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示指基節骨骨折を伴った中手指節関節脱臼の1例
https://doi.org/10.18933/00000182
https://doi.org/10.18933/00000182fa6c4352-7b47-43fa-ab3b-5db26edcfd54
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-05-26 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 示指基節骨骨折を伴った中手指節関節脱臼の1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Palmar Dislocation of the Index Metacarpophalangeal Joint with Fracture of the Proximal Phalanx : A Case Study | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 非観血的治療 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 中手指節関節脱臼 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 示指基節骨骨折 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ナックルキャスト | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | noninvasive therapy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | dislocation of the metacarpophalangeal joint | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | fracture of the proximal phalanx of the index finger | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | knuckle cast | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18933/00000182 | |||||
ID登録タイプ | JaLC | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | Palmar Dislocation of the Index Metacarpophalangeal Joint with Fracture of the Proximal Phalanx : A Case Study | |||||
言語 | en | |||||
著者 |
田村, 哲也
× 田村, 哲也× 下小野田, 一騎× 末吉, 祐介× 山際, まどか× 岡田, 尚之××××× |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 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. | |||||
言語 | ja | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Dislocation of the index metacarpophalangeal joint with fracture of the proximal phalanx is relatively rare. We 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). The knuckle cast ensured stable fixation and enabled early range of motion to prevent hand stiffness. |
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言語 | en | |||||
書誌情報 |
了德寺大学研究紀要 en : The Bulletin of Ryotokuji University 号 8, p. 107-112, 発行日 2014 |
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出版者 | ||||||
出版者 | 了德寺大学 | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1881-9796 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA12217741 | |||||
論文ID(NAID) | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | NAID | |||||
関連識別子 | 40020041784 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |