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原 寛道, 藤井 敏男, 松元 信輔
1980 年 28 巻 3 号 p.
295-300
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The purpose of this work is to study the secondary acetabular changes which are caused by transient unstable hips in rats. Experimental transient unstable hips could be produced by immovilizing the knee joint of young rats in extended position, according to Michelsson's method. The length of fixation period are as follows. Group I: 1 week, Group II: 2 weeks, Group III: 3 weeks, Group IV: 4 weeks. After these period, the fixation metal pins were removed. 10 weeks after removal of the pins, Group I grew to normal hips, Group II & III obtained concentric hip joints but hip dysplasia remained, and Group IV progressed to complete dislocation of the hip.
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溝上 健一郎, 岩岡 勝義, 成田 郁五郎, 岩永 安弘
1980 年 28 巻 3 号 p.
301-305
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The authors had reported the results of Lorenz's method followed by Pavlik's bandage for 24 C. D. H. unreduced by Pavlik's bandage alone in 1976, showing poor results in 9 hips.
After 3 years, the 9 hips with poor results showed anatomical healing in 5, epiphysitis in 2 and acetabular hypoplasia in 2 hips. Therefor, satisfactory results were finally obtained in 20 hips out of the 24 hips.
Their method is thought to be a reliable one for C. D. H, unreduced by Pavlik's bandage alone.
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田中 源郎, 益崎 浩治, 武田 洋吉, 桑畑 昭洋, 横峯 佑爾, 宮崎 淳弘
1980 年 28 巻 3 号 p.
306-310
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The physiological and roentgenographic evaluations were taken at them, who had been treated for congenital hip dislocation from 1951 to 1957 in our clinic. Anatomical healing rate was only 24%.
Followed conditions were necessary to get good results.
1) unilateral cases.
2) treated at 1 year old.
3) none or mild degree of avascular necrosis of the femoral head.
A rate of avascular necrosis of the femoral head was 58%.
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山口 一郎, 吉良 秀秋, 千葉 剛次, 岩崎 勝郎, 鈴木 良平
1980 年 28 巻 3 号 p.
311-317
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The purpose of this study is to know the cause of spontaneous straightening of the femoral neck after varus osteotomy. Materials consist of 46 cases (51 hip joints) which were followed up at least two years after varus osteotomy.
The measurement of shaft-neck angle and shaft epiphyseal angle was performed in anteroposterior views of X-ray picture which were taken at interval of one year in each case.
The results are follows,
1. In cases of which greater trochanters were severely damaged during operation, coxa valga developed apparently.
2. In cases of which perthes-like conditions were accured in the epiphysis, coxa valga did not so develope.
3. There was no obvious relationship between the age of varus osteotomy and the degree of revalgization.
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志田 原哲, 角田 信昭, 脇田 吉樹, 丸井 俊一, 小野 哲男, 芝 啓一郎, 秋山 徹, 鹿子生 健一, 佐々木 賀一, 岩本 幸英, ...
1980 年 28 巻 3 号 p.
318-322
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The Milwaukee Brace is useful to correct the middle and lower thoracic curve of Idiopathic Scoliosis, but it is not very useful when correcting the upper thoracic curve. Our new shoulder ring for the upper thoracic curve was introduced and discussed. Our shoulder ring made by polypropylen is put on the medial site of the scapula of the convex side. It holds the second and third rib obliquely downward and medially.
In comparison to the conventional group, the improved group had a singnificant efficiency. (P<00.1) In the improved group, the average rate of the correction was twenty one percent, in the conventional group, it was six percent. To prevent the structural change in the upper thoracic curve, it is necessary that the effective treatment should be started from the early stage.
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栄 輝己, 水岡 二郎, 野村 一俊, 酒井 健
1980 年 28 巻 3 号 p.
323-326
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Brace treatment of idiopathic scoliosis is so difficult as to say the importance of early treatment. There are many drop out patients from the treatment of Milwaukee brace.
We used under arm brace (Tokushima University type), and together it with home traction which is made by ourselves. Seven cases of idiopathic scoliosis (31° to 50° curvature) had casting following Cotrel dynamic hospital traction and after that had under arm brace with home traction. Corrective ratio was 31.5%. Six cases (from 20 to 30 curvature) had only under arm brace with home traction. Corrective ratio was 35.5%.
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水溶性造影剤によるミエログラムより
森田 秀明, 成尾 政圀, 小柳 英一, 浦門 操
1980 年 28 巻 3 号 p.
327-332
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Our classification of myelogram with water soluble contrast medium (Dirax) and operatve procedure were presented.
Our operative indication and procedure for the L5-S intervertebral disc herniation by our classification of myelogram:
1. Interlaminal approach;
(Love's method)
unilateral abnormal nerve root findings with slight or moderate of dural indentation (e. g. Aro Oro LII-III
1 according to abbreviation of our classification), often accompanied with severe positive Lasègue's sign.
