-
海永 泰男, 河合 伸也, 小田 裕胤, 斉鹿 稔, 野村 耕三, 坂本 正
1986 年 34 巻 4 号 p.
1370-1373
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
This is to analyse roentgenographically 74 cases with ossification of the supra-supinatus ligament (OSSL), including 29 cases of the control. The ossifications occur frequently at the level of lower thoracic and lumbar spine and can be divided into three types according to the shape and the size.
The following results are obtained:
1) type II and type III of the ossification are found more frequently in male than in female, 2) thoracolumbar kyphosis (T
10-L
2) is increased in type III, 3) tepe III has higher generalized hyperostotic tendency and is often accompanied with other ossification of the spinal ligaments, and 4) appearance of OSSL isdicates existence of generalized hyperostotic tendency.
抄録全体を表示
-
胸腰椎部後弯に合併せる
高嶋 研介, 佐々木 邦雄, 芝 啓一郎, 植田 尊善, 浅川 康司, 古森 元章, 森永 政博, 角田 信昭
1986 年 34 巻 4 号 p.
1374-1378
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
A case of incomplete myelopathy at proxmal thoraco-lumbar spine kyphosis caused by ossifcation of yellow ligament is reported.
A 60-year-old male was addmiteed to our hospital complaining of bilateral lower extremity pain and gait disturbance of 5 months duration. Motor-sensory palsy below L1, and complete block on myelogram caused by OYL on T
11/12 was seen and the compression was found by CTM.
We performed wide laminectomy on T
11, T
12, and the palsy was gradually reduced as a result of the operation. 14 weeks after operation, he was discharged on his foot.
抄録全体を表示
-
帖佐 悦男, 田島 直也, 川野 桂一郎, 出口 義宏, 福田 健二, 川越 正一
1986 年 34 巻 4 号 p.
1379-1384
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
We have been using the hanging appearance for the screeing and the medical examination of the scoliosis. This paper reports the stripes and patterns of the Hanging Moiré topography for normal dorsal forms of 70 cases and scoliotic dorsal forms of 51 cases (Cobb angle more than 15 degrees).
The results are summerized as follows:
1) The Hanging Moiré patterns were classified into three types which were the infrascapular type (Pattern I), the scapular type (Pattern II) and the bilateral type (Pattern III) by the line of the lower borders of the scapula and furthermore two subtypes which had one apex (Pattern B) or two ones (Pattern A) under infrascapular line. We concluded that Pattern A was not found in these scoliotic patients and Pattern B suggested the possibility of the rigid scoliosis.
2) The Hanging Moiré topography was useful for the check of the spinal flexibility. It was thought that an appropriate cutting point was 7.5mm.
抄録全体を表示
-
吉国 長利, 酒匂 崇, 森園 良幸, 中村 宏志, 阿久根 隆, 浜畑 和人, 脇丸 一孝
1986 年 34 巻 4 号 p.
1385-1388
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
We presented short-term results of electrical surface stimulation in 11 cases of idiopathic scoliosis. The stimulation was made by low frequency wave through silver spike point electrodes (SSP electrotherapy), that were placed on the skin of the thoracic cage in the convex side of curvature around the apex. The stimulation was applied during sleeping at night for six months to one year.
Arrest of curve progression or curve correction was observed in ten of them except one. Skin irritation and burns that are likely to happen in electrotherapy were seen in none.
抄録全体を表示
-
角田 信昭, 佐々木 邦雄, 芝 啓一郎, 植田 尊善, 浅川 康司, 古森 元章, 森永 政博, 高嶋 研介
1986 年 34 巻 4 号 p.
1389-1392
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Application of sublaminal wiring gives a strong stability in scoliosis surgery. However, the possibility of neurological complications is inevitable. To prevent these complications, to obtain more stability, and to shorten the casting periods, we employed Double Harrington Distraction Rods and segmental spinous processes wiring.
23 patients with several types of scoliosis were surgically managed by this technique and followed up for an average periol of 2.6 years ranging from 3.11 years to 10 months. The mean correction rate after surgery was 53.1%, (65.1% in the cases of idiopathic scoliosis) and loss of corretion was only 1.2% at follow-up. There were no neurolgical complications, no instrument failures and no pseudarthrosis at follow-up. Thus, this technique is safer in performing these procedures, and effective in maintaining the satisfactory correction of deformity.
