巻号一覧
49 巻, 1 号
選択された号の論文の67件中51～67を表示しています
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福嶋 寛子, 古瀬 清夫, 高田 尚文, 長尾 勝人, 隅坂 修身2000 年 49 巻 1 号 p. 216-219
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーThe carpometacarpal boss is a bone prominence involving the second and third Carpometacarpal joints. We report a symptomatic case with carpometacarpal boss in 2 female patients aged 22 years old. One was located at the dorsal side between the trapezoid and base of the second metacarpal bone. The other was between the capitate and third metacarpal bone. The localized bony prominence including the bone, joint and synovium was excised. Histologically, degenerative arthritis was revealed in both cases. Pain on motion and pain on grasping completely disappeared after 13 years in one case and 7 months in the other after surgery respectively.抄録全体を表示PDF形式でダウンロード (3270K) -
大城 亙, 金谷 文則, 普天間 朝上, 茨木 邦夫2000 年 49 巻 1 号 p. 220-223
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーIntraosseous ganglion (IOG) of carpal bones is rare. We report two cases of IOG of the lunate and scaphoid.
Case 1 was a 40-year-old female having motion pain of the right wrist for 6 months. There was tenderness at the dorsal aspect of the lunate. Active flexion was limited to 45° due to pain. The right grip strength was decreased to 11kg (left; 30kg). X-rays of the lunate showed a well-defined transparent area outlined by the rim of sclerosis. Tomography and CT scan demonstrated dosal cortical defect of the lunate. Cyst and stalk penetrating the palmar cortex of the lunate showed high signal intensity on the T2-weighted image of MRI. Intraoperative findings revealed stalk communicating with the lunotriquetral joint. Curettage and bone graft were performed. Histologic findings were identical with IOG. No recurrence was found after 9 months.
Case 2 was a 28-year-old female having right wrist pain for one year. X-rays of the wrist showed a well-defined, transparent area outlined by the rim of sclerosis on the proximal part of the scaphoid. Intraoperative findings revealed IOG communicating with the scaphocapitate joint. Curettage and bone graft were performed. No recurrence was found after 5 years.抄録全体を表示PDF形式でダウンロード (1816K) -
西岡 英次, 山田 徹, 伊藤 伸一, 吉田 健治, 山中 健輔, 平井 良昌, 井上 明生2000 年 49 巻 1 号 p. 224-227
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーTen cases of de Quervain disease were examined by ultrasound. Three were treated with surgical method. Ultrasound examinations were performed with 7.5MHz transducers. We classified the patterns of the septum in the first extensor compartment of the wrist into three groups, complete type, incomplete type, and no septum type. According to this classification, seven cases were of the incomplete type, and the other three cases were of no septum type. Three cases treated with the operative method were of the incomplete type. Ultrasound examination seems to be useful for the diagnosis of the Quervain disease.抄録全体を表示PDF形式でダウンロード (2671K) -
勢理客 久, 金谷 文則, 普天間 朝上, 喜山 克彦, 大城 亙, 茨木 邦夫2000 年 49 巻 1 号 p. 228-231
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーWe successfully treated skin defects around the ankle joint by the reverse venoneuroadipofascial (V-NAF) flap in 2 patients. The V-NAF flap is the fasciocutaneus flap supplied by accompanying arteries of the cutaneous vein and cutaneous nerve. Case 1 was a 54-year-old female suffering rheumatoid arthritis for 30 years. Intractable ulcer at the medial malleolar region of the right ankle joint occurred 2 years ago and has enlarged. The skin defect was covered with reverse V-NAF flap (16×6cm) and the donor site was covered with skin graft. No recurrence of the ulcer was found for 5 months. Case 2 was a 23-year-old male with 50 degrees equinus contracture of the left ankle after rupture of the popliteal artery. He received ankle fusion and developed skin defect in front of the ankle joint. This defect was covered with V-NAF flap (10×5cm) and the donor site closed primarily. Wounds healed without any problems. The reverse V-NAF flap is considered the treatment of choice to cover skin defects around the ankle joint. The advantages of this flap are as follows; it is reliable, there is no need for microvascular anastomosis, and harvesting is easy without the need to sacrifice major arteries.抄録全体を表示PDF形式でダウンロード (3243K) -
芳田 辰也, 萩原 弘嗣, 中家 一寿, 小澤 慶一, 久枝 啓史, 藤原 将己2000 年 49 巻 1 号 p. 232-234
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーWe report two cases treated with medial plantar fasiocutaneous flap for the reconstruction of the foot and ankle following trauma.