2. Laminectomy and nucleotomy;
bilateral abnormal nerve root findings with severe dural indentation (e. g. All oll LIII
2-IV), often accompanied with bladder and rectum dysfunction.
3. Anterior discotomy and vertebral body fusion;
mainly slight or moderate degree of dural indentation (e. g. Aoo Ooo L II-III
1), with severe low back pain.
4. Absolute indication for operation;
cases having obliteratively or completely blocked myelogram (e. g. L III
3-IV) in spite of slight symptomes and signs.
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溝部 洋之, 服部 奨, 河合 伸也, 早川 宏, 山口 芳英, 奥山 暁, 吉田 義夫
1980 年 28 巻 3 号 p.
333-337
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Myelography in the thoracic region is one of the most valuable diagnostic aids for thoracic myelopathy. But because of special characteristics on anatomy of the thoracic spine, it is rather difficult to get accurate myelographic findings constantly in the thoracic region.
This is to report normal thoracic myelograms in careful investigation of 8 cases and pathological findings in some kinds of thoracic myelopathy such as thoracic osteochondrosis, ossification of the posterior longitudinal ligaments on the thoracic spine and ossification of the yellow ligaments.
Myelography should be performed in prone, supine and lateral positions with sufficient amount of the contrast medium, otherwise irregularities of the dye column are seen quite frequently and that leads to misunderstanding of the findings.
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藤田 雅章, 田口 厚, 麻生 英保, 宮田 定倫, 山田 正幸
1980 年 28 巻 3 号 p.
338-342
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Previously we reported the correlation of the water-soluble contrast myelogram with operative findings which were carried out in 109 cases (130 discs) from April 1973 to August 1978. Of these there were 10 false positive cases (7.7%) and 3 false negative cases (2.3%). The purpose of this study is to present the follow-up of these cases.
Subjective symptoms which included lumbago and leg pain were improved remarkably.
Objective symptoms which included root signs were improved significantly but dropout signs remained persistently.
All cases had returned to their former occupations and we found no unsatisfactry cases.
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森田 秀明, 成尾 政圀, 小柳 英一, 浦門 操
1980 年 28 巻 3 号 p.
343-346
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
In general it is difficult to diagnose the level of lumbar disc herniation accompanied with transitional vertebra by neurological signs because of hard decision either L5 or S1 vertebra.
It was made clear that the definite spinal nerve root passed through the intervertebral foramen below the transitional vertebra by demonstrating the Cul de sac and sacral nerve roots shadow by means of myelography with water soluble contrast media.
That is, both L5 and S1 spinal nerve roots may pass through the intervertebral foramen below each transitional vertebral body when the number of lumbar vertebrae counts five and six respectively including the transitional vertebra.
Therefore, the level of the herniated intervertebral disc accompanied with the transitional vertebra can be estimated by the neurological diagnostic method.
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戸次 鎮史, 横田 清司, 井上 博, 大原 稔盛, 秋吉 一郎, 猿渡 勝義
1980 年 28 巻 3 号 p.
347-350
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Sixteen cases of combined lesion of the median and ulnar nerve were treated from 1967 to 1977. The follow-up results were classified by Higher's and Zachary's criteria. The following results were obtained:
1) Of 4 cases after neurolysis, all recovered near-normal sensory and motor function both in median and ulnar nerve.
2) In 9 cases after nerve suture, 77.7% showed a recovery of over-M
3, 55.5% over-
+2 and an useful recovery was obtained in 55.5% in median nerve, 33.3% were in category of over-M
+2, 66.0% in over-S
+2 and an useful recovery was regained in only 33.3% in ulnar nerve.
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佐々木 賀一, 片井 憲三, 高 勝強, 前川 正幸, 大宮 建郎
1980 年 28 巻 3 号 p.
351-354
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Blood flow of replanted digits for three weeks after microvascular anastomoses was analyzed by the use of plethysmography and thermography.
(Results) Cases of completely amputated digits show approximately half flow of normal digits initially and then more marked decrease at three weeks. Incompletely amputated cases show higher flow than completely amputated cases Trouble cases show lower flow than no trouble cases immediately after replantation.
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桑原 弘治, 伊藤 信之, 石村 啓輔, 鈴木 良平, 川添 達雄
1980 年 28 巻 3 号 p.
355-358
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The transfer of the pectoralis major muscle have been performed for treating the patients with loose shoulder since 1976.
The purpose of this study is to understand the function of the transferred muscle and its effect to the movement of the scapula after the operation.
