1.A Clinical Observation of Intussusception in Infants and Children.
Journal of the Korean Pediatric Society 1980;23(12):1024-1032
Intussusception is most frequent and emergency condition of abdomen in infancy and childhood. But the causation of that is uncertain. In the method of treatment, primary barium reduction was recommended. This is a clinical observation of 51 cases of intussusception from January 1973 to December 1977 at Han-Il Hospital. The result were summarized as follows; 1) In age incidence, 72.55% of the patients were under 1 year of age. The highest morbidity (54.90%) occurred between 6 months to 12 months. 2) Males were affected more often than females ; the ratio was 1.8 : 1. 3) In seasonal incidence, 31.37% of patients occurred in Spring. 4) In artificial fed partients, the incidence was higher than others (54.35%). 5) Among siblings the first baby was most frequently affected (49.02%). 6) In development states(their body weight) 43.14% of them were over 91th precentile. 7) The cardinal symptoms and signs on admission were vomiting (82.35%), mucous bloody stool(78.43%), abdominal pain and irritability(66.67%), and abdominal mass(58.82%). 8) Most common type of intussusception was ileo-colic(50.98%) 9) Etiologically 90.20% of cases were idiopathic, but only 9.80% had organic causes. 10) In 50.98% of cases, bariumm enema was performed successfully, and surgical management with manual reduction and segmental resection was performed in 47.06%. 11) The recurrence rate was 3.92%.
Abdomen
;
Abdominal Pain
;
Barium
;
Child*
;
Emergencies
;
Enema
;
Female
;
Humans
;
Incidence
;
Infant*
;
Intussusception*
;
Male
;
Recurrence
;
Seasons
;
Siblings
;
Vomiting
2.Magnetic Resonance Arthrography in the evaluation of Anterior Glenohumeral Instability.
Jin Sub KIM ; Yong Wook PARK ; Jung Han YOO ; Yung Khee CHUNG ; Sung Han HA
The Journal of the Korean Orthopaedic Association 1998;33(5):1240-1247
Anterior glenohumeral instability is mainly due to the Bankart lesion and capsular stretch. The differentiation between the Bankart lesion and capsular laxity may not be readily apparent on clinical examination. So, increasing attention has been directed toward preoperative evaluation of the labral lesion and capsular laxity. MRI and MR Arthrogram of 55 shoulders, 40 stable shoulders and 15 unstable shoulders that were confirmed by arthroscopic surgery, were reviewed to evaluate the labral and capsular shapes, especially the lesions of labroligamentous complex. To evaluate and compare the capsular laxity, we measured the anterior capsular insertion type, capsular ballooning, capsular insertion angle and anterior band of inferior glenohumeral ligament. And the following results were obtained; 1) The shape of anterior labrum was varied in the superior, middle and inferior potions in 40 stable shoulders. The anterior labral lesions were shown as torn(eight cases), displaced(six cases) and no detectable labrum(one case), in 15 unstable shoulders. Also, there were a significant di fference in the evaluation of the anteior labrum shape between MRI and MR arthrography. 2) There were not a significant difference in the type III capsular insertion type, capsular ballooning and capsular insertion angle between the stable and unstable shoulders. However, it was found that the shape of the anterior band of the inferior glenohumeral ligament had definite difference between the two groups. And so, more experience and attention should be given for the accurate preoperative evaluation of the anterior labroligamentous complex in shoulder instability.
Arthrography*
;
Arthroscopy
;
Ligaments
;
Magnetic Resonance Imaging
;
Shoulder
3.Femoral Head and Neck Fractures developed in Avascular Necrosis of the Femoral Head.
Hyung Ku YOON ; Duck Yun CHO ; Soo Hong HAN ; Yong Sub HAN ; Ki Sik NAM
Journal of the Korean Hip Society 2006;18(1):79-83
Femoral head and neck fractures during the course of avascular necrosis are rare with only few reports in the English literature. Moreover, there are very few reports on an analysis of the patterns of these fractures. Four cases of femoral head fracture caused by minor trauma, which were quite different from the crescent fractures during the course of avascular necrosis were analyzed in regard to the underlying disease, causes, sites, types, directions, pattern of fractures and the injury mechanism of the fractures. The results are reported with special regard to the pattern of the stress fracture of the femoral head and neck during the course of avascular necrosis.
Fractures, Stress
;
Head*
;
Neck*
;
Necrosis*
4.Scleral Allograft with Autologous Buccal Mucosal Transplantation for Tube Erosion Ocurred after Ahmed Glaucoma Valve Implant Surgery: Three Cases.
