著者

平田 修 竹下 満 荒牧 健一 尾上 敏博 岩本 英明

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.45, no.2, pp.482-485, 1996-03-25 (Released:2010-02-25)

参考文献数

4

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We experienced a case of a 34 year-old man who ruptured his pectoralis major due to bench press exercise. Operation was performed three months after injury resulting in satisfactory functional repair but the patient was not satisfied with the cosmetic. Rupture of the pectoralis major is a rare illness with only about 100 reports found so far. In many of these reports, surgery achieved good results for complete rupture cases.However, there were fewer reports on old cases, but many of those available showed that the operation achieved good functional results, but there were not so many good cosmetic results.

著者

益田 泰次 若狭 雅彦 有田 淳 槙坪 宏之

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.38, no.3, pp.1320-1324, 1990-03-25 (Released:2010-02-25)

参考文献数

8

---

In our clinic, there were eighteen non-union cases of the upper or lower extremities since 1983. Fourteen cases were operated: twelve cases were operated with the conventional method consisting of refreshment of the non-union sites, fixation with plates and screws, and bone grafts. All cases showed good results.

著者

中村 英一 水田 博志 長元 法喜 佐久間 克彦 松川 昭博 米村 憲輔 高木 克公

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.1470-1472, 1991-03-25 (Released:2010-02-25)

参考文献数

11

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We recently had two rare cases of a stress fracture in the lower extremity. The first case was a 14-year-old sprinter who suffered a stress fracture of the medial malleolus. The second case was a 15-year-old baseball player who had an initial stress fracture in the femur and later stress fracture in the ipsilateral tibia. We shortly discussed about these cases.

著者

米村 憲輔 西田 公明 薬師寺 俊剛 中村 孝文 高木 克公

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.551-554, 1998-03-25 (Released:2010-02-25)

参考文献数

6

---

We review the clinical results of 19 cases with intramuscular hemangioma. Subjects included 6 males and 13 females ranging in age from 5 to 58 years (median, 23 years). The tumor was located in the upper extremities in 3 patients, the trunk in 3, and the lower extremities in 13. Pain on motion was found in 17 patients (89.5%) and limitation in motion range was reported in 60%. Surgical planning was done using MRI and a wide surgical margin was used in regard to the affected muscle and a marginal margin for surrounding tissues. The excision was performed in all patients and no recurrence was found in the duration of follow-up ranging from 7 to 101 months (median, 57 months). Furthermore, the limitation of motion was completely improved and the postoperative disability such as gait disturbance was not noted. Thus, the wide surgical excision of intramuscular hemangioma achieved satisfactory results.

著者

宮本 俊之 伊藤 信之 衛藤 正雄 朝長 匡 原 寛徳 大渡 伸 M. E. Rabbi

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.890-893, 1997-09-25 (Released:2010-02-25)

参考文献数

8

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There are rarely few reports on the clavicular motion during elevation of the extremity. This is may due to the complicated shape of the clavicle and its three-dimensional movement. The purpose of this study is to analyze the movements of clavicle by using X-ray fluoroscope.The study was performed on a 21 years old female who had clavicular fracture a year ago and had fixation with plate and screws. She had no difference on both shoulder ROM when examined. In front of X-ray fluoroscope, she was asked to abduct her arm to full in 10 seconds, and the movements were recorded on videotape. From the location of plate and screws we analyzed the clavicular motion.The clavicle rotated clockwise in its long axis when viewing from the left sagittal plane. This movement increased constantly during the elevation of arm and reached 50 degrees at maximum abduction. In Frontal view, 25 degrees of upward movement was observed, where the majority of the movement was seen within 90 degrees of elevation.

著者

Mako Hirano Kazutoshi Nomura Noburo Hashimoto Tetsuya Fukumoto Shiniti Urata Hiroo Sato Kenji I.

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

Orthopedics & Traumatology (ISSN:00371033)

巻号頁・発行日

vol.49, no.1, pp.153-156, 2000-03-25 (Released:2010-02-25)

参考文献数

7

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Treatment regimens for frozen shoulder vary. These include joint distension which is performed in conjunction with the arthrography of the shoulder. Distension arthrography was performed in 19 cases from April 1997 to March 1998, of which nine cases (4 men, 5 women) were available for this study. One case underwent surgical manipulation after joint distension. One case was admitted for surgery but joint distension on the day of admission was so effective that she discharged without surgery. The average JOA score was 55.4 before this procedure and 84.1 at the time of follow-up. As the treatment for frozen shoulder, we recommend this procedure before surgery.