The electric goniometers were used to measure the movement of the shoulder joint, and six pairs of 70μ wire electrodes were inserted into the pectoralis major muscle and the other shoulder girdle muscles simultaneously to examine the muscle activities The angle of the joint during the motion and the integration of the muscles action potentials were recorded on the TEAC data recorder, then plotted on the X-Yrecorder to analyse the function of the muscles and movement of the scapula.
The action potentials of the transferred pectoralis major muscle are more existing than the other side's.
The abducted motion of the scapula occurred in the earlier phase during arm abduction after surgery.
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忽那 龍雄
1980 年 28 巻 3 号 p.
359-362
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Through the follow up studies of ten cases of the unilateral total hip replacement on bilateral coxa arthrosis, we have got the following results.
1. The average total hip point at the time of follow up were 79.6. The points before the operation were 34.6.
2. Pain of the unoperated hip and the osteoarthritic findings on X-ray film did not improved or unchanged in 6 cases (60%) and got worse in 4 cases (40%).
3. Operative intervention for the unoperated hip should be decided after 2 or 3 years from unilateral hip replacement.
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大久保 英朋, 岩崎 一夫, 米沢 元実, 篠原 一仁, 湊 省, 松森 茂, 渡辺 修身
1980 年 28 巻 3 号 p.
363-366
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
It has been sugested that the most serious complication of endoprosthesis is acetabula a erosion and migration. Recently, R. P. Giliberty converted a unipolar endoprosthesis to a bipolar prosthesis with a low friction bearing. To date 11 patients with fresh femoral neck fracture have undergone this bipolar endoprosthesis.
The follow up term was on the average 8.4 months. Average age of the patients was 66 years.
Clinically Giliberty bipolar endoprosthesis was more functional than Austin-Moore type. But the implanted cup was a steep angle about 70 degrees. Therefore, we suspected that significant wear in the socket, luxation and polyethylene sensitivity would happen in the future.
It is important to determine whether Giliberty bipolar endoprosthesis should be used an initial procedure.
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藤原 紘郎, 尾上 寧, 安田 舜一, 角南 義文, 古川 惣一郎
1980 年 28 巻 3 号 p.
367-370
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The importance of the calcar femoris as a supporter of the femoral prosthesis has been often emphasized in total hip replacement (T. H. R.) which has been reportedly proved by finiten element method, tension optical experiment or hip joint simulation.
T. H. R. or revision operation is sometime indicated for the case which is complicated by resorption of the calcar femoris which usually develops secondary to pseudarthrosis of the femoral neck fracture or loosening and sinking of the femoral prosthesis.
In 1978, Prof. J. Eichler developed a trochanter plate for such a case. This plate is shaped like a japanese sword quard and placed on the transsected surface at the intertrochanteric level. The collar of the femoral prosthesis seats on the plate. Both the plate and the prosthesis are fixed with bone cement.
We have used this plate in 6 cases complicated by the resorptin of the calcar femoris. Even though they have been followed only for a short time, they are doing as well as the ordinary case of T. H. R. so far.
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新宮 彦助, 木村 功, 山崎 堯二, 那須 吉郎, 塩谷 彰秀
1980 年 28 巻 3 号 p.
371-376
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
A follow-up study of 67 out of 84 patients with lumbar spinal canal stenosis, surgically treated in recent 5 years, was made. Wide laminectomy alone was applied to 48 cases, and in 18 cases postero-lateral fusion was combined simultaneously with wide laminectimy.
The results were as follows.
1) Clinically, good in 69%, fair in 24% and poor in 7%.
2) Improvement of the intermittent claudication was obtained in 65% of the cases.
3) Lumbago and leg-complains still remained in about half of cases.
4) Radiologically the dissected width of the lamina become narrowed by about 10mm in 5 cases, 3 years after the operation.
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角田 信昭, 黒瀬 真之輔, 佐々木 邦雄, 脇田 吉樹, 丸井 俊一, 秋山 徹, 小野 哲男, 鹿子生 健一, 芝 啓一郎, 志田原 哲 ...
1980 年 28 巻 3 号 p.
377-380
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Clinical features of the lumbar spinal canal stenosis which have special morphological characteristics of lumbar spine W-type lamina proved by us using 122 cases of cadaveric specimen previously, were discussed, 33 cases of lumbar spinal canal stenosis were operated and examined for this purpose. they were aged more than 40 years and distributed almost same frequencies in the each decades.
W Type laminae were seen in 17 cases (51.1%) in this series whereas 14% in cadaveric specimen.
Disc degenerations were seen more frequently in the other groups.
Myelographic changes in the W type laminae group were more severe than in the other group.
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川上 俊文, 前山 巌, 林 正郎, 大月 健二, 上平 用, 崎長 靖生
1980 年 28 巻 3 号 p.
