著者

萩原 博嗣 中家 一寿 岸川 陽一 堤 義明

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.995-997, 1993-09-25 (Released:2010-02-25)

参考文献数

7

被引用文献数

7 7

---

Radiographs of 561 knees were examined to determine the incidence and size of fabella in radiographically normal knees as compared with knees with primary osteoarthrosis.To get an age matched control group, 302 knees from patients greater the 50 years of age were selected.Fabella was present in 144 of 244 (59.0%) primary osteoarthritic knees, and only in 20 of 58 (34.5%) radiographically normal knees (P<0.01).The length of the long axis of faballa averaged 8.5±3.1mm in primary osteoarthritic knees and 6.9±2.06mm in radiographically normal knees (P<0.05). Fabella size tended to increase as the stage of osteoarthrosis became more severe.The presence and size of fabellae may predispose the knee to osteoarthrosis.

著者

藤川 勝正

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.1, pp.349-358, 1990-10-25 (Released:2010-02-25)

参考文献数

11

---

Reports are to be made on the results of manual treatments upon ten cases of scoliosis, two of which showed the maximum Cobb angle of 23°.Manual treatments have proved to be superior to conservative therapies such as tractions, exercises, braces and plaster-casts, from the real proofs of curing so faster during comparatively short time in growing ages (from 8 to 18 years of ages).The successful results in four adults with manual treatments on therapy have proved to be available upon adults.Two eminent aspects can be seen on the clients; one is the stiffened muscles on the depressed side, and the other is the rotation of the vertebrae.Upon these two aspects, manual treatments have worked most positively, on which in detail my paper is presented.

著者

田山 尚久 森久 喜八郎 下田 敏文 高杉 紳一郎 弓削 至

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.41, no.1, pp.131-133, 1992-11-25 (Released:2010-02-25)

参考文献数

9

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This paper reports a rare case of fracture-dislocation of the hamatometacarpal joint. A 25-year-old right-handed man was involved in a fistfight and struck a wall with his left fist. He was examined at our hospital 5 days after injury and found to have swelling and tenderness in the vicinity of the fourth and fifth CM joints. Radiographs of the hand revealed dorsal dislocations of the bases of the fourth and fifth metacarpal accompanied by a dorsal oblique intra-articular fracture of the distal hamate and an avulsion fracture of the base of the fourth metacarpal. Treatment consisted of closed reduction and percutaneous fixation with Kirschner wires. Three years after his injury, the patient is asymptomatic, working at his previous job, with a full ROM of all joints of his left hand wrist and normal grip strength.

著者

白石 雅也 小西 宏昭 原 真一郎 鳥越 雄喜

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.40, no.2, pp.817-820, 1991-11-25 (Released:2010-02-25)

参考文献数

4

---

A 64-year-old man was admitted to Nagasaki Rosai Hospital on December 29th, 1989. His complaints were paralysis of bilateral lower extremities and urinary disorder. He felt spinal ache on Dec. 10th with no cause and paresthesia of bilateral lower extremities on Dec. 26th. In physical examination we found anesthesia under Th7 neurological level and diminishing of reflexes under the level. Laboratory data showed inflammation and with spinal puncture we suspected existence of obstructive lesion in Th level. With MR imaging we found space occupying lesion just behind of the spinal cord at Th4.5 level. The lesion showed low intensity in T1, high intensity in T2, and the margin of the lesion showed high in T1, low in T2.We suspected the lesion as spinal epidural abscess and did emergent operation on December 29th, 1989. At operation the lesion was proved to be spinal epidural abscess and we did Th345 laminectomy and rejection of the abscess.

著者

金 幸夫 鳥巣 岳彦 中村 雅彦 黒木 健次 多治見 新造

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.1, pp.32-36, 1990-10-25 (Released:2010-02-25)

参考文献数

12

---

We reported a case of a 58-year-old man who sustained dislocation of the knee with patella tendon rapture.Primary operative treatment was carried out. The treated knee was placed in a cast for seven days, then early quadriceps exercise was started. One year after surgery, the knee was stable and painless with flexion movement from 0 to 120 degrees.

