著者
古森 元章 佐々木 邦雄 芝 啓一郎 山野 耕一郎 植田 尊善 浅川 耕司 森永 政博 吉浦 光三 Nobuaki Tsunoda
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.284-288, 1985-07-25 (Released:2010-03-16)
参考文献数
4

It is important to grasp sufficiently general and neurological findings in acute cervical cord injuries. In rare cases, It is difficult to grasp exact neurological findings due to disorder of serum electrolyte concentrations. To take an accurate neurological findings, it is necessary to improve serum electrolyte disorder. We examined serum sodium concentration in 85 patients of acute cervical spinal cord injuries. In one case, we could not take accurate neurological findings at the emergency room, probably because of serum electrolyte disorder.
著者
岩崎 勝郎 中嶋 裕 井上 喜博 前田 謙而 常岡 武久
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.35, no.1, pp.167-172, 1986-10-25 (Released:2010-03-16)
参考文献数
8

In order to clarify the factors influencing the prognosis of the femoral neck fracture in young adults, 53 fractures in 52 patients were evaluated. All patients were between 13 and 49 years old.The incidence of non-union was 6 per cent of 49 fractures and of late segmental collapse (LSC), 24 per cent of 41 fractures. Non-union was seen in patients who had Garden Stage III and IV fractures, and in patients of more than 46years old at trauma. The LSC occurred in 6 of 9 Garden Stage IV fractures and in 2 of 8 transverse fractures in middleneck, as well as in 3 of 6 patients who had operation at 22 days or more after trauma.It is concluded that there is few problems on the bone union of the femoral neck fracture in young adults. The most important factor which influences the prognosis is LSC, and the occurrence of this complication i s related to the interval between trauma and operation, and to the type of fracture.
著者
馬場 秀夫 寺本 司 乗松 敏晴 藤田 雅章 松坂 誠應 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.39, no.4, pp.1667-1672, 1991-03-25 (Released:2010-02-25)
参考文献数
19

The initial treatment that is usually recommended for symptomatic talocalcaneal coalition is nonoperative. But this time the operative treatment has been applied for those patients who fail to respond to the nonoperative treatment. Recently we treated five such cases by excision of the coalition because nonoperative treatment was not successful. Three cases were talocalcaneal coalition and two cases were calcaneonavicular coalition. The age of the patients at the time of surgery ranged from nine years to fortysix years. After the operation, we didn't use immobilization in a cast but started active exercises. Thus, operative treatment is a viable option if nonoperative treatment is unsuccessful; excision treatment, in addition to starting active exercise as soon as possible after the operation, is effective for tarsal coalition.We must suspect tarsal coalition for patients with limitation in subtalar joint and pain in the area of the coalition.We diagnose talocalcaneal coalition with radiography, tomoraphy, computed tomography and arthrography. Calcaneonavicular coalition is best seen on an oblique radiography.
著者
古賀 順一 斉藤 幸洋 岩渕 亮
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.17, no.2, pp.153-155, 1968 (Released:2010-02-25)
参考文献数
3

A case of saphenous nerve entrapment was reported.Man, 19, had suddenly paresthesia in the medial aspect of the right knee, leg and foot while doing “shodo” (Japanese calligraphy).The paresthesia became progressively worse with development of pain and limitation of flexion of the knee joint.Some conservative therapy such as nerve block with predonisolon and the use of other anti-inflammatry agent prodused no relief.In the bloodless field the saphenous nerve was showed constriction at its emergence through the subsartorial fascia. After the nerve was released through a wide incision in the fascia, pain and paresthesia rapidly disappered.
著者
小嶺 俊 松崎 昭夫 城戸 正喜 中村 宏 花田 弘文
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.830-833, 1997-09-25 (Released:2010-02-25)
参考文献数
10

