There is still discussion concerning the methods for treating Tossy type 3 dislocations of the acromioclavicular joint. Since 1995, the authors have treated 10 patients of type 3 dislocations by arthroscope-assisted modified Weaver and Dunn operation with favorable results. The operation consisted of diagnostic shoulder arthroscopy, arthroscopic resection of acromial end of coracoacromial ligament with bone block, excision of distal end of clavicle, bone block transfer of coracoacromial ligament into the medullary canal of clavicle, and augmentation between coracoid process and resected distal end of clavicle with the Mersilene tape. The advantages of this arthroscope-assisted modified Weaver and Dunn operation are as follows: (1) Using the shoulder arthroscope, associated patholgy in the shoulder joint can be found and treated appropriately. (2) Arthroscopic resection of the acromial end of coracoacromial ligament can give the small incision and least damage to the deltoid muscle so that immediate post-operative range of motion exercise can be possible. (3) Bone block transfer of coracoacromial ligament and augmentation between coracoid process and resected clavicular end can prevent displacement of the resected clavicular end.
Acromioclavicular Joint ; Arthroscopes ; Arthroscopy ; Clavicle ; Deltoid Muscle ; Dislocations ; External Fixators* ; Hand* ; Humans ; Ligaments ; Range of Motion, Articular ; Shoulder ; Shoulder Joint

No abstract available.

The authors studied on anxiety, using Zung's self-rating anxiety scale (SAS), on the subjects of 329 men and 522 women of 60 years old and older. This study was carried out for 8 months from November 1983 to June 1984 in the area of Seoul, Taegu and Kyungsan Gun, Kungpook province. The results showed that there was no significant difference in the means of total anxiety scores between the two groups of men and women. The anxiety scores in items of sweating, apprehension, dyspnea, restlessness and insomnia were relatively high in both groups. The scores of faintness, panic, fear, tremor and facial flushing were low in both groups. Among 329 men, 48 (14.6%) showed rather serious anxiety level of score 50 or higher, while 153 of 522 women (29.4%) showed the same score. Among these psychosocial factors, supporter, living, place, religion and security system are significantly related with anxiety scores in both groups (p<0.01).
Anxiety* ; Daegu ; Dyspnea ; Female ; Flushing ; Gyeongsangbuk-do ; Humans ; Male ; Mental Health* ; Panic ; Psychology ; Psychomotor Agitation ; Seoul ; Sleep Initiation and Maintenance Disorders ; Sweat ; Sweating ; Tremor

No abstract available.
Lung Injury* ; Lung* ; Paraquat*

No abstract available.
Female ; Pregnancy ; Pregnancy, Ectopic*

No abstract available.
Lung Neoplasms* ; Lung*

No abstract available.
Hamartoma*

After development of antituberculous chemotherapy, the prevalence of tuberculous spondylitis has been reduced dramatically, but still this problem has remained as a serious infectious disease in developing areas. For the period of 8 years from January 1972 to December 1979, 148 patients who were treated for tuberculous spondylitis at Wonju Christian Hospital, College of Medicine, Yonsei University, were studied retrospectively and the results are summarized as follows: 1. The prevalent age was under 15 years (41.3%) 2. The lag period to treatment in most cases was one to six months(60.8%) 3. The most common site was thoracolumbar junction (37.2%) and the 10th thoracic vertebrae was especially affected. 4. There were 43 cases of associated tuberculous lesions (29.1%) 5. The involved numbers of vertebral bodies were 3.4 in the child and 2. 3 in the adult. 6. Initial checking of erythrocyte sedimentation rate for patients with tuberculous spondylitis showed over 15 mm/hr in 79.3%, but 77.1% patients on post-operative follow-up came within the normal limit. 7. There were 30 early paraplegics. 8; There were 10 complete and 21 incomplete paraplegics and the spastic type was more common than the flaccid type. 9. The recovery rate from paraplegia was 90.5% in incomplete paraplegics and 80.0% in complete paraplegics. 10. The kyphotic angle was checked by means of Konstams angle. Results were as follows: Total mean changes in angle were 12.9, 2.7, and 1.5 after debridement, anterior fusion and posterior fusion respectively in the adults, and in the children each total mean changes in angle were 7. 2, 4. 0 and 2. 0 respectively.
Adult ; Blood Sedimentation ; Child ; Clinical Study ; Communicable Diseases ; Debridement ; Drug Therapy ; Follow-Up Studies ; Gangwon-do ; Humans ; Muscle Spasticity ; Paraplegia ; Prevalence ; Retrospective Studies ; Spondylitis ; Thoracic Vertebrae

Injuries to the ankle or various disease in ankle are one of the most common musculoskeletal problem. The ankle is amazingly tolerant to at least minor anatomic disruption. But in situation of severed ankle it is the anxious problem to solve the pain, disability and so on. Since past time, ankle fusion can solve the pain problem, and there is little disabiiity from walking on standard surfaces, comparing the ankle arthroplasty. So we analyse 48 cases of the ankle fusion at Wonju Christian Hospital, Yonsei University College of Medicine for ten years. The results are summerized as follows: l. Applying method for fusion are distraction-compression bone graft arthrodesis, Charnley compression method, extraarticular arthrodesis, anterior sliding graft-21, 16, 2 and 9 cases respectively. 2. Post-operative complications are wound infection, loss of position of grafted bone, skin necrosis, fracture of the grafted bone and phlebitis
Ankle ; Arthrodesis ; Arthroplasty ; Gait ; Gangwon-do ; Humans ; Immobilization ; Joints ; Methods ; Necrosis ; Osteoarthritis ; Phlebitis ; Skin ; Talus ; Tarsal Joints ; Transplants ; Walking ; Wound Infection

No abstract available.
Thoracoplasty*