著者

原 寛徳 伊藤 信之 衛藤 正雄 朝長 匡 ラッビ M. E. 安達 耕一

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.894-897, 1997-09-25 (Released:2010-02-25)

参考文献数

5

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This study investigated the relation ship between the slope and shape of the acromion and the spur at the antero-inferior surface of the acromion no clarify the cause of subacromial impingement. This investigation was performed with 205 scapular dry bone specimens. The specimens of 107 males were used. Their ages ranged from 20 to 83 years with an average age of 56.5 years. The presence of acromial spurs was identified. All acromions were classified visually as type I (flat), type II (curved) or type II (hooked) as described by Bigliani et al. And the slope of the acromion was measured in all specimens.A spur at the antero-inferior surface was seen in 96 acromions (46.8%). And almost all spurs were located in the anterior one third of the acromion. In all specimens, fifty-six acromions (27.3%) were type I, one hundred and eight (52.7%) were type II and forty-one (20.0%) were type III. The type of acromion was not related to the presence or absence of a spur. The average slope of all acromions was 46±8°, that of acromions with spur was 44±7° and that of acromions without spur was 49±8°. There was a significant difference between the slope of the acromion with spur and acromions without spur. From this study it can be concluded that the type of acromion had no relation ship to subacromial impingement and the flattened slope of the acromion might be one cause of subacromial impingement.

著者

原田 真一 伊藤 信之 衛藤 正雄 朝長 匡 岩崎 勝郎

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.45, no.4, pp.1126-1130, 1996-09-25 (Released:2010-02-25)

参考文献数

5

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We report neuropathic arthropathy of the shoulder joint caused by syringomyelia and discuss the method of diagnosis and treatment.Three patients were treated and their ages were 41, 52 and 55 years respectively. In case No 1, there was swelling and the rapid destruction of the shoulder joint. Synovectomy was performed, however the ROM decreased markedly. Six months later, a shoulder joint replacement was carried out and a temporaly improvement of ROM was noticed. However it became worse gradually again and after ten years later she can abduct her arm only 40 degrees. In case No. 2, the synovectomy was performed, but the destruction of the joint progressed rapidly and the joint was dislocated anteriorly 6 months later. At present she has poor abduction of 60 degrees. In case No. 3, osteosynthesis was carried out for the humeral shaft fracture 5 years ago, however non-union and neuropathic arthropathy of the shoulder joint were diagnosed 3 years. later. Present ab-duction angle is 30 degrees.All these three cases had characteristics of massive swelling, rapid and progressive destruction of humeral head with slight pain.So far in Japan, 36 cases out of 42 cases of neuropathic arthropathy of the shoulder joint was caused by syringomyelia. However, the results of these cases were not satisfactory, even after performing synovectomy, prosthesis or arthrodesis because almost all the syringomyelia cases are slow and progressive and leads to the destruction of the joint.

著者

楊井 知紀 衛藤 正雄 朝長 匡 末廣 昌嗣 岩永 斉 進藤 裕幸 相良 耕三 吉田 省二

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.49, no.2, pp.392-395, 2000-03-25 (Released:2010-02-25)

参考文献数

8

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We experienced a case of dysphasia and dysphonia due to Ankylosing spinal hyperostosis (ASH) of the cervical spine.The patient was a 78-year-old man who was admitted to the department of internal medicine in our hospital for the examination and treatment of dysphasia and Mendelson syndrome. Dysphonia appeared later. X-rays of the cervical spine showed ossification of the anterior longitudinal ligament (OALL) at the C2 to C7 regions. The patient received surgical treatment.After the removal of OALL, dysphasia and dysphonia improved. The causes of these ASH symptom are examined in this study.

著者

川口 耕平 中原 信一 崎村 幸一郎 衛藤 正雄

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.60, no.3, pp.417-421, 2011-09-25 (Released:2011-12-09)

参考文献数

7

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比較的稀な小児歯突起骨折症例の1例を経験したので報告する.症例は10歳男児.主訴:頚部痛.既往歴:脳性麻痺(低緊張型).現病歴:平成21年4月20日自動車の後部座席乗車中に後方から自動車に追突され受傷した.翌日当科受診した.著名な頚部痛を認めたが,身体所見では脳性麻痺による四肢不全麻痺あるものの新たに招じた麻痺はなかった.CTにて後方転位した軸椎歯突起骨折Anderson分類type 2を認め,8週間フィラデルフィア装具にて保存治療行い,骨癒合が得られ良好な経過となった.一般に幼小児の脊椎は柔軟で弾力性に富み,生理的可動域も大きいため脊椎損傷は稀とされおり,小児歯突起骨折は報告例が少ない.受傷した場合も患者の協力が得がたく臨床所見の把握が困難であることが多いが,損傷を見落とすと成人同様に偽関節を形成し,環軸関節が不安定となる危険性があるため注意が必要であると考えられた.

著者

橋川 健 伊藤 信之 衛藤 正雄 角 光宏 山本 尚幸 岩崎 勝郎

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.314-317, 1995-03-25 (Released:2010-02-25)

参考文献数

8

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We report on 57 cases of lateral condylar fractures of the humerus in children which were followed-up. Subjects comprised 40 boys and 17 girls with a mean age at injury of 6 years (range, 2-12 years). The follow-up period ranged from 9 months to 17 years with a mean of 7 years and 11 months. We studied the relationship between the carrying angle (C. A.), the range of motion (R. O. M.) of the elbows and the deformity of the lateral and medial condyles of the humerus after treatment. C. A. correlated with the length of the lateral and medial condyle. Limitation of flexion and extention of the elbow correlated with the length of the medial condyle. Varus or valgus deformities and limitation in the R. O. M. of the elbow after fracture of the lateral condyle of the humerus are relevant not only to the growth of the lateral condyle but also to that of the medial condyle.

著者

穂積 晃 伊藤 信之 衛藤 正雄 朝長 匡 井上 博文 進藤 裕幸

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.48, no.2, pp.524-527, 1999-03-25 (Released:2010-02-25)

参考文献数

3

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We reported a case of radial head dislocation, the pathology of which we could determine by MRI images.A 12 year old boy, who had had no traumatic history of his right elbow, was introduced to our hospital due to the flexion disturbance of his right elbow. Pre-operative MRI images showed the soft tissue at radio-capittelar joint. So we estimated it annular ligament.In the annular ligament existing in the radio-capittelar joint which was seen on MRI images. We performed only reduction of the annular ligament and radial head without reconstruction of the ligament.MRI was useful in understanding the pathology of this case, and it may be a dislocation caused by “pulled elbow” during his childhood.

著者

宮本 俊之 伊藤 信之 衛藤 正雄 朝長 匡 原 寛徳 大渡 伸 M. E. Rabbi

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.890-893, 1997-09-25 (Released:2010-02-25)

参考文献数

8

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There are rarely few reports on the clavicular motion during elevation of the extremity. This is may due to the complicated shape of the clavicle and its three-dimensional movement. The purpose of this study is to analyze the movements of clavicle by using X-ray fluoroscope.The study was performed on a 21 years old female who had clavicular fracture a year ago and had fixation with plate and screws. She had no difference on both shoulder ROM when examined. In front of X-ray fluoroscope, she was asked to abduct her arm to full in 10 seconds, and the movements were recorded on videotape. From the location of plate and screws we analyzed the clavicular motion.The clavicle rotated clockwise in its long axis when viewing from the left sagittal plane. This movement increased constantly during the elevation of arm and reached 50 degrees at maximum abduction. In Frontal view, 25 degrees of upward movement was observed, where the majority of the movement was seen within 90 degrees of elevation.