381-383
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The spinal canal configuration of 40 cases which were diagnosed as the lumbar spinal stenosis was determined by plain roentgenograms. Our previous report (1978) applied to the measurment of plain roentgenograms and the determination of the canal configuration.
The results were as follows.
1) The trefoil canal was found in 25 cases (62.5%) of the lumbar spinal stenosis.
2) Concerning the superior notch distance and interfacetal ratio, the stenosis group was almost the same as the trefoil canal control group.
While it seems that the bony canal plays an important role in the lumbar spinal stenosis but this is not the only factor.
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河野 昌文, 江川 正, 朝長 圀夫, 松坂 誠応, 松尾 弘二, 岩永 博隆, 瀬良 敬祐
1980 年 28 巻 3 号 p.
384-387
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The purpose of this report is to analyze the etiology, frequency and position of the abnormal ossification in the lumbar spinal canal in 47 patients who had lumbago and sciatica.
The ossification of the posterior longitudinal ligament was seen in 23 males and 15 females.
The frequency of occurrence of it was higher in men in their thirties and fourties and found in lower lumbar spine. This was related to the degeneration of the lumbar discs or to a general disposition of ossification.
The spur of posterior edge of the vertebral body was recognized in two females, the ossification of the yellow ligament in four males and in three females, the ossification of the epiphyseal ring in three males and in two females and unclassified ossification in one female.
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平良 誠, 米満 弘之, 中根 惟武, 川島 重明, 中島 英親, 林 茂
1980 年 28 巻 3 号 p.
388-392
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The total of operations for lumbar disc lesion in the last four years was brought up to 61 cases. anterior approach was done in 40 cases and posterior approach was take in 21 cases.
Follow-up study was carried out in 49 cases clinically and roentgenographically.
The results of operative treatment by anterior approach are classified as excellent 16 cases, good 13 cases, fair 1 case and poor 0 case. On the other hand, the results in posterior approach revealed excellent results in 6, good in 5, fair in 2, and poor in 0.
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藤井 利雄, 田島 直也, 深沢 俊裕, 乗松 敏晴, 森貞 近見
1980 年 28 巻 3 号 p.
393-396
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
We have experienced a case of paraplesia caused by intradural hemorrhage recently. The case is of a man aged 45 who consulted a practician, on October 4th, 1978, because of low back pain. Gradually, he found disturbance of urination and gait exaggeratedly. On October 27, he became unable to walk and was transferred to Mitsubishi Nagasaki hospital. Spinal puncture showed bloody fluid and a myelogram revealed a complete block at the level of the third lumbar vertebrae region.
Total laminectory and removal of coagulated blood were performed on October 31, and 6 weeks after the operation, he could walk again with a lumbar corset, and the numbness of the lower extremities disappeared.
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諌山 照刀, 高岸 直人, 葉 山泉
1980 年 28 巻 3 号 p.
397-400
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Intrasacral occult meningocele may be described as an abnormal dilatation of the meninges lying within the confines of the sacral spinal canal.
Recently, we experienced a rare case of intrasacral occult meningocele.
This patient was a 60 year old woman complaining of severe low back pain of twenty year's duration. The pain was intermittent and complicated by disturbance of urination. Its symptomatology and treatment are discussed.
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小路 俊廣, 酒匂 崇, 前原 東洋, 富村 吉十郎, 森本 典夫, 清水 恒光, 森園 良幸, 今給黎 尚典, 今林 正明, 木山 吉正
1980 年 28 巻 3 号 p.
401-406
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
For stabilization at the lumbar spine fusion, the Knodt distraction rods were utilized to 10 cases consisting of one teenager. They were classified into 7 cases of spondylotic spondylolisthesis, one case of degenerative spondylolisthesis and two cases of failed lumbar disc surgery. Posterolateral fusion was carried out in all the cases, and six of them were simultaneously added decompressive laminectomy in the lower lumbar region. The postoperative results were evaluated as follows, Good in 9 patients and Fair in one patient. The Knodt distraction rod instrumentation is simple and seems to be very helpful stabilization in lumbar spine fusion and bring about satisfactory clinical results.
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横山 庫一郎, 鹿子生 健一, 森久 喜八郎, 西尾 篤人, 篠原 典夫, 城戸 正詩
1980 年 28 巻 3 号 p.
407-410
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Arteriography was carried out in 15 cases of malignant fibrous histiocytoma (MFH) to evaluate those as follows; therelationships between angiographic features and histological type, roentogenologic appearance, and prognosis etc.
The investigation proved that histologically myxoid type of MFH was less vascular than other type.
In such a case of MFH that roentogenologically appearing like giant cell tumor, it showed highly vascular pattern.
When a large drainage vein is encased or obstructed at venous phase, the prognosis of the patient is poor.
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Interscapulo-thoracic resection と Hemipelvic resection の各1例
葉 山泉, 高岸 直人, 諌山 照刀, 平塚 義治, 内村 正英
1980 年 28 巻 3 号 p.
