著者

藤田 裕 野中 崇大 原田 豪人 片岡 正尚 原 弘明 福井 宣善 福塚 美穂 宮﨑 博子

出版者

日本スキー学会

雑誌

スキー研究 (ISSN:1349449X)

巻号頁・発行日

vol.16, no.1, pp.29-33, 2019 (Released:2020-04-24)

参考文献数

7

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Knee is the most frequent joint to be injured among skiers. We report a case who suffered destructive osteoarthrosis of unilateral knee and could return to skiing after combined treatments including total knee arthroplasty, rehabilitation and wearing knee brace. 69 years old man has been skiing for more than 50 years. He has been suffering from left knee pain these 3 years. Though conservative treatments such as taking NSAIDs and wearing knee brace were tried, his left knee pain was not relieved. He was consulted to our hospital and agreed to take total knee arthroplasty( TKA). The operation was performed under general anesthesia and KU type( Kyocera Medical Co., Ltd.) artificial joint was fixed with polymethyl-methacrylate bone cement to the bones. Rehabilitation was started postoperative day 1. He was discharged to the home postoperative day 33. Hard knee brace was applied during skiing to reinforce stability of the operated knee. 9 months after the operation, he could ski at the gentle slope and at 1 year at the steep slope in the Alps area in Switzerland. He was able to ski also in next season without pain and functional condition of his left knee is maintained at 2 years postoperative. Combination of TKA, rehabilitation and wearing knee brace are essential to return and to keep skiing for damaged knee.

著者

原田 豪人

出版者

東京女子医科大学

雑誌

若手研究(B)

巻号頁・発行日

2009

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外来の初診患者で、大うつ病性障害などの症例に対し抗うつ薬の投与を行った。前方視的に抗うつ薬の投与後の1ヶ月以内のactivation syndrome(AS)(不安、焦燥、パニック発作、不眠、苛々感、敵意、衝動性、アカシジア、軽躁、躁)の発現頻度を調査した。その結果ASの発現頻度は7.4%で第一親等の気分障害の遺伝負因および大うつ病性障害の診断においてASの発現頻度に統計学的有意差がみられた。また遺伝子多型解析のための静脈血採血をAS発現群およびコントロール群に対して行った。