著者

西尾 淳 緑川 孝二 柴田 陽三 城石 達光 江本 玄 緒方 公介

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.46, no.1, pp.13-18, 1997-03-25 (Released:2010-02-25)

参考文献数

6

---

We report a rare case of deltoid muscle contracture in an adult. The patient was a 40 year old female who visited our hospital complaining of pain and motion disturbance of both shoulder joints. She had received multiple intramuscular injections for migraine treatment for 5 years. Clinical examination revealed winging of the scapula and fibrous bands were seen in the intermediate part of the deltoid muscles. Strength of the deltoid muscles was normal. Adduction, external rotation and horizontal flexion of the shoulders were restricted, -25 degrees, 35 degrees, 90 degrees, respectively. Fibrous bands showed high echo images within low echo areas on ultrasonography and a low intensity area on MRI. In September 1995, surgery was performed on her right shoulder. The deltoid fascia and subcutaneous tissue were thoroughly and widely released. After resection of fibrous bands at the midpart of the deltoid muscle, range of abduction was improved during surgery. She is now able to touch the opposite shoulder with her right hand. No adductive disturbance was seen. The patient was satisfied with the surgical results and we plan on operating on her left shoulder.

著者

川村 秀哉 杉岡 洋一 廣田 良夫 井上 一 黒坂 昌弘 緒方 公介 新名 正由 藤井 克之

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.44, no.1, pp.12-15, 1995-03-25 (Released:2010-02-25)

参考文献数

6

被引用文献数

12 12

---

We measured the incidence of osteoarthritis of outpatients in six university and thirty-six general hospitals. In addition we performed a case study on osteoarthritis of the knee to investigate physical and other factors associated with severity of symptoms, uning a selfadministered questionnaire.Investigation of the hospital statistics revealed that 7.6% of all orthopeadic patients had osteoarthritis of the knee, and 70% of these cases were females. Regarding age 97% of patients were over forty years of age, and 900, 000 men and women were newly diagnosed with this disease every year.Symptoms of this disease were more severe with increasing body weight and BMI (Body Mass Index) at the time of both initial examination and at forty years of age. Bluecollar workers presented with more severe symptoms than did other workers.

著者

田原 尚直 有水 淳 緒方 公介 張 敬範 原 道也 安永 雅克 西野 一郎 高岸 宏

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.44, no.1, pp.1-3, 1995-03-25 (Released:2010-02-25)

参考文献数

5

---

We measured the intraarticular pressure in 10 knees during knee arthroscopic surgery. The average intraarticular pressure found in cases with bleeding was 53.7mmHg. When we studied the relationship between the Knee flexion angle and intraarticular pressure, we found that the minimum intrrarticular pressure occurred at 30° of knee flexion in all cases.

著者

柴田 陽三 緑川 孝二 内田 洋子 渡辺 伸彦 緒方 公介 伊崎 輝昌

雑誌

肩関節 = Shoulder joint (ISSN:09104461)

巻号頁・発行日

vol.21, no.2, pp.351-355, 1997-06-25

被引用文献数

1

著者

武田 研 緒方 公介 原 道也 星子 一郎 江本 玄 城島 宏 西野 一郎 高岸 宏

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.46, no.2, pp.480-485, 1997-03-25 (Released:2010-02-25)

参考文献数

7

---

We recognized 11 patients (9 males, 2 females) diagnosed as having Ostechondritis dissecans of the knee treated surgically from 4 months to 4 years and 2 months. Their ages ranged from 12 to 27 years old (average 16.6 years), and the sites of their lesion were medial femoral condyle 8 cases, lateral femoral condyle (patello-femoral joint) 2 cases, and patella lcase. Predisposing sports activities were recognized in 8 cases such as baseball soccer etc. We performed as surgical treatments, bone peg graft for 8 cases (included arthrosopic treatment for 5 cases), removal of loose bodies for 3 cases. We utilized MR imaging as one method of postoperative evaluation for bone peg grafted cases.

著者

葉 山泉 諌山 照刀 吉武 研三 緒方 公介

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.42, no.3, pp.1313-1317, 1993-09-25 (Released:2010-02-25)

参考文献数

12

---

Most investigators believe that fibrous cortical defects and nonossifying fibromas are simply different radiographic manifestations of the same disease process. Fibrous cortical defects are small, asymptomatic, and intracortical lesions, while a nonossifying fibroma is a large, tumorous lesion involving spongy bone and the medullary cavity of bone, and leads to clinical symptoms.A fibrous cortical defect does not require either biopsy or curettage. Asymptomatic nonossifying fibromas require no treatment, but rare symptomatic forms of the disease, and those which are great enough in size to constitute a danger of fracture, should be submitted for curettage and bone grafting.