411-414
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
We described a case of osteosarcoma involving the proximal end of the humerus which was successfully treated by interscapulo-thoracic resection following preoperative arterial infusion of adriamycin, and another case of malignant fibrous histiocytoma involving the inguinal region which was treated by hemipelvic resection.
Detailed investigation of tumor localization by computerized tomography and precise observation of preoperative arterial infusion of adriamycin is a useful method to determine indication for radical resection of malignant bone and soft tissue tumors.
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鈴木 勝己, 伊地知 正光, 高橋 定雄, 中川 太郎, 星川 吉光
1980 年 28 巻 3 号 p.
415-417
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Ganglion and enchondroma are very popular in tumors of the hand. Vascular tumors of the hand are uncommon. Of these vascular tumors, hemangioma and glomus tumor are relatively encountered.
Rare two cases, such as post-traumatic pseudoaneurysma of the thenar region and post-irradiation hypoplasia of cubital hemangioendothelioma, are introduced and discussed in this paper.
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石崎 知樹, 張 懐仁, 山本 緑, 福岡 善平
1980 年 28 巻 3 号 p.
418-421
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
In a retrospective survey of forty-three patients with supracondylar fractures of the humerus, nineteen children were examined clinically and roentgenographically at follow up.
Eleven cases were treated by traction, with the shoulder in a position 110 degrees of abduction and 40 degrees of anterior elevation and the elbow in a position 20 to 30 degrees short of full extension.
Initial displacement and the adequacy of the reduction were correlated with the varus deformity at follow up.
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吉本 隆昌, 冨重 守, 奥田 哲章, 西山 義弘, 松尾 陽壮, 岡田 徹也, 土本 重雄, 田渕 浩之, 鳴戸 聡雄
1980 年 28 巻 3 号 p.
422-424
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
We studied the end-results of fracture of Supracondyle and Lateralcondyle of Humerus in children treated at our hospital from 1970 through 1977.
Fourteen fractures of Supracondyle were re-examined after an average follow up of five years and eight fractures of Lateralcondyle were four years and six month
(1) The functions of the elbow joint were all normal.
(2) High incidence of cubitus varus deformity was noticed in both fracture types.
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橋口 重明, 西尾 篤人, 森久 喜八郎, 豊永 敏宏, 功能 重雄, 冨田 幸男
1980 年 28 巻 3 号 p.
425-428
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Recently we have treated old cases of Monteggia's fracture-dislocation with new operative technique and reviewed them.
The methods of the operation is as follows;
1. Extirpation of cicatorized annular ligament and scar tissue around the luxated radial head to make the reduction of radius easy.
2. Osteotomy of ulna at the point of three to five centimeters to the proximal end of ulna.
3. Fixation of the osteotomized ulna with a plate or medullary nailing having a postero-medial convex in order to make the reduction of radial head by the strong tension of interosseous menbrane.
4. Postoperative immobilization of the forearm being supinated and flexed with plaster cast.
This operation does not need the reconstruction of annular ligament.
We are satisfied with results obtained.
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功能 重雄, 富田 幸男, 豊永 敏宏, 橋口 重明, 森久 喜八郎
1980 年 28 巻 3 号 p.
429-430
発行日: 1980/01/10
公開日: 2010/02/25
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フリー
The 776 patients with the fracture of upper extremity was analyzed statistically in 11 items, such as type of fracture, method of treatment, mechanism of injury, sex distribution etc.. They were all admitted and treated in Kyushu University Hospital from 1946 to 1977.
The period of these 32 years were classified into three groups by every 10 years for investigating the condition with change of time.
Supracondylar fracture was most common lesion and fracture at the distal part of humerus was observed in 40 per cent of all cases. Most common mechanism of injury was falling down.
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山口 司, 内藤 英俊, 萩原 博嗣, 上崎 典雄, 村川 義康
1980 年 28 巻 3 号 p.
432-436
発行日: 1980/01/10
公開日: 2010/02/25
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フリー
There seem two main factors in trearing the femur neck fracture. One is the type of the fracture and the other is the age of the patient.
However, some authors reported the mortality rates were about 30%, ours was 6.2%. In order to decrease the mortality, pre & post-operative intensive care is needed.
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西尾 昭彦
1980 年 28 巻 3 号 p.
437-442
発行日: 1980/01/10
公開日: 2010/02/25
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フリー
An Hand von 15 Faellen medialer Schenkelhalsfraktur, die mit Osteosynthese versorgt worden waren, wurde es ueber die Methode der inneren Fixation eroertert.
Es waren insgesamt 9 Faelle mit Laschenschraube, die Reste von 6 Faellen mit Smith-Petersennagel behandelt.
