1.The Factors Affecting The Prognosis of Arthroscopic Meniscectomy
Jung Man KIM ; Nam Yong CHOI ; Heung Sub LEE
The Journal of the Korean Orthopaedic Association 1985;20(3):439-444
Between May 1982 and October 1983, arthroscopic meniscectomy had been performed in 54 knees between ages of 11 and 70 years. There were 32 male patients and 22 female patients in this series. The mean follow-up was 20 months, ranging from 15 months to 33 months. Postoperative complications developed were retropatellar tenderness and effusion. No infection, thrombophlebitis or instability occurred postoperatively. The aim of this study was to evaluate the effect of the various possible prognostic factors upon the developtnent of the above mentioned complications. The factors included were 1) shape of tear, 2) ligamentous injury, 3) degenerative arthritia, 4) discoid lateral meniscus, 5) quadriceps atrophy, 6) sites of meniscus(medial or lateral) & extent of excision, 7) preoperative retropatellar tenderness and 8) method of rehabilitation. The findings were statistically analyzed by the Chi-square test (df-1) & Fisher's direct probability method. The results obtained were as follows; 1. The rate of development of postoperative effusion was significantly high in cases of quadriceps atrophy (P<0.01) and preoperative retropatellar tenderness(P<0.01). 2. The rate of deveopment of postoperative retropatellar tenderness was significantly high in case of discoid lateral meniscus (P <0.01). 3. There was no significant correlation between complications and other factors including shape of tear, preoperative degerative arthritis, site of meniscus & extent of excision and methods of rehabilitation.
Arthritis
;
Atrophy
;
Female
;
Follow-Up Studies
;
Humans
;
Knee
;
Ligaments
;
Male
;
Menisci, Tibial
;
Methods
;
Postoperative Complications
;
Prognosis
;
Rehabilitation
;
Tears
;
Thrombophlebitis
2.Fatigue Fractures of Tibial and Fibular Shaft in Soldiers
Nam In PAIK ; Won Gap LEE ; Do Sub OH
The Journal of the Korean Orthopaedic Association 1980;15(3):524-529
A fatigue or stress fractures is one in which there is no initial overt break in bone continuity. Rather, there is a gradual alteration in bone architecture as a result of repeated stress. The stresses are submaxmum and usually are the result of unaccustomed activity. If continued, they may eventually result in a complete fracture. Fatigue fractures have been described in almost every bone in the body, but they are more common in the bones of the lower extremities. Fatigue fractures are commonly seen in military personnel, especially at basic training center, and have been noted in athletes, ballet dancers, laborers, and even pregnant women. The following clinical results were shown by analysis of 57 cases of stress fractures experienced in the Department of Orthopaedic Surgery, Capital Armed Forces General Hospital from Jan. 1978 to Sep. 1979. 1. In 57 fatigue tractures in military recruits, 48 were in the tibial shaft and 9 were in the fibula. 2. The main cause of the fatigue fractures was running on hard roads, and the other causes were marching on hard surfaces, playing football, and long jumping. 3. The site of predilection in the tibia was the proximal one third of the shaft, occurring in 35 (72.9%) of the cases. In the fibula the junction of the upper and middle thirds was most frequently affected, occurring in 4 (44.4%) of the cases. 4. Most of the tibial and fibular fatigue fractures were grade I (40 cases among 57), showing periosteal reaction only on one or two cortices. 5. All soldiers were treated by immediate stoppage of physical activity, with no plaster immobilization or non weight bearing.
Arm
;
Athletes
;
Dancing
;
Fatigue
;
Female
;
Fibula
;
Football
;
Fractures, Stress
;
Hospitals, General
;
Humans
;
Immobilization
;
Lower Extremity
;
Military Personnel
;
Motor Activity
;
Pregnant Women
;
Running
;
Tibia
;
Weight-Bearing
3.Immunohistochemical Analysis of TGF-beta Expression and Angiogenesis in Infiltrating Duct Carcinoma of the Breast.
Tae Jin LEE ; Nam Bok CHO ; Eun Sub PARK ; Jae Hyung YOO ; Sung Jun PARK
Korean Journal of Pathology 1996;30(7):557-569
Forty cases of infiltrating duct carcinoma of the breast were examined immunohistochemically for expression of TGF-beta and angiogenesis in order to analyze significant correlation with prognostic parameters including tumor size, axillary lymph node metastasis, clinical stage, histologic grade, estrogen receptor and progesterone receptor status. The TGF-beta expression was observed in tumors center and advancing edges of tumors. To determine microvessel density for angiogenesis, we stained endothelial cells for Factor VIII related antigen and counted microvessel within tumor. The results were as follows: 1) The strong immunohistochemical expression of TGF-beta and higher counts of microvessels were observed in advancing edges of tumors (p<0.05). 2) The TGF-beta expression in the advancing edges of tumors was closely related to clinical stage and presence of axillary lymph node metastasis (p<0.05). 3) The mean microvessel counts were significantly higher in tumors from patients with axillary lymph node metastasis and increased with increasing clinical stage (p<0.05). 4) The TGF-beta expression was not related to histologic grade, estrogen receptor and progesterone receptor status(p>0.05). Therefore, the results suggested that the TGF-beta expression and angiogenesis in infiltrating duct carcinoma of the breast may play an important part in prognostic factors, closely related to the lymph node metastasis and clinical stage.
