Guyons canal syndrome is an uncommon disease characterized by ulnar nerve compression symptoms within Cuyon s canal. The symptoms vary with the level of compression, and the cause of compression may be extrinsic or intrinsic. We have had experience with a case of the syndrome that was caused by a ganglion in the canal.
Ganglion Cysts ; Ulnar Nerve Compression Syndromes

No abstract available.
Neck*

A clinical study was conducted to compare effectiveness of IV Globulin with that of steriod in childhood acute ITP. We carried out an experiment to 36 patients of acute ITP who recovered over 50.000/mm(3) of platelet count and not to recur in 6 months. Study group consist of 10 children who were treated with steriod only (Group A), 13 children who were treated with IV Globulin (0.4g/kg/d, 5 days, Group B), and 13 children combined with steroid (Group C) Study period was from January 1988 to December 1992, folllowing results were obtained. 1) There were no significant difference in sex ratio. age distribution, pretreatment hemoglobin level, platelet count and prolonged bleeding time among study groups. 2) The days which platelet count reached to 50.000/mm(3), 100,000/mm(3) were 3.7 days (Group A), 2.1 days (Group B), and 2.3 days (Group C), respectively (p<0.05). 3) Complete response rates within 4 weeks did not show significant difference (90% in Group A, 84.6% in Group B, 92.3% in Group C), the complete response rate within 1 week were significantly different among three group (44.4% in Group A, 90.9% in Group B, 83.3% in Group C)(p<0.05). In conclusion, it is more desirable for early treatment of a childhood ITP because IV Globulin is easy to normalize platelet count in a short time.
Age Distribution ; Bleeding Time ; Child ; Humans ; Platelet Count ; Sex Ratio

Legg-Calve-Perthes disease is self-limited, but its course may result in irreversible mechanical impairment of the hip. The clinical observation and analysis were carried out on 83 cases of Legg-Calve-Perthes disease in the Department of Orthopaedic Surgery, Presbyterian Hospital, Taegu.
Daegu ; Hip ; Legg-Calve-Perthes Disease ; Protestantism

A large number of congenital dislocation of the hip remains undiagnosed before a child begins to walk, unless screening tests are performed on newborns and infants. It is well-known that congenital dislocation of the hip can result in marked acetabluar dysplasia, in deformity of the femoral head and in a change of the femoral-neck angle: conversely, a normal hip joint can be expected when the femoral head is replaced in time in the acetabular socket. The authors studied 33 cases of 37 congenital dislocations of the hip treated with closed reduction and immobilization in a changing cast after adequate premanipulative skeletal traction at the orthopedic department of the Presbyterian Hospital, Taegu. As result of this study, the following conclusions were reached: 1. The preponderance of girls to boys was found to be 3.7 : 1. 2. The ratio of unilateral to bilateral cases was 29 : 4 and of right to left was 12 : 17. All 4 bilateral cases were female. 3. An associated congenital anomaly was observed in a case of thyroglossal duct cyst. There were 2 cases of breech presentation. 4. Instead of a soft tissue releasing operation, in most cases we applied adequate skeletal traction(plus one to two station) in the distal femur for 2 to 3 week before reduction. That was the same as a series of traction stations referred to by Gage and Winter(1972) which relates the position of the femoral head to the acetabulum by traction. 5. The average time of following up was 24 months. 6. There were 2 cases of epiphyseal change. One of the cases did not appear as a proximal femoral epiphysis until the 8th month of postreduction and the other was a fragmentation of the femoral epiphysis without signs of increased density after reduction. These 2 cases resulted from inadequate traction. We will follow up these cases for an adequate time. 7. There were several cases of unsatisfactory results functionally and anatomically, in acetabulum and head relationship and the femoral-neck angle. 8. The duration which required for joint stability clinically was shortened in cases of early treatment. 9. The average time of cast immobilization was 7 months.
Acetabulum ; Breech Presentation ; Child ; Congenital Abnormalities ; Daegu ; Dislocations ; Epiphyses ; Female ; Femur ; Follow-Up Studies ; Head ; Hip Joint ; Hip ; Humans ; Immobilization ; Infant ; Infant, Newborn ; Joints ; Mass Screening ; Orthopedics ; Pregnancy ; Protestantism ; Thyroglossal Cyst ; Traction

Skin grafts on bare bone, denuded of perioteum, is one of the most difficult problems to deal with, but has good clinical application. Most surgeons have stated that skin grafts will not take on unprepared bare bone and have refused to raft skin on bare bone, but they have successfully grafted skin on bare bone after preparation of the recipient site in one of several ways. The authors have treated bare bones with multiple holes drilled through the outer cortex of bone in to the marrow cavity to start growth of granulation from the marrow cavity, followed by skin graft. It has been both successful and has shortened the convalescent period.
Bone Marrow ; Skin ; Surgeons ; Transplants

Congenital coxa vara is a rare congenital deformity seen in infancy and childhood and usually not discovered until walking is begun and characterized by a progressive decrease in the angle between the femoral neck and shaft and consequently by a progressive shortening of the limb and also by the presence of a defect in the medial part of the neck We have experienced a case of it treated with valgns osteotomy and the case review is presented.
Congenital Abnormalities ; Coxa Vara ; Extremities ; Femur Neck ; Neck ; Osteotomy ; Walking

