{"id":10955,"date":"2018-11-28T12:14:11","date_gmt":"2018-11-28T03:14:11","guid":{"rendered":"https:\/\/koto-orthopaedics.com\/?p=10955"},"modified":"2025-01-24T01:20:02","modified_gmt":"2025-01-24T01:20:02","slug":"dupuytran-contracture","status":"publish","type":"post","link":"https:\/\/koto-orthopaedics.com\/cms\/dupuytran-contracture\/","title":{"rendered":"\u30c7\u30e5\u30d7\u30a4\u30c8\u30e9\u30f3\u62d8\u7e2e\uff08\u3070\u306d\u6307\u3068\u601d\u3063\u3066\u3044\u305f\u3089\u3001 \u3060\u3093\u3060\u3093\u6307\u304c\u66f2\u304c\u3063\u3066\u623b\u3089\u306a\u3044\uff01\uff09"},"content":{"rendered":"\n<p class=\"has-text-align-center wp-block-paragraph\">\u6307\u304c\u56fa\u307e\u3063\u305f\u304b\u306e\u3088\u3046\u306b\u306a\u3063\u3066\u3001\u52d5\u304b\u3057\u8f9b\u304f\u306a\u308a\u3001\u624b\u306e\u3072\u3089\u306e\u3042\u305f\u308a\u306b\u306f\u76ae\u819a\u304c\u3072\u304d\u3064\u308c\u3066\u3001<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u7624\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3067\u304d\u308b\u75be\u60a3\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u898b\u3001\u8171\u9798\u708e\u306e\u3088\u3046\u306b\u3082\u601d\u3048\u307e\u3059\u304c\u3001\u5b9f\u306f\u5168\u304f\u9055\u3046\u75c5\u6c17\u306a\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u75be\u60a3\u3092\u300c\u30c7\u30e5\u30d7\u30a4\u30c8\u30e9\u30f3\u62d8\u7e2e\u300d\u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304b\u306a\u304b\u805e\u304d\u306a\u308c\u306a\u3044\u75be\u60a3\u540d\u3067\u3059\u304c\u3001\u3053\u306e\u30da\u30fc\u30b8\u3067\u3069\u3046\u3044\u3063\u305f\u75c5\u6c17\u306a\u306e\u304b\u8aac\u660e\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren42.gif\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u4e0a\u306e\u5199\u771f\u306f\u3001\u5f53\u9662\u306b\u6765\u3089\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u5b9f\u969b\u306e\u624b\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e2d\u6307\u3068\u5c0f\u6307\u306e\u8171\u304c\u6d6e\u304d\u51fa\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u306f\u3042\u3048\u3066\u6d6e\u304d\u7acb\u305f\u305b\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001<br>\u305d\u306e\u3088\u3046\u306a\u5f62\u3067\u56fa\u307e\u3063\u3066\u3057\u307e\u3044\u3001\u5b8c\u5168\u306b\u6307\u304c\u4f38\u3070\u305b\u306a\u3044\u72b6\u614b\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u5165\u308a\u4e71\u308c\u308b\u3088\u3046\u306b\u3001\u624b\u3072\u3089\u306e\u3059\u3050\u4e0b\u306e\u7d44\u7e54\u304c\u80a5\u539a\u3057\u3066\u3044\u307e\u3059\u304c\u3001<br>1\u672c\u306e\u6307\u3060\u3051\u3067\u8003\u3048\u3066\u307f\u308b\u3068\u3001\u8171\u3084\u8171\u9798\u306f\u6b63\u5e38\u3067\u3001\u305d\u306e\u5468\u56f2\u306b\u3042\u308b\u7d44\u7e54\u304c\u80a5\u539a\u3057\u3001\u7652\u7740\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u72b6\u614b\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u308c\u304c\u76ae\u819a\u306e\u4e0b\u3067\u3001\u7d22\u72b6\u7269\u3068\u3057\u3066\u3075\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7f79\u60a3\u6307\u3067\u591a\u3044\u306e\u306f\u3001\u85ac\u6307\u3068\u5c0f\u6