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Volume 1(1); June 1988
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Clinical Analysis of the Traffic Accident Victims
Yeo Kyu Yoon, Song Cook Hong, Hoong Zae Joo, Jin Pok Kim
J Korean Soc Traumatol. 1988;1(1):5-15.
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During the two years from 1st. Jan. 1984 to 31th. Dec. 1985, we evaluated the 1,685 traffic accident victims who visited the emergency room of Kyung Hee Medical Center and Seoul National University Hospital. The results were as follows: 1.The highest incidence was in the ages of twenties to thirities and the sex ratio was 64:36, predomi-nant in male. 2.The highest month and seasonal incidence were October and during Autumn. The real accident time was more frequent during the evening, from 18 o``clock to 20 o``clock. 3.The pedestrian injury was more prevalent than passenger injury. 4.The 28.5% of accident victims was arrived at the E.R. within 30 minutes after injury. 5.The kinds of injury of the accident victims were abrasion, contusion and cerebral concusion in orders. 6.The abdominal injury following traffic accident.was 4.9% of all injury and the small bowel injury was most frequently involved by the ratio of 28.5%.
Summary
교통사고(交通事故)의 통계분석(統計分析)
J Korean Soc Traumatol. 1988;1(1):12-28.
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Summary
The Management of Traumatic Pancreatic Injuries
Byeong Woo Park, Hoon Sang Chi, Byong Ro Kim, Kyong Sik Lee
J Korean Soc Traumatol. 1988;1(1):18-44.
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Since the first pancreatic injury was reported by Traverse in 1827, the pancreatic trauma has been reported with increasing frequency due to high speed automobile accidents and other acts of violences. The morbidity and mortality of the pancreatic injuries reported in the literatures varied 30 to 50 per-cent and 10 to 32 percent respectively. In an effort to improve the results of management of patients with pancreatic injuries, authors analyed the records of twenty-nine patients with acute pancreatic injury and six patients with traumatic pan-creatic pseudocyst, who were treated at the Department of Surgery, College of Medicine, Yonsei University, over the past 7 years. The results were as follows: 1. The sex distribution was 30 males and 5 females, 29 among the were between 16 and 45 years of age. 2. Thirty-four cases were by blunt abdominal trauma and one was by stab injury. 3. The traumatic pseudocyst during the same period was six (17%). 4. The incidence requiring major pancreatic resection was sixteen cases (46%). 5. Associated injuries occurred in 12 cases (34%) and the injuried structures were duodenum, liver, small bowel and kidney in decreasing frequency. 6. The preoperative serum amylase was increased in 19 cases (54%) and it was not significant in the diagnosis of the traumatic pancreatic injuries. 7. The injured site of pancreas was 4 in the head, 6 in the neck, 10 in the body, 6 in the tail and 3 in the body and tail. 8. The operative management was simple drainage (7 cases), simple closure and drainage (6 cases), distal pancreatectomy (13 cases) and pancreaticoduodenectomy (3 cllses). 9. The postoperative complications were present in 8 cases (28%) in 29 acute pancreatic trauma; pan-creatic fistula (5), pseudocyst (4), pancreatic abscess (2) and colocutaneous fistula (1). But there was no mortality.
Summary
Management of Traumatic Subdural Hygroma -Review of 81 consecutive cases-
Chul Jee, Young Kim, Chun Kun Park, Moon Chan Kim, Dal Soo Kim, Joon Ki Kang, Jin Un Song
J Korean Soc Traumatol. 1988;1(1):28-65.
