2.Multisegmental Osteotomy for Kyphotic Deformity in Ankylosing Spondylitis
Jae Yoon CHUNG ; Go Hun CHUNG ; Ki Sang PARK
The Journal of the Korean Orthopaedic Association 1996;31(3):455-459
Refractory deformity in ankylosing spondylitis is caused by loss of normal lordotic curvature in lumbar spine. For the correction of deformity, monosegmental osteotomy, intracorporal decancellation and multisegmental osteotomy are used. Among them, multisegmental osteotomy is reported to be safe because of its small correction amount at each level. Since 1989, authors treated 5 cases of ankylosing spondylitis with severe kyphotic deformity by multisegmental osteotomy and transpedicular instrumentation. All were young males between 22 and 35 years of age. Preoperative kyphotic deformity was 80°, 105°, 72°, 35°, 55° (Av. 70°) and amount of correction was 55°, 105°, 72°, 20°, 40° (Av. 58°) respectively. Levels for osteotony were 4 to 8 segments and correction at a level was 5° to 13° (Av. 8.3°). Normal standing upright posture and vision for straight forward were obtained in all. Instrumentation was Zielke in three Cotrel-Dubousset in two. One case of Zielke instrumentation showed rod failure. However, all showed solid bony union without any loss of correction or pseudoarthrosis. From the above experience, multisegmental osteotomy for the treatment of kyphotic deformity in ankylosing spondylitis was believed to be a safe and effective method of treatment.
Congenital Abnormalities
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Humans
;
Male
;
Methods
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Osteotomy
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Posture
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Pseudarthrosis
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Spine
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Spondylitis, Ankylosing
3.Therapeutic Effects of Low Energy Laser on Acute Phase of Herpes Zoster.
Jong Min KIM ; Ho Gyun LEE ; Dae Hun KIM ; Sang Hun LEE ; Sung Ju PARK
Korean Journal of Dermatology 1999;37(3):305-310
BACKGROUND: Herpes zoster(HZ), caused by reactivation of latent varicella-zoster virus, is manifested by dermatomal distribution of skin rashes, acute pain and post-herpetic neuralgia by pathologic involvement of the sensory ganglia. Low-energy laser(LEL) deliver a small amount of energy without elevation of the tissue temperature. LEL is reported to have various biologic effects such as anti-inflammatory, analgesic, regenerative, antiallergic, immunocorrective, and antibacterial effects. OBJECTIVE: We attempted to evaluate the therapeutic effect of LEL on an acute phase of HZ. METHODS: A total of 60 patients with acute HZ were enrolled in the study. The control group(30 patients) received medications including analgesics, antihistamine, and topical care without LEL irradiation. The experimental group(30 patients) were irradiated with LEL daily for 7 days in addition to the same kinds of medications for the control group. The efficacy of LEL irradiation for HZ was assessed by analyzing changes in skin rashes, pain scores, and postherpetic neuralgia.
Acute Pain
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Analgesics
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Exanthema
;
Ganglia, Sensory
;
Herpes Zoster*
;
Herpesvirus 3, Human
;
Humans
;
Neuralgia
;
Neuralgia, Postherpetic
4.A Case of Necrotizing Fasciitis.
Sang Hee HAM ; Chul Jong PARK ; Jong Yuk YI ; Sang Hun CHUNG
Korean Journal of Dermatology 1999;37(4):532-534
Necrotizing fasciitis, first described by Wilson in 1952, is one of the most dramatic infectious diseases which develops at the level of superficial fascia and involves the overlying dermis. Clinical diagnosis is often initially confused with cellulitis, and delay in the diagnosis and treatment is associated with high mortality in the range from 30% to 70%. Early diagnosis and prompt excision of all devitalized tissue are critical because any remaining necrotic tissue will continue the rapidly progressive infectious process. We, herein, report a 64-year-old man who was presented with a typical clinical course of necrotizing fasciitis.
Cellulitis
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Communicable Diseases
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Dermis
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Diagnosis
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Early Diagnosis
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Fasciitis, Necrotizing*
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Humans
;
Middle Aged
;
Mortality
;
Subcutaneous Tissue
5.Arthroscopic Treatment of Isolated Teres Minor Tendon Tear: A Case Report.
