両側距骨離断性骨軟骨炎の１例
スポンサーリンク
概要
- 論文の詳細を見る
We treated a rare case of bilateral osteochondritis dissecans of the talus. The patient was a 30-year-old man with periodic complaints of bilateral ankle pain after standing for long periods during a six year period. In April of 2002, there were abnormalities of both medial talar domes on radiographs and MRI. The talus on the right side was stage 2, and the left talus was stage 3 according to Bernt and Harty's classification. The right talus was grade 2, and the left talus was grade 3 according to Kumai's MRI classification. The diagnosis was bilateral osteochondritis dissecans. Arthroscopic examination found irregularity and softening in both medial talar domes. The right talus was treated by transmalleolar drilling, and the left talus was treated by fragment fixation with bioabsorbable osteosynthetic implants. After operation the patient used patellar tendon bearing braces (PTB) for two months on the right side, and for four months on the left side. The follow-up period was 15 month. The preoperative JOA score was 88 points for the right side and 76 points for the left side. The postoperative JOA score was 92 points for each sides.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
- A Follow-up Study of the Avulsion Fractures of the Tibial Tuberosity in Adolescents.
- Clinical Results of Osteosynthesis for Intracapsular Fracture of the Femoral Neck.
- The Treatment of Cervical Spondylotic Radiculopathy.
- Lumbar Disc Herniation with Dysuria.
- Magnetic Resonance Imaging of Rheumatoid Wrists.