No abstract available.
Child* ; Humans ; Rhabdomyosarcoma*

Serum creatine phosphokinase(CPK) levels were measured serially in 20 adults with closed tibial shaft fractures, CPK activity increased significantly after fracture(p < 0.01). High energy and delayed healing fractures had significantly higher levels of CPK than low energy and normally healing fractures, respectively. Thus, CPK determinations could be used to assess the severity of trauma and possible prognosis of the healing in tibial shaft fractures.
Adult ; Creatine Kinase ; Creatine ; Humans ; Prognosis

No abstract available.
Hysterectomy* ; Venous Thrombosis*

BACKGROUND: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. METHODS: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. RESULTS: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5–9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0–5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45–77] to 89.3 [range, 81–100], p=0.029), and ASES score (52.3 [range, 30–77] to 90.0 [range, 80–100], p=0.002). There was no healing failure on imaging. CONCLUSIONS: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.
Debridement ; Elbow ; Electromyography ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Muscle Strength ; Pain, Postoperative ; Retrospective Studies ; Rotator Cuff ; Rupture* ; Shoulder ; Surgeons ; Tears ; Tendinopathy ; Tendons

The corresponding author's name and E-mail address have been corrected. This article was corrected online. The authors would like to apologize for any inconvenience cause.

No abstract available.
Child* ; Humans

A statistical observation was made on 203 in-patients with operative procedures in the Department of Urology, Presbyterian Medical Center, Taegu, Korea during the period between August 1, 1971 and July 31, 1972.
Daegu* ; Korea* ; Protestantism* ; Surgical Procedures, Operative ; Urology*

The bilateral vanishing testes syndrome is a rare condition in which the vanishing testes were once present but atrophied due to compromise in blood supply. We present a case of bilateral vanishing testes syndrome which was confirmed with laparoscopy and exploratory laparotomy following hormonal therapy The diagnosis of vanishing testes syndrome can be established by following criteria without surgical exploration. These criteria include a normal male phenotype with XY karyotype, absence of Mullerian structures on rectal examination or ultrasonography, elevated gonadotropins(FSH alone or FSH and LH), and no significant increase in serum testosterone after hCG stimulation. However, patients who do not fit these criteria should have laparoscopy or exploration to look for occult gonadal tissue and spermatic vessels.
Diagnosis ; Gonads ; Humans ; Karyotype ; Laparoscopy ; Laparotomy ; Male ; Phenotype ; Testis* ; Testosterone ; Ultrasonography

Ectopic ureteroceles have a broad spectrum of presentation, anatomy and pathophysiology and the management is controversial. Herein, we report our experience of the management in 7 children with 8 ectopic ureteroceles associated with complete duplicated systems. Two functioning upper renal segments were able to be salvaged with ureteropyeIostomy and common sheath ureteral reimplantation. Four small ureteroceles not associated with reflux managed successfully with upper tract correction only(3 heminephrectomy and 1 ureteropyelostomy). Three children with ectopic ureteroceles associated with reflux and/or outlet obstruction underwent successful one stage total reconstruction which included heminephrectomy, ureterectomy, ureterocelectomy and lower pole ureter reimplantation. In summary, the management of ectopic ureterocele must be individualized taking into considerations the salvageability of renal segments, presence of reflux and/or outlet obstruction.
Child* ; Humans ; Replantation ; Ureter ; Ureterocele*

PURPOSE: Traditionally, renal transplant in children with end stage renal failure has poorer outcome compared to adult renal transplants. The objective of this study was to evaluate the results of childhood renal transplantation. MATERIALS AND METHODS: Twenty eight renal transplants were performed in children aged 18 years and younger in our institute. The follow up periods ranged from 15 to 217 months (mean 73.2). The cause of the end stage renal disease, postoperative complications, graft survival, and growth status were investigated retrospectively. RESULTS: The causes of renal failure were chronic glomerulonephritis in 13 cases, FSGS in 4, IgA nephropathy in 4, VUR in 2, renal dysplasia in 2, and hemolytic uremic syndrome in 1, posterior urethral valve in 1 and Alport syndrome in 1. The postoperative complications included perirenal hematoma in 2, bacterial infection in 2, lymphocele in 2, avascular necrosis of the hip joint in 2, CMV pneumonia in 1, miliary tuberculosis in 1 and hirsuitism in 1. The graft and patient survival rate at 1, 5 and 10 years was 81% and 64%, 40% and 88%, and 81% and 72%, respectively. The mean body weight distribution of the 10 cases under the age of 15 years who had no graft failure was in the 10.2 percentile (3-25 percentile) at transplantation and it increased to the 18.2 percentile (3-50 percentile) 46 months after the transplant. CONCLUSIONS: Childhood renal transplantation was less successful than adult renal transplantation. Early transplantation is recommended to maximize the growth of the children and more effective immunosuppressive therapy is needed for this age population.
Adult ; Bacterial Infections ; Body Weight ; Child ; Follow-Up Studies ; Glomerulonephritis ; Glomerulonephritis, IGA ; Graft Survival ; Hematoma ; Hemolytic-Uremic Syndrome ; Hip Joint ; Humans ; Kidney Failure, Chronic ; Kidney Transplantation* ; Lymphocele ; Necrosis ; Nephritis, Hereditary ; Pneumonia ; Postoperative Complications ; Renal Insufficiency ; Retrospective Studies ; Survival Rate ; Transplants ; Tuberculosis, Miliary