Biomechanical study of distal radioulnar joint ballottement test.

• 資料種別: 博士論文
• タイトル: Biomechanical study of distal radioulnar joint ballottement test.
• 著者・編者: Onishi, Tadanobu; Omokawa, Shohei; Iida, Akio; Nakanishi, Yasuaki; Kira, Tsutomu; Moritomo, Hisao; Ruxasagluwang, Sompob; Kraisarin, Jirchart; Shimizu, Takamasa; Tanaka, Yasuhito
• 著者標目: Onishi, Tadanobu; Omokawa, Shohei; Iida, Akio; Nakanishi, Yasuaki; Kira, Tsutomu; Moritomo, Hisao; Ruxasagluwang, Sompob; Kraisarin, Jirchart; Shimizu, Takamasa; Tanaka, Yasuhito
• 出版事項: Wiley
• 出版年月日等: 2017-05
• 出版年（W3CDTF）: 2017-05
• 並列タイトル等: 遠位橈尺関節バロットメントテストの生体力学的研究
• タイトル（掲載誌）: Journal of orthopaedic research
• 巻号年月日等（掲載誌）: 35 5
• 掲載巻: 35
• 掲載号: 5
• 掲載ページ: 1123-1127
• ISSN（掲載誌）: ISSN : 0736-0266
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2018-06-27
• 報告番号: 甲第686号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: biomechanics; distal radioulnar joint; ballottement test; human cadaver
• 対象利用者: 一般
• 一般注記: type:Thesis; We investigated the reliability and accuracy of the distal radioulnar joint (DRUJ) ballottement test using five fresh-frozen cadaver specimens in triangular fibrocartilage complex (TFCC)-intact, and TFCC-sectioned wrists. The humerus and proximal ulna were fixed. The ulna was allowed to translate in dorsopalmar directions without rotation, and the radius was allowed to move freely. Four sensors of a magnetic tracking system were attached to the radius and ulna, and the nails of each examiner's thumbs. Five examiners conducted the DRUJ ballottement test before and after TFCC sectioning. We used two techniques: With holding and without holding the carpal bones to the radius (holding and non-holding tests, respectively). We compared the magnitudes of bone-to-bone (absolute DRUJ) movement with that of the examiner's nail-to-nail (relative DRUJ) movement. The intrarater intraclass correlation coefficients (ICCs) were 0.92 (holding) and 0.94 (non-holding). The interrater ICCs were 0.84 (holding) and 0.75 (non-holding). Magnitudes of absolute and relative movements averaged 11.5 and 11.8 mm, respectively (p < 0.05). Before TFCC sectioning, the DRUJ movement during the holding and non-holding techniques averaged 9.8 and 10.8 mm, respectively (p < 0.05). The increase in DRUJ movement after TFCC sectioning was greater with the holding technique (average 2.3 mm) than with the non-holding technique (average 1.6 mm). The DRUJ ballottement test with magnetic markers is relatively accurate and reliable for detecting unstable joints. We recommend the holding technique for assessing DRUJ instability in clinical practice.; 博士（医学）・甲第686号・平成30年6月27日; © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.; This is the pre-peer reviewed version of the following article: [https://onlinelibrary.wiley.com/doi/full/10.1002/jor.23355], which has been published in final form at [http://dx.doi.org/10.1002/jor.23355]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.; identifier:Journal of orthopaedic research Vol.35 No.5 p.1123-1127 (2017 May); identifier:07360266; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3455; identifier:Journal of orthopaedic research, 35(5): 1123-1127
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1002/jor.23355
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3455/1/01%e7%94%b2686%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3455/2/02%e7%94%b2686%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3455/3/03%e7%94%b2686%e6%9c%ac%e6%96%87.pdf fulltext