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Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players (思春期野球選手の上腕骨小頭離断性骨軟骨炎に対する骨釘移植術の成績). 信州大学, 2019, 博士論文.", "subitem_description_type": "Other"}]}, "item_14_dissertation_number_7": {"attribute_name": "学位授与番号", "attribute_value_mlt": [{"subitem_dissertationnumber": "13601乙第1235号"}]}, "item_14_link_74": {"attribute_name": "WoS", "attribute_value_mlt": [{"subitem_link_text": "Web of Science", "subitem_link_url": "http://gateway.isiknowledge.com/gateway/Gateway.cgi?\u0026GWVersion=2\u0026SrcAuth=ShinshuUniv\u0026SrcApp=ShinshuUniv\u0026DestLinkType=FullRecord\u0026DestApp=WOS\u0026KeyUT=000389905400020"}]}, "item_14_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州大学"}]}, "item_14_relation_54": {"attribute_name": "PubMed", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "27514737"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://pubmed.ncbi.nlm.nih.gov/27514737/", "subitem_relation_type_select": "PMID"}}]}, "item_14_relation_55": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "10.1177/0363546516658038"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1177/0363546516658038", "subitem_relation_type_select": "DOI"}}]}, "item_14_rights_69": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "Oshiba H, Itsubo T, Ikegami S, Nakamura K, Uchiyama S, Kato H. Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players. Am J Sports Med. 44(12):3171-3178. Copyright © 2016 SAGE Publications. DOI: 10.1177/0363546516658038"}]}, "item_14_select_71": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "ETD"}]}, "item_14_text_11": {"attribute_name": "学位の区分", "attribute_value_mlt": [{"subitem_text_value": "doctoral"}]}, "item_14_text_12": {"attribute_name": "学位の分野", "attribute_value_mlt": [{"subitem_text_value": "医学"}]}, "item_14_text_13": {"attribute_name": "学位の報告番号", "attribute_value_mlt": [{"subitem_text_value": "乙第1235号"}]}, "item_14_text_76": {"attribute_name": "wosonly authkey", "attribute_value_mlt": [{"subitem_text_value": "elbow; baseball; pediatric sports medicine; osteochondritis dissecans; humeral capitellum; bone peg"}]}, "item_14_text_77": {"attribute_name": "wosonly keywords", "attribute_value_mlt": [{"subitem_text_value": "HUMERAL CAPITELLUM; ARTHROSCOPIC TREATMENT; FRAGMENT FIXATION; FOLLOW-UP; ELBOW; KNEE; PINS"}]}, "item_14_textarea_75": {"attribute_name": "wosonly abstract", "attribute_value_mlt": [{"subitem_textarea_value": "Background: Bone peg grafting (BPG) has been advocated for early-stage humeral capitellar osteochondritis dissecans (COCD). However, the clinical and radiological results of BPG, along with its indications, have not been described in detail. Hypothesis: COCD classified as International Cartilage Repair Society (ICRS) osteochondritis dissecans (OCD) I or II in adolescent baseball players can be treated successfully by BPG. Study Design: Case series; Level of evidence, 4 Methods: Eleven male baseball players (age range at surgery, 13-16 years) who underwent BPG for COCD were enrolled in this study. No improvement had been seen in any patient after 6 months of preoperative nonthrowing observation. During surgery, 2 to 5 bone pegs were inserted into the COCD lesion after confirmation of lesion stability to the bony floor. All patients were directly evaluated at 12 and 24 months after surgery by physical findings, radiological prognosis, and magnetic resonance imaging (MRI). Results: Of the 11 patients, 10 could return to comparable baseball ability levels within 12 months. The Timmerman-Andrews score improved significantly from a mean SD of 171.8 +/- 12.1 preoperatively to 192.3 +/- 6.5 at the final observation. Radiological healing of the lesions was determined as complete in 8 patients and partial in 3. Patients possessing a centrally positioned lesion or a lesion \u003c75% of the size of the capitellum tended most strongly to achieve complete radiological healing, while growth plate status appeared unrelated to outcome. The mean Henderson MRI score improved from 6.3 +/- 1.5 to 4.8 +/- 1.6 at 12 and 24 months after BPG, respectively. MRI findings also suggested that remodeling of COCD lesions had continued to up to 24 months postoperatively. Conclusion: BPG enabled 91% of COCD patients with ICRS OCD I or II to return to preoperative baseball abilities within 12 months. Integration of the grafted site may continue until at least 24 months postoperatively. 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Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players (思春期野球選手の上腕骨小頭離断性骨軟骨炎に対する骨釘移植術の成績)
http://hdl.handle.net/10091/00022185
http://hdl.handle.net/10091/000221856ae767fc-f6cf-4816-a892-bcc710dc3c88
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審査結果の要旨 (156.3 kB)
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博士論文の全文 (404.2 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2020-06-15 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players (思春期野球選手の上腕骨小頭離断性骨軟骨炎に対する骨釘移植術の成績) | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_db06 | |||||
タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
大柴, 弘行
× 大柴, 弘行 |
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出版者 | ||||||
出版者 | 信州大学 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 大柴 弘行. Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players (思春期野球選手の上腕骨小頭離断性骨軟骨炎に対する骨釘移植術の成績). 信州大学, 2019, 博士論文. | |||||
書誌情報 |
発行日 2019-10-02 |
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学位授与番号 | ||||||
学位授与番号 | 13601乙第1235号 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2019-10-02 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 13601 | |||||
学位授与機関名 | 信州大学(Shinshu university) | |||||
学位の区分 | ||||||
doctoral | ||||||
学位の分野 | ||||||
医学 | ||||||
学位の報告番号 | ||||||
乙第1235号 | ||||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 雑誌に発表。AMERICAN JOURNAL OF SPORTS MEDICINE. 44(12):3171-3178 (2016); doi:10.1177/0363546516658038. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Thesis | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/27514737/ | |||||
関連名称 | 27514737 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1177/0363546516658038 | |||||
関連名称 | 10.1177/0363546516658038 | |||||
権利 | ||||||
権利情報 | Oshiba H, Itsubo T, Ikegami S, Nakamura K, Uchiyama S, Kato H. Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players. Am J Sports Med. 44(12):3171-3178. Copyright © 2016 SAGE Publications. DOI: 10.1177/0363546516658038 | |||||
出版タイプ | ||||||
出版タイプ | NA | |||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||
WoS | ||||||
Web of Science | ||||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000389905400020 |