抄録全体を表示
-
友成 一徳, 麻生 邦一, 高見 博昭, 真角 昭吾
1986 年 34 巻 4 号 p.
1393-1396
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Collagen and acidic glycosaminoglycans of the mass obtained from the wry-neck patient were examined and compared with the normal muscle. Collagen was extracted and analyzed by SDS-polyacrylamide gel electrophoresis, and glycosaminoglycans were analysed by acetate membrane electrophoresis. The results obtained were as follows. Collagen of the wry-neck mass and the normal muscle consisted mainly of type I collagen, whereas type III collagen was significantly detected in the wry-neck mass only. As for glycosaminoglycans dermatan sulfate and hyaluronic acid were equally found in the normal muscle, whereas dermatan sulfate was dominantly found in the wrt-neck mass, which resembled the normal skin pattern.
抄録全体を表示
-
長谷川 善廣, 井上 明生, 奥野 徹子, 村山 哲郎, 楢原 知啓, 大橋 輝明, 宮崎 正樹
1986 年 34 巻 4 号 p.
1397-1400
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Two cases of ocular torticollis were reported. One case was a 3-year-old female, and another case was an 8-year-old male. These cases had been diagnosed by orthopedic surgeons as a habitual torticollis. They were introduced to our university hospital because their torticollis position had not been improved after three years old.
It was revealed by examination that sterno-cleido-mastoid muscle and range of motion was normal. Their torticollis position was improved by Patch test on one eye and Bielshowsky head tilt test was positive. These findings suggested that it was due to ocular torticollis. They were treated by an ophthalmologist and improved.
抄録全体を表示
-
小禄 尚, 乗松 尋道, 井上 治, 仲宗根 栄作, 上里 智美, 親泊 元信
1986 年 34 巻 4 号 p.
1401-1406
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Sinse 1982, we have treated 16 feet in 11 cases of the resistant congenital clubfeet with posteromedical release method described by Turco. The mean age of these cases was 3 years old, ranging from 3 monthsto 7 years old.
The average follow-up period was 1 year and 1 month, with the range from 6 months to 2 years and 10 months.
The evaluation was made by clinical and roentgenographic examinations. Good results were obtained in all cases, however, plantarflexion was limited in 3 cases.
抄録全体を表示
-
坂本 央, 藤井 敏男, 元 豊彦, 津村 弘
1986 年 34 巻 4 号 p.
1407-1410
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Three types of AFO (Ankle-Foot-Orthosis), Which are plastic AFO with non-articulated metal uprights, plastic AFO with articulated metal uprights and plasstic AFO, were applied for treatment of foot deformities due to myelomeningocele. Eleven children, nine female and two male, between the ages of three to ten years, were treated.
1) Plastic AFO with non-articulated double metal uprights is fitted to a non-ambulator, for it makes easy to achieve upright position.
2) The device with articulation is applied to children who can walk, for the articulation allows ankle motion.
3) Plastic posterior AFO is light in weight and acceptable cosmeti-cally, but is inferior in durability to double metal uprights AFO.
We felt surely that our endeavor should be carried out into practice to develope new materialsand designs.
抄録全体を表示
-
河野 渉, 内藤 英俊, 白澤 建蔵, 西野 興史, 安藤 俊行, 村川 義康
1986 年 34 巻 4 号 p.
1411-1413
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
From 1973 to 1982, 17 hips of congenital dislocation of the hip joint were failed in reduction by the Pavlik Harness and 6 hips were treated initially by manual reduction or traction. Of these 23 hips, 15 hips were followed. There were 2 males and 10 females. Average age at follow-up was 8 years and 7 months. The functional results were excellent or good in 8, fair in 3, and poor in 2. The anatomical results were excellent or good in 8, fair in 4, and poor in 3. Of the 8 hips in which initial treatment had been started below 6 months, 6 hips obtained anatomically excellent or good results.
抄録全体を表示
-
池田 定倫, 岩崎 勝郎, 山根 芳道, 山田 健治
1986 年 34 巻 4 号 p.
1414-1421
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
This study provides radiological results of the treatment of bilateral congenital dislocation of the hip.
