胸腺摘出後胸郭出口症候群牽引型を呈した一症例
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- あゆみ なみこし
- 7 years ago
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1 1) nM 5 30 nm winging morley inferior stress TOS TOS 58 VAS 40 ROM MMT 3 Cuff 3 Cuff 4 TOS 82 VAS 0 ROM 175 MMT 4 3+ Cuff 3+ b 1 2part
2 PT 2part 2 stooping ex's m stooping ex's 90 stooping ex's stooping ex's ROM Anterior Path Impingement Syndrome Impingement Syndrome Posterolateral Path Impingement Posterolateral Path Impingement Impingement Anterior sign Path Impingement Sign ROM rd Position Impingement MMT MMT C-A ligament rd Position Click rd Impingement MMT nd Position Anterior Path Impingement C-A arch
3 Impingement
4 winging 82 winging (control C )52 winging winging 18 winging 12 winging (a) (b) (c) (d) (a)(b) (0,0) (x,y) (C)(d) 2) (a) student t-test C W 1) (61.6,71,8) (61.0,71.4)
5 50 (63.3,75.5)(60.5,82.7) 100 (65.7,70.8) (60.9,83.9) 150 (63.0,72.7) (61.7,83.4) 2) winging winging PCL PCL PCL PCL P 5 screw Donjoy brace setting SLR ope Screw Home movement PCL ope PCL Slipping ope JOA score
6 19 1/24 Knee ext Knee ext flex flex angle L= 1/242/ /15 PS / W+5days 13W
7 "high energy impact" osteoporosis ROM 2 2 A 2 3 B JRA TKA total knee replacement TKA 60 juvenile rheumatoid arthritis JRA TKA 2 JRA ope 0 0 ope 40 0 ope 2day 40 0 ope 1week 60 0 ope 3week ope 4week ope 6week lag5 ope 5week 90 leg ENT 12 TKA 1 compartment 1
8 MD 1 1DI compartment ( UHS) X MP PIPDIP UHS MP 1DI MP 1DI compartment 1DI compartment 1DI MP PIP DIP MP PIP DIP UHS MP 1DI overuse 1DI compartment MMT 1) 1
9 ) ) (MD) White ±3.6 B A C ) 5mm 3 70 t 5 A ±11.4% 168.0±12.6% ±12.4% 141.3±11.3% B ±14.3% 157.3±12.9% ±9.8% 144.0±12.0% C ±8.7% 136.0±9.5% ±6.4% 118.8±10.4%
10 B,,, ±65 79±32 < ±66 53±13 < r=0.666 <0.01
11 TypeA 32 TypeB 19 TypeC 9 TypeD 5 TypeE 8 TypeF TypeD EF Type TypeA TypeBTypeC Typeb TypeC TypeA TypeB TypeA TypeCTypeB TypeC Type TypeA TypeB TypeC Typeb TypeC TypeA TypeBTypeC TypeBTypeC TypeA
12 cm
13 Lauge-Hansen SER-stage 4 7 FWB kg impingement 6cm SEF PEF PAF SEF SAF SEF ( ROM) SEF MCL 1 ATFL ATFL 2 ATFL 5.8 ATFL ROMex ROM 15 ~ ROM 45~ ~ ADL 49.7
14 75 59 (1 ) (1 ) JOA 82 64~ ~ ROM ADL ROM JOA ROM MD ) Westhues Salama Bohler Excellent 23 Hawkins group
15 4 canulated screw 1 tension band wiring gyps 6 8 PTB 16 3 PTB 18 3 PTB double Klenzak 14 3 gyps ROM gyps double Klenzak PTB
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