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藤田 泰宏, 冨重 守, 岡田 徹也, 西山 義弘, 鳴戸 聰雄, 上妻 隆秀, 小野 豪治, 大田 秀樹
1984 年 32 巻 4 号 p.
1086-1089
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Twenty bilateral total hip replacements performed between 1975 and 1982 were reviewed. The average follow-up period was 3.2 years. The diagnosis in these 40 hips was primary osteoarthritis in two, secondary osteoarthritis in twenty-six, rheumatoid arthritis in eight, aseptic necrosis of the femoral head in four. The average hip score was improved from 40.1 to 79.6 after surgery. Femoral and acetabular component loosening occurred in 4 cases (7 hips). They were all Charnley-Müller prostheses. No problem occurred in Charnley and Harris HD-2 prostheses. There has been no difference in the results between bilateral and unilateral total hip replacement with Charnley and Harris HD-2 prosthesis so far.
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長岡 栄司, 真角 昭吾, 鳥巣 岳彦, 麻生 邦一, 原田 博文
1984 年 32 巻 4 号 p.
1090-1093
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A 15 years old boy visited our hospital with a complaint of his left shoulder deformity. Clinically, at the relaxed standing position, the left scapula was located in a slightly lower position than the right, and the acromion of the left shoulder was directed rather foward than laterally as in the normal right shoulder. He had no history of intramuscular injection or trauma to the shoulder girdle. The physical examination revealed no abnormality in the muscle structure, and the X-ray examination showed normal bony structure except for anteversion of the shoulder.
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浦田 節雄, 高木 克公, 吉野 和孝, 北川 敏夫
1984 年 32 巻 4 号 p.
1094-1097
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A case of loose shoulder with frequent dislocation in daily life who progressed to the voluntary anterior dislocation was reported. The patients who had the loose shoulder with voluntary anterior dislocation had generally few bone change. However, she had severe deformities at the humeral head and the glenoid of the scapula. We carried out the surgical treatment of the pectoralis major transfer and Putti-Platt method for this case, and an excellent result was obtained.
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山田 正幸, 近藤 正行, 田副 司郎, 伊藤 信之, 鈴木 良平
1984 年 32 巻 4 号 p.
1098-1101
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Eight men and fifteen women were reviewed at an average of fifty months after pectorals mayor muscle transfer for shoulder instability. Their ages at surgery ranged from fourteen to forty years with the average of twenty-one years. The results were evaluated according to our own criteria taking account of grade of shoulder pain, range of motion, disability on daily activities and the patients satisfaction for the operation.
This operation has afforded relief or improvement in twenty-one cases (91%), but results were not satisfactory in two cases (9%). No case complained of any trouble during daily life. Satisfactory results were achieved in cases with anterior voluntary dislocation of the shoulder joint.
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伊藤 信之, 田副 司郎, 近藤 正行, 山田 正幸
1984 年 32 巻 4 号 p.
1102-1105
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
The purpose of this study is to evaluate the short term results of rotator cuff repair. Sixteen patients with an averge age of 50 years were operated in our hospital from 1980 to 1982. The operative methods consisted with lateral acromionectomy, resection of coraco-acromial ligament and cuff repair (McLaughlin's method). At the first day posto-operatively, the patient was placed in a plaster cast at zero position. When the power of shoulder abductor increased, the cast was removed. The time of return to his occupation was from two to eight months after surgery.
The results were excellent in forteen and good in two according to the Wolfgang's critera. Especally, all the patients had good abduction motion. Age, occupation, traumatic onset and size of cuff rupture had little infuluence on the results.
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山本 良輔, 直野 敬, 孫田 明, 藤本 祥治, 今村 正純, 森本 哲也, 吉井 元
1984 年 32 巻 4 号 p.
1106-1109
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
We consider shoulder arthrography in all patients with chronic shoulder pain when the source of the pain is in doubt.
We offer surgical treatment to any patient who was diagnosed as tear of the rotator cuff by arthrography.
The purpose of this paper is to report the results of surgical repairs of tears of the rotator cuff. The results were rated with respect to pain, motion and strength.
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第2報
蛭崎 隆男, 高岸 直人, 竹下 満, 葉 山泉, 城戸 正喜, 田中 幹夫, 八尋 龍二
1984 年 32 巻 4 号 p.
1110-1113
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
In this report, the conservative treatment for the complete dislocation of acromioclavicular joint by plaster spica is discussed.
