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JP2017040892A - Pseudo joint structure and reduction operation learning device for learning reduction operation to joint dislocation - Google Patents

Pseudo joint structure and reduction operation learning device for learning reduction operation to joint dislocation Download PDF

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JP2017040892A
JP2017040892A JP2015164295A JP2015164295A JP2017040892A JP 2017040892 A JP2017040892 A JP 2017040892A JP 2015164295 A JP2015164295 A JP 2015164295A JP 2015164295 A JP2015164295 A JP 2015164295A JP 2017040892 A JP2017040892 A JP 2017040892A
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JP6268335B2 (en
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真比古 中澤
Mahiko Nakazawa
真比古 中澤
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Nakazawa Taeko
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Abstract

PROBLEM TO BE SOLVED: To provide a pseudo joint structure which allows a medical care concerned person and a sport trainer who are not unaccustomed in reduction treatment of a dislocated joint, to easily experience and learn a reduction treatment method at a short term, for making a medical care concerned person and a sport trainer master a reduction treatment method of a dislocated joint, thereby raising experts of a reduction treatment technique of a dislocated joint at a short term.SOLUTION: A pseudo joint structure 1 is configured so that a first pseudo bone member 2 having an articular head and a second pseudo bone member 3 having a glenoid cavity are arranged adjacently so that the articular head and the glenoid cavity are fitted mutually, in which both pseudo bone members are mutually jointed by a flexible repulsive member whose one end is fixed to a support part of one pseudo bone member and whose the other end is fixed to a support part of the other pseudo bone member directly or through an optional coupling member 21.SELECTED DRAWING: Figure 3

Description

本発明は、疑似関節構造体に関するものであり、特に詳しくは、脱臼した人体の関節を元の状態に戻す整復操作処理を行う場合の、当該整復措置方法の模擬操作、或いはその訓練を実践でき、それによって脱臼した関節の整復処理或いは整復処理方法に不慣れな医療関係者に対して、当該整復措置方法を簡単に且つ短期間で、経験させ、学習させることによって、脱臼した人体の関節の整復処理方法或いは整復操作方法を体得させ、脱臼した関節の整復処理技術を有する専門家を短期間で、直接的に脱臼した患者の当該患部を練習台にする事を必要とせずに、独立的に育成する事を可能にする疑似関節構造体及び当該整復処理操作習得装置に関するものである。   The present invention relates to a pseudo-joint structure, and in particular, can perform a simulated operation of the reduction treatment method or training thereof when performing a reduction operation process for returning a dislocated human joint to its original state. Reduction of the joint of the dislocated human body by allowing a medical person who is unfamiliar with the reduction treatment of the dislocated joint or the reduction treatment method to experience and learn the reduction treatment method easily and in a short period of time. Inexperienced treatment method or reduction operation method, and specialists with reduction treatment technology for dislocated joints in a short period of time, without requiring the affected part of the patient who has been dislocated directly to be a practice table, independently The present invention relates to a pseudo joint structure and a reduction processing operation learning device that can be trained.

人体には、多種多様な機能を有し、当該各機能を発揮させる為に、それぞれの機能発揮に適合した個別的な構造を有する個別的関節部が複数種備えられている。
例えば、その代表的な関節としては、例えば、顎関節、肩関節、肘関節、手首関節、股関節、膝関節、足関節、指関節等が知られている。
そして、それぞれの関節は、それぞれ特定の機能を発揮する為に、それぞれ個別的で、独特の関節構造を有している。
然しながら、上記各関節の構造は、個々にそれぞれ特徴的な関節構造を有してはいるものの、上記各関節は、略全ての関節に共通した基本的な関節構造を有しているものである。
The human body has a wide variety of functions, and in order to exhibit each function, the human body is provided with a plurality of types of individual joint portions having individual structures suitable for each function.
For example, as representative joints, for example, temporomandibular joint, shoulder joint, elbow joint, wrist joint, hip joint, knee joint, ankle joint, finger joint, and the like are known.
Each joint has an individual and unique joint structure in order to perform a specific function.
However, each of the joints has a characteristic joint structure, but each joint has a basic joint structure common to almost all joints. .

即ち、図1に示す様に、比較的に球面状を呈する突起部である関節頭5’をその一端部10’に有する第1の骨部2’と、比較的に凹面状を呈する凹陥部である関節窩6’をその一端部11’に有する第2の骨部3’とが、当該関節頭5’と当該節窩6’とを相互に嵌合する様に相互に対向して近接配置されており、当該関節頭5’と当該節窩6’とが相互に対向する面には所謂硝子軟骨と称される関節軟骨膜8’が配置され、且つ、当該関節頭5’と当該節窩6’とが相互に対向する面の間には、骨液を内蔵する関節腔7’が配置されている。
更に、当該関節部の外側には、その周囲を完全に包囲して、当該関節の変位を防止して、関節の動きを安定化する為の、骨膜4’と線維膜13’で構成されている関節包12’が存在している。
更に、上記した各関節構造体に共通した付加的な構成としては、例えば図2に示す様に、当該関節包12’を更に補強する為に、例えば、当該関節包12’の外側両側面を強化するための副靭帯14’や、当該関節包12’の内部を補強する為の関節包内靭帯15’、或いは、当該関節包の周囲を補強する靭帯或いは腱が存在している。
That is, as shown in FIG. 1, a first bone portion 2 ′ having a joint head 5 ′, which is a projection portion having a relatively spherical shape, at one end portion 10 ′ thereof, and a recessed portion having a relatively concave shape. And the second bone 3 'having one end 11' of the glenoid fossa 6 'facing each other so that the joint head 5' and the glenoid 6 'are fitted to each other. An articular cartilage membrane 8 'called so-called hyaline cartilage is arranged on the surface where the joint head 5' and the nodule 6 'face each other, and the joint head 5' and the joint head 5 ' A joint cavity 7 ′ containing bone fluid is disposed between the surfaces facing the nodule 6 ′.
Further, the outer part of the joint part is completely composed of a periosteum 4 ′ and a fiber membrane 13 ′ for completely surrounding the periphery thereof, preventing displacement of the joint, and stabilizing the movement of the joint. There is a joint capsule 12 '.
Further, as an additional configuration common to each joint structure described above, for example, as shown in FIG. 2, in order to further reinforce the joint capsule 12 ′, for example, both outer side surfaces of the joint capsule 12 ′ are provided. There is a collateral ligament 14 'for strengthening, an intracapsular ligament 15' for reinforcing the inside of the joint capsule 12 ', or a ligament or tendon for reinforcing the periphery of the joint capsule.

一方、当該各関節部1’に於ける脱臼とは、関節を包んでいる関節包12’が、拡大したり、弛緩したり、或いは当該腱や靭帯等が切断されたりすると当該関節頭5’と当該関節窩6’との間に形成されている関節面が相互にずれてしまうことになるが、係る状態を脱臼と称している。
当該脱臼には、種々の分類があるが、代表的な分類としては、当該関節頭5’と当該関節窩6’との間の関節面が完全にずれていて、相互に対向していない状態を完全脱臼と称し、当該関節面が部分的に対向している状態を亜脱臼と称している。
処で、当該脱臼が発生する原因としても種々考えられており、その代表的な原因の一つとしては、関節頭5’や関節窩6’の骨部の破壊、或いは、当該関節包の拡張、弛緩若しくは当該靭帯や周辺筋肉等の弛緩や麻痺により当該関節部の各構成部の固定が不安定になったり、悪化したりして脱臼が発生する場合である病的脱臼と、何らかの外力が当該関節部に印加されたことにより、当該関節包12’や、当該靭帯14’、15’或いは腱等に切断や弛緩が発生し、当該破断、切断された靭帯或いは腱等の間から当該関節頭5或いは当該関節窩6が当該関節包12’を突き破って外方に突出する外傷性脱臼とが知られている。
On the other hand, dislocation at each joint 1 ′ means that the joint head 5 ′ when the joint capsule 12 ′ wrapping the joint expands or relaxes or the tendon or ligament is cut. And the joint surface formed between the joint fossa 6 'and the joint fossa 6' are displaced from each other, this state is called dislocation.
There are various types of dislocation, but as a typical classification, the joint surface between the joint head 5 ′ and the glenoid 6 ′ is completely displaced and is not opposed to each other. Is called complete dislocation, and the state in which the joint surfaces are partially opposed is called subluxation.
Various causes of the dislocation have been considered, and one of the typical causes is the destruction of the bones of the joint head 5 'and the glenoid 6' or the expansion of the joint capsule. Pathological dislocation, which is a case where dislocation occurs due to instability or deterioration due to relaxation or relaxation or paralysis of the ligament or surrounding muscle, etc., and some external force By being applied to the joint part, the joint capsule 12 ′, the ligaments 14 ′, 15 ′, or tendons are cut or loosened, and the joints from between the broken or cut ligaments or tendons Traumatic dislocation is known in which the head 5 or the glenoid fossa 6 penetrates the joint capsule 12 'and protrudes outward.

又、脱臼に付いての、当該関節面に於ける当該関節頭5’及び当該関節窩6’の相対位置関係により、例えば、近位関節面に対して、遠位関節面が前方に転位している前方脱臼や、反対にその後方に転位している下方脱臼と称する場合と、当該近位関節面に対して、遠位関節面が側方に転位している側方脱臼があり、且つ当該側方脱臼には、内側脱臼と外側脱臼とに細分され、中でも、当該遠位関節面が正中面の方向に転位した場合を内側脱臼と称し、当該遠位関節面が正中面から遠ざかる方向に転位した場合を外側脱臼と称する場合がある。
そして、このような関節部に脱臼が発生した場合には、早急に元の関節の状態に戻す治療が必要であり、その回復操作を整復処理操作と称している。
Further, due to the relative positional relationship between the joint head 5 ′ and the glenoid cavity 6 ′ on the joint surface after dislocation, for example, the distal joint surface is displaced forward with respect to the proximal joint surface. There is an anterior dislocation that is dislocated, and a dislocation that is dislocated to the rear, and a lateral dislocation in which the distal articular surface is displaced laterally with respect to the proximal articular surface, and The lateral dislocation is subdivided into medial dislocation and lateral dislocation. In particular, when the distal joint surface is displaced in the direction of the median surface, it is referred to as medial dislocation, and the distal joint surface moves away from the median surface. The case of dislocation is sometimes referred to as outer dislocation.
When dislocation occurs in such a joint, it is necessary to treat the joint as quickly as possible, and the recovery operation is referred to as a reduction processing operation.

当該整復処理操作の基本は、当該関節部が脱臼した状態が発生した経路を実質的に同じ経路を逆に辿って、当該関節頭5’を当該関節窩6’内に収める様にすることである。
当該整復処理操作の一つの具体例を示すならば、所定の関節に於ける脱臼した骨部の内、可動骨部、つまり人体の本体部に近接して固定されている状態が多い基部骨部と対応して配置されている骨部を、当該第1及び第2の骨部の共通する長手方向に戻すか、当該骨部を元の配置位置の方向に戻した上で、当該骨部の長手方向に所定の力を加えて伸長させ、当該関節頭5’を当該関節窩6’の中に戻すと言う操作が要求されるものである。
The basic of the reduction processing operation is to trace the path where the dislocation of the joint has occurred in substantially the same path, so that the joint head 5 ′ is placed in the glenoid 6 ′. is there.
If one specific example of the reduction processing operation is shown, among the dislocated bone portions in a predetermined joint, the base bone portion that is often fixed in the vicinity of the movable bone portion, that is, the main body portion of the human body The bone part arranged corresponding to the first bone part is returned to the common longitudinal direction of the first and second bone parts, or the bone part is returned to the original arrangement position, An operation of applying a predetermined force in the longitudinal direction and extending the joint head 5 ′ into the joint fovea 6 ′ is required.

処で、係る脱臼関節の整復処理操作は、当該整復処理操作に精通した専門家である整復トレーナーにより整復治療が行われる。
然しながら、係る整復処理操作に於いては、それぞれの関節に於いて、脱臼状態は、様々な態様があり、その脱臼の程度も、それぞれの状況によって異なるものである事が多く、然も、単なる脱臼の他に、当該靭帯の切断や、当該腱の切断も有りうるため、当該可動骨、通常は当該関節頭5’を有する方の第1の骨部を、如何なる方向に如何なる程度移動させ、その後如何なる引張力を加えて、一定の長さ当該第1の骨部を当該第2の骨部の関節窩6’から引き離し、その上で、当該第1の骨部をどの程度移動させて、当該第2の骨部の関節窩6’内に戻すかと言う操作を瞬時に判断し、即決で実行する事が要求される。
更に、係る整復処理操作に対する当該骨部の伸長の程度、伸長時の付加伸長力等は、患者の年齢や性別、体型等によっても微妙に異なるものであり、画一的でない事も、多くの経験、体験を必要とする環境が存在する。
その為には、当該整復トレーナーは、長年に亘る数多くの当該脱臼関節の整復操作を実践し、経験することにより、それぞれの患者の個別の関節に付いての脱臼に対する適格な整復処理操作を施す事が可能となる。
By the way, the reduction treatment operation of the dislocation joint is reduced by a reduction trainer who is an expert who is familiar with the reduction treatment operation.
However, in such reduction processing operations, there are various modes of dislocation at each joint, and the degree of dislocation is often different depending on each situation. In addition to dislocation, there may be cutting of the ligament and cutting of the tendon, so the movable bone, usually the first bone part having the joint head 5 ′, is moved in any direction to any extent, After that, by applying any tensile force, the first bone part is pulled away from the glenoid fossa 6 'of the second bone part for a certain length, and then, how much the first bone part is moved, It is required that the operation of returning to the glenoid fossa 6 'of the second bone portion is instantaneously determined and executed promptly.
Furthermore, the degree of extension of the bone part with respect to such reduction processing operation, the additional extension force at the time of extension, etc. are slightly different depending on the age, sex, body shape, etc. of the patient, and it is not uniform. There are environments that require experience and experience.
To that end, the reduction trainer performs a number of reduction operations on the dislocation joints over many years and, by doing so, performs qualified reduction operations for dislocations on each individual joint of each patient. Things will be possible.

然しながら、その為には、高度の整復処理操作技術を有する専門の整復トレーナーに付いて、その操作を目視し、且つ当該整復トレーナーの指導若しくはその補助的操作を体験することにより、徐徐に当該整復処理操作を体験し、体得する必要があるので、独立して当該整復トレーナーとして患者の関節の脱臼の治療に当たれるまでには、相当の長期間に亘る、訓練、勉強が要求される事になる。   However, in order to do so, it is necessary to attach a specialized reduction trainer with advanced reduction processing operation techniques, visually observe the operation, and experience the reduction trainer's guidance or its auxiliary operation to gradually reduce the reduction. Since it is necessary to experience and learn the processing operation, training and study for a considerable period of time will be required before the treatment of dislocation of the patient's joint as an independent reduction trainer. .

又、未経験の当該整復トレーナーが脱臼患者の治療をする為に、直接当該患者の当該関節を操作するとなると、当該患者が受ける苦痛は、相当なものがあり、当該患者に大きな精神的不安と危機感を与えてしまうことになるので、当該実践的な学習を効果的に且つ容易に実行する事は極めて困難な状況にあった。
然も、係る環境を改善する為の、訓練施設、訓練装置・器具等は、従来は全く見られていないので、当該整復トレーナーを目指す学生やスポーツトレーナー等にとっては、当該脱臼した関節に対する整復処理操作を学習し、体験する機会は極めて少ないという問題があった。
In addition, if the inexperienced reduction trainer directly manipulates the joint of the patient to treat the patient with dislocation, the suffering suffered by the patient is substantial, and the patient suffered great mental anxiety and crisis. Therefore, it was extremely difficult to execute the practical learning effectively and easily.
However, no training facilities, training devices, or instruments have been seen so far to improve the environment, so for students and sports trainers aiming for such reduction trainers, reduction treatment for the dislocated joints is necessary. There was a problem that there were very few opportunities to learn and experience the operation.

