2024-03-29T02:07:16Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016280
2022-02-22T04:45:19Z
1642838163960:1642838198944:1642838242961:1642838248639
1642838403551:1642838412624
[原著]ハブ咬傷によるIntrinsic plus 拘縮の病態と治療法
Intrinsic Plus Contracture of the Hand due to Habu snake bite
嘉陽, 宗俊
茨木, 邦夫
高良, 宏明
井上, 治
真栄城, 正治
石田, 寛友
Kayo, Munetoshi
Ibaraki, Kunio
Takara, Hiroaki
Inoue, Osamu
Maeshiro, Masaharu
Ishida, Hirotomo
open access
琉球医学会
The entity of intrinsic plus contracture of the hand was first described by Bunnell and he termed it Ischemic contracture, Local, in the hand. Though it is uncommon, we have often experienced this contracture as a sequela of Habu snake bite. During past five years, we have expeienced 20 cases 21 hands of intrinsic contracture due to Habu snake bite, Which was quite characteristic and different from due to ischemia. We concluded that degree of contracture was severe in digit which was close to bitten site and contractured digit was deviated toward bitten site. Theoretically, it is considered that complete releasing of intrinsic muscle make clawhand, and Harris emphasized transverse fibers of intrinsic muscle must be preserved. But in our experience, if the contracture is severe and passive hyper extension of M.P. joint is limited, even transverse fibers and volar capule of M.P. joint must be released.
論文
琉球大学保健学部
College of Health Sciences, University of the Ryukyus
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002016280
https://u-ryukyu.repo.nii.ac.jp/records/2016280
0285-9270
AN00250763
琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine
3
3
281
292
https://u-ryukyu.repo.nii.ac.jp/record/2016280/files/v3p281.pdf