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Authors represented an analysis on 81 patients with traumatic subdural hygromas who had been ad-mitted from 1983 to 1985. All cases were diagnosed by CT scan. The results were summarized as follows: 1).The main symptoms were: headache, lowered consciousness and neurological plateau. Nine patients (8.6%) did not present any symptom. 2)In 81 cases, 43.2% had not associated head injury (simple subdural hygroma), and 54.3% were diagnosed in subacute stage (2 to 14 days). 3)A lot of patients in subacute type subdural hygroma who had contusion or had no associated head injury were getting worse in their clinical course. 4)The most common interval from trauma to diagnosis was from 2 days to 14 days, but in cases with epidural or subdural hematoma, most of subdural hygroma were diagnosed in chronic stage. 5)In cases with surgical treatment, high proportion of patients, who were over 60 years old and whose subdural hygroma were diagnosed in acute stage, showed plateau, or worsened clinical result. In cases with conservative treatment, such a clinical result was noted in lots of patients who had simple and/or subacute type subdural hygroma between 41 to 60 years old. G)Glasgow outcome scale had not relation to interval from trauma to diagnosis of subdural hygroma, but to age of patient and associated head injury. 7)Improvement in CT finding had not relation to type of treatment and clinical result, but to age of patient.
Summary
Treatment of Bony Mallet Finger
Jun O Yoon, Moon Sang Chung, Won Kyoung Park
J Korean Soc Traumatol. 1988;1(1):40-84.
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Mallet finger is a common deformity caused by injury to the extensor mechanism at the distal imer-phalangeal joint. A bony mallet finger is a similar injury, but it is associated with a fracture at the base of the distal phalanx. The various metbods advocated for the treatment of the bony mallet finger include neglect, splintage and operation. Open reduction to restore congruity of the joint surfaces has been recommanded. Because of the small size of the fracture fragement and the deforming pull of the terminal extensor tendon, inter-nal fixation is often frustraring. We have treated 7 cases of bony mallet finger with the mothod of figure of 8 tension band fixation using absorbable synthetic suture at the Deparhnent of Orthopedic Surgtery, Seoul National University Hospital from Jan. 1985 to Dec. 1986. With a stringent rating system there were five excellent and two good end results. Figure of 8 tension band fixation using absorbable synthetic suture was seemed to be one of the valuable methods in the treatment of bony mallet finger.
Summary
Clinical Experience of the Femoral Shaft Fracture in Children -Cases of Longterm follow-up of the inadequately treated femoral fracture after injury-
Jeung Tak Suh
J Korean Soc Traumatol. 1988;1(1):45-96.
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We analysed a case of birth fracture, a case of femoral shaft fracture and 2 cases of subtrochanteric fracture in a children with head trauma and other associated injuries. All of the cases we analysed were treated inadequately after injury and were treated by conservative mothod. The results were as follows: 1. A birth fracture of the femoral shaft with angulation of 45° and overriding of 1.5cm treated with hip spica cast immobilization for 10 days showed nearly complete remodeling 4 months later. 2. A 4 year old child who had fracture of femoral shaft with displacement of 2 cm showed bridging callus formation at 6 weeks after skeletal traction and nearly normal remodeling 16 months after the injury. 3. By manipulation and skeletal traction, satisafactory results were obtained in children with a case of femoral shaft fracture and 2 cases of subtrochanteric fracture which had not been treated adequatedly for 3-4 weeks after injury. 4. The coxa vara deformity occurred during the process of callus formation in a 5year old child with sub-trochanteric fracture was not corrected even 18 months after injury
Summary
Necrotizing Fasciitis of the Leg -report of Two Cases-
In Ju Lee, Nam Yong Choi, Hee Dai Lee, Won Suk Kim, Eun Ju Seo
J Korean Soc Traumatol. 1988;1(1):53-110.
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Necrotingzing fasciitis, a relatively rare but often fatal disease, was observed in two parients who sustained degloving injury in car accidents. Progression of necrosis and other clinical findings suggested necrotizing fasciitis. An open biopsy of skin and fascia established the diagnosis. Histologically, the lesion was characterzed by thrombosis of vessels, micro-abscess and focal necrosis of subcutaneous tissue and fascia with spar-ing of underlying muscle tissue at early phase. The causative organisms were Priteus and Pseudomonas in one case and Streptococcus, Enterococ-cus and Acinetobacter in the other case. The first case was effectively treated by repeated debridement and the second case needed amputa-tion as well as wide debridement-Both cases needed systemic antibiotic and fluid-electrolye correction.
Summary

J Trauma Inj : Journal of Trauma and Injury