第１５回整形外科リハビリテーション研究会
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- かずまさ ひらみね
- 7 years ago
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1 ( )
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3 30 17 Neer 3part st pull-out Th10JOA 95 7 proximal amplitude( ) distal excursion( )
4 3 Ideberg Type 150 1st 0 L4
5 Bankart KEY WORDS Bankart IGHL (MD) 1 (MD) 1 1 Bankart IGHL Bankart SLAP Stooping ex. 6 MMT 3 ROM Active 8 1 st. 12 2nd. 13 P ROM st. 352nd. 35G-H 75 MMT 4 Bankart cuff-ex. G-H IGHL C-H lig. C-H lig. C-H lig.
6 Impingement Impingement Impingement 54 Mclaughlin Drop arm test Neer sign Speeds test Matsen1990 Impingement Cyriax2005 Stage Impingement
7 MD ROM Rockwood 3 Rockwood Type ROM feedback
8 Key words OA OA ADL OA73 3 ADL THA VAS10/10 ROM(/) 110/ /100 90/130 1st 15/15 2nd 35/25 2nd 5/10 3rd 45/45 3rd -15/-20 L5 MMTinner muscle 3JOA45 ADL deltopectral 130mm 10mm Zimmer Bigliani/Flatow stem 1 ROMex 2 stooping ex outer muscle ex3 ROMexcuff Y ex ex4 ROMexinner muscle 5 VAS3/10ROM 135/ /110 90/105 1st 30 /30 2nd 50/45 2nd 10/50 3rd 40/55 3rd 0/0 120/130-10/-20 L3 L2MMTinner outer muscle 4JOA75 ADL 3 ADL ROMex imbalance ex lag ADL
9 3 1) 2) 3) CRP GH GH GH JOA score ~8
10 Passive ROM Drop arm sign()impingement sign() Cuff exercise 5 Active Active
11 ) 2 10 H Quadrilateral space QLS QLS MMT 2 MMT 4, MMT 4 QLS QLSS
12 MD MD MD key words TKA RA 60 RA30 15 TKAZimmer NexGen H X-P AO A PT PT + knee brace 7.25 knee brace off ROMex 90 0 extension lag( lag) /4 3/4PWB 9.14 FWB lag-9.22 PT 110 MMT5 T PT patella settingquick strech semi CKC CKC RA lag T
13
14 1,,,.,,. 40, H18112,,. (Ficat Type, Hohl spilit depression type) (-), 19,. -TPC, (+)., (+), VAS3/10, (+), (+). ROM, , 4.X FTA170,FTD mm. 1 PT. PT RICE,,, P-F jt.mobilization,, excursion,,. 6 1/3PWB, 1 1/2PWB, 2/3PWB,4/17 FWB. 2/3PWB, ROM kg20 2,. ROM, 0 155,lag. 5, FTA175,FTD , Patella.Hole anatomic grade :excellent, functional grade :excellent.,, PT., ROM. ROM,,,. PT ROM, 8, ROM ROM.
15 Hohl type Osferion 2 2 patella setting reverse leg raise ROM Georgiadis CKC full range
16 (MD) (MD) key words ,, (:6,:10 )., 8 8, 54.1, ; (Houl ),Local compression-6,split compression-3,bicondylar-7,,plate-13,screw-3. :8.9, :10.8, :35.9, :101.9, :51.6,Houl :excellent-9 (56.3%) good-5 (31.3%) fair-2 (12.5%),JOA:87.8, :11 (68.8) ( A ) ( B ),. ;,,,, JOAJOA.,,.,,. 5%. Statcel2. A 11,B 5.2,..A 48.4, 66.6 B. B.JOA A.JOA A 4, 7,B,5., A,B A.,., A. JOA,.,.
17 1) 1) 1) 1) MD 2) 1) 2) Lauge-Hansen SER stage off (4 24 ) 20( 25) 30( 50) 4 1/
18 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) ( ) 1) ( ) 1) 2) 1) 2) keywords 80 Weber and Danis typec Gustilo type cm ( CCS )BK ( ) ( ) /3 2 1/ ( )T ( ) H ( / ) 0/-5 40/40 T PT
19 MD MD MD KEY WORDS entrapment neuropathy entrapment neuropathy 30 X-P CCS2 alignment stability NWB ROMex off active ROMex / passive ROMex toe touch 1 1/41/23/4PWBFWB ROM / 10/40 5/25 60/70 MMT2 3 Tinel 2 8 Tinel entrapment neuropathy compartment compartment biomechanical entrapment neuropathy
20 (MD) (MD) key words 60 Hawkins type cm 58kg H Hawkins type acceptable stability B-Kcast ROM off 1/4PWB 2W FWB ROM H Hawkins Excellent ( ) 8cm 1cm rotation FDL/FHL (R/L)20/-20 50/ ROMex ROMex mobilization CKC 13 ADL :Excellent
21 1) 2) 3) 4),.,.. 60 X-p AO typeb1,gustilo type. Waber type C.,.. 12, K-wire. 4 1/3PWB, 6 1/2PWB, 8 2/3PWB, 11 FWB. 12,. 4 (SAFHS) (pain). 1 (pain, T-cane). 6 (Lt),,24,.. ROM MMT 2, 4, 3, 2, 4, 4. ( ), 105,. toe-out,,,....,,., ROMex. X-p,Lauge-Hansen pronation-external rotationper.,.,.,.,(,, 4,5 ).ROM.,. 7,,,..