307\u3067\u3001\u6bcd\u6307\u306f\u6700\u3082\u5c11\u306a\u3044\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3059\u306e\u3067\u3001\u6bcd\u6307\u304c\u7f79\u60a3\u3059\u308b\u6307\u3068\u3057\u3066\u6700\u3082\u591a\u3044\u3070\u306d\u6307\u3068\u306f\u3001\u3061\u3087\u3046\u3069\u9006\u306e\u95a2\u4fc2\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren46.gif\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u4e0a\u306e\u56f3\u306f\u3001\u7d22\u72b6\u7269\u3068\u3057\u3066\u89e6\u308c\u308b\u3068\u3055\u308c\u308b\u90e8\u5206\u306e\u540d\u79f0\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6307\u306b\u306f\u69d8\u3005\u306a\u7d22\u72b6\u7d44\u7e54\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u308c\u3089\u306f\u666e\u6bb5\u306f\u7dca\u5f35\u3092\u4fdd\u3061\u3001\u6642\u306b\u306f\u6307\u306e\u52d5\u304d\u306b\u5408\u308f\u305b\u3066\u4f38\u3073\u7e2e\u307f\u3092\u3059\u308b\u7d44\u7e54\u306a\u306e\u3067\u3059\u304c\u3001<br>\u3044\u3063\u305f\u3093\u75c5\u7684\u72b6\u614b\u306b\u306a\u308b\u3068\u3001\u305d\u308c\u3089\u304c\u8907\u96d1\u306b\u95a2\u4e0e\u3057\u3066\u3001\u53f3\u306e\u56f3\u306e\u3088\u3046\u306b\u7dca\u5f35\u3057\u3001\u80a5\u539a\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren44.gif\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u4e0a\u306e\u53f3\u306e\u56f3\u306f\u3001\u624b\u306e\u3072\u3089\u3092\u8d64\u3044\u7dda\u306e\u90e8\u5206\u3067\u8f2a\u5207\u308a\u306b\u3057\u305f\u56f3\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u624b\u306e\u3072\u3089\u3092\u69cb\u6210\u3059\u308b\u4e2d\u624b\u9aa8\u306e\u3059\u3050\u8868\u9762\u306b\u306f\u3001\u5c48\u7b4b\u8171\u3084\u866b\u69d8\u7b4b\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u76ae\u819a\u8868\u9762\u306b\u8fd1\u3044\u3068\u3053\u308d\u306b\u306f\u3001\u624b\u638c\u8171\u819c\u3084\u3001\u8171\u7d22\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u76ae\u819a\u306b\u8fd1\u3044\u3068\u3053\u308d\u306e\u7d44\u7e54\u304c\u3001\u3053\u306e\u75be\u60a3\u3067\u60aa\u304f\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u8a73\u3057\u3044\u539f\u56e0\u306f\u308f\u304b\u3063\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u3053\u306e\u75be\u60a3\u306f60\u6b73\u4ee5\u4e0a\u306e\u9ad8\u9f62\u306e\u7537\u6027\u306b\u591a\u304f\u898b\u3089\u308c\u3001<br>\u4e00\u8aac\u306b\u306f\u3001\u7cd6\u5c3f\u75c5\u3084\u3001\u9ad8\u8102\u8840\u75c7\u306a\u3069\u306e\u75be\u60a3\u3092\u304a\u6301\u3061\u306e\u65b9\u306b\u591a\u304f\u307f\u3089\u308c\u308b\u3068\u3082\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u3059\u306e\u3067\u3001\u5973\u6027\u306b\u591a\u3044\u3068\u3055\u308c\u308b\u3070\u306d\u6307\u3068\u306f\u5bfe\u7167\u7684\u306a\u7f79\u60a3\u7387\u3068\u8a00\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren45.gif\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u4ed6\u306e\u75be\u60a3\u3068\u306e\u533a\u5225\u3092\u6e2c\u308b\u305f\u3081\u306e\u30c6\u30b9\u30c8\u3068\u3057\u3066\u306f\u3001\u4e0a\u306e\u56f3\u306e\u300cTable-top