巻号一覧
43 巻 (1994)
- 4 号 p. 1157-
- 3 号 p. 827-
- 2 号 p. 451-
- 1 号 p. 1-
43 巻, 1 号
選択された号の論文の114件中101～114を表示しています
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玉井 誠, 田嶋 光, 下村 義文, 糸永 一朗, 折口 信夫, 朴 珍守1994 年 43 巻 1 号 p. 400-402
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe evaluated the prognoses of finger tip injury cases using a post card questionnaire to estimate the sensitivity of the stump, their status on daily use external appearance and the patients satisfaction with the treatment.
Twenty-one (70%) of 30 patients replied to the questions naire. Eleven had been treated conservatively (using aluminium foil), 5 had stump plasties and 5 had homodigital neuro-vascular island flaps (modified Kutler's method). The follow-up periods were 2 years and 4 months, 3 years and 1 month, 2 years and 8 months respectively.
Regarding sensation, the conservative group was superior to other groups, and all stump plasty cases complained of paresthesia or hypesthesia on their stumps.
In regard to the daily use and appearance, there were no remarkable differences between the groups.
No patients complained of being dissatisfied with the results.抄録全体を表示PDF形式でダウンロード (241K) -
柳 英浩, 鈴木 勝己, 坂井 一夫, 酒井 昭典, 伊藤 謙三, 岡崎 雄一1994 年 43 巻 1 号 p. 403-405
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe have experienced 41 cases of mallet finger with fractures over 1/3 of the articular surface of the distal phalanx in the past fourteen years, 1979 to 1993. Twenty-four of these were followed up for more than seven months.
If the bone fragment was not reduced sufficiently, splintage resulted in so-called spur formation of the DIP joint on X-ray.
In contrast, all surgical repairs resulted in few joint deformities seen on X-ray and required a short fixaion period. However, there was no difference between those treated by spinting or surgery in regard to the patients' chief complaints.抄録全体を表示PDF形式でダウンロード (256K) -
西嶋 幸司, 飯田 博之, 緒方 公介1994 年 43 巻 1 号 p. 406-408
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーFractures of trapeizium are very rare. We recently treated a patient who had a combined Bennett's fracture and fracture of the body of the trapezium. This was treated with open reduction and internal screw fixation. Seven months after the operation the patiant has no clinical symptoms, and no arthritic changes at the trapeziometacarpal joint radiologically.
This combination of both fractures appeared to be caused by indirect impaction through the first metacarpal while limiting abduction of the thumb.
We believe that when treating unstable articular fractures, it is necessary to use open reduction and firm internal fixation to get anatonical positions.抄録全体を表示PDF形式でダウンロード (1462K) -
佛坂 俊輔, 三浦 裕正, 井原 和彦, 河村 誠一, 杉岡 洋一, 城戸 正詩1994 年 43 巻 1 号 p. 409-412
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe report 4 cases of chronic trans-scaphoid perilunate dislocation. The mean age of the patients at operation was 27 years and the mean period between injury and operation was 10 months. One case which had been unreduced for 2 years 10 months was treated by proximal row carpectomy, the others by open reduction with a bone graft using the Russe technique. The duration of follow-up ranged from 1 year 5 months to 7 years 10 months. Patients were clinically evaluated using the scoring system reported by Nagoya Universily. All 4 cases had good results (points from 70 to 80), although 2 cases showed DISI radiographically. Old transscaphoid perilunate dislocations should first be treated by open reduction with a bone graft using the Russe technique, since closed reduction is usually impossible. If open reduction fails or the clinical course is not good, other methods including proximal row carpectomy are recommended.抄録全体を表示PDF形式でダウンロード (1765K) -
山本 久司, 土井 一輝, 浦野 正之, 森信 謙一, 宮崎 規行, 河合 伸也, 伊藤 孝1994 年 43 巻 1 号 p. 413-416
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe experienced rolled fascia lata graft with bone as the core for treatment of two Kienböck's disease. We report on the surgical method and results achieved these two cases patients with. Lichtman's criterion was adopted for the assessment, and results were classified as satisfactory or unsatisfactory according to grip strength, wrist discomfort, ROM, and ability to return to one's former occupation. Roentgenological examinations were performed. Results of both cases were satisfactory, and roentgenological examination showed that good results were achieved.抄録全体を表示PDF形式でダウンロード (2663K) -
西岡 英次, 膳所 正和, 吉田 健治, 山中 健輔1994 年 43 巻 1 号 p. 417-420
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーIn cerbral palsy patients, muscles are hypertonic from childhood, and therefore strong continuous pressure is applied between the radial and carpal bones of the wrist joint.