22 H cm H H
23 No man s Land DIP Ope Pinning Pinning 2 ROMex OT MP 20 MP PIP DIP tenodesis action 8 TAM 38 MP PIP DIP Blocking ex HomeEx MP TAM 128 TAM Poor cm OT No Man Land HomeEx ROM MP ROM MP PIPDIP HomeEx HomeEx
24 (zone) PIP 1) 1) 1) 1) 1) 1) 1) 1) 1) MD 1) MD 1) MD 2) 1) 2) KEY WORDS PIP zone Bunnell no man s land zone 3 zone 3 PIP 70 H FDP 1/2 FDS A2 Pulley FDPFDS FDP A2 Pulley DIP MP IP H OT H PO3W Active Passive ROMPO4W Passive ROMPO8W Passive H ActivePassive ROM H Active-ROM( / ) -MP (15/65)PIP (60/85)DIP (15/45) -MP (15/70)PIP (60/80)DIP (15/50) TAM Passive-ROM(PIP ) -(60) -(60) PIP PIP PO4W PIPDIP Passive PIPDIP Passive A2 Pulley PO6W PIP PO4W IP Passive PO8W PIP 2 A2 Pulley Pulley
25 IPjt MPjtDIPjt MPjtPIPjt MPjtPIPjtDIPjt ROM TAM H18 ROM TAM ,0
26 AS AS AS AS ROM ROM AS
27 (MD) KeyWord knee in-toe out malalignment dynamic alignment 5 10 XP malalignment dynamic alignment
28 ¹) (MD)¹) (MD)¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) (MD)²) Key words 1) 2) / 2/2 Knee-in Patella X-P Q-angle(/)30/20sulcus angle 160/160 Tilting angle49/52wiberg Type ROM 0/120 MMT2pain- ( ) ROM0/75 MMT2pain- MMT 4apprehension test ober test Looseness test / ROM160/0 lag0 MMT5pain. apprehension test ober test 15 63%
29 MD MD MD key words ACL 1 ACL LCL POP ITT intactacl ACL 10cm POPLCL ITT Gardy 60 POPLCL glove suture ITT glove suture PT PT 3 cylinder cast ROM ROM 1/2PWB 11 3/4PWB 14 FWB cast off patella patella LCL ROM / 45/10 MMT 2 + Lag10 3 1/2PWB patella ROM / 150/0 MMT 5 Lag ADT() Lachman() PTcast SLR ITT cast off patella CKC infra patella tissue ROM LCLITTACLPOP cast cast off supra patella tissueinfra patella tissue
30 AO typea ROM 30 Gustilo AO A H cm screw3 screw6 H )Quad setting2) 21 3) ROM MCL 4SLR5) /4PWB 1/2PWB 2/3PWB 3/4PWB FWB PT H () H () () ROM ROM ROM ROM 150 0
31
32 50 H OPE 15 AO Locking Plate7 Plate 1/2 MP Gyps 7 15 ActivePassive 7 21 Gyps ROM-ex w Passive Dynamic PT Stretching Joint Play Mobilization Colello-Abraham 60 Colello-Abraham 2 ROM ROM
33 key words Gustilo type typea MP jt IP jt MP jt 40/80 10/30 10/50 MP jt 40/80 MP jt PIP jt DID jt 50/60 20/80 20/30 40/40 30/85 15/25 45/40 25/75 10/30 40/60 15/75 15/30 MP jt MP jt 40/70 40/ kg [ ] 18 ROM-ex 15 ROM-ex 14 [ ] STEF
34 push-up ROM Tinel sign stretching SS check LCL SS OA changerom spasm friction stress
35 T 1) T Y snow board T AO C2 3 3 kwire self exercise 4 10 ROM POL MMT 1 Sensory 25 MP JOAJOAscore 47 b b POL 11 4 kwire passive Motor Sensory 2 MP active JOA score 78 POL active POL POL 2 POL ADL 120
36
37 ) ADL 20 P 20 P 30 P 20 P 15 P 15 P (P ) VAS 87,,,, Jackson Test X-P C5/6 CT VAS 87 Jackson Test VAS 5 11 VAS 0
38 1 1) 1) 1) 2) 1) 2)
39 JT MD tightness Friberg test Thomas test Ober test SLR 30 stretch Friberg test SLR80 20 SLR30 L5/S1 Friberg Thomas test Ober test stretch mobilization relaxation SLR40 stretch Friberg test SLR80 Home ex stretch 8 hyper lodosis tightness relaxationstretch mobilization stretch L5/S1 hyper lodosis alignment hyper lodosis tightness
40 20 1) 1) 1) 1) 2) 1) 2) H Th12/L1L4/5 L3/4L5/S Posterior lumber flexibility test( PLF ) X 5L5/S 144 alignment muscle tightness Thomas testober test relaxation 14 (71 ) PLF PLF spasm spasm tightness spasm
41 60 200m L5 MRI L4/5 L5 stretching
