著者

島田 政博 渡辺 英夫 鶴田 敏幸 森山 和幸 陣内 卓雄

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.1, pp.148-150, 1985-07-25 (Released:2010-03-16)

参考文献数

5

---

A case of electrical burn injury was reported. After coming into contact with high tension electrical current (20, 000 volt), severe electrical burns of bilateral forearms and lower extremity were evoked. Immediately, débridement of the wounds was made, however, circulation distrubance of the blood vessels arose, which enhanced degeneration and necrosis of the soft tissue. Within a month, three limbs amputations were done, and he was survived and recovered fortunately. The patient is doing training of prosthesis exercise at present.

著者

尾上 英俊 飯田 博幸 木村 一雄 有永 誠

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.39, no.2, pp.774-776, 1990-10-25 (Released:2010-02-25)

参考文献数

4

---

During past 2 years from 1987 to 1989, 30 fingers of 22 cases of finger tip injuries and finger amputations were treated conservatively using aluminium foil (aluminium for cooking). The dressing was changed fist on the following day of injury and then every three days.The average wound healing period was 32.7 days, ranging from 26 to 38 days. The created stump was free from severe pain and tenderness and tolerated daily use excellently.The injured finger tip was packed by aluminium foil, so that the wound was always wet and epithelialization was promoted and a round shaped stump was created.The conservative therapy for finger tip injuries is economical and simple, and the result is stable regardless the ability of the doctors.

著者

福岡 真二 野村 茂治 桑野 正 安部 秀顕 佐々木 賀一

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.37, no.4, pp.1527-1531, 1989-02-25 (Released:2010-02-25)

参考文献数

4

---

A case report of a 12-year-old male with heterotopic ossification of the patellar tendon is presented. He was a baseball player and came to our clinic with the complaint of bilateral gonalgia after exercise. We diagnosed the case as Osgood-Schlatter disease. Inspite of the conservative treatment, a fragment was separated from the tibial tuburcle. The ossicle moved to the central portion of the patellar tendon, increasing its size.

著者

西尾 淳 緑川 孝二 柴田 陽三 城石 達光 江本 玄 緒方 公介

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.1, pp.13-18, 1997-03-25 (Released:2010-02-25)

参考文献数

6

---

We report a rare case of deltoid muscle contracture in an adult. The patient was a 40 year old female who visited our hospital complaining of pain and motion disturbance of both shoulder joints. She had received multiple intramuscular injections for migraine treatment for 5 years. Clinical examination revealed winging of the scapula and fibrous bands were seen in the intermediate part of the deltoid muscles. Strength of the deltoid muscles was normal. Adduction, external rotation and horizontal flexion of the shoulders were restricted, -25 degrees, 35 degrees, 90 degrees, respectively. Fibrous bands showed high echo images within low echo areas on ultrasonography and a low intensity area on MRI. In September 1995, surgery was performed on her right shoulder. The deltoid fascia and subcutaneous tissue were thoroughly and widely released. After resection of fibrous bands at the midpart of the deltoid muscle, range of abduction was improved during surgery. She is now able to touch the opposite shoulder with her right hand. No adductive disturbance was seen. The patient was satisfied with the surgical results and we plan on operating on her left shoulder.

著者

田原 尚直 有水 淳 緒方 公介 張 敬範 原 道也 安永 雅克 西野 一郎 高岸 宏

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.1-3, 1995-03-25 (Released:2010-02-25)

参考文献数

5

---

We measured the intraarticular pressure in 10 knees during knee arthroscopic surgery. The average intraarticular pressure found in cases with bleeding was 53.7mmHg. When we studied the relationship between the Knee flexion angle and intraarticular pressure, we found that the minimum intrrarticular pressure occurred at 30° of knee flexion in all cases.

著者

花田 弘文 後藤 三晴 尾崎 勝博 宮本 浩幸

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.1, pp.165-168, 1999-03-25 (Released:2010-02-25)

参考文献数

8

---

175 high school basketball players in Miyazaki were studied with regard to basketball injuries through questionnaires on the history of knee and ankle injuries and basuketball shoes. Many players were found to high-top shoes to decrease ankle sprains. They mentioned the need for basketball shoes that are soft and stable with better spring. Many prevention of ankle sprains.We emphasize the importance of checking shoes and footwork when examining players. In the future, we will conduct further studies on the relationship of injuries and shoes.