We have treated 40 cerebral palsy patients (80 wrists) ranging in age from 15 to 46 years with a mean of 25.2 years.
Plain posteroanterior were taken of both wrists in all these patients regardless of their symptoms.
All wrists showed 25% of minus ulnar variance, and the radiolunate angle was -3.46±12.36, and showed a DISI pattern.
Scapholunate dissociation was observed in five wrists.
DISI pattern seems to have been caused by continuous pressure caused by extensors and flexors between the radial and carpal bones.抄録全体を表示PDF形式でダウンロード (2433K) -
猪原 史敏, 佐藤 実, 野村 茂治, 加茂 洋志, 帖佐 博文1994 年 43 巻 1 号 p. 421-425
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe treated 14 cases of Kienböck's disease, (Lichtman's Classification; II-5, IIIa-8, IIIb-1) with a closed wedge osteotomy of the radius. Mean duration of follow-up was 3 years and 1 month (1Y-9Y3M). The results according to Nakamura's scoring system were excellent in 3 (21%), good in 10 (71%), fair in 1 (7%) and poor in 0 (0%). However according to Lichtman's criteria ten achieved satisfactony results and four were unsatisfactory.
No factors (age, radial inclination, ulnar variance, volar tilt and corrective angle) affected the results but regarding stage at operation, no cases in stage II were unsatisfactory.
In radiological assesment, improvement of necrosis of the lunate was seen in almost cases, but carpal height ratio was not improved. In several cases, slightly osteoarthrotic changes were found in the radio-carpal joints and distal radio-ulnar joints. Although these changes did not affect clinical results, careful observation is necessary.
In clinical assessment, all cases improved in grip power and range of motion and were subjectively judged to be satisfactory.抄録全体を表示PDF形式でダウンロード (2482K) -
宮里 剛行, 上原 邦彦, 照屋 善光, 金谷 文則, 茨木 邦夫, 新垣 宜貞1994 年 43 巻 1 号 p. 426-428
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe present a rare case of triangular fibrocartilage complex (TFCC) injury caused by an ectopic bone fragment between the TFCC and Ulna.
A nineteen-year-old male, who had susutained a right radial fracture four years previously, had suffered seveve pain onulnar side of his right wrist for one and a half years. X-ray showed an ectopic bone fragment located between the TFCC and ulna.
Operative findings were as follows; ectopic bone located between ulna and TFCC, TFCC was thinned to one third of surrounding cartilage over ectopic bone and no bone or cartilage defect was found at distal ulna. Removal of the ectopic bone was performed. Four months after the operation, wrist pain improved and the patient returned to work.
Histological specimens showed the bone to be partly covered by hyaline cartilage and fibrous cartilage which were covered by synovial tissue. Pathological findings suggested that etiology of the bone fragment was either an osteochondral fracture or osteochondritis dissecans.抄録全体を表示PDF形式でダウンロード (1668K) -
井原 和彦, 三浦 裕正, 河村 誠一, 杉岡 洋一1994 年 43 巻 1 号 p. 429-431
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーThe cosmetic results following surgical treatment for cleft hand were analyzed in 13 patients (9 males and 4 females). Closure of the cleft was performed in 15 hands (14 had normal digital number or were one ray defective type, the other was a two ray defective type). Transverse cross bone was removed in 4 hands. Widening of the index finger was performed in 3 hands and correction of deviation of the thumb in 1. The depth of the cleft was satisfactory in 14 of the 15 hands, but spread of the cleft occurred in 9 hands. The interdigital space was saved in 4 of the 6 hands.抄録全体を表示PDF形式でダウンロード (274K) -
山口 智太郎, 藤井 敏男, 高嶋 明彦, 窪田 秀明, 上新 淑文1994 年 43 巻 1 号 p. 432-434
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe have treated 168 thumbs with braces at the Fukuoka Children's Hospital. Patients were observed between 1981 and 1992.
