No abstract available.
Veins

Squamous cell carcinoma in chronic osteomyelitic foci is uncommon malignant tumor although well documented. This article deals with clinical study of 9 cases of squamous cell carcinoma arising in chronic osteomyelitic foci during past 9 years from April 1962 to March 1969 at the Dept. Orthopedic Surgery, Taegu Presbyterian Hospital. The diagnosis was confirmed by clinical symptoms, history, tissue and lymph node biopsy. Brief analysis of age and sex distribution, symptoms, physical findings and clinical management were recorded and summarized as follow: 1). This tumor may occur in any age group but all reported cases were after the age of 30. 2). Only 1 outof 9 cases was female. 3). The common clinical manifestations at the time of admission were draining sinus with foul odorous discharge, fungating mass and enlargement of regional lymph node. 4). More than 80% of our series occurred in the lower extremity, tibia acouting 55.6%. 5). 6 casses had epen fracture and duration of osteomyelitis was 28 years in average. 6). Biopsy included tissues from all portions of sinuses, a fungating mass and the tissues from the marrow space in case of deep extension. 7). The choice of treatment consisted of early adequate amputation or radical resection of the focus and irradiation.
Amputation ; Biopsy ; Bone Marrow ; Carcinoma, Squamous Cell ; Clinical Study ; Daegu ; Diagnosis ; Epithelial Cells ; Female ; Humans ; Lower Extremity ; Lymph Nodes ; Odors ; Orthopedics ; Osteomyelitis ; Protestantism ; Sex Distribution ; Tibia

No abstract available in English.
Arthroplasty ; Friction ; Hip ; Tuberculosis

Congenital synostosis of the proximal ends of the radius and ulna is a rare malformation which often completely prevents pronation and supination of the forearm. The evidence for a genetic etiology is provided by noting its presence in a Klinefelter's syndrome and its positive familial history. Two cases of congenital radioulnar synostosis occurred in brothers have been experienced and are to be reported with review of references.
Forearm ; Humans ; Klinefelter Syndrome ; Pronation ; Radius ; Siblings ; Supination ; Synostosis ; Ulna

We experienced a case of sparganosis developed in the dorsum of penile shaft where, we think, is the very rare site of sparganosis reported in Korea. The patient, a 23 year-old Korean soldier, had slight tender thread-like linear subcutaneous mass on the dorsal aspect of penile shaft for 1 month prior to coming to us. The skin lesion was not palpated when the penis was erect. He had experience of intaking raw-snakes intermittently(5 times) since 2 years ago.
Humans ; Korea ; Male ; Military Personnel ; Penis ; Skin ; Sparganosis* ; Young Adult

No abstract available.
Endoderm* ; Endodermal Sinus Tumor*

No abstract available.

No abstract available.
Colorectal Neoplasms* ; Humans ; Male*

The characteristics of echocardiographic dilated cardiomyopathy according to its etiologic factors were studied from June, 1984 to September, 1986 in Pusan national University Hosptial. The cases included in the study were 144 patients, 90 cases of male and 54 cases of female respectively ranging the age from 17 years old to 79 years old. Patients with valvular heart disease were excluded in this study. The results were as follows: 1) Primary dilated cardiomyopathy was 40.3%, and secondary dilated cardiomyopathy was 59.7% of the study group. In secondary dilated cardiomyopathy, its etiologic factors were hypertension 17.4%, ischemic heart disease 27.8%, thyrotoxicosis 5.6%, chronic renal failure 4.8%, pregnancy 3.4% and alcohol drinking 0.7%. 2) Atrial fibrillation was noted in 32.6% of primary, 36.0% of hypertensive, 30.0% of ischemic and 62.5% of toxic cardiomyopathy. Conduction disturbance was noted in 57.1% of uremic cardiomopathy, it was far more frequent comparing with other cases of cardiomyopathy ranging 20-30%. 3) The frequency of end-diastolic internal dimension of left ventricle over 6.0cm was 58.6% in primary, 68.0% in hypertensive, 75.0% in ischemic, 71.4% in uremic and 40.0% in postpartum cardiomyopathy. 4) The frequency of ejection fraction of left ventricle below 40% was 17.2% in primary, 8.0% in hypertensive, and 28.2% in ischemic cardiomyopathy. 5) The paradoxical motion of anteroseptal wall of left ventricle was observed in 6.9% of primary, 4.0% of hypertensive, and 17.5% of ischemic cardiomyopathy. The ratio of anteroseptal wall motion to posterior wall motion below 0.4 was 15.6% in primary, 20.0% in hypertensive, and 25.0% in ischemic cardiomyopathy. 6) The frequency and grade of mitral regurgitation became increased with the dilatation of left ventricle. 7) The follow-up of cardiothoracic ratio was helpful significantly in the prediction of prognosis.
Adolescent ; Aged ; Alcohol Drinking ; Atrial Fibrillation ; Busan ; Cardiomyopathies ; Cardiomyopathy, Dilated* ; Dilatation ; Echocardiography* ; Female ; Follow-Up Studies ; Heart Valve Diseases ; Heart Ventricles ; Humans ; Hypertension ; Kidney Failure, Chronic ; Male ; Mitral Valve Insufficiency ; Myocardial Ischemia ; Postpartum Period ; Pregnancy ; Prognosis ; Thyrotoxicosis

Various kinds of spinal instrumentation have been developed for treatment of spinal disorders which are associated with instability. Recently, newly designed devices using pedicle screw were developed with advantages of short segment fixation and firm internal fixation. This is a retrospective clinical and roentgenographic study to evaluate the effectiveness of Cotrel 1. Of the 27 cases, spinal stenosis were 11, spondylolisthesis were 8, spondylolysis were 4, burst fracture were 2, metastatic bone tumor was 1, and failed back syndrome was 1 case. 2. Result of clinical evaluation by Hanley's criteria at last follow up were excellent in 7(27%), Good in 15(58% ), fair in 4(15%). (1 case of metastatic bone tumor was excluded). 3. In the cases of spondylolisthesis, we tried to reduce the displacement in 2 cases of Meyerding Grade II, and 1 case was reduced and 1 case was not reduced. In the cases of of Meyerding Grade I, no further displacement was developed. 4. The complications were observed in 10(37%)cases. A) Generalized complications were 2 cases of hematoma, 3 cases of superficial infection of wound, and 1 case of nerve root irritation. B) Failure in instrmentation were 1 case of screw breakage, 1 case of complete loss of fixation between screw and rod, and 2 cases of partial loss of fixation. 5. To prevent above mentioned complications in fixation of the instrument, the following factors are recommended: 1) Selection of the adequate length of rod. 2) Fixation of the additional implant such as security bolt when instability between screw and rod is predictable. 3) Selection of the closed head screw in the fixation of proximally sided screw if possible. 6. Cotrel-Dubousset instrument has many advantages such as rigid internal fixation, anatomical reduction, and good maintenance and also effective in reduction and maintenance of spondylolisthesis and in wide posterior decompression of spinal stenosis, but for prevention of some complications, precise use of instrument and good application of surgical technique will be needed.
Decompression ; Follow-Up Studies ; Head ; Hematoma ; Internal Fixators ; Pedicle Screws ; Retrospective Studies ; Spinal Stenosis ; Spine ; Spondylolisthesis ; Spondylolysis ; Wounds and Injuries