著者

堀 克弘 吉川 玄逸 平岡 誠司 松末 吉隆 村上 元庸

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.27, no.3, pp.455-458, 2003-10-30 (Released:2012-11-20)

参考文献数

7

被引用文献数

1

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A rupture of the rotator cuff tendon may induce muscular fatty degeneration, which can be observed with computed tomography (CT) imaging. The purpose of this study was to examine the frequency of fatty degeneration in patients with a complete rotator cuff tear using CT images.Twenty shoulders in twenty eight patients (average age sixty point seven years old ) with a complete cuff tear were studied. Fatty degeneration was evaluated using CT images and assessed by Goutallier's classification. The diagnosis of rotator cuff tear was made by the examiner, after which the frequency of fatty degeneration was determined. Supraspinatus tendon ruptures were found in eleven patients, infraspinatus tendon ruptures in two, supraspinatus and infraspinatus tendon ruptures in six, supraspinatus and subscapularis tendon ruptures in eight, and all three tendons were found ruptured in three. The frequency of fatty degeneration in the infraspinatus tendon was 66.7%, while that in the supraspinatus and subscapularis tendons was 35.7% and 23.1%, respectively. Some reports have concluded that postoperative results for rotator cuff repair are inferior when fatty degeneration has occurred, thus, it is best if surgery can be performed prior to its appearance. From the results of the present study, we considered that fatty degeneration is more prevalent with the infraspinatus tendon. Therefore, when a rupture of the this tendon is suspected, an operation should be carried out as soon as possible.

著者

中川 泰彰 松末 吉隆 中村 孝志

出版者

Japan Shoulder Society

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.22, no.2, pp.161-164, 1998

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Purpose: We have previously reported that shoulder pain was the fourth, and disability was the second problem for sumo* wrestlers. We examined sumo wrestlers directly in order to study the shoulder problems in sumo.<BR>Materials and Methosds: Forty-three major league Western Japan Student Sumo Federation sumo wrestlers were examined from February to April 1997. Their means were as follows: height-174.4cm,ght-106.2kg, body mass index-34.9, age -19.3 years old and length of sumo career- 9.5 years. We obtained their past histories, present disabilities, physical examination, ranges of motion and shoulder joint laxities. Results Twenty-two cases (51%) had past histories of the shoulder problems, which were 10 cases (23%) of shoulder dislocations,5 cases (12%) of contusions,4 cases ( 9 %) of acromioclavicular dislocations and so on. Seven cases (16%) had present disabilites, which were 2cases of shoulder dislocations,2 cases of acromioclavicular joint dislocations and so on. According to this study, the less heavy sumo wrestlers tended to injure and dislocate their shoulders more, and the number who complained of shoulder problems increased, with the length of sumo careers. There were no significant influences seen between the ranges of motion, shoulder joint laxities and shoulder problems.<BR>Conclusion: The lighter sumo wrestlers tended to injure and dislocate their shoulders more. It interfered with the wrestling of sumo, who had previously dislocated their shoulder.

著者

菊地 克久 川崎 拓 奥村 法昭 笠原 俊幸 小泉 祐介 大澤 真 杉本 俊郎 藤本 徳殻 宮原 健一朗 今井 晋二 猿橋 康雄 松末 吉隆

出版者

一般社団法人 日本臨床リウマチ学会

雑誌

臨床リウマチ (ISSN:09148760)

巻号頁・発行日

vol.23, no.2, pp.119-125, 2011-06-30 (Released:2016-01-30)

参考文献数

17

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Remitting seronegative symmetrical synovitis with pitting edema(RS3PE)症候群に両側胸水を伴った症例を報告する.症例は83歳女性.炎症反応が高値で,好中球優位の滲出性胸水と手の蜂窩織炎様症状を認めた為,感染との鑑別診断に難渋した.ステロイドの増量で,手背と足背に圧痕を伴う浮腫(pitting edema)及び多発関節痛と高熱は急激に改善し,同時に胸水も劇的に改善を認めた.稀ではあるが,胸膜炎を伴うRS3PE症候群があるので注意を要する.

著者

本城 昌 上中 一泰 西澤 和也 福田 眞輔 松末 吉隆

雑誌

日本手の外科学会雑誌 = The Journal of Japanese Society for Surgery of the Hand (ISSN:09105700)

巻号頁・発行日

vol.21, no.4, pp.485-490, 2004-11-30

被引用文献数

7