72_81
|
|
|
- えりか うなだ
- 9 years ago
- Views:
Transcription
1 72 (2): (2013) 81 Clinical Management of Anterior Cruciate Ligament Injury Yuki KATO Department of Orthopedics Surgery, Nihon University School of Medicine Anterior cruciate ligament (ACL) injury is one of the most common ligament injuries of the knee joint, especially in athletes. ACL reconstruction has been widely performed for many years. There have been many innovations of surgical instruments and improvements in surgical techniques, such as the single-incision endoscopic transtibial approach. Recently, many surgeons have focused on anatomic double-bundle ACL reconstruction. Anatomical graft position is one of the most important issues in ACL reconstruction, and it does not matter whether single- or double-bundle ACL reconstruction is performed. As clinicians we recommend anatomical ACL reconstruction for both athletes and non-athletes as a way of reducing the risk of knee osteoarthritis for ACL injured patients. Key words: Anterior cruciate ligament, anatomic, single-bundle, double-bundle, reconstruction (J. Nihon Univ. Med. Ass., 2013; 72 (2): 81 85) 4 (anterior cruciate ligament; ACL) (posterior cruciate ligament; PCL) (medial collateral ligament; MCL) (lateral collateral ligament; LCL) ACL ACL ACL (giving way) ACL I. ACL ACL MCL 1950 O Donoghue unhappy triad MCL ACL 25% 1) O Donoghue 1991 Shelbourne ACL MCL 52 80% 29% 2) II. ( 3 ) ( 3 ) pop sound
2 82 (ballottement of patella, patella tapping) ml MCL (Fig. 1) 1 3 ACL ACL 28 3) ACL (Fig. 2) III. ACL 4) ( ) Hoteya ACL ACL (notch width index; NWI) 5) systematic review 6) 7) IV. ACL ACL ACL O ACL ACL 8) 9) Fig. 1 MRI sagittal view shows joint effusion and anterior cruciate ligament rupture. V. ACL ACL Fig. 2 Osteoarthritic change over 10 years after first ACL injury. (a) ACL remnant has disappeared. (b) Spur formation (arrows show) makes narrow intercondylar notch. (c) Exposed subchonral bone (arrows show) in the medial compartment of the knee joint.
3 72 (2) 2013 前十字靱帯損傷の臨床 83 Fig. 4 3D-CT scan. (a) Anatomic double-bundle ACL reconstruction. (b) Non-anatomic double-bundle ACL reconstruction. Fig. 3 Anatomical double-bundle anterior cruciate ligament reconstruction. (a) ACL remnant. (b) Removal of ACL remnant on the femoral footprint. (c) Two guide pins are inserted into each femoral footprint of antero-medial and posterolateral bundles. (d) Two guide pins are inserted into each tibial footprint of antero-medial and posterolateral bundles. (e) Antero-medial and postero-lateral bundles are inserted through each of tibial and femoral bone tunnels. (f) Checking graft tension using a probe. トでカバーできるよう 2 つの骨孔を ACL 付着部内に作成 する解剖学的二重束 ACL 再建が行われるようになってき た 解剖学的二重束再建術の利点としてはより正常 ACL に近い走行を再現できるため notch impingement が起こ りにくく 顆間窩形成術も必要としなくなった13) ま た 生体力学的研究によりかつての古典的な骨孔位置に 比べ解剖学的骨孔位置では制動性 (とくに回旋制動性) も グラフトとしてハムストリングや骨付き膝蓋腱を用いた 増していることが証明された14, 15) Morimoto らは脛骨 一重束再建である これまでは経脛骨的に大腿骨側の骨 大腿関節の荷重面積および圧を一重束と二重束の両者で 孔を作成する方法が一般的であった10) 再断裂を防止す 比較し 解剖学的二重束 ACL 再建術が正常膝に近く 関 るため 膝のどの角度においてもグラフトへの緊張が変 節症性変化の予防が期待できると報告している16) 