著者

Yoshihiro Yabe Hiroshi Fujiki Hideki Kobayashi

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

Orthopedics & Traumatology (ISSN:00371033)

巻号頁・発行日

vol.38, no.2, pp.435-438, 1989-10-25 (Released:2010-02-25)

参考文献数

6

---

Spontaneous rupture of the tendon during long-term systemic administration of steroids is rare and it is found only sporadically at the Achilles tendon.We report two cases of spontaneous rupture of the tendon during long-term systemic steroid therapy.One of the patients who was administered steroids for systemic lupus erythematosus developed rupture of the Achilles tendon, and the other treated for polyneuritis showed rupture of the tendon of the long head of the biceps brachii muscle.These two cases are considered to show that rupture of the tendon occurred due to degeneration and weakness of tendon tissue during long-term systemic steroid therapy.

著者

田中 一広 玉城 一 大久保 宏貴 赤嶺 良幸 大城 義竹 屋良 哲也 外間 浩 仲宗根 朝洋 金谷 文則

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.56, no.4, pp.562-565, 2007-09-25

被引用文献数

1 1

---

比較的まれな特発性一過性大腿骨頭萎縮症の3例を経験したので報告する.【症例1】44歳男性.2週間前ジョギング後より左股関節痛出現,MRIより特発性一過性大腿骨頭萎縮症(以下TOH)と診断された.免荷とし外来にて経過観察していったところ6週後から疼痛は消失,3カ月後のMRIでは異常信号は認められなかった.【症例2】35歳女性.妊娠30週ころより右股関節痛出現,出産後当科外来受診した.MRIにてTOHの診断に至り現在免荷にて外来通院中である.【症例3】32歳男性.1カ月前より右股関節に荷重時疼痛認められ,近医にて加療を受けていたが,症状改善せず当科紹介受診した.可動時痛は認められなかった.MRIによりTOHの診断に至り,外来にて経過観察中である.

著者

江川 正 朝長 國夫 植松 伸久 谷口 育秀 矢部 嘉浩 松永 正彦 船越 衛一

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.40, no.4, pp.1420-1423, 1992

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Ten dialysis patients with evidence of R. O. D. were studied on X-ray, chemical finding and bone histology.<br>AL-P, P. T. H. increased in most patients with evidence of R. O. D. but estradiol decreased. In bone histology, four cases were osteitis fibrosa, four sclerotic type and one mixed type. Patients with evidence of osteitis fibrosa was younger than those with other type. It is suggested that the development of R. O. D. is correlated with secondary hyperparathyroidism and other endocrine function.

著者

川口 雅之 松崎 尚志

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.63, no.4, pp.819-821, 2014

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高齢者のアキレス腱断裂は若年者に比較して稀な外傷である.今回院内発症した高齢者のアキレス腱断裂を2例経験したので報告する.[症例1]66歳男性.右下腿糖尿病性膿皮症で入院中.早朝に廊下で転倒し左アキレス腱断裂受傷.[症例2]73歳男性.両側の白内障手術で入院中.早朝にトイレで転倒し左アキレス腱断裂受傷.[考察]若年者のアキレス腱断裂はスポーツ中の受傷が多い.それと比較して高齢者のアキレス腱断裂はスポーツ中の受傷は少なく,転倒などの突発的な外傷などでの受傷が多い.院内での転倒・転落などのインシデント・アクシデントでの外傷では頭部打撲や骨折に注意が向き,Xp・CTなどで評価しがたいアキレス腱損傷は見落とされがちである.早期診断のために院内での啓蒙が必要である.

著者

石河 利之 内藤 正俊 浅山 勲 山口 哲 秋吉 祐一郎 藤澤 基之 神戸 太一 安部 龍暢 白水 圭 舌間 崇士

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.52, no.1, pp.5-9, 2003-03-25

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The purpose of the present study is to report the mid-term results of modified Sugioka transtrochanteric valgus ostetomy (TVO) for the treatment of secondary osteoarthritis. The lateral displacement of the greater trochanter was simultaneously performed. Fourteen TVOs were performed in 14 patients with unilateral osteoarthritis of the hip from 1993. We assessed 8 hips in 8 patients in this study. The mean age of the patients at the time of surgery was 46.4 years (41 to 55 years). The average follow-up was 3.9 years (2.4-7.2years). The patients were evaluated for radiographic changes of the joint space, roof osteophyte, weight bearing surface of acetabulum, AHI, abductor lever arm, capital drop, bone cyst in the acetabulum or femoral head as well as clinical results using JOA score. The mean JOA score improved from 57.4 to 76.3. The widening of joint space, lengthening of weight bearing surface of acetabulum were seen in seven hips. The length of the abductor lever arm after surgery was not proportional to the JOA score at the latest follow-up. In one patient, total hip arthroplasty was required after 2.2 years. This procedure is considered useful for the treatment of osteoarthritis in dysplastic hips.

