巻号一覧
50 巻, 4 号
選択された号の論文の62件中51～62を表示しています
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東野 修, 光安 廣倫, 伊藤 由美, 原 寛道2001 年 50 巻 4 号 p. 1144-1148
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーFactors determining ambulation with spina bifida were studied in 39 patients. There were 20 males and 19 females, with a mean age of 24 years (range: 9 to 47). The sacral and fifth-lumbar paraplegics, with one exception, were all ambulators. The thoracic and first lumbar paraplegics were not ambulators. Only 12% of the third paraplegics, and 50% of the fourth lumbar paraplegics were able to walk. In the third and fourth lumbar paraplegics, obesity and hip dislocation mostly affected their ambulatory status.抄録全体を表示PDF形式でダウンロード (468K) -
釘本 康孝, 浅見 豊子, 石井 孝子, 堤 幸彦, 内橋 和芳, 佛淵 孝夫2001 年 50 巻 4 号 p. 1149-1152
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーWe conducted a questionnaire survey on the use of reacher a self-help device for 173 OA patients who received total hip arthroplasty more than three months ago. We obtained answers from 103 patients. 92 patients (89%) used a reacher during hospital stay, and 39 patients (38%) used it after discharge. More than half of the patients used it for the purpose of protecting the operated hip joint. Many of the patients used it for reaching objects. While some patients used it for a longer period to remove pants and put on socks. Bilateral hip joint disorder cases took 3.5 months on average to put on socks without a reacher.抄録全体を表示PDF形式でダウンロード (1365K) -
井 賢治, 野村 一俊, 平野 真子, 橋本 伸朗, 福元 哲也, 佐藤 広生2001 年 50 巻 4 号 p. 1153-1159
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーOf 213 patients who were treated for femoral neck fracture at our hospital 153 patients could be followed up. We investigated their condition and walking ability after discharge, and studied the ideal liaison medical service for this fracture. Twenty percent of these patients were sent home after discharg while the remaining 80 percent changed to another hospital. This shows the importance of liaison medical service, including welfare, for this fracture. Our department has prepared a critical path and is using it to dissipate anxiety and dissatisfaction of patients' families over the liaison medical service, and also to maintain the quality of medical care at hospitals receiving these patients. We plan to prepare a critical path incorporating the opinions of liaison hospitals for the overall improvement of the liaison medical service. In this paper, we report on our methods for carrying out the liaison medical service efficiently.抄録全体を表示PDF形式でダウンロード (939K) -
松崎 昭夫, 塩田 悦仁, 有永 誠, 伊崎 輝昌2001 年 50 巻 4 号 p. 1160-1162
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリー433 outpatients of our clinic were asked by the doctors in charge: whether they had received medical care befor visiting our clinic, when they had received treatment, where and any relevant details and effects. 202 patients (46.7%) had visited other hospitals or clinics, 193 patients (44.6%) were seeking treatment for the first time at our clinic, and 38 patients (8.8%) had visited bone setters, acupuncturists or chiropractors. Treatment by non-doctors had two serious problems; one was that many patients were receiving ineffective treatment for an unsusually long period of time, the other was that the medical fees for ineffective treatment were paid by the public health insurance system without confirmation. These problems should be resolved without delay.抄録全体を表示PDF形式でダウンロード (325K) -
高尾 恒彰, 黒瀬 眞之輔, 甲斐 之尋, 上平川 浩一, 小山 正信, 吉田 喜策2001 年 50 巻 4 号 p. 1163-1167
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーWe report 29 patients with pyogenic spondilytis (21 males, 8 females) who were treated at our hospital between 1990 and 1997. The age of the patients ranged from 16 to 70 years (mean: 58. 4 years), and the follow-up period ranged from 7 to 80 months (mean: 44 months). Twenty-two of these cases were treated conservatively with antibiotics and braces, and seven cases surgically. We classified 29 cases into four groups based on the degree of CRP value and examined the MRI findings. Abnormal findings on MRI tend to be detected in patients with a longer period of symptoms irrespective of the degree of CRP. MRI gave impressions of progressive disease, whereas clinical symptoms appeared to improve. Regardless, MRI was useful for detecting abnormal findings ever in the CRP negative group.抄録全体を表示PDF形式でダウンロード (2769K) -
長嶺 隆二, 畑中 俊幸, 三浦 裕正, 占部 憲, 松田 秀一, 岩本 幸英2001 年 50 巻 4 号 p. 1168-1171
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーIn order to clarify characteristics of anatomic configuration of the lower extermity in patients with medial femorotibial osteoarthritis (OA), nine parameters were measured on anteroposterior radiographs of the lower extremities in the supine position in 135 Japanese female patients with OA and in 43 normal young female subjects. The results showed that the characteristics of the lower extermities in knees with OA are bowing of the femoral shaft and proximal tibia vara, with lateral offset of the tibial shaft with respect to the center of the tibial plateau. The length of the tibia was also significantly shorter in patients with OA compared with that in young normal subjects.
