※一部利用できない機能があります
| 1.
論文 |
論文
|
Fujita, Kenji ; Kabata, Tamon ; Kajino, Yoshitomo ; Iwai, Shintaro ; Kuroda, Kazunari ; Hasegawa, Kazuhiro ; Fujiwara, Katsuo ; Tsuchiya, Hiroyuki
概要:
Background While the Trendelenburg test has been used for 120 years to detect hip abductor muscle weakness, the methodol
…
ogy has not been standardised. Purposes This study undertook to quantitatively analyze the relation between abductor muscle activity and pelvic tilt angle in the Trendelenburg one-leg stance, examine the pitfalls associated with performing the T-test, and develop a modified method that will produce reliable results. Methods A convenience sample of 15 healthy males was asked to assume a one-leg stance in ten different postures, five with mild flexion on the unsupported side, and five with severe flexion. Trunk sway angle, pelvic tilt angle, and the pelvic on femur (POF) angle were measured for each posture. Statistical analysis was used to assess differences in hip abductor activity and public tilt angle between the control posture and the test postures. Results With minimum trunk sway, hip abductor muscle activity increases when the pelvis is elevated and decreases when it is dropped. With trunk sway toward the test side, abductor muscle activity decreased when the pelvis was elevated; with trunk sway toward the non-test side, muscle activity stayed approximately constant when the pelvis was dropped. Conclusions Based on the results we developed a modified T-test methodology that would improve reliability. This test should be performed with minimum trunk sway and severe flexion on the non-test side. The assessment of muscle weakness is based on whether the patient can keep the single-leg standing posture when forced to elevate the pelvis, not simply on the pelvic drop. In future research, we will perform the modified T-test on patients with a suspected hip abductor deficiency, and assess the usefulness of the modified test. © 2016 The Japanese Orthopaedic Association
続きを見る
|
||||
| 2.
論文 |
論文
|
Iwai, Shintaro ; Kabata, Tamon ; Maeda, Toru ; Kajino, Yoshitomo ; Ogawa, Kyo-ichi ; Kuroda, Kazunari ; Tsuchiya, Hiroyuki
概要:
We report the case of a 57-year-old woman with hyperostosis around the bilateral acetabulum associated with untreated se
…
condary hypoparathyroidism. She presented with gait disturbance and inability to walk. Radiographs showed abnormal ossification around her hips. We resected the ossifications to improve joint function. One year after surgery, radiographs showed no recurrence of ossification. When radiographs show excessive hyperostosis, it is important to exclude presence of metabolic bone disease. © Japan College of Rheumatology 2012.<br />This is the pre-peer reviewed version of the following article: [Full cite], which has been published in final form at [link to final article].
続きを見る
|
||||
| 3.
論文 |
論文
|
Kajino, Yoshitomo ; Kabata, Tamon ; Maeda, Toru ; Iwai, Shintaro ; Kuroda, Kazunari ; Tsuchiya, Hiroyuki
概要:
Although some navigation systems have been used for improvement of component positioning, there have been few reports re
…
garding cases of severe pelvic deformity. We performed a retrospective review of 25 cases of total hip arthroplasty with a computed tomography-based navigation system in patients with severe pelvic deformities and estimated acetabular component position and angle between severe deformity group and mild dysplastic group as a control. There were no significant differences in accuracy of navigation system between 2 groups in terms of 3-dimensional component position or angle. Accuracy of computed tomography-based hip navigation does not depend on the degree of pelvic deformity, and this system is also useful to identify acetabular orientation and for precise component implantation in cases of pelvic deformity. © 2012 Elsevier Inc. All rights reserved.
続きを見る
|
||||
| 4.
論文 |
論文
|
Kajino, Yoshitomo ; Kabata, Tamon ; Maeda, Toru ; Iwai, Shintaro ; Kuroda, Kazunari ; Tsuchiya, Hiroyuki
概要:
Although some navigation systems have been used for improvement of component positioning, there have been few reports re
…
garding cases of severe pelvic deformity. We performed a retrospective review of 25 cases of total hip arthroplasty with a computed tomography-based navigation system in patients with severe pelvic deformities and estimated acetabular component position and angle between severe deformity group and mild dysplastic group as a control. There were no significant differences in accuracy of navigation system between 2 groups in terms of 3-dimensional component position or angle. Accuracy of computed tomography-based hip navigation does not depend on the degree of pelvic deformity, and this system is also useful to identify acetabular orientation and for precise component implantation in cases of pelvic deformity. © 2012 Elsevier Inc.
続きを見る
|
