著者

真田 京一 吉村 一朗 金澤 和貴 萩尾 友宣 蓑川 創 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.65, no.3, pp.493-496, 2016-09-25 (Released:2016-12-06)

参考文献数

6

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【目的】今回Maisonneuve骨折に対し,吸収性螺子を用いて脛腓間固定を行った2症例を経験したので報告する.【症例1】63歳男性.階段を踏み外し転倒して受傷.単純X線でMaisonnueve骨折を認めた.内果骨折に対し骨接合術及び脛腓間を4.5mm吸収性螺子2本で固定した.術後1年で骨癒合良好であり内果の螺子の抜釘,吸収性螺子のヘッドの除去を行った.【症例2】53歳男性.ソフトボール中下腿外側へ他選手が乗り受傷.単純X線でMaisonnueve骨折を認めた.足関節鏡及び脛腓間を4.5mm吸収性螺子2本で固定した.【考察】従来遠位脛腓間固定には金属製螺子を使用されることが多かったが,抜釘の必要性や荷重の時期などが問題となる.吸収性螺子を使用することで,抜釘の必要性がなくなり早期の機能回復が期待できる.今回Maisonneuve骨折の2症例に対し吸収性螺子を用いた脛腓間固定を行い良好な成績を得ることができた.

著者

萩尾 友宣 柴田 陽三 篠田 毅 伊崎 輝晶

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.35, no.3, pp.837-840, 2011 (Released:2011-12-21)

参考文献数

9

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Proprioception was studied in rotator cuff tear and normal shoulder using active angle reproduction test. Subjects and methods: In cuff tear group(RCT), 33 cases (33 shoulders) were studied. They were 19 males and 14 females, their average age was 66.4 years.The average active elevation angle was 112.4° and the average external rotation angle was 51.4°. As a control group (C), 20 cases (20 shoulders) who had not had previous injury or disease in their shoulder were studied. Average elevation angle was 160.3° and average external rotation angle was 61.9°. The subjects were studied sitting on a chair and had a bandage put over their eyes. They rotate or elevate their shoulder to any angle. The difference absolute values between average of 3 times of reproduction of the angle and the target angle were studied. The target angles were 30° of internal rotation, 30° and 45° external rotation, 30°, 45° and 60° of elevation. In 30° of IR, error angle revealed 7.0° in RCT and 2.6° in C group (P<0.01). These were 4.6° and 2.5°(P<0.01) in 30° of ER, 3.6° and 2.5°(P=0.15) in 45° of ER. These were 4.0° and 2.1° in 30° of elevation (P<0.05), 4.1° and 1.9° in 45° of elevation (P<0.01), 4.8° and 2.4° in 60° of elevation(P<0.01). Proprioception of rotator cuff tear was lower than that of normal shoulder.