No abstract available.

BACKGROUND: Genus of Aspergilli are ubiquitous saprophytic molds in nature, but its change from a saprophytic fungus to a pathogenic organism has occurred since the use of various antibiotics. The fungus affects the chronically ill and debilitated population. Recently frequency of the fungal infection is increasing in Korea with abuse of antibiotics and glucocorticoids. METHOD: We analyzed medical records of 52 patients with pulmonary aspergillosis seen at Hanyang University Hospital from 1980 to 1994. The results were as follows; RESULTS: 1) Ages ranged between second to eighth decades with majority(50%) in the fourth to fifth decades. The male to female ratio was 1.1:1. 2) Hemoptysis and productive cough, the leading symptoms, occurred in 42.3% and 25% respectively. 3) On chest X-ray fingings, the characteristic 'fungus ball' pattern were observed in 53.8% of the 52 cases. 4) Sputum culture for aspergilli were positive in 21.6% of the cases. We performed foe needle aspiration in 22 patients and the diagnostic yield was 100%. 5) Thirty-six patients had history of treatment with antituberculous drugs under diagnosis of pulmonary tuberculosis for an average of 27.3 months. But sputum analysis for acid-fast bacilli were positive in 5.6%(2cases of 36cases), and postoperative pathologic findings showed that 38.9% (12 cases of 28cases) were combined with tuberculosis. 6) Right upper and left upper lobes were predominantly involved(34.6% and 19.2% respectively) and lobectomies were performed in 21 cases. 7) Underlying diseases were present in 47 cases and 48.9% of them were pulmonary tuberculosis. CONCLUSION: These results showed that pulmonary aspergillosis usually develops in patients with open cavitary pulmonary tuberculosis. And we must consider the possibility of pulmonary aspergillosis in a patient with hemoptysis and cavitary lung lesion.
Anti-Bacterial Agents ; Aspergillus ; Chronic Disease ; Cough ; Diagnosis ; Female ; Fungi ; Glucocorticoids ; Hemoptysis ; Humans ; Korea ; Lung ; Male ; Medical Records ; Needles ; Pulmonary Aspergillosis* ; Sputum ; Thorax ; Tuberculosis ; Tuberculosis, Pulmonary

The subluxation of the femoral head is one of important prognostic factors in LCPD and current treatment of LCPD is based on the premise that adequate containment of the vulnerable femoral head within the acetabulum during the process of repair should result in a more spherical femoral head and a more congruous joint than if treatments were not provided.We analised the arthrographic findings of 18 hips in unilateral LCPD in order to determine the changes of the femoral head and acetabulum, degree of the subluxation and containment of the femoral head in various position of hip. The results were as follows: 1. According to the result of sphericity, the femoral head was deformed mainly in coronal plane in LCPD. 2. Average medial joint space of normal hip was about 3.8mm in the AP view of hip, but it was more increased in any position of LCPD. 3. In abduction with internal rotation, average subluxation ratio was 7.5% in normal hip and 10.9% in LCPD. In abduction with external rotation, it was 8.3% in normal hip and 12.4% in LCPD. 4. In normal hip, the containment ratio was more than 1.0 in any position of hip, but the containment ratio was 1.03 in abduction with internal rotation and 0.95 in abduction with external rotation of hip in LCPD. 5. On the basis of these results, efficacy of the Scottish Rite orthosis was doubtful in most hips of LCPD.
Acetabulum ; Arthrography ; Containment of Biohazards ; Head ; Hip ; Joints ; Legg-Calve-Perthes Disease ; Orthotic Devices

Supracondylar fracture of the humerus is the most common fracture about the elbow in children and much has been written about its treatment and the prevention of both Volkmann's ischemia with contracture and the nerve injuries associated with these fractures. However, it is still one of the most difficult fractures to manage and is frequently associated with significant residual complications. Among these complications, the change in carrying angle is the most common one. In a retrospective survey of 102 children with supracondylar fractures of the humerus treated at the Department of Orthopedic Surgery of Kyungpook National University Hospital, 68 cases were found to have sufficient clinical and roentgenographic data to classify the fractures and to determine the carrying angles at end result. The results are as follows: 1. The mean age of the 102 patients at the time of fracture was 7.3 years (range, 2 to 17 years), and the fractures were on the left side in 67.6%, and male comprised 70.1%. 2, Of all fractures, 98% were the extension type, and the most common direction of initial displacement of the distal fragment was postero-medial. 3. According to Arnold et al classification, fractures with moderate varus or valgus displacement were the most common types in our series. 4. In the associated injuries with fractures, there were 5 nerve palsies and 5 fractures at the other sites. 5. In our series, the carrying angle of the opposite side of the fractured elbow ranged from 2 to 23 degrees of valgus angulation, with a mean of 9.2 degrees. 6. The decrease in carrying angle was most common in fractures with postero-medial displacement. 7, As far as the position of immobilization after reduction of the fracture is concerned, there was less tendency of decreasing the carrying angle in pronated group. 8. Most cases were treated by conservative method. There was no significant difference in change of carrying angle between the cases treated by closed reduction and those by skeletal traction.
Child ; Classification ; Clinical Study ; Contracture ; Elbow ; Gyeongsangbuk-do ; Humans ; Humerus ; Immobilization ; Ischemia ; Male ; Methods ; Orthopedics ; Paralysis ; Retrospective Studies ; Traction

