The present study was carried out to investigate the incidence and clinical features of neonatal skin abnormalities. Six hundred eight neonates were examined in Korea University Guro Hospital from May 1988 to January 1989 and the results were summarized as follows : 1. Stork bite and salmon patch were observed in 24.5%, occurring most frequently in the nape and eyelid. 2. Portwine stains were observed in 0.3%. 3, Strawberry hemsngioma was observed in 0.3%, one case showed typical elevated lesion. 4. Morgolian spots were observed in 68.6%, occurring rnost frequently in the sacro-coccygeal region. There was no difference in sex. 5. Pigmented nevi were observed in 2.1%. Female was more frequent than male. 6. Erythema toxicum neonatorum was observed in 28.1%, occurring most frequently in the trunk. 7. Nevus sebaceus was observed in 0.2%. 8. Skin tags were observed in 1.6%. 9. Cutis marmorata was observed in 3.1%. 10. Accessory auricles were observed in 0.3% and one case was bilateral.
Coloring Agents ; Erythema ; Eyelids ; Female ; Fragaria ; Humans ; Incidence ; Infant, Newborn ; Korea ; Male ; Nevus ; Nevus, Pigmented ; Salmon ; Skin Abnormalities ; Skin*

A trabeculectomy with mitomycin (0.2mg/ml, 5 minutes) was performed in a 28-year-old man with glaucoma associated with Sturge-Weber syndrome. Two prophylactic posterior sclerotomies were made in an attempt to prevent sudden uveal effusion. The surgery was uncomplicated. On the first postoperative day, however, the anterior chamber became shallow with hypotony (<4mmHg). A 360 degrees choroidal detachment with serous retinal detachment encroaching upon macula was recognized. On the third postoperative day, evacuation of the suprachoroidal space was performed. However, the eye remained hypotonus and choroidal expansion with overlying retinal detachment occured again. The bleb decreased in size with time and the intraocular pressures(IOPs) rose gradually (10-14mmHg). The choroidal and retinal detachment resolved spontaneously with the increased IOP in 40 days. Twenty seven monthes after trabeculectomy, he has a small localized. bleb. The IOP is maintained in the high-teens(15-20mmHg) without any medication.
Adult ; Anterior Chamber ; Blister ; Choroid ; Glaucoma* ; Humans ; Mitomycin ; Retinal Detachment* ; Retinaldehyde* ; Sturge-Weber Syndrome* ; Trabeculectomy*

Cataract operation was carried out in 7 glaucomatous eyes with prolonged ocular hypotony after trageculectomy with intraoperative mitomycin C. In all cases, The postoperative intraocular pressure(IOP) rose and the postopeative average IOP was 6.0+/-2.0mmHg higher than their preoperative average IOP. The preexisting bleb was reduced in size eyes that underwent phacoemulsification and posterior chamber intraocular lens(PC-IOL) implantation. But. It was not changed in extracapsular cataract extraction and IOL implantation. In our study, cataract operation in eyes that had lens opacity with prolonged hypotony induced IOP rise and was beneficial to hypotony.
Blister ; Cataract Extraction ; Cataract* ; Mitomycin* ; Ocular Hypotension* ; Phacoemulsification ; Trabeculectomy*

Authers have experienced congenital punctal agenesis with syndactyly in sister and brother who complained purulent discharge and epiphora. Bilateral upper punctal agenesis, fistulas, and common canalicular obstruction in dacryocystogram were found in a 17 year-old brother. Bilateral upper and lower punctal agenesis was found in a 14 year-old sister. Syndactyly was found in both patients. In familial history, father of patients had syndactyly in upper and lower extremities and complained epiphora. Another sister of patients had experience of lacrimal system surgery. Conjunctivodacryocystorhinostomy using Jones tube was performed in both patients.
Adolescent ; Fathers ; Fistula ; Humans ; Lacrimal Apparatus Diseases ; Lower Extremity ; Siblings ; Syndactyly

We present herein case of allergic contact dermatitis associated with implants. A 30 year-old male patient has had oozing, crusted, eczematous lesion on the right anterior tibia for five months after tibial osteosynthesis with plate and screw made of vitalliurn. He showed positive patch test, reaction to cobalt on second and fourth days. The skin lesion disappeared after removal of T-plate.
Adult ; Cobalt ; Dermatitis, Allergic Contact* ; Humans ; Male ; Orthopedics* ; Patch Tests ; Skin ; Tibia ; Vitallium

PURPOSE: To investigate the incidence, clinical and radiological courses of the heterotopic ossification following total knee arthroplasty (TKA). MATERIALS AND METHODS: We investigated the incidence, time of detection, location, symptom and treatment of the heterotopic ossification with retrospective study in 160 cases (111 patients) of primary TKA from Mar. 1997 to Sept. 2001. RESULTS: The incidence of the heterotopoic ossification was 3.8% (5 patients, 6 cases), the mean follow-up period was 20 months (12 months to 42 months). All of preoperative disagnosis was osteoarthritis. The average time of detection was 3.5weeks (2 weeks to 6 weeks) after operation. The sites of the heterotopic ossification were anterior cortex of distal femur in 5 cases, posterior cortex of distal femur in 3 cases, quadriceps expansion in 4 cases, the femoral attachment site of the MCL in 1 case and posterior compartment of knee in 1 case. The symptom was variable painful limitaion of motion. No specific treatment had been done except continuous passive or active motion exercise. The average preoperative range of motion was 20 degree to 110 degree and at last follow-up, the average range of motion was 5 degree to 105 degree with relief of pain. CONCLUSION: Although the heterotopic ossification following TKA is a rare complication, it should be suspected in patients with painful deterioration of motion between the second and sixth postoperative week. The relief of pain and the improvement of range of motion could be achieved with the lapse of time without specific treatment except continuous passive or active motion exercise.
Arthroplasty* ; Femur ; Follow-Up Studies ; Humans ; Incidence ; Knee* ; Ossification, Heterotopic* ; Osteoarthritis ; Range of Motion, Articular ; Retrospective Studies

