Pyogenic osteomyelitis is a difficult and complex disease. The wide spectrum of manifestation of disease related to the site of involvement, the infecting organism, the initiating event and the acute or chronic course of the illness are important in determining the success or failure of treatment. Seven hundred and twenty-five cases of pyogenic osteomyelitis were studied in the Department of Orthopedic Surgery, Seoul National University Hospital for 21 years from December 1956 to December 1977. The results were as follows: 1. During past 21 years, total number of admitted patients were 10,456. Among them, number of patients of pyogenic osteomyelitis were 725. 2. Femur and tibia were frequently involved (64%), and humerus, spine, pelvis, in that orders. 3. Sex ratio was 2.4: 1. Age distribution showed the group between 6 and 15 years old was 58% in acute course, and the group between 16 and 25 years old was 34% in chronic course. 4. Duration of disease was average 7.4 days in acute and 46.8 months in chronic osteomyelitis. 5. Most of acute osteomyelitis had pyrexia (av. 38.3C), but in chronic osteomyelitis body temperature was mostly within normal limit. 6. Erythrocyte sedimentation rate was definitely increased in 81% of male, in 58% of female. 7. The causative organism was mostly coaulase (+) staphylococcus aureus (73%), but there was tendency to increase Gram (−) bacilli infection. 8. One kundred and six patients had been complicated with draining sinus, joint stiffness, and pathologic fracture. 9. Various treatments had been carried out case by case. Author considered the best method of treatment was ealry decompression and antibiotics in acute osteomyelitis, and saucerization with closed irrigation in chronic osteomyelitis.
Age Distribution ; Anti-Bacterial Agents ; Blood Sedimentation ; Body Temperature ; Clinical Study ; Decompression ; Female ; Femur ; Fever ; Fractures, Spontaneous ; Humans ; Humerus ; Joints ; Male ; Methods ; Orthopedics ; Osteomyelitis ; Pelvis ; Seoul ; Sex Ratio ; Spine ; Staphylococcus aureus ; Tibia

Although the incidence of tuberculosis of the bone and joints is being decreased with good nutrition, hygine and the development of preventive medicine, it is still a common disease in our clinic. One hundred and ninty-eight cases of tuberculosis of the bone and joints were studied in the Department of Orthopedic Surgery, Seoul National University Hospital for 10 years from January, 1966 to December. 1975. The results were as follows: 1. Total cases of tuberculosis of the bone and joints were 588 Among them, peripheral bone and joints excluding the spine occupied 198 cases (34%). 2. Sex ratio was 1.7 : 1 (male : female). Age distribution showed the group below 10 years was 78 cases (39%). On the other hand, 7 cases were over 51 years old. 3. More than 50% of patients visited hospital after one year from the onset. 4. One-third of all cases had been given some management before admission and the most common treatment was anti-tuberculous chemotherapy (25%). 5. Erythrocyte sedimentation rate was definitly increased in 41%. 6. Associated tuberculous lesionsoe of extraskeletal system were confirmed in 66 cases (33%). Among them, active pulmonary tuberculosis were 51 cases (77%) 7. Various treatments (conservative, curettage, synovectomy, arthrodesis, etc.) had been carried out. However, surgical managements for saving the range of motion must be considered always before arthrodesis.
Age Distribution ; Arthrodesis ; Blood Sedimentation ; Clinical Study ; Curettage ; Drug Therapy ; Hand ; Humans ; Incidence ; Joints ; Orthopedics ; Preventive Medicine ; Range of Motion, Articular ; Seoul ; Sex Ratio ; Spine ; Tuberculosis ; Tuberculosis, Pulmonary

Simple bone cyst was first described by Virchow over a century ago and has been the subject of numerous articles. Nevertheless considerable confusion still exists regarding its etiology. clinical behavior and optimal management. Eighteen cases of pathologically proven simple bone cyst were treated in the Department of Orthopedic Surgery, Seoul National University Hospital during the thirteen year period from June 1966 to May 1979, and following results were obtained. 1. Age distributions were between five and forty-three years (Average ; seventeen years), and 72.2% (thirteen cases) were during first two decades of life. 2. Male to female ratio was 2.6 to 1 3. The most frequently involved location was proximal humerus followed by proximal femur. 4. Pathologic fracture, pain, incidental roentgenography and swelling were the first clues of diagnosis in our series. 5. In twelve cases curettage and fresh autogenous iliac bone graft was performed and good results were obtained in all of them. Of five cases only curettage had been done, no case recurred, another case showed residual cystic area, and the rest healed without further event. In one case with huge cyst curettage, iliac and fibular bone graft and bone cementing was performed with satisfactory result. 6. Bone shortening was noticed in two cases of active bone cysts in proximal humerus 2cm and 3cm, respectively.
Age Distribution ; Bone Cysts ; Curettage ; Diagnosis ; Female ; Femur ; Fractures, Spontaneous ; Humans ; Humerus ; Male ; Orthopedics ; Radiography ; Seoul ; Transplants

