Subchondral insufficiency fracture of the femoral head in elderly people.

Abstract:

:We evaluated the clinical course of subchondral insufficiency fracture of the femoral head (SIFFH) and its characteristic findings with special regard to joint space narrowing (JSN). Thirty-one cases of SIFFH of mean age 68.9 yr initially underwent limited weight-bearing conservative treatment. During the follow-up period, the patients with intractable pain underwent total hip arthroplasty (THA). For radiographic evaluation, lateral center-edge angle, JSN and femoral head collapse (FHC) were documented, and the extent of FHC was classified as mild (<2 mm), moderate (2-4 mm), and severe (>4 mm). The progression or new development of FHC more than 2 mm was evaluated on sequential plain radiographs. The relationship between radiographic parameters and clinical outcomes were evaluated. THAs were performed in 15 cases (48.4%). There was no significant correlation between clinical outcomes and the extent of initial FHC. However, a significantly larger proportion of patients that underwent THA showed JSN and FHC progression compared to the symptom improvement group. The risk factor significantly associated with failed conservative treatment was JSN (P=0.038; OR, 11.8; 95% CI, 1.15-122.26). Clinical results of conservative treatment for SIFFH in elderly patients are relatively poor. The patients with JSN are at higher risk of failed conservative treatment.

journal_name

J Korean Med Sci

authors

Yoon PW,Kwak HS,Yoo JJ,Yoon KS,Kim HJ

doi

10.3346/jkms.2014.29.4.593

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

593-8

issue

4

eissn

1011-8934

issn

1598-6357

journal_volume

29

pub_type

杂志文章
  • Laparoscopic-assisted resection of ileal lipoma causing ileo-ileo-colic intussusception.

    abstract::Adult intussusception is rare, and the majority of cases has an underlying cause that requires surgical resection. We report a case of a 39 yr-old man with ileo-ileo-colic intussusception caused by ileal lipoma that was successfully managed by a laparoscopic-assisted surgical maneuver. Using a three-cannula technique,...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2001.16.1.119

    authors: Park KT,Kim SH,Song TJ,Moon HY

    更新日期:2001-02-01 00:00:00

  • Pertussis seroprevalence in korean adolescents and adults using anti-pertussis toxin immunoglobulin G.

    abstract::This study was conducted to evaluate age-specific seroprevalence of pertussis in Korea and to formulate a strategy to prevent and reduce the incidence of pertussis. Residual serum samples of healthy adolescents and adults 11 yr of age or older were collected between July 2012 and December 2012, and anti-pertussis toxi...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2014.29.5.652

    authors: Lee SY,Han SB,Bae EY,Kim JH,Kang JH,Park YJ,Ma SH

    更新日期:2014-05-01 00:00:00

  • A case of renal crisis in a Korean scleroderma patient with anti-RNA polymerase I and III antibodies.

    abstract::Scleroderma (SSc) renal crisis has been reported to be associated with anti-RNA polymerase I and III (RNAP I/III) antibodies in Caucasians and the Japanese. However, no report is available for Korean SSc patients. Here, we describe the case of a 65-yr-old female SSc patient who developed renal crisis and whose serum c...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2006.21.6.1121

    authors: Kang EH,Im CH,Kim SH,Chung JR,Lee EY,Kim DJ,Lee EB,Song YW

    更新日期:2006-12-01 00:00:00

  • Congenital insensitivity to pain with anhidrosis: a case report.

    abstract::Congenital insensitivity to pain with anhidrosis (CIPA) is a very rare genetic disorder of the peripheral nervous system characterized by recurrent episodes of unexplained fever, generalized anhidrosis, insensitivity to pain and temperature, and accompanied by self-mutilating behavior and mental retardation. We report...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1999.14.4.460

    authors: Kim JS,Woo YJ,Kim GM,Kim CJ,Ma JS,Hwang TJ,Lee MC

    更新日期:1999-08-01 00:00:00

  • Computerized quality control of radioimmunoassay in Korea.