Yong Sub HAN ; Yong Su CHO ; Jae Hong AHN
Journal of the Korean Ophthalmological Society 2001;42(2):401-406
After Drainage implant surgery, erosion of conjunctiva or cornea over tube can occur about 5%in late postoperative period. Scleral allograft for exposed tube should be used to prevent secondary infection. We report three glaucoma patients treated graft with autologous buccal mucosal transplantation for recurrent tube exposure. First case was a 68-year-old male patient with neovascular glaucoma due to central retinal vein occlusion. Second case was a 37-year-old female patient with pseudophakic glaucoma. Third case was a 70-year-old male patient with diabetic neovascular glaucoma. Ahmed glaucoma valve implant surgeries were done for three patients. For tube exposure, we used autologous buccal mucosal transplantation. There was no recurrent erosion and intraocular pressure was maintained well more than 6 months of follow-up. In cases for tube exposure, we introduce that autologous buccal mucosal transplantation can be used to treat tube exposure.
Adult
;
Aged
;
Allografts*
;
Coinfection
;
Conjunctiva
;
Cornea
;
Drainage
;
Female
;
Follow-Up Studies
;
Glaucoma*
;
Glaucoma, Neovascular
;
Humans
;
Intraocular Pressure
;
Male
;
Postoperative Period
;
Retinal Vein
;
Transplants
5.Treatment of Fracture of the Tibial Intercondylar Eminence with Arthroscopic Pull-Out Suture.
Jung Han YOO ; Yong Wook PARK ; Jin Sub KIM ; Yung Khee CHUNG ; Sun O YU
Journal of the Korean Knee Society 1998;10(1):50-55
The purpose of this study is to demonstrate the effectiveness of arthrocopic treatment for the avulsion fracture of intercondylar eminence of the tibia and of the technique of arthroscopically assisted reduction and fixation through pull-out suture method. Between January 1995 and May 1997, three patients were underwent arthroscopic reduction and suture fixation for type 0 of avulsion fracture of intercondylar eminence of tibia and were followed up. The result of two patients were graded as normal and one as nearly normal by the criteria of the International Knee Documentation Committee(IKDC) rating scale. The advantages of this technique include no retained hardware and ability to treat comminuted fracture(type g ). We describe technique of arthroscopic reduction and suture fixasion for displaced avulsion fractures, including those with comminution of intercondylar eminence of tibia.
Humans
;
Knee
;
Sutures*
;
Tibia
6.Arthroscopic Evaluation for Acute Traumatic Anterior Dislocation of the Shoulder.
Jin Sub KIM ; Chang Soo OH ; Yong Wook PARK ; Jung Han YOO ; Yung Khee CHUNG ; Sung Han HA
The Journal of the Korean Orthopaedic Association 1998;33(1):54-60
There are many complications after traumatic shoulder dislocation including redislocation, dislocation capsulitis especially in the older age and dislocation arthropathy. Redislocation rates have been primarily related to age at the time of initial dislocation, to lesser degree, athletic participation, length of immobilization, rehabilitative exercises, and time hefore return to sports or full activity. So we wanted to confirm the difference of the lesion between the young and the old at the initial dislocation. Arthroscopic evaluation of the twelve patients with an acute traumatic anterior dislocation of the shoulder was done to identify the intraarticular pathology within 10 days of the initial injury. All patients were taken MRI and evaluated under anesthesia. We classified these shoulders into two groups based on the age of patient. Young agegroup under 30 were seven patients and old age-group over 40 were five patients. And the following results were ohtained; 1. The detachment of the anterior labrum with the inferior glenohumeral ligament from the glenoid rim was primary finding and might cause the shoulder unstable under anesthesia in the young age-group under 30. 2. In the age-group over 40, there were the capsular tears with no labral lesion and these shoulders were stable under anesthesia 3. In acute traumatic anterior dislocation, examination under anesthesia was more closely related to the prediction of the extent of labro-ligamental detachment than MRI examination. 4. We believe that arthroscopic surgical intervention after the initial shoulder dislocation should be considered as a treatment option
Anesthesia
;
Arthroscopy
;
Dislocations*
;
Exercise
;
Humans
;
Immobilization
;
Ligaments
;
Magnetic Resonance Imaging
;
Pathology
;
Shoulder Dislocation
;
Shoulder*
;
Sports
7.Statistical Observation for Admitted Patients during the Years of 1974 to 1977 at Ped. Dept. of Han-Il Hospital.
