著者

坂梨 謙一 中村 雅史 別府 五郎 東 威志 脇坂 匠

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.1684-1689, 1993-09-25 (Released:2010-02-25)

参考文献数

12

---

Four cases of chronic complete acromioclavicular dislocation were treated by the contrived coracoid process transfer method. We report the operative procedure and clinical results.The coracoid process, with its attached coracoacromial ligament and the conjoined tendons, is partially osteotomized and transferred to the clavicle. The scarred acromioclavicular ligament is repaired by the coracoacromial ligament and the conjoined tendons are substituted for the coracoclavicular ligament. The acromioclavicular joint is fixed by a Kirschner wire for eight weeks.This surgical procedure was applied to four patients who had been classified as type III by Tossy's classification. The follow-up period ranged from 11 months to 3 years and 2 months.One case required re-operation because of breakage of the transferred coracoid process. But now, all patients have returned to previous activities and there have been no problem with ADL.The clinical results of all patients were judged to be satisfactory.

著者

飯干 明 濱中 秀昭 伊勢 紘平

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.51, no.1, pp.100-103, 2002-03-25 (Released:2010-02-25)

参考文献数

11

---

We report a case of post-traumatic osteolysis of the distal end of the clavicle. The case was a 48-year-old man who sustained an injury to his shoulder in a bicycle accident six months before. He had felt inveterate pain and swelling in his left acromio-clavicular joint after the accident, though the shoulder radiograph taken soon after the accident showed no abnormality. After five months, osteolysis of the distal end of the left clavicle was found on radiograph. According to laboratory data, there were no findings of infection. Comparison of radiograph taken just after injury with that taken two and five months later revealed that the patient sustained fracture of the distal end of his left clavicle (Neer's classification type III) first, and later developed osteolysis of his left claviclar distal end occurred because he did not rest his shoulder. By conservative trearment, pain is decreasing and no progress of osteolysis has been seen in follow-up radiograph.

著者

堀部 秀二 有吉 護 阿部 隆伸 平岡 弘二 史野 根生

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.40, no.1, pp.1-3, 1991-11-25 (Released:2010-02-25)

参考文献数

4

---

Healing process of torn human anterior cruciate ligament (ACL) was studied histologically. Torn anterior cruciate ligaments were obtained from 21 patients at primary ACL reconstruction and stained with hematoxylin and eosin. Patients age was from 16 to 40 years. The interval between initial injury and operation ranged from 2 to 30 days. At 2 days after ACL injury, fibroblasts were not seen in the torn ligament and lymphocytes appeared in the injured ligament. Although vascular endothelial capillary buds and fibroblasts appeared around the torn ligament at 11 days, few fibroblasts were seen in it. At 30 days, torn ligament shrank macroscopically and resembled scar tissue with irregular alignment of fibroblast and collagen fiber. In conclusion, torn ligament is not healed probably due to few fibroblasts proliferation.

著者

喜多村 泰輔 石西 貴 緒方 公介 井上 敏生 副島 修 佐伯 和彦 花村 達夫

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.46, no.3, pp.809-813, 1997-09-25 (Released:2010-02-25)

参考文献数

4

被引用文献数

1

---

We investigated the relationship between Pinch strength and factors associated with activity of Rheumatoid Arthritis (RA). Subjects included 183 out-patients (366 hands) with RA who were hospitalized from April to June 1996 for at least one year. Pinch gauge (Baseline) which measures 0-5kg strength, and also grip strength were measured with an air bag connected to a mercurial column. 366 hands were assessed according to the classifications of Steinbrocker, Larsen, and Naelbuff. Results revealed that pinch strength correlated with grip strength. (Rt.: p<0.0001, Lt.: p<0.0001) However pinch strength did not correlate with patient's age, disease duration, morning stiffness, and ESR. Pinch strength measurement with a pinch gauge was useful for evaluating RA activity. It was difficult to measure grip strength in patients with advanced RA. It was useful to measure the pinch strength in patients with severe joint mutilation or immediately postoperatively.