Se Won LEE ; Sang Eun PARK ; Min Gyu PARK ; Jong Hun JI
Clinics in Shoulder and Elbow 2015;18(3):159-161
Arthroscopic repair of an isolated teres minor tendon tear without associated shoulder joint pathology has not been reported in the literature. We report on a case of isolated teres minor tendon tear after trauma. The patient complained of severe shoulder pain and progressive limited range of motion 4 months after the injury. Magnetic resonance imaging showed a full-thickness tear of the teres minor tendon at its musculotendinous junction and arthroscopic repair was performed. At 2 years follow-up, satisfactory clinical and radiological outcomes were observed with return to pre-injury level. Here, the authors report this case and provide a review of literature.
Follow-Up Studies
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Humans
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Magnetic Resonance Imaging
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Pathology
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Range of Motion, Articular
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Shoulder Joint
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Shoulder Pain
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Tears*
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Tendons*
6.Measurement and Comparison of Hydration and Lipid Levels between Patients with Acne vulgaris and Patients with Atopic Dermatitis.
Seung Hun LEE ; Tae Hyun PARK ; Yung Jae LEE ; Sang Hoon PARK
Korean Journal of Dermatology 1995;33(3):459-466
BACKGROUND: Skin surtice lipids increase and decrease in tints with acne vulgaris and in patients with atopic dermatis, respectively. Notably, hydratior. in decreased in patients with atopic dermatitis. Clinically it is common for the two diseases to occur together. OBJECTIVE: We would like to find out the rate, clinical cteristics, and hydration and lipid levels when acne vulgaris and atopic dermatitis concur. METHODS: We classific the clinical levels and measured the hydration and lipid levels of the face and forearm area of patients with acne vulgaris, patients phatopic dermatitis, and patients with both diseases, who visited the Youngdong Severance Hospital. RESULTS: 1) 13.8% (14/102) of patients with acne vulgaris had at, epidermatitis. 31.1% (14/45) of patients with atopic dermatitis had acne vulgaris. 2) Patients with acne vulgaris had increased lipid levels and normal hydration levels. 3) Patients with atopie dermatitis had decreased lipid and iylration levels. 4) Patients withoth cnevulgaris and atopic dermatitis a no severe grade of acne vulgaris, and showed decreased hydration but normal lipid levels. CONCLUSION: In patients with both arne vulgaris and atoic dermatitis, clinically acne vulgaris was not severe and hydation levels were lower than normal controls.
Acne Vulgaris*
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Dermatitis
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Dermatitis, Atopic*
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Forearm
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Humans
;
Skin
7.Utility of endometrial bacterial cultures in the prediction of endometritis following cesarean section.
Young Ha CHOI ; Tae Gyu PARK ; Sang Hun KIM ; Yoon Kee PARK ; Sung Ho LEE
Korean Journal of Obstetrics and Gynecology 1992;35(9):1373-1379
No abstract available.
Cesarean Section*
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Endometritis*
;
Female
;
Pregnancy
8.An Obstetric aspects of RDS of Preterm Infants in Kwang-Ju and Chon-nam.
