Clinical analysis was done on 60 meniscus injuries operated on at Orthopaedic Department of Capital Armed Forces General Hospital from Mar. 1977 to Sept. 1978 with the following results. 1. All cases were military personel aged from 21 to 40, most of them 23 and 24 years old. 2. The fall down accident was the most common cause of injury mechanism. 3. The lateral meniscus was more frequently injured than the medial with 43:17, and the right side knee than left with a ratio of 35:25. 4. The posterior horn tear was the most common type of the injuries involved 23 cases (48.3%). 5. The complete healing after menisectomy ranged from 1 month to about 3 months. 6. It seems resonably certain that habit of exaggerated flexion of the knee in Korean is an important factor in the production of the lesion, combined possibly with medial ratation of the tibia, for subsequent episodes of the exaggerated flexion enlarge the rent untill the popliteus attachment and all peripheral attachments behind the hiatus are torn away, and the posterior half of the lateral meniscus is released from normal control.
Animals ; Arm ; Horns ; Hospitals, General ; Humans ; Knee ; Menisci, Tibial ; Military Personnel ; Tears ; Tibia

Osteopoikilosis is condensing or sclerosing osteopathy which is generally believed to be congenital anomalies and heriditary in nature. Osteopoikolosis or osteopathia condensans disseminata is a condition which is ralatively rare in the medical literature. It is characterized by a disseminated condensation of the bones of the skeleton without clinical symptoms. Lesion are usually multiple and symmetrically distributed and consist of numerous regularly arranged trabeculae of varying thickness arranged, for accumulated in the epiphyses and metaphyses of long bones, and in the pelvis, hands and feet, but they may be found in any bone; the cranial bones are rarely affected. In view of the rarity of this congenital bone disease, the following 6 examples are recorded.
Bone Diseases ; Epiphyses ; Foot ; Hand ; Osteopoikilosis ; Pelvis ; Skeleton

The authors observed a case of typical pemphigus foliaceus who was 26 year old male. The pemphigus foliaceus is a rare chronic vesicobullous skin disease which is a type of pemphigus, which has been reported rarely in Korea. This patient has been compained of formication of the face, trunk and upper arms since 7 monthes ago. The skin lesion revealed pea sized, flaccid bullar formation and dark bownish colored hyperpigmented macular eruptions with scattering distribution on the face, trunk, back and upper arms. This patient has experienced localized and generalized exfoliation during 7 rnonthes after onset, but he has not affected in general health condition. Biopsies were performed from the skin of the back, left wrist, and histopathologically the skin showed typical pemphigus foliaceus. So, diagnosis was confirmed by clinical appearance, histopathological finding and others. This patient was markedly imporved by prednisolone without immunesuppressant drugs, and antibiotics and antihistaminics etc.
Adult ; Anti-Bacterial Agents ; Arm ; Biopsy ; Diagnosis ; Humans ; Korea ; Male ; Paresthesia ; Peas ; Pemphigus* ; Prednisolone ; Skin ; Skin Diseases ; Wrist

We report herein a case of multiple glomus tumors on the scrotum in a 14-year-old boy. The lesions were present at birth and had gradually increased in size and number. Pea to thumb tip sized, dark colored nodules without pain sensation were confined to the scrotum. Histopathologically, there were many dilated and irregular vascular spaces lined by a single layer of flattened endothelial cells in the dermis. In the periphery of the endothelial cells, there are a few layers of glomus cells. No capsule was seen. Total excision of the tumors was performed. No recurrence was observed for an year after surgical excision.
Adolescent ; Dermis ; Endothelial Cells ; Glomus Tumor ; Humans ; Ichthyosis* ; Male ; Parturition ; Peas ; Recurrence ; Scrotum ; Sensation ; Thumb

Osteochondroma is the most common benign tumor of bone, of which the typical form is a cartilagecapped bony projection, far often found at the metaphysis of the long tubular bones, and may arise from any bone performed in cartilage. To our knowledge, however, osteochondroma of lumbar spine has been reported 11 cases, but We experienced a case of osteochondroma located in the position normally occupied by right side lamina of 5th lumbar vertebra. The mass was excised and disclosed typical microscopic findings of osteochondroma.
Cartilage ; Osteochondroma ; Spine

Unilateral absence of the articular process at a lumbar vertebra is a rare anomaly. The etiology of the congenital absence of articular process is not precisely determined yet, but it was explained as some of the possible embryologic bases. Absence of the articular process at the level of L5-Sl have been reported a few, but anomaly above L4 is rare. We are reporting a case of absence of articular process at the level of the 4th lumbar vertebra.
Spine

The slipped capital femoral epiphysis is characterized by a growth disturbance of the capital physi. resulting in weakening of this structure and a subsequent displacement of the femoral head on the fe moral neck. It is a rare entity in Korea and only six cases have been reported so far1-5). One of ou cases was a bilateral mild acute slips in 13 yearold boy which were treated by Hagie pinning. Th other case, a 17 year-old boy, who suffered from a moderate acute on chronic slip in his left hip an showed a typical Pistol grip deformity. He was treated by gentle closed rcduction and Knowles pi fixation with good result.
Congenital Abnormalities ; Epiphyses ; Hand Strength ; Head ; Hip ; Humans ; Korea ; Male ; Neck ; Slipped Capital Femoral Epiphyses

