著者
花村 達夫 吉浦 光三 高岸 直人 松崎 昭夫
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.33, no.4, pp.1080-1084, 1985-03-25 (Released:2010-02-25)
参考文献数
8

We reviewed twenty-three cases of carpal navicular fracture visited our clinic in the past ten years. The length of follow up were one to seven years, with an average of fourty-five months. Prognosis of proximal part fractures were the worst (one fair and one poor) in comparison to that of middle and distal part. Eight cases, all of which were the symptomatic delayed union or non-union, were operated by the bone graft with or without the styloidectomy. The results of operated cases were four good, three fair and one poor. On the other hand, nontreated cases were all evaluated as good and excellent, but most of them had little symptoms when they visited our clinic. The characteristics of their roentogenograms were the absence of bone absorption at the fracture site and the stability in stress roentogenograms. Although many authors refered the carpal osteoarthritis following unstable non-union of the navicula, the result in this series may suggest that surgeons must be prudent in treatment of asymptomatic and stable non-union.
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.