From 1966 to 1978, 63 cases (59 girls and 4 boys) of CDH were treated in our clinic with Pavlik harness, closed reduction and open reduction. According to the assessment of Severin and Miki, 30 out of 63 cases had anatomical healing in bilateral hips and 17 cases in unilateral hip. Radiological abnormalities such as acetabular dysplasia, deformities of femoral head and lateral displacement of the head were seen in both sides of remaining 16 cases.
In comparison between unilateral and bilateral cases, the results of the closed reduction in bilateral cases were poorer than unilateral cases.
This may be due to the damage to the femoral heads, but we could not find the exact factor effecting the differences between the results of unilateral and bilateral cases.
抄録全体を表示
-
岩崎 勝郎, 池田 定倫, 松本 智子, 山田 健治, 井上 喜博
1986 年 34 巻 4 号 p.
1422-1428
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
We analysed radiographically 23 hips of Perthes' disease in patients whose onset occurred after ten years of age, and discussed the cause of poor prognosis.
Of 23 hips, 14 hips resulted in the severe irregularity or defect in the articular surface of the femoral head.
These results were independent on the degree of involved epiphysis and the method of treatment. From findings of intraosseous venographies and arthrographies, it was considered that there were delay of revascularization and rupture of the articular cartilage.
In Perthes' disease in patients of onset at over ten years old, collapse in the weight bearing area of the femoral head may occur by external force during the process of the disease. In small number of cases, the femoral head can be remoulded after collapse. However, most cases can not be remoulded because of the decrease of growth potential. As a result, the severe deformity of the femoral head might develop.
抄録全体を表示
-
樋口 富士男, 井上 明生, 藤川 謙二, 曲 龍, 稗田 寛, 日高 達郎, 石川 厳
1986 年 34 巻 4 号 p.
1429-1432
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Although the case of combination of congenital dislocation of the hip and Perthes' disease may not be rare, the report of this condition is very rare. In 1978 Lindholm et al. reported three such cases as a new disorder. And they thought that the course of Perthes' disease was much more severe than usual in spite of varus osteotomy, because it might be due to changes of the capsule and other soft parts that were primarily adapted to the dislocated position. We reported two cases of this rare combination. Both of them were treated by varus osteotomy. One was not responded to it like previous reports. The other was responded to it well. The acetabular dysplasia of these cases seemed to be much more severe and shallower than that of usual Perthes' disease. We thought that the prognosis of these cases depends upon the development of the acetabulum, especially at the time of growth spurt of the pelvic bone.
抄録全体を表示
-
川村 秀哉, 松尾 隆, 野呂 純敬, 元 豊彦, 多田 俊作
1986 年 34 巻 4 号 p.
1433-1438
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Formerly there have been recognized many probrems of the hip in cerebral palsy such as subluxation, dislocation, adduction and flexion deformity, scissors gait and pain by osteoarthritis. They were as the results of spasticity and umbalanced muscle tension around the hip joint in cerebral palsy.
Many operative approuches were performed and so their problems were solved. The most popular procedure was adductor tenotomy and obturator neurectomy. But, this operative procedure had new troubles such as weekness of adductor muscles and abduction deformity of the hip reversely. And so, we planned the new prosedure that have no muscle weekness and only redused the spasticity of muscles. Scinse 1983, we operated 21 cases (29 hips) of cerebral palsy in Fukuoka Shinkoen handicapped children's hospital. Our prosedure is the elongation of tendons of psoas, rectus femoris, adductor longus and hamstring muscles and tenotomy of gracilis muscle at the hip joint. There tendons are thought to be spastic muscles of the hip in cerebral palsy and we do not release short adductor muscles and iliacus muscle that are paralitic and not spastic in cerebral palsy. So by our prosedure, reduction of dislocated hips and good muscle balance are achieved and this improved their ADL.
抄録全体を表示
-
仲宗根 聡, 井上 治, 上里 智美, 友利 昭夫, 乗松 尋道, 茨木 邦夫
1986 年 34 巻 4 号 p.
1439-1444
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
We performed Pauwels Y-osteotmy on two cases of coxa vara due to constitutional disorders of bone and obtained good results. The first case, a 5-year-old girl, of spondyloepiphyseal dysplasia congenita, was admitted with chief complaints of limping and growth disturbance.
