著者

栄 輝己 水岡 二郎 野村 一俊 田嶋 光

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.34, no.3, pp.837-840, 1986 (Released:2010-03-16)

参考文献数

3

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In the vertebral anomalies, congenital synostosis of the cervical vertebrae is not uncommon. In 1912, Klippel and Feil examined a patient with the unusual clinical findings of marked shortening of the neck, low posterior hairline and severely restricted neck motion. Since that time, it has been well known as Klippel and Feil syndrome.During past 3 years, we treated 4 cases surgically which showed cervical disc herniation and cervical spondylotic radiculopathy in the adjacent vertebrae.All cases are male with age range from 45 to 72 years old (average 52). Congenital synostosis of C3-4 vertebrae was seen in 2 cases, C4-5 in 1 case, and synostosis of occipit to CI, C2 in 1 case. Except one case, cevical disc herniation and cervical spondylotic radiculopathy was found in the disc space below the synostosis of cervical vertebrae.

著者

辻 王成 岡元 勉 野村 一俊 前川 清継

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.63, no.3, pp.634-637, 2014-09-25 (Released:2014-11-11)

参考文献数

7

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新規骨粗鬆症治療薬のデノスマブ(プラリア)はRANKリガンドを標的とするヒト型モノクローナル抗体である.海外で椎体および大腿骨近位部骨折発生リスクを有意に減少させており,本邦でも期待がもたれる.主な副作用として低カルシウム(Ca)血症がある.2013年7月~9月の期間,骨粗鬆症患者に対し,デノスマブ60mgを皮下注射し,カルシウム,天然型ビタミンD配合剤を併用し治療開始前と投与後1,2,4週に血液検査を行い,血清Ca値と骨吸収マーカーを測定し,実臨床での副作用と早期の治療効果判定を行った.国内第II,III相試験での低Ca血症の発生頻度はそれぞれ0.6%,0.8%であったが,本研究では1週後に12%,2週後に7%であった.原因として,本研究の対象患者の平均年齢が79.4歳と高く腎機能低下の影響が推測され,超高齢者には活性型ビタミンDの事前投与が望ましいと考える.また,投与2週間でTRACP-5bは62.1%低下しており,BP製剤を超える強力な骨吸収抑制効果を確認した.

著者

平野 真子 野村 一俊

出版者

Japan Shoulder Society

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.24, no.3, pp.387-393, 2000

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We examined the relationship between effusion of MRI findings and the clinical symptoms. Materials and methods: We examined MRI findings in patients with periarthritis scapulohumeralis. We excluded cuff tears, calcified tendinitis, instability of the shoulder fractures and impingement syndrome in young patients. The subjects comprised 75 cases 77 shoulders (45 men and 30 women), with an average age of 58.3 years (range 40-78). Scanning was performed on a Gyroscan T5- II 0.5-T (Philips). T1-weighted and T2-Weighted sequences in the coronal oblique plane, T2-weighted sequences in the coronal sagittal plane and horizontal plane were taken.<BR>Results: Degeneration of the rotator cuff was observed in 34 shoulders. Joint effusion was observed in 68.8% of glenohumeral joints, and 23.4% of subacromial bursa.69.4% had effusion in the sheath of the long head of the biceps long tendon. We studied the relationship between the MRI findings and the clinical symptoms.<BR>Conclusion: Glenohumeral joint effusion was observed in 68.8%. This suggested that there was arthritis in cases of periarthritis scapulohumeralis. We could not find a clear relationship between the effusion the clinical symptoms.

著者

野村 一俊 渡辺 充伸

出版者

医学書院

巻号頁・発行日

pp.969-972, 2013-10-25

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大腿骨転子部骨折の骨接合術後に低出力超音波パルス(LIPUS)照射を加えることにより骨癒合を促進できれば,ラグスクリューのカットアウトを減少させることができ,術後の荷重時痛を早期に軽減でき入院期間が短縮できる.一方,LIPUS治療の診療報酬(5,000点)の算定は,開始時に1回しか算定できないため,回復期医療機関のLIPUS治療への理解と協力が得られなければ治療の継続は困難である.理解と協力を得るためには,地域連携クリティカルパスの活用が有用である.

著者

平野 真子 野村 一俊 橋本 伸朗 福元 哲也 寺本 弘

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.1, pp.30-33, 1997-03-25

参考文献数

6

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We have used a continuous passive motion device (CPM Armciser&trade;) for treating 26 shoulder joint diseases in our clinic.<br>Nine patients with rotator cuff tear had CPM applied prior to surgery and re-applied after removal of the abduction brace at about 6 weeks post-operatively. Seven with frozen shoulder had CPM used before and immediately after surgery.<br>We found several difficulties associated with the use of CPM. Fitting of the patient's arm to the CPM is poor and a lot of time is required to fix the patient's upper extremity to the CPM properly.<br>Improvements in the CPM which we used are required to make it easy and safe to use.

著者

平野 真子 野村 一俊 橋本 伸朗 福元 哲也 浦田 伸一

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.48, no.1, pp.158-161, 1999-03-25 (Released:2010-02-25)

参考文献数

7

被引用文献数

2 4

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Most reports on the results of treatment of tears of the rotator cuff have included surgical results, and only a few results of long-term therapy in non-surgically treated patients have been reported. We followed up non-surgically treated patients whose course had been monitored, and performed questionnaire surveys and direct examinations about 2, 6 and 19 years after the start of follow-up.The subjects were 14 conservatively treated patients diagnosed with the complete tear of the rotator cuff by shoulder arthorgraphy in our department during the 3-year period between 1986 and 1989 and whose course had been known at the time of the survey in 1990 and 1994 and 1998. They could be followed up by questionnaire and direct examination.Their mean age at the time of the initial examination was 61.6 years, and the mean follow-up period was 10.2 years. Patients with only slight pain after initial conservative treatment and who did not want to undergo surgery, were treated conservatively.The evaluation was based on the scoring of JOA. All but 2 had favorable long term courses.

著者

野村 一俊 熊本 一朗 坂本 すが

出版者

篠原出版新社

雑誌

イザイ

巻号頁・発行日

vol.1, no.1, pp.24-29, 2006-09