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JP2007272115A - Skeleton model - Google Patents

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JP2007272115A
JP2007272115A JP2006100428A JP2006100428A JP2007272115A JP 2007272115 A JP2007272115 A JP 2007272115A JP 2006100428 A JP2006100428 A JP 2006100428A JP 2006100428 A JP2006100428 A JP 2006100428A JP 2007272115 A JP2007272115 A JP 2007272115A
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fracture
skeletal
ulna
state
bone
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Tsugio Matsuuchi
次男 松内
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MATSUUCHI KK
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MATSUUCHI KK
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a solid skeleton model which is used mainly as medical teaching materials and with which, for example, what kind of fracture of a bone is caused can visually be understood from how force is applied to bones. <P>SOLUTION: With the skeleton model K, a Monteggia fracture in which fracture of the ulna and dislocation of the radial head (expansion type fracture, bending type fracture) are combined can be explained. An ulna member 14 has a fracture part 140 at a position of nearly 1/3 from a head side (upper side). The luna member 14 is disconnected from the fracture part 140; and the upper part from the fracture part 140 is an upper luna member 141 and the lower part is a lower luna member 142. The upper luna member 141 and lower luna member 142 are tied by making ends 143 and 144 of the luna part 140 abut so that they can be move by a connector 25 and a core member 26. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は骨格模型に関する。更に詳しくは、主として医療用教材として使用されるものであって、例えば、骨への力のかかり方によってどのような骨折が起こるのかが視覚にて理解できる立体的な骨格模型に関する。また、その骨折した骨またはその近傍の骨がどの方向に転位するのかが視覚にて理解できる立体的な骨格模型に関する。   The present invention relates to a skeletal model. More specifically, the present invention relates to a three-dimensional skeletal model that is mainly used as a medical teaching material and can visually understand what kind of fracture occurs depending on how the force is applied to the bone. Further, the present invention relates to a three-dimensional skeleton model that can visually understand in which direction the fractured bone or the bone in the vicinity thereof is displaced.

医療系の教育機関において、人体における筋肉と骨格の関係や動きを教える授業では、文献による文字情報だけでなく、これと併用して図や絵、また立体的に形成された骨格模型や筋肉模型等の医療用教材が使われることがある。このような筋肉や骨格の知識は、医者は勿論のこと、理学療法士や柔道整復師等の医療分野及びその関連分野に従事する者にとっても必要なこととされている。例えば、特許文献1には医療用教材として使用される骨格模型が開示されている。   In a class that teaches the relationship and movement of muscles and skeletons in a human body at a medical educational institution, not only textual information from literature, but also figures and pictures, and three-dimensional skeletal and muscular models formed in combination with them. Medical teaching materials such as are sometimes used. Such muscle and skeletal knowledge is required not only for doctors, but also for medical personnel such as physiotherapists and judo reducers, as well as those engaged in related fields. For example, Patent Document 1 discloses a skeletal model used as a medical teaching material.

特開昭63−34578号公報JP 63-34578 A

しかし、上記した医療用教材には、次のような課題があった。
まず、図や絵の教材は、当然ながら平面的なものであり実際に動かしたりできない。そのためこれらの教材では情報量に限界があり、十分な説明が困難であった。
However, the medical teaching materials described above have the following problems.
First of all, the teaching materials for diagrams and pictures are of course flat and cannot be moved. Therefore, the amount of information in these teaching materials is limited, and it is difficult to explain them sufficiently.

また、骨格模型は、立体的に形成されており動かせるものもあるが、骨への力のかかり方によってどのような骨折が起こり、また、その骨折した骨またはその近傍の骨がどの方向に転位するのかが視覚にて理解できるようにしたものはなかった。つまり、従来の医療用教材は、骨折に関する理解を深めるものにはならなかった。   Some skeletal models are three-dimensionally formed and can be moved. However, what kind of fracture occurs depending on how the force is applied to the bone, and in which direction the fractured bone or the nearby bone is displaced. There was nothing that made it possible to understand visually what to do. In other words, conventional medical teaching materials did not deepen the understanding of fractures.

本発明の目的は、例えば、骨への力のかかり方によってどのような骨折が起こるのかが視覚にて理解できる立体的な骨格模型を提供することにある。また、本発明の他の目的は、その骨折した骨またはその近傍の骨がどの方向に転位するのかが視覚にて理解できる立体的な骨格模型を提供することにある。   An object of the present invention is to provide a three-dimensional skeletal model in which, for example, what kind of fracture occurs depending on how a force is applied to the bone can be visually understood. Another object of the present invention is to provide a three-dimensional skeleton model that can visually understand in which direction the fractured bone or the bone in the vicinity thereof is displaced.

上記目的を達成するために本発明が講じた手段は次のとおりである。
本発明は、関節と対応する部分が動く骨格模型であって、骨格模型を構成する骨格部材は骨折部を備えており骨折状態が立体的に再現できるよう構成してある骨格模型である。
Means taken by the present invention to achieve the above object are as follows.
The present invention is a skeletal model in which a portion corresponding to a joint moves, and the skeletal member constituting the skeletal model is provided with a fracture portion so that the fracture state can be reproduced three-dimensionally.

骨折部は骨格部材を切断または分離して形成してあり、当該骨格部材は骨折していない状態と骨折状態が再現できるよう切断または分離箇所を伸縮性及び柔軟性を有する連結手段で繋いで構成してあることが好ましい。   The fractured part is formed by cutting or separating the skeletal member, and the skeletal member is formed by connecting the cut or separated part with a connecting means having elasticity and flexibility so that the fractured state and the fractured state can be reproduced. Preferably it is.