On examination, flexion contracture of her both hips and marked lumbar lordosis were noted. On roentgenogram, her both hip joints showed coxa vara. Pauwels Y-osteomy with extention osteotomy was performed on her both hips. Satisfactory improvement of flexion contracture of her hips and lumbar lordisis has been obtained and her limping disappered. The second case, a 3 1/3-year-old girl who was diagnosed as metaphyseal chondrodysplasia (Schmid type), was admitted to our hospital with chief complaint of limping. On roentgenogram, her right hip showed coxa vara. Pauwels Y-ostetomy was performed and after the operation her walking pattern was improved.
Coxa vara due to constitutinal disorders of bone seems to be developmental, so the early corrective operation is necessary and the correction should be in excess as to reorient the vertical physis to a more normal horizontal position.
抄録全体を表示
-
上妻 隆秀, 直野 敬, 藤本 祥治, 今村 正純, 小野 正彦, 三浦 裕正, 中島 勝也, 内田 仁, 吉井 元, 繁里 龍夫
1986 年 34 巻 4 号 p.
1445-1449
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
This report describes a study of six cases who underwent Kasiwagi-Outerbridge's arthroplaty for osteoarthritis of the elbow joint. The avarage follow up term was 10.6 months after operation. The results showed an average of 19 degrees of improvement in flexion and 13 degrees in extention. Pain disappeared completely in five cases and decreased in one case. In conclusion, we have found this technique to be of great value in treating osteoarthritis of the elbow.
抄録全体を表示
-
高見 博昭, 麻生 邦一, 友成 一徳, 真角 昭吾
1986 年 34 巻 4 号 p.
1450-1454
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Collagen and mucopolysaccharides of the palmar aponeurosis in Dupuytre's contracture were compared with those of the normal palmar aponeurosis and palmaris longus tendon. The collagen was extracted by salt differential method and analysed by SDS-polyacrylamide gel electrophoresis. The results showed that collagen was mainly composed of type I, and slightly of type V, but type III collagen was not found. No difference was seen between Dupuytren's aponeurosis and normal aponeurosis. In the amino acid composition of 1.5M fraction collagen in Dupuytren's aponeurosis, hydroxyproline decreased in α
1 (I) chain, whereas serine increased and Hydroxyproline decreased in α
2 (I) chain. Analysis of the glycosaminoglycan of Dupuytren's aponeurosis revealed the extremely increased dermatan sulfate, in addition to the appearance of chondroitin sulfate, hyaluronic acid and heparan sulfate, which resembled the skin pattern.
抄録全体を表示
-
長谷 芳文, 今村 宏太郎, 平野 英二, 菅 尚義
1986 年 34 巻 4 号 p.
1455-1458
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Therapeutic results of limited fasciectomy for Dupuytren's contracture were described and the relation between the macroscopic findings and the microscopic ones were investigated. In twenty-one of nineteen patients the preoperative degree of contracture was evaluated by the Meyerding's classification and the postoperative one by the criteria of Raoul Tubiana. Longitudinal fiber, transvers fiber and paratendinous septa which were cut during the operation were stained with hematoxylin and eosin and examined pathologically. In grade 0 and 1, the results were all excellent and also in the grade 2 and 3, twelve of thirteen cases had good results.
Macroscopically, even in grade 3 only the changse extending to the transvers fider were seen. Pathohistologically, however, these changes were prevailed to the paratendinous septa in four of ten cases.
Although microscopic changes of the diseases were extended more deeply than macroscopically seen one, it may be concluded that limited fasciectomy in which paratendinous septa is not resected, can give satisfactory results.
抄録全体を表示
-
小島 哲夫, 内田 芳雄, 秋山 徹
1986 年 34 巻 4 号 p.
1459-1461
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Anterior fracture dislocation of the PIP joint is far less common injury than the dorsal fracture dislocation. Since this injury contains the fracture of the dorsal lip of the middle phalanx, open reduction and K-wire fixation are recommended to avoid a boutoniére deformity. However it is difficult to treat when the fragment is small or comminuted.
We treated this injury by reversed Rovertson's traction. The patient was a 21-year-old man. He sustained an anterior fracture dislocation of the PIP joint of his right little finger when he playing was baseball. The ball hit the dorsal aspect of his middle phalanx. X-ray photogragh showed an anterior displacement of the middle phalanx with a comminution of the dorsal lip.
A traction was applied at the proximal phalanx to volarward, at the middle phalanx to dorsalward and at the distal phalanx to distalward.
