整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
成人に発生した両側上腕骨小頭骨壊死と思われる1例
深水 優副島 修緑川 孝二内藤 正俊塩田 悦仁
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キーワード: 上腕骨小頭, 骨壊死, 透亮像
ジャーナル フリー

2001 年 50 巻 2 号 p. 467-470

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This report describes a case of bilateral osteonecrosis of the humeral capitellum in an adult patient.
A 23-year-old male complaining of right elbow pain visited to our hospital in August 1999 several weeks after a slight elbow injury.
Roentgenograms of his right elbow demonstrated a radiolucent area in the right humeral capitellum and irregular subcortical bone. The same findings were present in his left elbow.
He was treated conservatively for about three months but the condition of his right elbow deteriorated. Upon admission, he underwent continuous epidural anesthesia, physical therapy, arthroscopy of the elbow joint and bone peg grafting.
At four months after the operation, the patient had good elbow mobility and was free from elbow pain.
Careful follow-up is required to prevent the reccurence of the pain.

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