The ultrasonography is a very useful diagnostic procedure in obstetric & gynecologic mass. so we anlayzedtotal 153 cases of pelvic ultrasonogram with pathologic diagnoses. The results were as follows: 1. The ages ofpatients were distributed from 16 to 70 years-old, and the third decade was the most prevalent. 2. Of 153 cases,the ovarian masses were 85 cases, the tubal ones were 49 cases, and the uterine were 19 cases. 3. Of 85 ovarianmasses, physiologic ovarian cysts were 44 cases, and cystic teratoma were 14 cases. Of 49 tubal masses, tubalpregnancies were 35 cases and the most prevalent. Of 19 uterine masses, leiomyomas were 11 ases and the mostprevalent. 4. Of 153 cases, the echo-complex masses were 103 cases, the cystic ones were 34 cases, and the solidones were 19 cases. 5. The characteristic findings of frequent masses were as follows: (1) The physiologic ovariancysts were 44 cases, and show mainly cytic or pure cystic masses in 42 cases. (2) The ectopic pregnancy were 36cases, and show echo-complex masses in 21 cases, and cul-de-sac fluid echo in 22 cases. (3) The cystic teratomaswere 1 cases, and reveal mainly cystic or pure cystic masses in 10 cases, and calcification with posterioracoustic shadowing in 6 cases. (4) The uterine leiomyoma were 11 cases, and reveal solid mass with abnormaluterine contour in 8 cases. (5) The malignant or borderline malignant lesions were 6 cases. (6) Of 153 cases, thepathologic diagnosis was possible in 98 cases(64.1%).
Diagnosis ; Female ; Leiomyoma ; Ovarian Cysts ; Pregnancy ; Pregnancy, Ectopic ; Shadowing (Histology) ; Teratoma ; Ultrasonography

Tibial plateau fractures are a common injury which often produce major disability. The extent of actural damage is always greater than that suggested by X-ray, a situation which, if not appreciated, can easily lead to a complacent surgical attitude. Although recent studies suggest that early knee motion and perhaps better surgical technique have improved clinical end-results, still recent series show unaccepatble results in 20-40 percent of cases. The authors analyzed the 37 cases of the tibial plateau fractures treated at the Department of Orthopaedics, Catholic University Medical College, Kang-Nam St. Mary's Hospital and following results were obtained. 1. The highest incidence was in the 5th decade and the next was 4th, and most frequent cases of trauma was pedestrian car accident(83%). 2. The most common fracture type was type VI by Schatzker classification and next was type II. 3. Among 37 cases, 27 were treated by open reduction and internal fixation and 14 out of those 27 cases meeded bone graft for the elevation of the tibial articular surface. 4. According to Blokker's criteria(1984), 32(86.6%) out of 37 cases had satisfactory result. Among 5 cases of unsatisfactory results 3 cases developed varus tilting of the tibial plateau more than 10 during the early stage (6–12 weeks post operation) of follow-up and those 3 were Schatzker's type VI fracture. 5. It is thought that open anatomical reduction of articular surface bone graft, internal fixation and early joint motion are the best way for the treatment of depressed or displaced fracture. 6. It is found tha Schatzker's type VI fracture has a tendency to develop varus tilting through the proximal tibial fracture before it unites completely.
Classification ; Follow-Up Studies ; Humans ; Incidence ; Joints ; Knee ; Tibial Fractures ; Transplants

There are many unanswered questions concerning the natural history of developmental dislocation of the hip. The assessment of impaired function in complete hip dislocation is very subjective. According to Wedge, however, 60 percent of hips seems to present significant problems. The remaining 40 percent gives no pain, but produces an abnormal gait with decreased agility, and important consideration in mordern society. Therefore pediatric orthopaedic surgeon should consider to improve the gait and hip function in the neglected D.D.H in elderly children. The following problem have been debated, for instance: 1) traction prior to open reduction 2) how much shorten the femur 3) what type of pelvic osteotomy should be performed? 4) importance of derotation and varus osteotomy of femur 5) to provide immediate stability of the hip, 6) postsurgery joint stiffness, and 7) avascular necrosis of the femoral head. Above problems are discussed through 38 cases which were above the age of 5 years. The results were as follow: 1) A femoral varus osteotomy provided the hip stability by containing the head in socket and femoral shortening effect. 2) The Preop traction provided the soft tissue release at surgery and decreased the incidence of AVN. 3) The acetabular remodelling was observed until the age of 13 years when concentric relocation of the head was achieved even after the age 8 years. 4) The pelvic osteotomy was not always required in those case of complete dislocation in which the femoral head could be deeply relocated in the acetabulum after femoral osteotomy.
Acetabulum ; Aged ; Child ; Dislocations ; Femur ; Gait ; Head ; Hip Dislocation ; Hip ; Humans ; Incidence ; Joints ; Natural History ; Necrosis ; Osteotomy ; Traction

No abstract available.