当科 化しない isometric point が主流となっていたが 近年で でも洞口らを中心に解剖学的二重束 ACL 再建術をいち早 はより解剖学的な骨孔位置に注目が集まっている 正常 く導入し良好な治療成績を報告している17, 18) (Fig. 3) ACL は本来 isometric な線維はほとんどなく 膝伸展に 従い緊張する over the top pattern であり isometric point を目指すことが非解剖学的再建の一因となっていること が示されている11) 大腿骨側の isometric point は顆間窩 の天井 (intercondylar notch) の高い位置になっており 膝 関節伸展で再建靱帯が顆間窩天井部にぶつかり (notch impingement) 再断裂の原因となっていることが判明し た そのため 顆間窩形成術 (notchplasty) を行ったり 脛骨骨孔をより後方に作成し notch impingement を防ぐ ようにするなどますます非解剖学的な再建となってしま っていた ACL の付着は円形ではなく楕円形を呈しており 一重 束では正常 ACL を模倣できない また 機能的にヒトの 正常 ACL は前内側線維束 (anteromedial bundle; AMB) と 後外側線維束 (posterolateral bundle; PLB) に分けられる と言われている12) そのため ACL 付着の多くをグラフ しかし 解剖学的二重束 ACL 再建術は誰もが行ってよ い術式ではない Double bundle or Double trouble? と 警鐘を鳴らすコメントもあり19) 熟練した技術を要する 解剖学的二重束 ACL 再建術と言っても実際は解剖学的に 正しい位置に骨孔を作成するのは容易ではなく 不良な 骨孔位置は制動不良や再断裂の原因となり得る (Fig. 4) また ACL 再建自体が特殊な手術であり一重束であれば誰 が行ってもよいというものではないが 正しく手術が行 えれば一重束と二重束の再建方法の間に臨床成績に有意 差を認めないとの報告もあり20, 21) 術式の選択は慎重に 行うべきである 特殊な手術として成長期の ACL 損傷患者などに対して 大腿骨側に骨孔を作成せず 顆間窩から後方へグラフト を誘導し固定する術式 所謂 over the top route 法がある これは 1970 年代に MacIntosh 法として世界に広まったも のである その後 1981 年に守屋は over the top 部分に骨
4 84 Fig. 5 Second look 1 year after anatomic double-bundle ACL reconstruction. (a) Arthroscopic view just after ACL reconstruction. (b) Arthroscopic view over 1 year after ACL reconstruction shows increased graft volume and excellent synovial covering ) 25) 26) ACL 1 3 ACL 27) ACL 3 AMB, PLB (intermediate bundle; IMB) 28, 29) ACL ) 3 ACL VI off accelerated rehabilitation 31) 1 (2 nd look) (Fig. 5) 1 1) O Donoghue DH. Surgical treatment of fresh injuries to the major ligaments of the knee. The Journal of bone and joint surgery 1950; 32: ) Shelbourne KD, Nitz PA. The O Donoghue triad revisited. Combined knee injuries involving anterior cruciate and medial collateral ligament tears. The American journal of sports medicine 1991; 19: ) Finsterbush A, Frankl U, Matan Y, Mann G. Secondary damage to the knee after isolated injury of the anterior cruciate ligament. The American journal of sports medicine 1990; 18: ) Micheli LJ, Metzl JD, Di Canzio J, Zurakowski D. Anterior cruciate ligament reconstructive surgery in adolescent soccer and basketball players. Clin J Sport Med 1999; 9: ) Hoteya K, Kato Y, Motojima S, Ingham SJ, Horaguchi T, Saito A, et al. Association between intercondylar notch narrowing and bilateral anterior cruciate ligament injuries in athletes. Archives of orthopaedic and trauma surgery 2011; 131:
5 72 (2) ) Swärd P, Kostogiannis I, Roos H. Risk factors for a contralateral anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc 2010; 18: ) ACL Open Kinetic Chain Closed Kinetic Chain 2005; 48: ) Opening Wedge High Tibial Osteotomy 1 JOSKAS 2010; 35: ) ACL MRI 2002; 61: ) Williams RJ, 3rd, Hyman J, Petrigliano F, Rozental T, Wickiewicz TL. Anterior cruciate ligament reconstruction with a four-strand hamstring tendon autograft. Surgical technique. The Journal of bone and joint surgery 2005; 87 Suppl 1: ) Wang JH, Kato Y, Ingham SJ, Maeyama A, Linde-Rosen M, Smolinski P, et al. Measurement of