Sixteen patients were treated, 15 being men and one woman. The average age was 32 years (range, 19-43). We applied plaster spica with 90 degrees arm abduction to immobilize the scapula and reduce the distal end of the displaced clavicle using elastic band. Thus managed, the articular surface of the acromioclavicular joint contacts each other closely. The alignment of reduced acromioclavicular joint must be confirmed by X-ray for 4 to 6 weeks. 13 cases completed treatment in this manner but 3 cases gave up treatment halfway owing to severe pain or failure of reduction. Follow-up periods averaged 1 year and 7 months.
Pain relief was generaly satisfactory but anatomical reduction was obtained in only 6 of the 13 completed cases. The relations between reduction and the shape of the acromioclavicular joint were discussed in this series according to Urist's classification. 8 of the 13 cases were type II (Vertical) or type V (Incongruent & No contact) and the other 5 were type I (Overriding) or type IV (Incongruent & Overriding). 6 cases which gained anatomical reduction in this series were all classified into type II and type V.
Anatomical reduction seemed to be important for the improvement of function and the relief of symptoms. The results were not so good in older patients because of residual contracture.
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中関節上腕靱帯を中心として
原 正文, 蛭崎 隆男, 竹下 満, 南川 博道, 城戸 正喜, 高岸 直人, 田川 隆輔
1984 年 32 巻 4 号 p.
1114-1116
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
In the arthroscopic examination of the shoulder joint, it is essential to dicide the findings as normal, normal variation or abnormal. Especially the anterior capsular potion has many normal variations. In order to clarify them, 48 shoulder joints of 24 cadavera were dissected. The frequency of the lack of middle glenohumeral ligament (m·G·H·L) was 27.1%. The average length of m·G·H·L was 15.1mm. 94.3% of m·G·H·L were membranous, whereas 5.7% were cord like.
There are some bursaes which directly open into capsule. These bursaes are anatomically called B. infra coracoidea lateralis I, B. infra coracoidea lateralis II, B. infra coracoidea medialis, B. m. subscapularis, and B. tendinis m. subscapularis. All of them could be observed in our study. On these bursaes, names which are clinicaly used now is different from those which are used in anatomy. It must be emphasized that the difference in these names should be co-ordinated suitably soon.
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和田 研, 岩切 清文, 小林 邦雄, 徳久 俊雄, 宮元 修一, 亀山 博生, 中間 秀雄, 吉富 健, 佐井 勇二郎
1984 年 32 巻 4 号 p.
1117-1121
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
From 1972 to 1982, 8098 newborn babies were examined, among which 962 babies were re-examined five months after birth, and 113 children were examined when they were five to seven years old.
From 1978, when Ishida's diaper began to be used, the incidence of the newborn babies who probed positive in the click test has decreased. X-ray films of five to seven years old children were examined, who seemed to be normal at five months. Seventeen children were found to be abnormal in α angle or CE angle of their hips. It is recommended that five-year-old children in whom α angle above 27 degrees or CE angle below 14 degrees should be followed more carefully.
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第1報
河野 渉, 内藤 英俊, 三浦 裕正, 片田江 民夫
1984 年 32 巻 4 号 p.
1122-1123
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
During the period from January 1973 to December 1982, there were 944 infants with hip problems at Fukuoka Red Cross Hospital.
Out of them there were 139 hips with dislocation or subluxation, and 47 hips with acetabular dysplasia.
Twenty-seven infants with acetabular dysplasia and limited abduction in flexion were treated by the Pavlik harness.
One hundred and sixteen hips with dislocation were treated by the Pavlik harness, and 99 hips (85.4%) were reducted.
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松元 信輔, 大石 年秀, 藤井 敏男, 姫野 信吉, 原 寛道
1984 年 32 巻 4 号 p.
1124-1127
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Pericapsular osteotomy of the ilium combined with detorsion varus osteotomy of the femur had been performed for treatment of residual subluxation of the hip in older children. On 11 hips operated in children aged 5 to 12 years with a follow up period of 1 to 3 years, the results were found to be satisfactory in most cases.
We emphasized that not only dysplastic hip was surgically corrected but also acetabular growth was stimulated after this procedure.
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松尾 勇, 岩崎 勝郎, 池田 定倫, 今村 汪
1984 年 32 巻 4 号 p.
1128-1132
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Ninety-nine hips of 83 patients with avascular necrosis noticed in the treatment using Lorenz method for congenital dislocation of the hip were reviewed to study etiological factors of deformity of the femoral head, and correlation of deformity occurred in the epiphysis and in the metaphysis. Avascular necrosis of the femoral head was different from Perthes disease because there was no correlation between epiphysial damage and metaphysial damage, and no regular patterns of vascular disturbance.