切断または分離箇所の突き合わせ面または突き合わせ面近傍の周面には、骨格部材の切断または分離箇所を突き合わせた状態からずれないようにするずれ防止手段を備えていることが好ましい。   It is preferable that a displacement preventing means is provided on the butted surface of the cut or separated portion or on the peripheral surface in the vicinity of the butted surface so as not to deviate from the state where the cut or separated portion of the skeleton member is butted.

骨格部材は、関節と対応する部分が正常位置より外れて脱臼状態が立体的に再現できるよう構成してあることが好ましい。   The skeletal member is preferably configured such that the part corresponding to the joint is removed from the normal position and the dislocation state can be reproduced three-dimensionally.

骨格部材の骨折部またはその近傍には、骨折部から動かされる骨格部材の転位方向が案内できる案内手段が設けてあることが好ましい。   It is preferable that guide means capable of guiding the dislocation direction of the skeleton member moved from the fracture portion is provided at or near the fracture portion of the skeleton member.

(作 用)
本発明は、骨格部材を骨折部から動かすことによって骨折状態が立体的に再現できる。
(Work)
In the present invention, the fracture state can be three-dimensionally reproduced by moving the skeleton member from the fracture part.

骨格部材が連結手段で繋いであるものは、骨折部から分離しないようにして骨折していない状態と骨折状態が再現できる。   When the skeletal member is connected by the connecting means, the state where the bone is not fractured and the state of the fracture can be reproduced without being separated from the fractured part.

ずれ防止手段を備えているものは、骨格部材の切断または分離箇所が突き合わせた状態からずれないようにできる。   The thing provided with the slip prevention means can be prevented from slipping from the state in which the cut or separated portion of the skeleton member is abutted.

本発明は、関節と対応する部分が正常位置より外れて脱臼状態が立体的に再現できる。   The present invention can reproduce the dislocation state three-dimensionally because the part corresponding to the joint is out of the normal position.

本発明は、骨折部から動かされる骨格部材の転位方向が案内手段により案内できる。   In the present invention, the dislocation direction of the skeleton member moved from the fracture can be guided by the guiding means.

本発明は上記構成を備え、次の効果を有する。
(a)本発明は、関節と対応する部分以外の部分が動く骨折部を備えているので、骨格部材を骨折部から動かすことにより、例えば、骨への力のかかり方によってどのような骨折が起こるのかが立体的に再現できる。従って、従来の模型よりも骨折に関する理解度が深まることが期待できる。
The present invention has the above-described configuration and has the following effects.
(A) Since the present invention includes a fracture part in which a part other than the part corresponding to the joint moves, by moving the skeleton member from the fracture part, for example, what kind of fracture occurs depending on how the force is applied to the bone It can be reproduced in three dimensions what happens. Therefore, it can be expected that the degree of understanding about the fracture will be deeper than that of the conventional model.

(b)骨格部材が連結手段で繋いであるものは、骨折部から分離しないようにして骨折していない状態と骨折状態が再現できる。 (B) In the case where the skeleton members are connected by the connecting means, the state where the bone is not broken and the state where the bone is broken can be reproduced without being separated from the fractured portion.

(c)ずれ防止手段を備えているものは、骨格部材の切断または分離箇所が突き合わせた状態からずれないようにできる。 (C) The thing provided with the slip prevention means can prevent it from shifting from the state in which the cut or separated portion of the skeleton member is abutted.

(d)本発明は、関節と対応する部分が正常位置より外れるので、骨折と共に脱臼が生じる場合では、その脱臼状態が立体的に再現できる。従って、この場合も従来の模型よりも理解度が深まることが期待できる。 (D) In the present invention, the portion corresponding to the joint deviates from the normal position, so that when the dislocation occurs along with the fracture, the dislocation state can be reproduced three-dimensionally. Therefore, in this case, it can be expected that the understanding level is deeper than that of the conventional model.

(e)本発明は、骨折部から動かされる骨格部材の転位方向が案内手段により案内できるので、骨折時における骨の転位方向も説明できる。 (E) In the present invention, since the dislocation direction of the skeletal member moved from the fracture portion can be guided by the guide means, the dislocation direction of the bone at the time of the fracture can also be explained.

本発明の実施の形態を図面に基づき更に詳細に説明する。
図1は本発明に係る骨格模型の一実施の形態を示しており、右腕を模した骨格模型の正常状態を示す説明図、
図2は図1に示す骨格模型を肘過伸展位、前腕部分を過回内位に捻転したときの尺骨部材の骨折、橈骨部材の橈骨頭部の脱臼状態を示す説明図(モンテギア屈曲型骨折)、
図3は図1に示す骨格模型を肘過伸展位、前腕部分を過回外位に捻転したときの尺骨部材の骨折、橈骨部材の橈骨頭部の脱臼状態を示す説明図(モンテギア伸展型骨折)、
図4は尺骨部材の骨折部を示す拡大断面図、
図5は橈骨部材の手首側が橈側・掌側に転位した骨折状態を示す拡大説明図、
図6は橈骨部材の手首側が橈側・背側に転位した骨折状態を示す拡大説明図、
図7は図5に示す状態の手首近傍を拡大して示す要部斜視説明図である。
Embodiments of the present invention will be described in more detail with reference to the drawings.
FIG. 1 shows an embodiment of a skeletal model according to the present invention, and is an explanatory view showing a normal state of a skeletal model simulating a right arm.
FIG. 2 is an explanatory view showing the fracture of the ulna member and the dislocation state of the radial head of the rib member when the skeleton model shown in FIG. ),
FIG. 3 is an explanatory view showing the fracture of the ulna member and the dislocation of the radius head of the rib member when the skeleton model shown in FIG. ),
FIG. 4 is an enlarged sectional view showing a fracture portion of the ulna member,
FIG. 5 is an enlarged explanatory view showing a fracture state in which the wrist side of the rib member is displaced to the heel side / palm side,
FIG. 6 is an enlarged explanatory view showing a fracture state in which the wrist side of the rib member is displaced to the heel side / back side,
FIG. 7 is an enlarged perspective view of the main part showing the vicinity of the wrist in the state shown in FIG.

