Surgical Treatment for Dialysis Related Arthropathy in the Shoulder.

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概要

• 論文の詳細を見る

• Long-term hemodialysis related arthropathies in 10 shoulders of 8 patients were treated surgically. The pathological foci were almost all in the intertubercular sulcus where the long tendon brachii inserts and the rotator cuff attaches to the greater tuberosity of the humerus. Marked proliferation of bursae and multiple cystic bone lesions were found with amyloid deposition observed histologically in all cases.Surgical treatment such as curettage and bone grafting were quite effective and the clinical symptoms decreased dramatically after surgery. The enthesopathy induced by amyloid deposition is considered to be the main etiological pathology of the hemodialysis related arthropathy in the shoulder.

• 西日本整形・災害外科学会の論文

著者

• 塩田 悦仁

  済生会八幡病院整形外科

• 國東 芳顕

  済生会八幡総合病院整形外科

• 有薗 剛

  済生会八幡総合病院整形外科

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