巻号一覧
30 巻 (1981 - 1982)
- 4 号 p. 641-
- 3 号 p. 445-
- 2 号 p. 253-
- 1 号 p. 1-
30 巻, 4 号
選択された号の論文の63件中51～63を表示しています
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長戸 文明, 吉良 秀秋, 乗松 敏晴, 張 瑞棠, 鈴木 良平1982 年 30 巻 4 号 p. 853-857
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーHemihypertrophy seldom visit out clinic. Since 1966, nineteen patients visited Department of Orthopaedic Surgery, Nagasaki University. They were fifteen idiopathic total hemi-hypertrophy, two idiopathic partial hemihypertrophy, One Klippel-Weber syndrome and One Silver syndrome.
We discussed the first fifteen cases, which could followed up for five years and eight months in average.
The lower leg discrepancy are going to aggravate in that group. The Large discrepancy group in fifteen cases have slight limping, but they are no disturbance in daily activity and also used no orthopaedic orthosis.
We supposed that it may be the hypertrophy of the affected side, taking into consideration of the bone age, birth weight and physical development.
Four flexor disturbance, one congenital dislocation of the hip and one wryneck were complicated.
The characterisity of the complications were contraside in all cases.
The further following up were suggested.抄録全体を表示PDF形式でダウンロード (3460K) -
鴨川 盛秀, 鈴木 勝己, 伊地知 正光, 伊藤 謙三, 関 昭夫, 田中 宏道1982 年 30 巻 4 号 p. 858-861
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーA hyperthyroid osteopathy was first reported by von Recklinghausen in 1891, but the same cases were uncommon.
A 52-year-old woman, housewife, was admitted complaining of severe lumbar pain, and had been unable to sit and stand for six months.
X-ray examination revealed osteoporosis and vertebral collapses. She was diagnosed as hyperthyroidism according to the symptoms and hormonal examinations.
She was treated by administration of antithyroid drug (thiamazole), calcium (calcium lactate) and vitamin D (1α-OH-D3). Ten months after the treatment she could walk freely and had almost no complaints.抄録全体を表示PDF形式でダウンロード (3103K) -
井上 治, 茨木 邦夫, 高良 宏明, 嘉陽 宗俊, 石田 寛友1982 年 30 巻 4 号 p. 862-865
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーCorrective osteotomy of bow-legs was performed in osseous-dystrophy, three boys and a girl (four to fourteen years old), and Blount'disease, a girl (four years old), who were all accompanied by excessive knee joint laxity.
One case received corrective osteotomy after epiphyseal closure, and the other case received second osteotomy after recurrence after epiphyseal closure, had eventually no recurrence of bow-legs and obtained stable gait, more ability to walk and painless knee, but joint laxity was not improved.
All the cases with insufficient correction before epiphyseal closure, had recurrence of bow-legs, but obtained stable gait etc. for a given period of time.
However one case with sufficient correction before epiphyseal closure, had no recurrence and obtained stable gait etc. as well as improvement of joint laxity.
Therefore, the sufficient correction before epiphyseal closure is worthwhile for severe bow-leged children.抄録全体を表示PDF形式でダウンロード (2142K) -
森 俊介, 山口 和正, 穐山 富太郎, 河合 尚志, 川口 幸義, 朝永 正剛1982 年 30 巻 4 号 p. 866-869
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーWe classified 93 cases of hemiplegia type cerebral palsy into 5 types according to the phase of the on set, and analysed the etiologies of each types. The types are follow, 1 fetal type (7 cases), 2 perinatal type (23 cases), 3 neonatal type (7 cases), 4 after 1 month (30 cases), 5 unknown type (26 cases).
We used Prechtl score for unknown type, and found it very useful.
The prognosis of the hemiplegia type C. P. were follow, 54% of them were slight, 34% moderate, 6.5% were severe type.
The average of I. Q. of left side hemiplegia was 70.1 and right side 64.1 (it was significant).抄録全体を表示PDF形式でダウンロード (320K) -
岩田 信彦, 江口 正雄, 野村 茂治, 近藤 正一, 山口 美弘1982 年 30 巻 4 号 p. 870-872
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーA male of aged 9 was admitted our clinic with complaint of his feet deformity.
Clinically, he was seen hypertelorism, low set ear, low hair line, antimongoloid, small mandible, high arched palate, webbed neck, funnel chest, cubitus valgus, round back and bilateral cavus feet.
X-ray examination showed kyphoscoliosis, vertebral fusion, spondylolisthesis and spiny bifida occulta. His sex-chromosomes was XY type. The dermatography showed simian crease, and sometimes it was seen in Turner syndrome. We diagnosed Noonan syndrome and performed Japes-V-osteotomy puroposed to correct feet deformity.抄録全体を表示PDF形式でダウンロード (1666K) -
原口 和史, 野村 茂治, 近藤 正一, 前川 正幸, 松尾 隆1982 年 30 巻 4 号 p. 873-877
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリー17 club feet in 11 adults who had been treated in past ten years were studied. The average of follow-up was four years and three months, the range, eight months to nine years and eight months. The average age at operation was 30 years, the range, 16 to 52 years.