符号Kは人体の右腕を模した骨格模型を示している。骨格模型Kは、右腕を構成する骨と対応する各種の骨格部材と、各種連結具を組み合わせて形成されている。本実施の形態で示す骨格模型Kは、尺骨の骨折と橈骨頭の脱臼とが合併してなるモンテギア骨折(伸展型骨折、屈曲型骨折)と、転倒して手の甲や手の掌を衝いた時に起こる手首の骨折を示す橈骨遠位端骨折(伸展型骨折、屈曲型骨折)を説明するものである。   A symbol K represents a skeleton model imitating the right arm of a human body. The skeletal model K is formed by combining various skeletal members corresponding to the bones constituting the right arm and various connecting tools. The skeletal model K shown in the present embodiment includes a Montegear fracture (extension fracture, flexion fracture) that is a combination of a fracture of the ulna and a dislocation of the radial head, and when it falls over and hits the back of the hand or the palm of the hand This is a description of a distal radius fracture (extension fracture, flexion fracture) indicating a wrist fracture that occurs.

骨格部材には、肩甲骨に対応する肩甲骨部材10、鎖骨に対応する鎖骨部材11、上腕骨に対応する上腕骨部材12、橈骨に対応する橈骨部材13、尺骨に対応する尺骨部材14、手の骨に対応する手の骨部材15がある。このうち肩甲骨部材10と鎖骨部材11は固定した状態で一体化してある。   The skeletal members include a scapula member 10 corresponding to the scapula, a clavicle member 11 corresponding to the clavicle, a humerus member 12 corresponding to the humerus, a radius member 13 corresponding to the radius, an ulna member 14 corresponding to the ulna, a hand There is a hand bone member 15 corresponding to the bone. Of these, the scapula member 10 and the clavicle member 11 are integrated in a fixed state.

肩甲骨部材10は、連結具20を介して上腕骨部材12の上部側と動かせるよう繋いである。連結具20は、所要長さを有する板状体を半円弧状に略U型状に曲げて形状を有する固定具200と、固定具200の両端間に架設してある連結ピン201を備えている。固定具200は、両端を外方に向けて、円弧状の中間部分を肩甲骨部材10の所要位置に固定して取り付けてある。上腕骨部材12の上部側には貫通穴(図では見えない)が形成してある。上腕骨部材12は、この貫通穴に連結ピン201を通して肩甲骨部材10と繋いである。   The scapula member 10 is connected so as to be movable with the upper side of the humerus member 12 via the connector 20. The connector 20 includes a fixture 200 having a shape obtained by bending a plate-like body having a required length in a semicircular arc shape into a substantially U shape, and a connection pin 201 provided between both ends of the fixture 200. Yes. The fixing device 200 is attached with both ends facing outward and the arc-shaped intermediate portion fixed to a required position of the scapula member 10. A through hole (not visible in the figure) is formed on the upper side of the humerus member 12. The humerus member 12 is connected to the scapula member 10 through the connection pin 201 in this through hole.

上腕骨部材12の下部側は、連結具21を介して尺骨部材14の上部側と動かせるよう繋いである。連結具21は細い線材を環状にして形成してある。連結具21は、上腕骨部材12の下部側に設けた貫通孔120と尺骨部材14に設けた貫通孔(図では見えない)に通して取り付けてある。   The lower side of the humerus member 12 is connected to be movable with the upper side of the ulna member 14 via the connector 21. The connector 21 is formed by forming a thin wire into an annular shape. The connector 21 is attached through a through hole 120 provided on the lower side of the humerus member 12 and a through hole provided in the ulna member 14 (not visible in the figure).

橈骨部材13の上部側は、連結具22を介して尺骨部材14の上部側と動かせるよう繋いである。連結具22は細い線材を環状にして、輪部を有するよう形成してある。橈骨部材13は、連結具22の輪部内に通して、橈骨頭に対応する橈骨頭部130が引っ掛かって抜けないよう取り付けてある。   The upper side of the rib member 13 is connected to be movable with the upper side of the ulna member 14 via the connector 22. The connector 22 is formed so that a thin wire rod is formed into an annular shape and has a ring portion. The rib member 13 is attached so that the rib head 130 corresponding to the rib head is caught and pulled out through the ring portion of the connector 22.

橈骨部材13は、下部側(手の骨部材15側)に骨折部131を有している。橈骨部材13は骨折部131から切断されており、骨折部131から上部は橈骨部材本体132であり、下部は遠位端部材133である。橈骨部材本体132と遠位端部材133は、骨折部131の突き合わせ面である端面134,135を突き合わせて連結具138で動かせるよう繋いである(図7参照)。   The rib member 13 has a fracture portion 131 on the lower side (the bone member 15 side of the hand). The rib member 13 is cut from the fracture portion 131, the upper portion from the fracture portion 131 is the rib member main body 132, and the lower portion is the distal end member 133. The rib member main body 132 and the distal end member 133 are connected so that the end surfaces 134 and 135 which are the abutting surfaces of the fracture part 131 are abutted and can be moved by the connector 138 (see FIG. 7).

