@article{oai:ryotokuji-u.repo.nii.ac.jp:00000109,
 author = {松本, 揚 and Matsumoto, You and 岡田, 尚之 and Okada, Naoyuki and 岡田, 隆 and Okada, Takashi and 石井, 孝法 and Ishii, Takanori and 金丸, 雄介 and Kanamaru, Yusuke and 金, 泰京 and Kim, Taikei and 大澤, 裕行 and Oosawa, Hiroyuki and 寺山, 隼人 and Terayama, Hayato and 伊藤, 正裕 and Itoh, Masahiro},
 issue = {5},
 journal = {了德寺大学研究紀要, The Bulletin of Ryotokuji University},
 month = {},
 note = {解剖実習用遺体膝の膝蓋骨骨膜下部を観察した結果を報告する．また関節可動域制限のない膝蓋骨骨折を2症例経験したので報告する．2症例は画像診断が行えない施設では診断が不可能であった．当該部位では，関節包内骨折か否かの判断も難しいものであるため，解剖実習用遺体膝を対象として関節包外である膝蓋骨骨膜下部の縦の長さを観察した．結果は，同部位の縦の長さは膝蓋骨全長のおよそ1/4を占めるものであった．当該部位で骨折が好発すると考察できるため，今後当該部位に対してより詳細な研究が必要である．, We treated two cases of direct compression fractures in the patella with no limit of range of movement (ROM). In the circumstances where X-ray was not available, we adopted conservative therapy without locating the fracture. Later, with the aid of X-ray, we found that the location of the fracture was just between the intra- and the extra-articular parts of the patella. This made it difficult for us to make a prognosis, because the prognosis will be different according to whether the fracture is intra- or extra-articular. Although in both clinical cases we gained good results by conservative therapy, we thought it necessary to have more knowledge of the region for the better treatment of patella fractures, and thus we tried anatomical observation of the patellae of 17 cadavers.
As a result, we found that there is such a difference in tissue type between the intra-articular and the extra-articular parts of patella that we could imagine that fracture occurs easily in the region between them. In addition, the longitudinal length of the extra-articular part of the patella was approximately 1/4 of the whole length.
As it is not a rare occurrence, we believe that further research is necessary for both the prevention and the better treatment of patella fractures.},
 pages = {73--77},
 title = {膝蓋骨下部解剖報告及び膝蓋骨下部で生じた骨折の2症例},
 year = {2011},
 yomi = {マツモト, ヨウ and オカダ, ナオユキ and オカダ, タカシ and イシイ, タカノリ and カナマル, ユウスケ and キム, タイヘイ and オオサワ, ヒロユキ and テラヤマ, ハヤト and イトウ, マサヒロ}
}