著者

佐々木 誠人 鈴木 勝己 古川 英樹

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.38, no.3, pp.1199-1201, 1990-03-25 (Released:2010-02-25)

参考文献数

6

被引用文献数

2

---

In a selected group of 1 year to 70-year-old Japanese, 720 healthy subjects (380 males and 340 females) were investigated by examinating the joint hypermobility with the scoring system devised by Carter and Wilkinson.The following results were obtained. Joint hypermobility was greater in females than males. Joint hypermobility of upper limb was greater than that of the lower limb joint laxity decreased with age.

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

---

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

萩原 博嗣

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.63, no.1, pp.126-128, 2014

---

注射による大腿四頭筋拘縮症は乳幼時期に頻回に受けた筋肉内注射が原因であり,本邦で1973年以来大量発生が報告された.近年の新たな発症は無いと思われるが,診断されないままに経過していた1例を治療する機会があったので報告する.症例:44才 女性.主訴:歩容異状,走行困難 乳児期に近医でγ―グロブリン筋注を両大腿部に10回以上受けた.幼時期から歩容異常があったが原因不明と言われ,走ることを避けていた.最近インターネットで調べて自己診断し,当科を受診した.所見:正座は可能.腹臥位で大腿直筋の短縮を評価する指標である「尻上がり角度」は右50°,左40°で,歩容異状が見られた.歩容改善の希望が強く手術を行なった.手術は左右別に2回行なった.大腿前面を6cm切開し大腿筋膜と腸脛靱帯を横切,大腿直筋を2段にずらして完全切離した.術後は3日間股関節伸展,膝屈曲位で仰臥した後に筋ストレッチと筋力訓練を行ない,症状は消失した.

著者

川村 秀哉 杉岡 洋一 廣田 良夫 井上 一 黒坂 昌弘 緒方 公介 新名 正由 藤井 克之

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.12-15, 1995-03-25 (Released:2010-02-25)

参考文献数

6

被引用文献数

12 12

---

We measured the incidence of osteoarthritis of outpatients in six university and thirty-six general hospitals. In addition we performed a case study on osteoarthritis of the knee to investigate physical and other factors associated with severity of symptoms, uning a selfadministered questionnaire.Investigation of the hospital statistics revealed that 7.6% of all orthopeadic patients had osteoarthritis of the knee, and 70% of these cases were females. Regarding age 97% of patients were over forty years of age, and 900, 000 men and women were newly diagnosed with this disease every year.Symptoms of this disease were more severe with increasing body weight and BMI (Body Mass Index) at the time of both initial examination and at forty years of age. Bluecollar workers presented with more severe symptoms than did other workers.

著者

尾崎 誠 岩崎 勝郎 手島 鍛 土井口 祐一 山田 健治 高橋 克郎 貞松 俊弘

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.42, no.2, pp.521-525, 1993-03-25 (Released:2010-02-25)

参考文献数

8

被引用文献数

1 2

---

To assess the cause of hip lesions when combined with pelvic posterior inclinatiop such as osteoarthritic and rapidly destructive coxopathy-like changes, coverage of the femoral head to the acetabulum was measureed on computed torn ograms of 35 patients, and the relationship between degree of inclination and coverage was investigated. Patients were divided to in three groups according to their degree of pelvic posterior inclination: Group 1; less than 20° of inclination, 18 hips; Group 2; 21-25°, 6 hips; Group 3; more than 26°, 11 hips.There was no statistical difference in total coverage of the head among the three groups. Coverage of the anterior part of the head decreased and coverage of the posterior part of the head increased with an increase in posterior inclination.These findings suggest that the decrease in anterior coverage of the head with increasing pelvic inclination may lead fo the developmenf of some hip lesions.