従来に於ける当該整復処理操作を学習する為の訓練装置としては、例えば、特開2012−173614号公報(特許文献1)に開示されている様に、肘関節部の構造を模倣した疑似肘関節を使用するものであって、当該疑似肘関節に於いては、人体の標準的な肘関節構造を縦方向、つまり長手方向に完全に2分割し、その中間に形成された長手空間部に2本のスプリングを配置して、上腕骨模擬体と前腕骨模擬体とを弾発的に相互に押圧接触させた構造となっている。   As a conventional training apparatus for learning the reduction processing operation, for example, as disclosed in JP 2012-173614 A (Patent Document 1), a pseudo elbow imitating the structure of an elbow joint In the pseudo elbow joint, the standard elbow joint structure of the human body is completely divided into two in the longitudinal direction, that is, the longitudinal direction, and a longitudinal space formed in the middle is formed. Two springs are arranged so that the humerus simulated body and the forearm bone simulated body are elastically pressed into contact with each other.

然しながら、係る構造では、肘関節は一定の方向のみにしか旋回する事が出来ず、従って、回転や旋回という外力により脱臼した様な状態は到底実現させる事が出来ないのであり、全ての可能性のある肘関節脱臼状態を実現させることは不可能な装置に過ぎないという問題点を含んでいる他、上記肘関節を2分割することにより、整復技術を習得しようとする人が、実際の人体の肘関節の構造を感覚で覚える事は不可能となる事かrも、係る構造による整復処理操作訓練装置としては、実現性の乏しいものである事は明らかである。   However, with such a structure, the elbow joint can only turn in a certain direction, and therefore it is impossible to realize a state where it has been dislocated due to external force such as rotation or turning, and all possibilities In addition to the problem that it is only an impossible device to realize the elbow joint dislocation state, a person who wants to learn the reduction technique by dividing the elbow joint into two parts is the actual human body It is obvious that it is impossible to memorize the structure of the elbow joint of the human body, and it is apparent that the reduction processing operation training apparatus using such a structure is not feasible.

一方、実用新案登録第3144317号公報(特許文献2)には、整復技術習得用人体模型教材が示されているが、当該特許文献2では、単に上腕骨部と橈骨部と橈骨遠位端部とからなる腕部の関節構造に関する模擬関節構造体であって、当該橈骨部と橈骨遠位端部の一方を金属材料で構成し、他方に磁石を配置させた構造の装置が示されているが、係る構造に於いても、全ての可能性のある関節脱臼状態を実現させることは不可能であり、整復処理操作訓練装置としては、機能性や効果の点並びにその実現性に於いて乏しいものである事は明らかである。   On the other hand, Utility Model Registration No. 3144317 (Patent Document 2) shows a human body model material for reducing technique acquisition. In Patent Document 2, however, the humerus part, the rib part, and the distal end part of the radius are simply shown. 1 shows an apparatus having a structure in which one of the rib part and the distal end part of the rib is made of a metal material, and a magnet is arranged on the other. However, even with such a structure, it is impossible to realize all possible joint dislocation states, and as a reduction processing operation training device, it is poor in terms of functionality and effect and its feasibility. It is clear that it is a thing.

更に、特開2006−323103号公報(特許文献3)には、脱臼の整復処理技術を習得する為の装置ではないが、関節部の各部位に於ける筋肉の動きに対応する複数の伸縮性のある線条体或いは布帛を関節を被覆する様に多数配置して構成したものであり、筋肉の各部の動きを実習する装置としては、機能するとしても、関節脱臼の整復技術習得には全く用をなさないものである。   Further, Japanese Patent Laid-Open No. 2006-323103 (Patent Document 3) is not an apparatus for learning a reduction treatment technique for dislocation, but has a plurality of stretch properties corresponding to the movement of muscles in each part of the joint. As a device for practicing the movement of each part of the muscle, it can function as a device for practicing the movement of each part of the muscles. It is a useless thing.

特開2012−173614号公報JP 2012-173614 A 実用新案登録第3144317号公報Utility Model Registration No. 3144317 特開2006−323103号公報JP 2006-323103 A

従って、本発明の目的は、係る従来に於ける当該脱臼した関節に対する整復処理操作の習得方法についての問題点を解消し、脱臼した関節を元の状態に戻す整復処理を行う場合の、当該整復処置方法の模擬操作、或いはその訓練を実践でき、それによって脱臼した関節の整復処理方法に不慣れな医療関係者、或いはスポーツトレーナーに対して、当該整復措置方法を簡単に且つ短期間で、経験させ、学習させることによって、脱臼した関節の整復処理方法を体得させ、脱臼した関節の整復処理技術を有する専門家を短期間で、直接的に脱臼した患者の当該患部を練習台にする事を必要とせずに、独立的に育成する事を可能にする疑似関節構造体及びその整復操作習得装置を提供するものである。   Therefore, an object of the present invention is to eliminate the problem of the conventional method for learning the reduction processing operation for the dislocated joint and to perform the reduction processing for returning the dislocated joint to the original state. Practice treatment of the treatment method, or practice of it, thereby allowing medical personnel who are unfamiliar with the reduction treatment method for dislocated joints or sports trainers to experience the reduction treatment method easily and in a short period of time. It is necessary to learn how to reduce the dislocated joint by learning, and to make the affected area of the dislocated patient directly a practice table in a short period of time by a specialist who has a reduction treatment technique for the dislocated joint. It is intended to provide a pseudo joint structure and a reduction operation learning device that allow it to be independently grown.

本発明は、上記した目的を達成するために、基本的には、以下に記載されたような技術構成を採用するものである。
即ち、本発明に係わる当該疑似関節構造体の第1の態様は、人間の体に於ける所定部位に於ける所定の関節構造に近似した構造からなる疑似関節構造体であって、当該疑似関節構造体は、関節頭がその一端部に形成されている第1の疑似骨部材と、関節窩がその一端部に形成されている第2の疑似骨部材とからなり、且つ当該第1と第2の疑似骨部材は、当該関節頭と当該節窩とが相互に嵌合する様に相互に対向して近接配置されており、然も、当該第1と第2の疑似骨部材は、当該第1と第2の疑似骨部材の何れか一方の疑似骨部材の一部若しくは当該疑似骨部材に連接されている第1の補助支持部に、その一端部が固定され、その他端部が直接若しくは適宜の連結部材を介して当該他方の疑似骨部材の一部若しくは当該疑似骨部材に連接されている第2の補助支持部に固定されている適宜の伸縮性弾発部材により、所定の押圧力の下で、相互に接圧せしめられており、更に、当該疑似関節構造体は、当該第1と第2の疑似骨部材が、当該両疑似骨部材間での脱臼状態を表示して静止する機能と、当該脱臼状態にある当該疑似関節構造体に於ける当該第1と第2の疑似骨部材の少なくとも一方に所定の力を加えながら所定の方向に伸長させたり或いは押し込みながら所定の方向に変位させるか、旋回させる動作を印加することにより当該脱臼状態を整復させる機能と、を有している事を特徴とする関節脱臼に対する整復操作を習得するための疑似関節構造体である。
In order to achieve the above-described object, the present invention basically employs a technical configuration as described below.
That is, a first aspect of the pseudo joint structure according to the present invention is a pseudo joint structure having a structure approximate to a predetermined joint structure at a predetermined site in a human body, The structure includes a first pseudo bone member having a joint head formed at one end thereof, and a second pseudo bone member having a joint fossa formed at one end thereof. The two pseudo bone members are arranged in close proximity to each other so that the joint head and the nodules are fitted to each other, and the first and second pseudo bone members are One end portion is fixed to a part of one of the first and second pseudo bone members or the first auxiliary support portion connected to the pseudo bone member, and the other end portion is directly Alternatively, it is connected to a part of the other pseudo bone member or the pseudo bone member through an appropriate connecting member. Are pressed against each other under a predetermined pressing force by an appropriate elastic elastic member fixed to the second auxiliary support member, and the pseudo joint structure is The first and second pseudo bone members display a dislocation state between the two pseudo bone members to be stationary, and the first and second pseudo bone members in the pseudo joint structure in the dislocation state. It has a function of reducing the dislocation state by applying an operation of extending or rotating in a predetermined direction while applying a predetermined force to at least one of the pseudo bone members, or displacing or turning the pseudo bone member. This is a pseudo-joint structure for learning a reduction operation for joint dislocation, which is characterized by being deformed.

本発明に係る当該疑似関節構造体は、上記した様な新規な技術構成を採用した事によって、従来存在していなかった、疑似関節構造体を市場に提供すると同時に、脱臼した関節を元の状態に戻す整復処理を行う場合の、当該整復措置方法の模擬操作、或いはその訓練を実践でき、それによって脱臼した関節の整復処理方法に不慣れな医療関係者、或いはスポーツトレーナーに対して、当該整復措置方法を簡単に且つ短期間で、経験させ、学習させることによって、脱臼した関節の整復処理方法を体得させ、脱臼した関節の整復処理技術を有する専門家を短期間で、直接的に脱臼した患者の当該患部を練習台にする事を必要とせずに、独立的に育成する事を可能にする疑似関節構造体を提供出来ると言う作用効果を奏するものである。   The pseudo-joint structure according to the present invention is a novel art configuration as described above, thereby providing a pseudo-joint structure that has not existed before to the market, and at the same time the dislocated joint is in its original state. When performing reduction processing to return to the above, the reduction operation method can be practiced for medical personnel or sports trainers who are not familiar with the reduction operation method of the dislocated joint. Patients who have experienced and learned the method easily and in a short period of time to acquire a reduction treatment method for the dislocated joint, and have directly dislocated a specialist who has a reduction treatment technique for the dislocated joint in a short period of time. Thus, there is an effect that it is possible to provide a pseudo-joint structure that can be grown independently without requiring the affected part to be a practice table.

