著者

今釜 哲男 服部 奨 小山 正信 河合 伸也 東 良輝 繁冨 頼雄 小田 裕胤 井之川 義典 多原 哲治

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.27, no.4, pp.559-563, 1978-12-25 (Released:2010-02-25)

参考文献数

16

被引用文献数

1

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Vascular tests for thoracic outlet syndrome are considered to be one of the important diagnostic aid in order to determine the localization and the severity of neurovascular lesion at the thoracic outlet region. However, the mechanism and significance of vascular tests are still unclear.This is to report our clinical and autopsial study to try to clarify the exact meanings of each vascular test.Materials are 72 cases in 48 patients with thoracic outlet syndrome (46 cases in 39 patients recieved first rib resection) and 21 cases of exploration in autopsy.Positive Adson's test, although the incidence is quite low, may suggest severe lesion at the scalen triangle. Eden's test indicate lesions at the costo-clavicular space. In this positive the clavicle moves most to the posteromedial direction among the various positions. Abduction-external rotation test and Wright's test show neurovascular compression mainly at the costo-clavicular region and partly at the scalen triangle. These positions make the neurovascular bundle tracted foward the lateral. Compression at the subcoracoideal region is not the main cause in Wright's test.

著者

服部 奨馬 脇坂 圭一

出版者

日本建築学会

雑誌

東海支部研究報告集 (ISSN:13438360)

巻号頁・発行日

no.52, pp.721-724, 2014-02-17

著者

礒部 憲二 服部 奨 早川 宏 森脇 宣允 新田 昭二 河内山 正 小田 裕胤

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.22, no.4, pp.446-449, 1973 (Released:2010-02-25)

参考文献数

11

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We experienced congenital anomalies of the cervical spine among 4961 patients in our clinic.These anomalies were analyzed 77 cases of congenital cervical vertebral fusion (C2-C3: 28, C5-C6: 13, C3-4: 12, Occ-C1: 9 and others), 14 cases of spina bifida occulta, 125 cases of posterior ponticle of atlas, and one case of os odontoideum.Among congenital cervical vertebral fusion 14 cases of myelopathy were observed, of which 4 cases were operated.Congenital fusion of lower cervical vertebrae affected commonly degeneration of adjacent vertebral disc.Congenital fusion of the occiput and the first vertebra is more frequently complicated with basilar impression and atlantoaxial subluxation.