42 MRI CT Disco priformis block block Freiberg test SLR tension sign + hypesthesia relaxation hyperloadosis 8 dynamic alignment lateral thurust 3 17 lateral thurust lateral trust
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慢性関節リウマチ患者における人工肘関節置換術後の一症例
KEY WORDS RA TEA 1 1 1 1 1 1 1 (MD) 1 (MD) 1 (MD) 1 1 52 31 RA Steinbrocker stageclass 2004.6.30 TEA Darrach 7.5 PROM-T 80 65 85(P) 30(P) 30 20(P) 45 0 MMT JOA 42 2 3 Active 5 Passive 6 ROM-T 75 75 135
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1) 11 12 14 56 13 4 3 67nM 5 30 nm winging morley inferior stress TOS TOS 58 VAS 40 ROM 100 160 MMT 3 Cuff 3 Cuff 4 TOS 82 VAS 0 ROM 175 MMT 4 3+ Cuff 3+ b 1 2part PT 2part 2 stooping ex's 2.5 1 67 2 75
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1) 1) 1) 2) 2) 2) 1) 2) 23 31.15% 23.1% () 2009 4 2011 8 65 ( ) ( ) 2 BMI (FIM ) 89 45 44 83.48 8.55 (p=0.66) 87.11 5.53 (p=0.39) 19 26 9 35 (P
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49 鞘 腱 鞘 腱 腱 腱 鞘 1 腱 鞘 鞘 腱 鞘 腱 鞘 腱 鞘 腱 MP 腱 鞘 1 MP 腱 1 IP 50 DIP PIP DIP PIP DIP 腱 腱 51 52 腿 腿 腿 腿 腿 腿 腿 腿 腿 120 130 腿 1030 腿 腿 腿 腱 ( 腿 ) 腿 腱 腿 53 腿 腿 腿 腱 * 1 腿 腿 * 1 腿 腿 腿 * 2 腿 * 2 櫛 6 * 3 * 3 腿 6 A
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臨床神経 indd
164 41 3 CTS CTS Key Words : carpal tunnel syndrome, nerve conduction study, sensory nerve action potential CTS CTS 10 1 2 CTS 1 3 4 CTS 1 Tinel Phalen Tinel CTS 1 Phalen Phalen Phalen Phalen 2 1/3 : 1
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LCP SUPERIOR CLAVICLE PLATE The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. SURGICAL TECHNIQUE LCP Superior Clavicle 2 AO Principles 4 5 6
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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
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Vol. A (9 3 Slip resistance and fatigue strength of friction type of high strength bolted connections with laser cutting holes Eiji Iwasaki, Tatsuya Yamano, Takeshi Mori ( 94-2188 163-1 ( 649-111 137-1
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福島県2012-初校.indd
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VA-LCP ANTERIOR CLAVICLE PLATE The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle SURGICAL TECHNIQUE VA-LCP Anterior 2 AO Principles 4 5 6 8 13
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TM Reverse Shoulder手術手技書
Zimmer Biomet Trabecular Metal Reverse Shoulder System Surgical Technique 1 Trabecular Metal Reverse Shoulder 22500BZX00475000 Vivacit-E 22700BZX00233000 2 Trabecular Metal Reverse Shoulder TM / / 3 3
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LCP HOOK PLATE 3.5 The simple fixation system for tension band plating SURGICAL TECHNIQUE LCP 2 AO Principles 4 5 6 18 19 20 21 イメージインテンシファイアーの操作 注意この手術手技書では器械の取り扱いに関する全ての情報を網羅していません 関連する器械の取り扱いに精通した医師による指導が推奨されます
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無印良品 2012 自転車 カタログ
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A Case of Severe Valgus Knee with Rheumatoid Arthritis Daiya HATTORI, et al. Department of Rheumatology, Aichi Medical University Abstract An RA patie
A Case of Severe Valgus Knee with Rheumatoid Arthritis Daiya HATTORI, et al. Department of Rheumatology, Aichi Medical University Abstract An RA patient with a severely valgus knee was treated with total
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