{"created":"2023-06-20T15:54:43.207930+00:00","id":251,"links":{},"metadata":{"_buckets":{"deposit":"f8857d4c-4547-4772-8c06-bc564fbd661b"},"_deposit":{"created_by":8,"id":"251","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"251"},"status":"published"},"_oai":{"id":"oai:ryotokuji-u.repo.nii.ac.jp:00000251","sets":["6:15"]},"author_link":["572","573"],"control_number":"251","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":"A Study on Closed Reduction of Child Bone Fractures","subitem_alternative_title_language":"en"}]},"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"9","bibliographicPageEnd":"90","bibliographicPageStart":"85","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":"小児骨折は，不全骨折となることが多く，また 多少の骨片転位があっても骨のリモデリングに期待し，\n保存療法を選択することが多い．柔道整復師が取り扱うことの多い骨折の一つであり，徒手整復を行うかどうかの判断を求められる骨折でもある．しかし小児骨折における徒手整復の実態を示した調査は少ない．今回は小児骨折の実態調査をもとに，徒手整復の現状を把握し，今後の小児骨折における徒手整復の必要性について検討したいと考える．対象は2009年から2014年までの5年間に整形外科クリニックを受診した15歳以下の骨折と診断された症例とした．5年間の骨折総数は227件であった．受傷年齢は10～13歳で全体の約50％を示した．受傷原因はスポーツが49.8％で，中でもサッカーが14.5％と最も高かった．部位別では手指骨が44.5％と最も高く，前腕骨30.0％，足趾骨11.5％の順となり，上肢骨折が全体の約80％であった．症例別では橈骨遠位端部骨折が28.6％で最も高かった．当院においては，約8割が徒手整復を行わず，小児の自家矯正力を期待して保存療法を行なっていることが分かった．小児骨折の予後は良好な場合が多いが，自家矯正力の限界や成長障害の可能性を見極め，慎重に対応していくことが必要だと考える．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Bones of a child have high potential to remodel themselves in a fracture. So we can expect successful remodeling of the fractured bones in the healing processes even in the cases with some fragment dislocations. In addition, child bone fractures are sometimes incomplete. Therefore, we often choose conservative treatment in children’s cases. A bone fracture in a child is one of the fractures with which Judo therapist often handles and for which Judo therapist plays an important role in determining the treatment using the closed reduction, i.e. reposition by hand. But only a few researches were reported. In this paper, we intended to understand the current status of the child bone   fractures and its therapeutic techniques and then assess the necessity of the closed reduction. Subjects were patients with fractures under the age of 15-year-old that consulted our clinic during the five years from 2009 to 2014. The number of fractures was 227. As regards injury age, cases in the age from 10 to 13-year-old account for 50% of all. Concerning causes of the injuries, 49.8% occurred in some sports, especially soccer showed the highest rate，that is 14.5% of all. Finger fractures were the most frequent, which occupied 44.5%, forearm and toe fractures did 30.0% and 11.5%, respectively. Consequently about 80% of all were the upper limb bone fractures. In detail, distal radius fractures were the most common (28.6%). Then, in order, middle, proximal and distal phalanges fractures were 18.5%, 13.7% and 8.4%, respectively. Thus the cases with any phalanx fractures were 40.6% of all. The present study has revealed that, in our clinic, we had treated about 80% of all without the closed reduction counting on the remodeling potency of the children. The rate of the fractures in which the closed reduction treatment had been used was 23.8%. Generally, prognosis of child bone fracture is good. But it is necessary to treat them carefully, being aware of limiting remodeling potency and keeping a close watch for growth disturbance to the end.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18933/00000213","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":"40020415451","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":[{}]},{"creatorNames":[{"creatorName":"木内, 一佳志","creatorNameLang":"ja"},{"creatorName":"キウチ, ヒヨシ","creatorNameLang":"ja-Kana"},{"creatorName":"Kiuchi, Hiyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-05-27"}],"displaytype":"detail","filename":"2015_01_14.pdf","filesize":[{"value":"2.4 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"小児骨折における徒手整復の実態調査","url":"https://ryotokuji-u.repo.nii.ac.jp/record/251/files/2015_01_14.pdf"},"version_id":"b503da29-5b25-4d8b-8fe8-38264aa9085a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児骨折","subitem_subject_scheme":"Other"},{"subitem_subject":"リモデリング","subitem_subject_scheme":"Other"},{"subitem_subject":"徒手整復","subitem_subject_scheme":"Other"},{"subitem_subject":"Child bone fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Remodeling","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Closed reduction","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":"小児骨折における徒手整復の実態調査","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"小児骨折における徒手整復の実態調査","subitem_title_language":"ja"},{"subitem_title":"A Study on Closed Reduction of Child Bone Fractures","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"8","path":["15"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-05-27"},"publish_date":"2016-05-27","publish_status":"0","recid":"251","relation_version_is_last":true,"title":["小児骨折における徒手整復の実態調査"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2023-10-10T05:37:14.583862+00:00"}