橈骨部材本体132の下部側には、端面134から切り込まれるようにして案内手段であるガイド溝136が形成してある。また、遠位端部材133の下部側にも、端面135から切り込まれるようにして案内手段であるガイド溝137が形成してある。ガイド溝136とガイド溝137は、遠位端部材133の転位方向となる橈骨部材13の遠位から近位にかけての方向に形成してある。ガイド溝136とガイド溝137は、所要間隔をあけて二箇所に形成してある。   On the lower side of the rib member main body 132, a guide groove 136 as a guide means is formed so as to be cut from the end face 134. Further, a guide groove 137 serving as a guide means is formed on the lower side of the distal end member 133 so as to be cut from the end face 135. The guide groove 136 and the guide groove 137 are formed in the direction from the distal end to the proximal end of the rib member 13 which is the dislocation direction of the distal end member 133. The guide groove 136 and the guide groove 137 are formed at two locations with a required interval.

橈骨部材本体132のガイド溝136の奥側には、両ガイド溝136を貫通して軸ピン139が内蔵してある。また、遠位端部材133のガイド溝137の奥側にも、両ガイド溝137を貫通して軸ピン139が内蔵してある。軸ピン139は所要長さを有する棒形状を有している。   On the back side of the guide groove 136 of the rib member main body 132, a shaft pin 139 is built through the both guide grooves 136. In addition, a shaft pin 139 is built in through the both guide grooves 137 on the back side of the guide groove 137 of the distal end member 133. The shaft pin 139 has a rod shape having a required length.

連結具138は2本の細い線材を備えている。各連結具138は略輪状になるよう形成してある。連結具138は保形性を有することが好ましい。   The connecting tool 138 includes two thin wires. Each connector 138 is formed in a substantially ring shape. The connector 138 preferably has shape retention.

橈骨部材本体132と遠位端部材133は、端面134と端面135を合わせた状態で、連結具138をそれぞれガイド溝136とガイド溝137内に挿し込み、連結具138の内部に二つの軸ピン139を通して繋いである。このように繋いだ橈骨部材本体132と遠位端部材133は、遠位端部材133が橈骨部材本体132の掌側に転位したり(図5参照)、橈骨部材本体132の背側に転位した状態(図6参照)となるよう移動可能である。   The rib member main body 132 and the distal end member 133 are inserted into the guide groove 136 and the guide groove 137, respectively, with the end face 134 and the end face 135 aligned, and two shaft pins are inserted into the connection tool 138. 139 is connected through. The rib member main body 132 and the distal end member 133 connected in this manner are displaced from the distal end member 133 to the palm side of the rib member main body 132 (see FIG. 5) or to the dorsal side of the rib member main body 132. It can move so that it may be in a state (refer FIG. 6).

手の骨部材15は、連結具23を介して遠位端部材133の下部側と動かせるよう繋いである。手の骨部材15は、各指の骨を構成する部分が間にスペーサ(図示省略)を設けて間隔をあけた状態(いわゆる指を拡げた状態)となるようにしてある。連結具23は、固定具230と、固定具231と、固定具230と固定具231を繋ぐ管体232を備えている。固定具230は、細い線材の両端を遠位端部材133に埋めて輪部を形成して取り付けてある。固定具231は、細い線材の両端を手の骨部材15に埋めて輪部を形成して取り付けてある。連結具23は、固定具230と固定具231を管体232の内部に通して連結してある(図7参照)。   The bone member 15 of the hand is connected to the lower side of the distal end member 133 through the connector 23 so as to be movable. The bone component 15 of the hand is in a state where spacers (not shown) are provided between the portions constituting the bones of each finger so as to be spaced apart (so-called finger spread state). The connector 23 includes a fixture 230, a fixture 231, and a tube body 232 that connects the fixture 230 and the fixture 231. The fixing device 230 is attached by forming both ends of a thin wire rod in the distal end member 133 to form a ring portion. The fixing tool 231 is attached by embedding both ends of a thin wire rod in the bone member 15 of the hand to form a ring portion. The connecting tool 23 is connected by passing the fixing tool 230 and the fixing tool 231 through the inside of the tube body 232 (see FIG. 7).

尺骨部材14の下部側は、連結具24を介して遠位端部材133の側部と動かせるよう繋いである。連結具24は、固定具240と、スライドピン242を備えている。固定具240は、一端が遠位端部材133の側部に埋めてあり、他端にガイド穴241が形成してある。スライドピン242は、一端が尺骨部材14の下部側に埋めてあり、他端にストッパー部243が形成してある。スライドピン242は、軸線方向が橈骨部材13と略平行に設けてある。尺骨部材14は、上記ガイド穴241内にスライドピン242を通して橈骨部材13と繋いである。尺骨部材14は、スライドピン242のストッパー部243がガイド穴241と当たって止まる範囲で移動可能である。   The lower side of the ulna member 14 is connected to the side of the distal end member 133 via a connector 24 so as to be movable. The connection tool 24 includes a fixing tool 240 and a slide pin 242. One end of the fixture 240 is buried in the side portion of the distal end member 133, and a guide hole 241 is formed at the other end. One end of the slide pin 242 is buried on the lower side of the ulna member 14, and a stopper portion 243 is formed on the other end. The slide pin 242 has an axial direction substantially parallel to the rib member 13. The ulna member 14 is connected to the radius member 13 through the slide pin 242 in the guide hole 241. The ulna member 14 is movable within a range in which the stopper portion 243 of the slide pin 242 comes into contact with the guide hole 241 and stops.

