1.A New Instrument for Measuring Tibial Torsion in Pediatric Patients.
Ji Hyun JEON ; Yong Soon YOON ; Kwang Jae LEE ; Ki Pi YU ; Jong Hoo LEE ; Tae Yong SEOG ; EunJi SON
Annals of Rehabilitation Medicine 2017;41(3):441-449
OBJECTIVE: To develop and test the validity and reliability of a new instrument for measuring the thigh-foot angle (TFA) for the patients with in-toeing and out-toeing gait. METHODS: The new instrument (Thigh-Foot Supporter [TFS]) was developed by measuring the TFA during regular examination of the tibial torsional status. The study included 40 children who presented with in-toeing and out-toeing gaits. We took a picture of each case to measure photographic-TFA (P-TFA) in the proper position and to establish a criterion. Study participants were examined by three independent physicians (A, B, and C) who had one, three and ten years of experience in the field, respectively. Each examiner conducted a separate classical physical examination (CPE) of every participant using a gait goniometer followed by a TFA assessment of each pediatric patient with or without the TFS. Thirty minutes later, repeated in the same way was measured. RESULTS: Less experienced examiner A showed significant differences between the TFA values depending on whether TFS used (left p=0.003 and right p=0.008). However, experienced examiners B and C did not show significant differences. Using TFS, less experienced examiner A showed a high validity and all examiner's inter-test and the inter-personal reliabilities increased. CONCLUSION: TFS may increase validity and reliability in measuring tibial torsion in patients who has a rotational problem in lower extremities. It would be more useful in less experienced examiners.
Bone Anteversion
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Child
;
Gait
;
Humans
;
Lower Extremity
;
Physical Examination
;
Reproducibility of Results
;
Torsion Abnormality
2.A Case of Torsion of a Subserosal Leiomyoma.
Hwi Gon KIM ; Yong Jung SONG ; Yong Jin NA ; Ook Hwan CHOI
Journal of Menopausal Medicine 2013;19(3):147-150
Uterine leiomyoma is one of the most common gynecological tumor, whereas acute torsion of the uterine leiomyoma is very rare. We report a case of subserosal leiomyoma that was first detected by ultrasonography, and further confirmed as torsion of subserosal leiomyoma by laparoscopic surgery.
Laparoscopy
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Leiomyoma*
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Torsion Abnormality
;
Ultrasonography
;
Uterine Neoplasms
3.CT Angiographic Demonstration of a Mesenteric Vessel "Whirlpool" in Intestinal Malrotation and Midgut Volvulus: a Case Report.
Ugur BOZLAR ; Mehmet Sahin UGUREL ; Bahri USTUNSOZ ; Unsal COSKUN
Korean Journal of Radiology 2008;9(5):466-469
Although the color Doppler ultrasonography diagnosis of intestinal malrotation with midgut volvulus, based on the typical "whirlpool" appearance of the mesenteric vascular structures is well-defined in the peer-reviewed literature, the combination of both the angiographic illustration of these findings and the contemporary state-of-the-art imaging techniques is lacking. We report the digital subtraction angiography and multidetector computed tomography angiography findings of a 37-year-old male with intestinal malrotation.
Adult
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*Angiography, Digital Subtraction
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Contrast Media
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Diagnosis, Differential
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Humans
;
Intestinal Volvulus/*radiography
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Iohexol/diagnostic use
;
Male
;
Mesentery/blood supply/*radiography
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*Tomography, X-Ray Computed
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Torsion Abnormality/*radiography
4.Torsion of an Indirect Hernia Sac Causing Acute Scrotal Swelling in a Child.
Jong Kil NAM ; Jae Hyun AHN ; Hyeon Woo KIM ; Hyun Jun PARK ; Sang Don LEE ; Moon Kee CHUNG
The World Journal of Men's Health 2012;30(2):150-152
Torsion of a hernia sac is an extremely rare condition that presents as acute scrotum in children. We report a case of a 6-year-old boy who presented with an acute scrotum and was found during surgical exploration to have torsion of an indirect hernia sac associated with hydrocele. Upon scrotal exploration, deterioration of the scrotum due to inflammatory changes was found. A necrotic cyst was recognized within a communicating hydrocele of the scrotum and was twisted at an angle of about 360degrees. All urologists should be aware of this special condition in the differential diagnosis of acute scrotum.
Child
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Diagnosis, Differential
;
Hernia
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Hernia, Inguinal
;
Humans
;
Scrotum
;
Torsion Abnormality
5.Malignant Mixed Epithelial Tumour of Ovary-Serous Papillary Cystadenocarcinoma and Transitional Cell Carcinoma with Tubo-Ovarian Torsion: A Rare Tumour with Rare Presentation
Shashikant Adlekha ; Tandra Chadha
Malaysian Journal of Medical Sciences 2013;20(5):79-82
Ovarian torsion can be associated with various pathophysiological factors. Most commonly, benign epithelial ovarian tumours present with torsion. We present an unusual case of mixed malignant epithelial ovarian tumour with a predominant component of high-grade serous cystadenocarcinoma (85%) and transitional cell carcinoma (TCC) (15%) in a patient who presented with acute lower abdomen. The tumour was associated with tubo-ovarian torsion.