著者

東原 忠 渡辺 英夫 田中 孝明 岡部 とし子

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.22, no.1, pp.98-101, 1973 (Released:2010-02-25)

参考文献数

12

---

There are two possible causes that developed the restriction of joint range of motion after intramuscular injection.The first category is peripheral nerve injury after injection which fregently occurred in the radial nerve and the sciatic nerve. The others is degeneration or scar of the muscle tissue which encounter often in rectus femoris muscle in children.The contracture of shoulder joint due to deltoid muscle shortening secondary to the injection is very rare.This 34 year-old-female patient came to our clinic with pain and stiffness feeling on her right shoulder joint. We could get the history that she received repeated intramuscular injections to her right deltoid muscle for two years.She was operated and was found a whitish cord like scarred band, 1cm wide, in the posterior part of the deltoid which was removed subsequently.The histology showed marked atrophy, degeneration, and hyalinization of the muscle tissue.She got fairly good range of motion in the horizontal adduction at the shoulder joint after the surgery.Generally it is difficult to diagnosed this kind of disease on its early stage.This adult case was not dropery diagnosed for about two years.

著者

樋口 潤一 田島 直也 黒木 俊政 松岡 知巳 川添 浩史

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.2, pp.602-605, 1995-03-25 (Released:2010-02-25)

参考文献数

9

---

Middle aged athletes in Japan were studied to evaluate changes in their hematological indices. Ninety-two male and twelve female athletes (average age, male: 53.3 years, female 43.8 years) were examined for blood characteristics at the world veterans championship athletic meeting. Sixty-five male and nine female marathon runners all showed elevation of creatine kinase (CK) and HDL-Cholesterol before competition (CK, male: 220.3IU/L, female: 135.3IU/L, HDL-Cholesterol, male: 80.7mg/dl, female: 83.5mg/dl). Twenty-three of twenty-five male marathon runners showed a significant increase of CK (580IU/L), LDH (626.4IU/L), WBC (10940.9/mm) and GOT (38.5IU/L) after the competition. In conclusion, it was shown that long distance training in middle aged athletes caused elevation of HDL-Cholesterol and CK.

著者

竹光 義治 原田 吉雄 熱田 裕司 今井 充

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.31, no.3, pp.494-497, 1983-06-25 (Released:2010-02-25)

参考文献数

4

---

Spinal cord monitoring during surgery by using SCEP has been shown to be superior to the wake-up test, because it enables the practitioner to determine the induced ischemia of the spinal cord more precisely and promptly before neural deficit develops into permanent. Surgical procedures have to be stopped when peak amplitude of N1 has decreased up to 50% of the control potentials. We have already successfully operated on 72 patients with spine deformity under it. The purpose of this paper is to introduce animal experiments which have given conclusion described above. The study was conducted in three parts. In the first part, injury experiment by distraction force was done. The spinal cord was impaired by longitudinal distraction using a special designed instrument. There was a certain degree of distraction which produced transient augumentation of the N2 amplitude without neural deficit. The N1 deflection always decreased more than 50% with paralysis immediately after continueing 4mm distraction. In the second part, intraspinal potentials were recorded using glass pipet electrodes in order to identify precise location of N1 and N2 in conductive SCEP. The N2 conducted in the dorsal column. N1, however, was compound potentials from the whole spinal cord. In the third part, ascending and descending pathways of N1 and N2 was determined by the collision test. It was strongly suspected that the N1 and N2 of ascending and descending conductive SCEP had common pathways.

著者

足達 裕 松崎 昭夫 城戸 正喜 入江 豊 松永 和剛 広田 修

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.1, pp.344-349, 1994-03-25 (Released:2010-02-25)

参考文献数

11

---

We report three cases of femoral nerve paresis. Case 1 was a 25-year-old male, who was admitted to hospital complainning of left thigh pain. On examination he had tenderness in his left inguinal area. Neurological examination revealed a weakess of the quadriceps on the left, and diminished sensation on the anteromedial aspect of his left lower extremity. The mechanism of injury was not clear in this case. Case 2, a 56-year-old male had progressive muscle weakness and numbness in the right lower extremity. He had received cobalt radiation therapy 16 years previously. Clinical examination revealed a firm hypertrophic scar with tenderness in the right inguinal area, and neurological examination showed quadriceps weakness and sensory disturbance of the anteromedial surface of the right thigh nd leg. Case 3, an 18-year-old male complained of gait disturbance and sever pain around theleft inguinal area and numbness over the left thigh. “The patient was a hemophiliac who had been unde the care of a pediatrician”.Neurolysis was performed in two cases, and the other patient was treated with bed rest and replacement therapy. In all cases, symptoms improved after treatment.