Two patients with compression neuropathy of the superficial radial nerve are presented.Case 1: A 71 year-old female visited our clinic in November, 1995 with a one month history of pain in the dorsum of both hands.Clinical examination revealed paresthsia on the radial half of the dorsum of her hand and tenderness on dorsal area of the distal forearm, where the superficial radial nerve pierced the deep fascia of the forearm. The patient was operated on after failure of conservative treatment for Cheiralgia Paresthetica.At exploration a membranous tissue traversing over the nerve was seen and incised, and a shallow indentation was seen on the nerve under the membrane.After the operation her pain disappeared and has not recurred.Case 2: A 38 year-old male presented in 1991 with dysesthesia on the dorsum of his right hand and a tumor on the dorsum of his right forearm.He also reported pain on the dorsal side of his right hand. Three years later he recognized a small tumor on the dorsal side of his right distal forearm and dysesthesia on the dorsum of his right hand. Examination revealed sensory loss limited to the area supplied by the superficial radial radial nerve and a tumor on the dorsal side of his right forearm.Partial resection of the tumor and neurolysis was carried out, under the diagnosis of a compression neuropathy of the superficial radial nerve due to a forearm tumor.The pathological diagnosis was a nalignant fibrous histiocytoma.The patient's pain disappeared after the operation but recurred one month later. The patient died four months later due to lung metastasis.
著者
七森 和久 鳥巣 岳彦 長井 卓志 村重 光哉
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.35, no.3, pp.1050-1054, 1987-04-25 (Released:2010-03-16)
参考文献数
4

Among the patients visiting our clinic complaining of gonalgia, those who had pain around the patella, compression pain of the patella, but no other symptoms, exhibited hamstring tightness.We had them do hamstring stretching exercises, and followed the changes in the gonalgia and hamstring tightness.To examine the hamstring tightness, the angle of knee flexion was measured with a goinometer after passive knee extension with the hip flexed to 90 degree.In 10 cases involving 13 joints, pain around the patella or compression pain of the patella was relieved with the decrease in the hamstring tightness following the stretching exercises.
著者
石田 高康 深堀 雄蔵 緒方 公介 張 敬範 野見山 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.42, no.3, pp.1375-1378, 1993-09-25 (Released:2010-02-25)
参考文献数
7

Length patterns of the posterior cruciate ligament (PCL) were measured with magnetic resonance imaging of five normal human knees. All were male right knees. The average age was 25.6 years. The sagittal view showed the PCL clearly as a low signal intensity in T1 weighted imaging. We evaluated the changes in length during knee flexion from 0 to 120 degree (0, 30, 60, 90, 120 degrees). The maximum length of the PCL was at the 60 degree flexion and its minimun length at 0 and 120 degrees. This suggested that 0 degree flexion of the knee joint avoided the hyper tensile stress of the PCL and that it was a suitable position for the treatments of PCL injuries.
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

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
井原 秀俊 三輪 恵 石橋 敏郎 高柳 清美 川蔦 眞人
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.2, pp.393-397, 1997-03-25 (Released:2010-02-25)
参考文献数
8
被引用文献数
5 4

足指訓練8週間にて獲得された機能のかなりの部分が, 訓練中止3ヶ月後も維持されていることが判明した.
著者
加来 信広 池辺 修二 矢野 寛一
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.2, pp.512-515, 1997-03-25 (Released:2010-02-25)
参考文献数
10

We report the case of a 16 year old female with a genu recurvatum of 30 degrees. This was caused by partial growth arrest of the proximal tibial physis due to traction after femoral stem fracture in traffic accident when she was 12 years old. she was successfully managed by open wedge osteotomy proximal to the tibial tuberosity and bone allografts. She is satisfied with the results, especially the cosmetic views. The problem after operation is patella infera and instability of the knee.
著者
太田 剛 内藤 英俊 田所 英二 原 雄人 村川 義康 河野 渉
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.3, pp.1160-1163, 1989-02-25 (Released:2010-02-25)
参考文献数
7

An epidemiologic study of lumbar intervertebral disc herniation was undertaken at our hospital.200 patients with this condition were operated in recent four years.To all cases, we sent the questionnaire.85 patients were successfully interviewed.It was found that this condition was most likely to be diagnosed among the male sex in the age group of 30's, and the female sex in the age group of 30's, 40's, and 50's.In the occupation, more than half of the male cases were hard-workers and more than half of the female cases were clerks and house-wives.
著者
日高 滋紀 日高 達郎
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.38, no.3, pp.1019-1023, 1990-03-25 (Released:2010-02-25)
参考文献数
13

