镜视下桡骨茎状突起切除术-j-stage.pdfVIP

日関外 誌,XIV,(1),029～033,1995. 29 鏡視下橈骨茎状突起切除術 名古屋大学分院 整形外科 今枝 敏彦,中 村 蓼吾,角 田 賢二 中尾 悦宏 岐阜県立多治見病院 整形外科 渡辺健太郎 Arthroscopic Radial Styloidectomy Toshihiko IMAEDA et al. Department of Orthopedic Surgery, Branch Hospitalof NagoyaUniversity, Schoolof Medicine Abstract Arthroscopic radial styloidectomy was devised and applied to six patients, four of which were evaluated following the procedure. One was diagnosed as osteochondritis dissecance of the radial styloid. The remaining three were diagnosed as established scaphoid non-union which had scapholunate advanced collapse (SLAC) arthritis. After the procedure, only one patient, who had arthritic change in the radiocarpal joint, complained of pain in activity of daily life. Grip strength increased, but we did not observe any postoperative improvement in range of motion of the wrist. Therefore, arthroscopic radial styloidectomy provided pa- tients with satisfactory results and relieved pain. や手関節 の不安定性 を起 こす危険性があると考 は じめ に えられてい る4)。そのため,わ れわれは鏡視下 橈骨茎状突起切除術 は橈骨茎状突起 と舟状骨 に橈骨茎状突起切除術 を考案 し,手関節障害に の間のimpingeあるいは関節症 に対 して広 く行わ 適応 したので,そ の手技 と治療成績 について報 れてい る。 しか し従来法は橈側手根靭帯の損傷 告す る。 key words: wrist, arthroscopy, radial styloidectomy (受理1994,12.10) 30 表1鏡 視下橈骨茎状突起切除術の臨床結果 /:術前/術後 *:正確 な可動域の記録無 し ,しかし術前可動域は左右差無 し