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Kenji Ohtsuki
1972 Volume 21 Issue 3 Pages
201-204
Published: 1972
Released on J-STAGE: February 25, 2010
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The availability of the scanning electron microscope in revealing fine details of the Surface morphology of cells and tissues has been already established. Recently, scanning electron microscopic studies of nervous tissue have been reported on the chick spinal cord, cilia in the brain, isolated nerve fibers.
However, all of these studies have treated with the surface morphology of cells and tissues, and there have been no studies performed on the inner structure, as far as is know.
In the present study on the anterior horn cells, the neuroglia cells and the mylinated nerve fibers of the spinal cord as observed with the scanning electron microscope, the author attempted not only to reveal the surface morphology of cells and tissues but also their interior structure, making use of Tanaka's freezed resin cracking method.
Small cubes cut from the spinal cord of the rabbit were fixed and dehydrated, and embedded in gelatin capsules filled with Cemedine 1500. The Cemedine was hardened at-30°C and the capsules were cracked in two pieces. The cracked surface of the specimen was observed under the scanning electron microscope with following results:
1. In the cytoplasm of the anterior horn cell the Nissl bodies were observed like specks. The Nissl bodies were denser than the cytoplasm surrounding them and contained numerous granules (about 400 A in diameter) and membranous structures oriented parallel to each other. In the cytoplasm corresponding to the Golgi regions many vesicles and cisternal and membranous structures could be seen. On the surface of nerve cell bodies small swollen terminations of axons, which seemed to be end-bulbs, were observed.
2. The membranes consisting of myelin sheaths, which surrounded the axon as a whirlpool, were observed in three dimensions. The myelin sheath sometimes emerged thinner processes which could be considered to be the cytoplasmic processes of the neurogia cell.
3. The cilia covering the ependymal cells of the central canal were fairly uniform in number (12-15) from cell to cell, and were arranged in a tuft for each cell. The surface was also rich in microvilli which formed various shapes.
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T. Miyamoto, S. Tominaga, Y. Shigetomi, K. Itakura
1972 Volume 21 Issue 3 Pages
204-209
Published: 1972
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Five cases of the spinal cord tumor which we have recently experienced were reported.
Case 1. a male, aged 42 years, was neurinoma located in the extramedullary region of the second lumbar vertebrae.
Case 2. a male, aged 64 years, was malignant meningioma located in the extradural space of the third lumbar vertebral region.
Case 3. a male, aged 41 years, was plasmacytoma located in the extradural space of the first and second thoracic vertebrae.
Case 4. a female, aged 46 years. A myelogram showed a complete block of contrast material between C
1-2.
Case 5. a female, aged 44 years. A myelogram showed a defect of the contrast material on the left side at the third cervical vertebral region.
We could remove the tumor completely in the case 1, and partially in the case 2, 3.
In the case 4, 5 we practised only laminectomy for effect of decompression.
At the postoperative course the patient's condition was relatively good in the case 1, 3, 4, 5.
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
1972 Volume 21 Issue 3 Pages
209
Published: 1972
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K. Kawamura, A. Taguchi, N. Tajima
1972 Volume 21 Issue 3 Pages
210-212
Published: 1972
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A boy aged seventeen years old student admitted to our hospital suffering from low back pain, radiation pain to his left leg and sensory disturbance on the same region.
Radiograph showed that the 4th lumbar vertebral body and arch had thin cortex and elliptical bulging. Myelogram and angiogram revealed compression of the 5th lumbar nerve root and meandering of the 4th lumbar artery without vascularization and blood pooling. We suspected giant cell tumor of bone, aneurysmal bone cyst and solitary enchondroma.
At the time of the surgery, the tumor had pink-yellowish semipermeable substance beneath the thin cortex macroscopically. Therefore we diagnosed enchondroma and performed partial laminectomy and replacement of the vertebral body. Histological diagnosis was benign enchondroma.
Eight months after operation, he is going to school without disability. We have had satisfactory result of grafted bone with good condition in roentogenogram.
We reported one rare case with a few literary consideration.
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M. Naruo, H. Morita, Y. Hirai, N. Nakane, [in Japanese], H. Sonoda, Y. ...
1972 Volume 21 Issue 3 Pages
213-216
Published: 1972
Released on J-STAGE: February 25, 2010
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Venography, peridurography, Conray-myelography and discography are a X-ray diagnostic technique for a lumbar disc lesion. Twenty patients of lumbar disc lesion, all of whom were studied with these X-ray diagnostic technique, and treated by anterior remeval of disc and interbody fusion. The value of these techniques as a diagnostic aid was discussed. The discussion was supported by the result of comparative investigations between the findings of these special constrast studies and operation. The rate of coincidence between the two was as follows:
1) in 10 cases of L
4-5 disc lesion: venography, peridurography and discography were 100%. Conray-myelography was 40%.
