A Survey on the Bone and Joint Complications with Heamodialysis in Nagasaki City.

概要

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A number of 341 patients who are under Haemodialysis (HD) in Nagasaki City were interviewed in person by a single observer with the use of sequence questioning concerning the bone and joint complaints complicated with HD such as pain at rest (PR) as well as in motion (PM), restricted range of motion (ROM) of joints, carpal tunnel syndrome (CTS) and pathological fracture (PF).The number of affected patients with PR, PM, restricted ROM and CTS were 127 (37.2%), 150 (44.0%), 61 (17.9%) and 86 (25.2%) respectively. The joints involved with PR and PM in order of frequency were the shoulder, knee and low back, and the common joints with restricted ROM were the knee, shoulder and fingers in this order, more than half of which were bilaterally. Twenty-six (7.2%) patients had PF and the most common sites of which were rib and metatarsal bone. The incidence of all these complications revealed that the age of patient was not significant, however, the trends appeared to correlate with the duration of HD.
西日本整形・災害外科学会の論文