1.An Analysis of the Synovial Fluid in the Rheumatoid Arthritis
The Journal of the Korean Orthopaedic Association 1982;17(2):229-234
An analysis of the joint fluid should be performed as part of the diagnostic evaluation in any patient with joint disease. It is an important role in the differential diagnosis of the joint disease such as pyogenic arthritis, traumatic arthritis, degenerative and rheumatoid arthritis and others. The authors examined synovial fluid analysis in 33 cases of rheumatoid arthritis at the Department of Orthopedic Surgery, Chosun University Hospital. The following results were obtained. 1. The age and sex distribution was 21 cases in the male and 12 cases in the female. The sex ratio between male and female was 1.8:l. 2. The gross appearance of synovial fluid was greenish-yellow with turbid in 29 cases, and 4 cases were transparent with clear and yellow colored. The range of specific gravity was 1.028, it was more higher than normal values. 3. The range of white blood cell count in the synovial fluid was 5955/cubic mililiter in its average and polymorphonuclear leukocytes found the major part of cell counts (63.6%). 4. The glucose content in the synovial fluid was 72.8 mg/100ml in the range of average. It was tended to decrease compared with increase leukocyte numbers. 5. The latex fixation test in the synovial fluid was positive reaction in 93.9%, and was more higher value than its serum reaction in the blood. 6. The protein content in the synovial fluid was 6.9 gm/100ml) in the range of average, and it was 1.7 times more higher value than the reported literature. The correlationship of protein content between the duration of disease and its prevalences could not found the clinical significance. 7. The relationship between the age and the clinical course in the synovial fluid analysis was not significant finding of its fluid content and others, but the more pronounced pattern was revealed in the acute stage of rheumatoid arthritis in the joint fluid.
Arthritis
;
Arthritis, Rheumatoid
;
Cell Count
;
Diagnosis, Differential
;
Female
;
Glucose
;
Humans
;
Joint Diseases
;
Joints
;
Latex Fixation Tests
;
Leukocyte Count
;
Male
;
Neutrophils
;
Orthopedics
;
Osteoarthritis
;
Prevalence
;
Reference Values
;
Sex Distribution
;
Sex Ratio
;
Specific Gravity
;
Synovial Fluid
2.Tabetic Charcot Joint (Three Cases Report)
Myung Sang MOON ; Suk Joo KOH ; Yong Koo KANG ; Il Do SHIN
The Journal of the Korean Orthopaedic Association 1983;18(4):783-788
No abstract available in English.
Arthropathy, Neurogenic
3.A case of chronic mesenterric ischemia
Duck Jong HAN ; Suk Koo KIM ; Kun Choon PARK ; Young Il MIN
Journal of the Korean Society for Vascular Surgery 1991;7(1):42-47
No abstract available.
Ischemia
4.Subperiosteal Cortical Defect: Case Analysis
Kwon Ick HA ; Han Koo LEE ; Myung Sang MOON ; Jung Ihl KEE ; Sae Il SUK
The Journal of the Korean Orthopaedic Association 1969;4(3):55-59
Subperiosteal Cortical Defect is a symptomless rarefaction of cortical bone which begins most often on the external surface of the medial and posterior cortical walls of the lower end of the femur in children between the ages of 3 and 6 years. The name of Subperiosteal Cortical Defect was first used by Aegerter who differentiated it from non-osteogenic fibroma. The authors found out 5 positive cases of incidental findings among 62 cases of both knee joint X-ray of which 3 was male and 2 was female. Also we experienced 3 cases which necessiat d a correct diagnosis and differential diagnosis. Because this is a common lesion, it frequently accompanies more serious bone conditions, and because this is self-limited disease, treatment is not necessary. It was emphasized that its nature should be understood by all those dealing with bone disease lest it be overdiagnosed and overtreated.
Bone Diseases
;
Child
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Diagnosis
;
Diagnosis, Differential
;
Female
;
Femur
;
Fibroma
;
Humans
;
Incidental Findings
;
Knee Joint
;
Male
5.Fracture of the First Sacral Vertebral Ring Epiphysis Simulating Disc Rupture: A Case Report
Yong Ju KIM ; Suk Woong YOON ; Bum Koo LEE ; Sung Il SHIN
The Journal of the Korean Orthopaedic Association 1990;25(4):1272-1275
The mechanical derangement, developmental anomaly, infection amd tumor should be considered as a cause of low back pain in adolescents. Disc herniation in adolescents is very rare and some of that are due to fracture of the epiphyseal ring. We report a case of fracture of the first sacral epiphyseal ring simulating disc rupture.
Adolescent
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Epiphyses
;
Humans
;
Low Back Pain
;
Rupture
6.A Case of Isolated Left Main Coronary Ostial Stenosis due to Acute Angle Takeoff.
Won Jea JEONG ; Hweung Kon HWANG ; Chang Kyun LEE ; In Koo KANG ; Il Suk SOHN ; Joung Eun SOH ; Dal Soo LIM
Korean Circulation Journal 2001;31(4):442-442
Isolated and severe left main coronary ostial stenosis is a rare case. In the majority of these patients ostial stenosis was associated with any of the conditions known to involve the coronary ostia. These conditions include syphilitic aortitis, Takayasu's aortitis, familial hypercholesterolemia, and aortic valve disease. A 34-year young female patient was presented with exertional and stabbing anterior chest pain. There was no history of syphilis, diabetes mellitus, hypertension, hyperlipidemia and smoking. Coronary angiogram showed isolated left main coronary ostial stenosis. Transesophageal echocardiography(TEE) showed acute angle takeoff of the left main coronary artery. She underwent surgical angioplasty of coronary ostia with a patch of autologous pericardium. After angioplasty, TEE showed dilatation of left main coronary ostium and her clinical symptom improved.