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赤崎 幸二, 広田 耕三, 伊勢 紘平, 園田 英器, 束野 通志, 坂本 公宣, 川原 康二
1984 年 32 巻 4 号 p.
1133-1136
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Nine adult patients with untreated congenital dislocation of the hip were treated by the hip desis, bringing down the femoral head from new acetabulum to original acetabulum. The following results were obtained: improvement of limping due to pull-down of the femoral head by 3.3cm on the average, relief of pain, improvement of support, and ankylosis in all cases. Anxiety to bony union was settled by using ofelectric spherical reamer and neighboring bone grafting. The pull-down of the femoral head by less than 5cm did not cause disturbance of the nerves and vessels.
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園田 隆, 酒匂 崇, 武田 洋吉, 木山 吉正, 藤善 卓朗, 白坂 智子, 荒武 郁朗
1984 年 32 巻 4 号 p.
1137-1141
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Fourty-four of patients (fifty hip joints) with perthes disease who had been treated in our clinic and the crippled children hospital of Kagoshima were evaluated radiologically and clinically. The follow-up period after the onset of disease was from ten to twenty-five years (average 13.4 years). Non-weight bearing treatment was carried out in twenty-four hip joints, containment treatment in fourteen and non-treatment in twelve. Osteoarthritic changes were seen radiologically in 13% of non-weight bearing group and 7% of containment group. There was no evident difference in the evaluation of the treatments. Surgical treatment of varus osteotomy should be applied in the early stage if there are signs of Catterall III or IV type.
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井上 善博, 藤井 敏男, 姫野 信吉, 森安 真之, 松元 信輔, 大石 年秀
1984 年 32 巻 4 号 p.
1142-1147
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Ten cases of suppurative arthritis of the hip in infancy were reviewed. The results were as follows;
1) Five cases were neonate; in these neonatal cases 4 were males and one was a female.
2) The cultures were positive in 5 cases. The organism was the Staphylococcus aureus in 3 cases of them.
3) Early surgical drainage following vigorous antibiotics treatment seemed to be effective.
4) For the treatment of residual subluxation, combined procedure of open reduction and detorsion varus osteotomy was effective.
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黒瀬 真之輔, 角田 信昭, 佐々木 邦雄, 芝 啓一郎, 権藤 英資, 香月 正昭, 赤津 隆
1984 年 32 巻 4 号 p.
1148-1151
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A review was made of 17 acute high cervical spinal cord injuries between April 1979 and Janury 1983. Seven patients died during hospitalization. The causes of death were complications of cardiovascular system in 6 patients. Seven patients were discharged from spinal injuries center but activities of daily living (ADL) were almost dependent in all patients. The mortality rate of high cervical spinal cord injuries will be improved by skillfull general management in acute stage. Rehabilitation in high cervical spinal cord injury patient is very difficult but we must make every effort to improve ADL of severely handicapped patient.
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中原 進之介, 小川 知彦, 寺岡 俊人, 田辺 剛造, 今井 健
1984 年 32 巻 4 号 p.
1152-1156
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
The purposes of surgical treatment for fracture-dislocations of cervical spine are stabilization of cervical spine and the expectation of recovery of neurological functions. We prefer the anterior interbody fusion for these cases after pre-operative reduction of cervical spine achieved by means of skull traction. However, in old cases it is very difficult to reduce the injured spine by means of skull traction. In addition, because of neck pain, restriction of mobility of cervical spine and possibility of delayed myelopathy it is desired to do anterior interbody fusion in reduced position.
We have treated 7 cases of such old fracture-dislocations of middle or lower cervical spine. All cases had neck pain, restriction of mobility of cervical spine and mild neuological symptoms. We performed anterior interbody fusion in these 7 cases and the results were excellent.
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園田 英器, 広田 耕三, 伊勢 紘平, 赤崎 幸二, 束野 通志, 坂本 公宣, 川原 幸二, 有村 一盛, 堀尾 慎弥, 原 賢一
1984 年 32 巻 4 号 p.
1157-1159
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A 50-year-old male farmer was admitted to our hospital on July 13, 1981. In this after noon the patient was hit by a small car during sleeping on a road. The rear wheel rolled on his head, and promptly he noted motor loss of eigth day after injury he complained of large amounts of urine and thirst. The diagnosis was a partial diabetes incipidus following the head trauma. The treatment by vasopressing administration was continued until nineth month after injury.