図1は、人間の関節の基本的な構成を説明する断面図である。FIG. 1 is a cross-sectional view illustrating the basic configuration of a human joint. 図2は、人間の関節の基本的な構成を説明する断面図である。FIG. 2 is a cross-sectional view illustrating the basic configuration of a human joint. 図3(A)乃至図3(D)は、本発明に於ける疑似関節構造体の基本的構成の例を示す断面図である。3A to 3D are cross-sectional views illustrating examples of the basic configuration of the pseudo joint structure according to the present invention. 図4(A)乃至図4(D)は、本発明に於ける疑似関節構造体に於ける脱臼の発生状態と脱臼を発生させる機構の一例を説明する図である。4A to 4D are diagrams for explaining an example of a dislocation generation state and a mechanism for generating dislocation in the pseudo joint structure according to the present invention. 図5(A)乃至図5(D)は、本発明に於ける疑似関節構造体に於いて、捻じれによって発生する脱臼の一つの原理を説明する図である。FIGS. 5A to 5D are diagrams for explaining one principle of dislocation generated by twisting in the pseudo joint structure according to the present invention. 図6(A)乃至図6(B)は、本発明に於ける疑似関節構造体に於いて、靭帯の影響を付加した疑似関節構造体の構成の一例を説明する断面図である。6A to 6B are cross-sectional views for explaining an example of the configuration of the pseudo joint structure to which the influence of the ligament is added in the pseudo joint structure according to the present invention. 図7は、人間の指関節の基本的な構成を説明する断面図である。FIG. 7 is a cross-sectional view illustrating the basic configuration of a human finger joint. 図8(A)乃至図8(C)は、本発明に於ける疑似指関節構造体の構成の1具体例を説明する図である。FIG. 8A to FIG. 8C are diagrams for explaining one specific example of the configuration of the pseudo-finger joint structure in the present invention. 図8(D)乃至図8(F)は、本発明に於ける疑似指関節構造体の構成の1具体例を説明する図である。FIG. 8D to FIG. 8F are diagrams for explaining one specific example of the configuration of the pseudo-finger joint structure in the present invention. 図9は、人間の肘関節の基本的な構成を説明する断面図である。FIG. 9 is a cross-sectional view illustrating the basic configuration of the human elbow joint. 図10(A)乃至図10(B)は、本発明に於ける疑似肘関節構造体に於ける構成の一具体例を説明する図である。FIG. 10A to FIG. 10B are diagrams for explaining a specific example of the configuration of the pseudo elbow joint structure in the present invention. 図11(A)は、本発明に於ける疑似肘関節構造体に於いて、当該肘を曲げた場合の状態での構成の一具体例を説明する図である。FIG. 11A is a diagram illustrating a specific example of a configuration in a state where the elbow is bent in the pseudo-elbow joint structure according to the present invention. 図11(B)は、本発明に於ける疑似肘関節構造体に於いて、当該肘を曲げた場合の状態での構成の一具体例を説明する図である。FIG. 11B is a diagram illustrating a specific example of a configuration in a state where the elbow is bent in the pseudo-elbow joint structure according to the present invention. 図12(A)乃至図12(D)は、本発明に於ける疑似肘関節構造体に於いて、脱臼が発生した場合の状況の例を説明する図である。12 (A) to 12 (D) are diagrams for explaining an example of the situation when dislocation occurs in the pseudo-elbow joint structure according to the present invention. 図13は、人間の足関節の基本的な構成を説明する断面図である。FIG. 13 is a cross-sectional view illustrating a basic configuration of a human foot joint. 図14(A)乃至図14(B)は、本発明に於ける疑似足関節構造体に於ける一具体例の構成を説明する図である。FIG. 14A to FIG. 14B are diagrams for explaining the configuration of one specific example of the pseudo ankle joint structure according to the present invention. 図15(A)及び図15(B)は、本発明に於ける疑似足関節構造体に於ける他の具体例の構成を説明する図である。FIGS. 15A and 15B are diagrams for explaining the configuration of another specific example of the pseudo ankle joint structure in the present invention. 図15(C)及び図15(D)は、本発明に於ける疑似足関節構造体に於ける他の具体例の構成を説明する図である。FIG. 15C and FIG. 15D are diagrams illustrating the configuration of another specific example of the pseudo ankle joint structure in the present invention. 図16(A)乃至図16(B)は、本発明に於ける疑似足関節構造体に於ける脱臼が発生する状況を説明する図である。16 (A) to 16 (B) are diagrams for explaining a situation in which dislocation occurs in the pseudo-ankle structure according to the present invention. 図17(A)乃至図17(B)は、本発明に於ける疑似足関節構造体に於いて、捻じれによって脱臼を発生させる機構の一具体例を示す図である。FIGS. 17A to 17B are diagrams showing a specific example of a mechanism for generating dislocation by twisting in the pseudo-ankle joint structure according to the present invention. 図18は、人間の肩関節の基本的な構成を説明する断面図である。FIG. 18 is a cross-sectional view illustrating the basic configuration of a human shoulder joint. 図19(A)は、本発明に於ける疑似肩関節構造体に於ける一具体例の構成を説明する図である。FIG. 19A is a diagram for explaining the configuration of a specific example in the pseudo shoulder joint structure according to the present invention. 図19(B)は、本発明に於ける疑似肩関節構造体に於ける一具体例の構成を説明する図である。FIG. 19B is a diagram for explaining the configuration of a specific example of the pseudo shoulder joint structure according to the present invention. 図20(A)は、本発明に於ける疑似肩関節構造体に於いて、脱臼が発生する状況を説明する図である。FIG. 20 (A) is a diagram illustrating a situation in which dislocation occurs in the pseudo-shoulder joint structure according to the present invention. 図20(B)は、本発明に於ける疑似肩関節構造体に於いて、脱臼が発生する状況を説明する図である。FIG. 20B is a diagram for explaining a situation in which dislocation occurs in the pseudo shoulder joint structure according to the present invention. 図21は、人間の股間関節の基本的な構成を説明する断面図である。FIG. 21 is a cross-sectional view illustrating a basic configuration of a human hip joint. 図22(A)及び図22(B)は、本発明に於ける疑似股間関節構造体の基本的構成の例を示す斜視図断面図及び側面である。22 (A) and 22 (B) are a perspective view and a side view showing an example of the basic configuration of the pseudo hip joint structure according to the present invention. 図22(C)及び図22(D)は、本発明に於ける疑似股間関節構造体の基本的構成の例を示す側面断面図である。22 (C) and 22 (D) are side cross-sectional views showing an example of the basic configuration of the pseudo hip joint structure according to the present invention. 図23(A)及び図23(B)は、本発明に於ける疑似股間関節構造体のより詳細な構成を説明する斜視図及び裏面一部拡大図である。FIG. 23A and FIG. 23B are a perspective view and a partially enlarged rear view illustrating a more detailed configuration of the pseudo hip joint structure according to the present invention. 図23(C)は、本発明に於ける疑似股間関節構造体のより詳細な構成を説明する斜視図である。FIG. 23 (C) is a perspective view illustrating a more detailed configuration of the pseudo hip joint structure according to the present invention. 図24(A)乃至図24(C)は、本発明に於ける疑似股間関節構造体に於いて、当該関節頭と当該関節窩に形成される溝部の設置位置及びその形状の具体例を説明する図である。24A to 24C illustrate specific examples of the positions and shapes of the groove portions formed in the joint head and the glenoid fossa in the pseudo hip joint structure according to the present invention. It is a figure to do. 図25(A)乃至図25(B)は、本発明に於ける疑似股間関節構造体に於いて、発生する脱臼の具体例の形状を説明する図である。25 (A) to 25 (B) are diagrams for explaining the shape of a specific example of the dislocation that occurs in the pseudo hip joint structure according to the present invention. 図26は、人間の膝関節の基本的な構成を説明する断面図である。FIG. 26 is a cross-sectional view illustrating a basic configuration of a human knee joint. 図27(A)乃至図27(C)は、本発明に於ける疑似膝関節構造体の一具体例の構成を説明する図である。FIGS. 27A to 27C are diagrams for explaining the configuration of a specific example of the pseudo knee joint structure according to the present invention. 図28(A)乃至図28(D)は、本発明に於ける疑似膝関節構造体に於いて、脱臼が発生する状況の例を説明する図である。28 (A) to 28 (D) are diagrams illustrating an example of a situation where dislocation occurs in the pseudo knee joint structure according to the present invention. 図29(A)乃至図27(B)は、本発明に於ける疑似膝関節構造体の他の具体例の構成を説明する図である。FIGS. 29A to 27B are diagrams illustrating the configuration of another specific example of the pseudo knee joint structure according to the present invention. 図30(A)乃至図30(C)は、本発明に於ける疑似膝関節構造体の別の具体例の構成を説明する図である。FIGS. 30A to 30C are diagrams illustrating the configuration of another specific example of the pseudo knee joint structure according to the present invention. 図31(A)乃至図31(B)は、本発明に於ける疑似膝関節構造体の更に別の具体例の構成を説明する図である。31 (A) to 31 (B) are diagrams illustrating the configuration of still another specific example of the pseudo knee joint structure according to the present invention. 図32は、本発明に於ける疑似指関節構造体に於ける指関節の脱臼状態の一例を示す参考図である。FIG. 32 is a reference diagram showing an example of the dislocation state of the finger joint in the pseudo-finger joint structure according to the present invention. 図33は、本発明に於ける疑似指関節構造体に於ける指関節の脱臼状態の他の例を示す参考図である。FIG. 33 is a reference diagram showing another example of the dislocation state of the finger joint in the pseudo finger joint structure according to the present invention. 図34は、本発明に於ける疑似肘関節構造体に於ける肘関節の脱臼状態の一例を示す参考図である。FIG. 34 is a reference diagram showing an example of a dislocation state of the elbow joint in the pseudo elbow joint structure according to the present invention. 図35は、本発明に於ける疑似肘関節構造体に於ける肘関節の脱臼状態の他の例を示す参考図である。FIG. 35 is a reference diagram showing another example of the dislocation state of the elbow joint in the pseudo elbow joint structure according to the present invention. 図36は、本発明に於ける疑似足関節構造体の一具体例の構成を示す参考図である。FIG. 36 is a reference diagram showing a configuration of a specific example of the pseudo ankle joint structure according to the present invention. 図37は、本発明に於ける疑似足関節構造体に於ける足関節の脱臼状態の一例を示す参考図である。FIG. 37 is a reference diagram showing an example of the dislocation state of the ankle joint in the pseudo ankle joint structure according to the present invention. 図38は、本発明に於ける疑似足関節構造体の一具体例の構成を示す参考図である。FIG. 38 is a reference diagram showing a configuration of a specific example of the pseudo ankle joint structure according to the present invention. 図39は、本発明に於ける疑似足関節構造体の他の具体例の構成を示す参考図である。FIG. 39 is a reference diagram showing the configuration of another specific example of the pseudo ankle joint structure according to the present invention. 図40は、本発明に於ける疑似肩関節構造体の一具体例の構成を示す参考図である。FIG. 40 is a reference diagram showing a configuration of a specific example of the pseudo shoulder joint structure according to the present invention. 図41は、本発明に於ける疑似肩関節構造体に於ける肩関節の脱臼状態の一例を示す参考図である。FIG. 41 is a reference diagram showing an example of a dislocation state of the shoulder joint in the pseudo shoulder joint structure according to the present invention. 図42は、本発明に於ける疑似股間関節構造体の一具体例の構成を示す参考図である。FIG. 42 is a reference diagram showing a configuration of a specific example of the pseudo hip joint structure according to the present invention. 図43は、本発明に於ける疑似股間関節構造体の他の具体例の構成を示す参考図である。FIG. 43 is a reference diagram showing a configuration of another specific example of the pseudo-hip joint structure according to the present invention. 図44は、本発明に於ける疑似股間関節構造体の別の具体例の構成を示す参考図である。FIG. 44 is a reference diagram showing a configuration of another specific example of the pseudo hip joint structure according to the present invention. 図45は、本発明に於ける疑似股間関節構造体に於ける股関節の脱臼状態の一例を示す参考図である。FIG. 45 is a reference diagram showing an example of a dislocation state of the hip joint in the pseudo-thigh joint structure according to the present invention. 図46は、本発明に於ける疑似膝関節構造体の一具体例の構成を示す参考図である。FIG. 46 is a reference diagram showing a configuration of a specific example of a pseudo knee joint structure according to the present invention. 図47は、本発明に於ける疑似膝関節構造体の一具体例の構成を示す参考図である。FIG. 47 is a reference diagram showing a configuration of a specific example of a pseudo knee joint structure according to the present invention. 図48は、本発明に於ける疑似膝関節構造体に於ける膝関節の脱臼状態の一例を示す参考図である。FIG. 48 is a reference diagram showing an example of the dislocation state of the knee joint in the pseudo knee joint structure according to the present invention. 図49は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を示す斜視図である。FIG. 49 is a perspective view showing a configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 図50は、本発明に於ける疑似肩関節構造体に使用されるスプリング機構部の一具体例の構成を説明する斜視図である。FIG. 50 is a perspective view illustrating the configuration of a specific example of a spring mechanism used in the pseudo shoulder joint structure according to the present invention. 図51は、本発明に於ける疑似肩関節構造体に使用される関節頭と関節窩との構成例を説明する図である。FIG. 51 is a diagram illustrating a configuration example of a joint head and a glenoid used in the pseudo shoulder joint structure according to the present invention. 図52は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。FIG. 52 is a diagram for explaining the configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 53は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。53 is a diagram for explaining the configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 54は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。54 is a diagram for explaining the configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 55は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。55 is a diagram illustrating a configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 56は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。56 is a diagram illustrating the configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 57は、本発明に於ける関節脱臼整復処理操作習得装置の一具体例の構成を説明する図である。FIG. 57 is a diagram illustrating the configuration of a specific example of the joint dislocation reduction processing operation learning device according to the present invention. 図58は、本発明に於ける関節脱臼整復処理操作習得装置に使用されるスプリング機構部の一具体例の構成を説明する図である。FIG. 58 is a view for explaining the configuration of a specific example of a spring mechanism used in the joint dislocation reduction processing operation learning device according to the present invention. 図59は、本発明に於ける疑似肩関節構造体に使用される関節頭と関節窩との構成例を説明する図である。FIG. 59 is a diagram illustrating a configuration example of a joint head and a glenoid used in the pseudo shoulder joint structure according to the present invention. 図60は、本発明に於ける疑似肩関節構造体に使用される関節頭と関節窩との構成例を説明する図である。FIG. 60 is a diagram for explaining a configuration example of the joint head and glenoid fossa used in the pseudo shoulder joint structure according to the present invention. 図61は、本発明に於ける関節脱臼整復処理操作習得装置に使用されるスプリング機構部の一具体例の構成を説明する図であるFIG. 61 is a diagram illustrating the configuration of a specific example of a spring mechanism used in the joint dislocation reduction processing operation learning device according to the present invention. 図62は、本発明に於ける関節脱臼整復処理操作習得装置に使用されるスプリング機構部の一具体例の構成を説明する図であるFIG. 62 is a view for explaining the configuration of a specific example of a spring mechanism used in the joint dislocation reduction processing operation learning device according to the present invention. 図63は、本発明に於ける関節脱臼整復処理操作習得装置に使用されるスプリング機構部の一具体例の構成を説明する図であるFIG. 63 is a diagram illustrating a configuration of a specific example of a spring mechanism used in the joint dislocation reduction processing operation learning device according to the present invention. 図64は、本発明に於ける疑似肩関節構造体に使用される関節頭と関節窩との構成例を説明する図である。FIG. 64 is a diagram for explaining a configuration example of the joint head and the glenoid used in the pseudo shoulder joint structure according to the present invention. 図65は、本発明に於ける疑似肩関節構造体に使用される関節頭と関節窩との構成例を説明する図である。FIG. 65 is a diagram illustrating a configuration example of a joint head and a glenoid used in the pseudo shoulder joint structure according to the present invention.

以下に、本発明に於ける当該疑似関節構造体の構成及び機能を、図面を参照しながら詳細に説明する。
即ち、図3(A)は、本発明に係る当該疑似関節構造体1の一具体例の構成を示す図であり、図中、人間の体100に於ける所定部位に於ける所定の関節構造に近似した構造からなる疑似関節構造体1であって、当該疑似関節構造体1は、関節頭5がその一端部に形成されている第1の疑似骨部材2と、関節窩6がその一端部に形成されている第2の疑似骨部材3とからなり、且つ当該第1と第2の疑似骨部材2,3は、当該関節頭5と当該節窩6とが相互に嵌合する様に相互に対向して近接配置されており、然も、当該第1と第2の疑似骨部材2,3は、当該第1と第2の疑似骨部材2,3の何れか一方の疑似骨部材2、3の一部若しくは当該疑似骨部材2、3の一方に連接されている第1の補助支持部20に、その一端部が固定され、その他端部が直接若しくは適宜の連結部材21を介して当該他方の疑似骨部材3、2の一部若しくは当該疑似骨部材2に連接されている第2の補助支持部22に固定されている適宜の伸縮性弾発部材24により、所定の押圧力の下で、相互に接圧せしめられており、更に、当該疑似関節構造体1は、当該第1と第2の疑似骨部材2,3が、当該両疑似骨部材2,3間での脱臼状態を表示して静止する機能と、当該脱臼状態にある当該疑似関節構造体1に於ける当該第1と第2の疑似骨部材2,3の少なくとも一方を伸長させるか、押し込みながら所定の方向に変位させるか、旋回させる動作を付加することにより当該脱臼状態を整復させる機能と、を有している事を特徴とする関節脱臼に対する整復操作を習得するための疑似関節構造体1が示されている。
Hereinafter, the configuration and function of the pseudo joint structure in the present invention will be described in detail with reference to the drawings.
That is, FIG. 3A is a diagram showing a configuration of a specific example of the pseudo joint structure 1 according to the present invention. In the figure, a predetermined joint structure in a predetermined part of the human body 100 is shown. A pseudo joint structure 1 having a structure similar to that of the first pseudo bone member 2 in which the joint head 5 is formed at one end thereof, and the joint fossa 6 at one end thereof. And the first and second pseudo bone members 2 and 3 are configured such that the joint head 5 and the nodule 6 are fitted to each other. However, the first and second pseudo bone members 2 and 3 are either pseudo bones of the first and second pseudo bone members 2 and 3. One end of the member 2 or 3 is fixed to the first auxiliary support 20 connected to a part of the members 2 or 3 or one of the pseudo bone members 2 or 3. The other end part is fixed to the second auxiliary support part 22 connected to a part of the other pseudo bone members 3, 2 or the pseudo bone member 2 directly or via an appropriate connecting member 21. The elastic elastic member 24 is pressed against each other under a predetermined pressing force. Further, the pseudo joint structure 1 includes the first and second pseudo bone members 2 and 3. The function of displaying the dislocation state between the pseudo bone members 2 and 3 to be stationary and the first and second pseudo bone members 2 and 3 in the pseudo joint structure 1 in the dislocation state A reduction operation for a joint dislocation characterized by having a function of reducing the dislocation state by adding an operation of extending or rotating at least one of the two, displacing in a predetermined direction while pushing Pseudo joint structure 1 for learning It has been.

本発明に係る当該疑似関節構造体1は、それぞれの実際の人体の各関節部に於ける骨部構造と略同じ形状、構造を有する様に形成される必要があり、好ましくは年齢、性別、体型等によっても、異なる疑似関節構造体1を個別に準備しておく事が望ましい。
本発明に於いては、当該疑似関節構造体1を構成する各部の骨部材、つまり第1の疑似骨部材2と第2の疑似骨部材3は、適宜の金属材料、複合樹脂材料を含む合成樹脂材料、炭素繊維等を含む強化プラスチック、適宜の補強材を内蔵する石膏、“オルソプラスト”等の加熱することにより軟化し、冷却することにより固化する性質を有するプラスチック、或いは紙、木材等から選択された材料で、適宜の厚みを有する材料で、それぞれ図3、図4に示される様な個別の構成を有する様に、それぞれ一体的に製造されるものである。
勿論、必要によっては、当該第1及び第2の疑似骨部材2若しくは3のそれぞれを、必要な部品に細分化して、個別に成形し、それらを一体的に組み立てて、完成させたものであっても良い。
The pseudo joint structure 1 according to the present invention needs to be formed so as to have substantially the same shape and structure as the bone structure in each joint part of each actual human body, preferably age, sex, It is desirable to prepare different pseudo joint structures 1 individually depending on the body shape and the like.
In the present invention, the bone member of each part constituting the pseudo joint structure 1, that is, the first pseudo bone member 2 and the second pseudo bone member 3 are composed of an appropriate metal material and composite resin material. Resin materials, reinforced plastics including carbon fibers, plaster containing appropriate reinforcing materials, plastics that soften by heating, such as "Orthoplast", and solidify by cooling, or paper, wood, etc. The selected material is a material having an appropriate thickness and is integrally manufactured so as to have individual structures as shown in FIGS.
Of course, if necessary, each of the first and second pseudo bone members 2 or 3 is subdivided into necessary parts, individually molded, integrally assembled, and completed. May be.

本発明に於ける当該疑似関節構造体1の各疑似骨部材2及び3は、内部が充実した筒状体で構成されていても良く、或いは、内部が中空状となっている中空筒状態或いは半円筒状態で構成されたものであっても良い。
更に、本発明に於いては、当該整復処理操作をし易い様に、略全体に亘って、円筒状で、且つそれぞれが所定の人体の実際の部分の外観に近似している外観形状を有する様に、形成されている事が望ましい。
The pseudo bone members 2 and 3 of the pseudo joint structure 1 according to the present invention may be formed of a cylindrical body with a solid interior, or a hollow cylinder state in which the interior is hollow or It may be configured in a semi-cylindrical state.
Furthermore, in the present invention, in order to facilitate the reduction processing operation, substantially the entire shape is cylindrical, and each has an appearance shape that approximates the appearance of an actual part of a predetermined human body. It is desirable that it be formed.