2) in 7 cases of L
5-S disc lesion: venography, peridurography and Conray-myelography were 71%. Discography was 100%.
3) in 3 cases of L
4-5. L
5-S, double disc lesions: venography, peridurography, Conraymyelography and discography were 100%.
The rate of coincidences of these special constrast studies in these 20 cases were as follows: venography (90%), peridurography (95%), discography (100%) and Conray-myelography (60%). From these comparative investigations, discography is seemed to be the most believable diagnostic technique for both L
4-5 and L
5-S disc lesions.
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M. Morooka, Y. Takemitsu, T. Iwakiri, N. Shinohara, A. Okue, K. Morihi ...
1972 Volume 21 Issue 3 Pages
217-220
Published: 1972
Released on J-STAGE: February 25, 2010
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Comparative studies has been done on contrast, simplicity and side effect of three water soluble contrast medium, Abrodil (38 cases), 60% Conray (26 cases) and Megluminesalt of iocarmic acid (25 cases). The latter two we used since 1970 and the former used before.
As generally accepted, 60% Conray and Megluminesalt of iocarmic acid has better resalts than the other, but some patients complained severe haed ache, nausea and vomiting. By using 60% Conray, one patient caused slight cramp of the lumbar muscle and one had a slight fever.
Radiography in standing position using Megluminesalt of iocarmic acid revealed better results in level and contrast without any trouble of procedure and side effects. As proved in phantom experiment which we have done, the contrast medium diffuses just below the needle.
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T. Yano, T. Inoue, H. Hara, Y. Ishibashi
1972 Volume 21 Issue 3 Pages
221-223
Published: 1972
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Nine cases of lumbar prolapse with spondylolysis or spondylolisthesis were treatred during the last five years.
The all laminar defects situated in the fifth lumbar vertebra and the prolapsed discs located at the fourth interlaminar space. In all cases the condition could be diagnosed clinically before the operation and the posterior fusion operation was carried out following removal of the prolapsed disc by Love's operation. Satisfactory results were obtained clinically and roentgenologically.
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M. Shimizu, K. Hamasaki, A. Fukushima, K. Takada
1972 Volume 21 Issue 3 Pages
223-226
Published: 1972
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While the question as to wheather the lumbosacral spine should be fused operatively following the removal of the herniated disc by posterior approach is still a controversial one, there is a coincidental opinion among most authors that the added vertebral fixation operation is necessary to get a good result for those cases in which the marked degeneration of one or more intervertebral discs, or obvious instability exists.
Several problems have been pointed out as disadvantageous for these previous methods of vertebral fixation. These are as follows:
1. Fusion of span is frequently found to be incomplete.
2. Vertebral is necessary in principle and secondary spondylolysis is apt to occur above the fixed vertebrae as the postoperative complication.
3. Fixation is necessary for a moderately long time.
4. Affection of operation is not slight.
To resolve these problems, we have altered the method of vertebral fixation after Langenskiöld (1967) and we consider this new method as a reliable one to recommend, because of the possibility of early rehabilitation and the rather slight operative affection. Combined method of lumbar disc hernia enucleation followed with posterior vertebral fixation.
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S. Furusawa, Y. Ohtani, K. Ohya, H. Shirane, S. Kurose, T. Okada, S. M ...
1972 Volume 21 Issue 3 Pages
227-230
Published: 1972
Released on J-STAGE: February 25, 2010
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We compared and examined the various kinds of the 43 lumbal spinal fusions which had been performed for the spondyolysis, the spondylolysthesis, the compression fracture of the lumbar spine and the lumbal disc lesion at our hospital from the February 1966 downward. Among our lumbal spinal fusions performed for four diseases above mentioned, the H-graft method was the most in number, and the next was the anterior spinal fusion and the third was the postero- lateral spinal fusion. The H-graft method required the longest medical treatment days after operation. We could not observed the enough change by Y-ray photograph before and after operation to reduce the definite conclusion because the only short intervals had been passed, but we found the tendency that there appeared many narrowness of the lumbal disc in case of the spinal fusion with the laminectomy. Many complications yielded in case of the anterior spinal fusion and especially the thorombophlebitis was seen in the 44% of the cases of the anterior spinal fusion. However, there was not a remarkable difference of the result among these three ways of the spinal fusion and either of them resulted in success.
Consequently, we reached the conclusion that there was no remarkable difference among these three ways of the spinal fusion and that either of them could give a satisfactory result provided we would carefully relect the indication before operation.