the end-to-end distances between the femoral and tibial insertion sites of the anterior cruciate ligament during knee flexion and with rotational torque. Arthroscopy 2012; 28: ) Zantop T, Herbort M, Raschke MJ, Fu FH, Petersen W. The role of the anteromedial and posterolateral bundles of the anterior cruciate ligament in anterior tibial translation and internal rotation. The American journal of sports medicine 2007; 35: ) Iriuchishima T, Tajima G, Ingham SJ, Shen W, Smolinski P, Fu FH. Impingement pressure in the anatomical and nonanatomical anterior cruciate ligament reconstruction: a cadaver study. The American journal of sports medicine 2010; 38: ) Kato Y, Ingham SJ, Kramer S, Smolinski P, Saito A, Fu FH. Effect of tunnel position for anatomic single-bundle ACL reconstruction on knee biomechanics in a porcine model. Knee Surg Sports Traumatol Arthrosc 2010; 18: ) Kato Y, Maeyama A, Lertwanich P, Wang JH, Ingham SJ, Kramer S, et al. Biomechanical comparison of different graft positions for single-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc ) Morimoto Y, Ferretti M, Ekdahl M, Smolinski P, Fu FH. Tibiofemoral joint contact area and pressure after single- and double-bundle anterior cruciate ligament reconstruction. Arthroscopy 2009; 25: ) CT ; 32: ) 2 ACL 2006; 31: ) Harner CD, Poehling GG. Double bundle or double trouble? Arthroscopy 2004; 20: ) Hofbauer M, Valentin P, Kdolsky R, Ostermann RC, Graf A, Figl M, et al. Rotational and translational laxity after computernavigated single- and double-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2008; 18: ) Siebold R, Dehler C, Ellert T. Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy 2008; 24: ) Anthony Schepsis A OS NOW ; ) composite graft ( + LAD) 1992; 9: ) + LAD 1990; 9: ) + Tutoplast Fascia lata + Leeds-Keio 1999; 11: ) Lertwanich P, Kato Y, Martins CA, Maeyama A, Ingham SJ, Kramer S, et al. A biomechanical comparison of 2 femoral fixation techniques for anterior cruciate ligament reconstruction in skeletally immature patients: over-the-top fixation versus transphyseal technique. Arthroscopy 2011; 27: ) Shino K, Nakata K, Nakamura N, Mae T, Ohtsubo H, Iwahashi T, et al. Anatomic Anterior Cruciate Ligament Reconstruction Using Two Double-Looped Hamstring Tendon Grafts via Twin Femoral and Triple Tibial Tunnels. Oper Tech Orthop 2005; 15: ) Kato Y, Ingham SJ, Linde-Rosen M, Smolinski P, Horaguchi T, Fu FH. Biomechanics of the porcine triple bundle anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2010; 18: ) Tischer T, Ronga M, Tsai A, Ingham SJ, Ekdahl M, Smolinski P, et al. Biomechanics of the goat three bundle anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2009; 17: ) Kato Y, Ingham SJ, Maeyama A, Lertwanich P, Wang JH, Mifune Y, et al. Biomechanics of the human triple-bundle anterior cruciate ligament. Arthroscopy 2012; 28: ) Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. The American journal of sports medicine 1990; 18:
SwitchCut 手術手技書
