Treatment of Panner's Disease; A Report of Two Cases

DOI
  • Isozaki Yuichi
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Furuya Kanji
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Yagi Toshio
    Department of Orthopedic Surgery, Showa University School of Medicine
  • Shiga Kento
    Department of Orthopedic Surgery, Showa University School of Medicine
  • Horike Yoichi
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital
  • Tsukihashi Isso
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital
  • Okada Hiroki
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital
  • Matsuhisa Takayuki
    Department of Orthopedic Surgery, Japan Community Health care Organization Sagamino Hospital
  • Tsutsui Hiroaki
    Showa University Research Institute for Sport and Exercise Sciences Department of Orthopedic Surgery, Showa University School of Medicine
  • Nishinaka Naoya
    Department of Orthopedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences Showa University Graduate School of Health Sciences

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Other Title
  • Panner病2例の治療経験

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Abstract

【はじめに】Panner病は上腕骨小頭（以下小頭）の無腐性壊死で離断性骨軟骨炎（以下OCD）との鑑別を要する．Panner病を2例経験したので文献的な考察を加えて報告する．<BR>【症例1】9歳男児．野球肘検診で右肘OCDを指摘され受診．症状はなく，年齢，画像よりPanner病と診断．肘に負担のかかる行為を禁止し，約5か月で修復傾向を認めたため投球を再開．最終観察時，症状はなく修復は良好である．<BR>【症例2】7歳男児．空手の突き後に左肘痛が出現し受診．年齢，画像よりPanner病を念頭に安静加療を開始し，経過よりPanner病と診断した．約6か月で修復傾向を認め，最終観察時は症状もなく，修復は良好である．<BR>【考察】Panner病はOCDより発症年齢が低い．病変は小頭の一部から全体に拡大し，小頭全体が変形する．小児の肘疾患を診察する際はPanner病も念頭に置く必要がある．

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