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Norikazu ICHIKAWA, Mitsuru NAGOSHI, Taketo KUROZUMI
1995 Volume 7 Issue 2 Pages
417-419
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We reported 15 patients with rotator cuff tears who underwent arthroscopic examination, and compared the findings with those of 5 patients with frozen shoulder. The main intraarticular finding was vascular synovitis in the frozen shoulder. On the other hand, the pathological changes of the glenoid labrum, intraarticular portion of the bicipital long tendon and glenoid articular cartilage were more frequent in the shoulder with rotator cuff tears.
We thought that the rotator cuff plays a significant role of the glenohumeral stabilizer.
We concluded the shoulder associated with cuff tears had more degenerative changes compared with the frozen shoulder.
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Haruhiko IKUTA, Kyoichi EDASHIGE, Toru NISHIYAMA, Kiyoto KINUGASA, Mut ...
1995 Volume 7 Issue 2 Pages
421-424
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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For the treatment of grade III acromioclavicular (A-C) dislocation, our method of choice consists of open reduction, repair of the coracoacromial ligament with additional positional wiring, and transfixation of the A-C joint with K-wires.
During the last 3 years, 16 cases were treated with this method. The average age was 37.5 years, ranging from 17 to 70 years. The mean follow-up period was 18 months, ranging from 3 to 38 months.
The results were excellent in 15 cases and fair in one according to Kawabe's evaluation system, proving our method is quite satisfactory.
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Noriyuki GOMI, Yuiji OGAWA, Yasushi HIGASA, Shunji NAKANO
1995 Volume 7 Issue 2 Pages
425-428
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We report the results of a modified Neviaser's procedure for Tossy's Type III injuries of the acromioclavicular joint.
Eighteen cases were treated (14 men and 4 women). The average age at the time of surgery was 39.1 years and the average follow-up period was 24.2 months.
From the results, there were 10 excellent cases, 4 good cases, 4 fair cases and no poor case, evaluated by the Kawabe's criteria. Almost all the patients showed excellent range of motion of the shoulder, but 10 cases demonstrated deformity of the acromioclavicular joint later.
The problem of original Neviaser's procedure has shown to be the fixation of the transfered coracoacromial ligament to the clavicle. In order to solve this problem, we modified the original Neviaser's procedure to the following 3 points:
1. The coracoacromial ligament is transfered with a small piece of bone and is fixed to the clavicle by using a screw.
2. The fixed point is as posteriorly and superiorly from the distal end of the clavicle as possible.
3. 2-Kirschner wires are used for the fixation between the acromion and the clavicle.
Although those modifications were used, half of the patients demontrated deformity of the acromioclvicular joint.
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Tomoo KADO, Shinichiro MIYAKE, Toru HASEGAWA, Ryo WATANABE
1995 Volume 7 Issue 2 Pages
429-433
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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Two cases of complete dislocation of the acromioclavicular joint associated with coracoid fracture, which has been reported previosly to be a rare condition, were treated surgically. In the radiological diagnosis, a plain anterior-posterior oblique roentogenogram with a 30 degree caudad tilting angle and three-dimensional computed tomogram were very useful as compared with the conventional view. Sound fixation of the coracoid process was important for achievement of stability of the acromioclavicular lesions.
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Shigeru SHIINO, Takashi FUKUSHIMA, Jiro KANEMATSU
1995 Volume 7 Issue 2 Pages
435-439
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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This paper presents a case of tuberculosis of the shoulder joint. A 56-year-old woman came to our hospital because of local swelling, pain and limitation of movement of the shoulder joint. Radiological and MRI examination revealed involvement of the bones of the shoulder joint with destruction of the head of the humerus, the glenoid fossa and acromial process.
Curettage and closed suction irrigation were perfomed, and a drug regimen of three drugs continued for one year postoperatively. Following surgery and chemotherapy, the patient has remained free of any active tuberculosis disease for the past one year.