尺骨部材14は、頭部側(上部側)から略1/3の位置に骨折部140を有している。尺骨部材14は、骨折部140から切断されており、骨折部140から上部は上部尺骨部材141であり、下部は下部尺骨部材142である。上部尺骨部材141と下部尺骨部材142は、骨折部140の突き合わせ面である端面143,144を突き合わせて連結手段である連結具25とずれ防止手段である芯部材26で動かせるよう繋いである(図4参照)。   The ulna member 14 has a fractured portion 140 at a position approximately 1/3 from the head side (upper side). The ulna member 14 is cut from the fracture 140, the upper part from the fracture 140 is the upper ulna member 141, and the lower part is the lower ulna member 142. The upper ulna member 141 and the lower ulna member 142 are connected so that the end surfaces 143 and 144 that are the butting surfaces of the fractured part 140 are butted together and can be moved by the connecting member 25 that is the connecting means and the core member 26 that is the displacement preventing means (see FIG. 4).

上部尺骨部材141の下部側には貫通孔145が横方向に二箇所に並んで形成してある。また、下部尺骨部材142の上部側にも貫通孔146が横方向に二箇所に並んで形成してある。連結具25は伸縮性及び柔軟性を有する2本の細い線材(または紐材)で構成してある。上部尺骨部材141と下部尺骨部材142は、連結具25のそれぞれを貫通孔145と貫通孔146に通して輪状にすることで分離しないよう繋いである。伸縮性及び柔軟性を備える連結具25を用いることにより、尺骨部材14は骨折部140から折り曲げることができる。連結具25は伸縮性及び柔軟性を備えた材料が使用され、好適には弾性を有するバネ、ゴム、合成樹脂等の弾性体が使用される。   On the lower side of the upper ulna member 141, through-holes 145 are formed side by side in two locations. In addition, through holes 146 are also formed at two locations in the lateral direction on the upper side of the lower ulna member 142. The connector 25 is composed of two thin wires (or strings) having stretchability and flexibility. The upper ulna member 141 and the lower ulna member 142 are connected so as not to be separated by passing each of the couplers 25 through the through hole 145 and the through hole 146 into a ring shape. By using the connector 25 having elasticity and flexibility, the ulna member 14 can be bent from the fracture portion 140. The connector 25 is made of a material having elasticity and flexibility, and preferably an elastic body such as an elastic spring, rubber, or synthetic resin.

上部尺骨部材141の端面143の中心部には挿込穴147が形成してある。また、下部尺骨部材142の端面144の中心部にも挿込穴148が形成してある。挿込穴147と挿込穴148には、骨折部140の中心位置がずれないようにする芯部材26が内蔵してある。芯部材26は所要長さを有する棒形状を有している。芯部材26は曲げることができる材料で形成してあり、好適には曲げることができる金属(例えば半田)、ゴム、合成樹脂等が使用される。また、ずれ防止手段は、例えば、端面143と端面144に凸部とこれと嵌合する凹部等を設けたり、上部尺骨部材141と下部尺骨部材142を突き合わせることで、端面143と端面144の中心位置を合わせることができるよう案内する案内部材を各端面近傍の周面に設けたりしたもの等が使用できる。   An insertion hole 147 is formed at the center of the end surface 143 of the upper ulna member 141. An insertion hole 148 is also formed in the central portion of the end surface 144 of the lower ulna member 142. In the insertion hole 147 and the insertion hole 148, the core member 26 that prevents the center position of the fractured portion 140 from shifting is incorporated. The core member 26 has a rod shape having a required length. The core member 26 is formed of a material that can be bent, and preferably a metal (for example, solder), rubber, synthetic resin, or the like that can be bent is used. Further, the slip prevention means includes, for example, a convex portion and a concave portion fitted to the end surface 143 and the end surface 144, or abutting the upper ulna member 141 and the lower ulna member 142 so that the end surface 143 and the end surface 144 are in contact with each other. It is possible to use a guide member or the like provided on the peripheral surface in the vicinity of each end face for guiding the center position.

本実施の形態において骨格部材を構成する各部材は、合成樹脂で形成したものを示したがこれは限定するものではなく、例えば、金属、木材、竹材、陶磁器またはこれらの複合物(合成樹脂を含む)等で形成しても良い。   In the present embodiment, the members constituting the skeleton member are those made of synthetic resin. However, this is not a limitation. For example, metal, wood, bamboo, ceramics, or a composite thereof (synthetic resin is used). Or the like).

連結具20,21,22,23,24,138は剛性または準剛性を有する材料で形成されたものが好適である。例えば、金属や合成樹脂等が使用可能である。   The connectors 20, 21, 22, 23, 24, and 138 are preferably formed of a material having rigidity or semi-rigidity. For example, a metal or a synthetic resin can be used.

(作 用)
図1ないし図7を参照し、本実施の形態で示す骨格模型Kの作用を説明する。
はじめに骨格模型Kを使用してモンテギア骨折(伸展型、屈曲型)が起こる仕組みを説明する。
図1を参照する。図1は肘関節伸展位で手の骨部材15を背屈位に向けた正常な状態(骨折していない状態)を示している。
(Work)
With reference to FIG. 1 thru | or FIG. 7, the effect | action of the skeletal model K shown in this Embodiment is demonstrated.
First, a mechanism in which a Montegear fracture (extension type, bending type) occurs using the skeletal model K will be described.
Please refer to FIG. FIG. 1 shows a normal state in which the hand bone member 15 is in the dorsiflexion position in the elbow joint extended position (the state in which the bone is not broken).

モンテギア骨折(伸展型)は、図1に示す状態から転倒等して、手の掌を回外位で衝いて中枢から体重が加わることで、上腕の内旋力が前腕部を回外位に強制し、過回外位となることで起こる。骨格模型Kで説明すると、橈骨部材13が尺骨部材14の周囲を回外位に捻転して、手の骨部材15が過回外位に捻転する状態となる。   Montegear fracture (extension type) falls from the state shown in Fig. 1, and the weight of the upper arm is added to the forearm by turning the palm of the hand in the swivel position and adding weight from the center. This happens when you are forced and over-exposed. In the case of the skeletal model K, the rib member 13 twists around the ulna member 14 to the extrarotational position, and the hand bone member 15 twists excessively to the outer position.