We reported twenty-six cases of avulsion fractures induced by sprains of the ankle joint. Most of them were results of avulsion by lateral ligaments or peroneus brevis tendon. But some of them were results of avulsion by other ligaments. We should be careful not to misdiagnose these injuries by taking three-directional plain radiograms, and adding str ss radiograms if necessary. These avulsion fractures occur not only in children whose skeletals are relatively weaker than ligaments and in adolescent who often engaged in sports activity, but also in the middle aged or older women. This fact suggests that osteoporosis is one of the factors inducing avulsion fractures rather than ligamentous injuries. We treated these fractures with success, prescribing walking boots cast for four weeks.
著者
高宮 啓彰 永田 見生 後藤 博史 薗田 恭輔 井本 浩樹 真島 武 吉松 弘喜 岩崎 敏展 富田 勝郎 河原 範夫
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.48, no.4, pp.1056-1060, 1999-09-25 (Released:2010-02-25)
参考文献数
5

We present four cases of primary spinal tumor in adolescents. Two patients had aneurysmal bone cyst, and two osteoblastoma. These tumors were found in the thoracic spine in one patient, and lumbar spine in 3. The patients consisted of four men, and their average age was 19 years old. Following resection of their tumors, spinal instrumentation was used in two patients because of massive destructive change in the lumbar spine. Average duration of the follow-up was 9 months. Although there has been no recurrence in all cases, further observation is necessary.
著者
秋山 寛治 近藤 司
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.276-278, 1994-03-25 (Released:2010-02-25)
参考文献数
3

We reviewed the complications developing after treatment with wire traction for femoral neck fractures in thirty elderly female patients ranging in age from 69 to 90 years. Eight cases of wire movement, six cases of local infection, and nine cases of psychological symptoms were recorded during traction. Regarding the mobility of knee joint and quadriceps muscle power at four weeks postoperatively, no significant difference was found between traction through the distal part of the femur and the tibial tuberosity.
著者
松永 大助 喜多 正鎮
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.26, no.2, pp.166-169, 1977 (Released:2010-02-25)
参考文献数
21

The observations of the cases of multiple peritendinitis calcarea in young sisters aged 23 were 20 are reported.Calcium deposits about joints associated with acute pain are generally considered to be a clinical and pathological entity. The disease is apparently a self-limited one, and the symptoms generally subside within two weeks. The shoulder is the most commonly involved area, but there is an increasing number of recent publications dealing with calcifications of other joints.The conditions of the disease are well discussed in the literature, and the diagnosis is not difficult when it is kept in mind, but the etiology is remained unknown.It is believed that the deposition of the calcium salt is actually the end result of a necrobiotic process. Compared with the disease of unifocus, multiple peritendinitis tends to occur in younger female and without any remarkable trauma.The discussion of familiar cases may contribute to the etiology of the disease from a viewpoint of any disposition.
著者
横田 清司 井手 隆俊 田平 史郎 村山 哲郎 下山 議七郎 井上 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.27, no.4, pp.679-683, 1978-12-25 (Released:2010-02-25)
参考文献数
11

One hundred and four of radial nerve palsy were treated from 1941 to 1952. The follow-up results were classified by Sakellarides's criteria.The following results were obtained:1) The most frequent cause of palsy was fractures and dislocations in 35 cases. Next in order of frequency were 14 so called “saturday night palsy”, 9 lacerations, 7 cuttings, 7 injections and 6 contusions.2) The results of motor recovery in 26 conservative cases follow-up were excellent in 19 (76%), good in 4 (16%), fair in one (4%) and poor in one (4%), and those in 16 operative were excellent in 8 (72.8%), good in 2 (18.2%) and failure in one (9%) after neurolysis, and excellent in 4 (80%) and fair in one (20%) after nerve suture.
著者
岩崎 高介 久本 欽也 鹿子 生和夫 上野 潔
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.4, no.2, pp.84-88, 1954-10-25 (Released:2010-02-25)

We investigated the patients of spinal injuries which occured according to labour accidents in Fukuoka Prefecture from August 1948 to May 1954. Results were as follows;1) In the each year, the number of the spinal injured were about 400 persons. The patients of spinal cord injury occured in about 30-40 persons, Fractures and dislocations of vertebral bodies happened on about 250 persons.2) Causes of accidents were much happened in the pit and 71.5% of cases occured according to the accidents in the coal-mine similarly.3) The injuries of vertebrae were the most frequent in the vertebra thoracica XII and lumbalis I.4) Fractures of processus costarius were most injured in vertebra lumbalis III and in the left side.5) The duration of treatment were 6 monthes in many people who had fracture and dislocation of vertebrae, except the spinal coal injured.