test\u300d\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30c6\u30fc\u30d6\u30eb\u4e0a\u306a\u3069\u306b\u624b\u3092\u7f6e\u304d\u3001\u4e0a\u304b\u3089\u5727\u3092\u304b\u3051\u3066\u3082\u3001\u95a2\u7bc0\u306e\u5c48\u66f2\u62d8\u7e2e\u306e\u305f\u3081\u3001<br>\u30c6\u30fc\u30d6\u30eb\u3068\u624b\u306e\u9593\u306b\u9699\u9593\u304c\u3067\u304d\u308b\u5834\u5408\u3001\u3053\u306e\u75be\u60a3\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3067\u306f\u3001\u5b9f\u969b\u306e\u60a3\u8005\u3055\u3093\u306e\u4f8b\u3092\u5fa1\u89a7\u3044\u305f\u3060\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren01.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">70\u6b73\u306e\u7537\u6027\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3082\u3068\u3082\u3068\u3001\u5de6\u4e2d\u6307\u306e\u816b\u308c\u3068\u904b\u52d5\u5236\u9650\u304c\u3042\u308a\u3001\u5f53\u9662\u3092\u53d7\u8a3a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u3001\u89aa\u6307\u306e\u90e8\u5206\u3067\u306e\u904b\u52d5\u5236\u9650\u304c\u3042\u308b\u306e\u3067\u3001\u518d\u3073\u6765\u9662\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren02.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u53f3\u3067\u78ba\u8a8d\u3057\u3066\u307f\u308b\u3068\u3001\u8d64\u4e38\u5370\u306e\u90e8\u5206\u306e\u89aa\u6307\u306e\u5074\u9762\u306b\u3001<br>\u7d22\u72b6\u306e\u7d44\u7e54\u304c\u6d6e\u304d\u51fa\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u53f3\u3092\u6bd4\u8f03\u3057\u3066\u307f\u308b\u3068\u3001\u305d\u306e\u9055\u3044\u304c\u660e\u3089\u304b\u3067\u3059\u3002&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren03.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u3053\u308d\u304c\u3001\u7d4c\u904e\u3092\u8a3a\u3066\u3044\u307e\u3059\u3068\u3001<br>\u5de6\u624b\u3067\u306f\u6bcd\u6307\u7403\u90e8\u3068\u4e2d\u6307\u306b\u3082\u7d22\u72b6\u306e\u7d44\u7e54\u304c\u78ba\u8a8d\u3067\u304d\u3001<br>\u6307\u304c\u958b\u304d\u306b\u304f\u3044\u72b6\u614b\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u53f3\u624b\u3082\u89aa\u6307\u306e\u5074\u9762\u306b\u7d22\u72b6\u7d44\u7e54\u304c\u6d6e\u304d\u51fa\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u65b9\u306f\u3001\u624b\u306e\u624b\u8853\u3082\u53ef\u80fd\u306a\u75c5\u9662\u3078\u5fa1\u7d39\u4ecb\u3057\u305f\u306e\u3067\u3059\u304c\u3001<br>\u4fdd\u5b58\u7642\u6cd5\u3067\u7d4c\u904e\u3092\u8a3a\u3066\u884c\u304f\u3053\u3068\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren11.gif\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">69\u6b73\u306e\u7537\u6027\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u6307\u306e\u66f2\u3052\u4f38\u3070\u3057\u304c\u8f9b\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u6765\u9662\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">10\u5e74\u524d\u304b\u3089\u3001\u6307\u306e\u66f2\u3052\u306b\u304f\u3055\u306f\u51fa\u3066\u3044\u3066\u3001\u5de6\u306e\u5199\u771f\u306b\u3042\u308b\u3088\u3046\u306b\u3001<br>\u63e1\u308a\u3053\u307f\u304c\u5b8c\u5168\u306b\u3067\u304d\u306a\u3044\u72b6\u614b\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/koto-orthopaedics.com\/cms\/wp-content\/uploads\/2018\/11\/13dupuytren12.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p 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