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張元在,尹太鉉 조선대학교 1981 The Medical Journal of Chosun University Vol.6 No.-
Osteomyelitls is the most common bone infection of which pathogenic organisms reach the bone by direct extension from neighboring infected soft tissues, through penetrating wounds and open fractures, or by the blood stream. Hematogenous osteomyelitis, by far the most common type that caused by staphylococcus aureus, is predominantly a disease of infants and children than of adults. The author analysed pathogenic organisms on the 121 cases of osteomyelitis who had been treated at the Department of Orthopedic Surgery, Chosun University Hospital, during the period of 6 years from Jan. 1974 to Sept. 1980 and the following results were obtained. 1. The sex ratio between the male and female was 2.4:1 and the average age was 26 years old. 2. The most common site of the osteomyelitis was the tibia (40.5%) and the next was the femur(28.1%) and the humerus(14.1%). 3. The most common causative organism was staphylococcus aureus(61.5%), and the next was pseudomonas species(17.0%) 4. The drug of choice for antibiotics on the sensitivity test for the staphylococcus aureus was the cephalosporin and the minocin. But penicillin and tetracycline were resistant. 5. The gentamicin and dibekacin sulfate were very sensitive antibiotics for the pseudomonas species. Other antibiotics were resistant. 6. Gentamicin, minocin and cephalosporin were very sensitive antibiotics for Escherichia coli. But penicillin, tetracycline and liacocin were resistant. 7. Gentamicin, cephalosporin and minocin were very sensitive antibiotics for the mixed infection.
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The Prental Development of the Human Wrist and Intercarpal Joints in the Hand
Youn, Te Hyun 順天鄕大學校 1979 의대논문집 Vol.4 No.-
人服兒의 手關節과 手根關節의 發生過程을 評價하기 爲하여 著者는 頂尾長이 9㎜ 乃至 320㎜인 韓國人服兒 34분를 대상으로 하여 組織學的 觀察을 施行하였다. 이 硏究의 結果로서 下記와 같은 所見을 얻었다. 1) 手의 原基는 頂尾長이 9㎜안 분本에서 出現하였고 軟骨生成은 15㎜ 乃至 30㎜에서 完成되었으며 60㎜에서 出現하였던 triangulare는 手根部의 橈骨短과 尺骨短間에 發生하였던 關節板의 遠位部와 三角骨間에서 發見되었으나 頂尾長이 80㎜ 以上인 분本에서는 退化되어 觀察되지 못하였다. 또한 軟骨管은 月狀骨이 70㎜, 其他의 手根骨에서는 120㎜의 분本에서 各各 出現하였음을 觀察할 수가 있었다. 2) 橈舟關節腔과 橈月關節腔은 60㎜분本에서 觀察할 수가 있었으며 尺三角關節腔은 出現後 胎兒가 成熟된 未期까지 單一手關節腔으로 잔존하고 있었음을 볼 수 있었다. 또한 獨立하여 出現하였던 豆三角關節腔은 大部分의 예에서 未期에 場合手關節腔과交通하였음을 볼 수 있었고 關節膜內에 生成된 滑膜組織은 30㎜에서 血管의 侵入이 出現하였으며 滑膜의 形成은 60㎜에서,그리고 膠質線維는 110㎜에서 各各 生成됨이 觀察되었다. 3) 尺骨莖狀突起와 橈骨內測緣과의 사이에서 出現하였던 關節板은 服兒年齡의 增加에 따라서 膠質線維形成의 增加를 볼 수 있었으나 이 期間中 綠維軟骨生成만은 觀察할 수가 없었다. 그리고 橈手根인帶及 그의 副인帶의 原基는 20㎜乃至 40㎜의 胎兒에서 觀察되었고 特히 手掌部의 橈手根인帶는 月狀骨에 强하게 附着하고 있었음을 볼 수 있었으며 80㎜에서 出現하였던 莖狀突 起裂ㅁ은 120㎜에서 더욱 擴大되었었고 血管이 豊富한 滑膜絨毛가 內壁에 存在하고 었음을 觀察할수가 있었다. Histological observation was done to evaluate the developmental process of the wrist and carpal joints of human fetuses. Subjected to this study were 34 Korean fetuses of 9 to 320㎜ in. crown-rump length. The following results were obtained. The anlage of the hand appeared at 9㎜ and the chondrification was completed between 15 and 30㎜. The triangulare, appeared at 60㎜ at the site distal to the developing articular disc and the triquetrum, could not be observed after 80㎜. The cartilage canal appeared in the lunate at 70㎜ and in all carpal bones at 120㎜. Separate joint cavity, developed at 60㎜ in the radioscaphoid, radio lunate and ulnotriquetral joint became in later stage to form a single continuous joint cavity of the wrist. The pisotr iquetral joint which appeared independently developed later to have communication with the wrist joint in most of the cases. The synovial tissue was observed to have the vascular invasion at 30㎜, formation of the synovial membrane at 60㎜ and the collagenous fibers at llO㎜. The articular disc which was present at 30㎜ between the ulnar styloid process and medial margin of the radius showed the increase of the collagenous fibers in proportion to the increase of the fetal age. No fibrocartilage, however, could be found within it throughout this study. The anlage of the radiocarpal and collateral ligament could be noted at 20㎜ and at 40㎜, the palmar radiocarpal ligament was shown to have distinct attachment to the lunate. The prestyloid recess, which appeared at 80㎜ and enlarged at 120㎜, was found to have vascular synovial villi within the wall.