Yong Sub KANG ; Sung Won PARK ; Kwang SHIM ; Yeun Ki KIM ; Yong Il LEE
Journal of the Korean Pediatric Society 1979;22(4):262-291
Statistical analysis according to W.H.O. classification for the patients admitted the Ped. Dept. of Han-Il Hospital was carried out during 4 years from Jan. 1974 to Dec. 1977. The following results were observed. 1. Total No. of patient during 4 years period were 1955, of which 1199 were male(61.33%, 756 were female(38.67%) and male to femal ratio was 1.57:1. 2. There was no significant variation. 3. According to age, preschool aged group as the most frequent group consistin of 488 cases(24.49%), school aged group and adolescent in the order of frequency. 4. On monthly distribution, there was no significant variation 5. Most frequent diseases in pediatric age group were respiratory tract one, 851 cases(39.29%) : infectious and parasitic ones, 553(25.53%) and neonatal disease, 204 cases(9.42%) in the order of frequency. 6. Among respiratory tract disease, pneumonia was the most frequent one, 587 cases(27.10%). 7. Among infectious and parasitic disease group, gastrointestinal infectious one was the most frequent, 224 cases(10.34%) : other viral disease and tuberculosis in the order of frequency. 8. Among neonatal diseases, prematurity was the most frequent one, 82 cases(3.79%).
Adolescent
;
Classification
;
Humans
;
Male
;
Parasitic Diseases
;
Pneumonia
;
Respiratory System
;
Respiratory Tract Diseases
;
Tuberculosis
;
Virus Diseases
8.The Effects of Dry Eye on the Corneal Thickness Measured by Orbscan and Ultrasonic Pachymetry.
Yong Sub HAN ; Jae Hong AHN ; Ho Min LEW
Journal of the Korean Ophthalmological Society 2002;43(1):17-22
PURPOSE: To evaluate the effect of dry eye on the corneal thickness measured by Orbscan and ultrasonic pachymetry. METHODS: The central corneal thickness was measured by both ultrasonic and Orbscan pachymetry in 30 eyes with dry eye (dry eye group) and in 30 eyes of normal subjects (control group). Dry eye was diagnosed when a Schirmer test result was less than 10 mm (after topical anesthesia) and the test for tear osmolarity was also performed. RESULTS: Tear osmolarity was 364.4+/-42.9 mOsm/L in dry eye group and 337.8+/-34.5 mOsm/L in control group. It was significantly higher in dry eye group than in the control group (p=0.011). Mean central corneal thickness measured by Orbscan pachymetry was 547.5+/-27.3 microgram in dry eye group and 562.0+/-20.4 microgram in the control group. It was significantly thinner in dry eye group than in the control group (p=0.023). Mean central corneal thickness measured by ultrasonic pachymetry was 535.7+/-27.2 microgram in dry eye group and 547.6+/-20.1 microgram in the control group with out significant difference between the two groups (p=0.059). CONCLUSIONS: The corneal thickness measured by ultrasonic pachymetry is less affected by dry eye compared to that measured by Orbscan pachymetry.
Osmolar Concentration
;
Ultrasonics*
9.A survey on the reference citation in the case reports published in the Journal of the Korean Radiological Society.
Hong Jae LEE ; Han Jin LEE ; Seog Hee PARK ; Choon Yul KIM ; Yong Whee BAHK ; Kyung Sub SHINN
Journal of the Korean Radiological Society 1993;29(3):568-572
We analyzed 105 cases reports published in the Journal of the Korean Radiological Society between 1975 and 1985. The objectives of this study were to find out(1) whether those case reports were truly original or not as far as domestic pulications were concerned and (2) whether their citations of domestic literatures were correct. In two papers, we found previous reports published already in the domestic journal in spite of the authors' claim as their "first case reports". In 105 cases reports, only 94 references were cited while 151 omitted. It is concluded that a case report must include a statement to authentically clarify whether similar report had been previously published through meticulous review of published literatures. We also recommend to computerize the index domestic literatures.
10.Cases of hypothermia with Osborne's J wave on ECG.
Yong Leul OH ; Hyun Il KIM ; Min Sub UM ; Han Jin KWON ; Ho CHO ; Wook Hyun CHO ; Jeong Sik PARK
Korean Journal of Medicine 2000;59(5):561-564
Authors report two cases of hypothermic patients with Osborne's J wave on electrocardiogram. A 46-year-old male with liver cirrhosis was brought to the emergency room by ambulance due to comatous mental status. On exammination, the body temperature was below 35 degree C. By rewarming using warm normal saline intravenous infusion and hot pack application on the chest, his body temperature rose up to 36 degree C and regained consciousness. Later, he expired with afterdrop phenomenon. Another 41-year-old stuporous quadriplegic male with post-traumatic cerebral palsy was brought to the emergency room by his family complaining weakness and vomiting. On exammination, the body temperature was below 35degree C. He was rewarmed using warm normal saline intravenous infusion and hot pack application on the chest. However, he could not regain his normal body temperature and expired due to irreversible shock.
Adult
;
Ambulances
;
Body Temperature
;
Cerebral Palsy
;
Consciousness
;
Electrocardiography*
;
Emergency Service, Hospital
;
Humans
;
Hypothermia*
;
Infusions, Intravenous
;
Liver Cirrhosis
;
Male
;
Middle Aged
;
Rewarming
;
Shock
;
Stupor
;
Thorax
;
Vomiting