著者

北川 守 朝長 圀夫 江川 正 中村 泰 後藤 正治 三原 茂

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.2, pp.652-656, 1989-10-25 (Released:2010-02-25)

参考文献数

5

---

A comparative study was conducted on the 20 knees of 10 females with normal knee joints (age, 22-35 years) and on 7 knees of 7 patients with subluxation syndrome (age, 15-24 years), using axial radiography and CT. In axial radiography where the angle of knee flexion was 30° or 60°, no significant difference was recognized between the two groups with respect to tilting angle, patellofemoral angle, congruence angle and lateral shift. However, a significant difference was found using CT. Thus, CT was considered useful for diagnosis. Because of these results, all 7 cases underwent surgery for detachment of the lateral side and tightening of the medial side. Three cases underwent shifting of the tibial tuberosity to the anteromedial side, resulting in a favourable outcome. Here, we report the study.

著者

二見 俊郎 前之園 多幸 塚本 行男

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.40, no.3, pp.1229-1232, 1992-03-25 (Released:2010-02-25)

参考文献数

8

---

著者らは, 過去7年間に大腿外側皮神経障害 (meralgia paresthetica) の13例 (男性3例, 女性10例) を経験した. いずれの症例も Tinel 徴候や電気生理学的所見などから, 鼠径靱帯部での絞的性神経障害と考えられた. 我々の症例で特徴的なことは, 発症原因として下着の締め過ぎによると思われた症例を6例にみたことであった. 治療として, まず全例に保存的療法が試みられ, 6例に症状の改善が得られた. 改善が得られた症例は, 症例12を除きいずれも発症後8ヵ月以内に来院した症例であった. 保存的療法に抵抗した7例中4例に対して神経剥離術が施行され, いずれの症例も鼠径靱帯周囲部での種々の原因による神経の圧迫所見を確認し, 術後症状の改善を得た. 以上のことから, 下着の締めすぎを発症誘因の一つとして認識すべきであり, また罹病期間が短い症例には保存療法が有効であるが長期間の覆病期間を有する症例に対しては, 手術的療法を考慮すべきと思われた.

著者

清水 泰宏 中野 哲雄 阿部 靖之 越智 龍弥 中馬 東彦

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.587-590, 1997-09-25 (Released:2010-02-25)

参考文献数

6

被引用文献数

1

---

We describe the results of conservative treatment using a Kyuro knee brace in 12 cases (6 males and 6 females, ranging in age from 6 to 64 years) who had fresh tears of their cruciate ligament. The treatment consisted of eary continuous passive knee motion with protective bracing for three months. The mean follow-up period after injury was 5 months. M R imaging at follow-up revealed two different modes of conjoining. Seven cases with ACL tears had successful results at 6 months. However one case with on ACL tear and plateau fracture did not achieve such successful results. Two cases with avulsion fractures of the PCL had successful results at 3 months. We believe that conservative treatment is effective for treating fresh tears of the cruciate ligament.

著者

嘉悦 博 清水 正章 板倉 和資 山上 剛

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.27, no.3, pp.317-320, 1978 (Released:2010-02-25)

参考文献数

5

---

To know some problem after meniscectomy, we undertake long-term study. There were 13 male and 6 female, age range at operation was from 10 to 49 years. The range of post-operative follow-up was from 10 to 15 years and average was 12.7 years.1) Thirteen patients had excellent or good results. Five patients undergone discoid meniscectomy in their youth had all good results.2) Roentogenographic changes noted in all cases, but no related with clinical results.3) Severe OA changes was seen in 10 patients. (53%)4) Degree of ligamentous instability was related with OA changes.5) Two patients of poor result was seen retained posterior horn.

著者

花村 達夫 吉浦 光三 高岸 直人 松崎 昭夫

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.33, no.4, pp.1080-1084, 1985-03-25 (Released:2010-02-25)

参考文献数

8

---

We reviewed twenty-three cases of carpal navicular fracture visited our clinic in the past ten years. The length of follow up were one to seven years, with an average of fourty-five months. Prognosis of proximal part fractures were the worst (one fair and one poor) in comparison to that of middle and distal part. Eight cases, all of which were the symptomatic delayed union or non-union, were operated by the bone graft with or without the styloidectomy. The results of operated cases were four good, three fair and one poor. On the other hand, nontreated cases were all evaluated as good and excellent, but most of them had little symptoms when they visited our clinic. The characteristics of their roentogenograms were the absence of bone absorption at the fracture site and the stability in stress roentogenograms. Although many authors refered the carpal osteoarthritis following unstable non-union of the navicula, the result in this series may suggest that surgeons must be prudent in treatment of asymptomatic and stable non-union.