Using our criteria based on clinical and functional examination, good results were obtained nine feet, fair results were eight feet and poor result was no foot.
In our series 10 feet were treated by the Lambrinudi's operation. However, in severe deformed case complete correction by the Lambrinudi's operation require the big resection of the talus which make the short and clumsy feet and get into the danger of producing an aseptic necrosis of the talus. So reducing the removal of talus, we attempted soft tissue operation and big resection of the anterior part of the calcaneus in Lambrinudi's operation.抄録全体を表示PDF形式でダウンロード (3440K) -
松元 信輔, 野村 茂治, 近藤 正一, 藤井 敏男1982 年 30 巻 4 号 p. 878-880
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーHistochemical investigation was made on the muscle in patient with deformed foot resulting from other than congenital club foot.
Samples of muscle were obtained from 34 patients; flaccid paralysis (10), spastic paralysis (7), arthrogryposis multiplex congenita (4), club foot deformity due to anomaly (8), and others (6).
The site of muscle biopsy was gastrocnemius (13), abductor hallucis (10), extensor digitorum brevis (10), and others (17).
In flaccid paralysis, most of specimens show fiber type grouping. In spastic paralysis, there were no tendency of specific pattern. In clubfoot deformity due to anomaly, a half of specimens show either type I or type II fiber type hypotrophy. In patients over 5 years of age, extensor digitorum brevis show fiber type grouping, inspite of it's disorders.抄録全体を表示PDF形式でダウンロード (3826K) -
近藤 正一, 野村 茂治, 藤井 敏男1982 年 30 巻 4 号 p. 881-884
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーGross and histological findings of the talar heads in five clubfeet from three adults and one boy with arthrogryposis multiplex congenita who died at eighty-one days were demonstrated.
In the three talar heads of untreated adult clubfeet, the abnormalities involved small size of the talar heads and degenerative changes of the articular cartilage in the lateral part of the talar head. These pathological findings were similar to that of the experimental clubfeet in rabbits.
In one talar head of the treated adult clubfoot, degenerative changes of the articular cartilage in the all area were seen, that might be caused by early open reductions of the talo-navicular joint.
Marked deformities of the club-foot talus from a boy with A. M. C. suggested a cartilagenous origin in the causation of the club-foot deformity.抄録全体を表示PDF形式でダウンロード (4789K) -
佐々木 賀一, 佐竹 孝之, 直野 敬1982 年 30 巻 4 号 p. 885-889
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーThe congenital vertical talus is uncommon, solid and unreducible anomaly. Four cases (eight feet) are reported, in which the deformity was associated in 3 with arthrogryposis, in 1 with 18 trisomy. Three cases five feet were operated. The result of open reduction is poor, but good looking has been remained. Open reduction in older child should be combined with Grice's subtalar arthrodesis.抄録全体を表示PDF形式でダウンロード (5576K) -
原口 和史, 松尾 隆, 佐伯 千恵子, 野村 茂治1982 年 30 巻 4 号 p. 890-892
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーTransfers of the tendon of the tibialis posterior through the interosseous membrane to the third cuneiform bone were performed on 6 paralytic club feet (5 cases), and all of them resulted in reverse deformities such as calcaneovalgus or planovalgus.
Causes of these revers deformities seem to be the reverse muscle imbalance produced by the transferd muscle and other spastic or flaccid muscles and loss of the stabilizing function of the tibialis posterior on the subtalar joint.抄録全体を表示PDF形式でダウンロード (2893K) -
小島 哲夫, 河野 渉, 中馬 広一, 豊永 敏宏, 藤本 祥治1982 年 30 巻 4 号 p. 893-897
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーOperation technique. A bone graft which had the vascular pedicle from peroneal artery and vein was taken from the fibula in affected side. The graft was immobilized with two screws spanning a involved area, then the vascular pedicle of the graft and recipient vessels (A. and V. tibialis ant.) were anastomosed.
Case 1. 7 year old female with Von Recklinghausen's disease. Operative treatment which included autograft and homograft was done 7 times previously. 2 months after the operation the callus formation was seen at the end of the graft and the patency of the vascular pedicle of the graft was certified by angiography. Although anterior convex deformity developed due to a fracture of the graft, a solid union was gained 6 months after.
Case 2. 8 year old female with Von Recklinghausen's disease. Operative treatment was done 4 times previously. Severe antero-lateral convex deformity was seen in her leg. After correcting the deformity, the bone grafting was performed with same procedure. 6 months after solid union was gained.抄録全体を表示PDF形式でダウンロード (4319K) -
田中 源郎, 林田 一夫, 谷口 良康, 益崎 浩治1982 年 30 巻 4 号 p. 898-900
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーWe have treated two cases of long bone pseudarthrosis (one was of congenital pseudarthrosis in the tibia, another posttraumatic pseudarthrosis) with vascularized fibula graft. Postoperative angiography revealed the potency for nutrient artery of the grafted fibula. Postoperative course was very excellent.抄録全体を表示PDF形式でダウンロード (2965K) -
1982 年 30 巻 4 号 p. 901-910
発行日: 1982/01/10
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (1048K)