アブストラクト
Title | 肩・肘の人工関節置換術 |
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Subtitle | 特集 変形性関節症の最新の治療戦略 II 各論 人工関節置換術 |
Authors | 見目智紀1,2 |
Authors (kana) | |
Organization | 1.北里大学病院リハビリテーション科, 2.北里大学医学部整形外科学 |
Journal | 関節外科 |
Volume | 42 |
Number | suppl-2 |
Page | 171-177 |
Year/Month | 2023 / 10 |
Article | 報告 |
Publisher | メジカルビュー社 |
Abstract | 「Point」●欧米と比べわが国では変形性肩関節症は少ないが, 2014年腱板断裂症性肩関節症に対するリバース型人工肩関節置換術(reverse shoulder arthroplasty;RSA)の導入により, 人工関節の症例が増えている. ●解剖学的人工肩関節とRSAの判断基準は年齢, 腱板断裂の有無, そして肩甲骨関節窩の変形によって決まる. ●RSAは良好な成績が得られるが, 腱板付着部を切断する術式であり, 肩関節治療の最終手段の位置付けであることを認識すべきである. ●変形性肘関節に対する人工肘関節置換術の適応は, 肩関節よりもさらに少ない. ●人工肘関節置換術では, 軟部組織バランス, 上腕三頭筋機能不全, 尺骨神経障害に注意すべきである. |
Practice | 臨床医学:外科系 |
Keywords | 変形性関節症(osteoarthritis), 腱板断裂症性肩関節症(cuff tear arthropathy), 人工肩関節置換術(total shoulder arthroplasty), リバース型人工肩関節置換術(reverse shoulder arthroplasty;RSA), 人工肘関節置換術(total elbow arthroplasty) |
- 全文ダウンロード: 従量制、基本料金制の方共に1,243円(税込) です。
参考文献
- 1) Kobayashi T, Takagishi K, Shitara H, et al. Prevalence of and risk factors for shoulder osteoarthritis in Japanese middle-aged and elderly populations. J Shoulder Elbow Surg 2014 ; 23 : 613-9.
- 2) Nakagawa Y, Hyakuna K, Otani S, et al. Epidemiologic study of glenohumeral osteoarthritis with plain radiography. J Shoulder Elbow Surg 1999 ; 8 : 580-4.
- 3) Takagishi K, Shitara H, Kobayashi T, et al. Risk factor for shoul-der osteoarthritis with rotator cuff tear in the elderly popula-tion. J Shoulder Elbow Surg 2022 ; 31 : 2562-9.
- 4) Ogawa K, Yoshida A, Ikegami H, et al. Osteoarthritis in shoul-ders with traumatic anterior instability : preoperative survey using radiography and computed tomography. J Shoulder Elbow Surg 2006 ; 15 : 23-9.
- 5) Muneshige K, Kenmoku T, Uchida K, et al. Mild inflammation persists in the glenohumeral joint of patients with shoulder instability : Cross-sectional study. Osteoarthr Cartil Open 2022 ; 4 : 100241.
残りの15件を表示する
- 6) Levy DM, Abrams GD, Harris JD, et al. Rotator cuff tears after total shoulder arthroplasty in primary osteoarthritis : A sys-tematic review. Int J Shoulder Surg 2016 ; 10 : 78-84.
- 7) Boileau P, Watkinson DJ, Hatzidakis AM, et al. Grammont reverse prosthesis : Design, rationale, and biomechanics. J Shoulder Elb Surg 2005 ; 14 : S147-61.
- 8) Liu H, Huang T, Yu H, et al. Total shoulder arthroplasty versus reverse shoulder arthroplasty : Outcome comparison in osteo-arthritis with or without concurrent rotator cuff deficiency. Medicine(Baltimore) 2022 ; 101 : e29896.
- 9) リバース型人工肩関節全置換術ガイドライン2023改定.
- 10) 吉岡千佳, 末永直樹, 大泉尚美, ほか. 70歳以上の腱板断裂小性関節症に対する小径人工骨頭置換術の 10 年以上成績. 肩関節 2021 ; 45 : 118-21.
- 11) Bercik MJ, Kruse K 2nd, Yalizis M, et al. A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg 2016 ; 25 : 1601-6.
- 12) Walch G, Moraga C, Young A, et al. Results off anatomic non-constrained prosthesis in primary osteoarthritis with biconcave glenoid. J Shoulder Elbow Surg 2012 ; 21 : 1526-633.
- 13) Franklin JL, Barrett WP, Jackins SE, et al. Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff defi-ciency. J Arthroplasty 1988 ; 3 : 39-46.
- 14) Heifner JJ, Kumar AD, Wagner ER. Glenohumeral osteoarthritis with intact rotator cuff treated with reverse shoulder arthro-plasty : a systematic review. J Shoulder Elbow Surg 2021 ; 30 : 2895-903.
- 15) Kirsch JM, Puzzitiello RN, Swanson D, et al. Outcomes after ana-tomic and reverse shoulder arthroplasty for the treatment of glenohumeral osteoarthritis : A propensity score-matched anal-ysis. J Bone Joint Surg Am 2022 ; 104 : 1362-9.
- 16) Gramstad GD, Galatz LM. Management of elbow osteoarthritis. J Bone Joint Surg Am 2006 ; 88 : 421-30.
- 17) O'Driscoll SW, Blonna D. Osteocapsular arthroplasty of the elbow : surgical technique. JBJS Essent Surg Tech 2013 ; 3 : e15.
- 18) Kozak TK, Adams RA, Morrey BF. Total elbow arthroplasty in primary osteoarthritis of the elbow. J Arthroplasty 1998 ; 13 : 837-42.
- 19) Gramstad GD, Galatz LM. Management of elbow osteoarthritis. J Bone Joint Surg Am 2006 ; 88 : 421-30.
- 20) Martinez-Catalan N, Sanchez-Sotelo J. Primary elbow osteoar-thritis : evaluation and management. J Clin Orthop Trauma 2021 ; 19 : 67-74.