著者

後藤 武史 稗田 寛 山中 健輔 中村 祐二 宮城 成圭 古賀 裕

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.32, no.3, pp.755-758, 1984 (Released:2010-03-16)

参考文献数

9

---

In crystallographic study of tophaceous substances and deposits in gouty synovial fluids using differential-interference microscopy, polarized light microscopy and X-ray diffraction method, the following results were obtained.1) Substances of subcutaneous tophi and deposits in gouty synovial fluids were found to be needle-like crystals. By polarized-light microscopy, they were negatively birefringent with extinction on the long axis.2) The needle-like crystals obtained from subcutaneous tophi and/or synovial fluids in gouty patients have been positively confirmed as monosodium urate monohydrate (NaC5H3N4O3·H2O) by X-ray diffraction technics.

著者

阿部 隆伸 堀部 秀二 野口 蒸治 副島 崇 有吉 護 井上 明生

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.42, no.3, pp.1363-1365, 1993-09-25 (Released:2010-02-25)

参考文献数

6

---

In 1950 O'Donoghue called attention to “that unhappy triad which comprised (1) rupture of the medial collateral ligament, (2) damage to the medial meniscus, and (3) rupture of the anterior cruciate ligament” and recommended early surgical intervention.Ten patients with arthroscopically confirmed acute (<1 month) tears of the medial collateral ligament (MCL) and anterior cruciate ligament (ACL) were identified. There were 9 men and 1 woman with an average age of 33.4 years (range; 17-52 years).There was a 50% incidence (5 knees) of lateral meniscal tears. Of these, 1 knee had an associated medial meniscal tear. There were only 2 knees (20%) with medial meniscal tears. Chondral injuries to the lateral compartment were noted in 4 cases. There were 3 knees without meniscal tears and chondral injury.We conclude that the “unhappy triad” is an unusual clinical entity with knee injuries and may be more accurately described as a triad consisting of ACL, MCL, and lateral meniscus tears.

著者

長元 法喜 水田 博志 坂本 憲史 坂田 浩章 久保田 健治 甲斐 功一 北川 敏夫 井上 誠一 沼田 亨 大島 隆志

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.36, no.4, pp.1213-1216, 1988-04-25 (Released:2010-02-25)

参考文献数

7

---

Fifteen cases with ruptures of musculotendinous juncture of the medial head of the gastrocnemius muscle which occurred during sports activities were studied. Of these cases, 7 were males and 8 were females. The mean age was 36 years and 6 months with ages ranging from 15 to 56.Six of these cases were involved in track-and-field events, three in volleyball, two in softball, two in badminton, one in judo and one in recreational game. Prodromic symptoms such as dull aching of the affected leg were seen in 8 cases. All cases were injured in a position of the ankle joint in dorsiflexion with the knee joint in extension.Conservative treatments resulted in a satisfactory recovery of their activities of daily living in all cases.The results indicated that prophylactic stretching is of value for preventing this injury, especially in middle-aged players.

著者

安部 幸雄 土井 一輝 酒井 和裕 深堀 勝之 藤井 裕之 河村 洋行 河合 伸也

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.43, no.3, pp.1020-1022, 1994-09-25 (Released:2010-02-25)

参考文献数

9

---

Peripheral nerve trunks are not rigidly fixed to surrounding tissues along their course. They slide longitudinally in their beds over several millimeters with movements of the extremity. This concept of peripheral nerve excurisions helps to explain the pathophysiological events occurring in entrapment neuropathy, chronic nerve irritation and nerve compression. Although this is an important physiological phenomenon, this has not been examined precisely.We examined excursion of the normal sciatic nerves of 10 adult rabbits. The following were investigated:1) Percentage elongation of the sciatic nerve under nomal lower limb motion.2) Excursion between epineurium and gliding floor.3) Excursion between the funiculus.4) Morphological changes of the sciatic nerves under nomal lower limb motion.5) Microanatomical features of the peripheral nerves adapting movements of the extremity.The results were as follows:1) Total percentage elongation of the sciatic nerve was 5.8% in 0° flexion of the knee and 90° flexion of the hip joint. But near the knee joint, the maximum percentage was 9.2%.2) Excursion was found between the epineurium and gliding floor, and between the funiculus.3) It was proven that in the funiculus the nerve fibres have an undulating spiral pattern, which is, after its discoverer, called Fontana's bands. When the nerve was stretched in the course of movement, the undulation straightened out until it disappeared. Microanatomical view represents the wave-like alignment of the nerve fibres.By these features, peripheral nerves can accommodate limb motion.