SwitchCut Reaming System for ACL Reconstruction Surgical Protocol by Jefferey Michaelson, M.D. Surgical Technique 1 SwitchCut Reaming System 2 3 4 6 7 9 9 10 10 Ordering Information 11 References 12 2
屈曲制限
ACL 再建術後可動域制限 伸展制限を中心に 済生会習志野病院整形外科 小川裕也 はじめに ACL 損傷は 頻度の高い膝関節外傷であり 損傷によりスポーツ活動が著しく制限される Gobbi et al. Clin Orth 2012 ACL 再建術後の合併症のうち 伸展制限は 重要なものの 1 つである Hamidreza Y. J Ortho Traum.2016 術後伸展制限の定義 正常 ほぼ正常
00 p01-24
August Special 114 1 ACL 3 ACL ACL 3 1 ACL P.4 2 ACL P.21 ACL 1ACL Yagi Shigenori Imaya Takeshi Yoshida Shohei 1 ACL de Loës ACL 5,000 Arendt 40 ACL ACL ACL 3PT ACL 9 ACLP.21 3 1 ACL P Renstrom, et al
JOSKAS enoteweb JOSKAS 2015WEBJOSKAS enote PCWEB JOSKAS WEB JOSKAS enote2015joskas enote 620162121 521,323 JOSKAS i ii iii iv v vi vii viii JOSKAS eno
JOSKAS JOSKAS enoteweb JOSKAS 2015WEBJOSKAS enote PCWEB JOSKAS WEB JOSKAS enote2015joskas enote 620162121 521,323 JOSKAS i ii iii iv v vi vii viii JOSKAS enote NCD Nation wide WEB JOSKAS enote ACL 1-3
1 1 st congress of Asia-Pacific Knee, Arthroscopy and Sports Medicine Society, 1st APKASS 26414152 2 1 6Special Lecture9 1 st APKASS 4 1APKASS1995 Asi
JOSKAS 1 1 st congress of Asia-Pacific Knee, Arthroscopy and Sports Medicine Society, 1st APKASS 26414152 2 1 6Special Lecture9 1 st APKASS 4 1APKASS1995 Asia Pacific Orthopaedic 224 Society for Sports
3 次元 CT 再構成画像によるヒト膝前十字靭帯大腿骨側付着部の検討 - 膝関節鏡シミュレーション - 日本大学大学院医学研究科博士課程外科系整形外科学専攻 白田智彦 修了年 2014 年 指導教員長岡正宏
3 次元 CT 再構成画像によるヒト膝前十字靭帯大腿骨側付着部の検討 - 膝関節鏡シミュレーション - 日本大学大学院医学研究科博士課程外科系整形外科学専攻 白田智彦 修了年 2014 年 指導教員長岡正宏 3 次元 CT 再構成画像によるヒト膝前十字靭帯大腿骨側付着部の検討 - 膝関節鏡シミュレーション - 日本大学大学院医学研究科博士課程外科系整形外科学専攻 白田智彦 修了年 2014 年 指導教員長岡正宏
2 10 The Bulletin of Meiji University of Integrative Medicine 1,2 II 1 Web PubMed elbow pain baseball elbow little leaguer s elbow acupun
10 1-14 2014 1 2 3 4 2 1 2 3 4 Web PubMed elbow pain baseball elbow little leaguer s elbow acupuncture electric acupuncture 2003 2012 10 39 32 Web PubMed Key words growth stage elbow pain baseball elbow
Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery
Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery, Osaka Kosei-Nenkin Hospital K. Izawa and S. Wakitani
であった まず 全ての膝を肉眼解剖による解析を行った さらに 全ての膝の中から 6 膝を選定し 組織学的研究を行った 肉眼解剖学的研究 膝の標本は 8% のホルマリンで固定し 30% のエタノールにて保存した まず 軟部組織を残し 大腿骨遠位 1/3 脛骨近位 1/3 で切り落とした 皮膚と皮下の軟
学位論文の内容の要旨 論文提出者氏名 藤代瞳 論文審査担当者 主査宗田大 副査星治 森田定雄 論文題目 Attachment area of fibres from the horns of lateral meniscus: anatomic study with special reference to the positional relationship of anterior cruciate
日本職業・災害医学会会誌第51巻第1号
内野ら 下腿骨骨折におけるハイブリッド創外固定器の有用性 31 図 2 軟部組織損傷程度と機能成績 Gustilo IIIB 以上の開放骨折では Gustilo IIIA 以下の開放骨折 及び皮下骨折よりも明らかに機能低下が認められた 図 1 年齢と機能成績 60 歳未満の若年者の方が明らかに良好な成績を示した a b c 図 3 a Gustilo Type IIIB b, c AO 分類 Type
69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification
69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification 70 (878) Fig. 1 A and B, preoperative (correction) finding of anterior chest surface with an asymmetrical
Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Sh
Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Shoulder by HATA Yukihiko MURAKAMI Narumichi Department
?????????????????????
