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고영도,국성환 대한척추외과학회 2011 대한척추외과학회지 Vol.18 No.3
Study Design: This is a case report. Objectives: We wanted to report on the spontaneous dissolution of acute spontaneous epidural hematoma of the cervical spine and the effectiveness of conservative treatments, in the cases where the symptoms related to spontaneous epidural hematoma improve by themselves in a short period. Summary of Literature Review: Cases of acute spontaneous epidural hematoma of the cervical spine are rarely reported; surgical decompression procedures have been performed in most of the cases as treatment. However, there are some reported cases of hematoma dissolving spontaneously after a certain period of conservative treatment. Material and Methods: A 29 year-old female, who had no history of recent trauma, appealed neck pain with radiating pain in her upper right extremity due to acute epidural hematoma of the cervical spine which was diagnosed with MRI. The neck pain and radiating pain showed early recovery and gradual improvement during a period of the following 7 days after occurrence. MRI studies were done after 3days, 7days, and 1 month from the day of occurrence of the symptoms. Results: In comparing MRI studies there were significant decreases in the sizes of hematoma, which implied spontaneous dissolution. Almost all the symptoms related to acute spontaneous epidural hematoma vanished after a 1-month period of conservative treatment. Conclusions: Decompressive surgical procedure may not be necessary, if the symptoms related to spontaneous epidural hematoma improve by themselves in short period of conservative treatment. Key Words: Cervical, Epidural hematoma, Spontaneous, Resolution
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Acute Osteomyelitis of the Humeral Head after Arthroscopic Rotator Cuff Repair
신상진,정병진,국성환,신승준 대한견주관절학회 2013 대한견주관절학회지 Vol.16 No.2
A 57-year-old man who simultaneously underwent an operation for repair of rotator cuff and a revision operation for nonunion of a Pilon fracture presented with osteomyelitis of the humeral head on the 19th day after surgery due to MRSA (Methicillin-resistant Staphylococcus aureus) infection. Infection was controlled after administration of appropriate intravenous antibiotic therapy and performance of several surgical procedures. However, devastating defects at the humeral head and the rotator cuff remained. No case of short term MRSA induced osteomyelitis has been reported.
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Acute Osteomyelitis of the Humeral Head after Arthroscopic Rotator Cuff Repair
Sang-Jin Shin(신상진),Byoung-Jin Jeong(정병진),Seung Hwan Kook(국성환),Sung-Joon Shin(신승준) 대한견주관절의학회 2013 대한견주관절학회지 Vol.16 No.2
회전근개 전층 파열과 원위 경골 관절면 골절 불유합을 동시에 시행한 57세 남자가 수술 19일만에 MRSA (Methicillin-resistant Staphylococcus aureus)에 의한 상완골두 급성 골수염이 발생하였다. 골수염은 3차례의 수술과 정맥 항생제 요법으로 치료되었으나 상완골두와 회전근개 결손은 남아있었다. MRSA에 의한 상완골두 골수염은 보고된 바가 없기에 문헌고찰과 함께 보고하는 바이다. A 57-year-old man who simultaneously underwent an operation for repair of rotator cuff and a revision operation for nonunion of a Pilon fracture presented with osteomyelitis of the humeral head on the 19<SUP>th</SUP> day after surgery due to MRSA (Methicillin-resistant Staphylococcus aureus) infection. Infection was controlled after administration of appropriate intravenous antibiotic therapy and performance of several surgical procedures. However, devastating defects at the humeral head and the rotator cuff remained. No case of short term MRSA induced osteomyelitis has been reported.
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