著者

中村 英次郎 井口 竹彦 中村 太郎 山田 秀大 七森 和久 酒井 祐一 林 義裕 畑田 和男

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.47, no.2, pp.704-707, 1998-03-25 (Released:2010-02-25)

参考文献数

9

---

Five cases of the fracture of the sternum due to use of a seat belt were reported. According to the Fowler's classification, our cases were classified as TYPE: 1 case, Type IV: 3 cases and Type VIII: 1 case. With regard to four cases (type I and IV), the mechanism of the fracture was direct violence.A case associated with the injuries of interspinal ligaments of the thoracic spine, the mechanism of the fracture was indirect violence as flexion-compression injury. All cases were treated with rest and immobilization. The importance of radiographic examination on the sternum in patient of seat belt injury.

著者

長谷川 善廣 井上 明生 奥野 徹子 村山 哲郎 楢原 知啓 大橋 輝明 宮崎 正樹

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.4, pp.1397-1400, 1986-03-25 (Released:2010-02-25)

参考文献数

7

---

Two cases of ocular torticollis were reported. One case was a 3-year-old female, and another case was an 8-year-old male. These cases had been diagnosed by orthopedic surgeons as a habitual torticollis. They were introduced to our university hospital because their torticollis position had not been improved after three years old.It was revealed by examination that sterno-cleido-mastoid muscle and range of motion was normal. Their torticollis position was improved by Patch test on one eye and Bielshowsky head tilt test was positive. These findings suggested that it was due to ocular torticollis. They were treated by an ophthalmologist and improved.

著者

田口 学 谷脇 功一 木屋 博昭 弓削 孝雄 金井 一男 川谷 洋右 池尻 洋史 福田 朋博

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.471-474, 2000-03-25 (Released:2010-02-25)

参考文献数

2

---

We treated three cases of shaft fractures of both bones of the forearm with the TRUE/FLEX intramedullary nailing system. The patients were evaluated by the Grace & Eversmann's rating system. All of these fractures united and all three patients achieved excellent functional results. Rotational stability of the forearm was obtained and early active motion was possible. Damages to the soft tissue and scars from the operation were small. We therefore concluded that this method is effective for treating shaft fractures of the forearm.

著者

中島 英親 原田 香苗 寺本 憲市郎 武田 浩志 平野 哲也 米満 弘之

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.47, no.4, pp.1204-1206, 1998-09-25 (Released:2010-03-16)

参考文献数

2

---

We performed finger reconstruction by the toe-to-finger transfer on 15 cases. 6 cases were reconstructed for small finger amputation.We utilized a third toe-to-finger transfer for the reconstruction.Informed consent is an important fector.8 case were finger reconstruction for the multiple digits (more than 3 digits), for which we have used a II toe-to-finger transfers were used.5 of these cases had undergone amputation at the metacarpal level.The total active motion of these 5 cases was 40° on average.As for the full range of motion of the thumb, all 5 cases were able to pinch well.Improved finger function was seen, but prostheses is required for ehhancement of cosmesls.

著者

今村 宏太郎

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.50, no.1, pp.170-173, 2001-03-25 (Released:2010-02-25)

参考文献数

12

---

One hundred twenty-nine median nerves of 105 cases were reviewed for variations during operations to treat carpal tunnel syndrome. The variations in the course of the motor branches (Poisel. 1974) were the extraligamentous type in 122 hands (94.6%), the subligamentous type in 2 hands (1.6%), and the transligamentous type in 5 hands (3.9%). Accessory branches were found in 10 hands (7.8%), a high division of the median nerve in 4 hands (3.1%) and median artery in 4 hands (3.1%). In 123 (95.3%) of 129 hands, the recurrent baranch arose from the radial aspect of the median nerve, in 3 hands (2.2%) from the central-radial aspect, in 3 hands (2.2%) from the central aspect, and in no hands from the ulnar side. To avoid the injuryy of the motor branches during operation of the carpal tunnel syndrome, special attention must be paid to the variation of the recurrent branch.