正常構造と機能 - kaibashobo.co.jp

1 1 .. 1.. normal structure and function of bone .. bone .. D.. 1-1 .. 90 .. 1-1 . 3. haversian canals .. 1.. C . N . C . 1 . N . osteon haversian system . packet .. Volkmann's canals .. STEP 6. remodeling .. interstitial lamella 1 1 .. 1-7 100 . 300 . H orizontal V olkmann V ertical H aversian .. 1 .. 1 .. 1 .. 1 .. 14 15 .. 1-8 .. membranous circumferential lamellae 2 3 ossification enchondral ossification . Sharpey's fibers perfo- 2 . rating fibers haversian lamel- bone trabeculae . outer lae . circumferential lamellae inner . 8 9. X X .. 4.. 32 33.. baseball elbow . 40 50 . STEP 22.. loking . 10 .. free bodies of joint . 3 Thomsen 4.. locking .. osteochondritis 4-6 chair . dissecans of elbow .. 1 lateral epicondylitis of humerus . 4-10 4-11 .. X .. 4-10 .. Thomsen chair . 4-6 . 4-10 X 99-A-46 4-11 . 88 89.

2 DIP .. DIP. DIP DIP PIP .. PIP mallet finger .. PIP. DIP 6-17 . Kirschner .. MP .. MP 6-16 . STEP 26. 6-1 .. 6-13 . DIP PIP . PIP . DIP .. PIP Kirschner .. 6.. 6-14 .. 6-15 .. 2 MP .. PIP 6-15 6-16 6-1 X . Kirschner . 4 . PIP . DIP . buttonhole deformity . 6-14 .. DIP 6-17 . 100 101.. 7-8 7-5 . 3 . CHS compression hip screw .. 7-9 7-6 .. Kirschner .. Gamma nail type .. lag 7-6 CCHS 7-3 screw 7-7 .. X .. Ender Ender nail Ender pin . X . Ender . STEP 29. STEP 30.. 7.. 7-7 .. Ender CHS . 7-3 Kirschner . multiple pinning .. Pauwels . 7-4 X . type nonunion . delayed union .. trochanteric fractures .. 2 . 1 .. 7- 7-4 . 7 X .. late segmental collapse .. Ender . 7-8 Ender 7-5 X . 110 111. 1 p.. 180 16-4 .. 1 2 16-9 .. 16-6 16-7 .. 16-8A .. median nerve palsy . transverse arch .. 5cm . ape hand 16- 16-6 8B .. perfect O.

3 16. 3 16-8C .. 1 2 3 Volkmann O . MP 2 . tear drop sign 16-9 .. C6 C8 T1 .. 16-10 .. perfect O .. 1 2 .. A B C perfect O . 16-6 16-7 16-8 . 168 16 169. S1 S2 .. L4/L5 .. L5/S1 .. L1 L3 9-2 9-12 . L5 S2 L2 L3/L4 . L4 L2 L4 .. 9-2 .. L3 /L4 L4 . C5 C5/C6 C 5 /C 6 .. X MRI T2 L4 /L5 L5 .. 9-6 15 . L5 /S1 S1 .. L4/L5 .. L4 1 . L4 .. L5 .. L5 . L4 . S1 L5/S1 . 3 L4 9. L3 . S1 4 . L4. 9-11 5 . L5.. S1.. L4/L5 L5/S1 9 S1 . L4/L5 L4 L5.. L4/L5 L5 .. L5/S1 S1 . 9-11 .. radiculopathy S1.. 2 3 L4/L5 L5 . L5. L5/S1 S1 . 9-12 L4 L5 S1 . 242 243. 6 .. 2010 .. ACR Steinbrocker . EULAR 15-3 15-5 .. 15-4 .. 15-3 RA ACR EULAR 2010 .. 6 RA . 15.. 15-1 X . 1 0 . 15-1 Larsen 2 10 1 MP PIP . grade 0 1 3 2 . grade 4 10 3 . 1 11 1 5. grade .. grade . RF CCP 0. grade . RF CCP 2 15-4 . grade . 1994 . RF CCP 3. X . 1 3 . 2 2 . 15-2 1987 6 0.

4 3 . 1 1 6 6 1. 4 . 2 3 6 5 20mm CRP . 3 MP PIP 1 6 CRP ESR 0 6 . 4 6 CRP ESR 1 6 3 . 5 X . 6 . 7 . 15-5 Steinbrocker 1949 . 7 4 .. X . stage .. Larsen 15-1 .. grade CT MRI . grade .. X .. Sharp 15-2 . 292 15 293. onion-peel appearance Ewing Ewing sarcoma .. 20 . 2 1 .. soap-bubble appearance . 17-8 X 17-9 H-E . other tumors .. 5 X 17.. malignant fibrous 70 . histiocytoma of bone MFH .. soap-bubble appearance X . giant cell tumor of bone 17-8 .. GCT . 17-10 .. giant cell 17-9 . 10 50 . 20 . 30 .. STEP 59.. X .. X . soap-bubble appearance .. 17-10 Ewing X . 316 17 317.