詳しくは、手の骨部材15が過回外位に捻転することにより、橈骨部材13(上・中約1/3境界部後方)が尺骨部材14(上・中約1/3境界部後方)に衝突し、これにより尺骨部材14が骨折部140から前方に骨折し、押し出されて転位する。また、橈骨部材13は、橈骨頭部130が肘関節の過伸展と、尺骨部材14を骨折させた力と、中枢からの体重によって、前方に押し出されて正常位置より外れて脱臼した状態となる。   Specifically, when the bone member 15 of the hand is excessively twisted outwardly, the rib member 13 (backward of the upper / middle approximately 1/3 boundary) becomes the ulna member 14 (backward of the upper / middle approximately 1/3 boundary). As a result, the ulna member 14 fractures forward from the fracture 140, and is pushed out and displaced. Further, the radial member 13 is pushed forward and dislocated from the normal position by the excessive extension of the elbow joint, the force causing the fracture of the ulnar member 14 and the weight from the center, in the radial member 13. .

モンテギア骨折(屈曲型)は、図1に示す状態から転倒等して、手の掌を回内位で衝いて中枢から体重が加わることで、上腕の外旋力が前腕部を回内位に強制し、過回内位となるで起こる。骨格模型Kで説明すると、橈骨部材13が尺骨部材14の周囲を回内位に捻転して、手の骨部材15が過回内位に捻転する状態となる。   Montegear fracture (bending type) falls from the state shown in FIG. 1 and hits the palm of the hand in the pronation position to apply weight from the center, so that the external rotation force of the upper arm brings the forearm to the pronation position. Forced to happen and become overly prone. In the case of the skeletal model K, the rib member 13 twists around the ulna member 14 in the prorotational position, and the hand bone member 15 twists in the excessively inward position.

詳しくは、手の骨部材15が過回内位に捻転することにより、橈骨部材13(上・中約1/3境界部前方)が尺骨部材14(上・中約1/3境界部前方)に衝突し、これにより尺骨部材14が骨折部140から後方に骨折し、押し出されて転位する。また、橈骨部材13は、橈骨頭部130が肘関節の過伸展と、尺骨部材14を骨折させた力と、中枢からの体重によって、後方に押し出されて正常位置より外れて脱臼した状態となる。   Specifically, when the bone member 15 of the hand is twisted excessively inwardly, the rib member 13 (upward / middle approximately 1/3 boundary portion front) is the ulna member 14 (upper / middle approximately 1/3 boundary portion front). As a result, the ulna member 14 fractures backward from the fracture 140 and is pushed out and displaced. In addition, the rib member 13 is pushed backward and dislocated from the normal position by the excessive extension of the elbow joint, the force causing the fracture of the ulna member 14 and the weight from the center, in the rib member 13. .

なお、上記のモンテギア骨折の説明においては、手の骨部材15を回内位や回外位に回動させた場合を示したが、例えば、手の骨部材15は固定しておき、上腕骨部材12等を回内位や回外位に回動させても同様にモンテギア骨折が起こる仕組みは説明できる。   In the above description of the Montegear fracture, the case has been shown in which the hand bone member 15 is rotated to the inward or outward position. For example, the hand bone member 15 is fixed and the humerus bone is fixed. The mechanism by which the Montegear fracture occurs in the same manner even when the member 12 or the like is rotated to the pronation position or the rotation position can be explained.

次に、骨格模型Kを使用して橈骨遠位端骨折(伸展型、屈曲型)が起こる仕組みを説明する。
橈骨遠位端骨折(屈曲型)は、肘関節伸展位で手の甲を衝くことによって起こる。骨格模型Kで説明すると、まず、上腕骨部材12、橈骨部材13、尺骨部材14を伸展した状態にし、手の骨部材15を手の甲側が下側(掌屈)になるようにする。この状態で手の甲を衝いて起こる橈骨遠位端骨折(屈曲型)は、図5に示すように橈骨部材13が骨折部131より折れて、遠位端部材133が橈骨部材本体132の橈側・掌側にずれて転位する。
Next, a mechanism for causing a distal radius fracture (extension type, bending type) using the skeletal model K will be described.
A distal radius fracture (bending) occurs by striking the back of the hand with the elbow joint extended. In the case of the skeletal model K, first, the humeral member 12, the rib member 13, and the ulna member 14 are extended, and the hand bone member 15 is set so that the back side of the hand is on the lower side (palar flexion). In this state, the distal radius fracture (bending type) that occurs by striking the back of the hand, as shown in FIG. 5, the radial member 13 is broken from the fracture 131, and the distal end member 133 is the radial side / palm of the radial member main body 132. Displace to the side.

一方、橈骨遠位端骨折(伸展型)は、肘関節伸展位で手の掌を衝くことによって起こる。骨格模型Kで説明すると、上腕骨部材12、橈骨部材13、尺骨部材14を伸展した状態にし、手の骨部材15を手の掌側が下側になるようにする。この状態で手の掌を衝いて起こる橈骨遠位端骨折(伸展型)は、図6に示すように橈骨部材13が骨折部131より折れて、遠位端部材133が橈骨部材本体132の橈側・背側にずれて転位する。   On the other hand, the distal radius fracture (extension type) occurs by striking the palm of the hand in the elbow joint extension position. In the case of the skeletal model K, the humerus member 12, the rib member 13, and the ulna member 14 are extended, and the bone member 15 of the hand is placed on the palm side of the hand. In this state, the distal radius fracture (extension type) that occurs by striking the palm of the hand, the radial member 13 is broken from the fracture 131 as shown in FIG. 6, and the distal end member 133 is the radial side of the radial member main body 132.・ Shift to the back side and shift.