    abstract::Automated data processing and quality control of radioimmunoassays offer not only increased speed but also a more thorough and statistically rigorous analysis of results. An external quality assessment scheme for serum thyroxine, triiodothyronine and thyroid stimulating hormone (TSH) assays was performed in five nucle...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1988.3.3.117

    authors: Chung JK,Koong SS,Lee MH,Chung SK,Lee MC,Cho BY,Kim CY,Koh CS,Park SS

    更新日期:1988-09-01 00:00:00

  • Parasitological Observation in Schoolchildren with Urogenital Schistosomiasis Following Treatment with Three Different Brands of Praziquantel.

    abstract::This study compared the anthelminthic effects of three different brands of praziquantel being used in Sudan against Schistosoma haematobium (S. haematobium) infection. We enrolled 1,286 schoolchildren from six primary schools and examined their urine samples for eggs of S. haematobium at the baseline survey and follow...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2020.35.e394

    authors: Jin Y,Cha S,Lee J,Elhag MS,Hong ST,Lee YH

    更新日期:2020-11-30 00:00:00

  • Bilateral primary pigmented nodular adrenocortical disease--a case of report describing a rare cause of Cushing's syndrome.

    abstract::A case of Cushing's syndrome due to bilateral pigmented nodular adrenal disease in a 35-year-old male is presented. The adrenals showed multiple, black, variable sized nodules. Histologically the cells contained lipofuscin and either had a clear cytoplasm or an eosinophilic cytoplasm with a prominent nucleus. Lymphocy...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1994.9.6.450

    authors: Park YK,Kim YW,Kim JW,Choi YK,Ko YT,Ko SW,Yang MH

    更新日期:1994-12-01 00:00:00

  • Differentiation of malignant from benign pancreatic mass by Tl-201 abdominal SPECT.

    abstract::The aim of the present study was to evaluate the ability of Tl-201 abdominal SPECT to differentiate between chronic focal pancreatitis and pancreatic malignancy. Seventeen patients (12 men, 5 women; mean age, 56 years; 9 pancreatic cancer, 8 chronic pancreatitis) with pancreatic mass were prospectively investigated wi...

    journal_title:Journal of Korean medical science

    pub_type: 临床试验,杂志文章

    doi:10.3346/jkms.1995.10.2.93

    authors: Bom HS,Song HC,Kim JY,Choi SK,Rew JS,Yoon CM

    更新日期:1995-04-01 00:00:00

  • Comparison of ertapenem and ceftriaxone therapy for acute pyelonephritis and other complicated urinary tract infections in Korean adults: a randomized, double-blind, multicenter trial.

    abstract::The efficacy and safety of ertapenem, 1 g once daily, were compared with that of ceftriaxone, 2 g once daily, for the treatment of adults with acute pyelonephritis (APN) and complicated urinary tract infections (cUTIs) in a prospective, multicenter, double-blinded, randomized study. After ≥ 3 days of parenteral study ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.3346/jkms.2012.27.5.476

    authors: Park DW,Peck KR,Chung MH,Lee JS,Park YS,Kim HY,Lee MS,Kim JY,Yeom JS,Kim MJ

    更新日期:2012-05-01 00:00:00

  • Clinico-pathological Analysis of the Lungs from Patients with Lung Transplantation in a Single Institute in Korea.

    abstract::Recently, the numbers of lung transplantation (LT) has been increased in Korea. However, post-LT outcome has not been successful in all patients, which may be partially affected by the primary lung disease. Therefore comprehensive understanding in original pathological diagnosis of patients with LT would be needed for...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2015.30.10.1439

    authors: Kim H,Jeon YK,Lee HJ,Kim YT,Chung DH

    更新日期:2015-10-01 00:00:00

  • Hamartomatous gastric polyposis in a patient with tuberous sclerosis.

