Thoracic kyphosis was measured on chest lateral radiographs of 885 normal subjects, comprising of 509 males and 346 females. Subjects were accepted as normal if they had no problems of lung, heart of spine such as scoliosis or significant compression fracture radiologically. Kyphotic angle was measured by Cobbs method from T3 to T10. Index of wedging which represents the wedging degree of vertebral body was measured on apical vertebra, and also the location of apical vertebra was studied. The results obtained were as follows: 1. Kyphotic angle through all age groups showed the range 17°–33° in males and 17°–34° in females. 2. Kyphotic angle increased with the increase of age, but not related with sex. Therefore normal range of kyphotic angle should be determined in respective age group accordingly. 3. Index of wedging in apical vertebra through all age groups showed the range of 1.07–1.21 in males and 1.07–1.23 in females. 4. Index of wedging increased with the increase of age, and normal range of index of wedging in respective age group was supposed to be more significant. 5. There was no correlations between the regression of kyphotic angle and index of wedging. 6. The most frequent apical vertebra was located on T6, and then T7 and T5 in order.
Female ; Fractures, Compression ; Heart ; Humans ; Kyphosis ; Lung ; Male ; Methods ; Reference Values ; Scoliosis ; Spine ; Thorax

No abstract available.
Reoperation*

The clinical review was done on 17 cases with the foreign body in the upper gastrointestinal tract who underwent endoscopic removal of foreign body at Kang Nam Sacred Heart Hospital from Dec. 1981 to Dec. 1991. The results were as follows: 1) The age distribution varies from 3 months to 72 years of age, being most prevalent under 5 years of age. 2) The incidence of foreign body in the order of frequency was coin, fish bone, safety pinring, peanut, keyring, food bolus, artificial teeth and medal. Among 17 cases, 9 cases(53.0%) were lodged in the esophagus and 8 cases(47.0%) were lodged in the stomach. 3) Dysphagia or globus was the common symptom in 8 cases(47.2%), followed by absence of symptom in 7 cases(41.2%), upper abdominal discomfort in 1 case(5.8%) and vomiting in 1 case (5.8%). 4) l0 cases(58.8%) of foreign body were removed within 72 hours and 7 cases(41.2%) of foreign body were removed after 72 hours.
Age Distribution ; Deglutition Disorders ; Esophagus ; Foreign Bodies* ; Heart ; Incidence ; Numismatics ; Stomach ; Tooth, Artificial ; Upper Gastrointestinal Tract* ; Vomiting

No abstract available.
Cystic Adenomatoid Malformation of Lung, Congenital* ; Lung*

In the treatment of elderly hip fracture, early mobilization as a means of reducing early postoperative morbiyt and morbidity is mandatory. Even though Ender nailing have many advantages, most serious problems with use of Ender nailing method are distal migration of nails, subsequent loss of fixation and limited knee joint motion. To prevent these difficult problems, we have used distal wiring technique with Ender nailing since 1988. In operation, we performed Ender nailing as usual manner under image intensifier and for the prevention of the nail migration, we performed circumferential wiring through the each Ender nail eye and above the adducter tubercle of the distal femur. Forty six cases were available with minimum follow-up of six months which were healed radiologically and clinically (Mean follow up: 21 months). The mean age was 74 years (Range: 52 years-88 years)and showed 26 cases of famale and 20 cases of male. The radiological morphometry using Singh index showed poor bone quality: 36 cases were below Grade III and the fracture type was classified by Tronzo criteria. In results, patients who had Ender nailing with distal wiring showed no distal migration, however one case of proximal migration was observed at the beginning stage of this technique. So, in elderly trochanteric fracture, to reduce the complication of the Ender nailing, especially nail migration, the authors recommend the Ender Nailing with distal wiring technique.
Aged ; Early Ambulation ; Femoral Fractures ; Femur ; Follow-Up Studies ; Hip ; Humans ; Knee Joint ; Male ; Methods

A very rare case of multifocal eosinophilic granuloma without extraskeletal involvement in 35 year-old ma was experienced. The patient was admitted for the painful swelling of the right clavicular region and was treati with curettage and autograft of iliac bone. Five months later newly developed the pain in the trochanteric lesion left femur without fever, and also was confirmed as the same lesion. Both lesions were treated with curettage and iliac bone graft, and were followed by radiotheraphy. According to the pathological study, those lesions were confirmed as the multifocal eosinophilic granuloma.
Autografts ; Curettage ; Eosinophilic Granuloma ; Eosinophils ; Femur ; Fever ; Humans ; Transplants

No abstract available in English.
Pseudarthrosis ; Tibia

Arrhythmogenic right ventricular dysplasia is a rare heart muscle disorder of unknown cause that primarily involves the right ventricle. It is characterized pathologically by fibrofatty replacement of the right ventricular myocardium. Clinical manifestations include structural and functional abnormalities of the right ventricle, electrocardiographic depolarization/repolarization changes, and presentation with sudden death or ventricular arrhythmias of right ventricular origin. It is one of the important causes of the ventricular arrhythmia or sudden death among apparently healthy young people. We report a case of arrhythmogenic right ventricular dysplasia with the review of the literature.
Arrhythmias, Cardiac ; Arrhythmogenic Right Ventricular Dysplasia* ; Death, Sudden ; Electrocardiography ; Heart Ventricles ; Myocardium

Huntington's disease (HD), an autosomal dominant dominant disorder of mid-life onset, is characterized by progressive involuntary choreiform movement, psychological change and dementia. We present here one case of Huntington's disease, who was admitted at Seoul National University Hospital from 2nd Oct. to 16 Oct. 1985.
Chorea ; Dementia ; Huntington Disease ; Seoul

The scaphoid is the most commonly fractured carpal bone and the nonunion of the scaphoid has continued to represent a challenge to the surgeon who treats hand injuries. The are many treatment modalities and the technique of bone grafting described by Otto Russe in 1960, which is quite appropriately called the Matti-Russe procedure, has become a well-accepted method of treating nonunion of the scaphoid. And the results of this method has been presented by several authors. At the Department of Orthopedic Surgery, Seoul National University Hospital, From May 1985 to September 1988, ten cases of the scaphoid nonunion had been treated by Matti-Russe procedure and followed up more than 1 year. Fracture healing was observed in all ten cases. Seven patients were totally free of pain both at rest and at excercise and three patients noted moderate pain at excercise. All patient were satisfied with the results of operation and none felt worse.
Bone Transplantation ; Carpal Bones ; Fracture Healing ; Hand Injuries ; Humans ; Methods ; Orthopedics ; Seoul