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R. Tanaka, T. Hisatomi, Y. Usui
1972 Volume 21 Issue 3 Pages
230-234
Published: 1972
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The course of 42 patients aged under fifty years old who have been suffering from low back pain and taken care in admission, were investigated. 40 cases of those have had good condition in out-hospital after discharge. The patients who were still severely suffering from low back pain after discharge were the cases of conservative treatment, which did not show conspicuously the radicular symptom having the multiple degeneration in the intervertebral disc. The course of the cases having the onset suddenly and initially was extremely good, even the cases with the gait-disturbance due to severe low back pain and the hardness of the body-change at the admission. 19 cases of 28 cases tested by means of the myelography showed the finding suggesting the discopathy. Saying about the low back pain, there was no difference between the operative group and the conservative group, in which the shadow-defect was found through the myelography. But the bad cases were found more in the conservative group than in the operative group on the point of the gluteal- and lower leg pain.
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S. Mihara, K. Adachi, H. Aso, T. Suga
1972 Volume 21 Issue 3 Pages
234-237
Published: 1972
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The radical operation by direct approach was made to 15 cases of spinal tuberculosis. 9 menand 6 women completed the study. Their age ranged from 17 to 73 years and the highest frequency appeared in 40 to 50 years old. The number of patients with diseased portion of cervical vertebrae was 2 cases, that of thoracic vertebrae 3, thoraco-lumbar transition 1, lumbar vertebrae 4 and lumbo-sacral parts 5 respectively. 2 cases with complication of spinal paralysis had the diseased portion of thoracic vertebrae.
As a general rule, we did the spinal fusion after a meticulous debridement of the diseased portion and the transplantation of long and large bone fragment. Patients were allowed to get up and sit down about 3 months after the operation and to discliorge about six months after and to resume their regular work one year after.
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H. Yamamoto, K. Yamada, H. Kishi, Y. Nakagawa, T. Tamura, A. Tezuka, I ...
1972 Volume 21 Issue 3 Pages
237-240
Published: 1972
Released on J-STAGE: February 25, 2010
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Idiopathic scoliosis is a diagnosis of the curve which etiology is unknown, and is simultaneously considered to be a huge dust box of the diagnosis. This report is on our etiological and therapeutic approach to idiopathic scoliosis.
Equilibrium approach: Among 145 idiopathic cases 109 (75%) were found to have equilibrium dysfunction in the proprioceptive reflex system (rightening reflex test, writing test) as well as in the optic reflex system (spontaneous nystagmus test, optokinetic nystagmus test). The clinical and experimental investigations indicated that equilibrium dysfunction in scoliosis is caused by a malfunction in a postural reflex system at the brain-stem as well as the peripheral nervous system.
Neurohumoral approach: Idiopathic cases proved to have a marked tendency of emaciation and a low level Basal Metabolic Rate. The results of the tests for endcrine function (growth hormone, pituitary gonatropin, urinary 17 OHCS and ACTH and Metopiron loading test, insulin and suger response) indicated that in the cases with idiopathic scoliosis there exist a hypofunction in the hypothalmo-hypophyseal-endocrine system. As well known, postural reflex system is functionally connected to the metabolic regulative system at the hypothalmus and the brain-stem.
These clinical charasteristic facts in idiopathic cases should be reflected to the treatment. Mostly desirable method of the treatment is active correction by the early detection of the curve. We developed “Active Corrective Plaster Jacket” as an early treatment of scoliosis. The purpose of the treatment is to correct the curve actively in accordance with righting reflex of the posture, and to improve the equilibrium function.
Our comprehensive treatment program was presented.
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The second report
K. Oda, S. Hattori, A. Okuyama
1972 Volume 21 Issue 3 Pages
240-243
Published: 1972
Released on J-STAGE: February 25, 2010
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We describe a new method of cervical air myelography which has been made with 20-40ml of air using the catheter.
This method has been performed on 52 patients with various cervical abnormalities. It can be performed simply and safely.
Advantages and disadvantages of this method on the cervical spondylosis were discussed in comparison with conventional oil myelography.
This technique is especially useful in demonstrating the spinal canal stenosis and should be used more widely in cervical lesions.
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M. Kamihira, G. Yamasaki
1972 Volume 21 Issue 3 Pages
244-247
Published: 1972
Released on J-STAGE: February 25, 2010
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Evoked electromyographic studies—especially repeating stimuli method of 10 cycles per second—of the M. gastrocnemius were done in 13 patients with myelopathy caused by cervical spondylosis, ossification of the posterior longitudinal ligements in cervical spinalcanal, or C4/C5 herniated disc.