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Yuichi IKEDA, Kuniichi KAWANO, Masafumi MIYAMOTO
1995 Volume 7 Issue 2 Pages
441-444
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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Acute ruptures of the lateral ligaments of the ankle in 14 patients were treated surgically. The patients were diagnosed and evaluated by the talar tilt angle and the anterior talar translation measured on stress X-ray before operation and more than six months later.
All patients returned to resume full sports activities and had improved mechanical stability of the ankle on a follow up examination. However, in five patients both the talar tilt angle and the anterior talar translation were lesser than that seen on the contralateral (normal, uninjured) side. All but one of the five patients complained of stiffness in the ankle joint after sports activities, during cold weather spells, and during upright sitting.
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Makoto ENOKIDA, Noriyuki TAKASU, Yasuyuki ISOBE, Kichizo YAMAMOTO
1995 Volume 7 Issue 2 Pages
445-448
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We often make use of the shoe insoles to reform lower limb alignment.
But that mechanism is not so distinct. In this study, we evaluate the effect of the shoe insoles in clinical results and the three dimensional gait analysis.
Thirty-three patients (20 males, 13 females, mean age: 14.9) have sports injuries of the lower limbs. The shoe insoles were effective for 27 (78.8%).
Three dimensional gait analysis was carried out to four patients (3 male, 1 female, mean age: 14.7) and five (4 male, 1 female, mean age: 24) who have no lower limb injuries. We compared no shoe insole and on shoe insole. Between those, we did not find differences of the knee flexion angle in frontal view from heel strike to weight bearing max., and there was no fixed tendency for the time from heel strike to weight bearing max. But there was a tendency for the knee flexion angle in sagittal view from heel strike to weight bearing max. to increase.
We thought that the shoe soles are associated with the increase of knee flexion angle in sagittal view.
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Shinichi NAKAMURA, Yasuharu NAKAJIMA, Toru HASEGAWA, Ryo WATANABE
1995 Volume 7 Issue 2 Pages
449-453
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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Clinical assessments of nine patients with talus fracture who treated by open reduction and internal fixation were performed. According to the Marti-Weber classification system, there were three cases of type 2, one of type 3, and five of type 4. Follow-up ranged from 3 months to 13 years with an average of 7 years and 6 months. The overall results at the final follow-up were excellent in two cases, good in three cases, fair in two cases, and poor in one case. An avascular necrosis was recognized in two cases of nine cases, each of which was type 4 in the Marti-Weber classification and group 3 in the Hawkins classification. Prompt decompression of the soft tissue, and sound anatomical reduction and fixation are important to improve the prognosis.
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Masatoshi HIRAI, Kiyofumi YAMASU, Masaya TAKAHASHI
1995 Volume 7 Issue 2 Pages
455-458
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We treated six displaced intra-articular fractures of the calcaneus by open or closed reduction using canulated screws. The six cases included three tongue type, one depression type and two minimal displacement fractures. For tongue type fractures, screws were inserted through a calcaneal tuberosity that included intra-articular fragment, impacting this fragment to the calcaneal body in the direction of the long axis. For depression type fractures, one screw maintained the calcaneal form of the long axis and another screw was inserted under the intra-articular depressed fragment to avoid displacement. Guide pins inserted before help proper screw placement. Although these cases have been observed for less than one year after treatment, results appear to be successful.
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Masato TAKAO, Naotaka SHU, Hayato HIROTANI
1995 Volume 7 Issue 2 Pages
459-462
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We performed a reconstruction of the chronic Achilles tendon rupture on 5 patients by use of the fascial flaps of the gastrocnemius as described by Lindholm (1959). During follow-up examinations (average follow-up, 69 months; range, 5 to 144 months), all patients obtained excellent results. We compared the results of end-to-end sutures for fresh Achilles tendon ruptures (average follow-up, 70 months; range, 12 to 149 months). There was no significant difference between the two results. We concluded that this procedure is the treatment of choice for patients with chronic Achilles tendon ruptures.