橈骨部材本体132と遠位端部材133は連結具138によって繋がれており、この連結具138はガイド溝136とガイド溝137内に設けてあるので、橈骨部材本体132は、連結具138がガイド溝136とガイド溝137によって案内される方向に転位する。このように骨格模型Kで橈骨遠位端骨折の説明をする場合では、遠位端部材133に対する橈骨部材本体132の転位方向も理解できる。   The rib member main body 132 and the distal end member 133 are connected by a connector 138, and this connector 138 is provided in the guide groove 136 and the guide groove 137, so that the rib member main body 132 is guided by the connector 138. It shifts in the direction guided by the groove 136 and the guide groove 137. Thus, when the fracture of the distal radius is described using the skeleton model K, the dislocation direction of the radial member main body 132 relative to the distal end member 133 can also be understood.

骨格模型Kによれば、どのような力がかかったときにモンテギア骨折が起こり、また、手の衝き方(手の甲で衝くか、手の掌で衝くか)によってどのような橈骨遠位端骨折が起こり、更にはその骨折した骨がどの方向に転位するのかを立体的に説明することができる。従って、従来の模型よりもモンテギア骨折に関する理解度が深まることが期待できる。   According to the skeletal model K, a Montegear fracture occurs when any force is applied, and what kind of distal radius fractures occur depending on how the hand is struck (throwing with the back of the hand or with the palm of the hand). It is possible to explain three-dimensionally the direction in which the fractured bone occurs and the fractured bone is displaced. Therefore, it can be expected that the degree of understanding about the Montegear fracture will be deeper than the conventional model.

また、骨格模型Kによる骨折のうち橈骨遠位端骨折を説明する橈骨部材本体132と遠位端部材133には、橈骨部材本体132の転位方向を案内するガイド溝136とガイド溝137が形成してあるので、橈骨部材本体132を遠位端部材133に対して所定の転位方向に案内することができる。このように骨格模型Kによる橈骨遠位端骨折では、橈骨部材本体132の転位方向も説明することができる。   Further, a guide groove 136 and a guide groove 137 for guiding the dislocation direction of the rib member main body 132 are formed in the rib member main body 132 and the distal end member 133 for explaining the distal end fracture of the skeleton model K. Therefore, the rib member main body 132 can be guided in a predetermined displacement direction with respect to the distal end member 133. Thus, in the distal radius fracture by the skeleton model K, the dislocation direction of the rib member main body 132 can also be described.

本実施の形態では、骨格模型として人体の右腕を模したものを例に挙げて説明したが、骨格模型はこれに限定するものではない。骨格模型は、人体を構成する骨格と対応するものによって構成可能である。   In the present embodiment, the skeleton model has been described taking as an example a model of the right arm of a human body, but the skeleton model is not limited to this. The skeletal model can be constituted by one corresponding to the skeleton constituting the human body.

本明細書で使用している用語と表現は、あくまでも説明上のものであって、なんら限定的なものではなく、本明細書に記述された特徴およびその一部と等価の用語や表現を除外する意図はない。また、本発明の技術思想の範囲内で、種々の変形態様が可能であるということは言うまでもない。   The terms and expressions used in this specification are merely explanatory and are not limiting at all, and exclude terms and expressions equivalent to the features described in this specification and parts thereof. There is no intention to do. It goes without saying that various modifications are possible within the scope of the technical idea of the present invention.

本発明に係る骨格模型の一実施の形態を示しており、右腕を模した骨格模型の正常状態を示す説明図。Explanatory drawing which shows one Embodiment of the skeleton model which concerns on this invention, and shows the normal state of the skeleton model which imitated the right arm. 図1に示す骨格模型を肘過伸展位、前腕部分を過回内位に捻転したときの尺骨部材の骨折、橈骨部材の橈骨頭部の脱臼状態を示す説明図。Explanatory drawing which shows the dislocation state of the fracture of the ulna member when the skeleton model shown in FIG. 図1に示す骨格模型を肘過伸展位、前腕部分を過回外位に捻転したときの尺骨部材の骨折、橈骨部材の橈骨頭部の脱臼状態を示す説明図。Explanatory drawing which shows the dislocation state of the fracture of the ulna member when the skeleton model shown in FIG. 尺骨部材の骨折部を示す拡大断面図。The expanded sectional view which shows the fracture part of an ulna member. 橈骨部材の手首側が橈側・掌側に転位した骨折状態を示す拡大説明図。Expansive explanatory drawing which shows the fracture state which the wrist side of the rib member dislocated to the heel side and the palm side. 橈骨部材の手首側が橈側・背側に転位した骨折状態を示す拡大説明図。Explanatory explanatory drawing which shows the fracture state which the wrist side of the rib member dislocated to the heel side and the back side. 図5に示す状態の手首近傍を拡大して示す要部斜視説明図。The principal part perspective explanatory drawing which expands and shows the wrist vicinity of the state shown in FIG.