The authors have experienced a case of double elevation paralysis with mild degree of hypophoria and exophoria in 10 year-old primary school girl. This case is congenital in origin. Transposition of the insertion of medial and lateral rectus muscle placing the new inserti ons immediately adjacent to the insertion of the superior rectus muscle was performed. After the operation, the subjective symptoms such as diplopia, dizziness, headache were improved even though this does not produce normal elevation beyond the midline level. Double elevation paralysis is caused often by unilateral supranuclear lesion than peripheral congenital lesion.
Child ; Diplopia ; Dizziness ; Exotropia ; Female ; Headache ; Humans ; Paralysis*

It was in 1906 that Apert first described in detail the detail the group of deformities which now bears his name. He proposed the name Acrocephalosyndactly for this syndrome and presented a case he had personally examined in 1896 as well as a review of similar cases reported prior to his publication. since that time Acrocephalosyndactyly and Apert's syndrome have become synonymous. More than 200 cases have been reported in the world literature. The purpose of this article is to report an additional case along with review of previous literatures.
Congenital Abnormalities ; Humans ; Publications

A cause for spontaneous paralysis of the posterior interosseous nerve has been sought for many years. In recent times an increasing number of reports on this subject has appeared. This paper describes a probable anatomical factor, the arcade of Frohse, in non-traumatic progressive paralysis of the posterior interosseous nerve. Though this arcade, described by Frohse (Frohse and Fraenkel 1908), the posterior interosseous nerve passes to enter the plane between the two heads of the supinator muscle. In this case, the arcade of Frohse may well play in causing progressive paralysis of the posterior interosseous nerve, with old anterior dislocation of the radial head. Paralysis of the muscles supplied by this nerve with no evidence of recovery should be treated by exploration and splitting of the arcade of Frohse.
Dislocations ; Head ; Muscles ; Paralysis

Compensatory overgrowth following fracture of the shaft of femur in children has been reported by some authors but the practical implications of various scientific and statistical studies are still not apparent to the average clinician. The purpose in making this study was to establish principles which would aid in predicting overgrowth. At the Kyungpook National University Hospital, we have made a study of the end result in 36 cases of the femoral shaft fractures in children under 15 years of age. These cases have been followed from 6 months to 4 years and 4 months. We have analysed three principal factors which influenced growth acceleration following fracture. 1. Location of the fracture:Fracture occurred most commonly in the middle third of the femur shaft. Overgrowth was greatest in proximal one third fractures. Average overgrowth was 1.2cm in length. 2. Types of fracture: Growth acceleration was greatest in oblique fractures followep by comminuted. spiral and transverse. Average overgrowth in oblique fractures was 1.0 cm in length, 3. Age of patients: Among the children 4 to 9 years of age, significant overgrowth (average 1.2cm) was seen, It is suggested that 0.5 to 1.0cm overriding of the femoral shaft fractures in children be provided. From these observation. it would appear that growth acceleration is related to the amount of osseous and soft tissue disruption.
Acceleration ; Child ; Femur ; Gyeongsangbuk-do ; Humans ; Statistics as Topic

In 1941, Jaffe, Lichtenstein and Sutro collected a group of similar but variously named synovial lesion of joints, bursae and tendon sheaths and gave them the descriptive title “pigmented villonodular synovitis, bursitis and tenosynovitis”. Since then, numerous reports have appeared which further defined the entity or added series of cases in sufficient number to indicate that the lesion is not uncommon. We have experienced a rare case of pigmented villonodular bursitis on bursa anserina. The patient, who were 36 year old, female, has been complained of painful soft swelling on bursa anserina area of right knee for one year. The excisional biopsy on the affected bursa confirmed the diagnosis.
Biopsy ; Bursitis ; Diagnosis ; Female ; Humans ; Joints ; Knee ; Synovitis ; Tendons

The Knee joint is one of most susceptible joints to ligamentous injuries and its incidence has tendency to increase in frequency year by year. In 1938, Palmers monograph pointed out the essential pathological features of acute ligamentous injuries to the knee, and, since then, treatment of these conditions has undergone evolution from an almost completely conservative approach to one in which it is considered essential to undertake primary repair of major ruptures within 10 to 14 days at least. The aim of surgical apporoach is to restore the ligaments to their previous anatomic position and tension. Many authors have made significant contributions to anatomy, mechanism of injury, a method of diagnosis and surgical repair and rehabilitation. The authors have reported a clinical study in 33 patients with ligamentous injuries of medial collateral ligament of the knee, who were treated by surgical repair during the past 5 years from Jan. 1971 to Dec. 1975. and results are as follows. 1. Peak of age incidence was in 3rd decade, and male was more predominant. 2. Traffic accident was most common cause. 3. Among 33 cases of ligamentous injuries of medial side, rupture of medial collateral lig. alone was 12 cases, and combined injury with cruciate ligament or meniscus were 21 cases. 4. As to site of rupture of medial collateral lig. femoral attchment was most common as 14 cases. 5. The results of those cases of which surgical repair have been performed within 2 weeks after injury were better than those cases of delayed surgical repair.
Accidents, Traffic ; Clinical Study ; Collateral Ligaments ; Diagnosis ; Humans ; Incidence ; Joints ; Knee Joint ; Knee ; Ligaments ; Male ; Methods ; Rehabilitation ; Rupture