Angioplasty
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Aortic Valve
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Aortitis
;
Chest Pain
;
Constriction, Pathologic*
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Coronary Vessels
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Diabetes Mellitus
;
Dilatation
;
Female
;
Humans
;
Hyperlipidemias
;
Hyperlipoproteinemia Type II
;
Hypertension
;
Pericardium
;
Smoke
;
Smoking
;
Syphilis
;
Syphilis, Cardiovascular
7.A Clinical Study on the Posterior Subcapsular Cataracts in Childhood Nephrotic Syndrome.
Dong Kyu JIN ; Ja Wook KOO ; Hae Il CHEONG ; Yong CHOI ; Kwang Wook KO ; Jong Hoon LEE ; Young Suk YU
Journal of the Korean Pediatric Society 1990;33(8):1097-1103
No abstract available.
Cataract*
;
Nephrotic Syndrome*
8.Significance of serum HBeAg in serum HBsAg-positive glomerulonephritis.
Sang Koo LEE ; Curie AHN ; Jin Suk HAN ; Suhnggwon KIM ; Jung Sang LEE ; Chang Soon KOH ; Yong Il KIM
Korean Journal of Nephrology 1991;10(1):8-16
No abstract available.
Glomerulonephritis*
;
Hepatitis B e Antigens*
9.The Effect of Embolotherapy for Acute Gastrointestinal Bleeding in Patient with Coagulopathy.
Suk Bin SEO ; Byeong Ho PARK ; Jae Ick KIM ; Bong Sik KOO ; Ki Nam LEE ; Kyung Jin NAM ; Yung Il LEE
Journal of the Korean Radiological Society 2000;43(4):429-435
PURPOSE: To analyse the causes of coagulopathy and determine the effect of embolotherapy on acute gastrointestinal(GI) bleeding coexisting with coagulopathy. MATERIALS AND METHODS: Between June 1991 and December 1998, 29 patients with acute GI bleeding (M:F =21:8, mean age, 57.8 years) underwent percutaneous embolotherapy and immediate cessation of bleeding was confirmed. The patients were divided into two groups: control (n =16) and those with coagulopathy (n =13), group membership being determined according to the criteria of >+/-2SD of normal prothrombin time (PT) and activated partial thromboplastin time (aPTT) ( PT >23 seconds, aPTT >40 seconds) at the time at which embolization was requested. Embolotherapy was, defined as clinically successful, if the patient was stable for at least three days, without bleeding, after technically successful embolization. The clinical success rate of embolization and the mortality rate were compared between the two groups, and the causes of coagulopathy statistically analysed. RESULTS: The clinical success rate of embolization was 75% (n =12) in the control group, compared with 38.5% (n =5) in the coagulopathic group (p < 0.05), while the mortality rate for the two groups was 6.3% (n =1) and 53.8% (n =7), respectively (p < 0.005). Statistically, massive transfusion and sustained shock before embolization were the causes of coagulopathy (p < 0.05). CONCLUSION: In coagulopathic patients with acute GI bleeding, embolotherapy induces transient bleeding control, but is unlikely to save lives.
Embolization, Therapeutic*
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Hemorrhage*
;
Humans
;
Mortality
;
Partial Thromboplastin Time
;
Prothrombin Time
;
Shock
10.Epidemiologic and Clinical Study on Occupational Herniation of Nucleus Pulposus(HNP) in Lumbar Spine: Comparative Analysis with Non-occupational HNP.
Soon Yong KWON ; Seung Koo RHEE ; Il Suk CHANG ; Ji Hong KIM ; Young LIM
Korean Journal of Occupational and Environmental Medicine 2000;12(2):277-291
OBJECTIVES: The purpose of study was to define the clinical and epidemiological factors of HNP and to provide the meaningful sources for establishing a prognosis and a rationale for clinical management of occupational low back problem. METHODS: This study was performed at eight branch hospitals of Catholic University of Korea and several governmental hospitals f or occupational disorders around the Kyunggi province of Korea since Jan. 1985. We analyzed the several factors about lumbar HNP through comparative study of the hospital admission series of each 200 patients in both occupation- and nonoccupation related, subjected to epidemiologic and clinical investigation, respectively. RESULTS: 1. Mean age of occupational HNP was younger(30.9+/-8.8) than non-occupational HNP(35.2+/-10.5) (p<0.05). 2. The duration of clinical symptom before admission was longer in non-occupational HNP(19.9+/-22.8 Mo.) than in occupational HNP(6.9+/-12.4 Mo.) (p<0.05). 3. The symptomatic attack before admission was more frequent in non-occupational HNP(3.7+1.9) than in occupational HNP(2.5+/-0.9) (p<0.05). 4. There were no significant differences in physical findings between two groups, except for low rate(63%) of straight leg raising test(SLR) limitation in occupational HNP compared to non-occupational HNP(83%) (p<0.05). 5. Even though The main reason for operative intervention was a failure of conservative treatment in both groups(p<0.05), extruded subligamentous type was predominant(50%) in occupational HNP(p<0.05), whereas extruded transligamentous type occupied major portion(67.8%) in non-occupational HNP(p<0.05). CONCLUSION: The clinical results were poor in occupational HNP in both conservative and operative management groups, compared to non-occupational HNP(p<0.05) and mean durations admission and re-admission rate was higher in occupational HNP, compared to non-occupational HNP (p<0.05).
Gyeonggi-do
;
Hospitals, Satellite
;
Humans
;
Korea
;
Leg
;
Occupations
;
Prognosis
;
Spine*