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Two cases of psychogenic tight hamstrings were presented.Case 1: A boy, fifteen years old, visited our clinic complaining lumbar pain and disturbance of foreward flexion of the spine. Physical examination revealed decreased foreward tilt of the pelvis with elimination of the normal lumbar lordosis and exaggerated lordosis of the lower thoracic spine. Foreward flexion of the lumbar spine was markedly limited. There was marked hamstrings spasmus and straight leg raising was almost impossible on the left and limited 30 degree on the right. Neurogenic examination was otherwise normal. Roentgenographic and laboratory studies were negative.Case 2: A boy, sixteen years old, visited our clinic complaining disturbance of foreward flexion of the spine. Physical examination disclosed decreased foreward tilt of the pelvis. Foreward bending was limited so that he could reach no lower with his finger tip than 43 centimeters from the floor. All neurological and laboratory studies were negative.The disorder of the both cases were considered psychic and consulted by two of the authors (Psychiatrist). The first case was diagnosed depressed state and the second case conversion hysteria. It was suspected that they had some problems of the family background. The disorder was improved by the psychotherapy. Some problems of the psychosomatic medicine in orthopaedic clinic were discussed.
西日本整形・災害外科学会の論文