又、本発明に於いては、後述する各種の伸縮性弾発材を含む適宜の調整部材、駆動補助部材等を取り外し、組み付け、或いは修理・調整等の各操作を実行する為に、当該各疑似骨部材2若しくは3の一部を内部が透視できる様に、当該疑似骨部材の外表面を欠落させておく事も望ましい具体例である。
そして、本発明に於いては、当該伸縮性弾発部材24を、当該第1の疑似骨部材2或いは第2の疑似骨部材3の内部空間内に配置させ、当該伸縮性弾発部材24の一端部を当該第1の疑似骨部材2或いは第2の疑似骨部材3の端部に適宜の固定部材27、28を介して固定接合するか、当該第1の疑似骨部材2或いは第2の疑似骨部材3の内部空間内の適宜の部位に、適宜の固定部材27、28を介して固定するものである。
Further, in the present invention, in order to perform various operations such as removing, assembling, or repairing / adjusting appropriate adjusting members, drive assisting members and the like including various elastic elastic materials to be described later, It is also desirable that the outer surface of the pseudo bone member is omitted so that a part of the pseudo bone member 2 or 3 can be seen through.
In the present invention, the elastic elastic member 24 is disposed in the internal space of the first pseudo bone member 2 or the second pseudo bone member 3, and the elastic elastic member 24 is One end portion is fixedly joined to the end portion of the first pseudo bone member 2 or the second pseudo bone member 3 via appropriate fixing members 27 and 28, or the first pseudo bone member 2 or the second pseudo bone member 2 The pseudo bone member 3 is fixed to appropriate portions in the internal space via appropriate fixing members 27 and 28.

本発明に於ける当該疑似関節構造体1の他の具体例に於いては、図3(B)或いは図3(C)に示す様に、当該第1と第2の疑似骨部材2、3の少なくとも一方、例えば、当該第2の疑似骨部材3の一部に、金属製或いは合成樹脂製、若しくは木製材料から構成された適宜の形状を有する第1の補助支持部20を連接して設けたものであっても良い。   In another specific example of the pseudo joint structure 1 according to the present invention, the first and second pseudo bone members 2, 3, as shown in FIG. At least one of the second pseudo bone members 3, for example, a first auxiliary support portion 20 having an appropriate shape made of a metal, a synthetic resin, or a wooden material is connected and provided. It may be.

係る第1の補助支持部材20は、後述する様に、脱臼した特定の関節の状態を観察出来る様にする為に、特定の場所に於いて安定的に保持固定するか載置する様に機能すると同時に、脱臼の整復処理操作を体験学習する際にも当該疑似関節構造体1を所定の場所に安定的に固定させると言う機能を有する他、適宜の伸縮性弾発部材24の一端部を固定保持する機能、或いは当該伸縮性弾発部材24の他端部に接続されている適宜の連結部材21の端部を固定保持する機能を有するものであり、且つ本発明に於いて使用される当該固定手段27,28も特に限定されるものではないが、従来周知の適宜の固定部材例えば、ボルトナット、フック、ネジ等の適宜の固定手段27、28、を使用して当該伸縮性弾発部材24及び当該連結部材21を固定する為に使用されるものである。
本発明に於ける当該第1の補助支持部材20は、特に当該関節部の形状が大きい関節、例えば、股関節、肩関節、或いは膝関節等に併用されるものである事が好ましい。
As will be described later, the first auxiliary support member 20 functions so as to be stably held and fixed or placed at a specific place so that the state of the dislocated specific joint can be observed. At the same time, in addition to having a function of stably fixing the pseudo-joint structure 1 in a predetermined place even when experiencing the reduction treatment operation for dislocation, one end portion of an appropriate elastic elastic member 24 is provided. It has a function of fixing and holding, or a function of fixing and holding the end of an appropriate connecting member 21 connected to the other end of the stretchable elastic member 24, and is used in the present invention. The fixing means 27 and 28 are not particularly limited. However, the elastic elastic impact can be obtained by using appropriate fixing members 27 and 28 such as bolts, nuts, hooks, and screws. The member 24 and the connecting member 21 are It is intended to be used to constant.
The first auxiliary support member 20 in the present invention is preferably used in combination with a joint having a particularly large joint portion, for example, a hip joint, a shoulder joint, or a knee joint.

一方、本発明に於ける当該疑似関節構造体の個別的な部材に於いては、当該第1の疑似骨部材2と当該第2の疑似骨部材3とは、略直線的に当該各疑似骨部材2、3の長手方向に沿って、当該関節頭5と当該関節窩6とが相互に接圧されて、所定の押圧力の下で、相互に接圧せしめられており、その具体的構成の一例として、例えば、図3(A)に示す様に、当該第1と第2の疑似骨部材2,3は、当該第1と第2の疑似骨部材2,3の何れか一方の疑似骨部材2、3の一部に、その一端部が固定され、その他端部が直接若しくは適宜の連結部材21を介して当該他方の疑似骨部材3、2の一部に固定されている適宜の伸縮性弾発部材24により、所定の押圧力の下で、相互に接圧せしめられている構成をとるものであっても良く、或いは、別の具体例として、図3(B)及び図3(C)に示されている通り、当該第1と第2の疑似骨部材2,3は、当該第1と第2の疑似骨部材2,3の何れか一方の疑似骨部材3に連接されている第1の補助支持部材20に、その一端部が固定され、その他端部が直接若しくは適宜の連結部材21を介して当該他方の疑似骨部材2に連接されている第2の補助支持部材22に固定されている適宜の伸縮性弾発部材24により、所定の押圧力の下で、相互に接圧せしめられている構成を有するものであっても良い。   On the other hand, in the individual member of the pseudo joint structure according to the present invention, the first pseudo bone member 2 and the second pseudo bone member 3 are substantially linearly arranged. The joint head 5 and the glenoid cavity 6 are in contact with each other along the longitudinal direction of the members 2 and 3 and are in contact with each other under a predetermined pressing force. As an example, for example, as shown in FIG. 3A, the first and second pseudo bone members 2 and 3 are either one of the first and second pseudo bone members 2 and 3. One end portion is fixed to a part of the bone members 2, 3, and the other end portion is fixed to a part of the other pseudo bone members 3, 2 directly or via an appropriate connecting member 21. The elastic resilient member 24 may be configured to be in contact with each other under a predetermined pressing force, or As a specific example, as shown in FIGS. 3 (B) and 3 (C), the first and second pseudo bone members 2 and 3 include the first and second pseudo bone members 2 and 2, respectively. 3, one end thereof is fixed to the first auxiliary support member 20 connected to one of the pseudo bone members 3, and the other end thereof is directly or via the appropriate connecting member 21 to the other pseudo bone. It has a configuration in which they are brought into contact with each other under a predetermined pressing force by an appropriate elastic elastic member 24 fixed to a second auxiliary support member 22 connected to the member 2. There may be.

更に、本発明に於いては、当該伸縮性弾発部材24は、金属製或いは合成樹脂製のスプリングであっても良く或いはゴム若しくは合成樹脂を主体とする弾性帯状物からなる適宜の伸長性及び伸長回復性を有する部材から構成されるものである。
本発明に於ける当該伸縮性弾発部材24の長さ、太さは特に限定されるものではなく、使用される当該第1或いは第2の疑似骨部材2或いは3、若しくは当該補助支持枠部22の大きさや、当該所定の関節部の所定の構成部位に於いて個別に要求される伸長力、伸長回復力等を勘案して決定される事が望ましい。
また、本発明に於ける当該伸縮性弾発部材24は、当該所定の関節部の特性、性別、年代別の特性要因を勘案して、適宜当該伸長力、伸長回復力等を調整出来る様な調整手段29が設けられているものであっても良い。
当該調整手段29としては、例えば、相互に異なる伸長力或は伸長回復力を有する複数の伸縮性弾発部材24を予め用意しておき、それらを適宜選択する様に構成した選択切り替え手段或は、当該複数種類の伸縮性弾発部材24から選択された複数種類の伸縮性弾発部材24をその長手方向に連続的に接続する様な機能を有する接続状態切り替え手段等が使用出来る。
Further, in the present invention, the elastic elastic member 24 may be a spring made of metal or a synthetic resin, or may have an appropriate stretchability made of an elastic band mainly composed of rubber or synthetic resin. It is comprised from the member which has expansion | extension recovery property.
The length and thickness of the elastic elastic member 24 in the present invention are not particularly limited, and the first or second pseudo bone member 2 or 3 to be used, or the auxiliary support frame portion. It is desirable that the size is determined in consideration of the size of 22 and the extension force, extension recovery force, and the like that are individually required in a predetermined component of the predetermined joint.
Further, the stretchable elastic member 24 according to the present invention can appropriately adjust the extension force, extension recovery force, etc. in consideration of the characteristic factors of the predetermined joint part, sex, and age. The adjusting means 29 may be provided.
As the adjustment means 29, for example, a plurality of stretchable elastic members 24 having different extension forces or extension recovery forces are prepared in advance, and a selection switching means configured to select them appropriately, or A connection state switching means or the like having a function of continuously connecting a plurality of types of stretchable resilient members 24 selected from the plurality of types of stretchable resilient members 24 in the longitudinal direction can be used.

一方、本発明に於いて使用される、当該伸縮性弾発部材24の他方の端部に接続される当該連結部材21は、少なくとも1本、場合によっては、2本或いはそれ以上の複数本が使用され、且つその構造或いは材料は特に限定されるものではなく、適宜の強度の若干の伸度、伸縮性を有するものである事が望ましく、金属製或いは合成樹脂製線条体、或いは天然繊維若しくは合成繊維からなる糸条体、或いは、革材、合成樹脂シート材等からなる帯状体で構成された線条体等で構成されるものである事が好ましい。
上記本発明に於ける具体例に於いては、少なくとも2本の当該線条を有する連結部材21を使用する場合には、後述する図6に示されている通り、一本の当該連結部材21をその途中の略中央部位置で折り曲げて使用する事が可能であり、更には、当該線条を有する連結部材21の略中央部位置で折り曲部と当該伸縮性弾発部材24の他方の端部との接合部には、後述する図50に示されている様な適宜の構造を持ったか滑車手段125を挿入配置せしめ、当該連結部材21を連続した状態で使用することも好ましい具体例である。
又、更なる具体例としては、当該伸縮性弾発部材24と当該連結部材21をそれぞれ複数本づつ使用する場合にあっては、例えば、図50に示される様に、複数個の滑車手段125を併用すると同時に、当該1本の連結部材21を一連に循環させた後に、その端部同志を適宜の締め継ぎ手段120等を使用して固定させて使用するものであっても良い。
On the other hand, the connecting member 21 used in the present invention and connected to the other end of the elastic elastic member 24 is at least one, or in some cases, two or more. The structure or material used is not particularly limited, and preferably has a certain degree of elongation and stretchability of appropriate strength, and is made of a metal or synthetic resin filament or natural fiber. Or it is preferable that it is comprised by the filament formed from the strip | belt body which consists of a thread | yarn body which consists of synthetic fibers, or a leather material, a synthetic resin sheet material, etc.
In the specific example of the present invention described above, when the connecting member 21 having at least two of the filaments is used, as shown in FIG. Can be used by being bent at a substantially central position in the middle thereof, and further, at the substantially central position of the connecting member 21 having the line, It is also preferable to use the connecting member 21 in a continuous state by inserting and arranging a pulley means 125 having an appropriate structure as shown in FIG. It is.
As a further specific example, when a plurality of the elastic resilient members 24 and a plurality of the connecting members 21 are used, for example, as shown in FIG. At the same time, after the one connecting member 21 is circulated in series, the end members may be fixed using an appropriate joining means 120 or the like.

本発明に於ける当該第1若しくは第2の疑似骨部材2,3の一方の疑似骨部材2,3の内部空間内で、当該伸縮性弾発部材24の他方の端部と適宜の結合手段31を介して接合されている当該連結部材21の他方の端部は、例えば、当該第1の疑似骨部材2に於ける当該関節頭5及び第2の骨部材3の当該関節窩6等の略中央部で、好ましくは、当該各第1の疑似骨部材2及び第2の疑似骨部材3の中軸線が通過する部位若しくはその近傍に形成された、適宜の大きさを持つ切り溝部32及び、又は孔部35を貫通して、他方の疑似骨部材内で適宜の接合手段28を介して、その疑似骨部材内部に固定保持されているものである。
或いは、当該連結部材21の他方の端部は、図3(C)に示す様に、当該第1若しくは第2の補助支持部20、22内部に固定保持される様に構成されているものであっても良い。
In the inner space of one pseudo bone member 2 or 3 of the first or second pseudo bone member 2 or 3 according to the present invention, the other end of the stretchable elastic member 24 and an appropriate coupling means The other end of the connecting member 21 joined via 31 is, for example, the joint head 5 in the first pseudo bone member 2 and the glenoid 6 of the second bone member 3. A kerf portion 32 having an appropriate size formed at or near a portion where the central axis of each of the first pseudo bone member 2 and the second pseudo bone member 3 passes, preferably at a substantially central portion. Alternatively, it is fixed and held inside the pseudo bone member through appropriate joint means 28 in the other pseudo bone member through the hole 35.
Alternatively, the other end portion of the connecting member 21 is configured to be fixedly held inside the first or second auxiliary support portion 20, 22 as shown in FIG. There may be.

本発明に於ける当該疑似関節構造体1の更に別の特徴的技術構成としては、先ず、図4に示す様に、当該疑似関節構造体1に於ける当該第1と第2の疑似骨部材2,3の間で、当該関節頭5が当該関節窩6から離脱した脱臼状態を安定した状態で表示する為に、当該両疑似骨部材2,3を相互に所定の方向に折り曲げるか、或いはその一方の疑似骨部材を他方の疑似骨部材に対して、捻じるか旋回させることによって、当該脱臼状態を創設し、当該脱臼状態をそのままの状態に保持させておく事が可能な機構を有するものである。
つまり、本発明に係る当該疑似関節構造体1に於いては、当該疑似関節構造体1の使用者が任意の時点で、任意の状態の脱臼状態を作り出し、その脱臼状態をそのままの状態に保持させておく機能を有するものである。
As still another characteristic technical configuration of the pseudo joint structure 1 in the present invention, first, as shown in FIG. 4, the first and second pseudo bone members in the pseudo joint structure 1 are used. In order to display in a stable state the dislocation state in which the joint head 5 is detached from the glenoid cavity 6 between 2 and 3, the pseudo bone members 2 and 3 are folded in a predetermined direction, or By having one pseudo bone member twisted or swiveled with respect to the other pseudo bone member, the dislocation state is created, and the dislocation state is maintained as it is. Is.
That is, in the pseudo joint structure 1 according to the present invention, the user of the pseudo joint structure 1 creates a dislocation state in an arbitrary state at an arbitrary time, and maintains the dislocation state as it is. It has a function to keep it.

更に、本発明に於ける当該疑似関節構造体1の更に他の特徴的技術構成としては、当該疑似関節構造体1に於ける当該第1と第2の疑似骨部材2,3の間で形成された当該脱臼状態にある当該疑似関節構造体1に於ける当該第1と第2の疑似骨部材2,3の少なくとも一方を伸長させながら所定の方向に変位させるか旋回させる動作を印加することにより当該脱臼状態を正常な関節構造の状態に整復させる機能を発揮出来る構成を有しているものである。
一方、図3(C)の具体例では、所望の疑似関節構造体に於ける当該第1と第2の疑似骨部材2,3同士の相互接圧に於いて、当該伸縮性弾発部材24と当該連結部材21の接続係合方式が上記した各具体例のものとは異なり、当該伸縮性弾発部材24が、当該関節頭5を含む当該第1の疑似骨部材2内に設けられている構成を有している。
Furthermore, as another characteristic technical configuration of the pseudo joint structure 1 in the present invention, the pseudo joint structure 1 is formed between the first and second pseudo bone members 2 and 3 in the pseudo joint structure 1. Applying an operation of displacing or turning in a predetermined direction while extending at least one of the first and second pseudo bone members 2 and 3 in the pseudo joint structure 1 in the dislocated state. Therefore, the dislocation state is reduced to the normal joint structure state.
On the other hand, in the specific example of FIG. 3 (C), the elastic elastic member 24 in the mutual contact pressure between the first and second pseudo bone members 2 and 3 in a desired pseudo joint structure. And the connecting engagement method of the connecting member 21 is different from those of the specific examples described above, and the elastic resilient member 24 is provided in the first pseudo bone member 2 including the joint head 5. It has the composition which is.

