著者

肱岡 昭彦 鈴木 勝己 小林 靖幸 北條 暉幸 中島 民治

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.15, no.1, pp.9-12, 1991-09-01 (Released:2012-11-20)

参考文献数

10

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Abnormal insertions of the pectoralis minor have been reported on by many authors, Most have dealt with its extending beyond the coracoid process and attaching itself to the capsule. We, however, studied the relationship between abnomal insertions of this muscle and the coracohumeral ligament.53 cadavers, i. e.106 shoulders were examined in this study,38 males and 15 females. The age of the cadavers ranged from 43 to 93, with mean age of 67.5 years.Abnomal insertions were found in 26 of the 53 cadavers and 39 of the 106 shoulders. This abnormality presented itself more often in females than in males.The coracohumeral ligament it usualy know as the ligament which occurs from the coracoid and is inserted in the humerus, but in our study this ligament did not clearly exist.In conclusion, we consider the coracohumeral ligament to be a residual l igament of the pectoralis minor or connective tissues in a part of the capsule.

著者

瀬戸嶋 政勝 小林 靖幸 田中 宏明 栗林 善昭 井上 尚美

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.37, no.1, pp.229-233, 1988-10-25 (Released:2010-02-25)

参考文献数

6

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Since ankylosing spondylitis (A. S.) tends to be milder and less progressive in women that in men, there are great difficulties in early diagnosing A. S. in female patients. We report a case of A. S. in a woman. A 22-year-old woman with a 6-year history of A. S. was admitted to our hospital in Mar., 1987. The initial sign was gait disturbance due to severe left hip joint pain. Laboratory findings included an almost normal complete blood count, blood chemistry and urinalysis. The ESR at that time was 51mm/h, CRP was 2 puls, rheumatoid factor was negative and HLA B-27 antigen was detected.The plain roentgenogram revealed a narrowing of the joint space and an ankylosing change in the bilateral hip and sacroiliac joints. Routine X-ray examination of the spine showed an almost normal view. An open biopsy of the hip joint showed histopathologically nonspecific chronic inflammatory findings. A Tc-99m scintigram on Feb. 9, 1982 showed an increased activity area in the bilateral hips and sternoclavicular joints, in the sacroiliac joints especially in the iliac sides, and in a part of the cervical spine. This activity began in the early stage of A. S. However, a plain roentgenogram of these joints at that time showed normal findings.If history, clinical and laboratory findings lead to a suspicion of A. S., and there is little significant change by roentgenographic studies, the whole body scintigraphy is useful for the early diagnosis of A. S. in female patients.