Pigmented villonodular synovitis, bursitis and tenosynovitis were classically described by Jaffe, Lichtentein and Sutro in 1941. Prior to this time, Simon(1865) reported the first case of xanthoma of the knee joint and since then the manifestations of this disease were known by various names, including villous arthritis, hemorrhagic vilious arthritis, giant cell tumor, xanthogranuloma, myeloplaxoma, and polymorphocellular tumor of the synovial membrane. The exact cause of this lesion is not yet known, but chronic stimulation followed by repeated hemorrhage in the joint is generally accepted as a criminal etiologic factor. Experimental production of this lesion in animal joints by Yong and Hudacek was started in 1954. We have experienced a rare case of pigmented villonodular synovitis which diffusely involved the hip joint.
Animals ; Arthritis ; Bursitis ; Criminals ; Giant Cell Tumors ; Hemorrhage ; Hip Joint ; Hip ; Humans ; Joints ; Knee Joint ; Synovial Membrane ; Synovitis, Pigmented Villonodular ; Tenosynovitis ; Xanthomatosis

Osteosarcoma is a malignant neoplasm arising from the undiferenciated fibroblastic cells of the bone, and one of the most common primary malignant tumor of the bone resulting in high mortality rate. Authors performed clinical observation on 51 cases of osteogenic sarcoma at the Department of Orthopedic Surgery, Presbyterian Hospital, Taegu, Korea during the 17 year period from Jan. 1962 to Dec. 1978. The results were obtained as follows: 1. It was most common in the age group between 11 and 30 years. 2. The sex distribution was 28 cases(55.0%) in males and 23 cases(45.0%) in females. 3. The most commonly affected site was distal femur and next proximal fibia, consisting of 23 cases(45.1%) and 19 cases(36.5%) respectively. 4. The average value of serum alkaline phosphatase in all cases was 6.7 Bodansky units, and 13.9 units was the highest value in these cases. 5. The histopathologic classification revealed the osteoblastic type in 22 cases(43.1%), fibroblastic in 19 cases(37.3%), and chondroblastic in 10 cases(19.6%). 6. Among the 51 cases of osteogenic sarcoma, 29 cases(56.9%) revealed pulmonary metastasis within 1 year of diagnosis. 7 Amoung the 32 cases of osteogenic sarcoma diagnosed before Dec. 1973, 3 cases(9.4%) survived longer than 5 years.
Alkaline Phosphatase ; Chondrocytes ; Classification ; Daegu ; Diagnosis ; Female ; Femur ; Fibroblasts ; Humans ; Korea ; Male ; Mortality ; Neoplasm Metastasis ; Orthopedics ; Osteoblasts ; Osteosarcoma ; Protestantism ; Sex Distribution

A total of 189 cases of primary bone tumors reviewed and analysed clinically and pathologically at the Department of Orthopedic Surgery, Presbyterian Hospital, Taegu, Korea during the 15 years period from july, 1964 to june, 1979. The results were obtained as follows: 1. In 189 cases of primary bone tumors, 87 cases (46%) were benign and 102 cases (54%) were malignant. 2. Osteochondroma was the most common benign bone tumor (31.0%) and followed by simple bone cyst (14.9%), enchondroma (14.9%) and giant cell tumor (13.8%). 3. Osteosarcoma was the most common primary malignant bone tumor (45.0%) and followed by fibrosarcoma (17.7%) and chondrosarcoma (12.8%). 4. 22 cases were solitary and 5 cases were multiple Iesions of osteochondroma. The knee joint area was the most common site of osteochondroma (59.2%) and peak incidence was in the second decade. 5. Simple bone cyst was 13 cases. The sex distribution of simple bone cyst showed 5.5 times of the male predominence. The knee joint area was the most common site of simple bone cyst (76.9%) and its peak incidence was in the first and second decade (61.5%). Seven of 13 cases of simple bone cyst were seen pathological fracture and three of its cases were recurred. 6. In 13 cases of enchondroma, 6 cases were solitary and 7 cases were multiple lesions. The common site was phalanges of the hand and its peak incidence was in the second and third decade of life. 7. Giant cell tumor was 16 cases and to be divided into pathologically Grade 1 & 11 12 cases (75%) and Grade III 4 cases (25%). The sex distribution of giant cell tumor was 8 males and 8 females. The average age of giant cell tumor was 36.1 years with the peak incidence in the third and forth decade of life. 8. The average age of osteogenic sarcoma was 23.1 years with the peak incidence in the second decade of life. The sex distribution of osteogenic sarcoma was 25 males (54.3%) and 21 females (45.7%). The common sites of osteogenic sarcoma were distal femur and proximal tibia and proximal humerus in 41 cases (89.1%). 9. The average age of fibrosarcoma was 28.1 years with the peak incidence in the second and third decade of life. The sex distribution of fibrosarcoma was 12 males (66.6%) and 6 females (33.3%). The common site of fibrosarcoma were femur and tibia in 9 cases (50%). 10. Chondrosarcoma were 13 cases. The sex distribution of chondrosarcoma showed 5.5 times of the male predominence. The knee joint area was the most common site of chondrosarcoma (46.1%) and its peak incidence was in the third and forth decade of life.
Bone Cysts ; Chondroma ; Chondrosarcoma ; Daegu ; Female ; Femur ; Fibrosarcoma ; Fractures, Spontaneous ; Giant Cell Tumors ; Hand ; Humans ; Humerus ; Incidence ; Knee Joint ; Korea ; Male ; Orthopedics ; Osteochondroma ; Osteosarcoma ; Protestantism ; Sex Distribution ; Tibia