本発明に於ける上記した特徴的技術構成を実現させる為に、本発明に於ける当該疑似関節構造体1に於いては、上記した当該伸縮性弾発部材24と当該連結部材21の作用により、当該第1と第2の疑似骨部材2,3を当該関節頭5と当該関節窩6とを相互に対向させた状態で相互に所定の押圧力の下で、相互に接圧された状態を形成しておき(これが正常な関節の動作状態を示す)、同時に、当該第1と第2の疑似骨部材2,3の当該関節頭5と当該関節窩6の少なくとも一部に於ける所定の部位に、線条体である当該連結部材21を、所望の特定の疑似関節部に於ける所定の脱臼状態に於いて、当該関節頭5の所定の部位及び当該関節窩6の所定部位に誘導する様に構成せしめる為に、一つ或いは複数個の溝部32或いは穴部35を設けるものである。   In order to realize the above-described characteristic technical configuration in the present invention, in the pseudo joint structure 1 in the present invention, due to the action of the stretchable elastic member 24 and the connecting member 21 described above. The first and second pseudo bone members 2 and 3 are in contact with each other under a predetermined pressing force with the joint head 5 and the glenoid cavity 6 facing each other. (This indicates a normal joint operation state), and at the same time, predetermined in at least a part of the joint head 5 and the joint fossa 6 of the first and second pseudo bone members 2 and 3 The connecting member 21, which is a striatum, is attached to a predetermined part of the joint head 5 and a predetermined part of the joint fossa 6 in a predetermined dislocation state at a desired specific pseudo joint. One or a plurality of groove portions 32 or hole portions 35 are provided in order to be configured to guide. It is intended.

即ち、図4(A)及び図4(B)に示す様に、当該関節頭5と当該関節窩6の少なくとも一方の少なくとも一部で、当該関節頭5或いは当該関節窩6の外縁部からその内部に向けて形成された1本或いは複数本の切込溝部32を設けるものであり、係る切込溝部32の数は、当該連結部材21の使用本数により決定されるものである。
尚、図4(B)に於ける符号35は、当該関節頭5と当該関節窩6の略中央部であって、当該連結部材21が、正常な関節状態にある場合に当該関節頭5と当該関節窩6を貫通する為に予め設けられている穴部である。
係る穴部35は、当該関節頭5と当該関節窩6の略中央部に必ず設けられるものであり、当該切込溝部32が設けられる場合には、当該穴部35と当該切込溝部32とは相互に連通せしめられている事が望ましい具体例である。
That is, as shown in FIG. 4 (A) and FIG. 4 (B), at least a part of at least one of the joint head 5 and the glenoid cavity 6 from the outer edge of the joint head 5 or the glenoid cavity 6 One or a plurality of cut groove portions 32 formed toward the inside are provided, and the number of the cut groove portions 32 is determined by the number of the connecting members 21 used.
In FIG. 4B, reference numeral 35 denotes a substantially central portion of the joint head 5 and the glenoid fossa 6, and when the connecting member 21 is in a normal joint state, This is a hole provided in advance to penetrate the glenoid cavity 6.
The hole 35 is always provided at the approximate center of the joint head 5 and the glenoid cavity 6. When the cut groove 32 is provided, the hole 35 and the cut groove 32 Is a specific example that is desirable to communicate with each other.

又、当該切込溝部32の長さ或いはその形状は特に限定されるものではなく、当該関節に於ける脱臼状態の発生状況を勘案して決定する事が可能である。
更に、当該切込溝部32が複数個設けられる場合には、それぞれの長さ或いはその形状及び当該切込溝部の長手方向等は特に限定されるものではないが、相互に異なるものであっても良く、特に当該切込溝部32のそれぞれの形成方向は、当該関節部の脱臼の発生方向に応じて設計され、設定される事が望ましい。
その為に、本発明では、事前に多数の関節脱臼の発生原因、発生状態、発生方向等に関す情報を集め、当該情報から、当該所定の脱臼に於いて、当該第1若しくは第2の疑似骨部材2、3が如何なる挙動を示して脱臼状態が発生するかを想定して、決定する事が望ましい。
Further, the length of the cut groove 32 or the shape thereof is not particularly limited, and can be determined in consideration of the occurrence of the dislocation state in the joint.
Further, when a plurality of the cut groove portions 32 are provided, the length or the shape thereof and the longitudinal direction of the cut groove portions are not particularly limited, but may be different from each other. In particular, it is desirable that the formation direction of each of the cut groove portions 32 is designed and set according to the direction in which the dislocation of the joint portion occurs.
Therefore, in the present invention, information on the cause, occurrence state, direction, etc. of many joint dislocations is collected in advance, and from the information, the first or second pseudo dislocation is performed at the predetermined dislocation. It is desirable to determine the behavior of the bone members 2 and 3 on the assumption that the dislocation state occurs.

本発明に於ける当該切込溝部32は、図4(A)或いは図4(B)に示す様に、当該関節頭5の略中央部に当該伸縮性弾発部材24と連結されている当該連結部材21が通過する穴部35の近傍に別途に形成しておく事も可能であり、或いは、当該穴部35と連通して形成したものであっても良い。
当該切込溝部32を上記した部位に配置する事により、図4(A)或いは図4(C)に示す様に、当該関節1が脱臼し、当該関節頭5が、当該関節窩6から離脱した状態に於いて、当該伸縮性弾発部材24と連携している当該連結部材21が、当該穴部35と当該切込溝部32とに緊張状態下で配置せしめられるので、当該脱臼状態が、安定的に維持保存されるのである。
即ち、係る穴部35と当該切込溝部32等は、当該所定の関節が正常である場合には、外部から観察する事ができないが、当該所定の関節が脱臼になった場合に、外部から観察する事が出来る。
更に、本発明に於いては、当該切込溝部32は、後述する様な、例えば、補助線条体或は補強線条体等の他の機能を有する線条体も通過出来る様な溝部であっても良く、当該溝部は、当該関節頭5や当該関節窩6内部のみに設けられる事に限定はされず、例えば、当該第1又は第2の疑似骨部材2或いは3の当該関節頭5や当該関節窩6の外表面若しくは当該関節頭5や当該関節窩6に近接した部位の外表面等にも適宜の長さ或は適宜の形状、若しくは適宜の幅等を有する一つ或は複数個の当該溝部を形成配置することも可能である。
As shown in FIG. 4 (A) or FIG. 4 (B), the notch groove portion 32 in the present invention is connected to the stretchable elastic member 24 at the substantially central portion of the joint head 5. It may be formed separately in the vicinity of the hole 35 through which the connecting member 21 passes, or may be formed in communication with the hole 35.
By disposing the notch groove 32 in the above-described region, the joint 1 is dislocated and the joint head 5 is disengaged from the glenoid 6 as shown in FIG. In this state, the connecting member 21 that cooperates with the elastic resilient member 24 is placed in the hole 35 and the cut groove 32 under tension, so that the dislocation state is It is maintained and stored stably.
That is, the hole 35 and the cut groove 32 and the like cannot be observed from the outside when the predetermined joint is normal, but from the outside when the predetermined joint is dislocated. You can observe.
Further, in the present invention, the cut groove 32 is a groove that can pass through a wire having another function such as an auxiliary wire or a reinforcing wire, as will be described later. The groove portion is not limited to being provided only in the joint head 5 or the glenoid 6, and for example, the joint head 5 of the first or second pseudo bone member 2 or 3 is not limited. And / or the outer surface of the glenoid cavity 6 or the outer surface of the joint head 5 or a part close to the glenoid cavity 6 or the like having an appropriate length, an appropriate shape, an appropriate width, or the like. It is also possible to form and arrange the groove portions.

本具体例では、当該関節頭5や当該関節窩6に、単に当該溝部32のみが形成させるものであってもよく、図4(B)に示す様に、当該通過用の穴部35と当該切込溝部32とを連通して形成したものであっても良く、或いは、長さや形状或いは溝の長手方向中心軸線の向き等を相互に異にした一つ或いは複数個の当該切込溝部32を設ける事も可能である。
当該切込溝部32の配置位置或いは配置方向等は、前記した様に、当該所定の関節部に於ける脱臼の発生する可能性の高い方向に当該縮性弾発部材24或いは当該連結部材21が、容易に誘導される様に配置条件等を決定する事が可能である。
そして、当該脱臼状態を正常な関節構造に回復させる整復処理操作を行うに際しては、例えば、当該第1又は第2の疑似骨部材2又は3を、当該伸縮性弾発部材24の収縮力に抗して、所定の長さだけ、当該第1又は第2の疑似骨部材2或いは3の長手方向に沿って、或いは当該第1又は第2の疑似骨部材2或いは3の長手方向とは異なる予め決定されている方向に伸長、或いは引張若しくは旋回又はねじれを付与することにより、当該関節頭5を当該関節窩6の凹陥部内に戻す操作を実行するが、当該切込溝部32が、当該第1又は第2の骨部材2の当該伸長方向或いは旋回、ねじれ方向のガイド的役割を演出するものである。
In this specific example, only the groove 32 may be formed on the joint head 5 or the glenoid fossa 6, and as shown in FIG. It may be formed by communicating with the cut groove portion 32, or one or a plurality of the cut groove portions 32 having different lengths, shapes, or longitudinal center axis directions of the grooves. It is also possible to provide.
As described above, the arrangement position or the arrangement direction of the cut groove 32 is such that the contractile elastic member 24 or the connecting member 21 is in a direction in which dislocation is likely to occur in the predetermined joint. It is possible to determine the arrangement conditions and the like so as to be guided easily.
Then, when performing a reduction processing operation to restore the dislocation state to a normal joint structure, for example, the first or second pseudo bone member 2 or 3 is resisted against the contraction force of the stretchable elastic member 24. Then, a predetermined length differs in advance along the longitudinal direction of the first or second pseudo bone member 2 or 3, or different from the longitudinal direction of the first or second pseudo bone member 2 or 3. An operation of returning the joint head 5 into the recessed portion of the glenoid 6 by performing extension, pulling, turning, or twisting in the determined direction is performed. Alternatively, the second bone member 2 plays a guiding role in the extending direction, turning, or twisting direction.

又、図5(A)に示す様な、本発明に於ける当該脱臼状態が、当該第1とは第2の疑似骨部材2、3の内の一方の疑似骨部材3を捻じることにより発生させる様な関節脱臼構造である場合には、例えば、図5(B)或いは図5(C)に示す様に、当該一方の疑似骨部材2の外方周縁側壁部の適宜の部位に適宜のピン部40を固定して設けると共に、当該他方の疑似骨部材3の外方周縁側壁部に適宜の部位に、当該ピン部40に当接する適宜の形状を有するカム部42若しくはテ―パ状部分42を設け、当該他方の疑似骨部材3を当該一方の疑似骨部材2の中空部内に回転自在に挿入し、当該カム部若しくはテ―パ状部分42を当該ピン部40と摺動接触させる事によって、当該他方の第2の疑似骨部材3を当該第1の疑似骨部材2内で、所定の角度内で旋回させたり、捻じれ操作を行う事により、当該第2の疑似骨部材3が、捻じれながら当該第2の疑似骨部材3の軸方向に伸長して所定の脱臼状態を創出させる事が可能となり、又当該操作の逆の操作を実行することによって、当該脱臼状態に対する整復操作が実行される事になる。
勿論、本具体例では、当該第1の疑似骨部材2と当該第2の疑似骨部材3とは、前述の様に、適宜の当該縮性弾発部材24及び又は当該連結部材21によって、相互に当該関節頭5と当該関節窩6とを介して相互に押圧接合されているものである。
Further, the dislocation state in the present invention as shown in FIG. 5A is caused by twisting one pseudo bone member 3 of the second pseudo bone members 2 and 3 in the first. When the joint dislocation structure is to be generated, for example, as shown in FIG. 5B or FIG. 5C, an appropriate part of the outer peripheral side wall portion of the one pseudo bone member 2 is appropriately disposed. The pin portion 40 is fixedly provided, and the cam portion 42 or the taper shape having an appropriate shape that comes into contact with the pin portion 40 is provided at an appropriate position on the outer peripheral side wall portion of the other pseudo bone member 3. A portion 42 is provided, the other pseudo bone member 3 is rotatably inserted into the hollow portion of the one pseudo bone member 2, and the cam portion or the taper portion 42 is brought into sliding contact with the pin portion 40. As a result, the other second pseudo bone member 3 is placed within the first pseudo bone member 2 in a predetermined manner. By turning within the angle or performing a twisting operation, the second pseudo bone member 3 extends in the axial direction of the second pseudo bone member 3 while being twisted to create a predetermined dislocation state. The reduction operation for the dislocation state is executed by executing the reverse operation of the operation.
Of course, in the present specific example, the first pseudo bone member 2 and the second pseudo bone member 3 are connected to each other by the appropriate retractable elastic member 24 and / or the connecting member 21 as described above. The joint head 5 and the glenoid cavity 6 are pressed and joined to each other.

本具体例に於いては、図5(D)に示す様に、当該カム部若しくはテ―パ状部分42の一端部に、当該ピン部40を嵌入させて、当該カム部若しくはテ―パ状部分42の動きを静止させる為の凹部43を設ける事が好ましく、係る凹部43に当該ピン部40を嵌入させて当該第2の疑似骨部材3の捻じれを終息させて、その状態に維持する事が出来る。
又、当該凹部43に当該ピン部40嵌入させて当該第2の疑似骨部材3の捻じれを静止させた位置は、当該関節部に於いて脱臼が発生した場合の当該第2の疑似骨部材3の最大上昇位置を示す事になる。
従って、図5(D)中、当該凹部43の上下方向の高さ位置は、当該関節が正常な状態にある場合に、当該カム部若しくはテ―パ状部分42が当該ピン部40と当接する高さ位置よりも低い位置に設定されるものである。
In this specific example, as shown in FIG. 5D, the pin portion 40 is fitted into one end portion of the cam portion or the taper-like portion 42 to thereby form the cam portion or the taper-like shape. It is preferable to provide a recess 43 for making the movement of the portion 42 stationary. The pin portion 40 is fitted into the recess 43 to stop the twist of the second pseudo bone member 3 and maintain this state. I can do it.
Further, the position where the pin portion 40 is fitted in the concave portion 43 and the twist of the second pseudo bone member 3 is stopped is the second pseudo bone member when dislocation occurs in the joint portion. 3 will indicate the maximum ascending position.
Accordingly, in FIG. 5D, the vertical position of the concave portion 43 is such that the cam portion or the taper portion 42 abuts on the pin portion 40 when the joint is in a normal state. It is set at a position lower than the height position.

本発明に係る当該疑似関節構造体1に於いて、図3(A)に示す具体例では、当該連結部材21は、当該疑似骨部材2,3の何れかの内部空間部内に配置されているが、本発明に於ける他の具体例に於いては、当該連結部材21の少なくとも一部は、当該疑似関節構造体1に於ける当該疑似骨部材2又は3の外部表面に配置されている事も好ましい具体例である。
即ち、図3(A)に於ける点線21A又は21Bで示す様に、少なくとも一本の当該連結部材21の一部が、当該伸縮性弾発部材24との結合部位から直接的に或いは一部、当該疑似骨部材2,3の何れか一方の内部に配置された後、当該関節部1の外表面に沿って配置された後、再び当該疑似骨部材3、2の他方の内部に挿入され、所定の部位に固定される様に構成されているものであっても良い。
当該連結部材21が複数本並列的に使用されている場合には、その一部の連結部材21が上記構成を採用するものであっても良く、或いは全ての連結部材21が、上記した構成を採用するものであっても良い。
本発明に於ける上記の技術構成に於いて、当該疑似関節構造体1の関節部の外部表面に配置されている当該適宜の連結部材21は、靭帯或いは腱の機能と類似した機能を発揮する様に構成されているものである。
In the pseudo joint structure 1 according to the present invention, in the specific example shown in FIG. 3A, the connection member 21 is disposed in any of the internal space portions of the pseudo bone members 2 and 3. However, in another specific example of the present invention, at least a part of the connection member 21 is disposed on the external surface of the pseudo bone member 2 or 3 in the pseudo joint structure 1. This is also a preferable specific example.
That is, as indicated by a dotted line 21A or 21B in FIG. 3A, at least a part of the connection member 21 is directly or partially from the coupling site with the elastic elastic member 24. After being placed inside one of the pseudo bone members 2, 3, after being placed along the outer surface of the joint portion 1, it is inserted into the other inside of the pseudo bone members 3, 2 again. It may be configured to be fixed to a predetermined part.
When a plurality of the connecting members 21 are used in parallel, a part of the connecting members 21 may adopt the above configuration, or all the connecting members 21 may have the above configuration. It may be adopted.
In the above technical configuration of the present invention, the appropriate connecting member 21 disposed on the outer surface of the joint portion of the pseudo joint structure 1 exhibits a function similar to that of a ligament or a tendon. It is configured like this.