(Case 1) A 45-year-old woman: Skin defects of the medial ankle were found. We performed reconstruction using medial plantar fasiocutaneous island flap.
(Case 2) A 36-year-old man: Skin defects of the anterior foot were found. We performed reconstruction using medial plantar fasiocutaneous free flap.
Reconstruction of the skin and subcutaneous soft tissue defects of the foot is often difficult. Medial plantar fasiocutaneous flap is useful for the coverage of the foot and medial ankle.抄録全体を表示PDF形式でダウンロード (1691K) -
丸田 秀一, 加藤 悌二, 西田 公明, 薬師寺 俊剛, 米村 憲輔, 井手 淳二, 山鹿 眞紀夫, 高木 克公2000 年 49 巻 1 号 p. 235-237
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーThree cases of bone tumor and a case of aseptic femoral head necrosis underwent free vascularized fibular graft following tumour resection or curettage of the necrotic bone tissue in the femoral head. Case 1 had GCT in the distal radius. Wrist arthrodesis was carried out. Internal and external rotation of the forearm was preserved sufficiently. Case 2 underwent reconstruction of the pelvis by free vascularized fibular graft. Hypertrophy of the grafted bone was good enough for free gait without any assistance. Case 3 had bilateral aseptic necrosis of the femoral head. Free vascularized fibular graft insertion was performed on the right femur. Six months after operation, this patient walked without any assistance, although the femoral head collapsed by 1mm. Case 4 had osteosarcoma of the mandibula. Free vascularized fasciocutaneous fibular graft was used to reconstruct the mandibula and inner oral surface.
Mean bone union was observed in 8 week.抄録全体を表示PDF形式でダウンロード (1612K) -
古庄 耕史, 池辺 修二2000 年 49 巻 1 号 p. 238-240
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーOsteochondromas are the most frequent primary benign bone tumors. They commonly arise from the metaphysics of long bones. But lesions in the spine are rare. We report a case of osteochondrama of articular process of cervical spine with radiculopathy. The case was a 22-year-old man with pain in the right shoulder to upper arm. Physical, neurological and laboratory studies were normal. X-P and CT revealed bone tumor in the superior articular process of C-6, and narrowing intervertebral foramen of C5/6. MRI showed a low signal intensity area, partially containing a high signal intensity area. the tumor was excised and histologic examination of the tumor specimen revealed the characteristic pattern of an osteochondroma. The patient's symptoms improved remarkably after operation.抄録全体を表示PDF形式でダウンロード (1565K) -
葉 山泉, 伊崎 輝昌, 本荘 憲昭, 浅川 康司, 古賀 崇正2000 年 49 巻 1 号 p. 241-244
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーAn atypical case of nonossifying fibroma involving the distal tibia of a 10-year-old girl is presented. The radiographic characteristics of the lesion and histopathologic finding were not consistent with this diagnosis, although the location is not rare. The first medical examination revealed lytic lesion with lateral cortical resorption and periosteal reaction radiographically. Histologically, unexpected granulomata were observed inside the lesion. It cannot be ruled out that this unusual finding may be related to previous documented trauma, resulting in interstitial hemorrhages and subsequent reactive resorptive processes.
A final diagnosis was obtained through the second surgical intervention and histopathologic finding.抄録全体を表示PDF形式でダウンロード (3254K) -
平 博文, 吉田 盛治, 高下 光弘, 津村 弘, 鳥巣 岳彦2000 年 49 巻 1 号 p. 245-248
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーIn solitary bone cysts (SBC), the level of intra-cystic alkaline phosphatase (ALP) has been reported to be obviously high compared with that of serum in the past, however, only a few reports on its origin and effectiveness are available. We report the results of a comparative study of the roentgenographic appearance and levels of serum/intra-cystic ALP in 12 patients operated for primary SBC. All patients were classified into the Non-sclerotic (NS) group (7 cases) and Sclerotic (S) group (5 cases) based on the marginal sclerosis and clear definition on plain roentgenograms. In the NS group, the level of the intra-cystic ALP was extremely high compared with that of serum, and also with intra-cystic ALP in S group. Histologically, osteoid formation with numerous osteoblasts rimmings and marked calcification on the osteoid and amorphas fibrin were recognized, and this is suggested to bo the origin of the elevation of the intra-cystic ALP in SBC.抄録全体を表示PDF形式でダウンロード (1935K) -
山下 優嗣, 南崎 剛, 豊島 良太, 山本 吉藏2000 年 49 巻 1 号 p. 249-255
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリー6 cases of aneurysmal bone cyst were reviewed clinically and radiologically. Different therapies, including curettage and block excision were employed. 3 patients were women and 3 were men. The diagnosis was based on X-ray imaging and histology. 2 cases required differential diagnosis for osteosarcoma and solitary bone cyst. We used an air-drill for curettage and then implanted an auto bone graft and hydroxyapatite or cement packing. There were no complications and no recurrence at the mean follow-up of 34.8 months.抄録全体を表示PDF形式でダウンロード (5797K) -
