{"_buckets": {"deposit": "c3334322-7181-4b59-b2f5-3d586f216de5"}, "_deposit": {"created_by": 8, "id": "217", "owners": [8], "pid": {"revision_id": 0, "type": "depid", "value": "217"}, "status": "published"}, "_oai": {"id": "oai:ryotokuji-u.repo.nii.ac.jp:00000217", "sets": ["14"]}, "author_link": ["420", "421", "422", "423", "424", "425", "426", "427", "428", "429"], "control_number": "217", "item_10002_alternative_title_1": {"attribute_name": "その他（別言語等）のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Palmar Dislocation of the Index Metacarpophalangeal Joint with Fracture of the Proximal Phalanx : A Case Study", "subitem_alternative_title_language": "en"}]}, "item_10002_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2014", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "8", "bibliographicPageEnd": "112", "bibliographicPageStart": "107", "bibliographic_titles": [{"bibliographic_title": "了德寺大学研究紀要"}, {"bibliographic_title": "The Bulletin of Ryotokuji University", "bibliographic_titleLang": "en"}]}]}, "item_10002_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "今回我々は比較的まれであり，観血的療法を選択することの多い中手指節関節（以下，MCP関節）脱臼を伴った示指基節骨骨折の症例に対して，非観血的療法を行い良好な結果を経験したため報告する．症例は22歳女性，柔道の受け身の際に受傷．右第2MCP関節の脱臼が疑われたため応急処置として徒手整復術を行ない，その後整形外科クリニックを受診した．診察時，右第2MCP関節部の疼痛と腫脹を認めた．X線上，脱臼を認めず，右示指基節骨骨折を認めた．骨折の徒手整復術を行ない，関節面に骨折線が及んでいないことから非観血的療法を選択した．同日に示指と中指の副木固定を行い，1週間後に自動屈伸運動を行う早期運動療法（以下，ナックルキャスト）を行った．ギプス固定期間は受傷後4週間であり，骨癒合も認め，回旋変形なく，関節可動域も良好であった．7週間後の握力（健側28kg，患側21kg）は健側比75％，受傷後12週間後の握力（健側26㎏，患側24㎏）は健側比94％となった．今回の非観血的療法においても良好な結果が認められた．本症例では徒手整復後に非観血的療法を行い良好な結果を得たが，徒手整復が可能であっても経過治療中に再脱臼，または骨折部の再転位を生じた報告もあり，注意深く経過を見ることが必要である．", "subitem_description_language": "ja", "subitem_description_type": "Abstract"}, {"subitem_description": "Dislocation of the index metacarpophalangeal joint with fracture of the proximal phalanx is relatively rare. \nWe had a case of the dislocation of the metacarpophalangeal joint with fracture of the proximal of the index finger of a 22-year-old woman. X rays showed a fracture of the proximal phalanx of the index finger. We chose a noninvasive therapy. The woman with the fracture was treated using a knuckle cast after closed reduction. The knuckle cast was applied for four weeks. The patient’s progress was followed up for twelve weeks after the injury. X rays showed bone union. Rotational deformities did not occur, and a good range of motion was preserved. Grip strength decreased (94 % compared with the opposite side).\nThe knuckle cast ensured stable fixation and enabled early range of motion to prevent hand stiffness．", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_10002_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.18933/00000182", "subitem_identifier_reg_type": "JaLC"}]}, "item_10002_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "了德寺大学"}]}, "item_10002_relation_12": {"attribute_name": "論文ID（NAID）", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "40020041784", "subitem_relation_type_select": "NAID"}}]}, "item_10002_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AA12217741", "subitem_source_identifier_type": "NCID"}]}, "item_10002_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1881-9796", "subitem_source_identifier_type": "PISSN"}]}, "item_10002_version_type_20": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "田村, 哲也", "creatorNameLang": "ja"}, {"creatorName": "タムラ, テツヤ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Tamura, Tetsuya", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "420", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "下小野田, 一騎", "creatorNameLang": "ja"}, {"creatorName": "シモオノダ, カズキ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Shimo-onoda, Kazuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "421", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "末吉, 祐介", "creatorNameLang": "ja"}, {"creatorName": "スエヨシ, ユウスケ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Sueyoshi, Yusuke", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "422", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "山際, まどか", "creatorNameLang": "ja"}, {"creatorName": "ヤマギワ, マドカ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Yamagiwa, Madoka", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "423", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "岡田, 尚之", "creatorNameLang": "ja"}, {"creatorName": "オカダ, ナオユキ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Okada, Naoyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "424", "nameIdentifierScheme": "WEKO"}]}, {"nameIdentifiers": [{"nameIdentifier": "425", "nameIdentifierScheme": "WEKO"}]}, {"nameIdentifiers": [{"nameIdentifier": "426", "nameIdentifierScheme": "WEKO"}]}, {"nameIdentifiers": [{"nameIdentifier": "427", "nameIdentifierScheme": "WEKO"}]}, {"nameIdentifiers": [{"nameIdentifier": "428", "nameIdentifierScheme": "WEKO"}]}, {"nameIdentifiers": [{"nameIdentifier": "429", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2016-05-26"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "2014_01_15.pdf", "filesize": [{"value": "2.4 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_11", "mimetype": "application/pdf", "size": 2400000.0, "url": {"label": "示指基節骨骨折を伴った中手指節関節脱臼の１例", "url": "https://ryotokuji-u.repo.nii.ac.jp/record/217/files/2014_01_15.pdf"}, "version_id": "ec6e5612-3108-4f17-aa12-238b67c66f68"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "非観血的治療", "subitem_subject_scheme": "Other"}, {"subitem_subject": "中手指節関節脱臼", "subitem_subject_scheme": "Other"}, {"subitem_subject": "示指基節骨骨折", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ナックルキャスト", "subitem_subject_scheme": "Other"}, {"subitem_subject": "noninvasive therapy", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dislocation of the metacarpophalangeal joint", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "fracture of the proximal phalanx of the index finger", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "knuckle cast", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "示指基節骨骨折を伴った中手指節関節脱臼の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "示指基節骨骨折を伴った中手指節関節脱臼の1例", "subitem_title_language": "ja"}, {"subitem_title": "Palmar Dislocation of the Index Metacarpophalangeal Joint with Fracture of the Proximal Phalanx : A Case Study", "subitem_title_language": "en"}]}, "item_type_id": "10002", "owner": "8", "path": ["14"], "permalink_uri": "https://doi.org/10.18933/00000182", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-05-26"}, "publish_date": "2016-05-26", "publish_status": "0", "recid": "217", "relation": {}, "relation_version_is_last": true, "title": ["示指基節骨骨折を伴った中手指節関節脱臼の1例"], "weko_shared_id": -1}