Résumé
Castleman's disease is a rare disorder that is characterized by lymphoid hyperplasia. It may present as an asymptomatic involvement of one lymph node group or as a multicentric disease with systemic features. Here we report a 53 year old female patient with histopathologically proven cervical Castleman's disease of the mixed type who presented with neck lymphadenopathy and was treated with a complete excision of the neck mass without complications.
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Femelle , Humains , Adulte d'âge moyen , Hyperplasie lymphoïde angiofolliculaire , Hyperplasie , Noeuds lymphatiques , Maladies lymphatiques , CouRésumé
No abstract available.
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No abstract available.
Résumé
Essential osteolysis is a rare, progressive, slow and bone-resorptive disease that mainly involves carpal bone, metacarpal bone, tarsal bone, metatarsal bone and elbow joint. Authors had recently experienced one case of “essential osteolysis” that had involved the bilateral carpal, metacarpal, bilateral tarsal, metatarsal bone, elbow and ankle joint without associated renal insufficiency, hypertension and significant familial history.
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Articulation talocrurale , Os du carpe , Coude , Articulation du coude , Hypertension artérielle , Os du métatarse , Ostéolyse essentielle , Insuffisance rénale , Os du tarseRésumé
Authors has analyzed 75 cases of the femoral shaft fractures in children, treated by 90-90 skeletal traction methods at Jung Ang Gil General Hospital during last six years, from March 1982 to April 1988. The results were as follows :1. The 90-90 Skeletal traction can be widely applicable to the age group ranging from 3 to 13 years, while other traction methods have a certain age limits. 2. Maintenance of initial reduction snd correction of angular and rotational deformity of femoral shaft fracture were easily achieved. In addition, later angular deformity can also be easily corrected. In angular deformity and instability type, the correction and maintenance of deformity and instability were helped by use of 2 cast slabs. 3. Follow-up observation as well as wound care of open fracture and associated soft tissue injury were relatively easy. 4. The period of immobilization necessory after fracture was not longer than the other methods of treatment, and during treatment, evaluation of bony alignment and union was possible by direct palpation and inspection with out the help of X-ray. 5. The limitation of knee motion as well as circulatory and neurogenic complication were not found. Therefore, these results revealed that 90-90 skeletal traction was the easy, safe and effective method in treatment of femoral shaft fractures in childeren.
Sujets)
Enfant , Humains , Étude clinique , Malformations , Fémur , Études de suivi , Fractures ouvertes , Hôpitaux généraux , Immobilisation , Genou , Méthodes , Palpation , Traumatismes des tissus mous , Traction , Plaies et blessuresRésumé
The clinical observation was performed on 27 patients of acetabular fracture, who had been admitted and treated at Department of Orthopedic Surgery, Choong-ahng Gil Hospital from January 1983 to December 1986. The results obtained were as follows. 1. The prevalent age ranged from 20 to 50 years, and the ratio between males and females was 2.4:1. 2. The most common cause of injury was traffic accident. 3. According to Letournel's classification, 8 cases were posterior wall fractures, 4 cases were pure transverse fractures, 3 cases were “T” shaped fractures, and 3 cases were fractures of both column. 4. The most common associated injury of the another part of the body was pelvic bone fracture and the most common associated soft tissue injury was cerebral contusion. 5. The satisfactory result of conservative treatment was 84.6% and surgical treatment was 78.6%. 6. The complications were degenerative arthritis(66.7%), bed sore(13.3%), ectopic ossification(6.7%), sciatic nerve palsy(6.7%), pin tract infection(6.7%) respectively. 7. The accurate anatomical reduction & rigid fixation was an important factor for intraarticular fracture.
Sujets)
Femelle , Humains , Mâle , Accidents de la route , Acétabulum , Classification , Étude clinique , Contusions , Fractures articulaires , Orthopédie , Os coxal , Nerf ischiatique , Traumatismes des tissus mousRésumé
Recently, intramedullary nailing has been used classically in a closed transverse fracture in middle one-third of the fernur. But difficult femorsl fracture, such as severe comminution or nonunion, present a much more difficult problem. To treat these difficult femur fractures effectively, several investigators have developed and implemented a interlocking nail. Huckstep nail, one of the variants of the inter-locking nail, is a solid four sided intramedullary nail with screw fixation device and titanium alloy. For the purpose of rigid fixation and compression, screw fixation the nail and both cortice has been used in the difficult femorsl fractures. The author have experienced the 19 cases of Huckstep nailing for the treatment of difficult femoral fracture at the Choongahng Gil Hospital from Jan., 1984 to Dec., 1987. The results are summarized as follows. 1) In the difficult femoral fractures, such as fracture on severe comminuted fracture, nonunion and metal failure etc, Huckstep nailing may be excellent fixation. 2) Open comrninuted femoral frsctures were treated by conservative treatment as antibiotic therapy and skeletal traction, but when general conditions return to normal and risk of infection rate minimized, Huckstep nailing should be done. This generally requires 4 to 6 weeks. 3) The mean duration of bone union was 21.2 weeks. 4) Early joint mobilization can be done. The results of 17 cases were excellent by Denker's criteria. 5) Important complication were metal failure with refracture, screw failure and refracture after extraction of nail, these were caused by incorrect placement of nail, incorrect length of nail and more rapidly early weight bearing. 6) Nail of 11.5 mm in diameter is suitable in our study.
Sujets)
Humains , Alliages , Fractures du fémur , Fémur , Ostéosynthese intramedullaire , Fractures comminutives , Articulations , Personnel de recherche , Titane , Traction , Mise en chargeRésumé
The tibial condylar fracture is a fracture of the proximal end of the tibia, involving the srticular surface. This fracture frequently accompanied by soft tissue injuries such as collateral ligsment, cruciate ligament and menisci. Thirty cases of the tibial condylar fracture which treated Inchon Choong Ang Gill Hospital during the period from March, 1983 to February, 1986, the thirty cases could be followed for one year to four years. They have been analyzed according to its cause, classification, treatment and result. Among these 12 cases(40.0%) were treated by cast immobilization, 1 case(3.3%) by skeletal traction, 17 cases(56.7%) by open reduction and internal fixation. Twenty-three cases(76.7%) out of thirty revealed the rating of ACCEPTABLE according to Hohl and Lucks criteria.
Sujets)
Animaux , Classification , Étude clinique , Branchies , Immobilisation , Ligaments , Traumatismes des tissus mous , Tibia , TractionRésumé
The primary goal in the treatment of the nail bed avulsion injury is complete regrowing of the nail plate without any deformity. There are many procedures for treatment of the nail bed avulsion injury as a split-thickness skin graft, full-thickness nail bed graft, reverse dermal graft or split-thickness nail bed graft. From February, 1984 to June, 1985 at In-Chon Gill Hospital, 13 cases of nail bed avulsion injury were treated with split-thickness nail bed grafts. The intact residual part of the injured nail bed or the toe nail bed was served as a donor site. The results were as followings; 1. The incidence of nail bed avulsion injury of all hand injuries was 9.7%. 2. The main cause of injury was the industrial accident and more prevalent in the left hand. 3. The good result was obtained in the split-thickness nail bed graft for the nail bed avulsion injury, but in nail root portion, the poor result was noticed. 4. The average time for normal nail appearance is six months.