成尾 政一郎, 中村 孝文, 池田 天史, 菊池 太朗, 高木 克公2000 年 49 巻 1 号 p. 256-260
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーMRI is very useful in the diagnosis of spinal cord tumors. It has been proposed that in most cases, differentiation of the spinal schwannoma and meningioma can be differentiated by MRI, but contradictory opinions have also been reported. Generally schwannomas show low or iso intensity signals on T1-weighted images, high intensity signals on T2-weighted images compared with that of the spinal cord, and are heterogeneous inside the tumor. On the other hand, meningiomas show iso intensity signals on both Ti-weighted images and T2-weighted images, and are homogeneous inside the tumor. In retrospec, 21 cases with schwannoma and 10 cases with meningioma operated on from 1988 to 1998 were reviewed by an orthopedician who had not attended there surgeries in order to confirm if the differential diagnosis of these two tumors could be performed by MRI. The accordant rate between MRI diagnosis and histological diagnosis was 100% in Schwannomas and 80% in Meningiomas respectively, this confirming that the differential diagnosis of spinal schwannoma and meningioma can be performed by MRI.抄録全体を表示PDF形式でダウンロード (3336K) -
薬師寺 俊剛, 米村 憲輔, 西田 公明, 加藤 悌二, 梅村 武寛, 堀川 朝広, 高木 克公2000 年 49 巻 1 号 p. 261-263
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーWe reported a case of rheumatoid nodules in the bilateral heels whose diagnosis was difficult to differentiate from plantar fibromatosis in magnetic resonance imaging (MRI) features.
A-58-year-old woman had a 2-year history of rheumatoid arthritis. The mass was located adjacent to her right calcaneous measuring 3.5×2cm, and to the left calcaneous measuring 2×2cm, respectively. In the MRI characteristics, the right lesion was of low signal on both T1-weighted (T1W) and T2-weighted (T2W) images, and following gadolinium administration, the lesion enhanced heterogeneously. Additionally, the left mass demonstrated partial cystic features. Surgical excision of the right lesion was performed under the suspicion for plantar fibromatosis, but the specimen showed the rheumatoid nodule in microscopic examination.
The MRI appearance of the rheumatoid nodules is variable dependent on their histopathologic evolution. We believe that awareness of these MRI and pathological patterns is necessary in the interpretation of imaging studies in rheumatoid patients.抄録全体を表示PDF形式でダウンロード (3011K) -
西田 公明, 米村 憲輔, 薬師寺 俊剛, 加藤 悌二, 梅村 武寛, 高木 克公2000 年 49 巻 1 号 p. 264-266
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーThis paper presents a rare case of simultaneous malignant tumors of the femur and lung in a 14-year-old boy. He was referred to our department on April 1997, with swelling of the left thigh. X-ray findings revealed ill-defined bone destruction with periosteal reactive bone. MR image showed cortical destruction and extension of tumor into soft tissue with inhomogeneous signal. Simultaneously, a tumor of 5mm in diameter was detected in the S6 of the left lung by chest CT. Biopsy was performed, and histologic study of the tissue resulted in a diagnosis of osteosarcoma. He underwent above knee amputation following pre-operative chemotherapy. After post-operative chemotherapy, however, lung shadow was still present. It was suspected as metastatic osteosarcoma, and thoracoscopic resection was performed. The lung tumor was diagnosed histopathologically to be a moderately differentiated papillary adenocarcinoma. To our knowledge, only a few cases have been previously reported. The combination, therefore, appears to be very rare.抄録全体を表示PDF形式でダウンロード (2797K) -
本梅 秀樹, 熊谷 謙治, 吉田 省二, 三原 圭司, 進藤 裕幸, 青柳 潔, 安倍 邦子2000 年 49 巻 1 号 p. 267-270
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーA 36-year-old woman had a mass in the left fibular bone. Her radiograph showed radiated osteophgte around her proximal fibular shaft. CT-scan and MRI (The tumor was low in T1-weight intensity and high in T2-weight intensity) findings indicated the primary lesion in her fibular lesion. There was no abnormality in her admission labo-data. After the biopsy, amputation above knee was done. Her fibula was located in the center of the tumor mass, and the tumor was lobulated, white and mixed. All specimens showed the common features of a mixed tumor (pleomorphic adenoma) with malignant epithelial element. Ultrastructural and immunocytochemical investigations supported this unique diagnosis. After the operation a general survey of the primary site, especially of the skin and salivary gland, showed no primary site.
