Clinical Application of the Ultrasound in Painful Pediatric Hip / 대한정형외과학회잡지

The diagnosis of painful hips of the children are very difficult in their early stage of diseases. Transient synovitis, Legg-Calve-Perthes' diseas juvenile rheumatoid arthritis and pyogenic hip are very similar in clinical manifestation and plane radiology. But the treatment methods and prognoses are very different, so it is very important to make an accurate diagnosis and differential diagnosis as early as possible. In the above mentioned diseases hip joint effusion is one of common manifestations, so we studied the hip joint effusion by ultrasonography in 49 children with painful hips and also we studied both hips of healthy children to determine the criteria of the normal hip joint. And the results are summerized as follows: l. Ultrasonography was very good method for detection of hip joint effusion. 2. In healthy children, the average bone-to-capsule distance was 2.95mm. 3. In children patients with unilateral painful hip, the average bone-to-capsule distance was 2.96mm, so it was very similar to that of healthy children. 4. The difference more than 2mm between both hips was abnormal. 5. In 49 children with painful hips, over all positive rate was 63.3%.

Multiple Carpometacarpal Dislocations: A Report of 2 Cases / 대한정형외과학회잡지

Carpometacarpal dislocations occur in less thsn 1% of osseous hand injuries. Sine Dec. 1987, two cases of multiple carpometacarpal dislocations were treated at Hanyang University Hospital. All of these were successfully treated by closed reduction and percutaneous pinning with K-wires. Follow-up periods were 6 months and 5 months respectively. All patients were asymptomstic, but one patient had occasional discomfort and diminished grip strength.

A Clinical Study of the Fracture Patterns in Children / 대한정형외과학회잡지

There is an increasing interest in the epidemiology of children's fractures particullary to the patterns of children's fractures but there is a few available articles about them. We reviewed 398 children under the 15 years of age who were affected by fractures during 4 years and analysed the patterns of children's fractures concerning with the sex, age, seasons of a year, etiology, fracture sites and the types of fractures. The results were as follows : 1. Boys were affected about 2.5 times than girls. Fractures were predominant in between 5 and 9 years of age group. 2. The three highest monthly incidences of the fractures were showed in July, September and October. 3. The major causes of fractures were fall from a height or slipdown, pedestrian traffic accidents and sports injury in decreasing orders. 4. The traffic accidents were occured frequently in children of five to seven year old, and it is occured predominantly in June, July and August(37.8%). 5. The frequent sites of children's fractures were humerus(33.5%), tibia(21.0%), forearm (17.3%) and femur(13.6%). 6. The sports injuries were affected evenly in all age groups except below 3 years old children and the frequent causes were bicycling, exercising on the horizontal bar, Korean wrestling and during football game in decreasing orders.