1 0 0 0 OA 女性の強直性脊椎炎
- 著者
- 瀬戸嶋 政勝 小林 靖幸 田中 宏明 栗林 善昭 井上 尚美
- 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.37, no.1, pp.229-233, 1988-10-25 (Released:2010-02-25)
- 参考文献数
- 6
Since ankylosing spondylitis (A. S.) tends to be milder and less progressive in women that in men, there are great difficulties in early diagnosing A. S. in female patients. We report a case of A. S. in a woman. A 22-year-old woman with a 6-year history of A. S. was admitted to our hospital in Mar., 1987. The initial sign was gait disturbance due to severe left hip joint pain. Laboratory findings included an almost normal complete blood count, blood chemistry and urinalysis. The ESR at that time was 51mm/h, CRP was 2 puls, rheumatoid factor was negative and HLA B-27 antigen was detected.The plain roentgenogram revealed a narrowing of the joint space and an ankylosing change in the bilateral hip and sacroiliac joints. Routine X-ray examination of the spine showed an almost normal view. An open biopsy of the hip joint showed histopathologically nonspecific chronic inflammatory findings. A Tc-99m scintigram on Feb. 9, 1982 showed an increased activity area in the bilateral hips and sternoclavicular joints, in the sacroiliac joints especially in the iliac sides, and in a part of the cervical spine. This activity began in the early stage of A. S. However, a plain roentgenogram of these joints at that time showed normal findings.If history, clinical and laboratory findings lead to a suspicion of A. S., and there is little significant change by roentgenographic studies, the whole body scintigraphy is useful for the early diagnosis of A. S. in female patients.
1 0 0 0 ロッキングプレートを用いた脛骨顆外反骨切り術による治療経験
1 0 0 0 宮崎県高校野球選手に対する傷害調査
- 著者
- 江口 愛 榎本 寛 原田 真一 岡野 邦彦 伊藤 茂 銅川 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.50, no.4, pp.1085-1088, 2001-09-25
- 参考文献数
- 7
We used SCFE screws in 8 patients with slipped capital femoral epiphysis. No hips showed further slipping after in situ pinning. Age of crisis was 11 to 16 (mean: 13.7 years old). The duration of follow-up was more than 2 years. Epiphysial closure after operation was observed at 9 to 16 months (mean: 11 months). The average JOA score before operation was 77 points, and 98 points after. There were no severe complications such as avascular necrosis, chondrolysis, or osteoarthritis. Short neck defomity was seen, but neither buried screw heads inside the cortex seen in CCS nor penetration of screw were seen.
1 0 0 0 OA Locking plateを用いて一期的に矯正骨切り術を施行した脛骨変形治癒骨折の1例
- 著者
- 生田 拓也 坂口 満
- 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.59, no.4, pp.681-683, 2010-09-25 (Released:2010-12-08)
- 参考文献数
- 3
- 被引用文献数
- 1
脛骨の変形治癒骨折に対して一期的に矯正骨切り術を施行後,locking plateを用いて内固定を行い良好な結果を得たので報告した.症例は58歳,男性.18歳時に交通事故で右脛腓骨骨折を受傷し,保存的治療を受けた.X線所見にて右膝の内側型変形性関節症を認め,脛骨上中1/3の部位にて約21°の内反変形を認めた.手術はまず腓骨を切骨し脛骨変形中心部にて骨切り,open wedgeにて矯正を行いlocking plateにて内固定を行った.術後6ケ月の現在,骨癒合良好で右膝痛も軽快しておりADLに支障はなく,正座も可能である.変形治癒骨折の矯正骨切術の方法としては従来のプレートによる方法では矯正位の獲得は容易であるがプレートのbendingを細かく行わないとスクリューで骨皮質をプレートに引き寄せる際に矯正位を失う可能性がある.locking plateにて内固定は矯正位の保持が容易であり有用であった.