The patient complained of no symptoms after the operation and had no recurrence or metastasis after about a half year.
It was strange and paradoxical for the carcinoma to appear in the bone. It is possible that the myoepithelial elements may have been displaced intraosseously during development in this case. We have come across a similar case in literature.抄録全体を表示PDF形式でダウンロード (2911K) -
熊谷 謙治, 進藤 裕幸, 吉田 省二, 三原 圭司, 青柳 潔, 林 徳真吉, 山田 健治2000 年 49 巻 1 号 p. 271-274
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーIt is not uncommon for sarcomatous transformation of the giant cell tumor (GCT) of the bone to occur after radiation, but rarely does malignant transformation occur spontaneously. A few cases have been documented in detail. We report two additional cases of GCT of the bone spontaneously transforming into osteosarcoma. The first case in a 53-year-old man which is absolutely unique and most interesting in that the dedifferentiation process occurred in his right elbow with 7 years of natural history after diagnosis of a primary benign humeral (GCT) tumor. The right upper extremity was resected due to the development of a large tumor with ulcer and bleeding, and pathologic examination demonstrated several small areas of conventional GCT and mass composed of a mixture of GCT and osteosarcoma, low-grade fibrosarcoma, and MPH like pattern. Chemotherapy was chosen because of multiple metastatic nodules in both of his lungs detected by CT scan. The second case involved a man, who had an aggressive tumor in his left distal femoral end. He underwent AK amputation followed by TKA and low dose radiation, and has reported no symptoms for 5 years. The subsequent CT scan for pneumothorax revealed multiple lung nodules. In addition to conventional and benign GCT area, the resection nodules show a second component of very high-grade osteosarcoma. Chemotherapy, mainly MTX and ADR, was performed. Furthermore, lung tumor resection and chemotherapy were repeated.抄録全体を表示PDF形式でダウンロード (3736K) -
八並 幹, 諌山 照刀, 毛利 正玄, 古賀 敬, 中村 克彦2000 年 49 巻 1 号 p. 275-277
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーA 20 year-old woman with a recurrent tumor was admitted to the Fukuoka University Hospital in October 1995 with 4-year history of each resection for a primary tumor and twice recuring tumors in the left quadriceps at another hospital. The recurrent tumor diagnosed as biphasic type synovial sarcoma involved the femoral artery, vein, and nerve in the left femoral triangle. So it is suspected that MRI demonstrated not only a lesion of the left femoral triangle but also a small lesion of the left vastus lateralis. A curative wide resection of the entire left quadriceps and the left femoral neurovascular band was performed in November 1995. Consequently, the left femoral artery and vein were reconstructed by artificial vessels. After the reconstruction, massive skin necrosis of the left thigh and obstruction of the reconstructed artery wee occured. Rectus abdominal graft for massive skin necrosis and reconstruction for obstruction of the reconstructed artery were then performel. She has been disease-free. 4 years after the last resection.抄録全体を表示PDF形式でダウンロード (2717K) -
宮城 知之, 田仲 和宏, 松田 秀一, 山田 久方, 大石 正信, 岩本 幸英, 稲葉 頌一2000 年 49 巻 1 号 p. 278-282
発行日: 2000/03/25
公開日: 2010/02/25
ジャーナル フリーThe effects of high-dose chemotherapy with Peripheral Blood Stem Cell Transfusion (PBSCT) for Ewing's Sarcoma and PNET have been described in some reports. However, there is no standard protocol to mobilize stem cells for Peripheral Blood Stem Cell Harvest (PBSCH). In the present study, we show the efficacy of high-dose VP16 regimen for PBSCH in patients with Ewing's Sarcoma and PNET. Six high risk patients with Ewing's Sarcoma and PNET were treated by high-dose chemotherapy with PBSCT at our institute. For PBSCH, we used high-dose VP16 (500mg/m2/day×3 days). We successfully harvested enough number of stem cells with a single apheresis in all six cases, including the case in which we failed to collect stem cells using high-dose CPA. The high-dose VP16 regimen is thought to be useful for collecting stem cells even in cases with highly accumulative hematologic toxicity after treatment with VACA or VAIA protocols.抄録全体を表示PDF形式でダウンロード (441K)