著者

桜木 孝二 碓井 良弘 内田 芳夫 尾崎 正美

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.1072-1076, 1985-03-25 (Released:2010-02-25)

参考文献数

6

---

Eight patients with adherent flexor tendons of the hand were operated by tenolysis 4 to 6 months after primary operation. Six showed considerable improvement, but two had tendon ruptures following tenolysis.The optimal interval between primary surgery and tenolysis is discussed in this paper.The optimal timing is regarded about 3 months conventionally, but we consider it between 4 and 6 months in which scar formation subside sufficiently.

著者

穐山 富太郎 伊藤 信之 鈴木 良平 川口 幸義

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.24, no.4, pp.460-464, 1975-12-10 (Released:2010-02-25)

参考文献数

25

---

We studied on the relation between primitive reflexes and motor development by means of taking movie.Primitive reflexes (Moro reflex, Asymmetrical tonic neck reflex, Crossed extension reflex. Babinshi reflex ete) activate all kinds of automatic movement integrated by higher brainstem, and furthermore these reflexes activate development of righting reaction, parachute reaction, balance reaction and voluntarity.Namely, primitive reflexes activate mainly automatic movement but these reflexes exert too promotive influence on the development in the early stage learning anti-gravitic posture and normal sensori-motor pattern in each motordevelopmental stage.

著者

佐貫 浩一 松岡 彰 中村 克巳 中川 裕二 新庄 信英 国司 善彦 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.39, no.2, pp.517-518, 1990-10-25 (Released:2010-02-25)

参考文献数

5

---

Pyarthrosis of the knee was treated in 11 patients by arthroscopic lavage and debridement. There were 4 men and 7 women patients whose ages raged from 8 months to 80 years. Staphylococcus aureus was cultured in 5 knees. Four patients were caused by the injection of steroids. There were no recurrences. Arthroscopy can aid in establishing the diagnosis and implementing the appropriate treatment when a septic knee is suspected.

著者

森本 忠嗣 會田 勝広 園畑 素樹 馬渡 正明 佛淵 孝夫

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.59, no.3, pp.586-589, 2010

被引用文献数

1

---

【背景】変形性股関節症(以下,OA股)では腰椎側弯(以下,LS)合併が稀ではなく,脚長差が一因と考えられているが詳細な検討例は少ない.【目的】OA股における脚長差と腰椎側弯カーブの方向との関係について調査すること.【対象と方法】初回人工股関節置換術を行った片側OA股437例(男性56例,女性381例,平均年齢62歳)の脚長差とLSカーブの方向について調査した.脚長差は10mm未満,10mm代,20mm代,30mm以上の層に分類し,層別のLS頻度(Cobb角5°以上),LSカーブ方向と層別尤度比を調査した.【結果】LS頻度は40%であり,内訳は患側凸26%,健側凸14%であった.層別尤度比の検討からは,30mm以上の層のみでLS頻度,患側凸頻度は有意に高くなった.【考察】片側OA股では30mm以上の脚長差で腰椎への負荷は一定方向となり患側凸のLSが発生しやすいことが示唆された.

著者

内田 芳雄 野村 茂治 近藤 正一 佐伯 満 前川 正幸

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.28, no.4, pp.651-655, 1980-01-10 (Released:2010-02-25)

参考文献数

8

---

Congenital metatarsus varus is different from congenital club foot in many respects, but thy have been often confused.We experienced eight cases of this deformity during the years 1970 through 1979 which is sufficiently severe to require treatment in corrective casts. Two were unilateral and six were bilateral.Here we discuss the diagnosis and results of treatment in our clinic.

著者

藤井 洋 岡嶋 啓一郎 高野 晴夫 西 芳徳 村上 直也 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.51, no.2, pp.319-323, 2002-03-25 (Released:2010-02-25)

参考文献数

8

---

We experienced 6 patients with paralysis due to cervical mechanical compression last year at our hospital. One patient had multiple sclerosis. He displayed sudden symptoms which improved and deteriorated. He also showed high T2 lesion in MRI. Another patient sustained spinal infarction. She also suddenly caused symptoms and showed high T1 and T2 lesion in spinal MRI. One patient had alcholic neuropathy. We believe that these diseases can be differentiated by physical examination, MRI, and various other examinations.