We report herein our surgical experience of Hartmann's procedure reversal using laparoscopic technique in a 72-year-old woman who underwent Hartmann's procedure for an obstructing sigmoid colon cancer 6 month earlier. The purposes of this report are to describe our technique of laparoscopic reversal of Hartmann's procedure, to introduce several technical tips in avoiding pitfalls, and to review its safty and efficacy. In brief, the colostomy was freed from the abdominal wall using a conventional technique, then a center rod and an anvil of a circular stapler were inserted into the colon. CO2 insufflation was performed through this insertion. Using a five-cannula technique, rectal stump was mobilized, then colorectal anastomosis was performed laparoscopically via a transanal stapled approach. The operating time was 130 minutes and blood loss was 50 ml. There were no intra- and postoperative complications. Up to now, with a 4-month follow-up period, the patient has been well without having any problems associated with this operation
Abdominal Wall ; Aged ; Colon ; Colostomy ; Female ; Follow-Up Studies ; Humans ; Insufflation ; Laparoscopy ; Postoperative Complications ; Sigmoid Neoplasms

The dithiocarbsmates are commonly used worldwide as an agricultural fungicide because they are inexpensive and known to be highly effective, A 37 year old male farmer visited our department because of skin rashes on the face, neck and both handa for three years. Because the patch test results revealed a strong positive reaction to dithiocarbamates, and the irritant reaction to orthodichlorobenzen and the biopsy specimen taken from the lesion of dorsum of hand showed the findings of allergic contact dermatitis, the diagnosis of allergic contact dermatitis due to dithiocarbamate was made. The skin lesions were cleared after avoicing the causative agent along with consertatve treatment. There was no relapse during the one year follow up period.
Adult ; Biopsy ; Dermatitis, Allergic Contact* ; Diagnosis ; Exanthema ; Follow-Up Studies ; Hand ; Humans ; Male ; Neck ; Patch Tests ; Recurrence ; Skin

Fractures of the hip in children are rare. The reported incidence is low. It is known that the force required to fracture the bone in childhood is of great magnitude. Rang(1983) reported several important differences between childhood and adult fractures. And Morrissy (1980) also reported differences in treatment. The complications of the femoral neck fractures in children are avascular necorsis, premature epiphyseal closure, nonunion, coxa vara, and infection. The reported incidence of avascular necrosis varies from 20 to 60 percent. Many methods of trestment for this complications are introduced up to now. However, a definite method could not be found. Therefore, we reported two cases of femoral neck fracture which complicated the avascular necrosis for whom non-weight bearing trestment after osteosynthesis were given for 16 and 25 months, respectively. In these two cases, we could obtain the following results. Fracture union was not hindered by avasculsr necrosis of the femoral head. Non-weight bearing could prevent the collapse of necrotic head, and seemed to help revascularization of the necrotic head.
Adult ; Child ; Coxa Vara ; Femoral Neck Fractures ; Femur Neck ; Head ; Hip ; Humans ; Incidence ; Methods ; Necrosis ; Prognosis

This is a retrospective study of 161 ovarian neoplasms, all of which were surgically removed and had preoperative sonographic examinations. They were evaluated respect to age, tumor size and its echogenicity. The results were as follows: 1. Of all 161 tumors, physiologic lesions were 67 cases (41.6%), germ cell tumors were 28 cases (17.4%) and serous tumors were 19 cases (11.8%). 2. Of all 161 tumors, right ovarian lesions were 82 cases (50.9%), left were 59 cases (36.7%), and bilateral lesions were 20 cases(12.4%). 3. The most characteristic findings of tumors were as follows: 1) Physiologic tumors were 2-9cm sized (88.1%), anechoice-5% echogenic (79.1%), and developed during 4th & 5th decades (91.0%). 2) Inflammatory tumors were 2-9cm sized (94.1%), 50%-totally echogenic (76.5%), and during 4th & 5th decades (94.1%). 3) Serous tumors were 2-9cm sized (60.3%), anechoic-5% echogenic (89.5%), and during 3rd & 4th decades (84.2%). 4) Mucinous tumors were 5-19 cm sized (77.8%), anechoic-5% echogenic (77.8%), during 2nd-8th decades with diffuse distribution. 5) Endometrioid tumors were 5-14cm sized (100.0%), variable echogenic, and during 3rd & 4th decades (90.9%). 6) Germ cell tumors were 5-14cm sized (75.0%), variable echogenic, during 3rd & 4th decades (82.1%). 7) Parovarian cysts were 2-14cm sized (90.0%), anechoic-5% echogenic (100.0%), with diffuse age distribution. 4. The malignant and borderline malignant tumors were 9 caseswith more than 10cm sized (77.8%), and developed during older than 4th decade (100.0%). Anechoic 3 cases, 1-5% echogenic 2 cases, and totally echogenic 4 cases were found.
Age Distribution ; Female ; Mucins ; Neoplasms, Germ Cell and Embryonal ; Ovarian Neoplasms ; Parovarian Cyst ; Retrospective Studies ; Ultrasonography

Distal hereditary motor neuropathy (dHMN) is a heterogeneous group of disorders characterized by weakness and wasting of distal limb muscles without overt sensory abnormalities. Recently, autosomal dominant dHMN has been mapped to chromosome 12q24 and 7q11-q21. We present a family with autosomal dominant adult onset dHMN type II consisting of fi ve affected individuals spanning three generations. They developed mild symmetrical distal lower limb weakness, muscle wasting, and severe foot deformity after the third decade. Genetic analysis showed no support for linkage to chromosome 12q24 and 7q11-q21 in our family. These fi ndings further demonstrate a genetic heterogeneity within dHMN type II.

No abstract available.
Breech Presentation* ; Female ; Fetus* ; Pregnancy