    abstract::A 42-year-old female diagnosed with tuberous sclerosis was found to have multiple polyps in the fundus of stomach. On histologic examination, the lesions were hamartomatous polyps. In tuberous sclerosis, many lesions occur in multiple organs and there are several reports about the frequent association of hamartomatous...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2000.15.4.467

    authors: Kim BK,Kim YI,Kim WH

    更新日期:2000-08-01 00:00:00

  • A reconstructed cohort study on the hepatitis B virus infection as a risk factor of liver cancer in Korea.

    abstract::A stable cohort (n = 369,725) was reconstructed to test the association of hepatitis B virus (HBV) infection with subsequent occurrence of liver cancer in a healthy Korean population. The cohort consisted of male beneficiaries of the Korea Medical Insurance Corporation over 30 years of age, living nationwide. The HBV ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1991.6.4.319

    authors: Yoo KY,Heon-Kim,Lee MS,Park BJ,Ahn YO,Lee HS,Kim CY,Park TS

    更新日期:1991-12-01 00:00:00

  • National Trends in Surgery for Rotator Cuff Disease in Korea.

    abstract::The objective of this study was to investigate the national trends in rotator cuff surgery in Korea and analyze hospital type-specific trends. We analyzed a nationwide database acquired from the Korean Health Insurance Review and Assessment Service (HIRA) from 2007 to 2015. International Classification of Diseases, 10...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2017.32.2.357

    authors: Jo YH,Lee KH,Kim SJ,Kim J,Lee BG

    更新日期:2017-02-01 00:00:00

  • The Different Effect of VEGF Polymorphisms on the Prognosis of Non-Small Cell Lung Cancer according to Tumor Histology.

    abstract::Vascular endothelial growth factor (VEGF) contributes to tumor angiogenesis. The role of VEGF single nucleotide polymorphisms (SNPs) in lung cancer susceptibility and its prognosis remains inconclusive and controversial. This study was performed to investigate whether VEGF polymorphisms affect survival outcomes of pat...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2016.31.11.1735

    authors: Lee S,Kang HG,Choi JE,Lee JH,Kang HJ,Baek SA,Lee E,Seok Y,Lee WK,Lee SY,Yoo SS,Lee J,Cha SI,Kim CH,Cho S,Park JY

    更新日期:2016-11-01 00:00:00

  • Legislative Issues in Disclosing Financial Conflicts of Interest to Participants in Biomedical Research: Effectiveness and Methodology.

    abstract::This research focuses on the analysis regarding disclosure of financial conflicts of interest (FCOI) after Gelsinger v. University of Pennsylvania (Penn). The main legal issue was that the participants did not have enough opportunity to make an autonomous decision about participating in the research because he was not...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,评审

    doi:10.3346/jkms.2017.32.12.1910

    authors: Kim JS

    更新日期:2017-12-01 00:00:00

  • Risk factors for death during pulmonary tuberculosis treatment in Korea: a multicenter retrospective cohort study.

    abstract::The data regarding risk factors for death during tuberculosis (TB) treatment are inconsistent, and few studies examined this issue in Korea. The purpose of this study was to evaluate baseline prognostic factors for death during treatment of adult patients with pulmonary TB in Korea. A multicenter retrospective cohort ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,多中心研究

    doi:10.3346/jkms.2014.29.9.1226

    authors: Kwon YS,Kim YH,Song JU,Jeon K,Song J,Ryu YJ,Choi JC,Kim HC,Koh WJ

    更新日期:2014-09-01 00:00:00

  • Polypoid endobronchial lung cyst with bronchoscopic removal: a case report.

    abstract::Pulmonary bronchogenic cyst in adults is rare and the typical appearance is a sharply circumscribed, round or oval nodule or mass, usually in the medial third of the lungs. Bronchial polyps are rare histopathologically distinct nonneoplastic endobronchial lesions and are classified as multiple papillomas, solitary pap...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2005.20.5.892

    authors: Kim JH,Jang AS,Park JS,Lee JH,Park SW,Koh ES,Park JS,Park CS

    更新日期:2005-10-01 00:00:00

  • Takayasu's arteritis treated by percutaneous transluminal angioplasty with stenting in the descending aorta.