PURPOSE: We retrospectively evaluated the early results after total knee arthroplasty(TKA) using the Nexgen LPS-Flex fixed bearing knee system. MATERIALS AND METHODS: Ninety-five knees(71 patients) which used the LPS-Flex system for primary TKA and followed-up for a minimum 2 years were evaluated. Evaluation included preoperative and postoperative range of motion(ROM), factors affecting the postoperative ROM, Knee Society Score(KSS), knee function score, tibio-femoral angle and postoperative complications. RESULTS: Knee ROM was increased from preoperative 9.7 degrees - 123.6 degrees to postoperative 1.7 degrees - 130.7 degrees. The mean KSS and function score were improved from preoperative 53, 55 to postoperative 85 and 90 respectively. The tibio-femoral angle was changed from preoperative 5.5 degrees varus to a postoperative 5.3 degrees valgus. Two cases of early loosening of the femoral components occurred. One case underwent revision surgery while the other was closely followed up. There was no deep infection. CONCLUSION: Primary total knee arthroplasty with Nexgen LPS-flex system showed satisfactory early results including excellent ROM, except 2 cases of early loosening of femoral component. The etiology of this loosening requires further evaluation and study.
Arthroplasty* ; Knee* ; Postoperative Complications ; Retrospective Studies

PURPOSE: The US examination has been used to evaluate the infant and child having an inguino-scrotal bulge or mass for the non-invasive diagnostic work up to exclude neoplasm, cryptorchidism, lymphadenopathy, hydrocele of spermatic cord, etc. We performed this study to determine the characteristic ultrasound features of hydrocele of spermatic cord in children. MATERIALS AND METHODS: From February 2002 to March 2007, 213 pediatric patients with swelling or palpable mass of the inguino-scrotal area, or suspected cryptorchidism underwent ultrasonography for evaluation of accurate diagnosis. Ninetythree of 213 patients had a cystic lesion of the inguino-scrotal area. Among 93 patients, the sonographic images of 28 patients, who were confirmed as having hydrocele of the spermatic cord, were collected on a retrospective basis. The age of the patients ranged from 15 days to 11 years. The ultrasound images of the patients were subsequently reviewed to analyze the typical features in the diagnostic workup of hydrocele of spermatic cord. Eight patients were confirmed by surgery. Twenty patients who were less than one year old were clinically followed up. RESULTS: The most common finding was testicular hydrocele, which was found in 44 patients of the 93 patients that had a cystic lesion of the inguino-scrotal area. Of the 28 patients who had a hydrocele of spermatic cord, 10 patients had the lesions on the left side and 17 patients on the right side. One patient has bilateral hydrocele of spermatic cord. Well-defined elongated or elliptical-shaped cystic lesions were noted in the 24 of 29 cases (one patient had bilateral hydrocele of the spermatic cord). One patient had septations within elongated cystic lesion was seen and round shape in one case; tear drop shape was found in three cases. CONCLUSIONS: The most common ultrasound imaging of spermatic cord hydrocele is well-defined, elongated cystic mass separating the testes.
Child ; Cryptorchidism ; Humans ; Infant ; Lymphatic Diseases ; Male ; Retrospective Studies ; Spermatic Cord ; Testicular Hydrocele ; Testis

STUDY DESIGN: A case report. OBJECTIVES: To report a rare case of epidermoid cyst in the spinal canal. SUMMARY OF LITERATURE REVIEW: Epidermoid cyst in the spinal canal is rare. Idiopathic epidermoid cyst in the spinal canal not associated with a trauma or infection is even rarer. MATERIAL AND METHODS: A 73 year-old female presented with a 1 year history of progressive paresthesia and motor weakness of both lower extremeties. MRI showed a cystic mass on the 7th thoracic canal. We performed total laminectomy at the T6-T8 level. The cystic mass was excised after durotomy using a posterior approach. RESULTS: We confirmed the presence of an epidermoid cyst for histopathology. CONCLUSION: Idiopathic epidermoid cyst in the spine is very rare and requires accurate differential diagnosis. Preoperative MRI scans are necessary to differentiatie epidermoid cysts from other intradural masses. Confirmative diagnosis can be done by histopatholoty.
Diagnosis ; Diagnosis, Differential ; Epidermal Cyst* ; Female ; Humans ; Laminectomy ; Magnetic Resonance Imaging ; Paresthesia ; Spinal Canal ; Spine

STUDY DESIGN: This is a case report. OBJECTIVE: We present here a patient who had a discal cyst of the lumbar spine along with neurological symptoms. SUMMARY OF THE LITERATURE REVIEW: Discal cysts are intraspinal cysts that communicate with an adjacent intervertebral disc, and these are rare lesions that can cause lumbar radiculopathy. Because they are very rare, their natural history and the details of the therapeutic guidelines for the treatment of these cysts are still unknown. MATERIAL AND METHODS: The patient complained of moderate lumbar pain and right lower extremity radiculopathy and he was administered conservative treatment for 5 months. But the radiculopathy became aggravated and he then underwent a hemilaminectomy, cyst decompression and discectomy. RESULTS: The radiculopathy disappeared and any signs of recurrence were not found on the follow up performed at 1 year. CONCLUSION: Discal cyst is rare, but it can be treated successfully.
Decompression ; Diskectomy ; Follow-Up Studies ; Humans ; Intervertebral Disc ; Lower Extremity ; Natural History ; Radiculopathy ; Recurrence ; Spine