著者
菊川 和彦 奥平 信義 福永 由美子
出版者
中国・四国整形外科学会
雑誌
中国・四国整形外科学会雑誌 (ISSN:09152695)
巻号頁・発行日
vol.6, no.2, pp.377-382, 1994-09-28 (Released:2009-03-31)
参考文献数
14

We reported a case of ossification at the insertion of both Achilles tendons which is reportedly rare condition.The patient, forty-seven years old, suffered from severe pain at the insertion of bilateral Achilles tendons. He had no systemic, metabolic, or inflammatory disease and there was no history of trauma or surgery. He was successfully treated by excision of ossified mass in both Achilles tendons.In this case, the etiology of ossification may be secondary to minor trauma at the insertion of Achilles tendon. The ossified mass is usually asymptomatic and needs no treatment, but if it becomes painful, the excision of it should be considered. The recurrence of ossification is rare, but the careful course observation of this condition should be required.
著者
夏 恒治 望月 由 平松 武 柏木 健児 安達 長夫 菊川 和彦 白川 泰山 大前 博路 横矢 晋 奥平 信義
出版者
日本肩関節学会
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.28, no.3, pp.453-457, 2004-08-30 (Released:2012-11-20)
参考文献数
14
被引用文献数
1

CT-osteoabsorptiometry gave us the information about the distribution of mineralization of subchondral bone plate (DMSB). DMSB reflected the stress distribution of joint surface. We analyzed the stress distribution of glenoid cavities in throwing injures of the shoulder by CT-osteoabsorptiometry. Twenty eight patients with throwing injuries of the shoulder,24 patients with other shoulder disorders, and 4 healthy volunteers without any shoulder disorders were evaluated in this study. Group T included 28 affected shoulders of patients with throwing injuries of the shoulder. Group C included 60 non-affected shoulders of all subjects. Three dimensionally reconstructed computed tomograms (3D-CT) and DMSB of the glenoid cavities were filmed before the series of treatment. The glenoid cavity was divided into 7 areas; anterior-superior, anterior, anteriorinferior, posterior-inferior, posterior, posterior-superior and center area. The value of each area was classified into 4 grades. In group C, the mean value of the anterior-superior areas was significantly higher than those of the other areas. Meanwhile in group T, the highest mean value was that of the anterior-superior area. However, the mean values of anterior, posterior, and posterior-inferior areas were significantly higher than those of group C. The form of glenoid cavity in group T evaluated by 3D-CT showed the posterior and posterior-inferior enlargement of the glenoid cavity, which could be interpreted as a Bennett's lesion. Our results supported the hypothesis that a Bennett's lesion would be a reactive bone growth against stress onto the glenoid cavity.
著者
菊川 和彦 奥平 信義 糸谷 友志
出版者
Japan Shoulder Society
雑誌
肩関節 (ISSN:09104461)
巻号頁・発行日
vol.35, no.2, pp.681-683, 2011

We report a rare case of humeral avulsion of middle glenohumeral ligament. A 35-year-old male, who had a 10-year career of gymnastics felt an apprehension of subluxation in his left shoulder. By moving his shoulder forward, he felt a subluxation and at the end stage of flexion he felt a click and a dull pain. Tenderness of rotator interval, crank test and relocation test were all positive. MRI revealed MGHL injury or HAGL lesion. Arthroscopic examination revealed humeral avulsion of middle glenohumeral ligament. Repair of MGHL by suture anchor method was performed. Postoperatively, there was good relief of pain and apprehension of subluxation. MGHL injury was mostly of joint side avulsion, humeral avulsion of MGHL injury was very rare. Diagnosis of MGHL injury is difficult, but careful inquiry into medical history and clinical examination can lead to proper diagnosis.