Usually, fractures of the humerus can be expected to unite. Circumstances often predisposing to nonunion are open reduction and internal fixation, infection, soft tissue interposition between fracture fragments and inadequate external immobilization. The effectiveness of various methods of treatment and the complication was discussed. The best results are achieved in cases treated by compression plates and iliac bone graft. Total 21 cases of nonunion of shaft of humeral fractures from Jan., 1980 to Dec., 1986 were treated at the Department of Orthopedic Surgery of Soon Chun Hyang University Hospital. The results were as follows ; 1. Incidence of nonunion of humerus shaft among the 270 cases has 7.8%; rates of non-union was 5.4% with nonoperative treatment of fractures of humeral shaft and 10.5% with operative methods. 2. Of 21 cases, male between 20–40th age group was predominant and mean age was 36 years. The cases of fracture was mainly due to the car and machinary accident. 3. Prevalent type and site was lower 2/3 transverse fractures. 4. There were associated injuries in ipsilateral upper extremity in 12(52%) patients. 5. The probable causes of nonunion were complex; 9 of inadequate internal fixation and fixation metal failure, 7 cases of poor external fixation, 3 cases of soft tissue interpostion between fracture fragments and 2 cases of infection. 6. The treatment performed were somewhat variable to include open reduction and plate (DCP) fixation for 18 cases, open reduction and circlage wiring for 2 cases and open reduction and screw fixation for 1 cases. All were supplemented with autogenous iliac bone graft. 7. Postoperative immobilization was done with shoulder spica cast, abduction splint and long arm cast for average 6.5 weeks. 8. All were united at average 4.7 months. Transient radial nerve palsy in 2 cases, and limitation of motion of shoulder and elbow iri 2 cases, which required considerable time of physical therapy, but postoperative infection was none.
Adult ; Arm ; Clinical Study ; Elbow ; Humans ; Humeral Fractures ; Humerus ; Immobilization ; Incidence ; Male ; Orthopedics ; Paralysis ; Radial Nerve ; Shoulder ; Soft Tissue Infections ; Splints ; Transplants ; Upper Extremity

When the multiple myelographic defects at lumbosacral region are noted, the prudential effort for decision of appropriate area of surgical decompression would be needed. Fifty four patients who had been treated surgically for the deseases, such as HNP and spinal stenosis, from March in 1982 to Feb. In 1987 at Department of Orthopecdic Surgery, Soonchunhyang University Hospital, were analyzed in order to define the etiology, the level of the defect, indication for the operation and to assess the results of each level which had been operated. The results of the study were as follows. 1. The number of patients, which the multiple indentations were noted in the myelogrsphy, was 54 cases, 29 spinal stenosis, 15 HNP and 10 mixed types. 2. The most common defect levels in myelography were L3-4 snd L4-5, which were 19 cases (35.2%), the next levels were L4-5 and L5S1, which were 16 cases(29.6%), then L3-4, L4-5 and L5S1 were 7 cases(13%) and the other levels were 12 cases(22.2%). 3. The decision for the sppropriste operation area had not be done following to the size of the myelographic defect, but the clinical symptoms and physicsl exsminations. 4. The results were classified ss excellent or good in 79.7%, which was 80% at two levels snd 79.5% at one level. 5. The operation levels could be decressed for the reducing the spinal instability, operation time and possibility of the dangerous conditions and promotion of early restoration and, ambulation, if the severe differences between the results of one and two operation levels were not seen.
Decompression, Surgical ; Humans ; Lumbosacral Region ; Myelography ; Spinal Stenosis ; Walking

The management of subtrochanteric fracture of the femur is one of the most difficult problems. Subtrochanteric area is predominantly composed of cortical bone and highly concentrating portion of stress. So, there is high incidence of Complication after treatment of subtrochanteric fractures. The results were as follows :l. Of 56 cases, 45 occurred in male, 11 in female. 2. The fractures occured mainly between 20 to 40 years of age(55.4%) and mean age was 41.4 years. 3. The most common cause of fracture was traffic accident.(67.9%) 4. According to the Seinsheimer classification, 16 cases were type IIb(most common), 13 type IIIa and 9 type IIIb. 5. 49 cases with treated wutg open reduction and internal fixation and 7 cases conservatively. 6. The average weight bearing time was 14.0 weeks; 13 weeks in operatively treated group and 18.3 week in conservative group. 7. Radiological union was obtained in average 25.1 weeks ; shortest group was type IIc(16 weeks) and longest group was type IV(30 weeks). 8. Complication were as follows; 8 cases of delayed union, 3 nonunion, 4 metallic failures, 7 varus deformities and 1 nail migration. 9. In the cases treated by Judet plate or compression hip screw, there was no complications and relatively short duration of bony union than other implants. So, they are one of the good implant for the treatment of subtrochanteric fracture of the femur.
Classification ; Congenital Abnormalities ; Female ; Femur ; Hip ; Hip Fractures ; Humans ; Incidence ; Male ; Weight-Bearing