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本川 哲, 鳥越 雄喜, 高須賀 良一, 増田 良孝, 実松 義昭, 本多 重信, 近藤 司, 植松 伸久, 衛藤 正雄
1984 年 32 巻 4 号 p.
1160-1162
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
We have recently treated three cases of fat embolism syndrome following fracture. All three cases showed abnormal shadow in chest x-ray, cerebral sign and a decrease in the arterial PO
2. Petechial rash was noticed in two cases. We recognized that a regular measurement of the arterial blood gases is valuable for early diagnosis.
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城間 公博, 坂田 浩章, 古閑 今朝輝, 浦田 節雄, 原田 正孝
1984 年 32 巻 4 号 p.
1163-1166
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Pulmonary embolism is one of the diseases which have bad prognosis. We experienced one case who was paraplegic with a tumor of thoracic spine and therapeutically forced to be in the prolonged prone position and then sustained pulmonary embolism. Although there are many opinions about theraphy or treatment in choice, none can conclude which theraphy is best. We treated our patient using a combined theraphy of Urokinase and heparin very effectively. We report and discuss this case.
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泉 清高, 松元 司
1984 年 32 巻 4 号 p.
1167-1170
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
The results of 9 Gritti-Stokes amputations are presented. Stump pain and mobility of the patella can be prevented by our surgical technique. The difficulties in fitting a suitable prosthesis are discussed and attention is drawn to the advantages of a new prosthesis that has been developed for this amputation.
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近藤 正一, 野村 茂治
1984 年 32 巻 4 号 p.
1171-1176
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
We produced a clubfoot deformity in the fetal rabbit extremity, utilizing in utero surgical procedures. By means of a 5-0 nylon suture, a foot was placed in a moderate degree of equinovarus position. On the day of delivery, the suture was removed from the foot and rabbit observed for deformity radiographically and microscopically. On the 1st day after delivery marked equinovarus deformties were seen, but the deformities were gradually corrected with in 1 week after birth.
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前川 正幸, 岩渕 亮, 奥田 隆司
1984 年 32 巻 4 号 p.
1177-1181
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
We have examined seven cases of dibetic osteopathy in order to establish radiographic classification.
Among eight feet in seven cases we have found neuroarthropathy in five feet, cortical defect in three feet, and diffuse bone atrophy in one foot (One foot sufferd from both neuroarthropathy and cortical defect). Skeletal changes in diabetic foot cause callosity and ulcer easily. In the case of associated soft tissue infection, diabetic osteopathy is impossible to differentiate from osteomyelitis.
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楊 水木, 藤田 雅章, 乗松 敏晴, 鈴木 良平
1984 年 32 巻 4 号 p.
1182-1183
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A 37 years old female ruptured the plantar fascia of the foot without associated injury to the achilles tendon while she was under a low posture with the knee flexed, ankle plantar flexed and MP joint dorsiflexed during badminton play.
It can be considered that the rupture was brought out by the Windlass Action of the plantar fascia due to extreme dorsiflexion of the MP joint. A surgical primary suture was performed with an excellent result.
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藤田 雅章, 楊 水木, 乗松 敏晴, 鈴木 良平
1984 年 32 巻 4 号 p.
1184-1187
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Utilizing a specially designed apparatus, anterior drawer test was performed in 10 healthy (27-to 40-year-old) adults. Varus stress test was performed manually in 100 healthy (16-to 40-year-old) adults. The results showed that the anterior drawer displacement was 3mm (1.59±0.67) and talar tilt angle ranged up to 5 degrees (3.68±0.33). (P>0.05)
In disordered subjects who had a history of sprain, the talar tilt angle was about 9 degrees (9.10±1.16). In disordered subjects who had a history of surgical repair, anterior drawer displacement were about 5mm (4.69±1.94) and talar tilt angle were about 10 degrees (10.31±2.54).
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古賀 哲二, 木田 浩隆, 久保山 昌宏
1984 年 32 巻 4 号 p.
1188-1190
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
A Rare case of peroneal nerve injury is reported. A 37-year-old man had been treated with acupuncture for low back pain and right lower limb pain. One year after the treatment, the patient became aware of dysesthesis in the lateral aspect of the right lower leg. Radiological examination revealed a lot of acupuncture needles in lumbar and lower leg. After extraction of the needles, symptoms improved and clinical course was satisfactory.
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坂本 公宣, 広田 耕三, 伊勢 紘平, 園田 英器, 赤崎 幸二, 束野 通志, 川原 康二, 山本 正昭, 森本 敬三
1984 年 32 巻 4 号 p.