    abstract::A 17-yr-old young woman was referred to our hospital with a 2-yr history of claudication of the lower extremities and severe arterial hypertension. Physical examination revealed significantly different blood pressures between both arms (160/92 and 180/95 mmHg) and legs (92/61 and 82/57 mmHg). The hematological and bio...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2008.23.3.551

    authors: Shim BJ,Youn HJ,Kim YC,Kim WT,Choi YS,Lee DH,Park C,Oh YS,Chung WS,Kim JH,Choi KB,Hong SJ,Jung SE,Hahn ST

    更新日期:2008-06-01 00:00:00

  • Lung cancer screening with low-dose helical CT in Korea: experiences at the Samsung Medical Center.

    abstract::To determine overall detection rates of lung cancer by low-dose CT (LDCT) screening and to compare histopathologic and imaging differences of detected cancers between high- and low-risk groups, this study included 6,406 asymptomatic Korean adults with >or=45 yr of age who underwent LDCT for lung cancer screening. All ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2005.20.3.402

    authors: Chong S,Lee KS,Chung MJ,Kim TS,Kim H,Kwon OJ,Choi YH,Rhee CH

    更新日期:2005-06-01 00:00:00

  • Safety and efficacy of a novel, fenestrated aortic arch stent graft with a preloaded catheter for supraaortic arch vessels: an experimental study in Swine.

    abstract::Thoracic endovascular aortic repair (TEVAR) shows limitations in cases in which the aortic pathology involves the aortic arch. The study aims were to test a fenestrated aortic arch stent graft (FASG) with a preloaded catheter for the supraaortic arch vessels and to perform a preclinical study in swine to evaluate the ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2015.30.4.426

    authors: Kim SP,Lee HC,Park TS,Ahn JH,Lee HW,Park JH,Oh J,Choi JH,Cha KS

    更新日期:2015-04-01 00:00:00

  • A case of santorinicele without pancreas divisum: diagnosis with multi-detector row computed tomography.

    abstract::A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Most cases reported previously were associated with pancreas divisum and a santorinicele without pancreas divisum is known to be rare. We recently experienced a typical case of a santorin...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2006.21.2.358

    authors: Nam KD,Joo KR,Jang JY,Kim NH,Lee SK,Dong SH,Kim HJ,Kim BH,Chang YW,Lee JI,Chang R

    更新日期:2006-04-01 00:00:00

  • Two dermoid cysts developing in an accessory ovary and an eutopic ovary.

    abstract::Accessory ovary is a rare gynecologic condition, and tumors arising in accessory ovaries are extremely rare. Accessory ovary may result from separation of migrating ovaries during embryogenesis and injuries such as inflammation and operation on normal ovary. Congenital malformations, most frequently malformations of t...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2004.19.3.474

    authors: Lim MC,Park SJ,Kim SW,Lee BY,Lim JW,Lee JH,Huh CY

    更新日期:2004-06-01 00:00:00

  • Quantitative analysis of SMN1 gene and estimation of SMN1 deletion carrier frequency in Korean population based on real-time PCR.

    abstract::Spinal muscular atrophy (SMA) is an autosomal recessive disorder, caused by homozygous absence of the survival motor neuron gene (SMN1) in approximately 94% of patients. Since most carriers have only one SMN1 gene copy, several SMN1 quantitative analyses have been used for the SMA carrier detection. We developed a rel...

    journal_title:Journal of Korean medical science

    pub_type: 临床试验,杂志文章

    doi:10.3346/jkms.2004.19.6.870

    authors: Lee TM,Kim SW,Lee KS,Jin HS,Koo SK,Jo I,Kang S,Jung SC

    更新日期:2004-12-01 00:00:00

  • Blood Pressure Curve for Children Less than 10 Years of Age: Findings from the Ewha Birth and Growth Cohort Study.