著者

石田 高康 深堀 雄蔵 緒方 公介 張 敬範 野見山 宏

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.42, no.3, pp.1375-1378, 1993-09-25 (Released:2010-02-25)

参考文献数

7

---

Length patterns of the posterior cruciate ligament (PCL) were measured with magnetic resonance imaging of five normal human knees. All were male right knees. The average age was 25.6 years. The sagittal view showed the PCL clearly as a low signal intensity in T1 weighted imaging. We evaluated the changes in length during knee flexion from 0 to 120 degree (0, 30, 60, 90, 120 degrees). The maximum length of the PCL was at the 60 degree flexion and its minimun length at 0 and 120 degrees. This suggested that 0 degree flexion of the knee joint avoided the hyper tensile stress of the PCL and that it was a suitable position for the treatments of PCL injuries.

著者

伊崎 輝昌 緑川 孝二 柴田 陽三 緒方 公介 原 正文

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.18, no.1, pp.5-11, 1994-09-01 (Released:2012-11-20)

参考文献数

12

---

PurposeBiceps labrum complex (BLC) lesions most commonly occur during sports activities in which the arm is frequently held in an overhead position. Among the available literature there are few histological studies about BLC. The purpose of this study was to demonstrate the anatomy of BLC and its attachment to the glenoid and to evaluate the results of our treatment for BLC lesions.Materials and MethodsAnatomical Study: Sixty shoulders from 30 cadavers were studied. We recorded the appearance of the glenoid labrum and the LHB. Then, we removed the glenoid process from the scapula leaving all of the capsular insertion intact. Sections were each cut along the cornal plane and along the sagittal plane at 200-300 p m thickness on a rotary milling saw, and then ground to a 20 p m thickness. The sections were stained with Cole's hematoxylin and eosin and examined via light and polarized light microscopy.Clinical Cases:Thirty shoulders of 29 patients with BLC lesions underwent arthroscopic debridement of the superior labrum.ResultsAnatomical Study: The LHB inserted directly to the superior glenoid and its attachment extended to the middle of the posterior glenoid. The LHB was firmly attached to the superior glenoid from the edge of the glenoid rim. The attachment was gradually loose toward the middle of the posterior glenoid. The LHB was attached to a large surface of the glenoid.Clinical Cases:All patients were able to return to competitive sports.DiscussionsBased on our anatomical study, the LHB has a larger attachment area on the glenoid than had been previously reported. Therefore, we believe debridement of the superior labrum for BLC lesions preserves the LHB functions.

著者

喜多村 泰輔 石西 貴 緒方 公介 井上 敏生 副島 修 佐伯 和彦 花村 達夫

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.46, no.3, pp.809-813, 1997-09-25 (Released:2010-02-25)

参考文献数

4

被引用文献数

1

---

We investigated the relationship between Pinch strength and factors associated with activity of Rheumatoid Arthritis (RA). Subjects included 183 out-patients (366 hands) with RA who were hospitalized from April to June 1996 for at least one year. Pinch gauge (Baseline) which measures 0-5kg strength, and also grip strength were measured with an air bag connected to a mercurial column. 366 hands were assessed according to the classifications of Steinbrocker, Larsen, and Naelbuff. Results revealed that pinch strength correlated with grip strength. (Rt.: p<0.0001, Lt.: p<0.0001) However pinch strength did not correlate with patient's age, disease duration, morning stiffness, and ESR. Pinch strength measurement with a pinch gauge was useful for evaluating RA activity. It was difficult to measure grip strength in patients with advanced RA. It was useful to measure the pinch strength in patients with severe joint mutilation or immediately postoperatively.

著者

西野 一郎 緒方 公介 野見山 宏 安永 雅克 西嶋 幸司 藤原 明 山田 昌登嗣

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.42, no.3, pp.1038-1040, 1993-09-25 (Released:2010-02-25)

参考文献数

3

被引用文献数

2

---

Accelerometric measurement of gait ananlysis is a simple, inexpensive and effective way to evaluate gait and was first introduced by Liberson and colleagues. Smidt applied accelerometry to the normal and abnormal patterns of gait. Ogata used accelerometry to quantitatively vevaluate the lateral thrust of the knee and investigated the dynamic effects of a wedged insole on the thrust of OA knees.In the present study, we used an accelerometer, strain gauge and goniometer to inveshgate the effects of accelerometry on heel strike in gait analysis. The acceleration placed on the calcaneal region on heel strike appeared faster than any other measurement. Our results suggest that an accelerometer placed on the calcaneal region provides the most useful information on the exact moment when the heel strikes the ground.

著者

有薗 剛 川村 秀哉 本田 勝定 本松 伸一 杉岡 洋一 緒方 公介

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.41, no.2, pp.774-778, 1992-11-25 (Released:2010-02-25)

参考文献数

10

---

We studied 130 knees in 91 patients to determine the problems in fibula osteotomy sites following high tibial osteotomy. Fibula nonunion was seen radiologically in 20% of knees. The occurrence of nonunion was related to the length of the osteotomy site interval. Nonunion especially occurred with high frequency when the length was greater than 9mm. Nonunion could be divided into the hypertrophic and atrophic type. Gait pain around the fibula osteotomy site was frequently observed in patients who had hypertrophic nonunion.We have introduced a new fibula interlocking osteotomy which provides wide contact between the osteotomy sites to prevent occurrence of nonunion and fibula osteotomy site pain.