Chordoma is a rare distinctively malignant tumor thought to be histogenetically related to the primitive notochord, It is locally infiltrative but does not metastasize until late. The usual initial symptom is pain or some symptom caused by involvement of the nervous system. Involed in the order of frequency are the sacro-coccygeal area, the spheno-occipital area, and the other vertebral area. This case is a sacro-coccygeal chordoma that is confirmed by histologic examination. The lesion was treated by complete excision.
Chordoma ; Nervous System ; Notochord

No abstract available.
Carcinoma, Renal Cell* ; Neoplasm Metastasis*

No abstract available.
Carcinoma, Renal Cell* ; Neoplasm Metastasis*

No abstract available.
Animals ; Epididymitis* ; Male ; Models, Animal* ; Rats* ; Testis*

Fifty-two patients of meniscal injury were studied in the Department of Orthopedic Surgery, Seoul National University Hospital for 5 years and 6 months from January, 1973 to June, 1978. The results were as follows: 1. Male was more affected than female (M:F = 1.4:1). And the injury of meniscus was most frequently occurred in the age group between 11 and 30 years old (65.2%). 2. Thirteen patients denied the history of trauma (25.2%). 3. Over-all positive rate of Memurray sign was 85% and arthrography was 74%. 4. Lateral meniscus was more frequently affected than medial meniscus. The most frequent type of lesion was peripheral longitudinal tear (11 cases). Discoid meniscus was found in 14 patients. 5. In follow-up study, satisfactory results were obtained in 84.3%.
Arthrography ; Clinical Study ; Female ; Follow-Up Studies ; Humans ; Male ; Menisci, Tibial ; Orthopedics ; Seoul ; Tears

Beurgers disease is a specific, recurrent, segmental, inflammatory, obliterative vascular disease involving principally the medium sized arteries and veins of the extremities. The disease was originally described by Leo Beurger in 1908. The results in treatment were not satisfactory in spite of many interaction and experiencies in treatment. So the present study is clinical analysis of 136 cases of Beurgers disease, who were treated at the Department of Orthopaedic Surgery and General Surgery, Presbyterian Medical Center, for the past 12 years, from 1971 to 1982. The results obtained are as follows: Sex distribution was predominent in male(97.1%) and peak incidence in the fourth decade. One hundred twenty eight cases had smoked over 10 years and sixty percent had more than one operation previously because of the same disease. The most common symptom was pain in the extrimities, necrosis, skin color change and coldness were in that order of frequency. The lower extremities were more commonly involved. The most common site of obstruction at the arteriogram was the popliteal artery. Among the surgery cases, 20 of the sympathetomized patients had followed-up, and the long term result showed improvement in 17 cases and all the results of the vascular surgery were poor.
Arteries ; Clinical Study ; Extremities ; Humans ; Incidence ; Lower Extremity ; Necrosis ; Popliteal Artery ; Protestantism ; Sex Distribution ; Skin Pigmentation ; Smoke ; Thromboangiitis Obliterans ; Vascular Diseases ; Veins

Cystic lesions of the adrenal are extremely rare. Pseudocysts (39% of all adrenal cysts) are the most common clinically detected cysts and result from hemorrhage into normal adrenal gland due to severe infection and trauma or adrenal neoplasm. Histologically, the lining of adrenal pseudocyst is not covered with epithelium and is composed of connective tissue. We are presenting a case of infected adrenal pseudocyst suffering from right lower chest and upper abdominal pain in a 35-year-old woman with brief review of the literatures.
Abdominal Pain ; Adrenal Gland Neoplasms ; Adrenal Glands ; Adult ; Connective Tissue ; Epithelium ; Female ; Hemorrhage ; Humans ; Thorax