In younge subjects, four subjects (9%) had varus deformity, which was thought to be a risk factor of medial OA. Prophyractic treatments may be necessary in oder to prevent medial OA in such subject.抄録全体を表示PDF形式でダウンロード (959K) -
金澤 和貴, 尾上 英俊, 木村 一雄, 蔵重 芳文, 西尾 謙吾2001 年 50 巻 4 号 p. 1172-1174
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーA case of atlanto-axial rotatory fixation (AARF) is reported. A 3-year-old boy had torticollis, pain in the right side of his neck, and limit of motion. Plain radiograph did not indicate abnormal change, and we could not perform radiograph of open-mouth because of neck pain. Three-dimensional computed tomography (3D-CT) diagnosed AARF at an early stage. The patient's atlanto-axial rotatory fixation was diagnosed as Fielding and Hawkins Type I. We performed conservative treatment on the soft cervical collar for 13 days. 6 months later 3D-CT showed good alignment of the cervical spine.抄録全体を表示PDF形式でダウンロード (1042K) -
井上 敏生, 緑川 孝二, 毛利 正玄, 問端 卓, 福嶺 紀明, 内藤 正俊2001 年 50 巻 4 号 p. 1175-1178
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーA 23-year-old man suffered left ankle pain and swelling after falling down while snowboarding. He exhibited swelling and ecchymoses around the lateral ankle, and on palpation tenderness and bony protrusion were noted on anterior and inferior apex of the lateral malleolus. Radiograph showed fracture of the lateral process of the talus, and CT scan showed the shape and displacement of the fracture fragment. We performed open reduction and internal fixation 8 days after the injury.
The mechanism of the lateral process fracture of the talus is believed to be inversion or eversion of the foot while the ankle is dorsiflexed. The talus is vulnerable to this type of injury because the ankle is almost always dorsiflexed while snowboarding. The fracture of the lateral process of the talus is often misdiagnosed as injury of the anterior talofibular ligament. It is important not to overlook this type of injury, because delayed treatment often leads to osteoarthritis of the talocalcaneal joint.抄録全体を表示PDF形式でダウンロード (2205K) -
金澤 和貴, 尾上 英俊, 木村 一雄, 蔵重 芳文, 西尾 謙吾, 飯田 博幸2001 年 50 巻 4 号 p. 1179-1180
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーA case of intraosseous nerve transposition for treatment of elbow joint amputation neuroma from the median nerve is reported. The patient was a 38-year-old female. She underwent elbow joint amputation after trauma at another hospital in 1995. She noticed a mass, and experienced painful paresthesia near the amputation stump since 1997. We performed intraosseous nerve fransposition at our hospital in 1997. She went into complete remission from painful paresthesiasoon after operation.抄録全体を表示PDF形式でダウンロード (1581K) -
豊田 耕一郎, 田口 敏彦, 伊藤 裕, 大中 博司, 河合 伸也, 淵上 泰敬, 小田 裕胤2001 年 50 巻 4 号 p. 1181-1183
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーThis study reviewed the radiological findings and clinical results in 29 cases who underwent the enlargement of the lumber vertebral canal for lumber degenerative scoliosis. The preoperative radiological findings were as follows: Cobb's angle <25 degress, all cases; reght convex curve, 12 cases (41%); type I (Toyama's criteria), 8 cases (28%); grade I, 18 cases (Nash & Moe's criteria); degenerative spondylolysthesis, 15 cases (52%); posterior spondylolysthesis, 10 cases (35%); and instability, 8 cases (28%). The clinical results were defined according to Hirabayashi's scale. 9 cases were categorized as excellent, 7 as good, 9 as fair, 3 as poor, and 1 as worse. There was no statistic relationship between the clinical results and radiological findings, in our experieuce of lumbar spinal surgery.
Enlargement of the lumbar vertebral canal for less than 25 degrees in Cobb's angle can be performed for lumbar degenerative scoliosis, but in cases over 25 degrees with high rotational instability, wide laminectomy with instrumentation should be selected.抄録全体を表示PDF形式でダウンロード (307K) -
2001 年 50 巻 4 号 p. 1185-1189
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (514K) -
2001 年 50 巻 4 号 p. 1190-1194
発行日: 2001/09/25
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (409K)