1191-1194
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Two cases of intraneural ganglion of the peroneal nerve were reported, both of which were treated by dissection of the ganglion from the nerve. The motor and sensory disturbance fully recovered within 3 months. Microscopically, the nerve bundle was shown in the collagenous tissue of the cyst wall. We suggest that the intraneural ganglin has arisen in the connective tissue of the nerve.
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河野 淳亮, 城戸 正詩, 柴田 堅一郎, 大西 晃生, 光安 知夫
1984 年 32 巻 4 号 p.
1195-1198
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Hypertrophic neuropathy is knoun as Charcot-Marie-Tooth type (HMSNI) or Dèjerine-Sottas disease. Both are hereditary, and there appear symmetrical lower limb symptoms in childhood. This case, a 60 years old male, however, had asymmetrical upper limb symptoms with ulnar nerve palsy, and had no family history. His cheif complaints were feeling of numbness, muscular weakness and muscular atrophy on his left hand.
The first diagnosis was delayed palsy of left ulnar nerve, but no therapy was effective. Later he complained of pain in his left axillar legion. There was a tumor palpable.
Then biopsy was made, and the histological diagnosis was hypertrophic neuropathy.
This is a very rare case. We found no paper reported like this case. This case has to be called mortor and sensory type of hypertrophic neuropathy
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牧 信哉, 酒匂 崇, 森本 典夫, 清水 恒光, 吉永 一春, 赤嶺 卓哉, 西 由香里
1984 年 32 巻 4 号 p.
1199-1202
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Electrical stimulation of direct current was given to six patients with bone cyst to promote bone healing. The site of lesion was the proximal part of the humerus in all the patients. Two or three of the Teflon-coated K-wires were inserted into the lesion cavity as the cathode and 10 microamperes was given to each cathode continuously for the average duration of 15.8 weeks. The effects of electrical stimulation were judged radiologically according to Baker's classification. Five of them showed reduction of bone cyst lesion in size, and of radiolucency of the lesion. They were effective by electrical stimulation except for one case who showed no change of radiological findings. We concluded that electrical stimulation can be one of choices for treatment while complete healing can be hardly obtained.
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友兼 尚之, 城戸 正詩, 小島 哲夫
1984 年 32 巻 4 号 p.
1203-1205
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Many surgical approaches to the functional insufficiency of the thumb has been reported till today. The authors report two cases of thumb anomalies here treated by method of Buck-Gramcko.
Case 1. A 3 years old woman. Rt. floating thumb of Blauth IV. The floating thumb was resected followed by pollicization of the second finger.
Case 2. A 21 years old man. A five-fingered hand. Pollicization of the first finger was done.
The results of these pollicizations may be better than the method of Littler. Hyperextension deformity of the new CM joint has not been seen untill today.
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山口 美弘, 内藤 正俊
1984 年 32 巻 4 号 p.
1206-1207
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Using local hydrogen gas clearance, we measured subcutaneous blood flow of the grafted skin after surgery. Revascularization of the grafted skin is considered to start within twenty-four hours after surgery.
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内藤 正俊, 緒方 公介, 瀧 正二, 山口 美弘
1984 年 32 巻 4 号 p.
1208-1210
発行日: 1984/06/25
公開日: 2010/02/25
ジャーナル
フリー
Excessive traction on the skin is known to cause ischaemic damage. To the suthors' knowledge, however, a quantitative analysis of traction on the skin circulation has not been performed previously. In order to investigate the effects of traction on the skin circulation, we used the chages in transcutaneous Po
2 of the abdominal skin in a group of seven normal subjects. Traction was applied by means of a hand-made tensiometer that was connected to the transcutaneous PO
2 sensor by a stainless steel wire. The movement of the skin and the tension applied were measured simultaneously. Reduction of skin circulation was more proportional to the movement produced than to the tension applied.
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元 豊彦, 松尾 隆, 多田 俊作
1984 年 32 巻 4 号 p.
1211-1213
発行日: 1984/06/25
公開日: 2010/02/25
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Adductor longus myotomy and anterior branch obturator neurectomy are commonly carried out to the hip adduction deformity in cerebral palsy, but there often appeared hip internal rotation gait, or a board-based gait if combined with hamstrings lengthening in our cases. Therefore we concluded that anterior branch obturator neurectomy should never be done.
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山口 和正, 穐山 富太郎, 川口 幸義, 岡本 義久, 岡安 勤, 井上 正幸
1984 年 32 巻 4 号 p.
