Medial approach open reduction (MAOR) for congenital dislocation of the hip, as is well known, is the most anatomically direct approach to the major obstacle to reduction. For the study on this method of open reduction, the authors reviewed 15 children who underwent MAOR and followed up to at least 1 year after operation with an average of 3 years and 2 months. The results were as follows: 1. The age distributions of the 15 children were; 1 child in below 12 months of age, 10 in 13 to 18 months, and 4 in 19 to 24 months. 2. The acetabular index was high before operation with an average of 32.7° (25-43). This improved makedly in the follow-up period to an average of 20.6° (13-29) . 3. The average of acetabulum-head index was 70.6° and the average of CE angle was 19.7° in the follow-up. 4. The complications were 2 cases of avascular necrosis and 1 case of redislocation. No contracture of joint was observed. 5. For the residual dysplasia of acetabulum,innominate osteotomy of Salter was performed in 2 children and was scheduled in the other 5 children. 6. It can be stated that MAOR is a very safe, simple and effective method of open reduction.
Acetabulum ; Age Distribution ; Child ; Contracture ; Dislocations ; Follow-Up Studies ; Hip ; Humans ; Joints ; Methods ; Necrosis ; Osteotomy

Prevalent is the concept that tuberculosis has completely been put under control and the actual number of the patients is decreasing. This study has been undertaken in part to give substantial evidence to this general idea about the tuberculosis. Total 921 patients with skeletal tuberculous lesions, selected out of all the patients consulted to the department of orthopedic surgery during the 13 consecutive years from Jaunary of 1963 to December of 1975, were subjected to this analysis. 1. Overall incidence of patients with skeletal tuberculosis was 4.8% of all the patients visited during the 13 years. 2. Of 921 patients, males were 591 and females 330, which showed the men were affected 1.8 times more than women. 3. More than half of them (51,5%) occurred under the age of 19 years. 4. Three anatomical sites were predisposed to this affection; 58.5% in spine, 10.5% in hip, and 11.6% in knee. 5. With the above study it can be safely be said that the actual number and also the incidence of skeletal tuberculosis has not shown any trend of decline and accordingly its management should be more regulated and thorough.
Female ; Hip ; Humans ; Incidence ; Joints ; Knee ; Male ; Orthopedics ; Spine ; Tuberculosis ; Tuberculosis, Osteoarticular

No abstract available.
Thyroid Diseases* ; Thyroid Gland*

No abstract available.
DNA* ; Ploidies* ; Stomach Neoplasms* ; Stomach*

No abstract available.
Moyamoya Disease* ; Seizures*

We deacribe herein a case of Darier-White disease occurring to a 50-year-old man who had a characteristic lesions limited to the sun exposed area and no skin lesion in the sun protected area for 40 years. The akin lesions recurred in summer time and aggravated after sun exposure and disappeared spontaneously in winter time. Histologic findings from the neck lesions revealed hyperkeratosis, parakeratosis, supirabasal lacunae, acantholytic cells, villi, corps ronds and grains.
Edible Grain ; Darier Disease ; Humans ; Middle Aged ; Neck ; Parakeratosis ; Skin ; Solar System*

No abstract available.
Aneurysm*

A fairly common cause of painful hips in children is the condition variousiy called transient synovitis, phantom hip, toxic synovitis, or transitory synovitis. Infection, trauma, or allergic conditions can be causes of them. The main symptom is most frequently pain of sudden onset in the region of the hip joint with a limp on the affected side. Limitation of motion, especially of abduction, internal rotation and extension seems to confirm the clinical diagnosis. The disease is of interest, not because it is a disabling condition, but because of the difficulty in differentiating it from more serious diseases of the hip, such as tuberculosis, osteomyelitis, or Legg-Perthe's disease. Fifty seven cases of the transient synovitis of the hips were treated and reported on their clinical states and results as follows; 1. The diagnostic criterias were pain, limping, limitation of motion, W.B.C. count, erythrocyte sedimentation rate and radiological findings. 2. The treatment was conservative including bed rest, skin traction on the affected leg, non weight-bearing, antibiotics and sedatives. 3. 78.9% of the patients had improved symptoms and signs within three weeks of treatment. 4. Seven hips subsequently developed rheumatoid arthritis (3 cases), slipped upper femoral epiphysis (1 case), pyogenic arthritis (1 case), osteoarthritis (1 case) and snapping hip (1 case).
Anti-Bacterial Agents ; Arthritis ; Arthritis, Rheumatoid ; Bed Rest ; Child ; Diagnosis ; Epiphyses ; Erythrocyte Count ; Hip Joint ; Hip ; Humans ; Hypnotics and Sedatives ; Leg ; Osteoarthritis ; Osteomyelitis ; Skin ; Synovitis ; Traction ; Tuberculosis ; Weight-Bearing

BCG osteomyelitis occurs in the infants and children as complication of BCG vaccination and its occurrence is very rare. It involves the metaphysis of the long bone and its development is chiefly hematogenous spread and direct inoculation. Radiologic feature shows well demarcated, eccentrically located destruction in the metaphysis of the long bone and soft tissue swelling about the lesion but periosteal reaction was absent initially. We experienced a case of BCG osteomyelitis which occurs in the left proximal humerus in 3 month after BCG vaccination.
Child ; Humans ; Humerus ; Infant ; Mycobacterium bovis ; Osteomyelitis ; Vaccination

Supracondylar fracture of the humerus is the most common fracture of the elbow in children For period of 4 years from Jan. 1980 to Dec. 1983, 54 children with dispaced supracondylar fracture of the humerus were classified by direction of displacement of distal fragment and treated by immediate closed reduction after lateral skeletal traction. 32 cases of these were followed up for more than 6 months. The results were obtained as follows.: 1) The most common incidence (79.6%) was 5 to 12 years of age and male and female ratio was 2.4 : l. The left humerus was involved in 35 cases (64.8%). 2) Of all fracture, extension type was 96.3% and flexion type 3.7%. 3) Under the exact anteroposteier and lateral views, fractures were classified by displaced direction of distal fragment. Immediate closed reduction was done by using thick and strong periosteal hinge after lateral skeletal traction. The more accurate anatomical reduction was obtained by maintenance of reduction state and further correction during lateral skeletal traction, and complications such as VIC, loss of reduction were lessened probably. 4) For follow up study of 32 cases, final result were analized according to Mitchells classification. Excellent results were obtained 23 cases (71.9%) Good results were 8 cases (25.0%) Unsatisfactory result was 1 case (3.1 %) 5) In 2 cases of treatment failure, the brachialis muscle was buttonholed by metaphyseal spike of the proximal fragment. 6) During lateral skeletal traction, superficial infection was developed through pin tract in 4 cases. These were treated by the administration of antibiotics and there were no complication such as osteomyelitis.
Anti-Bacterial Agents ; Child ; Classification ; Elbow ; Female ; Follow-Up Studies ; Humans ; Humerus ; Incidence ; Male ; Osteomyelitis ; Traction ; Treatment Failure