    abstract:BACKGROUND:Routine blood pressure (BP) measurement is recommended to begin at 3 years of age, but there are no national BP reference values for Korean children less than 7 years of age. Therefore, we developed sex-, age-, and height-specific BP reference values for non-overweight children aged 3-9 years. METHODS:We an...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2020.35.e91

    authors: Lee HA,Park B,Park EA,Cho SJ,Kim HS,Choi EJ,Kim NE,Park H

    更新日期:2020-03-30 00:00:00

  • B-cell complement dependent cytotoxic crossmatch positivity is an independent risk factor for long-term renal allograft survival.

    abstract::The clinical significance of positive B-cell complement-dependent cytotoxicity crossmatching (B-CDC) in renal transplant recipients remains unclear. We reviewed 20 recipients with isolated B-CDC positivity at the time of transplantation. We compared the clinical characteristics, acute rejection and long-term graft sur...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2011.26.4.528

    authors: Hwang HS,Yoon HE,Choi BS,Oh EJ,Kim JI,Moon IS,Kim YS,Yang CW

    更新日期:2011-04-01 00:00:00

  • Comparison of Early and Late Tuberculosis Deaths in Korea.

    abstract::The cause of death in patients with tuberculosis (TB) may differ according to the phase of anti-tuberculosis treatment. However, there are limited data regarding this issue in Korea. We compared the cause of death of TB patients who died during the early intensive and late continuation phase of treatment. Twenty (56%)...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2017.32.4.700

    authors: Lee J,Nam HW,Choi SH,Yoo SS,Lee SY,Cha SI,Park JY,Kim CH

    更新日期:2017-04-01 00:00:00

  • Prognostic factors of the long-term survival after transjugular intrahepatic portosystemic shunt in the treatment of gastric and esophageal variceal bleeding.

    abstract::Transjugular intrahepatic portosystemic shunt (TIPSS) is a promising method of treatment for gastric or esophageal variceal bleeding. This study was performed to determine the prognostic factors contributing to the survival of patients after TIPSS for gastric or esophageal variceal bleeding. One hundred and fifty-five...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2002.17.6.772

    authors: Kim YT,Jung MK,Cho CM,Tak WY,Kweon YO,Kim SK,Choi YH,Chung JM

    更新日期:2002-12-01 00:00:00

  • Acute diffuse phlegmonous esophagogastritis: a case report.

    abstract::Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.10.1532

    authors: Kim HS,Hwang JH,Hong SS,Chang WH,Kim HJ,Chang YW,Kwon KH,Choi DL

    更新日期:2010-10-01 00:00:00

  • Effect of Having a Usual Source of Care on Medical Expenses - Using the Korea Health Panel Data.

    abstract:BACKGROUND:There is a controversy about the effect of having a usual source of care on medical expenses. Although many studies have shown lower medical expenses in a group with a usual source of care, some have shown higher medical expenses in such a group. This study aimed to empirically demonstrate the effect of havi...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2019.34.e229

    authors: Kim D,Kim S,Park HK,Ha IH,Jung B,Ryu WH,Lee SI,Sung NJ

    更新日期:2019-09-09 00:00:00

  • Stemness evaluation of mesenchymal stem cells from placentas according to developmental stage: comparison to those from adult bone marrow.

    abstract::This study was done to evaluate the stemness of human mesenchymal stem cells (hMSCs) derived from placenta according to the development stage and to compare the results to those from adult bone marrow (BM). Based on the source of hMSCs, three groups were defined: group I included term placentas, group II included firs...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.10.1418

    authors: Sung HJ,Hong SC,Yoo JH,Oh JH,Shin HJ,Choi IY,Ahn KH,Kim SH,Park Y,Kim BS

    更新日期:2010-10-01 00:00:00