As a result 72% of cases (121 thumbs) were completely healed and 98.2% of cases (165 thumbs) showed improvement after wearing the brace for an average of 7.2 months. Thus, this complete healing rate (72%) is higher than the rate reported for spontaneous healing.
We found that trigger thumbs recurred in 22 cases, but improved as soon as the braces were worn.
We believe that the braces used in the Fukuoka Children's Hospital should be the first choice of treatment. treatment for trigger thumbs.抄録全体を表示PDF形式でダウンロード (1265K) -
工藤 修己, 麻生 邦一, 松元 雅彦, 中村 英次郎, 八塚 知二, 真角 昭吾1994 年 43 巻 1 号 p. 435-438
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーThirteen patients with Dupuytren's contractures were treated surgically and the relationship between preoperative factors and results investigated.
The mean postoperative follow-up period was 4 years 9 months, ranging from 7 months to 9 years. The surgical technique was limited fasciectomy in all hands.
According to Tubiana's evaluation of postoperative results, 6 hands achieved excellent results, five were good 4 hands were fair, and results in one hand were judged to be poor.
Results became worse as the grade according to Meyerding's classification, advanced.
Dupuytren's contractures involving the small finger or the PIP joint had the worse prognosis.抄録全体を表示PDF形式でダウンロード (1500K) -
馴松 義啓, 有村 一盛, 城間 啓治, 泉 伸治, 笹岡 博文, 岡田 二郎1994 年 43 巻 1 号 p. 439-442
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe report on three cases of tuberculous tenosynovitis of the wrist. All cases were treated surgically, and histological findings confirmed the diagnosis of tuberculous tenosynovitis. Postoperative chemotherapy was successful and there were no recurrences.
It is necessary to consider tuberculous tenosynovitis in the differential diagnosis of soft tissue tumorous lesions of the wrist.抄録全体を表示PDF形式でダウンロード (2463K) -
萱岡 道泰, 鈴木 勝己, 酒井 昭典, 坂井 一夫1994 年 43 巻 1 号 p. 443-447
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーWe treated 6 cases of malignant bone and soft tissue tumors of the hand during the 15 year period, 1978-1993.
They were histologically diagnosed as infantile fibrosarcoma, malignant lymphoma, chondrosarcoma and rhabdomyosarcoma (3 cases) respectively.
Biopsy was performed in one case, wide excision and reconstruction in two cases, and ray amputation in three cases.
Recently radiation and/or chemotherapy have been used as an adjunctive method before and/or after surgery.
In this paper, we present problems concerning surgical procedures and residual postoperative function, and discuss the appropriate surgical margin for excision of malignant hand tumors.抄録全体を表示PDF形式でダウンロード (2900K) -
田崎 法昭, 金谷 文則, 新垣 晃, 北城 武司, 普天間 朝上, 森山 朝裕, 茨木 邦夫1994 年 43 巻 1 号 p. 448-450
発行日: 1994/03/25
公開日: 2010/02/25
ジャーナル フリーRestoration of elbow flexion by pectoralis major and minor transfer after the method of Tsai was done in a 5-year-old boy with arthrogryposis multiplex congenita. The patient could neither feed himself nor wash his face due to severe extension contracture of the elbow (Rt. 0/50°, Lt. 0/35°). Surgical procedures to the right elbow included Z-lengthening of short triceps tendon, posterior capsulotomy of the elbow joint and shortening of the radius to reduce the anteriorly dislocated radius head which struck against the capitellum in more than 90° elbow flexion. There was no biceps, brachialis, or brachioradialis in the upper arm. Pectoralis major and minor transfer was used for restoration of elbow flexion. His right arm was immobilized at 100° in a cast for 3 weeks. A rubber band splint was then applied to assist active elbow flexion for another 4 weeks.
Nine months after surgery, the active range of motion of the right elbow was -55° extension with fair strength in manual muscle testing (MMT) and 110° flexion with good strength. He is using his right limb for eating and washing his face, and using left limb for sanitary care.抄録全体を表示PDF形式でダウンロード (1714K)