The following results were obtained.
1) Of 13 patients, 2 patients could not induced the H waves.
2) Remaining 11 patients had the H waves were divided 4 groups:
Group 1-This group consisted of 4 patients with a high plateua level of the amplitude of the H waves following repeating stimuli.
Group 2-This group consisted of 3 patients with a high plateua level and moreover many fluctuation of the H waves.
Group 3-This group consisted of 2 patients with many flucutation of the H waves, that was more remarkable than group 2.
Group 4-This group consisted of 2 patients with not only many fluctuation but also some slow undulation of the H waves.
3) The authors investigated the relation between 4 groups and the clinical signs, electromyographic fiindings in the muscles of the lower extremities and absolute anteroposterior diameter of the cervical spinal canal in radiological examinations of the patients. Consequently it is likely that patients with group 1 may be indicated the anterior fusion of the level of the disc involvement, and patients with group 2 or 3 indicated the decompression of the spinal cord by the laminectomy.
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T. Sakou, T. Imakyure, H. Morinaga, K. Tomimura, S. Matsumoto
1972 Volume 21 Issue 3 Pages
248-252
Published: 1972
Released on J-STAGE: February 25, 2010
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The patient was a farmer, fifty-one years old. About nine years before he had suffered from tuberculous spondylitis of the cervical spine and complained of pains in the lower extremity, which had gradually increased till he had become difficult to walk.
The laminectomy and focal curettage of the cervical spine had been done. After the operaation he could work as a farmer without complaints following nine years. However, one year before he noticed again pains and convulsions in the lower extremity and showed gait disturbance.
A roentgenogram showed kyphosis of the seventh cervical spine and destruction of the fifth, sixth and seventh cervical bodies. The operation was done by antero-lateral approach. The tuberculous lesions were curettaged out and central portion of the cervical body (C
5, C
6, C
7) was resected longitudinally and the dura mater was exposed to try the complete decompression of the spinal cord. A iliac graft was inserted in the defect. Immediately after the surgery, ppains and spasms of the lower extremity were disappeared. Three months after this procedure, a firm bony union was seen roentgenographically at the site of bone grafting. At present the general condition of the patient is excellent and the original symptomes are cleared up.
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N. Higashi, T. Sakou, K. Komaki, N. Baba
1972 Volume 21 Issue 3 Pages
252-255
Published: 1972
Released on J-STAGE: February 25, 2010
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Anterior fusion operation for metastatic cervical carcinoma has rarely reported in Japan.
We had a case, forty-nine female, of metastatic cervical carcinoma of breast cancer.
In past history, she suffered from right breast cancer five years ago and was treated with radical mastectomy, radiation “Co
60” and hormone-therapy. Then she was performed bilateral oophorectomy.
In 1971, June, anterior interbody fusion carried out at the C
6-C
7-Th
1 levels.
The result of the operation was satisfactory. Here we report this case with some referential observations.
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N. Wada, K. Yamada, H. Yamamoto, A. Tezuka
1972 Volume 21 Issue 3 Pages
255-257
Published: 1972
Released on J-STAGE: February 25, 2010
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A rare case with vertical fractures of the 5th and 6th cervical vertebral bodies was reported.
Case: 54 years old, male.
The patient was injured by falling down from the place of 5 meters heigh. He had complained a sensory disturbance on the both hands and feet from one and half month after the injury. On admission at our hospital, radiographical examinations including tomography on the frontal and horizontal plane schowed sagital fractures and dislocation of the 5th and 6th cervical vertebral bodies and arches. It was of interest that there exists no new bone formation and the fractures surfaces were of clear cut.
As a method of the treatment, Halo-traction apparatus was applied for the reduction of the disalignment, having a good recovering of the neurological findings. After three weeks with the traction, anterior bodies fusion was followed.
From the clinical findings of this patient, we supposed the following possible mechanism on this type of the fracture: The vertebrae recieved so much strong traumatic vertical force that the intervertebral disc drived as a “fluid wedge” into the body with some structural defect such as congenital sagital cleavage.
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T. Inoue, I. Narita, H. Hara, N. Koga, Y. Katoda, O. Kawasaki
1972 Volume 21 Issue 3 Pages
257-260
Published: 1972
Released on J-STAGE: February 25, 2010
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Seventeen cases of subacute or chronic injuries of the cervical spine or the spinal cord treated in our clinic during the last 5 years were analized. Fifteen cases were males and 2 females aged from 18 to 77 years.
Out of 17 cases, 3 were fractures of the upper cervical spine, 5 were fractures of the lower cervical spine with cord injury and the remaning 9 were spinal cord lesions without fracture detected by x-ray.
