2 0 0 0 OA 脊髄空洞症を原疾患とした神経病性肩関節症の3例
- 著者
- 原田 真一 伊藤 信之 衛藤 正雄 朝長 匡 岩崎 勝郎
- 出版者
- 西日本整形・災害外科学会
- 雑誌
- 整形外科と災害外科 (ISSN:00371033)
- 巻号頁・発行日
- vol.45, no.4, pp.1126-1130, 1996-09-25 (Released:2010-02-25)
- 参考文献数
- 5
We report neuropathic arthropathy of the shoulder joint caused by syringomyelia and discuss the method of diagnosis and treatment.Three patients were treated and their ages were 41, 52 and 55 years respectively. In case No 1, there was swelling and the rapid destruction of the shoulder joint. Synovectomy was performed, however the ROM decreased markedly. Six months later, a shoulder joint replacement was carried out and a temporaly improvement of ROM was noticed. However it became worse gradually again and after ten years later she can abduct her arm only 40 degrees. In case No. 2, the synovectomy was performed, but the destruction of the joint progressed rapidly and the joint was dislocated anteriorly 6 months later. At present she has poor abduction of 60 degrees. In case No. 3, osteosynthesis was carried out for the humeral shaft fracture 5 years ago, however non-union and neuropathic arthropathy of the shoulder joint were diagnosed 3 years. later. Present ab-duction angle is 30 degrees.All these three cases had characteristics of massive swelling, rapid and progressive destruction of humeral head with slight pain.So far in Japan, 36 cases out of 42 cases of neuropathic arthropathy of the shoulder joint was caused by syringomyelia. However, the results of these cases were not satisfactory, even after performing synovectomy, prosthesis or arthrodesis because almost all the syringomyelia cases are slow and progressive and leads to the destruction of the joint.
- 著者
- 高原 智洋 榎本 寛 原田 真一 岡野 邦彦 伊藤 茂 土井口 祐一 進藤 裕幸
- 出版者
- 西日本整形・災害外科学会
- 雑誌
- 整形外科と災害外科 (ISSN:00371033)
- 巻号頁・発行日
- vol.53, no.1, pp.101-106, 2004 (Released:2005-04-12)
- 参考文献数
- 5
- 被引用文献数
- 1 1
Primary total hip arthroplasties were performed on 74 hips between 1998 and2001 at our hospital. We used the Hardinge approach on 36 hips of patients whose age ranged from 46 to 80 years (mean : 63.2 years) and Dall approach on 38 hips of patients whose age ranged from 43 to 76 years (mean : 60.2 years). Postoperative followup was carried out for over one year (mean : Hardinge 24.0 months,Dall 39.4 months).The results revealed trochanteric tenderness in 9 Hardinge hips and 4 Dall hips more than 12 months from operation. Radiological tests indicated abnormal assification in 13 Hardinge hips and seven Dall hips, and abnormal assification with trochanteric tenderness in seven Hardinge hips and one Dall hip during the same period.
- 著者
- 江口 愛 榎本 寛 原田 真一 岡野 邦彦 伊藤 茂 銅川 博文 進藤 裕幸
- 出版者
- West-Japanese Society of Orthopedics & Traumatology
- 雑誌
- 整形外科と災害外科 (ISSN:00371033)
- 巻号頁・発行日
- vol.50, no.4, pp.1085-1088, 2001-09-25
- 参考文献数
- 7
We used SCFE screws in 8 patients with slipped capital femoral epiphysis. No hips showed further slipping after in situ pinning. Age of crisis was 11 to 16 (mean: 13.7 years old). The duration of follow-up was more than 2 years. Epiphysial closure after operation was observed at 9 to 16 months (mean: 11 months). The average JOA score before operation was 77 points, and 98 points after. There were no severe complications such as avascular necrosis, chondrolysis, or osteoarthritis. Short neck defomity was seen, but neither buried screw heads inside the cortex seen in CCS nor penetration of screw were seen.