符号の説明Explanation of symbols

K 骨格模型
10 肩甲骨部材
11 鎖骨部材
12 上腕骨部材
120 貫通孔
13 橈骨部材
130 橈骨頭部
131 骨折部
132 橈骨部材本体
133 遠位端部材
134,135 端面
136 ガイド溝
137 ガイド溝
138 連結具
139 軸ピン
14 尺骨部材
140 骨折部
141 上部尺骨部材
142 下部尺骨部材
143,144 端面
145 貫通孔
146 貫通孔
147 挿込穴
148 挿込穴
15 骨部材
20 連結具
200 固定具
201 連結ピン
21 連結具
22 連結具
23 連結具
230 固定具
231 固定具
232 管体
24 連結具
240 固定具
241 ガイド穴
242 スライドピン
243 ストッパー部
25 連結具
26 芯部材
K skeletal model 10 scapula member 11 clavicle member 12 humerus member 120 through hole 13 rib member 130 rib head 131 fracture portion 132 rib member main body 133 distal end member 134, 135 end face 136 guide groove 137 guide groove 138 connector 139 Shaft pin 14 Ulna member 140 Fracture part 141 Upper ulna member 142 Lower ulna members 143 and 144 End face 145 Through hole 146 Through hole 147 Insertion hole 148 Insertion hole 15 Bone member 20 Connecting tool 200 Fixing tool 201 Connecting pin 21 Connecting tool 22 Connecting tool 23 Connecting tool 230 Fixing tool 231 Fixing tool 232 Tube 24 Connecting tool 240 Fixing tool 241 Guide hole 242 Slide pin 243 Stopper portion 25 Connecting tool 26 Core member

Claims (5)

関節と対応する部分が動く骨格模型であって、
骨格模型を構成する骨格部材は骨折部を備えており骨折状態が立体的に再現できるよう構成してある、
骨格模型。
A skeletal model in which the part corresponding to the joint moves,
The skeletal member constituting the skeletal model has a fracture portion and is configured so that the fracture state can be reproduced three-dimensionally.
Skeletal model.
骨折部は骨格部材を切断または分離して形成してあり、当該骨格部材は骨折していない状態と骨折状態が再現できるよう切断または分離箇所を伸縮性及び柔軟性を有する連結手段で繋いで構成してある、
請求項1記載の骨格模型。
The fractured part is formed by cutting or separating the skeletal member, and the skeletal member is formed by connecting the cut or separated part with a connecting means having elasticity and flexibility so that the fractured state and the fractured state can be reproduced. There is
The skeletal model according to claim 1.
切断または分離箇所の突き合わせ面または突き合わせ面近傍の周面には、骨格部材の切断または分離箇所を突き合わせた状態からずれないようにするずれ防止手段を備えている、
請求項2記載の骨格模型。
The peripheral surface in the vicinity of the abutting surface or the abutting surface of the cut or separated portion is provided with a slip prevention means for preventing the cut or separated portion of the skeleton member from being displaced from the butted state.
The skeletal model according to claim 2.
骨格部材は、関節と対応する部分が正常位置より外れて脱臼状態が立体的に再現できるよう構成してある、
請求項1,2または3記載の骨格模型。
The skeletal member is configured such that the part corresponding to the joint is removed from the normal position and the dislocation state can be reproduced three-dimensionally,
The skeleton model according to claim 1, 2 or 3.
骨格部材の骨折部またはその近傍には、骨折部から動かされる骨格部材の転位方向が案内できる案内手段が設けてある、
請求項1,2,3または4記載の骨格模型。
In the fracture part of the skeletal member or in the vicinity thereof, there is provided a guide means capable of guiding the dislocation direction of the skeleton member moved from the fracture part.
The skeletal model according to claim 1, 2, 3, or 4.
JP2006100428A 2006-03-31 2006-03-31 Skeleton model Pending JP2007272115A (en)

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EP2051184A2 (en) 2007-10-19 2009-04-22 Panasonic Corporation Telemedical system
JP2011133909A (en) * 2011-03-31 2011-07-07 周平 ▲高▼須 Human phantom teaching material for acquiring reduction technique
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JP2012173614A (en) * 2011-02-23 2012-09-10 Toyo Iryo Gakuen Elbow joint diaplasis training model
JP2012185226A (en) * 2011-03-03 2012-09-27 Toyo Iryo Gakuen Distal radius fracture reduction training model
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CN105654831A (en) * 2016-03-29 2016-06-08 山东中医药大学 Strength adjusting device applicable to human forearm simulation fracture model
CN115100936A (en) * 2022-06-17 2022-09-23 江阴市中医院 Simple combined type hand-touch-meeting bonesetting eight-method teaching blind method training model

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2051184A2 (en) 2007-10-19 2009-04-22 Panasonic Corporation Telemedical system
WO2012011417A1 (en) * 2010-07-23 2012-01-26 Takasu Shuhei Human phantom training aid for mastering manipulative techniques and method for mastering manipulative techniques using human phantom training aid
JP5156147B2 (en) * 2010-07-23 2013-03-06 周平 ▲高▼須 Human body model teaching materials for learning reduction techniques and methods of learning reduction techniques using the human model learning materials
US9129535B2 (en) 2010-07-23 2015-09-08 Shuhei Takasu Anatomical model for training aid for learning reduction techniques and a method for learning the reduction techniques using the anatomical model for training aid
US9135832B2 (en) 2010-07-23 2015-09-15 Shuhei Takasu Anatomical model for training aid for learning reduction techniques and a method for learning the reduction techniques using the anatomical model for training aid
JP2012173614A (en) * 2011-02-23 2012-09-10 Toyo Iryo Gakuen Elbow joint diaplasis training model
JP2012185226A (en) * 2011-03-03 2012-09-27 Toyo Iryo Gakuen Distal radius fracture reduction training model
JP2011133909A (en) * 2011-03-31 2011-07-07 周平 ▲高▼須 Human phantom teaching material for acquiring reduction technique
CN105654831A (en) * 2016-03-29 2016-06-08 山东中医药大学 Strength adjusting device applicable to human forearm simulation fracture model
CN115100936A (en) * 2022-06-17 2022-09-23 江阴市中医院 Simple combined type hand-touch-meeting bonesetting eight-method teaching blind method training model
CN115100936B (en) * 2022-06-17 2025-12-09 江阴市中医院 Simple assembled bone setting blind method training model

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