The operative treatments were carried out for 5 cases, being 4 anterior fusion and one posterior. Although the operations did not improved the clinical symptoms, rehabilitation programs could be early started.
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H. Shingu, T. Kamoto, K. Otsuki, I. Kimura, Y. Nasu, K. Masuda, S. Sum ...
1972 Volume 21 Issue 3 Pages
261-264
Published: 1972
Released on J-STAGE: February 25, 2010
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Anterior decompression and interbody fusions have been performed on eight cases of acute and ninteen cases of old cervical cord injury.
Mannitol, adrenocortical steroid, etc. are administrated.
By this procedures restoration of the spinal supportability is achieved and moreover with the immediate operative treatment to the injured cord, functional racovery, if any, can be anticipated.
The cases of paresis due to the dislocation or tear-drop fracture of the cervical vertebra have more severity in the limitations of daily activities.
Several cases which seem to be hyperextension injury for arthritic spine have unsatis-factory results.
Untoward side effects of adrenocortical steroids are discussed.
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S. Takada, S. Hattori, M. Oyama, Y. Azuma, H. Iwanaga
1972 Volume 21 Issue 3 Pages
265-267
Published: 1972
Released on J-STAGE: February 25, 2010
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Since 1959, cervical osteochondrosis and idiopatic cervico-omo-brachialgia have been examined in our clinic. Those invlod 256 cases of idiopatic cervico-omo-brachialgia, 116 cases of cervial osteochondrosis. In the previous paper, upon the cervical osteochondrosis, the myelopathy and radiculopathy were comparatively studied. In this paper the author wishes to make a comparison with the radiculopathy, the myelopathy and idipatic cervico-omo-brachialgia. Both of the radiculopathy and the idiopatic cervico-omo-brachialgia, manifest the nuchal and shoulder pains.
The symptome of the myelopathy are specialized as sensory disturbance and numbness sensetion with various manifestation in cervical X-ray finding. On the other hand, idiopatic cervico-omo-brachialgia has only pain and tenderness localized in cervical and shoulder region and there are some changes in X-ray.
The follow-up studies were upon the idiopatic cervico-omo-brachialgia, the radiculopathy and the myelopathy. The symptome became better in 58% of the idiopatic cervico-omo-brachialgia, and 68% of the radiculopathy, but it was unchanged or became worse in 60% of the myelopathy.
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T. Iwasaki, M. Masuda, T. Wakimaru, T. Naono, M. Ezaki
1972 Volume 21 Issue 3 Pages
268-270
Published: 1972
Released on J-STAGE: February 25, 2010
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In treating cervical spondylosis, we first, chose concervative therapy such as head halter traction, cervical brace and medication.
In 14 cases not improved by these conservative metods we, after determining the exact level of the spondylosis, performed the operation of “anterior cervical fusion”.
One of the most important factors in performing anterior cervical fusion is to decide the correct level of the spondylosis as this procedure affects the success of the operation.
It is relatively easy to decide the level if the plain-X ray shows the degeneration in only one vertebra. However, if it reveals degenerative findings in more than one, it becomes necessaary to perform further investigations such as Musle Testig, EMG, Myelography, and Discography, during operation, in addtion to the clinical neurogical examinations. We did not perform fusion of more than two intervertebral spaces.
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K. Mihara, N. Murao, O. Yagi, T. Torikoshi
1972 Volume 21 Issue 3 Pages
270-274
Published: 1972
Released on J-STAGE: February 25, 2010
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Anterior body fusion of the cervical spine performed on 29 patients with fracture-dislocation, cervical spondylosis and other diseases in our clinic during past 5 years. (1967-1971)
We followed up in 13 cases with trauma of the cervical spine and in 11 cases with cervical spondylosis.
In spite of marked fracture-dislocation of the cervical spine, we demonstrated and discussed especially two cases without significant symptoms.
One of them carried out surgical reposition and body fusion of the dislocated cervical spine in good alignment but another case only body fusion in dislocated position without correction.
The both cases obtained good result after four years nine months and three years six months respectively, then we considered that corrective procedure was not necessary when complaints and neurological sign was slight.
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T. Fujii, Y. Takemitsu, M. Morooka, T. Iwakiri, K. Aso, M. Uchimura
1972 Volume 21 Issue 3 Pages
274-279
Published: 1972
Released on J-STAGE: February 25, 2010
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Of questionnaires which were sent to the patients of cervical radiculo- and/or myelopathy treated in this department during 1958-1970, 63 were completed and returned, 25 of these returned to our clinic for examination.