著者

久枝 啓史 萩原 博嗣 中家 一寿 小澤 慶一 芳田 辰也

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.49, no.2, pp.481-484, 2000-03-25 (Released:2010-02-25)

参考文献数

9

---

14 patients (15 wrists) who had been treated for fracture of the distal end of the radius and had not been treated for ulnar styloid fracture at Sasebo Kyousai Hospital between January 1994 to December 1998 were studied for tenderness, ulno carpal stress test, bone union, and ulnar variance. According to Hauck et al., ulnar styloid fractures were classificd into tip fractures (type I) and base fractures (type II) There were 10 type I and 5 type II, 3 men and 11 women, and 6 right and 9 left wrists. The mean age was 58 years.2 wrists (20%) showed ulnar side pain for type I, and 3 wrists (60%) for type II. Non-union was seen in 1 wrist (10%) for type I, and 4 wrists (80%) for type II. Wrists with both pain and non-union were 0 for type I, and 2 for type II. In 5 wrists with pain, 3 showed ulnar variance (more than 3mm) and the other 2 tested positive for ulnocarpal stress.Type II fractures tend to be accompanied with pain and be non-union, while type I does not. Procedures such we pinning are thus recommended for type II fractures.

著者

田家 哲彦 前山 巌 山崎 堯二 大森 俊一

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.25, no.1, pp.43-46, 1976-06-10 (Released:2010-02-25)

参考文献数

9

---

Three femoral heads with non-traumatic aseptic necrosis were excised surgically, and then investigated histologically.Case 1: 57 year-old female with aseptic necrosis of femoral head associated with osteoarthritic features.Case 2: 47 year-old female, after steroid therapy for sarcoidosisCase 3: 34 year-old male, following steroid therapy for systemic lupus erythematosus.There were no specific histological findings in three cases, which are related to the original disease.

著者

安部 淳 樋口 理 松村 利昭

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.4, pp.1377-1382, 1990-03-25 (Released:2010-02-25)

参考文献数

15

---

Isolated fractures of the pisiform bone are uncommon. We reported two cases of isolated fracture of the pisiform bone. The first case was a 40-year-old male, and the second case was a 24-year-old female. The second case showed the Guyon canal syndrome. Both cases were treated by open reduction and fixation with microscrew. Bony unions were otained in both cases. A few months after the operation both patients were asymptomatic.

著者

水野 秀夫 広田 耕三 伊勢 紘平 園川 英器 赤崎 幸二

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.1, pp.67-68, 1982-06-25 (Released:2010-03-16)

参考文献数

5

---

Birth trauma, particularly femoral fracture, have been rarely found and few are followed up for a long time.We had three babies with femoral fractures treated by Bryant's traction and they showed good results.Perfect anatomical reduction was not essential for perfect function, because deformities in babies have corrected themselves spontaneously.

著者

西野 一郎 緒方 公介 野見山 宏 安永 雅克 西嶋 幸司 藤原 明 山田 昌登嗣

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.42, no.3, pp.1038-1040, 1993-09-25 (Released:2010-02-25)

参考文献数

3

被引用文献数

2

---

Accelerometric measurement of gait ananlysis is a simple, inexpensive and effective way to evaluate gait and was first introduced by Liberson and colleagues. Smidt applied accelerometry to the normal and abnormal patterns of gait. Ogata used accelerometry to quantitatively vevaluate the lateral thrust of the knee and investigated the dynamic effects of a wedged insole on the thrust of OA knees.In the present study, we used an accelerometer, strain gauge and goniometer to inveshgate the effects of accelerometry on heel strike in gait analysis. The acceleration placed on the calcaneal region on heel strike appeared faster than any other measurement. Our results suggest that an accelerometer placed on the calcaneal region provides the most useful information on the exact moment when the heel strikes the ground.

著者

中川 憲之 萩原 博嗣 久我 尚之 寺本 全男 田中 智顕 花田 麻須大 河村 好香

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.58, no.1, pp.82-84, 2009

---

日本では,猟,クレー射撃などでの散弾銃の所持が許可されているため,事件,事故により散弾銃創を治療する可能性はある.今回我々は2007年12月に佐世保市のスポーツジムで発生した散弾銃乱射事件の被害者の治療を経験した.当院に搬送された被弾者は4例で,1例は死亡,3例は待機的に散弾摘出を行った.1例はすべて摘出できたが,2例は全摘困難であり一部残存した.散弾銃創における治療,合併症について報告する.