膝 屈 筋 腱 を 用 いた 関 節 鏡 視 下 膝 前 十 字 靭 帯 再 建 術 について (Key Words) ACL スポーツ 傷 害 解 剖 学 的 二 重 束 再 建 術 医 療 法 人 高 尚 会 川 田 整 形 外 科 川 田 高 士 781-1101 高 知 県 土 佐 市 高 岡 町 甲 920-1 はじめに 膝 前 十 字 靭 帯 (ACL)は 自 然 治 癒 能 が 低 く
Oxford Partial Knee 手技書
Oxford Partial Knee Surgical Technique Oxford Partial Knee The Oxford Partial Knee 1976 1 Phase Phase 24 6 Oxford Partial Knee 1982 4,5 6 Oxford 10 98 5,7 20 92 9 0.03mm 2,3 ArCom UHMWPE 8,9 4 4 XS 3mm7mmSML
Persona The Personalized Knee Brochure
Persona The Personalized Knee Brochure Welcome to Persona The Personalized Knee Persona Personalized Knee System Personalized Implants Proven Technology Precise Instrumentation Table of Contents Personalized
Usefulness of the STATAK in a Bankart Repair and Modified Bristow Procedure for Recurrent Anterior Dislocation of the Glenohumeral Joint. by KIMURA Ak
Usefulness of the STATAK in a Bankart Repair and Modified Bristow Procedure for Recurrent Anterior Dislocation of the Glenohumeral Joint. by KIMURA Akihiko, OKAMURA Kenji, FUKUSHIMA Sunao, NAGAMORI Masasi,
Clinical Question 1 ACL 損傷のリスクファクターにはどのようなものがあるか 要 約 Grade B 大腿骨顆間窩幅が狭いこと, 全身関節弛緩性, 月経周期の卵胞期 ( 女性 ) が ACL 損傷のリスクファクターにあげられる. Grade C 大きな脛骨後方傾斜, 膝関節の過伸
第 1 章 疫学 Clinical Question 1 ACL 損傷のリスクファクターにはどのようなものがあるか 要 約 Grade B 大腿骨顆間窩幅が狭いこと, 全身関節弛緩性, 月経周期の卵胞期 ( 女性 ) が ACL 損傷のリスクファクターにあげられる. Grade C 大きな脛骨後方傾斜, 膝関節の過伸展,KT-2000 による前後移動量の左右差 ( 女性 ), 神経認知機能の不良,
06_学術_関節単純X線画像における_1c_梅木様.indd
Arts and Sciences X The formulation of femoral heard measurement corrected enlargement ratio using hip joints X-ray Imaging 1 2 1 1 1 2 Key words: Bipolar Hip Arthroplasty (BHA) Preoperative planning Enlargement
The Most Effective Exercise for Strengthening the Supraspinatus : Evaluation by Magnetic Resonance Imaging by TAKEDA Yoshitsugu and ENDO Kenji Departm
The Most Effective Exercise for Strengthening the Supraspinatus : Evaluation by Magnetic Resonance Imaging by TAKEDA Yoshitsugu and ENDO Kenji Department of Orthopedic Surgery, The University of Tokushima
I
九州大学学術情報リポジトリ Kyushu University Institutional Repository 熊本県水俣市の限界集落における耕作放棄地の拡大とその要因 寺床, 幸雄九州大学大学院人文科学府 : 博士後期課程 : 農村 農業地理学 Teratoko, Yukio http://hdl.handle.net/2324/20036 出版情報 : 地理学評論. 82 (6), pp.588-603,
untitled
1) Uchio Y, Mori R, Iwasa J, Kakimaru H, Yamamoto S, Yamaguchi H, Miyamoto W: The effect of non-steroidal anti-inflammatory drugs on upper gastrointestinal disorders in orthpaedic patients. Nippon Rinsho
8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio
7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine
研究報告 国内トップリーグ男子バレーボール選手における一側性トレーニングが 両側性筋力および跳躍能力に及ぼす影響 Effect of Single legged Squat Exercises on Bilateral Strength and Physical Ability in the Top
研究報告 国内トップリーグ男子バレーボール選手における一側性トレーニングが 両側性筋力および跳躍能力に及ぼす影響 Effect of Single legged Squat Exercises on Bilateral Strength and Physical Ability in the Top Level Male Volleyball Players 抄録 1 2 8 1RM 4 4 4 8
Kittipong
1. Aoki R, Srivatanakul K, Hirayama A, A vein of the foramen caecum observed on angiography, Eur J Ana 21(4): 305-307, 2017 2. Hui Han & Wei Tao & Ming Zhang, The dural entrance of cerebral bridging veins