The traction was continued about four weeks followed by immobilization with the metal splint for more two weeks.
The patient gained almost full ROM with minimum extension loss. We appreciated that a reversed Rovertson's traction was a useful technique in the treatment for the injury like this case.
抄録全体を表示
-
南 芳樹, 鈴木 勝己, 塚原 純, 三島 真一, 岡部 聡
1986 年 34 巻 4 号 p.
1462-1465
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Metachondromatosis was first described in 1971 by Maroteaux. It is characterized by cartilaginous exostoses principally affecting hands and feet, periarticular ossification of multiple joints, and leision to resemble enchon-dromata. Our patient is a 4 years old boy. He was first diagnosed by us at 1 year of age for fracture of epiphysis in metacarpal bone. 2 years later, we recognized metachon-dromatosis.
抄録全体を表示
-
田嶋 光, 水岡 二郎, 栄 輝巳, 野村 一俊
1986 年 34 巻 4 号 p.
1466-1470
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Twenty-two patients with spontaneous ruptures of extensor tendons in the hand have been surgically treated from 1965 to 1985 in our hospital. 12 of the cases were ruptures of EPL tendons, and the rest ruptures of EDC, EIP and EDM.
We consider ischemia of intratendinous circulation of EPL tendons at Lister's tubercle which results from compression due to hematoma or swelling at trauma, for example Colles' fracture or sprain, as pathomechanism of spontaneous ruptures of EPL tendons. Most of them have acquired good results by transfer of EIP tendon for EPL tendon rupture.
Ruptures of EDC, EIP and EDM tendons resulted from rheumatoid arthritis, osteoarthritis, Madellung deformity and Kienböck's disease. 5 of seven cases with osteoarthritis showed dorsal subluxation of the ulna end and ulna plus variant, and moreover ruptures of extensor tendons began with little finger. Another 2 cases didn't show their findings.
Surgical methods for ruptures of EDC, EIP and EMD tendons must be selected depending on patient's age, period from onset, local status and patient's needs respectively.
抄録全体を表示
-
伊原 公一郎, 土井 一輝, 酒井 和裕, 市本 裕康, 河合 伸也
1986 年 34 巻 4 号 p.
1471-1473
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
Twenty-one fingers in 19 cases of the isolated rupture of the flexor digitorum profundus tendon were analyzed.
The age of patients ranged from 2 to 60 years (average; 33 years). Concerning the preoperative conditions, 21 fingers were classified into four degrees by the criteria of Tubiana & Pulvertaft (1983) and the results were as follows:
Degree I: 11 cases
II: 3
III: 2
IV: 5
Methods of tendon repair were direct suture on 11 fingers, advancement on 4 fingers and tendon graft on 5 fingers.
About these cases, a total active range of motion (TAM), an extension lag and a range of motion of DIP joint were measured in each repair group, and concerning the method of tendon repair, there were no meaningful differences between each group, except for the extention lag of DIP joint in the case of advancement, which was relatively more than those of direct suture or tendon graft.
Postoperative results partly correlated with the preoperative condition, and in the cases with bone or joint injury (Deg. III), or skin defect (Deg. IV), their prognosis tended to be lowered.
Direct suture is the first choice, concerned with the selection of tendon repair, but advancement could be indicated when tendon rupture occurs within 1cm from its insertion, and tendon graft could be indicated in the case with severe scar formation or with long preoperative period.
抄録全体を表示
-
朝長 久雄, 常岡 武久, 今村 宏太郎, 平野 英二, Takayoshi Suga
1986 年 34 巻 4 号 p.
1474-1478
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
In this report the usefulness of the Camitz's method for opponensplasty was discussed.
In the last 5 years we have practiced opponensplaysty by the Camitzs method on 11 hands in 11 cases, which consist of 7 cases of carpal tunnel syndrome, 3 cases of traumatic lesion and 1 case of congenital anomaly. Of these cases, 3 were male and 8 were female patients, ranging in age from 7 to 79 years old (48 years and 6 months old on the average). The postoperative time ranges from 6 months to 4 years 7 months (2 years 2 months on the average).
The results of this procedure were evaluated by examining the angle of palmar abduction, nail angle, pinchable range, pinching force and buttoning ability.
