A relatively rare and puzzling tumor of the testicular tunic is reported. The tumor, so called a fibrous pseudotumor of testicular tunics, in presented because of the clinical dilemma this rare entity causes urologists and pathologists. This report demonstrates the necessity for familiarity with testicular pseudotumors in order to avoid an unnecessary orchiectomy.
Orchiectomy ; Recognition (Psychology)

Anti-Infective Agents ; Blood Glucose ; Cellulitis ; Diabetes Mellitus ; Drainage ; Foreign Bodies ; Humans ; Insulin ; Insulin Resistance ; Ludwig's Angina ; Metabolism ; Mouth Floor ; Tongue

The carpal scaphoid is the commonest of the carpal bones to be fractured, and this injury is the commonest to befall the wrist of working man. There is still some disaggrement as to the optimum treatment and as to how long immobilization should be maintained. The twenty seven cases of the carpal scaphoid were treated at department of orthopaedic surgery, Maryknoll Hospital. They were analyzed in regared to the clinical and radiological aspects. The results were summarized as follows. l. Of 27 cases 24 cases were in the age group 20 to 39, and all cases were male patients. 2. In 17 cases, the fracture was found in right side. 3. In 19 cases (70.4%), the fracture was found on the middle 1/3 of the carpal scaphoid and in 18 cases(66.8%), the fracture line was transverse. 4. The union rate of fracture was 100% in the distal 1/3 fracture, 89.5% in the middle 1/3 fracture and 66.3% in the proximal fracture. The average period of immobilization were 10.3, 14.9 and 15.3 weeks respectively. 5. By Maudsley's assessment, the end result was good in all cases of the distal 1/3 fracture, 84.2% in the middle 1/3 fracture and 66.7% in the proximal 1/3 fracture. 6. Traumatic arthritis developed in 3 cases, avascular ncerosis in 7 cases, nonunion in 4 cases.
Arthritis ; Carpal Bones ; Humans ; Immobilization ; Male ; Wrist

Traumatic dislocation of the testis occurs when a normally distended testis assumes, as a result of trauma, a non-scrotal position by passing along fascial plane and through normal anatomic aperture. Less than 50 cases of true traumatic dislocation have been reported. The etiology, classification and treatment of testicular luxation are reviewed briefly. If efforts at closed reduction are unsuccessful, management requires surgical exploration and orchiopexy. The prognosis for recovered or fertility potential after this repair of dislocation of the testis is good. We report the case that one testis has traumatic dislocation with a ruptured vas deferens and the other has a primary spermatogenic defect.
Classification ; Dislocations* ; Fertility ; Orchiopexy ; Prognosis ; Testis* ; Vas Deferens

The distal one-third fractures of tibia have much difficulty in treatment due to enumerous complications such as skin necrosis, angular deformity and delayed union. As for using Ender nails in distal tibial fractures, the stability of fixation can be strengthened with fanning of the nails in distal fragments and using more than 3 nails and 1cm longer nail. Twenty-two patients having distal tibial fractures, were carried out Ender nailing at Department of Orthopaedic Surgery, Maryknoll Hospital from May 1989 to September 1992. The results were as follows; 1. The distal end of fracture line was situated from 3cm to 9cm above plafond, and the mean duration of radiological bony union was 14.9 weeks except one case of nonunion. 2. Mild angulation developed in two cases and complications such as nonunion, superficial infection and backing out of nail were noted, but it did not affect the results.
Congenital Abnormalities ; Humans ; Necrosis ; Skin ; Tibia ; Tibial Fractures

No abstract available.
Animals ; Interleukin-2 ; Mice*

No abstract available.
Ankle*

No abstract available.

In 1974, bipolar hip prosthesis was developed by Giliberty and Bateman to reduce the problems of unipolar prosthesis, including acetabular wear and acetabular protrusion, but the indications for it are still controversial. From July, 1988, to February, 1991, at Pusan maryknoll hospital, 37 hips in 33 patients of femoral neck fracture (25 hips) and avascular necrosis (12 hips) with relatively normal acetabular articular cartilage were treated with bipolar hip prosthetic replacement. The thirty-seven cases were reviewed for more than 3 years(range, 3 years to 4 years 8 months: average, 3 years 10 months), and assessed in terms of acetabular migration and function. The authors compared the datas of the femoral neck fracture with those of the avascular necrosis of femoral head. There was no statistical difference between two groups in function. But the acetabular migration of bipolar hip prosthesis used in femoral neck fracture was lesser than that of avascular necrosis of femoral head, and the serial acetabular migration disclosed gradual decrease. The authors concluded that the results of bipolar endoprosthesis used in femoral neck fracture was superior than those of avascular necrosis of femoral head with relatively normal acetabular articular cartilage.
Acetabulum ; Busan ; Cartilage, Articular ; Femoral Neck Fractures ; Femur Neck ; Head ; Hip ; Hip Prosthesis ; Humans ; Necrosis ; Prostheses and Implants

PURPOSE: The metabolic parameters were compared with the 1st episode calcium oxalate urolithiasis in 3 age groups and according to gender. MATERIALS AND METHODS: A total of 167 patients (114 male and 53 female) with their 1st episode calcium oxalate urolithiasis, including 21 patients aged <30 years (group A), 99 aged 30-59 years (group B) and 47 aged 60 years (group C), were investigated by metabolic evaluation. The items of metabolic change evaluated were the low 24-hour urine volume (<1,500cc), hypercalciuria, hyperoxaluria, hyperuricosuria and hypocitraturia. RESULTS: A low 24-hour urine volume was more common in group A (46.6%) than groups B (24.2%) or C (23.4%). Hypercalciuria was more common in group B (16.2%, p<0.05) than groups A (0%) or C (2.1%). There were 14.3% hyperoxaluric patients in group A and 34.3% in group B, which was statistically significant (p<0.05). Of the 167 patients, 101 had hypocitraturia, but seemed to show no statistically significant difference between the groups. Hyperuricosuria was more common in group A (33.3%) than groups B (11.1) or C (2.1%). CONCLUSIONS: In patients with 1st episode calcium oxalate urolithiasis, hypocitraturia is the most common risk factor, regardless of age or gender. Hypercalciuria was more common in group B (age 30-59) than the other age groups, while low urine output and hyperuricosuria were more common in group A (age<30). Considering the significant differences in the various risk factors between the different age groups, the specific prevention and treatment of certain risk factors for calculus formations according to age and gender seem necessary.
Calcium Oxalate ; Calculi ; Citric Acid ; Humans ; Hypercalciuria ; Hyperoxaluria ; Male ; Risk Factors* ; Urolithiasis*