Vol. No. Honda, et al.,
A Study of Effects of Foot Bath before Exercise on Fall Prevention Yoko Honda Yoko Aso Aki Ibe Megumi Katayama Tomoko Tamaru Key Words fall prevention, foot bath, elderly, fall prevention programs Honda,
前頭蓋底の再建術式の標準化と外傷への応用
52 4 226 234 2009 watertight watertight 53 5 temporal musculo pericranial flap frontal musculo pericranial flap 1984 5 5 60 1 2 3 2 8 38 226 52 4 1 2/3 1 2 3 50 905 912 2007 7 3 1 A B C 2 loose areolar
The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursi
The Journal of the Japan Academy of Nursing Administration and Policies Vol 7, No 2, pp 19 _ 30, 2004 Survey on Counseling Services Performed by Nursing Professionals for Diabetic Outpatients Not Using
Title < 論文 > 公立学校における在日韓国 朝鮮人教育の位置に関する社会学的考察 : 大阪と京都における 民族学級 の事例から Author(s) 金, 兌恩 Citation 京都社会学年報 : KJS = Kyoto journal of so 14: 21-41 Issue Date 2006-12-25 URL http://hdl.handle.net/2433/192679 Right
25 D Effects of viewpoints of head mounted wearable 3D display on human task performance
25 D Effects of viewpoints of head mounted wearable 3D display on human task performance 1140322 2014 2 28 D HMD HMD HMD HMD 3D HMD HMD HMD HMD i Abstract Effects of viewpoints of head mounted wearable
1) University Group Diabetes Program: A study of hypoglycemic agents on vascular complica- in patients with adult-onset tions diabetes. I. Design, methods and baseline results. Diabetes 19 (suppl. 2):
Title 生活年令による学級の等質化に関する研究 (1) - 生活年令と学業成績について - Author(s) 与那嶺, 松助 ; 東江, 康治 Citation 研究集録 (5): 33-47 Issue Date 1961-12 URL http://hdl.handle.net/20.500.12000/ Rights 46 STUDIES ON HOMOGENEOUS
食道がん化学放射線療法後のsalvage手術
2006 2 17 52 Daly JM, et al. J Am Coll Surg 2000;190:562-573 Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study Daly JM, et al. J Am Coll Surg 2000;190:562-573
07_学術_荷重位X線撮影法の違いによる_山口様.indd
Arts and Sciences X Radiological assessment of joint space width using different weight-bearing radiographic methods for knee osteoarthritis 1 2 1 3 1 3 1 2 3 Key words: knee, osteoarthritis, radiography,
untitled
総研大文化科学研究第 6 号 (2010) 65 ... 66 佐貫 丘浅次郎の 進化論講話 における変化の構造 67 68 佐貫丘浅次郎の 進化論講話 における変化の構造 69 E 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 佐貫 丘浅次郎の 進化論講話 における変化の構造 71 72 佐貫丘浅次郎の 進化論講話 における変化の構造 73 74 佐貫丘浅次郎の 進化論講話
Mix*: 2 bilateral Syme's amputation, 3 Syme's-B/K, 1 Syme's-A/K 1 bilateral through knee, 1 A/K through hip 2. Kegel, B., Carpenter, M. L. and Burgess, E. M.: Functional Capabilities of Lower Extremity
ñ{ï 01-65
191252005.2 19 *1 *2 *3 19562000 45 10 10 Abstract A review of annual change in leading rice varieties for the 45 years between 1956 and 2000 in Japan yielded 10 leading varieties of non-glutinous lowland
840 Geographical Review of Japan 73A-12 835-854 2000 The Mechanism of Household Reproduction in the Fishing Community on Oro Island Masakazu YAMAUCHI (Graduate Student, Tokyo University) This
2 The Bulletin of Meiji University of Integrative Medicine 3, Yamashita 10 11
