No abstract available.
Shoulder*

Hypercalcemia complicating the treatment of fractures is occasionally seen by the orthopedic surgeon. That this complication can occur in immobilized patients with pre-existing metabolic and bone diseases, such as Pagets disease, hyperparathyroidism, multiple myeloma, and the like is well established. It is less well recognized, however, that hypercalcemia can complicate immobilization in patients with no evidence of pre-existing metabolic and bone diseases. The calcium mobilization from the skeleton following immobilization is reflected clinically hypercalciuria, but significant elevation of serum calcium level does not generally occur in normal persons in complete bed rest or in patients with no pre-existing metabolic or bone diseases who are immobilized in the body cast for treatment of fractures. In order to ascertain the above facts, following experiments were carried out in 24 patients who were immobilized after fracture or operation. In each patient, calcium and phosphate levels in serum and 24-hour urine were determined both before and 20 to 30 days after immobilization. The results obtained are summerized as follows; 1) Calcium levels in both serum and 24-hour urine are increased following immobilization, the mean value being 1.17mg percent and 168. 6mg, respectively, with no concomitant increase of phosphate in serum and 24-hour urine. 2) It is also suggested that the amounts of increase in calcium levels in serum and urine are influenced solely by the extent of immobilization and not dependent upon the presence or abscence of pre-existing bone diseases or age.
Bed Rest ; Bone Diseases ; Calcium ; Humans ; Hypercalcemia ; Hypercalciuria ; Hyperparathyroidism ; Immobilization ; Multiple Myeloma ; Orthopedics ; Skeleton

No abstract available.
Arthroscopy* ; Patellar Ligament* ; Posterior Cruciate Ligament*

A 67-year-old man noted a 4×6cm sized, erythematous, erosive, oozing patch on the penile shaft, which resisted conservative therapy for three years. Histopathologic examination revealed typical findings of extramammary Paget's disease. Interestingly, nests of Paget's cells in some hair follicular structures were shown in the middermis. The lesion was excised by microscopically controlled excision, using the fresh-tissue technique. There were histologically involved areas extending to quite a distance beyond the clinically normal appearing skin. Mohs micrographic surgery might offer the unique advantage of effective surgical treatment with microscopically controlled tumor free borders in the extramammary Paget's disease.
Aged ; Hair ; Humans ; Mohs Surgery ; Paget Disease, Extramammary* ; Skin

No abstract available.
Glomerulonephritis*

No abstract available.
Fever*

No abstract available.
Atherosclerosis* ; Female ; Hormone Replacement Therapy* ; Humans

Mucous gland adenoma, one type of bronchial adenoma, is first introduced by Rosenblum and Klein2) in 1935 and very rare. Only twenty-one cases had been reported in english literature. This tumor must be differentiated from other types of bronchial adenoma because of completely benign clinical course. A case of mucous gland adenoma is presented which showed marked secondary calcification.
Adenoma

STUDY DESIGN: Retrospective study of 72 patients treated for the acute lower cervical spinal injury with or without spinal cord injury. OBJECTIVES: We designed this study to evaluate the determining factors in the prognosis of the acute cervical spinal cord injury. We hypothesized as the prognosis is dependent on the severity of injury, not by time-related for the initiation of the treatment. SUMMARY OF BACKGROUND DATA: There is still controversies in the management of the acute cervical spinal cord injury. And the prognosis is generally considered to depend on the severity of trauma to the spinal cord. METHODS: We divided neurologic status into 4 groups; complete, incomplete, root injury and no neurologic deficit group. And there were complete cord injury in 12, incomplete cord injury in 34, single root injury in 14 and no neurologic deficit in 12 patients. The time to operation since injury was 24 hours in 7, 7 days in 32, 3 weeks in 15, 6 weeks in 8, and more than 6 weeks in 5 cases. The operation was indicated mainly for the patients with irreducible fracture-dislocation or for the patients with bony fragments, and disc materials impinging on the spinal cord. Surgical treatment were done in 67 cases with anterior cervical discectomy and fusion(ACDF), ACDF with anterior stabilizaiton, posterior wiring, and circumferential fusion. We statistically analyzed the relationship hetween the time to surgery after injury and the degree of neurologic recovery after surgical treatment by chi square test. RESULTS: There were no neurologic recovery in complete cord injury. There were incomplete cord injury in 34 patients, 8 anterior cord syndrome had no neurologic recovery, among 24 patients with central cord syndrome(CCS) 18(22/24 operated) had neurologic recovery in various degrees and 2 of Brown-Sequard syndrome showed significant neurologic recovery. In nerve root injury, all except l (1/12) patient had complete neurologic recovery. There were neurologic recovery in 2/2 CCS when operated within 24 hours, 8/10 CCS when operated between 2-7 days and 4/5 CCS when operated between 2-3 weeks. There were neurologic recovery in 3/3 CCS when operated between 4-6 weeks and 1/2 CCS when operated more than 7 weeks after injury. There was no significant difference in the relationship between the time to surgery after injury and the degree of neurologic recovery after operation(X2=2.48, df=4, P=0.65). CONCLUSION: Spinai cord injury is directly related with the magnitude of injury at the time of trauma, and the prognosis is determined entirely at the time of injury, And the prognosis is not altered hy time of the treatment.
Brown-Sequard Syndrome ; Diskectomy ; Humans ; Neurologic Manifestations ; Prognosis* ; Retrospective Studies ; Spinal Cord Injuries* ; Spinal Cord* ; Spinal Injuries

No abstract available.
Classification* ; Shoulder*