又、本発明に於ける当該疑似関節構造体1に於ける更に別の具体例に於いては、図6(A)に示す様に、当該第1の疑似骨部材2若しくは当該第2の疑似骨部材3に設けられた当該伸縮性弾発部材24に平行して当該連結部材21と同一或いは異なる伸度、強度を有する補助線状体50を配置し、当該補助線状体50の一方の端部51を、当該伸縮性弾発部材24の一端部が固定されている当該疑似骨部材2又は3の所定の部位P2の近傍部P1に接合すると共に、当該補助線状体50の他方の端部52を、当該伸縮性弾発部材24の当該他端部31に接合させた構成を採用するものであっても良い。
係る具体例に於いては、当該補助線状体50は,靭帯若しくは腱の機能と類似した機能を発揮する様に構成されているものであって、当該補助線状体50の当該疑似骨部材2,3に接合されている当該一端部51は、当該疑似骨部材2,3に、適宜の接合手段55を介して着脱自在に接合されている事が好ましい具体例である。
In still another specific example of the pseudo joint structure 1 according to the present invention, as shown in FIG. 6A, the first pseudo bone member 2 or the second pseudo bone member 2 is used. An auxiliary linear body 50 having the same or different elongation and strength as the connection member 21 is arranged in parallel with the stretchable elastic member 24 provided on the bone member 3, and one of the auxiliary linear bodies 50 is arranged. The end 51 is joined to the vicinity P1 of the predetermined part P2 of the pseudo bone member 2 or 3 to which one end of the stretchable elastic member 24 is fixed, and the other end of the auxiliary linear body 50 is joined. A configuration in which the end 52 is joined to the other end 31 of the stretchable elastic member 24 may be adopted.
In such a specific example, the auxiliary linear body 50 is configured to exhibit a function similar to that of a ligament or tendon, and the pseudo bone member of the auxiliary linear body 50 is provided. It is a preferable example that the one end portion 51 joined to the second and third members is detachably joined to the pseudo bone members 2 and 3 via an appropriate joining means 55.

より具体的には、当該疑似骨部材2又は3の何れか一方の端部に当該伸縮性弾発部材24の一端部27を固定している部位P2に近接した部位P1に図6(B)に示す様な、例えば、L字状の溝部53と円形部54とを接合した形状を有する穴部52を設け、当該穴部52の当該円形部54の内径よりも小さいが、当該溝部53の幅よりも大きな直径を有する適宜の係止部材55に当該補助線状体50の一方の端部を接合固定し、当該係止部材55を当該穴部52の当該円形部54から挿入した後、当該係止部材55を当該溝部53内に移行させて、当該補助線状体50を着脱自在に固定するものである。
係る構成を採用することによって、本発明に係る当該補助線状体50の当該一端部を当該疑似骨部材2,3から離反させることにより、当該関節1の脱臼状態に於いて、靭帯或いは腱が切断されている状態を顕出させる様に構成されているものである。
即ち、本具体例に於いては、当該疑似関節構造体1に於いて、当該補助線状体50が、実際の関節部1に於ける靭帯或いは腱の機能と類似した機能を発揮する様に構成されているものであり、当該補助線状体50を当該疑似骨部材2又は3に対して着脱自在に接合固定しておく事によって、当該疑似関節部に於ける靭帯或いは腱の機能が正常に機能している場合と、当該靭帯或いは腱が切断或いは破壊されてその機能が消失されている場合との状況を作り出せることになり、当該整復処理操作を体験、学習する人にとっては、上記した両方の脱臼状態に対処する整復処理操作を体験・実習する事が可能となる。
一方、本発明に係る当該疑似関節構造体1が大型である場合には、例えば、膝関節部である場合には、当該疑似関節構造体1の当該第1と第2の疑似骨部材2,3を接合する為、例えば、図27乃至図30に示される様な補助接合線状体803、804或いは809 810等が更に使用されるものであっても良い。
More specifically, the region P1 close to the region P2 that fixes the one end 27 of the stretchable elastic member 24 to either one of the pseudo bone members 2 or 3 is shown in FIG. For example, a hole portion 52 having a shape obtained by joining an L-shaped groove portion 53 and a circular portion 54 is provided, and is smaller than the inner diameter of the circular portion 54 of the hole portion 52. After fixing and fixing one end of the auxiliary linear body 50 to an appropriate locking member 55 having a diameter larger than the width, and inserting the locking member 55 from the circular portion 54 of the hole 52, The locking member 55 is moved into the groove 53 and the auxiliary linear body 50 is detachably fixed.
By adopting such a configuration, by separating the one end portion of the auxiliary linear body 50 according to the present invention from the pseudo bone members 2 and 3, the ligament or the tendon is removed in the dislocation state of the joint 1. It is comprised so that the state cut | disconnected may be revealed.
That is, in this specific example, in the pseudo joint structure 1, the auxiliary linear body 50 exhibits a function similar to the function of the ligament or tendon in the actual joint portion 1. The auxiliary linear member 50 is detachably joined and fixed to the pseudo bone member 2 or 3 so that the function of the ligament or tendon at the pseudo joint portion is normal. For those who experience and learn the reduction processing operation, it is possible to create a situation where the function is lost and the function is lost because the ligament or tendon is cut or destroyed. It is possible to experience and practice reduction processing operations that deal with both dislocation states.
On the other hand, when the pseudo joint structure 1 according to the present invention is large, for example, when it is a knee joint, the first and second pseudo bone members 2 of the pseudo joint structure 1 are provided. For example, auxiliary joining linear bodies 803, 804 or 809 810 as shown in FIG. 27 to FIG. 30 may be further used.

又、本発明に於ける当該疑似関節構造体1に於いて、複数個の個別的な関節群が略直列的に配置されている様な関節を表す当該疑似関節構造体1、例えば、指関節に関する当該疑似関節構造体1に於いては、複数個の当該疑似骨部材2又は3がその長手方向に沿って直列的に連結されているものであっても良い。
更に、上記した通り、本発明に於ける当該疑似関節構造体1に於いて、当該疑似関節構造体の当該第1と第2の疑似骨部材の相互接合面部、つまり当該関節頭5或いは当該関節窩6の何れか一方或いはその双方の一部分に、例えば、図8に例示される様な穴部86若しくはスリット状の溝部87が設けられているものであっても良い。
即ち、本発明に於ける当該疑似関節構造体1に於いては、上記した通り、何れかの当該疑似関節構造体の当該第1と第2の疑似骨部材間に於ける当該脱臼状態を形成し維持するために、当該第1と第2の疑似骨部材の少なくとも一方に当該脱臼状態の方向性を指定する為の当該伸縮性弾発部材24、或いは当該連結部材21若しくは当該補助線状体が通過しうる溝部87或は穴部86が少なくとも1個形成されているものである。
Further, in the pseudo joint structure 1 according to the present invention, the pseudo joint structure 1 representing a joint in which a plurality of individual joint groups are arranged substantially in series, for example, a finger joint. In the pseudo joint structure 1 relating to the above, a plurality of pseudo bone members 2 or 3 may be connected in series along the longitudinal direction thereof.
Furthermore, as described above, in the pseudo joint structure 1 according to the present invention, the joint surface portion of the first and second pseudo bone members of the pseudo joint structure, that is, the joint head 5 or the joint. For example, a hole 86 or a slit-like groove 87 as illustrated in FIG. 8 may be provided in any one of the pits 6 or a part of both of them.
That is, in the pseudo joint structure 1 according to the present invention, as described above, the dislocation state is formed between the first and second pseudo bone members of any of the pseudo joint structures. To maintain and maintain, the elastic elastic member 24, the connecting member 21 or the auxiliary linear body for designating the directionality of the dislocation state to at least one of the first and second pseudo bone members Is formed with at least one groove portion 87 or hole portion 86 through which the water can pass.

一方、本発明に於ける当該疑似関節構造体1に於いて、当該疑似関節構造体が膝関節である場合には、当該疑似関節構造体は、上記した様な基本的な疑似関節部の構造を有すると共に、更に膝蓋骨が適宜の伸縮性弾発部材と適宜の補助線状体を介して、当該第1及び第2の疑似骨部材の接合部位近傍に変位可能な状態で配置されているものである事も好ましい具体例である。
上記した通り、本発明に係る当該疑似関節構造体1は、人体が持っている各種の関節構造体の構成と機能を有する疑似関節構造体であるが、従来知られている単なる関節構造の模型ではなく、当該人体が持っている各種の関節構造体の正常な動作に略近似する様な動作が実現される様に構成されているものであり、例えば、各種の関節構造体の正常な状態に於いて脱臼が発生する際にそれぞれの関節構成体にどのような力が作用するかを事前に検査、分析し、それに近似した力が入力されると脱臼する様に設計されたものであると同時に、それぞれの個別的特定の関節構造体に於いて、事前の多くの実験や観察を通じて得られた情報を元にして、良く発生する或いは頻繁に発生するタイプの脱臼の状況を把握し、当該それぞれの脱臼状態を容易に再現性良く再現させる事が出来ると共に、当該発生させた脱臼の状態をその形のまま静止させて保持し、且つ観察出来る様にするものであり、更に、当該脱臼発生状態から当該関節構造体の正常な状態に戻す操作である整復処理する際に、当該脱臼状態に適した方法で、実際に、如何なる関節部分をどの様な方向にどの程度動かし或いはその際にどの様な力を印加して如何なる方向に引き延ばすか若しくは押し込むかの操作をしたら良いかについて、当該適正な操作を体験しながら実際の整復方法の訓練を繰り返し実行する事が出来る。
従って、本発明に係る疑似関節構成体では、脱臼患者に直接触れながら、整復操作を実習方々会得する事が可能となるので、当該患者に苦痛を与える事無く、独自に、しかも容易に短期間で、当該脱臼の整復処理操作を体得する事が可能となる。
On the other hand, in the pseudo joint structure 1 according to the present invention, when the pseudo joint structure is a knee joint, the pseudo joint structure has the basic pseudo joint structure as described above. In addition, the patella is disposed so as to be displaceable in the vicinity of the joint portion of the first and second pseudo bone members via an appropriate elastic elastic member and an appropriate auxiliary linear body. It is also a preferable specific example.
As described above, the pseudo joint structure 1 according to the present invention is a pseudo joint structure having configurations and functions of various joint structures of a human body, but a conventionally known simple joint structure model. Rather, it is configured so as to realize an operation that approximately approximates the normal operation of various joint structures that the human body has. For example, the normal state of various joint structures It is designed to examine and analyze in advance what kind of force is applied to each joint component when dislocation occurs, and to dislodge when approximate force is input. At the same time, in each individual specific joint structure, based on the information obtained through many experiments and observations in advance, grasp the situation of dislocation of the type that occurs frequently or frequently, Each dislocation state The dislocation state that has been generated can be kept stationary and observed in its shape, and the joint structure can be observed from the dislocation occurrence state. When performing reduction processing, which is an operation to return to the normal state, actually move any joint part in what direction and how much force is applied in a method suitable for the dislocation state. Thus, it is possible to repeatedly execute the training of the actual reduction method while experiencing the appropriate operation as to which direction to extend or push in.
Therefore, in the pseudo joint structure according to the present invention, it is possible to obtain a reduction operation while directly touching a dislocation patient. Thus, it is possible to acquire the reduction processing operation of the dislocation.

以下に、実際の人体上のそれぞれの関節部に対応した、本発明に係る当該疑似関節構造体1に関する具体的な構造例を個別に図面を参照しながら詳細に説明する。
1.指関節に対応した疑似関節構造体:
本発明に於ける指関節に対応した当該疑似指関節構造体80の構成の一具体例として、手の骨部に於ける人差し指に対応した当該疑似指関節構造体80の例を以下に示す。
即ち、図7に示す様に、一般的な人間の手に於ける人差し指は、中手骨71と、基節骨72と、中節骨73及び末節骨74がそれぞれの長手方向軸に沿って、直列的に配置されているものであり、当該中手骨71の関節頭部715と当該基節骨72の関節窩726とが対向して中手指節間関節75を形成し、当該基節骨72の関節頭725と、当該中節骨73の関節窩736とが対向して近位指節間関節76を形成し、且つ、当該中節骨73の関接頭735と当該末節骨74の関節窩746とが対向して遠位指節間関節77を形成しているものである。
Hereinafter, specific structural examples relating to the pseudo joint structure 1 according to the present invention corresponding to each joint portion on the actual human body will be described in detail with reference to the drawings.
1. Pseudo joint structure corresponding to the finger joint:
As a specific example of the configuration of the pseudo finger joint structure 80 corresponding to the finger joint in the present invention, an example of the pseudo finger joint structure 80 corresponding to the index finger in the bone of the hand is shown below.
That is, as shown in FIG. 7, the index finger in a general human hand includes a metacarpal bone 71, a proximal phalanx 72, a middle phalanx 73, and a distal phalanx 74 along respective longitudinal axes. The joint head 715 of the metacarpal bone 71 and the glenoid 726 of the proximal phalanx 72 face each other to form a metacarpophalangeal joint 75, and the proximal segment The joint head 725 of the bone 72 and the glenoid fossa 736 of the middle phalanx 73 face each other to form a proximal interphalangeal joint 76, and the joint prefix 735 of the middle phalange 73 and the distal phalange 74 A distal interphalangeal joint 77 is formed facing the glenoid 746.

係る実際の指関節に対応した本発明に係る当該疑似関節構造体80の構成の一例としては、図8(A)乃至図8(F)に示す様に、適宜の形状を呈する補助支持部85の一端部に設けられた、当該中手骨71に対応する第1の疑似骨部材81が配置されており、当該第1の疑似骨部材81の当該第1の補助支持部85の一端部から突出している当該第1の疑似骨部材81の自由先端部には、関接頭部815が設けられている。
又、当該第1の疑似骨部材81の当該関接頭部815に対向して、基節骨72に対応する第2の疑似骨部材82が、当該第2の疑似骨部材82の一端部に設けられている関節窩826が当該関接頭部815に対向する様に、隣接して配置されており、上記した中手指節間関節75に相当する関節部875を形成するものである。
更に、当該第2の疑似骨部材82の他端部に設けられている関節頭825に対向して、中節骨73に対応する第3の疑似骨部材83であって、当該第3の疑似骨部材83の一端部に設けられている関節窩836が対向する様に、隣接して配置されており、上記した近位指節間関節76に相当する関節部876を形成するものである。
更に、当該第3の疑似骨部材83の他端部に設けられている関節頭835に対向して、中末節骨74に対応する第4の疑似骨部材84であって、当該第4の疑似骨部材84の一端部に設けられている関節窩846が対向する様に、隣接して配置されており、上記した遠位指節間関節76に相当する関節部877を形成するものである。
As an example of the configuration of the pseudo joint structure 80 according to the present invention corresponding to such an actual finger joint, as shown in FIGS. 8 (A) to 8 (F), an auxiliary support portion 85 having an appropriate shape. A first pseudo bone member 81 corresponding to the metacarpal bone 71 provided at one end of the first pseudo bone member 81 is disposed from one end of the first auxiliary support portion 85 of the first pseudo bone member 81. A free prefix portion 815 is provided at the free distal end portion of the projecting first pseudo bone member 81.
In addition, a second pseudo bone member 82 corresponding to the proximal phalanx 72 is provided at one end of the second pseudo bone member 82 so as to face the relevant prefix 815 of the first pseudo bone member 81. The joint glenoid 826 is arranged adjacent to each other so as to face the relevant prefix 815, and forms a joint portion 875 corresponding to the above-mentioned metacarpophalangeal joint 75.
Furthermore, a third pseudo bone member 83 corresponding to the middle phalanx 73 facing the joint head 825 provided at the other end portion of the second pseudo bone member 82, the third pseudo bone member 83, The glenoid 83 is disposed adjacently so that the glenoid 836 provided at one end of the bone member 83 is opposed to each other, and forms a joint 876 corresponding to the proximal interphalangeal joint 76 described above.
Furthermore, a fourth pseudo bone member 84 corresponding to the metaphyseal phalange 74 facing the joint head 835 provided at the other end portion of the third pseudo bone member 83, the fourth pseudo bone member 84. The glenoid 84 is arranged adjacent to each other so that the glenoid fossa 846 provided at one end of the bone member 84 faces each other, and forms a joint portion 877 corresponding to the distal interphalangeal joint 76 described above.

