| Japanese |
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| Title | 人工股関節置換術後のLooseningを起こした一症例の解析 |
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| Subtitle | 症例報告 |
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| Authors | 苅込正人*, 内山暁*, 可知謙治*, 藤本肇*, 日原敏彦*, 斉藤吉弘*, 荒木力*, 中島育昌** |
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| Authors(kana) | |
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| Organization | *山梨医科大学放射線科, **整形外科 |
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| Journal | 核医学 |
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| Volume | 25 |
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| Number | 2 |
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| Page | 157-159 |
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| Year/Month | 1988/2 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」骨シンチグラムは人工股関節置換術後に発症するlooseningの診断に有用とされている. 今回, 58歳の女性で人工股関節置換術施行後11か月頃, 左大腿部に持続する疼痛を訴えた症例に対し, 99mTc-MDPによる骨シンチグラムを施行した. 単純X線写真では異常を認めなかったのに対し, 骨シンチグラムではprosthesisのfemoral component先端に異常集積を認めた. この所見はretrospectiveに見直すとlooseningの初期のsignと考えられた. 術後24か月, X線写真によりlooseningと診断されたが, 同時期の骨シンチグラムについてX線写真の所見と比較し検討した. |
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| Practice | 臨床医学：一般 |
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| Keywords | Total hip replacement, Loosening, 99mTc-MDP bone scintigram. |
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| English |
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| Title | Analysis of a Case with Loosening after the Total Hip Replacement |
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| Subtitle | Case Report |
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| Authors | Masahito KARIKOMI*, Guio UCHIYAMA*, Kenji KACHI*, Hajime FUJIMOTO*, Toshihiko HIHARA*, Yoshihiro SAITO*, Tsutomu ARAKI*, Ikumasa NAKAJIMA** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Orthopedic Surgery, Yamanashi Medical College |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 25 |
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| Number | 2 |
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| Page | 157-159 |
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| Year/Month | 1988/2 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] A 58-year-old female complained of intermittent pain on her left thigh 11 months after the total hip replacement surgery of her left hip joint with an artificial prosthesis. While an X-ray showed no abnormality, a bone scintigram revealed an abnormal accumulation of 99mTc-MDP to the distal end of femoral prosthetic component. This finding was retrospectively thought to be the early sign of loosening. Twenty four months after the surgery, the loosening of prosthesis was diagnosed by an X-ray. Bone scintigram taken at this time was analyzed with special reference to X-ray findings. |
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| Practice | Clinical medicine |
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| Keywords | Total hip replacement, Loosening, 99mTc-MDP bone scintigram. |
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