著者

田山 尚久 森久 喜八郎 下田 敏文 高杉 紳一郎 弓削 至

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.41, no.1, pp.131-133, 1992-11-25 (Released:2010-02-25)

参考文献数

9

---

This paper reports a rare case of fracture-dislocation of the hamatometacarpal joint. A 25-year-old right-handed man was involved in a fistfight and struck a wall with his left fist. He was examined at our hospital 5 days after injury and found to have swelling and tenderness in the vicinity of the fourth and fifth CM joints. Radiographs of the hand revealed dorsal dislocations of the bases of the fourth and fifth metacarpal accompanied by a dorsal oblique intra-articular fracture of the distal hamate and an avulsion fracture of the base of the fourth metacarpal. Treatment consisted of closed reduction and percutaneous fixation with Kirschner wires. Three years after his injury, the patient is asymptomatic, working at his previous job, with a full ROM of all joints of his left hand wrist and normal grip strength.

著者

河野 修 芝 啓一郎 植田 尊善 大田 秀樹 森 英治 加治 浩三 弓削 至

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.53, no.2, pp.291-293, 2004-03-25

参考文献数

2

---

Large curves between 50 and 80 degrees progress after skeletal maturity in untrated idiopathic scoliosis. In patients treated surgically for idiopathic scoliosis, curves sometime progress after removal of spinal instrumentation. Twenty-seven patients were evaluated to quantitate curve progression after removal of spinal instrumentation and identify factors leading to curve progression. Curve progressed in nine out of the twenty-seven patients. Curve progression is related to only curve magnitude, and not to correction rate, interval between operation and removal of spinal instrumentation, age, Rissers sign, type of scoliosis (adolescent, juvenile, infantile) , and spinal balance.