Medical Doctors' Independence Movement during the Japanese Colonial Period / 의사학

There are approximately 10,000 people who have been identified as men of merit for independence movement by the Ministry of Patriots and Veterans Affairs in Korea. Currently, January of 2008, it is assumed that there are 156 doctors (medical school students included) had participated in independence movement, among them, 71 people have received the rewards from the government with the honor of independence movement as a doctor or medical school student. However, there are still 85 doctors have not received any rewards from the government despite their participation in independence movement. Korean doctors and medical students participated in independent movement through many ways in domestic and foreign country during the Japanese colonial period. They made use of their doctor license, and occasionally took part in independent movement as ordinary people. They not only had acted as politicians, diplomats, and medical officers, but also supported medical service, donation campaign, social movement, and educational movement for independent movement against Japanese colonial rule.

Ultrasonography and CT Findings of Abdominal Wall Endometrioma

PURPOSE: To evaluate the US and CT findings of abdominal wall endometrioma. MATERIALS AND METHODS: We respectively reviewed nine patients with abdominal wall masses diagnosed as endometrioma during a recent three-year period. Both US and CT scans were performed in six cases, only ultrasound in one, and only CT scans in two. The location, size, shape, margin, internal echo or density, enhancement patterns, and relation to adjacent masses, as seen on US and CT images, were reviewed. RESULTS: All patients had a previous history of deliveries by caesarian section. All masses were 2-4.5cm in size ; five were located in subcutaneous layers and four in musclel ayers. In all cases, sonographic findings were low echoic masses with irregular margins(7/7). Internal echotextures were inhomogeneous in five cases and homogeneous in two. On CT, masses in subcutaneous layers(5/8)showed spiculated margins and linear enhancement of the rectus muscle fascia. In cases of lesion located in muscle(3/8), slight thickening of the rectus muscle was visible on precontrast CT scans, but on postcontrast CT scans, well-defined enhancing masses, separate from the rectus muscle were seen. CONCLUSION: When patients with a previous history of caesarian section present palpable abdominal wall masses, with cyclic pain, sonographic findings of a low echoic mass separated from the internal organs, and CT findings of a strongly enhanced mass are useful for the diagnosis of endometrioma.

Early Periventricular Leukomalacia: MRI and Ultrasonographic Correlation on First one Month of Life

PURPOSE: To compare the findings of early periventricular leukomalacia on MR imaging and on US. MATERIALS AND METHODS: MR imaging was performed in 17 neonates in whom well-demarcated increased periventricular echogenicity was seen on sonography. One more patient was included during the same period because MR imaging of this patient showed a periventricular lesion not suspected on previous US. Initial sonography was performed within 6 days of birth and was followed up between one week and one month later. MR images were obtained within the first month of life. RESULTS: Twelve of 17 neonates showed abnormal periventricular signal intensities on MR imaging. Follow up sonography revealed cystic changes in two cases and heterogeneous hyperechogenicities in three. All patients except the two with cystic changes showed normal periventricular echogenicity on final sonography, On MR imaging,11 cases showed multifocal periventricular increased signals on T1-weighted images, and two cases showed mainly decreased signals representing cysts. Positive findings were more evident on T1-weighted than on T2-weighted image. CONCLUSION: on T1-weighted imaging, the characteristic finding of early periventricular leukomalacia was multifocal periventricular hyper or hypointensities, and hyperintense lesions were more common than hypointense. In the diagnosis of early noncystic periventricular leukomalacia, MR imaging was more objective than US.

Bilateral Recurrent Dislocation of the Peroneal Tendon: A Case Report / 대한정형외과학회잡지

Recurrent dislocation of the peroneal tendon is infrequent but often the injury is a disabling one, and the result of conservative treatment is unsatisfactory. Dislocation of these tendons may be the result of a congenitally shallow groove in the lateral malleolar or of a complete abscence of the groove and the dislocation may be present at birth or may be caused by trauma. We are reporting one case of bilateral recurrent dislocation of the peroneal tendons with- out any history of trauma in which disturbed superior peroneal retinaculum was reconstructed by transposition of the calcsneofibular ligament to the lateral side of the peroneal tendons. The calcaneal insertion of the calcaneofibular ligament was mobilised with a small bone block and reinserted in its bed after the transposition. After a follow up of 13 months, the result was satisfactory.

Traumatic Spondylolisthesis of the Axis / 대한정형외과학회잡지

Twelve patient with fracture of the neural arch of the axis (hangman's fracture or traumatic spondylolisthesis of the axis) were treated at Kangnam St. Mary's Hospital between 1980 and 1986. There were three type I fractures, seven type II fractures, and two type III fracture. Non of these patients had neurological damage. Seven patients (five in type II and two in type III) in this series, underwent anterior interbody fusion operation between axis and third cervical vertebra following 6 weeks of cervical traction. The remaining five patients were treated conservatively by cervicel traction in the bed. Average follow up period was 24 months. The mean duration of fracture union was 10 weeks after trauma in 3 cases of type I and twelve weeks after trauma in 2 cases of type II which were treated conservatively. Otherwise in 5 cases of type II and two cases of type III which were taken anterior interbody fu sion, the mean duration of fracture union was 8 weeks in type II and 10 weeks in type III after surgery. All regained a stability of the cervical spines. Because the fracture healing of the neural arch invariably occurred through this study, it is felt that anterior interbody fusion between axis and third cervical vertebra is necessary surgical.procedure to gain the early stability if there is an evidence of persistant instability between axis and third cervical verbebrae even after 6 weeks of conservative traction treatment.