1-122013 1 2 1 2 20 2,000 2009 12 1 2 1,362 68.1 2009 1 1 9.5 1 2.2 3.6 0.82.9 1.0 0.2 2 4 3 1 2 4 3 Key words acupuncture and moxibustion Treatment with acupuncture, moxibustion and Anma-Massage-Shiatsu
soturon.dvi
12 Exploration Method of Various Routes with Genetic Algorithm 1010369 2001 2 5 ( Genetic Algorithm: GA ) GA 2 3 Dijkstra Dijkstra i Abstract Exploration Method of Various Routes with Genetic Algorithm
The Posterior Rotator Interval May be the Initial Site of Rotator Cuff Tears in Baseball Players by NAKAGAWA Shigeto, YONEDA Minoru, HAYASHIDA Kenji a
The Posterior Rotator Interval May be the Initial Site of Rotator Cuff Tears in Baseball Players by NAKAGAWA Shigeto, YONEDA Minoru, HAYASHIDA Kenji and YAMAMOTO Takahumi Osaka University Medical School
16_.....E...._.I.v2006
55 1 18 Bull. Nara Univ. Educ., Vol. 55, No.1 (Cult. & Soc.), 2006 165 2002 * 18 Collaboration Between a School Athletic Club and a Community Sports Club A Case Study of SOLESTRELLA NARA 2002 Rie TAKAMURA
indd
24 61 1 2011 調査 研究 1 2 1 1 2 4 1 3 4 1 2 1 2 1 2 1 2 2 1 1 2 3 4 2010 11 11 2011 1 7 Infection Control in an Endoscopy Room Multi - society Guideline and Current Status at Fukushima Medical University
The Significance of Fibular Fractures on TibialShaft Fractures by Kiyoyuki Torigoe, Youshi Kamo, Shigeharu Nomura, Hirofumi Chosa, Masayuki Maekawa, Yoshiaki Ueda, Fumitoshi Ihara, Ginichirou Tokuhisa
DISTRIBUTION OF NEUROPEPTIDES IN THE INFERIOR NASAL TURBINATE MUCOSA OF PATIENTS WITH ALLERGIC RHINITIS KAZUHIRO YAMAMOTO. M.D. Department of Otolaryngology, School of Medicine, Kitasato University, Sagamihara
,.,.,,.,. X Y..,,., [1].,,,.,,.. HCI,,,,,,, i
![,.,.,,.,. X Y..,,., [1].,,,.,,.. HCI,,,,,,, i](/thumbs/51/27619178.jpg ",.,.,,.,. X Y..,,., [1].,,,.,,.. HCI,,,,,,, i")
23 Experimental investigation of Natural Use Profiles of Pen Pressure, Tilt and Azimuth 1120230 2012 3 1 ,.,.,,.,. X Y..,,., [1].,,,.,,.. HCI,,,,,,, i Abstract Experimental investigation of Natural Use
日本消化器外科学会雑誌第29巻第9号
Table 1 Oligonucleotide primers used for RT-PCR and internal probes used for Southern blot hybridization Cytokine Primer Sequence (5'-3') 5' 3' Internal probe s' 3' Internal probe 5' 3' Internal probe
56 pp , 2005 * ******* *** ** CA CAMA
Title 成人知的障害者の加齢に伴う外観的変化に関する研究 : 知的障害者用外観的老化微候測定法を用いた検討 Author(s) 春日井, 宏彰 ; 菅野, 敦 ; 橋本, 創一 ; 桜井, 和典 ; 片瀬, Citation 東京学芸大学紀要. 第 1 部門, 教育科学, 56: 415-425 Issue Date 2005-03-00 URL http://hdl.handle.net/2309/2097
Sport and the Media: The Close Relationship between Sport and Broadcasting SUDO, Haruo1) Abstract This report tries to demonstrate the relationship be
Sport and the Media: The Close Relationship between Sport and Broadcasting SUDO, Haruo1) Abstract This report tries to demonstrate the relationship between broadcasting and sport (major sport and professional
„h‹¤.05.07
Japanese Civilian Control in the Cold War Era Takeo MIYAMOTO In European and American democratic countries, the predominance of politics over military, i.e. civilian control, has been assumed as an axiom.