本具体例に於いては、上記した各疑似骨部材81乃至84は、それぞれの疑似骨部材の長手方向軸に沿って、直列状に連結固定されるものであり、当該連結には、当該第1の補助支持部85内に配置された適宜の伸度、伸長特性を有するスプリング等からなる伸縮性弾発部材24と当該伸縮性弾発部材24に連結された連結部材21とによって、それぞれの連結部位に於いて、相互に適度の接圧応力が印加される様に構成されるものである。
例えば、当該第1の補助支持部85内に配置された適宜のスプリング24の一端部を当該第1の補助支持部85の適宜の部位に於いて、適宜の固定手段27を使用して固定配置すると同時に、当該スプリング24の他方の端部には、適宜の強度或いは低い伸度を有する適宜の材料からなる連結部材21を連結し、当該連結部材21を、上記した各疑似骨部材の内部空間部を挿通させて、当該第4の疑似骨部材84の内部の適宜の部位に適宜の固定手段(第2の補助支持部)28を介して固定する。
本具体例に於ける当該個々の疑似骨部材81乃至84及び当該第1の補助支持部85は、前記した様な適宜の材料で略中空状の円筒体或いは半円筒体の形成しており、その両端部は、それぞれ当該関節頭5と関節窩6が設けられており、当該部分に当該連結部材21が通過する為の通過孔86を除いては閉鎖状態を形成している。
In this specific example, each of the pseudo bone members 81 to 84 is connected and fixed in series along the longitudinal axis of each pseudo bone member. The elastic elastic member 24 made of a spring or the like having appropriate elongation and elongation characteristics and the connecting member 21 connected to the elastic elastic member 24 are disposed in one auxiliary support portion 85. In the connection part, it is comprised so that moderate contact pressure stress may be applied mutually.
For example, one end portion of an appropriate spring 24 disposed in the first auxiliary support portion 85 is fixedly disposed at an appropriate portion of the first auxiliary support portion 85 using an appropriate fixing means 27. At the same time, the other end of the spring 24 is connected to a connecting member 21 made of an appropriate material having an appropriate strength or low elongation, and the connecting member 21 is connected to the internal space of each pseudo bone member described above. The portion is inserted and fixed to an appropriate portion inside the fourth pseudo bone member 84 via an appropriate fixing means (second auxiliary support portion) 28.
The individual pseudo bone members 81 to 84 and the first auxiliary support portion 85 in this specific example are formed of a substantially hollow cylindrical body or semi-cylindrical body with an appropriate material as described above, The joint head 5 and the glenoid 6 are respectively provided at both ends thereof, and a closed state is formed except for the passage hole 86 through which the connecting member 21 passes.

実際の指関節に於いて発生する脱臼の形態の代表的な状態の一例は、図8(F)に示される様に、ある関節部に於いて当該関節頭部5が関節窩部6から横方向にずれて、離脱することにより発生するものである。
係る指関節部に於ける脱臼の状態を本発明に係る当該疑似指関節構造体1で出来るだけ忠実に表現する為に、具体的には、以下に示す様な構成を採用している。
つまり、本具体例に於いては、当該疑似関節構造体1に於いて、意図的に脱臼状態を形成させる為に、図8(E)に示す様に、当該個々の疑似骨部材81乃至84及び当該補助支持部85が相互に接合しあって形成されている個々の関節部875乃至877の少なくとも一つに於ける当該関節頭5若しくは当該関節窩6の何れか一方若しくは双方に、当該関節頭5若しくは当該関節窩6の略中心部に設けられた当該通過孔86から放射状に当該関節頭5若しくは当該関節窩6の周縁部方向に延びた少なくとも一つの溝部87が設けられる事が望ましい。
当該溝部87の長さや深さ或はその本数は特に限定されるものではないが、当該指関節に於ける脱臼が発生しやすい骨部と発生する脱臼の方向や脱臼の形状を勘案して、適宜決定することが出来る
図8(C)及び図8(D)は、当該疑似指関節部に於ける特定の脱臼状態を発生させた状態を示している。
本発明者が実際に作成した当該疑似指関節構造体1のモデルに於いて、上記した指関節の脱臼の状況を表現した状態を撮影したものが、参考図である図32及び図33に示されている。
An example of a typical state of dislocation occurring in an actual finger joint is as shown in FIG. 8 (F), where the joint head 5 is laterally extended from the glenoid 6 in a certain joint. It is generated by moving in the direction and leaving.
Specifically, in order to express the dislocation state in the finger joint portion as faithfully as possible with the pseudo finger joint structure 1 according to the present invention, the following configuration is employed.
That is, in this specific example, in order to form the dislocation state intentionally in the pseudo joint structure 1, the individual pseudo bone members 81 to 84 are formed as shown in FIG. And the joint head 5 and / or the glenoid 6 in at least one of the joint portions 875 to 877 formed by joining the auxiliary support portions 85 to each other. It is desirable to provide at least one groove portion 87 extending radially from the passage hole 86 provided in the substantially central portion of the head 5 or the joint fovea 6 in the radial direction of the joint head 5 or the glenoid 6.
The length and depth of the groove 87 or the number of the grooves 87 are not particularly limited, but taking into account the bone part where dislocation is likely to occur in the finger joint and the direction of dislocation and the shape of dislocation, FIG. 8C and FIG. 8D show a state in which a specific dislocation state is generated in the pseudo-finger joint portion.
In the model of the pseudo-finger joint structure 1 actually created by the present inventor, a photograph showing the state of dislocation of the above-described finger joint is shown in FIGS. 32 and 33 which are reference diagrams. Has been.

本発明に於ける当該疑似指関節部に於いて、一例として、図8(C)に示す様な脱臼状態が発生した場合に、当該関節部に対して脱臼整復処理する場合に、脱臼整復処理者は、図8(C)に示す矢印Xの方向に当該脱臼した関節部の疑似骨部材を所定の張力を掛けて伸長し、その後、当該伸長力を解除することにより、脱臼を整復させることが出来る。
つまり、本発明に於ける当該疑似関節構成体1は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。
In the pseudo-finger joint part of the present invention, as an example, when a dislocation state as shown in FIG. 8C occurs, the dislocation reduction process is performed when the dislocation reduction process is performed on the joint part. The person extends the dislocated joint pseudo bone member in the direction of the arrow X shown in FIG. 8C by applying a predetermined tension, and then releases the extension force to reduce the dislocation. I can do it.
That is, the pseudo-joint structure 1 in the present invention is used when a specific dislocation at the specific joint is reduced by a dislocation reduction person or trainer who has not experienced the dislocation reduction. Repeated training and training on how much force is applied in the direction, how much the dislocated bone is pulled, and how the bone of the dislocated joint is returned to its original state. This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

2.肘関節に対応した疑似関節構造体:
次に、本発明に於ける、肘関節に対応した当該疑似関節構造体1の構成の一具体例を以下に示す。
即ち、図9(A)及び図9(B)に示す様に、一般的な人間の肘関節は、腕尺関節90と称されており、基本的には、上腕骨91と尺骨92及び橈骨93の3個の骨が一つの関節包94に包まれて形成されており、特には、当該上腕骨91の下端部に形成されている当該関節頭5に相当する上腕骨滑車95と当該尺骨92の上端部に形成されている当該関節窩6に相当する、湾曲状の滑車切痕96との間に形成される上腕尺関節部97と、当該上腕骨91の別の下端部に形成されている当該関節頭5に相当する上腕骨小頭98と、当該橈骨93の上端部に形成されている、関節窩6に相当する関節環状面部99との間に形成される腕橈尺節部900を含んで構成されている。
2. Pseudo joint structure corresponding to elbow joint:
Next, a specific example of the configuration of the pseudo joint structure 1 corresponding to the elbow joint in the present invention is shown below.
That is, as shown in FIGS. 9A and 9B, a general human elbow joint is called an ulnar joint 90, and basically, the humerus 91, the ulna 92, and the radius 93 is formed by being wrapped in one joint capsule 94, and in particular, the humeral pulley 95 corresponding to the joint head 5 formed at the lower end of the humerus 91 and the ulna The humeral ulnar joint 97 formed between the curved pulley notch 96 corresponding to the glenoid 6 formed on the upper end of 92 and the other lower end of the humerus 91 is formed. Arm brachial joint formed between the humeral head 98 corresponding to the joint head 5 and the joint annular surface 99 corresponding to the glenoid 6 formed at the upper end of the rib 93. 900 is comprised.

係る実際の肘関節に対応した本発明に係る当該疑似肘関節構造体101の構成の一例としては、図10(A)乃至図10(B)に示す様に、当該上腕骨小頭98に対応する疑似上腕骨小頭1098と、当該上腕骨滑車95に対応する疑似上腕骨滑車1095とがその一端部に形成されている、当該上腕骨91の一部に対応する疑似上腕骨部104と、当該橈骨93に対応する疑似橈骨の一部であって、その一端部に当該疑似上腕骨小頭1098と相互に嵌合する当該関節環状面部99に対応する疑似関節環状面部1099を有する疑似橈骨106と、当該尺骨92に対応する疑似尺骨の一部であって、その一端部に疑似上腕骨滑車1095と相互に嵌合する当該滑車切痕96に対応する疑似滑車切痕1096を有する疑似尺骨107とから構成され、それらが相互に近接して配置されることによって、疑似上腕尺関節部108と疑似腕橈尺節部109とが形成されており、且つ当該疑似上腕骨部104の他方の端部は、適宜の補助支持機能を有する第1の補助支持部材102に接続されており、又、当該疑似橈骨106と、当該尺骨92に対応する疑似尺骨の一部であって、その一端部に疑似上腕骨滑車1095と当該疑似尺骨107の個々の他方の端部は、適宜の補助支持機能を有する第2の補助支持部材103に接続されている。   As an example of the configuration of the pseudo elbow joint structure 101 according to the present invention corresponding to such an actual elbow joint, it corresponds to the humeral head 98 as shown in FIGS. A pseudo humerus part 104 corresponding to a part of the humerus 91, a pseudo humerus head 1098 and a pseudo humerus pulley 1095 corresponding to the humerus pulley 95 formed at one end thereof; The pseudo rib 106 having a pseudo joint annular surface portion 1099 corresponding to the joint annular surface portion 99 which is a part of the pseudo rib corresponding to the rib 93 and is fitted to the pseudo humeral head 1098 at one end thereof. And a pseudo ulna 107 having a pseudo pulley notch 1096 corresponding to the pulley notch 96 which is a part of the pseudo ulna corresponding to the ulna 92 and is fitted to the pseudo humeral pulley 1095 at one end thereof. Tokara By arranging them close to each other, a pseudo humeral joint part 108 and a pseudo arm ulnar joint part 109 are formed, and the other end of the pseudo humerus part 104 is It is connected to a first auxiliary support member 102 having an appropriate auxiliary support function, and is a part of a pseudo ulna corresponding to the pseudo rib 106 and the ulna 92, and a pseudo humerus at one end thereof. The other end of each of the pulley 1095 and the pseudo ulna 107 is connected to a second auxiliary support member 103 having an appropriate auxiliary support function.

上記した図10(A)乃至図10(B)に於いては、当該疑似肘関節構造体101は、肘部分が伸ばされて直線状態にある場合の構成例を示したものである。
本具体例に於いては、当該各疑似骨部材及び当該各補助支持部材の形状、各寸法は特に限定されるものではないが、実際の肘関節の大きさを勘案して任意に決定することが可能である。
一方、当該各疑似骨部材及び当該各補助支持部材は、何れも略円筒形で中空状に形成される事が望ましく、又各部材の形成材料も特に限定されるものではなく、前記した具体例で使用された原材料を使用することが可能である。
In FIGS. 10A to 10B described above, the pseudo elbow joint structure 101 shows a configuration example in a case where the elbow portion is stretched and is in a straight state.
In this specific example, the shape and dimensions of each pseudo bone member and each auxiliary support member are not particularly limited, but may be arbitrarily determined in consideration of the actual size of the elbow joint. Is possible.
On the other hand, each of the pseudo bone members and each of the auxiliary support members is preferably substantially cylindrical and hollow, and the material for forming each member is not particularly limited. It is possible to use the raw materials used in

一方、本具体例に於いては、上記した各疑似骨部材104、106、107は、それぞれの疑似骨部材の長手方向軸に沿って、直列状に連結固定されるものであり、当該連結には、当該第1の補助支持部102の所定の部位27にその一端部が配置固定された適宜の伸度、伸長特性を有するスプリング等からなる伸縮性弾発部材24と、当該伸縮性弾発部材24の他方の端部に一方の端部が連結され、その他方の端部の当該第2の補助支持部103内に配置された適宜の部位28に固定されている連結部材21とによって、それぞれの疑似関節部に於いて、それぞれの疑似骨部材同士が、相互に適度の接圧応力が印加される様に接合された構成を有するものである。
本具体例に於いて使用される当該連結部材21は、何れも当該各疑似骨部内部の中空空間部内に配置されるものであり、その材質、固定方法、伸度、伸長力、強度等は、前記した具体例の場合と同様に任意に設定することが可能である。
当該連結部材21は、当該疑似尺骨107と当該疑似橈骨106の内部を個別に通過させることが望ましく、当該個々の連結部材21を一つのスプリング24と連結させておく事が好ましい。
或いは、前記した様に、当該伸縮性弾発部材24の端部と当該連結部材21の端部との接合係合部に、滑車手段125を配置する事も可能である。
On the other hand, in this specific example, each of the pseudo bone members 104, 106, 107 described above is connected and fixed in series along the longitudinal axis of each pseudo bone member. Includes a stretchable elastic member 24 made of a spring or the like having an appropriate elongation and elongation characteristics, one end of which is arranged and fixed to a predetermined portion 27 of the first auxiliary support portion 102, and the stretchable elasticity. One end is connected to the other end of the member 24, and the connecting member 21 is fixed to an appropriate portion 28 disposed in the second auxiliary support portion 103 at the other end. In each pseudo joint part, each pseudo bone member has a structure joined so that an appropriate contact pressure stress is applied to each other.
Each of the connecting members 21 used in this specific example is disposed in the hollow space inside each pseudo bone, and its material, fixing method, elongation, elongation force, strength, etc. As in the case of the specific example described above, it can be arbitrarily set.
The connecting member 21 desirably passes through the pseudo ulna 107 and the pseudo rib 106 individually, and it is preferable that the individual connecting member 21 is connected to one spring 24.
Alternatively, as described above, the pulley means 125 can be disposed at the joint engaging portion between the end of the stretchable elastic member 24 and the end of the connecting member 21.

又、本具体例では、更に別の連結部材を当該疑似肘関節部101の外表面を部分的に這わすことによって、靭帯或は腱が存在している状態を実現させることも可能である。
本具体例に於ける当該個々の疑似骨部材104、106及び107は、前記した様に適宜の材料で略中空状の円筒体の形成しており、その両端部は、それぞれ当該関節頭5と関節窩6がそれぞれに設けられており、当該部分に当該連結部材21が通過する為の通過孔86を除いては閉鎖状態を形成している事が望ましい。
In this specific example, it is also possible to realize a state in which a ligament or a tendon exists by partially rubbing the outer surface of the pseudo-elbow joint portion 101 with another connecting member.
The individual pseudo bone members 104, 106, and 107 in this specific example are formed in a substantially hollow cylindrical body with an appropriate material as described above, and both ends thereof are respectively connected to the joint head 5 and the like. The glenoid 6 is provided in each, and it is desirable to form the closed state except for the passage hole 86 through which the connecting member 21 passes.