1214-1218
発行日: 1984/06/25
公開日: 2010/02/25
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Fifty low-birthweight children who had weighed between 620 grams and 1500 grams at birth were examined on their psycho-motor developement.
37 of these children were normal and 7 had slight abnormalities such as adiadochokinesia, motor retardation or poor balance reactions. Six were diagnosed cerebral palsy (5 diplegias and 1 hemiplegia). In abnormal groups, there were 10 boys and 3 girls.
Prechtl scores were high with the average of 5.59. No significant difference was found in the score between normal and abnormal children, but neonatal asphyxias or other postnatal complications were more frequently occurred in abnormal children.
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豊永 敏宏, 川島 圭司, 上崎 典雄, 緒方 公介
1984 年 32 巻 4 号 p.
1219-1225
発行日: 1984/06/25
公開日: 2010/02/25
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The authors have investigated the muscle strength about the knee with the patellofemoral joint problems (recurrent patellar dislocation; 6 cases, chondromalacia patellae; 3 cases, subluxation of the patella; 3 cases, and others; 2 cases), comparing with intact group using Cybex-II. We have also observed the electromyogram of the thigh muscles. The results were as followes: (1) All patients showed significant decrease in the extensor muscle strength of the affectd limb postoperatively. (2) It was suggested that the muscle exercise was important both preoperatively and postoperatively to maintain satisfactory muscle strength about the knee.
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Cybex-II を用いて
平岡 大吾, 豊永 敏宏
1984 年 32 巻 4 号 p.
1226-1229
発行日: 1984/06/25
公開日: 2010/02/25
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The authors measured the extension/flexion muscle strength of the bilateral knee joints in the unilateral hip joint disease. The cases were all female and were classified into three groups; 1) Arthorodesis group (4 cases) 2) Varus osteotomy group (8 cases) and 3) Normal group (10 cases). There was no significant difference in the muscle strength of the knee between arthorodesis group and varus osteotomy group, but both groups showed significantly less strength than normal group. The results in the affected knee showed significant difference between arthrodesis group and varus osteotomy group only in the knee extension.
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萩原 博嗣, 佐伯 満
1984 年 32 巻 4 号 p.
1230-1232
発行日: 1984/06/25
公開日: 2010/02/25
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Since 1974, medical examination for the muscalar contracture patients due to intramuscular injection has been coutinued in Kyushu by our group.
Among the patients with the quadriceps femoris contracture, the complaints of snapping hip is significantly frequent.
Among 58 patients which have more than moderate symptoms, snapping hip was seen in 15 patients (26%). Pain and running disturbance was seen in two patients. All of the snapping is extraarticular type which happens due to the tight sliding of the iliotibial tract over the trochanter major. Even though some findings of the gluteus maximus contracture were there in 9 patients of the 15 snapping hips, 4 patients apparently did not have any injection history to the gluteal region. So it seems that snapping hip is not unconmmon in the patients with quadriceps femoris contracture without gluteal lesion.
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島内 卓, 大屋 国益, 宮本 龍彦, 津江 和成, 横山 良平, 新井 堅, 田中 浩, 平田 俊成
1984 年 32 巻 4 号 p.
1233-1237
発行日: 1984/06/25
公開日: 2010/02/25
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This paper presents an analysis of the results of the treatment of fracture dislocation of the ankle.
The final clinical results were studied in 44 patients with 46 fractures at the ankle treated at the Yamaguchi Rosai Hospital between 1977 and 1982. The anatomical results of the reduction affected significantly the final clinical results.
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村尾 哲, 柴田 堅一郎, 小野 哲夫, 秋山 徹, 城戸 正詩
1984 年 32 巻 4 号 p.
1238-1243
発行日: 1984/06/25
公開日: 2010/02/25
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Dissociated motor loss in the upper extremity with cervical spondylosis is a rare condition, which Keegan first recognized in 1965.
The cause of this condition is not well known and diagnosis is difficult. In this report, we had 8 cases, from 1975 to 1983, four cases were Keegan type and another four cases were cervical spondylotic amyotrophy. There were no remarkable roentgenographic and myelographic differences between Keegan type and cervical spondylotic amyotrophy.
All cases were treated surgically and these results were relatively satisfactory.
And then, we showed three cases of Keengan type cervical spondylosis, which causes were different each other (osteophyte, O. P. L. L. and disc herniation).
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1984 年 32 巻 4 号 p.
1244-1257
発行日: 1984/06/25
公開日: 2010/02/25
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