The results were as follows;
1) Nearly same results were obtained in the patients of radiculopathy both treated nonoperatively and with anterior spine fusion. Indication of the operative treatment should be strictly limited just to the patients complained severe and recurrent symptoms.
2) In the series of cervical myelopathy who were treated non-operatively 4 cases were improved, 4 unchanged and 4 worse in 9 years. Of 8 cases who were undergone anterior spine fusion 4 were exellent and 3 improved.
In the series of laminectomy of 8 cases 4 were improved, but 2 unchanged and 2 worse. These cases had revealed primarily severe cord lesion and 3 cases could not walk without support before operation. The cases of poor results had complained more than 3 years of history of myelopathy.
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T. Naruto, M. Tomishige, W. Kagawa, M. Yamada, T. Okuda, S. Abe, H. Ku ...
1972 Volume 21 Issue 3 Pages
279-282
Published: 1972
Released on J-STAGE: February 25, 2010
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The results of treatment of thirty-six cases of Costoclavicular Syndrome were reported by us.
These treatments were carried out with twenty-nine cases of conservative one and seven cases of operative one from 1960 to 1970.
The results were as follows;
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O. Kimura, Y. Murakami, I. Baba, K. Hiramatsu, T. Kakihana, S. Yamamot ...
1972 Volume 21 Issue 3 Pages
282-287
Published: 1972
Released on J-STAGE: February 25, 2010
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A total of 220 cases with ossification of the posterior longitudinal ligament of the cervical spine have been experienced by this department during the period 1960 to April 1972.
Of this number decompression operation was performed on 20 cases with severe myelopathy. The procedure used were laminectomy 13, and anterior decompression and fusion 7.
Recently incision of the dura mater and duraplasty have been added to laminectomy.
Factors which are felt to have effect on the postoperative result are the time between onset of symptomes and surgical treatment, anterior-posterior diameter of the canal and narrowing of the spinal column due to ossification of the posterior longitudinal ligament.
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S. Kurose, Y. Otani, K. Oya, H. Shirane, S. Furusawa, T. Okada, S. Mar ...
1972 Volume 21 Issue 3 Pages
287-291
Published: 1972
Released on J-STAGE: February 25, 2010
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All substance in the universe have a temperature above absolute zero, and each substance radiates infra-red ray according to its temperature. As Blank's radiation formula indicates, the higher the temperature, the greater the density of radiation. By taking advantage of this nature, infra-red ray is used to express in a visible form the distribution of temperature on the surface of a substance or for the purpose of medical diagnosis. We would like to report our application of the JTG-MA medical thermographic apparatus, “Thermoviewer” to orthopedic surgical disorders. In the 3-month period from March through May in 1972, we applied it to 98 cases. (normal case 7, peripheral vascular disorder 48, dermal and bone disorder 11, articular disorder 12, malignant tumor 2, others 2).
This thermography offered available data for the measurement of skin temperature and its distribution, so we are interested in the application of that instrument. In future it will be applied to various branches of orthopedics.
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M. Uchimura, M. Mitsuyasu, A. Matsuzaki
1972 Volume 21 Issue 3 Pages
292-294
Published: 1972
Released on J-STAGE: February 25, 2010
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During past ten years, six cases of Volkmann's contracture were operated. These cases were classified into moderate type contracture 3, and severe type contracture 3. Causes of these cases were supracondylar fracture 3, dislocation of elbow 1, and forearm fracture 2. In these cases, tendontransfer, tenodesis, or shortenning of forearm bones were performed following excision of necrotic muscles and nerolysis.
The late results of three moderate type were relatively good, but those of three severe type were poor.
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M. Sato, [in Japanese], H. Yasuda
1972 Volume 21 Issue 3 Pages
295-297
Published: 1972
Released on J-STAGE: February 25, 2010
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In 1861, Baedeker discribed Alkaptonuria. In 1891, Volkow and Baumann published the original account of this disease for the first time.
We reported here a case of Alkaptonuria which has recently come to our notice.
Our case, 47-year-old male, complained of low back pain and spinal deformity.
Radiographic examination of his spine showed Wafer-like change of the intervertebral discs, remarked narrowing of the interverbral spaces, marginal lipping of the vertebral bodiesand hypertrophy, of the spinous processes.
We noticed that his urine turned black when it was left standing.
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S. Tada, M. Eguchi, A. Okue, N. Kaibara, M. Takeshita, H. Sata, Y. Wat ...
