutes after a meal. The patients under the age of 10 received 100mg of ketoconazole per day, whereas those aged over 11 received 200mg of ketoconazole until the skin lesions are cured. Seventeen patients had complete clinical and mycologic cure, one responded clinically. It required one to four weeks to become culturally negative for tinea cruris, four to seven weeks for tinea corporis, three to eight weeks for tinea capitis. For tinea versicolor it required three to five weeks to become negative by scotch tape method. Adverse reactions to ketoconazole were absent and no patients required discontinuation of the drug. The results indicate that ketoconazole is a safe and effective drug for the treatment of dermatophytosis.
Humans
;
Ketoconazole*
;
Male
;
Meals
;
Skin
;
Tinea Capitis
;
Tinea Versicolor
;
Tinea*
;
Volunteers
9.A Case of Type I Glycogen Storage Disease with Decreased Growth Hormone Secretion.
Chi Kwan HWANG ; Sun Hee LEE ; Jeong Won SHIN ; Jae Hong YU ; Dae Young KANG
Journal of Korean Society of Pediatric Endocrinology 2001;6(1):85-91
Glycogen storage diseases(GSD) are inherited disorders affecting glycogen metabolism and type I GSD is due to the absence or deficiency of glucose-6-phosphatase(G6Pase) enzyme in the liver, kidney, and intestinal mucosa. The defect leads to inadequate hepatic conversion of G6P to glucose and thus make affected individuals susceptible to fasting hypoglycemia, and the accumulation of glycogen occurs in the liver and other organs. Type Ia is the most common form of GSD and clinically growth retardation may manifest of GSD itself rather than growth hormone deficiency(GHD), but we experienced a case of type I GSD with GHD in a 14-year-o1d male. The height was 125 cm, compatible with 50 th percentile of height of 8 years of age. He has doll-like face with fat cheek, relatively thin extremities, and metabolic acidosis, hyperuricemia, hypoglycemia, hyperlipidemia. GH stimulation test with clonidine and L-dopa revealed that the patient had decreased GH secretion. After laboratory work up including liver biopsy, he was diagnosed as type I GSD. Hypoglycemia was managed with frequent feeding with high starch diet(uncooked cornstarch). Metabolic acidosis and hyperuricemia were treated with sodium bicarbonate, allopurinol and probenecid. The patient is being followed at out-patient clinic with clinical improvement after of diet therapy and GH administration.
Acidosis
;
Allopurinol
;
Biopsy
;
Cheek
;
Clonidine
;
Diet Therapy
;
Extremities
;
Glucose
;
Glycogen Storage Disease*
;
Glycogen*
;
Growth Hormone*
;
Humans
;
Hyperlipidemias
;
Hyperuricemia
;
Hypoglycemia
;
Intestinal Mucosa
;
Kidney
;
Levodopa
;
Liver
;
Male
;
Metabolism
;
Outpatients
;
Probenecid
;
Sodium Bicarbonate
;
Starch
10.Two cases of cystic hygroma.
Jung Bum HWANG ; Jae Hee HAN ; Wan Chul HONG ; Nong Soo PARK
Korean Journal of Obstetrics and Gynecology 1993;36(7):3112-3118
No abstract available.
Lymphangioma, Cystic*