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The Prenatal Development of the Human Wrist and Intercarpal Joints in the Hand
Youn, Te Hyun 朝鮮大學校 醫學硏究所 1979 The Medical Journal of Chosun University Vol.- No.-
人胎兒의 手關節과 手根關節의 發生過程을 評價하기 爲하여 著者는 頂尾長이 9㎜ 乃至 320㎜인 韓國人胎兒 34體를 대상으로 하여 組織學的 觀察을 施行하였다. 이 硏究의 結果로서 下記와 같은 所見을 얻었다. 1) 手의 原基는 頂尾長이 9㎜인 體本에서 出現하였고 軟骨生成은 15㎜ 乃至 30㎜에서 完成되었으며 60㎜에서 出現하였던 triangulare는 手根部의 撓骨短과 尺骨短間에 發生하였던 關節板의 遠位部와 三角骨間에서 發現되었으나 頂尾長이 80㎜ 以上인 體本에서는 退化되어 觀察되지 못하였다. 또한 軟骨官은 月狀骨이 70㎜, 其他의 手根骨에서는 120㎜의 體本에서 各各 出現하였음을 觀察할 수가 있었다. 2) 橈舟關節腔과 橈月關節腔은 60㎜體本에서 觀察할 수가 있었으며 尺三角關節腔은 出現後胎兒가 成熟된 末期까지 單一 手關節腔으로 잔존하고 있었음을 볼 수 있었다. 또한 獨立하여 出現하였던 豆三角關節腔은 大部分의 예에서 末期에 場合手關節腔과 交通하였음을 몰 수 있었고 關節膜內에 生成된 滑膜組織은 30㎜에서 血管의 侵入이 出現하였으며 滑膜의 形成은 60㎜에서, 그리고 膠質線維는 110㎜에서 各各 生成됨이 觀察되었다. 3) 尺骨莖狀突起와 橈骨內側緣과의 사이에서 出現하였던 關節板은 胎兒年齡의 增加에 따라서 膠質線維形成의 增加를 볼 수 있었으나 이 期間中 線維軟骨生成만은 觀察할 수가 없었다. 그리고 橈手根靭帶及 그의 副靭帶의 原基는 20㎜乃至 40㎜의 胎兒에서 觀察되었고 特히 手掌部의 橈手根靭帶는 月狀骨에 强하게 附着하고 있었음을 졸 수 있었으며 80㎜에서 出現하였던 莖狀突起裂隙은 120㎜에서 더욱 擴大되었었고 血管이 豊富한 滑膜絨毛가 內壁에 存在하고 있었음을 觀察할 수가 있었다. Histological observation was done to evaluate the developmental process of the wrist and carpal joints of human fetuses. Subjected to this study were 34 Korean fetuses of 9 to 320mm in crown-rump length. The following results were obtained. The anlage of the hand appeared a t 9mm and the chondrification was completed between 15 and 30mm. The triangulare, appeared at 60mm at the site distal to the developing articular disc and the triquetrum, could not be observed after 80mm. The cartilage canal appeared in the Iunate at 70mm and in all carpal bones at 120mm. Separate joint cavity, developed at 60mm in the radioscaphoid, radiolunate and ulnotriq-uetral joint became in later stage to form a single continuous joint cavity of the wrist. The pisotriquetral joint which appeared independently developed later to have communication with the wrist joint in most of the bases. The synovial tissue was observed to have the vascular invasion at 30mm, formation of the synovial membrane at 60mm and the collagenous fibers at 110mm. The articular disc which was present at 30mm between the ulnar styloid process and medial margin of the radius showed the increase of the collagenous fibers in proportion to the increase of the fetal age. No fibrocartilage, however, could be found within it throu-ghout this study. The anlage of the radiocarpal and collateral ligament could be noted at 20mm and at 40mm, the palmar radiocarpal ligament was shown to have distinct attachment to the lunate. The prestyloid recess, which appeared at 80mm and enlarged at 120mm, was found to have vascular synovial villi within the wall.
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