1972 Volume 21 Issue 3 Pages
298-301
Published: 1972
Released on J-STAGE: February 25, 2010
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Two non-familial cases of osteoectasia with hyperphosphatasia are reported. One of them is 17 years old boy and another is 23 years old female. The clinical features of these cases are progressive skeletal deformities with symmetric diaphyseal enlargement and macrocranium which result in dwarfing and manifest slightly the optic nerve involvement and loss of hearing, loss of bonny cortex, absence of precocious puberty in the female case, and continuously elevated concentration of alkaline and acid phosphatase in serum with normal concentration of calcium and phosphorus.
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A. Ichihara, K. Imanishi, K. Ise, H. Watanabe
1972 Volume 21 Issue 3 Pages
301-304
Published: 1972
Released on J-STAGE: February 25, 2010
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The patient was a two years and ten months old girl who had been treated her congenital dislocations of hips since four month old. Recently she was received the operation of varus-detorsion osteotomy to the right femur.
The patient had not only the Ronchese's triad for Ehlers-Danlos Syndrome; dermatorrhexis, dermatochalasis, and arthrochalasis, but also blue sclera and funnel chest. According her skin pathology, there found the thinning of collagen fibers and increased elastic fibers. In the laboratory work-ups, slight elongation of bleeding time and marked positive Rumpel-Leede test were found, although normal CPK level, Thorn test, blood coagulation time, urine hydroxyproline, and urine creatinine level.
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K. Ohashi, M. Kamihira
1972 Volume 21 Issue 3 Pages
305-308
Published: 1972
Released on J-STAGE: February 25, 2010
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The present report offers the result of our studies on various clinical observations and the effect of treatments about 23 cases diagnosed as hypothyroid dwarfism, including 5 cases of acquired hypothyroidism. Endocrine function test; In each of the cases of hypothyroid dwarfism, there is a tendency of serum cholesterol to increase and for protein-bound iodine to decrease. The
131I uptake level is lower than control in many cases, while that of primary hypothyroid dwarfism remarkably goes dawn with no respons to T. S. H-test. Through the electroencephalography, the blood sugger test, the water test and the insuline test, abnormal signs and hypofunction were found. About pituitary-adrenocortical function, the measurements of urinary 17-KS and 17-OHCS tell us that in hypothyroid dwarfism it is far below normal. Those clinical observations suggest that hypothyroid dwarfism may be influenced by functional hypofunction of pituitary gland.
Roentogenograms; The retardation in skeletal growth is found in all cases, but the structure of skeleton is not seen morphologically.
In addition to the very slow development in bone age, hypothyroid dwarfism shows punctuated epiphyseal dysgenesis symmetrically on both sides, which is typically noted in the hip. This dysgenesis, which helps us diagnosis of hypothyroidismus, is observed on the patient who has fellen ill before the epiphyseal ossification centers appear.
By the fact, we can conclude chronological age of the patient who has fallen ill.
Treatments and results; The effect of treatments with thyroid hormone were excellent in relieving hypothyroid dwarfism. The first finding of the effect remarkably appeared in bone age and following to it is weight age and height age but not so much as bone age. Mental development was far bellow normal.
The effect of treatments were influenced by the age who has fallen ill (congenital or acquired), degree of hypofunction of thyroid gland, functional hypofunction of pituitary gland, and various divices of the treatments.
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M. Kikkawa, O. Araki
1972 Volume 21 Issue 3 Pages
309-311
Published: 1972
Released on J-STAGE: February 25, 2010
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Pigmented Villonodural Synovitis was first described by Simon in 1865 as xanthoma of synovia. In Japan, Fujino (1936) reported this disease as haemoarthritis chronica of the knee joint, and the reported cases almost unilateral knee joint.
The bilateral case has not been reported in Japan.
A case of PVS of the bilateral knee joints, a 57 years old woman, was recently treated in our clinic, and the electromicroscopic examination revealed many foam cell and Vepigments in the synovia.
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K. Hara, T. Torisu, H. Ohe, S. Nomura
1972 Volume 21 Issue 3 Pages
311-314
Published: 1972
Released on J-STAGE: February 25, 2010
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The patient is 46 years old. She had noticed a mass over the lateral region of her left ankle and generalized pigmented spots at 3 years of age. At 7 years of age the mass was excised. But it had recurred, progressively increased in size and become to show an appearrance of an elephantiasis. X-ray examination showed the mild scoliosis, the destruction of the left sacro-iliac joint, irregularity of cortical structure and bowing deformity of the left tibia and fibulla. At the time of admission an above-knee amputation has been advised, but has been refused and an extripation of the mass has been done. A histological examination showed the plexiform pattern of neurofibroma, there have been no malignant changes. Her family history was negative.
