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

黒瀬 真之輔 佐々木 邦雄 角田 信昭 大屋 国益 小山 正信 池本 和人 東 良輝 内藤 正俊

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.28, no.4, pp.527-531, 1980-01-10 (Released:2010-02-25)

参考文献数

10

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Injuries to the thoracic and lumbar spine may result in severe instability with progressive neurologic defecit. Attention must be directed not only to restoring or improving neurologic function where possible, but also to promoting bony stability.We have carried out one stage decompression-stabilization procedure consisted of Harrington and anterior spinal fusion with anterior decompression in a total of 6 patients. All 6 of these with thoraco-lumbar spinal injuries had a neurogic defecit.The results have shown to be beneficial in restoring spinal alignment, allowing early mobilization of the patients, shortening rehabilitation, preventing the late complications of increasing deformity in all patients and recovering neurologic function in 4 cases with incomplete neurologic defecit.