Nur 6 von 15 Faellen erzielten Einheilung, also schlechter als sonstige Resultate.
Nach der theoritischen Ueberlegung ueber die Anatomie und Mechanik des Schenkelhalses, sowie der Analysierung eigener Faelle kann es zum Fixationsmittel folgende gesagt werden;
1) Der Nagel soll verschraubbar sein.
2) Die Gewinde sollen nur im Nagelspitzebereich versehen sein.
3) Es soll gleich mit 2-3 Naegel fixiert werden.
4) Davon soll einer entlang des Adam'schen Bogens eingesetzt werden.
5) Die Richtung des Nagels soll parallel oder etwas steiler zur Schenkelhalsaxe sein.
6) Die Naegel sollen auch miteinander parallel bleiben.
7) Die Naegel sollen tief genug in den Hueftkopf eingenagelt werden.
8) Einnagelungsstelle sollen richtungssicher eingerichtet werden.
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偽関節等を中心として
林 正郎, 上平 用, 大月 健二, 池原 正明, 丹生 譲治, 伊達 和友
1980 年 28 巻 3 号 p.
443-447
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
43 cases of femoral fractures were experienced for recent 3 years. 14 patients with non-union or delayed union, 3 patients with subluxation of the prosthesis following replacement of the head after femoral fracture and 27 patients with fresh fracture were included in this series.
We discussed with the etiology and surgery for non-union, delayed union and subluxation of the femoral prosthesis.
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瀬良 敬祐, 弓削 大四郎, 森 康, 高須賀 良一, 坂上 和平, 山口 和正, 本多 重信
1980 年 28 巻 3 号 p.
448-451
発行日: 1980/01/10
公開日: 2010/02/25
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フリー
Nous aeons ostesynthèsé 17 fractures et 4 pseudarthroses de 1'extrémité inférieure du fémur par la vis-plaque de Judet entre 1971 et 1978. ce sont 10 hommes et 11 femmes, 1'âge varie entre 16 ans et 87 ans, 1'âge moyen est 51, 1 ans. Sur le plan du mécanisme de 1'accident nous aeons 11 accidents de la circulation, 3 renversements, 3 chutes et 4 autres. Nous avons volontairement simplifié les classifications habituelles des différents types de fractures, 13 sus-condyliennes et 8 condyliennes. Tous ont consolidé. Les délais moyens sont 4, 5 mois Bans les fractures sus-condyliennes, 3, 6 mois dans les condyliennes et 4, 1 mois daps les pseudarthroses. En ce qui concerne la mobilité post-operatoire du genou, nous avons eu 13 très bons, 3 bons, 2 mauvais et 3 perdus de vu. Nous avons opéré 2 libérations de 1'appareil extenseur de Judet, ils ont obtenu très bonne mobilité. En général les résultats sus-condyliennes sont meilleurs que celui des fractures condyliennes concernant la fonction du genou.
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栄 四男, 木村 千仭, 伊勢 紘平, 東保 みづえ
1980 年 28 巻 3 号 p.
452-454
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
A 57-year-old man was admitted to our hospital on November 25, 1978.
He had suffered from pain in his left leg for 3 months. Lumbar puncture revealed a complete block of the spinal subarachinoid space.
The fluid showed xanthochromia and contained 480mg. percent of protein. Myelography disclosed a complete block at the second lumbar vertebra. Laminectomy of the second through the 4th lumbar vertebrae was made and an extradural tumor was removed. Microscopic examination led to a diagnosis of Malignant lymphoma. He died on December 25, 1978. Autopsy was performed after death immediately. Autopsy findings showed us many invasions. Lymphoglands were not invated so remarkably.
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牛島 正博, 野村 茂治, 片井 憲三, 江口 正雄, 西尾 篤人, 篠原 典夫, 岩淵 亮
1980 年 28 巻 3 号 p.
455-458
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Epithelioid sarcoma was reported by Enzinger in 1970, who reviewed a group of 62 cases of sarcoma which was similar clinically and pathologically to a chronic inflammation, granuloma or a squamous cell carcinoma.
A twenty-year-old woman noticed a nodule on the medial side of left calcaneal portion in 1971. Skin above the nodule became ulcerated. Ulceration recurred after several times of skin graft. In December 1978, a below-the-knee amputation was performed because of the diagnosis of epithelioid sarcoma.
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坂本 公宣, 北川 敏夫, 高木 克公, 原田 正孝, 岩政 輝男
1980 年 28 巻 3 号 p.
459-461
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
In 1965, Enzinger described a new type of a malignant soft tissue tumor under the discriptive title of “clear-cell sarcoma of tendons and aponeuroses”. This tumor was intimately bound to tendons and was composed of small nests or aggregates of round or fusiform, pale-staining cells showing prominent nucleoli.
