{"created":"2023-05-15T09:57:43.424331+00:00","id":1567,"links":{},"metadata":{"_buckets":{"deposit":"5eff7f03-454a-4e77-ba33-513506183032"},"_deposit":{"created_by":5,"id":"1567","owner":"5","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"1567"},"status":"published"},"_oai":{"id":"oai:miyazaki-u.repo.nii.ac.jp:00001567","sets":["72","72:30"]},"author_link":["7983","8098","8729","8097","8731","7830","8698","9899"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"341","bibliographicPageStart":"338","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"JOSKAS","bibliographic_titleLang":"en"},{"bibliographic_title":"日本関節鏡・膝・スポーツ整形外科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background : Arthroscopic decompression of a spinoglenoid notch ganglion cyst causing suprascapular nerve palsy is generally performed from the glenohumeral joint （GHJ）. However, in some patients, a ganglion is located far from the glenoid, and decompression from the GHJ is difficult. We perform decompression from the subacromial bursa （SAB）.\n Purpose : We review clinical results of arthroscopic decompression of spinoglenoid notch ganglion cysts from the SAB.\n Method : We reviewed 4 shoulders in which we performed arthroscopic decompression of spinoglenoid notch ganglion cysts from the SAB. The patients were 3 males and 1 female. The mean follow-up period was 17.8 months range : 8-33 months. Their mean age was 43.5 years （range : 36-56 years）. Preoperative symptoms were shoulder pain in 2 shoulders, muscle weakness in external rotation in 1 shoulder, and both in 1 shoulder. In 1 shoulder we performed decompression from the SAB because we could not do it from the GHJ. In 1 shoulder we performed decompression from both the GHJ and the SAB, because of multilocular cysts. In 2 shoulders we performed decompression from the SAB only. Also in 1 shoulder we added arthroscopic SLAP repair.\n Result: One year postoperatively, all cases had improved from their preoperative symptoms, and there were no recurrences observed on MRI.\n Discussion : The safety zone for decompressing the course of the suprascapular nerve from the GHJ is said to be 1 cm from the glenoid at the level of the scapular spine. Approaching from the SAB allows safer decompression at a location further from the suprascapular nerve. If a ganglion is multilocular, decompression from both the GHJ and the SAB are also performed to prevent recurrence.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"【目的】肩甲上神経麻痺を呈する棘窩切痕部ガングリオンに対する鏡視下除圧術は肩甲上腕関節(GHJ)からの除圧が主流であった. しかし,GHJから除圧が困難な症例を時に経験する.  我々はGHJからの除圧が困難な症例や多房性の症例には肩峰下滑液包(SAB)からの除圧術を行っている. 同法を紹介し成績を評価する. \n【対象と方法】2006年5月より棘窩切痕部ガングリオンに対して鏡視下除圧術を行った4肩,男性3肩,女性1肩を対象とした. 年齢は36～56歳. 平均43.5歳. 経過観察期間は8～33カ月,平均17.8カ月. 発生部位は棘上窩1肩,棘上窩2肩,棘上窩から棘下窩1肩であった. 主訴は肩痛が2肩,外旋筋力低下が1肩,肩痛と外旋筋力低下が1肩であった. 除圧は全例鏡視下に行い,GHJから行ったが除圧できずSABから行ったのが1肩,多房性でGHJとSAB双方から行ったのが1肩,SAB単独で行ったのが2肩であった. 1例に関節唇修復を追加した. \n【結果】全例,術前の症状は改善し,経過観察時のMRIで再発を認めていない. \n【考察】肩甲上神経の走行からGHJから除圧する場合のsafety zoneは肩甲棘レベルで関節窩から1cmといわれている. ガングリオンが関節窩の近位に存在する場合,GHJからと比べてSABからの除圧は神経損傷の危険性が少なくなる. また,多房性の場合SABからの除圧はGHJからと併用すれば再発の危険性も少なくなる. SABからの除圧は肩甲上神経より離れた部位での除圧が可能でより安全である.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本関節鏡・膝・スポーツ整形外科学会","subitem_publisher_language":"ja"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12467498","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18848842","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"石田, 康行","creatorNameLang":"ja"},{"creatorName":"イシダ, 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智美","creatorNameLang":"ja"}],"familyNames":[{"familyName":"﨑濱","familyNameLang":"ja"},{"familyName":"サキハマ","familyNameLang":"ja-Kana"},{"familyName":"Sakihama","familyNameLang":"en"},{"familyName":"崎濱","familyNameLang":"ja"}],"givenNames":[{"givenName":"智美","givenNameLang":"ja"},{"givenName":"トモミ","givenNameLang":"ja-Kana"},{"givenName":"Tomomi","givenNameLang":"en"},{"givenName":"智美","givenNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"9899","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-06-21"}],"displaytype":"detail","filename":"3156.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3156.pdf","url":"https://miyazaki-u.repo.nii.ac.jp/record/1567/files/3156.pdf"},"version_id":"7d7bf287-b566-4ed6-ba6f-7297444a0765"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"鏡視下除圧術, 肩甲上神経麻痺, ガングリオン","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"arthroscopic decompression, suprascapular nerve palsy, ganglion","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"棘窩切痕部ガングリオンに対する肩峰下滑液包からの鏡視下除圧術の短期成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"棘窩切痕部ガングリオンに対する肩峰下滑液包からの鏡視下除圧術の短期成績","subitem_title_language":"ja"},{"subitem_title":"The short term results of arthroscopic decompression of spinoglenoid notch ganglion cysts from the subacrominal bursa","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"5","path":["72","30"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-02-10"},"publish_date":"2011-02-10","publish_status":"0","recid":"1567","relation_version_is_last":true,"title":["棘窩切痕部ガングリオンに対する肩峰下滑液包からの鏡視下除圧術の短期成績"],"weko_creator_id":"5","weko_shared_id":2},"updated":"2025-01-07T04:47:57.036718+00:00"}