Carcinoma
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Torsion Abnormality
;
Abdomen, Acute
;
Carcinoma, Transitional Cell
6.Congenital Coxa Vara, Acquired Coxa Vara and Valga
Duk Yong LEE ; Goo Hyun BAEK ; Kyu Chun HWANG
The Journal of the Korean Orthopaedic Association 1984;19(6):1133-1140
In 5 cases of congenital coxa vara, 7 cases of acquired coxa vara and 4 hips in 3 cases of acquired coxa valga, we performed subtrochanteric osteotomies at Department of Orthopedic Surgery, SeoulNational University Hospital, from December 1980 to February 1984. At a relatively short interim follow-up, following observations were made on the correction of the femoral neck-shaft angle deformities. l. In the congenital coxa vara group, at an average follow-up of 1 year and 3 months, 97.9% of the correction obtained by osteotomy was maintained, based on the roentgenographic measurements of femoral neck-shaft angle. In the acquired coxa vara group, at an average follow-up of 1 year and 2 months, 93.3 % of the correction obtained by osteotomy was maintained. In the acquired coxa valga group, at an average follow-up of 1 year and 5 months, 92.9% of the correction obtained by osteotomy was maintained. 2. At final follow-up, leg length gain averaged 1.26cm in the congenital coxa vara group and 2.23cm in the acquired coxa vara group. An average 0.70cm decrease in leg length was noted in the acquired coxa valga group. 3. Trendelenburg sign, which was positive in all the cases of the congenital and acquired coxa vara group, reverted to negative in all. 4. Slight overcorrection in cases of the acquired coxa vara and undercorrection in cases of the acquired coxa valga, is recommended for later loss of surgically corrected femoral neck-shaft angle. In the congenital coxa vara, it appeared that loss of correction was relatively minor.
Congenital Abnormalities
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Coxa Valga
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Coxa Vara
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Follow-Up Studies
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Hip
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Leg
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Orthopedics
;
Osteotomy
7.Torsion of a mucocele of the vermiform appendix: a case report and review of the literature.
Chang Ho LEE ; Min Ro LEE ; Jae Chun KIM ; Myoung Jae KANG ; Yeon Jun JEONG
Journal of the Korean Surgical Society 2011;81(Suppl 1):S47-S50
Torsion of a mucocele of the vermiform appendix is an extremely rare condition and also a rare cause of an acute abdomen with a clinical presentation that is indistinguishable from acute appendicitis, and thus, the condition is diagnosed during operation. Here, the authors describe the case of a 78-year-old female, who presented with intermittent abdominal pain. The appendix had a pelvic position and the torsion was counterclockwise. In addition, the torsion was associated with mucocele of the appendix, which was considered a secondary factor of torsion. Appendectomy and drainage were performed.
Abdomen, Acute
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Abdominal Pain
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Aged
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Appendectomy
;
Appendicitis
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Appendix
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Drainage
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Female
;
Humans
;
Mucocele
;
Torsion Abnormality
8.14 cm Long Meckel's Diverticulum Associated with Acute Torsion.
The Korean Journal of Gastroenterology 2008;52(3):131-133
No abstract available.
Adult
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Female
;
Humans
;
Meckel Diverticulum/*diagnosis/pathology/surgery
;
Tomography, X-Ray Computed
;
Torsion Abnormality
9.A retrospective review of pathological outcomes of 129 adnexal torsion cases in pre and post-menopausal women.
Ji Ann JUNG ; Eun Ji NAM ; Ga Won YIM ; Sang Wun KIM ; Sunghoon KIM ; Young Tae KIM ; Maria LEE
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery 2012;24(1):21-27
OBJECTIVE: The purpose of this study was to evaluate the pathologic outcomes of ovarian torsion and assess the safety of prompt surgical treatment thereof regardless of the age of patients and menopausal status. METHODS: A retrospective chart review was conducted in patients who were diagnosed with adnexal torsion postoperatively from 1999 through 2009 at Yonsei University Health System. Data pertaining to the patient's age at diagnosis, menopausal status, preoperative symptoms, surgical mode, surgical pathologic outcome, and postoperative treatment were obtained. RESULTS: A total of 129 patients (median age: 34.0 years, range: 7-79 years) were operatively proven with adnexal torsion. Among these patients, 10 were pathologically diagnosed to have malignant or borderline ovarian tumors (7.7%): six mucinous (4.6%), one serous borderline tumor (0.8%), one granulosa cell tumor (0.8%), and one dysgerminoma (0.8%), and one serous adenocarcinoma (0.8%). Four patients received further treatment with chemotherapy. None of these patients were in their menopause. CONCLUSION: Our study showed the low probability of ovarian malignancy in ovarian torsion. Therefore, when a patient is suspected with ovarian torsion, prompt surgical intervention should not be delayed for fears of malignancy regardless of the patient's menopausal status.
Adenocarcinoma
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Dysgerminoma
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Female
;
Granulosa Cell Tumor
;
Humans
;
Mucins
;
Ovarian Neoplasms
;
Postmenopause
;
Retrospective Studies
;
Torsion Abnormality
10.Torsion of the gallbladder: a rare entity.
Adrian K H CHIOW ; Salleh IBRAHIM ; Khoon Hean TAY
Annals of the Academy of Medicine, Singapore 2007;36(8):705-706
China
;
ethnology
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Female
;
Gallbladder
;
physiopathology
;
surgery
;
Humans
;
Middle Aged
;
Singapore
;
Torsion Abnormality
;
physiopathology