This brief paper presents the case of a 60-year-old Japanese woman with a tumor in the left knee. The histological findings of this tumor are very similar to that of Enzinger's which is above-mentioned. We, therefore, diagnosed this tumor as clear-cell sarcoma.
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橋本 裕一, 北川 敏夫, 高木 克公, 原田 正孝, 岩政 輝男
1980 年 28 巻 3 号 p.
462-464
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Recently, fourty-five-year-old man with the tumor of the scapula was treated in our hospital. A week after admission, total scapulectomy was performed.
Histological examination showed an angiosarcoma (malignant hemangioendothelioma) of the scapula.
Angiosarcoma often occurs in the soft tissue, but that of bone is rarely reported in the past. To our knowlege, twenty-one cases with angiosarcoma of bone, 0.22 percent of the primary bone tumor, have been reported in Japan from 1972 to 1977. One of those cases originated in the scapula and was extremely rare.
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増田 祥男, 福間 久俊, 別府 保男
1980 年 28 巻 3 号 p.
465-469
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The patient was a 65-year-old man suffering from enchondromatosis; the lesions were distributed in a bilateral manner and involved the left scapula, humerus, fourth and fifth phalanges, the right femur, tibia and so on. At the age of sixty-five he began to have pain and swelling in the left shoulder. It had rapidly increased in swelling. Clinical examination revealed reddened tumor (10x8x4xcm). Rentgenologic examination demonstrated a expansive bone distruction and irregular calcified focus in the left acromion. Angiogram showed malignancy. We performed a forequarter amputation since no metastasis was found elsewhere. Microscopic examination showed chondrosarcomatous and fibrosarcomatous components.
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篠原 典夫, 城戸 正詩, 鹿子生 健一, 横山 庫一郎
1980 年 28 巻 3 号 p.
470-472
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The patient was a 18 years old man who complained of pains and swelling over the left knee region. Two months after the onset of the signs, he consulted with a doctor who diagnosed the lesion as osteosarcoma of the left fibula. The roentgenogram showed a ill-defined lytic lesion which was large and involved the proximal epiphysis and metaphysis of the left fibula. High vascularity was admitted by means of angiography. About two years after the amputation, he was died from cerebral metastases in spite of aggresive adjuvant chemotheraphy. Autopsy revealed metastases developed in lung, spine, ribs and cerebrum. The tumor histologically showed large cystic areas filled with clotted blood and the remainning tumor tissues consisted of angiomatoid and osteoid areas.
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桜田 和之, 森脇 宣允, 大本 秀行, 瀬戸 信夫
1980 年 28 巻 3 号 p.
473-475
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
A woman, 56 years old, had for about 5 years complained of dull pain in her left knee and noticed a localized persistent swelling in the knee for about 2 months before admission. At examination, soft elastic mass was palpated. A biopsy was done and the tissue was interpreted as PVS.
The synovectomy was performed and expanded mass and reddish brown villous tissue was resected. Microscopically, hemosiderin pigment with marked histiocyte and proliferation of lining cells was found, but not foam cell. This case was not typical because of the absence of foam cell but we consider as PVS.
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石橋 千和, 田淵 勝典
1980 年 28 巻 3 号 p.
476-478
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
The authors reported a female case aged 32 years with v. Recklinghausen's disease which showed destructive change of the cervical spine and a large tumorous hypertrophy of skin covered from the left shoulder to upper arm. The hypertrophy of skin was recently enlarged rapidly by hemorrhage and was suspected of malignant change in nature. While the biopsy revealed a typical neurofibromatosis without malignancy, an amptation of the arm is thought to be indicated because of disturbance of ADL.
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明穂 政裕, 稲田 治, 古瀬 清夫, 前山 巌
1980 年 28 巻 3 号 p.
479-482
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
A 36-year-old man consulted us, complaining of the left popliteal pain on squating for a couple of years. Roentgenograms and computerized tomography showed transluscent spherical tumor shadow surrounded with ossified shell adjacent to supracondylar posteromedial wall of the left femur. Operative findings: the tumor was covered with periosteum, consisted of grayish white cartilagenous mass. The tumor was resected en bloc. The original cortex lay under the tumor. Microscopic findings: the tumor, surrounded with fibrous tissue and its metaplastic ossified lesion, consisted lesion, consisted of chondrocytes without mitoses and atypism.
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山田 正幸, 田口 厚, 麻生 英保, 宮田 定倫, 藤田 雅章, 杉原 甫
1980 年 28 巻 3 号 p.
483-485
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
A case of Myxo-papillary ependymoma of the cauda equina is reported herein.
The patient is a ten-year-old girl who complained of coccyalgia, low back pain and urinary disturbance.
In physical examination, muscle weakness of lower extremities and positive stretch leg raising test were observed, but sensibility and tendon reflexes were normal.