著者

鶴田 敏幸 忽那 龍雄 岡元 勉 島田 政博 渡辺 英夫 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.116-120, 1985

被引用文献数

1

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Tenosynovitis in hand and finger is exudative or proliferative inflammation of tenosynovium. Clinically, it shows the symptom of local swelling, palpable tumors, motion disturbance of fingers in spite of its different causes. And it sometimes causes tendon rupture or nerve palsy. Diagnosis is made by clinical symptoms, laboratory data, bacterial and fungal culture and histopathology.<br>We presented three cases of <i>tenosynovitis</i> associated with rupture of extensor pollicis longus tendon (Case No. 1) and carpal tunnel syndrome (Case No. 2). One case out of three was caused by tuberculosis. But in other two cases, clear diagnosis was not estabilshed even after such thorough examinations. In this paper, we discussed some problems of diagnostic process, and emphasized that tenosynovitis in hand fingers had possibility of causing tendon rupture and in carpal canal causing carpal tunnel syndrome regardless of its etiology.

著者

片岡 秀雄 吉田 佑一郎 田口 敏彦

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.57, no.1, pp.102-105, 2008

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【はじめに】我々は胸髄レベルでの脊髄損傷の治療を想定して,ラットを用い脊椎・脊髄短縮モデルを作成した.開発の途中ではあるが,今までの成果を報告する.【対象と方法】生後13~16週のWistarラットを使用した.第8胸椎椎体レベルの脊髄を切断後に除去し,第8胸椎椎体の切除を行った.第6と第10胸椎椎弓根に挿入したmini screwに糸をかけ,脊髄が吻合する様に引き寄せて固定した.【結果】当初は術後の長期生存は困難であったが,術中の出血量の減少や術後管理の工夫などで術後2カ月以上の生存がほぼ可能となった.術後の運動機能はBBBスコアを用い評価し最大で5であった.組織学的に吻合部は連続していたが,間には瘢痕が形成されていた.【考察】今後,モデルに改良を加え,脊髄の吻合部を越えた神経軸索の接合が起きれば,脊椎・脊髄短縮術は脊髄損傷後の完全麻痺に対して臨床応用できる可能性があると考えられる.

著者

金井 成行 谷口 典正

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.48, no.4, pp.1237-1241, 1999-09-25

被引用文献数

5 1

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実験的骨減少症モデルと考えられている卵巣摘出 (OV) ラットと実験的関節症モデルであるアジュバント関節炎 (AA) ラットの脛骨の骨塩量をDEX法とCXD法にて測定した. OVラット, AAラットの骨塩量は, DEX法のみならずCXD法においても有意にコントロール群に比べて減少を示した. また, DEX法とCXD法による骨塩量には, 有意に相関が認められた. これらの結果からAAラットも実験的骨減少症モデルに充分なりうると考えられ, CXD法も骨減少の評価に有用であることが示唆された.

著者

足達 永 岡崎 賢 崎村 陸 水内 秀城 濱井 敏 田代 泰隆 岩本 幸英

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.62, no.3, pp.450-452, 2013-09-25

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今回我々は術前・術後のアライメント変化と脛骨側の骨切り量・インサートサイズとの関連を評価し,骨切除量の術前予測が可能かどうかについて検討した.対象は2005年から2011年までに単顆型人工膝関節置換術(UKA)を行った.37例40膝(男性:8例9膝,女性:29例31膝)を対象とした.平均年齢は70.1歳,疾患は変形性膝関節症25例26膝,大腿骨顆部骨壊死12例14膝であった.FTAの変化量と術後の関節面上昇量には有意差があり,平均5°未満で3.5mm(-3.5mm~4.9mm),5°以上で5.2mm(5.1mm~12.5mm)であった.FTAの矯正量と脛骨関節面の上昇量は有意な相関関係にあり,術中の脛骨骨切除量の予測が可能であると考えられた.

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

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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.