著者

加来 信広 中村 道利 高下 光弘 八塚 知二 松元 雅彦 真角 昭吾 宮原 正樹 中山 巌 駄阿 勉 横山 繁生

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.4, pp.1568-1572, 1993-09-25 (Released:2010-02-25)

参考文献数

6

---

Two cases of sacrococcygeal chordoma, were surgically treated in our hospital. One case was discovered after investigation of an episode of bruising on the hip, and the other case was diagnosed two years after the excision of rectal cancer that had no specific histological features.Both cases had partial destruction of sacral bone in the lateral plain X-ray film of the pelvis and a defined mass anterior to the lower sacrum was seen on MRI. We performed complete excision of tumor using the posterior approach and retained the unilateral S3 nerve. Postoperatively there was no neurological disturbance except the symptom of slight residual urine.

著者

今釜 哲男 服部 奨 小山 正信 河合 伸也 東 良輝 繁冨 頼雄 小田 裕胤 井之川 義典 多原 哲治

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.27, no.4, pp.559-563, 1978-12-25 (Released:2010-02-25)

参考文献数

16

被引用文献数

1

---

Vascular tests for thoracic outlet syndrome are considered to be one of the important diagnostic aid in order to determine the localization and the severity of neurovascular lesion at the thoracic outlet region. However, the mechanism and significance of vascular tests are still unclear.This is to report our clinical and autopsial study to try to clarify the exact meanings of each vascular test.Materials are 72 cases in 48 patients with thoracic outlet syndrome (46 cases in 39 patients recieved first rib resection) and 21 cases of exploration in autopsy.Positive Adson's test, although the incidence is quite low, may suggest severe lesion at the scalen triangle. Eden's test indicate lesions at the costo-clavicular space. In this positive the clavicle moves most to the posteromedial direction among the various positions. Abduction-external rotation test and Wright's test show neurovascular compression mainly at the costo-clavicular region and partly at the scalen triangle. These positions make the neurovascular bundle tracted foward the lateral. Compression at the subcoracoideal region is not the main cause in Wright's test.

著者

米満 弘之 平良 誠 中根 惟武 陣内 卓雄 林 茂

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.25, no.3, pp.338-341, 1976-11-25 (Released:2010-02-25)

参考文献数

15

---

Recently, we think thoracic outlet syndrome so noteworthy on it's diagnosis and treatment. In the past five years, there have been 30 cases of thoracic outlet syndrome in own clinic.We have some problems on the diagnosis of thoracic outlet syndrome, for example, the objective finding, the compression test of the brachial plexus and subclavian vessels and angiography.We report our cases and describe these problems.

著者

葉 山泉 諌山 照刀 吉武 研三 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.42, no.3, pp.1313-1317, 1993-09-25 (Released:2010-02-25)

参考文献数

12

---

Most investigators believe that fibrous cortical defects and nonossifying fibromas are simply different radiographic manifestations of the same disease process. Fibrous cortical defects are small, asymptomatic, and intracortical lesions, while a nonossifying fibroma is a large, tumorous lesion involving spongy bone and the medullary cavity of bone, and leads to clinical symptoms.A fibrous cortical defect does not require either biopsy or curettage. Asymptomatic nonossifying fibromas require no treatment, but rare symptomatic forms of the disease, and those which are great enough in size to constitute a danger of fracture, should be submitted for curettage and bone grafting.

著者

松永 和剛 松崎 昭夫 宮内 亮輔

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.3, pp.845-849, 2000-09-25 (Released:2010-07-01)

参考文献数

8

被引用文献数

1 2

---

The authors dissected 72 paired arm to study the anatomy of Gantzer's muscle. The dissection explored course of the median nerve from the elbow to the distal end of the forearm. The following anatomical structures and variations were noted;(1) The presence of a Gantzer's muscle, as well as its relationship to the median and anteriorinterosseous nerves.(2) The origin and insertion of Gantzer's muscle.Results: Gantzer's muscle arose from the medial epicondyle of the humerus in 45 arms (90%), from the coronoid process of the ulna in 3 arms (6%), from the intermuscular fascia in 1 arm (2%), and from a double origin- the medial epicondyle and the coronoid presess-in 1 arm (2%). Insertion was to the proximal part of the tendon of the flexor pollicis longus muscle in all arms.Gantzer's muscle always lies posterior to the median nerve. In 12 out of 50 arms, the muscle passed posterior to the anterior interosseous nerve, and in the remaining 38 arms, the anterior interosseous nerve ran proximal to the muscle along its proximal border and never cross Gantzer's muscle and its tendon.Based on these findings, the authors concluded that Gentzer's muscle rarely contributes to anterior interosseous nerve compression in the proximal forearm.

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

---

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.