アブストラクト
Japanese
Title | サッカー選手に対する膝半月板手術症例の特徴と競技復帰について |
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Subtitle | 原著 |
Authors | 鈴木伸芳*1,2, 大西慎太郎*1,2,3, 中尾吉孝*1,3, 松本彰生*1, 山口基*1 |
Authors (kana) | |
Organization | *1明和病院, *2兵庫医科大学病院, *3兵庫医科大学大学院 |
Journal | 日本臨床スポーツ医学会誌 |
Volume | 31 |
Number | 1 |
Page | 197-202 |
Year/Month | 2023 / |
Article | 原著 |
Publisher | 日本臨床スポーツ医学会 |
Abstract | 〔要旨〕半月板損傷はサッカー選手に多い外傷の1つであり, しばしば外科的治療が行われる. 今回, 我々はサッカー選手の単独半月板損傷に対して手術加療を行った症例の術後成績について報告する. 対象は, 2013年1月から2018年12月の間に当院で関節鏡手術を行ったサッカー選手の中で, 前十字靭帯損傷合併症例と外側円板状半月板症例を除いた膝半月板単独損傷32例33膝である. 全例男性で年齢は平均19.1歳(13〜46歳)であった. 内側半月板損傷が10膝, 外側半月板損傷が23膝で, 内側半月板損傷は1例の後節水平断裂を除いてすべて前節から中節のバケツ柄状断裂(縦断裂)であり, 全例に縫合術を施行した. 外側半月板損傷は, 前中節の弁状断裂6膝に対しては部分切除術を, 残り17膝には縫合術を実施した. 術後競技復帰は半月板部分切除術例で平均4.3ヶ月であったのに対して, 縫合術を行った症例では6.2ヶ月であった. 再手術を要した症例はなかったが, 活動性があがる術後3ヶ月以降に関節水腫が出現する症例を4例に認めた(12.1%). サッカー選手では他の競技に比べて内側, 外側共に前中節の損傷が多いのが特徴であり, 術後成績は比較的良好であった. |
Practice | 臨床医学:外科系 |
Keywords | meniscus, sports injury, soccer, 半月板損傷, スポーツ外傷, サッカー |
English
Title | Return to play after meniscal surgery in soccer players |
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Subtitle | |
Authors | Suzuki, N.*1,2, Onishi, S.*1,2,3, Nakao, Y.*1,3, Matsumoto, A.*1, Yamaguchi, M.*1 |
Authors (kana) | |
Organization | *1Meiwa Hospital, *2Hyogo College of Medicine, *3Graduate School of Hyogo College of Medicine |
Journal | Japanese Journal of Clinical Sports Medicine |
Volume | 31 |
Number | 1 |
Page | 197-202 |
Year/Month | 2023 / |
Article | Original article |
Publisher | Japanese Society of Clinical Sports Medicine |
Abstract | [Abstract] Meniscal injury is a common sports-related injury. Although numerous studies about meniscal injury have been reported, only a few studies have been conducted on meniscal injury in soccer players. This study was intended to evaluate the clinical outcomes after meniscal surgery in soccer players. This was a retrospective study on 33 knees of 32 soccer players who underwent arthroscopic meniscal surgery. All patients were men with a mean age of 19.1 years at the time of surgery. Medial and lateral meniscal injuries were diagnosed in 10 and 23 knees, respectively. The type of medial meniscal injury was a bucket-handle tear from the anterior horn to mid-portion in 9 cases, and a horizontal tear at the posterior horn in one case. Lateral meniscal tears were flap tears in the anterior horn to midbody in 6 cases who underwent partial meniscectomy, while meniscal repair was performed in the remaining cases (17 knees), with or without partial meniscectomy of the lateral meniscus. In terms of return to play, patients who underwent partial meniscectomy and meniscal repair needed 4.3 and 6.2 months, respectively. The present study demonstrated that longitudinal tears of the anterior horn of the medial and the lateral meniscus are a frequent type of injury. All patients could return to play and meniscal surgery yielded satisfactory outcomes in soccer players. |
Practice | Clinical surgery |
Keywords | meniscus, sports injury, soccer |
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残りの13件を表示する
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