J Jpn Soc Surg Hand 29 6 833-8362013

Humpback deformity

Humpback deformity
1,2ICSRA
I V 15
Mayo Wrist score MWSRadio Lunate angle RLA
Carpal Height Ratio CHRVisual Analog Scale VAS

I 3 20V 1 6.7 I 14.8

V 10.8 RLACHRMWSVAS

1)

2005 6

dorsal apex of ridge humpback

deformity
1,2ICSRA
2)

2 2005 I
2005
2 15 V
I 4V 4
I 4V 6I 5V 2
I 2V 3

CT
Vf Df
MWSVAS
RLA CHR
2
t-testWilcoxon signed-rank test
I 17.7 V 10.0
V
MWSVAS

RLA V
DISI CHR
1
I

3)

CT
8.7mm5mm~14mm 1
V
K

1,2ICS-

2012/12/24
606-8507
153

834

1 29

1,2ICSRA

RA
1,2ICSRA

CT
9.7mm4mm~15mm
2 2

I 4 V 7
K
Herbert bone screwI 7V
6Acutrack screw I 1V 1 DTJ screw I 6
V 8

I 8012/15
V 9314/15 I

14.8 V 10.8
MWSVAS

RLACHR 2
K I 2
V 1

1991
Zaidemberg
proximal type
4)
humpback deformity

2005

154

835

2 19

1
1 60
humpback deformity
5
OA

10.8 9

14.8 12

36

155

836

5)6)7)
Humpback deformity

K
DISI

1,2ICSRA
8)

Humpback deformity

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2 Oka OK, et al. Patterns of bone defect in scaphoid nonunion: A 3-dimensional and quantitative analysis. J Hand
Surg Am 30: 359-365, 2005.
3 Taleinsic TJ, et al. The Wrist. 1. New York. Churchill
Livingstone. pp 728-729, 1985.
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a systematic review of 147 publications including 5,246
cases of scaphoid nonunion. Acta Orthop Scand 75: 618629, 2004.
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1,2-Intercompatmental Supraretinacular Artery Pedicled
Vascularized Bone Grafting of Scaphoid Nonunion. J
Hand Surg Am 31: 387-396, 2006.
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of the Scaphoid. J Bone Joint Surg Br 81: 48-52, 1999.
8 Thanapong TW, et al. The Detailed Anatomy of the

156

1,2Intercompartmental Supraretinacular Artery for Vascularized Bone Grafting. J Hand Surg Am 33: 168-174,
2008.