Slipped femoral capital epiphysis is a disease in which the femoral capital epiphysis is displaced downward and backward and occurs during the adolescent rapid growth period when the epiphyseal growth plate is weakened. This relatively rare disease was first reported by Ambrose Pare in 1572. Numerous cases have since been reported in the literature throughout the world. In Korea, although, rare a few cases have also been reported. The authors report here a case of bilateral slipped femoral capital epiphysis in a 14 year old boy with pain when walking. He manifested the Frolich body type with underdeveloped genitalia. Both hips showed a positive Patricks test with limited range of motion, especially in abduction and internal rotation. Three Hage pins were inserted on each side.
Adolescent ; Epiphyses ; Genitalia ; Growth Plate ; Hip ; Humans ; Korea ; Male ; Range of Motion, Articular ; Rare Diseases ; Somatotypes ; Walking

Poland's syndrome which is associated with thoracic anomaly and ipsilateral syndactyly is not hereditary and is of unknown origin. It was described first Alfred Poland in 1841 year. This syndrome affects males more frequently than females. We have experienced two cases of Polands syndrome who were all male and each case revealed thoracic anomalies; abscent pectoral muscles and anterior axillary fold, pectus excavatum, and ipsilateral syndactyly with aplasia or hypoplasla of the middle phalanx.
Female ; Funnel Chest ; Humans ; Male ; Muscles ; Poland ; Syndactyly

Pyogenic osteomyelitis is a frequent and difficult disease in treatment in orthopedic surgery. The various manifestation of the disease related to the causative organisms, the sites of involvement, the pathogenesis and the clinical course tend to give a bad prognosis after treatment. This study consists of three hundred and twenty four cases of pyogenic osteomyelitis which are studied at the Department of Orthopedic Surgery, Yonsei University hospital for 7 years and 8 months from January 1973 to August 1979. The results are as follows: 1. The frequency of the disease was highest in 1977 but not significant. 2. Femur and tibia were most frequently involved. (65.4%). 3. Age distribution showed the highest incidence between 6 and 15 years of age. (60.6%) Sex ratio was 2(M):1(F) 4. The causative organism was mostly Staphylococcus. (80.5%) The coagulase(+) Staphylococcus showed the highest sensitivity to cefamezine (88.8%) and the highest resistance to penicillin. (89.7%) 5. The treatment had been carried out case by case with variable methods. Author considered the best method of treatment was early decompression and massive antibiotic therapy in acute osteomyelitis, and saucerization with closed irrigation system in chronic osteomyelitis.
Age Distribution ; Cefazolin ; Decompression ; Femur ; Incidence ; Methods ; Orthopedics ; Osteomyelitis ; Penicillins ; Prognosis ; Sex Ratio ; Staphylococcus ; Tibia