著者

益川 眞一 忽那 龍雄 浅見 豊子 西川 英夫

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.39, no.3, pp.936-941, 1991-03-25 (Released:2010-02-25)

参考文献数

8

---

We reported end-results of 19 cases (13 males and 6 females) with patellar fracture, who entered our clinic. These cases were 17 to 78 years old, and followed for 1 years and 8 months to 7 years and 10 months (mean, 4 years and 6 months). They were evaluated for the range of motion of the knee joint, Pain, limping, muscle atrophy of quadriceps and grade of satisfaction. The clinical results were excellent in 11 cases, good in 5, fair in 3 and poor in none. Their main complaint was fatigue of knee, and those patients had muscle atrophy of quadriceps. Comminuted fracture and the step-off of articular surface after treatment contributed to poor results.

著者

河野 修 芝 啓一郎 植田 尊善 大田 秀樹 森 英治 加治 浩三 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.53, no.2, pp.291-293, 2004-03-25

参考文献数

2

---

Large curves between 50 and 80 degrees progress after skeletal maturity in untrated idiopathic scoliosis. In patients treated surgically for idiopathic scoliosis, curves sometime progress after removal of spinal instrumentation. Twenty-seven patients were evaluated to quantitate curve progression after removal of spinal instrumentation and identify factors leading to curve progression. Curve progressed in nine out of the twenty-seven patients. Curve progression is related to only curve magnitude, and not to correction rate, interval between operation and removal of spinal instrumentation, age, Rissers sign, type of scoliosis (adolescent, juvenile, infantile) , and spinal balance.

著者

松延 知哉 大賀 正義 生田 光 田丸 卓弥 有馬 準一 中野 壮一郎 鳥越 清之 瀬尾 健一

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.49, no.2, pp.416-421, 2000-03-25

参考文献数

2

被引用文献数

1 1

---

This study reviewed an over one-year follow-up results of 18 cases who underwent posterior lumbar interbody fusion with Brantigan I/F cage. The clinical success was defined according to Hirabayashi's scale. 9 cases were categorized as excellent, 4 cases as good, 2 cases as fair, and the remaining 3 cases as poor. Plane X-ray radiographs revealed bone union in 18 out of 20 levels (union rate 90.0%), and non-union in only one level. The remaining cases could be concluded as neither union nor non-union because of interrueted bone trabeculae. Assessment results of X-ray radiographs were most or less satisfactory and correction loss was not observed.<br>X-rays of some patients treated for degenerative spondylolisthesis showed carbon fiber cages buried deep in the upper vertebral bodies. A reaming device could be slipped onto the edges of the lower vertebral bodies, so pre-shaving them would be important. It is important that the autologous bone graft harvested from the lamina by laminectomy be unrelated with any donor site pain from the ilium. However it should be borne in mind that of MOB patients have poor bone quality after the autologous bone graft, the possibility of non-union is high. We concluded that the Brantigan I/F cage is an useful implant, but certain characteristics should be clarified for clinical and union success.

著者

岩瀬 丈明 土屋 隆之 山中 三知夫 多田 弘史 小田 裕造 西島 毅志

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.49, no.4, pp.1053-1057, 2000-09-25 (Released:2010-02-25)

参考文献数

11

---

A case of the failure of the ACE Retrograde Trauma (ART) Femoral Nail System (9mm, Titanium alloy) is presented. A 55-year-old female was injured in a traffic accident, and X-ray films showed right femoral supracondylar and shaft fracture. She was treated using an ACE Retrograde Trauma (ART) Femoral Nail System (9mm, Titanium alloy) at our hospital. Partial weight-bearing gait was started 4 weeks after operation, and full weight-bearing 6 weeks. The patient complained of right femoral pain 11 weeks after operation. The nail was broken at the proximal screw hole and femoral shaft fracture was displaced again. The patient was reoperated on using the Osteo IC-Nail System (11mm). The surface of the broken nail was analyzed by Scanning Electron Microscopy (SEM). It was shown that the cause of nail breakage was fatigue destruction. In conclusion, we should use larger nails in this case.