The angle of palmar abduction was obtained of more than 40 degrees in all cases. The nail angle was obtained of more than 120 degrees in 7 cases and less than 120 degrees in 4 cases. In pinchable range, pulp pinch was freasible with more than third finger. Pinching force over 3kg and satisfactory buttoning function were acqired by all of the cases except one cases, which had 1kg of pinching force because of imperfect repair of the injured flexor pollicis longus tendon.
In conclusion, the Camitz's method may be a useful procedure for opponense insufficiency due to low median nerve palsy in not only young patients but also aged ones.
抄録全体を表示
-
藤本 祥治, 直野 敬, 今村 正純, 上妻 隆秀, 小野 正彦, 三浦 裕正, 中島 勝也, 内田 仁, 吉井 元
1986 年 34 巻 4 号 p.
1479-1483
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
In the last 4 years, 5 hands and 27 fingers in 23 patients were replanted or survived by reconstruction of circulation with microsurgical technique. We investigated these fingers on the point of view how they were used in daily living. The single replanted digit was used not so frequently in ADL even if it acquired a good functional result. While in replantation of multiple amputations or in circulatory reconstruction of severely crushed fingers, usefullness of them were not dependent on their individual abilities, but on the present circulatory condition and the position where they were among the normal digits. In good circulatory condition, the patients didn't complain of cold intolerance nor sensory discomfort.
抄録全体を表示
-
淵上 泰敬, 土井 一輝, 酒井 和裕, 伊原 公一郎, 高野 信一, 河合 伸也
1986 年 34 巻 4 号 p.
1484-1487
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
There are many types of peripheral nerve suture today. The deluge of information on nerve suture contributes to the confusion about which type of suture should be selected. The purpose of our study was to compare results of epineurial suture vs. epi-perineurial suture in twenty-one patients who have median nerve injury at the wrist. These patients satisfied eleven factors that influenced nerve repair. Ten nerves were repaired by epineurial suture with 7-0 or 8-0 nylon. Eleven patients were repaired by epi-perineurial suture with 8-0, 9-0 or 10-0 nylon. All sutures were done under magnification with use of microsurgical technique. No significant differences were detected between the results of epineurial suture and epi-perineurial suture. The epineurial suture technically is less cumbersome to perform. Our results suggest that epineurial suture is more satisfactory for most of the peripheral nerve repairs.
抄録全体を表示
-
岡藤 賢二, 伊地知 正光, 伊藤 謙三, 吉田 勝之, 前川 和道
1986 年 34 巻 4 号 p.
1488-1493
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
The records of 19 cases of tardy ulnar halsy have been reviewed more than a year after operation from 1980 to 1985. The average follow-up was 3 years. Those cases with previous precipitating trauma had earlier onset and more frequency of osteoarthrosis of the elbow joint, than those without it. A subcutaneous transposition (S. C. T.) was performed in 11 cases and a submuscular transposition (S. M. T.) in 8 cases. In all cases, preoperative symptoms or findings, more or less, relieved. The both operative methods gave equal results as to the relief of objective findings. However, SMT was preferable to SCT in decreased recurrence rate. Four operative findings, i. e. severe extraneural fibrosis, pseudoneuroma, flat or slender change, and color change of nerve were considered as most frequent and important findings. The presence of severe extraneural fibrosis and flat or slender change of nerve were factors associated with a poor result. The number of the findings also seemed to have relation to eventual result.
抄録全体を表示
-
松崎 昭夫, 木梨 博史, 清成 正智
1986 年 34 巻 4 号 p.
1494-1497
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
The anterior tarsal tunnel syndrome, described by Marinacci in 1968, is an entrapment neuropathy of the deep branch of the peroneal nerve beneath the inferior extensor retinaculum. Five cases of this syndrome are presented. The patients have complained pain or paresthesia in front of the ankle or dorsum of the foot. Hypaesthesia and hypoalgesia were found in sensory area of the deep peroneal nerve which was distinctly sensitive to pressure under the inferior extensor retinaculum. It is necessary to take care in making examinations on a patient who shows symptoms on the same place so as to avoid misdiagnosis and useless diagnostic procedures and treatment.
抄録全体を表示
-
1986 年 34 巻 4 号 p.
1498-1508
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
-
1986 年 34 巻 4 号 p.
1509-1515
発行日: 1986/03/25
公開日: 2010/02/25
ジャーナル
フリー
