ID 109562
著者
松浦, 哲也 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
エガワ, ヒロシ Department of Orthopedics, the University of Tokushima KAKEN研究者をさがす
タカハシ, ミツヒコ Department of Orthopedics, the University of Tokushima KAKEN研究者をさがす
東野, 恒作 Department of Orthopedics, the University of Tokushima KAKEN研究者をさがす
酒井, 紀典 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
鈴江, 直人 Department of Orthopedics, the University of Tokushima KAKEN研究者をさがす
浜田, 大輔 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
後東, 知宏 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
高田, 洋一郎 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
西庄, 俊彦 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
合田, 有一郎 Department of Orthopedics, the University of Tokushima
サトウ, リョウスケ Department of Orthopedics, the University of Tokushima KAKEN研究者をさがす
殿谷, 一朗 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
コンドウ, ケンジ Department of Orthopedics, the University of Tokushima
手束, 文威 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧
ミネタ, カズアキ Department of Orthopedics, the University of Tokushima
スギウラ, コウスケ Department of Orthopedics, the University of Tokushima
タケウチ, マコト Department of Orthopedics, the University of Tokushima
西良, 浩一 Department of Orthopedics, the University of Tokushima 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
elbow arthroscopy
osteochondritis dissecans
capitellum
baseball
資料タイプ
学術雑誌論文
抄録
Elbow arthroscopy has become a safe and effective treatment option for a number of elbow disorders. The most rewarding and successful indication is the removal of loose bodies. Loose bodies are often a result of osteochondritis dissecans (OCD) of the capitellum, and arthroscopy in this case is useful for performing debridement, thereby eliminating the need for a more extensive open procedure associated with complications. In this review, we describe our arthroscopic technique for OCD of the capitellum. We usually conduct arthroscopy in the supine position, and use 2.9-mm arthroscopes of 30°and 70°. The 70°arthroscope provides a greater operative field than the 30°arthroscope. Arthroscopic treatment for OCD may require 2 anterior and 2 posterior portals. Loose bodies are commonly found in the radial fossa, coronoid fossa, and in the olecranon fossa. Once the loose bodies are removed, all unstable cartilage of the capitellum lesion is removed to create a stable bed. If any sclerotic changes to the lesion bed are observed, we create microfractures in the lesion bed. The most significant complication in arthroplasty is neurovascular injury. However, we have never experienced this devastating complication, which can be avoided by paying careful attention to detail.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
61
3-4
開始ページ
233
終了ページ
240
並び順
233
発行日
2014-08
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院