There were observed xanthochromy and an increase of protein in the celebro-spinal fluid.
By myelogram, complete block at the L4 level was seen. A diagnosis of an intradural tumor, laminectomy and removal of the tumor were performed. The tumor in th intradural space was dark-red and gelatious.
Histologically the tumor was diagnosed as myxo-papillary ependymoma which is very rare in childhood. After operation the symptoms and pathologic disappeared quickly.
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古川 隆, 高岸 直人, 岩崎 敬雄, 松崎 昭夫, 竹下 満
1980 年 28 巻 3 号 p.
486-489
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Case 1. A 43-year-old man was admited on October 20, 1976 with the complaint of pain and moter disturbance of the right side shoulder. X-ray and histological findings of the Humerus head were those of Osteomyelitis.
He has now usual activity after operation.
Case 2. A 50-year-old woman complained of swelling and pain of the right clavicle and first rib especially during cold and wet weather since 1970, and experienced pustulosis palmaris et plantaris at the same time. She was admitted on September 5, 1978. Laboratory findings were normal except for elevated ESR and eosinophilia. Histological findings of the clavicle and first rib were those of osteomyelitis.
We consider that the osteomyelitis may occur in association with the pustulosis palmaris et plantaris.
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藤本 祥治, 大宮 建郎, 片井 憲三, 河野 渉, 江口 正雄
1980 年 28 巻 3 号 p.
490-496
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
In 1841, Alfred Poland first described a cadaver with symbrachydactyly associated with lack of the ipsilateral pectoral muscles. Afterward, many observation, as “Poland's syndactyly”, “pectoral aplasia-dysplasia syndrome”, or “hand and ipsilateral thorax syndrome”, etc., were reported. In 1976, Sugiura described the details of 45 cases of Poland's syndrome, and advocated a clear definition and classification. That was 1) Unilateral brachymesophalangy of the indix, middle and ring fingers (or occasionally more severe reduction malformation of the hand). 2) Cutaneous syndactyly in the affected digits (symbrachydactyly). 3) Moderate microhand. 4) Absence of the sterno-costal portion of the ipsilateral pectoralis major muscle. And classification was 1) Brachymesophalangeal triphalangy type. 2) Diphalangy type. 3) Monophalangy type. 4) Ectrodactyly type.
24 cases of Poland's syndrome (14: definitely diagnosed, 10: possible) were picked out from the outpatients in the past 20 years. They were 0.02% of the outpatients and 1.92% of those with congenital anomalies of the upper limb. 17 of them were male, 15 affected right side. Diphalangy type (using Sugiura's classification) was seen in 15 cases, the most numerous.
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二見 俊郎, 田場 弘之, 塚本 行男, 原田 英男
1980 年 28 巻 3 号 p.
497-500
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
One case of restricted mobility of fingers, which was caused by leakage of infusion, was presented.
Case 33 years, female
Diagnosis: ovarian cancer (squamous cell carcinoma)
This patient was first seen with a complaint of flexion disturbance of her right fingers.
She had a history of leakage of infusion (containing 5-FU, Endoxan, Esquinone and Toyomycin) at the dorsal aspect of her right hand, 3 months ago.
Extensive tenolysis of extensor tendon was performed. But, the results was unsatis-factory.
We would like to stress, that the leakage of infusion must be strictly avoided.
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古田 千事, 三村 寛, 伊藤 信之, 鈴木 良平, 岡崎 威, 千葉 剛次
1980 年 28 巻 3 号 p.
501-502
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
Recently we experienced Guyon canal syndrome that showed only motor disturbance. A patient, 40-year-old female, noticed left claw hand deformity in Oct. 1978. She consulted our hospital in Feb. 1979. Clinical finding and examination showed motor disturbance, but did not show sensory disturbance. Operative finding was ganglion compressed only motor branch of ulnar nerve at the Guyon canal.
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本村 喜代二, 北川 敏夫
1980 年 28 巻 3 号 p.
503-507
発行日: 1980/01/10
公開日: 2010/02/25
ジャーナル
フリー
We stimulated peripheral lymphocytes with various antigens for 72hr, and compared the value of Growth Fraction (G. F) with the morphological blastoid transformation rate.
As a result, G. F. value is slightly higher than the morphological rate and the former is objectively reliable one.
Still more, G. F. indicated us that Polyvinylpyrolidone, Dextran and Lipopoly-saccharides were excellent stimulators for B cell (G. F=0.4).
Rosette formation with Sheep-RBC doesn't need the synthesis of newly formed DNA of lymphocytes as like those stimulated by PHA.
Clinically, we think that G. F. of Lymphocytes is a very useful immunological parameter, but should take more many parameters as possible to secure more exactly the host-immunity status.
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