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Teruaki OKUDA, Tsuneji MURAKAMI, Hiroyuki MIYASHITA, Yoshikazu IKUTA
1995 Volume 7 Issue 2 Pages
463-466
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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We reported a case of Blair fusion for idiopathic avascular necrosis of the talus.
The patient is a 55-year-old female who complained of a pain in the right ankle. A bone scan and a magnetic resonance image of the tales revealed avascular necrosis. We performed a free vascularized iliac bone graft. One year after the operation, X-ray films and a magnetic resonance image showed that the grafted bone had been vascularized, but the dome of the talus had collapsed. The Blair fusion was performed with a Steinmann pin and a staple using a vascularized bone graft that had been carried out at the first operation.
The procedure resulted in a good union of the talus with the tibia without deformity and shortening.
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Seinosuke HARA, Masayuki SUMIYOSHI, Shuichi INOUE, Yuji SAEKI, Atsushi ...
1995 Volume 7 Issue 2 Pages
467-469
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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The results in sixteen patients who had displaced intra-articular fracture of the distal radius treated by surgical procedure, were retrospectively reviewed.
In an average follow-up of two years and two months, 15 patients had a rating of good or excellent by Saito's scoring system. An articular congruency of less than two millimeters' displacement was restored in all patients. In four patients slight post-traumatic arthritis was found.
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Kazuo FUJIWARA, Akira KAWAI, Masanori HAMADA, Hiroyuki HASHIZUME, Haji ...
1995 Volume 7 Issue 2 Pages
471-475
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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With the introduction of effective chemotherapy for patients with osteosarcoma, various limb salvage surgeries have been developed in the last 2 decades.
We treated 2 young patients with Van Nes rotation-plasty for osteosarcoma around the knee joint. The location of the tumor of Case 1 was at the disal part of the left femur, and that of Case 2 was at the proximal part of the left tibia. Resection of the femoral vessels associated with the tumor, and angioplasty were done in both patients. The sciatic nerve was kept intact. They could walk well without crutches at the two-year or one-year follow up. No local recurrent tumor or metastasis was observed.
The most serious problem of this method is the strange appearance of the treated limb. However, they have not suffered psychological problems in accepting the shortened and rotated extremity.
We recommend the rotation-plasty as an alternative reconstruction method after wide resection of malignant bone tumors around the knee joint, especially for young patients with a high level of daily activity, and before the end of long bone growth.
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Yasuhiro TAKAHARA, Masuo SENDA, Shirou HANAKAWA, Hajime INOUE
1995 Volume 7 Issue 2 Pages
477-481
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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Color doppler imaging was used to measure the blood flow of the descending branch of the lateral femoral circumflex artery which supplies the rectus femoris muscle. Blood velocity rates in the rectus femoris muscle were measured before and after dynamic knee flexion and extension exercise. The mean velocity of the blood flow increased approximately six times greater than before the exercise, and recovered in 30 minutes. A previous, preliminary study by Hayashi et al. indicated that the intensity of MRI in the skeletal muscles increases with dynamic exercise and returns to pre-exercise levels after about 60 minutes. The changes in the blood flow were thought to be one causative factor of the changes in the intensity of MRI of the skeletal muscles before and after exercise.
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Kazukiyo TODA, Shirou HANAKAWA, Touru SATO, Meizou AKIYAMA, Hajime INO ...
1995 Volume 7 Issue 2 Pages
483-487
Published: September 25, 1995
Released on J-STAGE: March 31, 2009
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1995 Volume 7 Issue 2 Pages
489-494
Published: September 25, 1995
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1995 Volume 7 Issue 2 Pages
495-499
Published: September 25, 1995
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1995 Volume 7 Issue 2 Pages
501-506
Published: September 25, 1995
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1995 Volume 7 Issue 2 Pages
507-508
Published: September 25, 1995
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