Neoplasm Metastasis
4.A Case of Early Age Onset Hailey-Hailey Disease Treated with Surgical Operation.
Yong Sub OH ; Sung Yul LEE ; Hae Joon SONG ; Young Chul KYE ; Soo Nam KIM
Annals of Dermatology 1994;6(1):86-89
Hailey-Hailey disease is a rare hereditary dermatosis that begins in the 2nd or 3rd decade of life. The skin lesion is characterized by a localized, recurrent eruption of small vesicles on an erythematous base. It courses remissions and exacerbations. It seldom begins in early childhood, and main treatment modalities are conservative ones. We report a case of Hailey-Hailey disease that began on a 7-month old infant and improved by surgical treatment. In according to review of the previous reports, it is probably the earliest onset age and it is may be the first case which was treated with surgery in Korea.
Age of Onset
;
Humans
;
Infant
;
Korea
;
Pemphigus, Benign Familial*
;
Skin
;
Skin Diseases
5.Measurement of the Morphologic Changes of Intercondylar Notch by Magnetic Resonance Imaging.
Nam Hong CHOI ; Chang Goo SHIM ; Ryuh Sub KIM ; Taek Kuen LEE
The Journal of the Korean Orthopaedic Association 1997;32(2):428-433
The purpose of this retrospective study was to evaluate the morphology of the intercondylar notch of the knee in 72 anterior cruciate ligament (ACL) intact group and 30 acute and chronic ACL tear group by plain radiographs and MRI, and to find the predisposing factors of ACL tear. The ACL tear group was divided into acute and chronic ACL tear group. In plain lateral radio-graphs, beta angle, angle between extension line from anterior cortical line of distal femur and from Blumensaat s line, was measured. In magnetic resonance imaging, the width of intercondylar notch (NB), the widest width of both femoral condyle (NW), intercondylar notch width from lower one third point of notch basal line (NB1), intercondylar notch width from upper one third point of notch basal line (NB2), depth of intercondylar notch from notch basal line (ND), and intercondylar angle which made from both end point of notch basal line and apex of intercondylar notch (alpha) were measured. Three groups were compared with each other by statistical analysis. Stastistically, the acute ACL tear group had narrow upper portion of intercondylar notch than chronic ACL tear group and more acute angle of roof of the intercondylar notch than intact ACL group. So in notchplasty, the upper one-third of intercondylar notch should be carefully widened. And after fixation of femoral interference screw, arthroscopic observation should be done whether reconstruced graft touchs the roof of the intercondylar notch during the extension of the knee.
Anterior Cruciate Ligament
;
Causality
;
Femur
;
Knee
;
Magnetic Resonance Imaging*
;
Retrospective Studies
;
Transplants
6.Dopaminergic Neurons in the Diencephalon of Striped Field MouseApodemus agrarius coreae.
Young Gil JUNG ; Nam Sub LEE ; Sung Hee MIN ; Moo Gang KIM
Korean Journal of Anatomy 1997;30(6):609-622
The distributions and morphological characteristics of neurons displaying immunoreactivity to the catecholamine synthetic enzymes, tyrosine hydroxylase[TH], dopamine-beta-hydroxylase[DBH], and phenyletha-nolamine-N-methyltransferase[PNMT] were examined in the adjacent sections of the diencephalon of the striped field mouse [Apodemus agrarius coreae].Only TH-, and no DBH- or PNMT-immunoreactive neurons were found in the diencephalon. In the preoptic area, TH-immunoreactive neurons were found in the anterior preoptic nucleus of Loo[APN], periventricular preoptic nucleus, medial preoptic nucleus, lateral preoptic nucleus and suprachiasmatic nucleus. In the hypothalamus, TH-immunoreactive neurons were found in theparaventricular hypothalamic nucleus, periventricular gray, retrochiasmatic area,anterior hypothalamic nucleus of anterior hypothalamic area and retrochiasmatic region of the hypothalamus. In the rostral tuberal region of the hypothalamus, TH-immunoreactive neurons were found in the paraventricular nucleus, periventricular gray and arcuate nucleus. In the midtuberal region of the hypothalamus, TH-immunoreactive neurons were found in the paraventricular nucleus, dorsomedial hypothalamic nucleus, zona incerta and arcuate nucleus. In the caudal tuberal region of the hypothalamus, dorsal hypothalamic nucleus, posterior hypothalamic complex and arcuate nucleus.