Dong Won KIM ; Sang Ki PARK ; Jong PARK ; Chang Hun SONG
Korean Journal of Obstetrics and Gynecology 1999;42(12):2754-2760
OBJECTIVES: This study was performed to evaluate obstetric aspects and epidemiologic data of respiratory distress syndrome(RDS) in premature baby(under 37 gestational weeks). We compared the mortality and incidence of RDS in premature baby according to gestational age, birth weight, infant sex, mode of delivery. In addition, this study was searched for demonstrating the influence of hypertensive mother, and effectiveness of surfactant and corticosteoid administration. METHODS: A study was conducted for 2,360 premature baby under 37gestatinal weeks, who were born at four main hospitals in Kwangju and Chonnam from January 1, 1995 to December 31, 1997. Data were collected from hospital records and was analyzed by SPSS computer program. RESULTS: 1. The total incidence of RDS among all the preterm infants under 37gestational weeks, who were admitted in NICU of four hospitals was 22.7%. 2. Neonatal mortality was decreased as the gestational age and or birth weight advanced. (p<0.001) 3. There was no difference in the incidence of RDS according to sex and mode of delivery. (p>0.005) 4. The mortality of RDS infants in this study was 28.1%. 5. There was no statistical correlation between neonatal mortality and use of surfactant. 6. Corticosteroids administration to preterm mother did not decrease the incidence of RDS, but, there was no statistical significance due to insufficient study group. 7. The incidence of RDS among the babies of hypertensive mother was 21.0%. CONCLUSION: Still the RDS in premature baby is the most common cause of perinatal death in this country. In our study, the incidence and mortality of RDS in prematue baby was mainly depends on gestational age of infants. Therefore, we suggested that prevention of preterm labor is the important to decrease the incidence and mortality of RDS.
Adrenal Cortex Hormones
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Birth Weight
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Female
;
Gestational Age
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Gwangju*
;
Hospital Records
;
Humans
;
Incidence
;
Infant
;
Infant Mortality
;
Infant, Newborn
;
Infant, Premature*
;
Jeollanam-do
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Mortality
;
Mothers
;
Obstetric Labor, Premature
;
Pregnancy
9.A Study of Preterm Infants Care in Kwang-Ju and Chon-nam(I).
Kyung LEE ; Hyun Ju MOON ; Sang Ki PARK ; Jong PARK ; Chang Hun SONG
Korean Journal of Obstetrics and Gynecology 1999;42(11):2502-2506
OBJECTIVE: To investigate the preterm labor & preterm infants care in Kwangju and Chonam. METHODS: A study was conducted for 2,360 newborns who were born at four main hospitals in Kwangju and chonam from January 1, 1995 to December 31, 1997. Data were collected by review of hospital records. RESULTS: 1. The survival rate was 6.90% at 23~34 weeks, 38.60% at 27~28weeks and 90.67% after 31wks. 2. The survival rate divided according to birth weight were 8.89% below 1,000gm, 57.14% in 1,001~1,500gm, 86.75% in 1,501~2,000gm and 93.37% over 2,000gm respectively. 3. Clinical causes of neonatal death were RDS(48.84%) hyperbilirubinemia (20.74%), sepsis(11.95%) and pneumonia(9.67%). 4. Incidence of RDS was 23.22% and it's neonatal mortality was 36.28%. CONCLUSION: The survival rate of preterm birth in Kwang-Ju and Chon-nam was still lower than data from advancing countries, and main cause of neonatal death was respiratory distress syndrome.
Birth Weight
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Female
;
Gwangju*
;
Hospital Records
;
Humans
;
Hyperbilirubinemia
;
Incidence
;
Infant
;
Infant Mortality
;
Infant, Newborn
;
Infant, Premature*
;
Obstetric Labor, Premature
;
Pregnancy
;
Premature Birth
;
Survival Rate
10.Choroidal Osteoma: US and CT Ffindings.
Dong Hun KIM ; Sang Woo PARK ; Jeong Hun KIM
Journal of the Korean Radiological Society 2003;48(2):121-125
PURPOSE: The purpose of this study was to evaluate US and CT features of choroidal osteoma. MATERIALS AND METHDOS: US and CT scans of seven cases of choroidal osteoma occurring in six patients were retrospectively analyzed. We analysed US and CT findings with particular attention to the location, size, and shape of calcification associated with choroidal osteoma, and sought the possible cause of the tumor, if any. RESULTS: None of six patients had any possible cause related to choroidal osteoma. All of seven cases of choroidal osteoma were manifested as calcified mass which were located in the posterior wall of the eyeball near the juxtapapillary region. Calcification ranged in size from 1 to 2 cm and had curvilinear shape. Both US and CT were equally useful to evaluate choroidal osteoma. CONCLUSION: By depicting the characteristic calcification, US and CT are useful imaging modalities in evaluating choroidal osteoma.
Choroid*
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Humans
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Osteoma*
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Retrospective Studies
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Tomography, X-Ray Computed