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*

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*

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

No abstract available.
Child* ; Humans

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.

Candida is a saprophytic fungus in the human host. However, in an immune- suppressed host, the organism can become pathogenic. The most common site of end organ involvement in premature infants with candidemia is the kidneys. A conglomeration of fibrillar hyphae results in fungus balls, which may cause a urinary tract obstruction and acute renal failure in premature infants. We recently experienced two cases of premature infants who had fungus balls in their urinary tracts. They were treated successfully with percutaneous nephrostomy, in combination with antifungal agents.
Acute Kidney Injury ; Antifungal Agents ; Candida ; Candidemia ; Candidiasis* ; Fungi ; Humans ; Hyphae ; Infant ; Infant, Newborn ; Infant, Premature* ; Kidney ; Nephrostomy, Percutaneous ; Urinary Tract

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*

Recently, continent internal urinary diversion has begun to achieve worldwide popularity. Herein, we report an experience with a 5 year-old female patient who had total urinary incontinence due to left ectopic ureter and vesicourethrovaginal fistula. The ileocecal ureterosigmoidostomy was performed as a staged procedure. The ileocecal segment including a part of ascending colon was isolated, an intussusception through the ileocecal valve was performed as the antireflux mechanism, and the ureters were spatulated and anastomosed side to side. The combined ureters then were sewn end to end to the ileum and the cecum was brought out on the skin as a stoma. Eleven months after first operation, the cecal stoma was taken down and discarded, and the remaining cecum containing the antireflux intussusception was anastomosed end to side to the lower sigmoid, internalizing the urinary diversion. After operation, she has gained perfect urinary control with no evidence of reflux, urinary tract infection and electrolyte imbalance for the 5 years follow up period. In conclusion, ileocecal ureterosigmoidostomy is a reasonable alternative to conventional ureterosigmoidostomy that may reduce the risk of development of cancer.
Cecum ; Child, Preschool ; Colon, Ascending ; Colon, Sigmoid ; Female ; Fistula ; Follow-Up Studies ; Humans ; Ileocecal Valve ; Ileum ; Intussusception ; Skin ; Ureter ; Urinary Diversion ; Urinary Incontinence ; Urinary Tract Infections