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T. Nagata, M. Ichihara, T. Tanaka, H. Takahashi, M. Hirai, M. Uetuka
1972 Volume 21 Issue 3 Pages
315-317
Published: 1972
Released on J-STAGE: February 25, 2010
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The teratoma is one of the rare tumor among the mixed tumor. We have recently experienced a teratoma which occured in sacrococcygeal region. The patient, a 15 months old girl, has been noticed hen's egg size tumor on the sacro-coccygeal region since her birth. The tumor showed no special lesion, however the size of the tumor increased gradually that is why her mother brought her to our clinic.
After routine laboratory work up, the tumor extirpated under general anesthesia. The tumor was adhered to the colon and the rectum partially in front of the coccygeal bone. The content of the tumor was solid connective tissue, nail, and hair. On histological examination, it was clearfied that the tumor was originated from Triderma and showed no malignancy. Post-surgical course was uneventful without fistula formation.
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H. Oe, M. Sato, K. Kobayashi, T. Satomura, Y. Kamo, [in Japanese], [in ...
1972 Volume 21 Issue 3 Pages
317-320
Published: 1972
Released on J-STAGE: February 25, 2010
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Presented case is a 9 year old boy who fall down from a tree and had severe pain in the distal end of his left femur. Roentgenographic examination revealed a fracture in the distal one-third of the left femur. Distal fragment was slightly displased. There was a cyst like lesion in the fracture site. A solitary bone cyst was mostly suspected.
The patient was treated conservatively, and fracture healed successfully. 8 months later cyst like lesion was disappeared roentgenographicaly.
In 1963 Dr. G. Imhaeuser reported a new method of treatment for bone cysts. He osteotomized the affected bone, and made some displacement. Without curattage and bonegrafting excellent prognosis was resulted.
This would be a excellent way treating bone cyst.
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K. Ikemoto
1972 Volume 21 Issue 3 Pages
320-323
Published: 1972
Released on J-STAGE: February 25, 2010
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We established a cell line (ROST) from rat osteosarcoma induced by murine sarcoma virus Moloney (MSV-M). The ROST cell line was cultured in MEM supplemented with 10% calf serum and 10% triptose phosphate broth. In the culture fluids, virus particles of approximately 1.17g/cc density were detected by the method of Robinson.
After inoculation of the culture fluids, the tumor was developed in neonatal T6/T6 mice (4 of 85 mice). All of the developed tumors in mice were rhabdomyosarcoma, histologically identical to the mouse tumor directly induced by MSV-M. Electronmicroscopically C-type virus similar to murine sarcoma virus was observed in the developed tumor.
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H. Nakashima, H. Fukuma, T. Ogata
1972 Volume 21 Issue 3 Pages
323-326
Published: 1972
Released on J-STAGE: February 25, 2010
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Maffucci's syndrome is manifested by multiple enchondromatoses and hemoangioma in the same individual. A case of Maffucci's syndrome in a sixty-one-year-old woman who elected to have a hemipelvectomy, because her left pubis have changed chondrosarcoma, is reported.
A brief review of literature reveals that twenty-five cases of Maffucci's syndrome, including our case have been reported in Japan.
It is said to have no sex predilection, but male: 9, female: 15, unknown 1, in my collection and that in three cases of these sarcomatous degeneration occurred, giving a malignancy rate of twelve per cent.
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N. Higashi, Y. Sakoda
1972 Volume 21 Issue 3 Pages
326-329
Published: 1972
Released on J-STAGE: February 25, 2010
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A fifteen-year-old boy, complaining of severe pain and swelling in the region of the right upper arm was referred to our hospital on June 14, 1971. About three and half months previously he had “bruised” this upper arm and complained painful swelling after a week, Roentgenographically osteosarcoma was suggested, but histologic appearance of this tumor was following; The tumor cells were separated by wide fibrdus septa. Nuclei were round and oval, and nucleoli were indistinct. Cytoplasm was scanty. Del Rio Hortega's silver-impregnant technique showed a lobular distribution of the reticular fibers circumscribing large areas of tumor cells, but few fibrils penetrated into tumor cells. “The periodic acid Schiff stain” was positive and previous digestion by takadiastase caused the periodic acid positive granules to disappear, thus we confirmed them glycogen and could diagnosed this tumor Ewing's sarcoma.
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H. Ikuta, H. Hara, T. Tsuda
1972 Volume 21 Issue 3 Pages
330-332
Published: 1972
Released on J-STAGE: February 25, 2010
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The authors experienced a case of a alveolar rhabdomyosarcoma of the left thigh in 4 years old boy, which was histologically diagnosed.
The tumor was surgically removed including the surrounding muscles, followed by radiation therapy.
Six months after the operation, there is no evidence of local recurrence.
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