25 Removal of the fricative sounds that occur in the electronic stethoscope
25 Removal of the fricative sounds that occur in the electronic stethoscope 1140311 2014 3 7 ,.,.,.,.,.,.,.,,.,.,.,.,,. i Abstract Removal of the fricative sounds that occur in the electronic stethoscope
1) i) Barber, M. et al.: Brit. Med J, 2, 565, 19'49. ii) Barber, M.F.G. J. Hayhoe and J. E. M. Whithead: Lancet, 1120 `1125, 1949.-2) Bergey: Bergey's Manual of Determinative Bacteriology 7 th Ed: (1958).-3)
はじめに 転位の大きな大腿骨頚部骨折は, 高エネルギー外傷によっておこることや, 合併症の多い人におこることが多く, 治療も難しい
ORIF or Arthroplasty for Displaced Femoral Neck Fractures in Patients Younger Than 65 Years Old An Economic Decision Analysis Eric Swart, MD et al. Investigation performed at the Department of Orthopaedic
\ (1963): Recent Trends of Urban Geography in Japan A, A, A, G, 53 93^ 102 Yamaga S, & Y, Masai (1966) : Japanese Urban Geography-General View Japanese Geography 1966; Spec, Publ, No,1 Ass, Jap, Geogrs,
Attendance Demand for J-League õ Shinsuke KAWAI* and Takeo HIRATA* Abstract The purpose of this study was to clarify the variables determining the attendance in J-league matches, using the 2,699 J-league
622 3) 4 6) ) 8) , ,921 40, ) ) 10 11) ) ) ,434 43, ,18
Vol. 15 No. 2 2006 621 626 Λ1 1959 1995 2004 1959 1995 2004 7 1 2) 1 6 3) 11 Λ1 701-0193 288 E-Mail: [email protected] 621 622 3) 4 6) 8 15 7) 8) 2 2 1 1959 34 4,697 401 38,921 40,838 500 9) 9
整形外科学
1) Uchio Y, Ochi M, Fujihara A, Adachi N, Iwasa J, Sakai Y: Cryotherapy influences joint laxity and position sense of the healthy knee joint. Archives of Physical Medicine and Rehabilitation 84(1): 131-135,
WASEDA RILAS JOURNAL
27 200 WASEDA RILAS JOURNAL NO. 1 (2013. 10) WASEDA RILAS JOURNAL 28 199 29 198 WASEDA RILAS JOURNAL 30 197 31 196 WASEDA RILAS JOURNAL 32 195 1 3 12 6 23 No 1 3 0 13 3 4 3 2 7 0 5 1 6 6 3 12 0 47 23 12
環境影響評価制度をめぐる法的諸問題（4） : 米国の環境影響評価制度について
Kwansei Gakuin University Rep Title Author(s) 環 境 影 響 評 価 制 度 をめぐる 法 的 諸 問 題 (4) : 米 国 の 環 境 影 響 評 価 制 度 について Sekine, Takamichi, 関 根, 孝 道 Citation 総 合 政 策 研 究, 33: 73-103 Issue Date 2010-02-20 URL http://hdl.handle.net/10236/3583
Web Stamps 96 KJ Stamps Web Vol 8, No 1, 2004
The Journal of the Japan Academy of Nursing Administration and Policies Vol 8, No 1, pp 43 _ 57, 2004 The Literature Review of the Japanese Nurses Job Satisfaction Research Which the Stamps-Ozaki Scale
CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study
CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study VOL. 41 S 1 Table 2. Levels (Đg/ml or Đg/g) of S-1006 in serum, bile, and tissue (gallbladder) after oral administration
第６２巻 第１号 平成２４年４月／石こうを用いた木材ペレット
Bulletin of Japan Association for Fire Science and Engineering Vol. 62. No. 1 (2012) Development of Two-Dimensional Simple Simulation Model and Evaluation of Discharge Ability for Water Discharge of Firefighting
MISS Voice 4 MISt QOL (PPS) MISt MISt MISS Voice Theme #.1 Minimally Invasive Spine Stabilization: MISt 2005 MISt ADL QOL MISt MIS
Vol.4 MISt (Minimally Invasive Spine Stabilization: MISt ) MISt MISS Voice 4 MISt QOL (PPS) MISt MISt http://mist.umin.jp MISS Voice Theme #.1 Minimally Invasive Spine Stabilization: MISt 2005 MISt ADL
i
14 i ii iii iv v vi 14 13 86 13 12 28 14 16 14 15 31 (1) 13 12 28 20 (2) (3) 2 (4) (5) 14 14 50 48 3 11 11 22 14 15 10 14 20 21 20 (1) 14 (2) 14 4 (3) (4) (5) 12 12 (6) 14 15 5 6 7 8 9 10 7