Animals
;
Anterior Hypothalamic Nucleus
;
Arcuate Nucleus
;
Diencephalon*
;
Dopaminergic Neurons*
;
Dorsomedial Hypothalamic Nucleus
;
Hypothalamus
;
Immunohistochemistry
;
Mice
;
Neurons
;
Paraventricular Hypothalamic Nucleus
;
Preoptic Area
;
Subthalamus
;
Suprachiasmatic Nucleus
;
Tyrosine
7.A Clinical Study on Sacrospinous Ligament Suspension for Management of Pelvic Organ Prolapse.
Seul Kee LEE ; Gye Hyun NAM ; Yoon Sub SONG ; Hae Hyuk LEE ; Joon Gee JEON ; Seung Hyung KIM
Korean Journal of Obstetrics and Gynecology 2000;43(8):1336-1343
No abstract available.
Ligaments*
;
Pelvic Organ Prolapse*
8.Comparison of skin prick test and serum specific IgE measured by ImmunoCAP system for various inhalant allergens.
Young Hee NAM ; Dong Sub JEON ; Soo Keol LEE
Allergy, Asthma & Respiratory Disease 2015;3(1):47-53
PURPOSE: It appears that much of the discordance between skin prick test (SPT) and ImmunoCAP in clinical practice. We investigated the comparison and correlation between SPT and ImmunoCAP for inhalant allergens. METHODS: A total of 1,400 patients who were tested SPT and ImmunoCAP were recruited from June 2011 to May 2014 in Dong-A University Hospital, and the results of two assays were compared for 17 inhalant allergens. For SPT, mean wheal size> or =3 mm or allergen/histamine> or =1 at 15 minutes, and the result of ImmunoCAP of > or =0.35 kU/L was considered positive, respectively. RESULTS: Of the study subjects, bronchial asthma was 29.3%, rhinitis 36.8%, atopic dermatitis 0.6%, and chronic urticaria 4.3%. The agreement rate of between two assays was 77.4%. When ImmunoCAP was compared with SPT as the reference, the sensitivity, specificity was 75.5% and 80.0%, respectively. Significant correlation was observed (r=0.59), and birch, mugwort, Japanese hop, house dust mites, and cockroach showed very strong correlation (r>0.7). CONCLUSION: The agreement, sensitivity, and specificity between SPT and ImmunoCAP was various according to allergens. We should determine the clinical relevance of the allergen sensitization using both SPT and ImmunoCAP not alone with combination of clinical symptoms.
Allergens*
;
Artemisia
;
Asian Continental Ancestry Group
;
Asthma
;
Betula
;
Cockroaches
;
Dermatitis, Atopic
;
Humans
;
Humulus
;
Immunoglobulin E*
;
Pyroglyphidae
;
Rhinitis
;
Skin Tests
;
Skin*
;
Urticaria
9.Analysis of Asymptomatic Proteinuria in School Children.
Chong Guk LEE ; Tae Sub SHIM ; Dong Hwan LEE ; Yong Soo YUN ; Chang Jun KO ; Sa Jun CHUNG ; Hyun Soon LEE ; Sung Jae SUH ; Pyung Nam KIM
Journal of the Korean Pediatric Society 1989;32(9):1187-1194
No abstract available.
Child*
;
Humans
;
Proteinuria*
10.Occipital Lobe Metastasis of Hepatocellular Carcinoma Presenting as Homonymous Hemianopia.
Hye Jin LEE ; Young Hee MAENG ; Jinho JEONG ; You Nam CHUNG ; Chang Sub LEE ; Byung Cheol SONG
Journal of the Korean Ophthalmological Society 2017;58(4):488-492
PURPOSE: To report brain metastasis of hepatocellular carcinoma presenting as homonymous hemianopia. CASE SUMMARY: A 51-year-old female with a history of hepatectomy and diagnosis of hepatocellular carcinoma (HCC) 19 months earlier was referred to our neuro-ophthalmology clinic for evaluation due to headache and decreased visual acuity over the past several months. Best visual acuity was 20/20, and the results of all other aspects of our examination were normal except Humphrey automatic perimetry, which showed complete left homonymous hemianopia. Brain magnetic resonance imaging showed a large mass in the right occipital lobe. Craniotomy and removal of tumor were performed. HCC was confirmed by histopathologic examination. CONCLUSIONS: Metastasis of hepatocellular carcinoma to the occipital lobe is extremely rare but can present as homonymous hemianopia. Therefore, clinicians should be aware of this when examining a patient with a history of HCC.
Brain
;
Brain Neoplasms
;
Carcinoma, Hepatocellular*
;
Craniotomy
;
Diagnosis
;
Female
;
Headache
;
Hemianopsia*
;
Hepatectomy
;
Humans
;
Magnetic Resonance Imaging
;
Middle Aged
;
Neoplasm Metastasis*
;
Occipital Lobe*
;
Visual Acuity
;
Visual Field Tests