更に詳細に説明するならば、図10(A)は、本発明に係る当該疑似肘関節構造体101を正面から見た正面図であって、当該疑似肘関節部101に於ける当該疑似上腕骨部104と当該疑似尺骨107及び当該疑似橈骨106との配置関係が明確に示されており、特に、当該疑似上腕骨滑車1095の一部と、これと相互に嵌合する当該疑似滑車切痕1096の一部には、当該連結部材21が挿入され通過しうる所定の大きさの穴部86とそれと連通している、所定の形状並びに所定の長さと幅を有する溝部87とが相互に対向する様に配置されており、同様に、当該疑似上腕骨小頭1098の一部と、これと相互に嵌合する当該疑似関節環状面部1099の一部にも、当該連結部材21が挿入され通過しうる所定の大きさの穴部86とそれと連通している、所定の長さと幅を有する溝部87が相互に対向する様に配置されている。
本具体例に於いては、当該溝部87は、前述した当該連結部材21が、当該疑似肘関節部構成体101が正常な状態にある場合に当該各疑似骨部材104、106及び107を貫通して通過する為に設けられた穴部86と連通している事が好ましい。
尚、図10(A)では、当該疑似肘関節部101に於ける肘部が直線状に伸びた状態にある場合の正面図である。
In more detail, FIG. 10A is a front view of the pseudo elbow joint structure 101 according to the present invention as seen from the front, and the pseudo humerus in the pseudo elbow joint 101. The positional relationship between the portion 104 and the pseudo ulna 107 and the pseudo rib 106 is clearly shown, and in particular, a part of the pseudo humeral pulley 1095 and the pseudo pulley notch 1096 fitted to each other. In part of this, a hole portion 86 having a predetermined size through which the connecting member 21 can be inserted and passed, and a groove portion 87 having a predetermined shape, a predetermined length, and a width are opposed to each other. Similarly, the connecting member 21 is also inserted into and passed through a part of the pseudo humeral head 1098 and a part of the pseudo joint annular surface portion 1099 fitted to the pseudo humeral head 1098. Hole 86 of a predetermined size and It communicates with a groove portion 87 having a predetermined length and width are disposed so as to face each other.
In this specific example, the groove 87 penetrates the pseudo bone members 104, 106, and 107 when the connecting member 21 described above is in a normal state of the pseudo elbow joint part 101. It is preferable to communicate with a hole 86 provided to pass through.
FIG. 10A is a front view when the elbow portion in the pseudo elbow joint portion 101 is in a linearly extended state.

一方、図10(B)は、図10(A)と同様に、本発明に係る当該疑似関節構造体101に於ける肘部が直線状に伸びた状態にある場合の裏面図であり、図11(A)は、本発明に係る当該疑似関節構造体1の左側面図であって、当該肘関節部が直角に曲げられている場合の状態を示す図である。
又、図11(B)は、当該肘関節部が直角に曲げられている場合の状態を示す斜視図である。
上記した何れの図に於いても、当該伸縮性弾発部材24と当該連結部材21の当該第1と第2の補助支持部材102、103に於ける取付状態の例を示すと共に、当該各疑似骨部材内に於ける当該連結部材21の配置状況の例を示している。
本発明者が実際に作成した当該疑似肘関節構造体101のモデルの一具体例の構成を示す写真が参考図の図34に示されており、又、当該モデルに於ける脱臼状態の一例を示す写真が、参考図の図35に示されている。
又、図12(A)及び図12(B)は、本発明に係る当該疑似肘関節構造体101に於いて、良く発生する脱臼状態の代表的な形成例の一例を示す側面図であり、関節頭5である当該疑似上腕骨滑車1095の一部が、関節窩6である当該疑似滑車切痕1096からその一部が離脱している状況を示すものである。
On the other hand, FIG. 10 (B) is a rear view when the elbow part in the pseudo joint structure 101 according to the present invention is in a linearly extended state, similar to FIG. 10 (A). 11 (A) is a left side view of the pseudo joint structure 1 according to the present invention, and shows a state where the elbow joint is bent at a right angle.
FIG. 11B is a perspective view showing a state where the elbow joint is bent at a right angle.
In any of the above-described drawings, examples of attachment states of the stretchable elastic member 24 and the connecting member 21 on the first and second auxiliary support members 102 and 103 are shown, and The example of the arrangement | positioning condition of the said connection member 21 in a bone member is shown.
A photograph showing the configuration of a specific example of the model of the pseudo-elbow joint structure 101 actually created by the present inventor is shown in FIG. 34 of the reference diagram, and an example of the dislocation state in the model The photograph shown is shown in FIG. 35 of the reference diagram.
FIGS. 12A and 12B are side views showing an example of a typical example of a dislocation state that often occurs in the pseudo-elbow joint structure 101 according to the present invention. This shows a situation where a part of the pseudo humeral pulley 1095 which is the joint head 5 is partly removed from the pseudo pulley notch 1096 which is the glenoid 6.

即ち、図12(A)では、当該関節窩6から、当該疑似上腕骨部疑似骨部材104の当該関節頭5が当該疑似上腕骨部疑似骨部材104の長手方向にずれたことによって、脱臼が発生した場合の状態を示している。
係る脱臼状態では、当該連結部材21は、図示の様に、当該疑似上腕骨滑車1095と当該疑似滑車切痕1096に設けられた当該溝部87に引き込まれた状態で当該両疑似骨部材1095と1096の内部空間を斜めに走る様な形状を示して当該脱臼状態を静止安定状態に維持することが可能となる。
係る状況は、当該疑似上腕骨小頭1098と当該疑似関節環状面部1099との間でも同じように発生している。
また、図12(B)は、本発明に係る当該疑似関節構造体1に於いて別の脱臼状態が発生した場合の一例を示す側面図であり、当該疑似上腕骨部104が、当該疑似尺骨107と当該疑似橈骨106の方向に折れ曲がり、当該疑似上腕骨滑車1095が、当該疑似滑車切痕1096から完全に離脱している状況を示すものである。
係る脱臼状態に於いでは、当該連結部材21は、図示の様に、当該疑似上腕骨滑車1095に設けられた当該溝部87の下端部で折れ曲がり、当該疑似滑車切痕1096に設けられた当該溝部87を介して当該疑似滑車切痕1096内部に引き込まれる。
係る構成によって、当該脱臼状態を静止安定状態に維持することが可能となる。
図12(C)は、そのような状況を当該疑似滑車切痕1096側から見た正面図であり、図12(D)は、その斜視図である。
係る脱臼状態を撮影した写真が参考図である図35に示されている。
又、係る状況は、当該疑似上腕骨小頭1098と当該疑似関節環状面部1099との間でも同じように発生している。
That is, in FIG. 12A, dislocation is caused by the displacement of the joint head 5 of the pseudo-humeral bone pseudo bone member 104 from the glenoid 6 in the longitudinal direction of the pseudo humeral pseudo bone member 104. The state when it occurs is shown.
In the dislocation state, the connection member 21 is drawn into the groove 87 provided in the pseudo humeral pulley 1095 and the pseudo pulley notch 1096 as shown in the drawing, and both the pseudo bone members 1095 and 1096 are drawn. Thus, the dislocation state can be maintained in a stationary stable state by showing a shape that runs obliquely in the interior space.
Such a situation similarly occurs between the pseudo humeral head 1098 and the pseudo joint annular surface portion 1099.
FIG. 12B is a side view showing an example in which another dislocation state occurs in the pseudo joint structure 1 according to the present invention, and the pseudo humerus portion 104 is the pseudo ulna. 107 shows a state in which the pseudo humeral pulley 1095 is completely detached from the pseudo pulley notch 1096.
In the dislocation state, the connecting member 21 is bent at the lower end portion of the groove portion 87 provided in the pseudo humeral pulley 1095 and the groove portion provided in the pseudo pulley notch 1096 as illustrated. 87 through the pseudo pulley notch 1096.
With this configuration, the dislocation state can be maintained in a stationary stable state.
FIG. 12C is a front view of such a situation as seen from the pseudo pulley notch 1096 side, and FIG. 12D is a perspective view thereof.
The photograph which image | photographed the dislocation state which concerns is shown by FIG. 35 which is a reference figure.
Further, such a situation occurs similarly between the pseudo humeral head 1098 and the pseudo joint annular surface portion 1099.

即ち、本具体例に於いては、図10乃至図12に示す様に、当該疑似肘関節構造体101に於いて、意図的に脱臼状態を形成させる為に、当該個々の疑似骨部材104、106及び107が相互に接合しあって形成されている個々の関節部109及び108の少なくとも一つに於ける当該関節頭5若しくは当該関節窩6の何れか一方若しくは双方に、当該関節頭5若しくは当該関節窩6の略中心部に設けられた当該通過孔86と、当該過孔86から、例えば図8(E)に示されている様な放射状に当該関節頭5若しくは当該関節窩6の周縁部方向に延びた少なくとも一つの溝部87が設けられる事が望ましい。
当該溝部87の長さや深さ或はその本数は特に限定されるものではないが、当該肘関節に於ける脱臼が発生しやすい骨部と、発生する脱臼の方向、や脱臼の形状を勘案して、適宜決定することが出来る
That is, in this specific example, as shown in FIGS. 10 to 12, in order to intentionally form a dislocation state in the pseudo elbow joint structure 101, the individual pseudo bone members 104, The joint head 5 or the joint head 5 or the joint fossa 6 in at least one of the joint portions 109 and 108 formed by joining 106 and 107 to each other is connected to the joint head 5 or From the passage hole 86 provided in the substantially central part of the glenoid 6 and the overhole 86, the peripheral edge of the joint head 5 or the glenoid 6 in a radial manner as shown in FIG. It is desirable that at least one groove portion 87 extending in the direction of the portion is provided.
The length and depth of the groove 87 or the number of the grooves 87 are not particularly limited. However, considering the bone part where the dislocation is likely to occur at the elbow joint, the direction of the dislocation occurring, and the shape of the dislocation. Can be determined as appropriate.

本発明に於ける当該疑似肘関節部に於いて、一例として、図12(A)及び図12(B)に示す様な脱臼状態が発生した場合に、当該関節部に対して脱臼整復処理する場合に、脱臼整復処理者は、図12(A)及び図12(B)に示す矢印Yの方向に当該脱臼した関節部の疑似骨部材を所定の張力を掛けながら持ち上げつつ旋回させ、その後、当該伸長力を解除することにより、脱臼を整復させることが出来る。
つまり、本発明に於ける当該疑似関節構成体1は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。
In the pseudo-elbow joint according to the present invention, for example, when a dislocation state as shown in FIGS. 12A and 12B occurs, a dislocation reduction process is performed on the joint. In this case, the dislocation reduction processor turns the pseudo bone member of the dislocated joint part while lifting it up with a predetermined tension in the direction of arrow Y shown in FIGS. 12 (A) and 12 (B), and then Dislocation can be reduced by releasing the extension force.
That is, the pseudo-joint structure 1 in the present invention is used when a specific dislocation at the specific joint is reduced by a dislocation reduction person or trainer who has not experienced the dislocation reduction. Repeated training and training on how much force is applied in the direction, how much the dislocated bone is pulled, and how the bone of the dislocated joint is returned to its original state. This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

3.足関節に対応した疑似関節構造体:
次に、本発明に於ける、足関節に対応した当該疑似足関節構造体141の構成の一具体例を以下に示す。
即ち、図13に示す様に、一般的な人間の足関節は、腓骨131と脛骨132及び距骨133とによって、構成されており、通常距腿関節134と称されており、基本的には、当該脛骨の下関節面135と当該脛骨の端部内面136及び当該腓骨の下端部内面137とにより関節窩6が形成されると共に、当該距骨133の上面部に形成された距骨滑車138によって、関節頭5が形成され、その両者が相互に嵌合しあって当該距腿関節134が形成されているものである。
3. Pseudo joint structure corresponding to ankle joint:
Next, a specific example of the configuration of the pseudo ankle joint structure 141 corresponding to the ankle joint in the present invention is shown below.
That is, as shown in FIG. 13, a general human ankle joint is constituted by a rib 131, a tibia 132, and a talus 133, and is generally referred to as a talus joint 134. A glenoid 6 is formed by the lower joint surface 135 of the tibia, the inner surface 136 of the end of the tibia, and the inner surface 137 of the lower end of the rib. A head 5 is formed, and both of them are fitted to each other to form the thigh joint 134.

係る実際の脚関節に対応した本発明に係る当該疑似足関節構造体141の構成の一例としては、図14(A)乃至図16(B)に示す様に、当該腓骨143と脛骨144とを一体化した外観形状を呈する中空円筒体からなる疑似脚部142と、拒骨部、足根骨部、中足骨部、及び指骨部等が一体化されて内蔵された外観形状を示す中空状の擬似足先部151とを有し、当該疑似脚部142の下端部と当該擬似足先部151の上端縁部との間に、擬似距腿関節148が形成されているものである.
本具体例に於ける当該擬似距腿関節148についてより詳細にその構成を説明するならば、図14(A)及び図14(B)に示す様に,当該疑似脚部142の下端部に一体的且つ連続的に形成された、当該脛骨132の下端部関節面135に対応する疑似脛骨144の疑似下端部関節面146と、当該脛骨132の端部内面136に対応する疑似脛骨144の下端部内面147及び当該腓骨131の下端部内面137に対応する疑似腓骨143の疑似下端部内面149とにより疑似関節窩6が形成されると共に、当該疑似距骨145の上面部に形成された当該距骨133の当該距骨滑車138に対応する疑似距骨滑車150によって、疑似関節頭5が形成され、その両者が相互に嵌合しあって当該疑似距腿関節148が形成されているものである。
As an example of the configuration of the pseudo ankle joint structure 141 according to the present invention corresponding to such an actual leg joint, as shown in FIGS. 14 (A) to 16 (B), the rib 143 and the tibia 144 are connected. A hollow shape showing an external shape in which a pseudo leg 142 made of a hollow cylindrical body having an integrated external shape, and a bone-rejecting portion, a tarsal bone portion, a metatarsal bone portion, a phalange portion, etc. are integrated and incorporated. And a pseudo thigh joint 148 is formed between the lower end of the pseudo leg 142 and the upper edge of the pseudo toe 151.
If the configuration of the pseudo thigh joint 148 in this specific example is described in more detail, as shown in FIGS. 14 (A) and 14 (B), it is integrated with the lower end portion of the pseudo leg 142. Artificial lower end joint surface 146 of the pseudo tibia 144 corresponding to the lower end joint surface 135 of the tibia 132 and the lower end portion of the pseudo tibia 144 corresponding to the end inner surface 136 of the tibia 132, which are formed continuously and continuously. A pseudo glenoid fossa 6 is formed by the inner surface 147 and the pseudo lower end inner surface 149 of the pseudo rib 143 corresponding to the lower end inner surface 137 of the rib 131, and the talar 133 formed on the upper surface of the pseudo talar 145. A pseudo joint head 5 is formed by the pseudo talar pulley 150 corresponding to the talus pulley 138, and the pseudo joint 148 is formed by fitting both of them together. That.

本具体例に於いては、当該疑似脛骨144の下端部と当該疑似腓骨143の下端部とは、個別的独立的に形成したものであっても良く、或はその両者を合体した形で、一体的に形成したものであっても良い。
又、本発明に於ける当該疑似足関節構造体141に於いては、図15(A)及び図15(B)に示す様に、略中空状の円筒体からなる当該第2の疑似足疑似骨部材に相当する当該疑似脚部142と、同様に略中空状の匡体からなる当該第1の疑似足疑似骨部材に相当する当該疑似足先部151とが、当該疑似距腿関節148を介して、相互に所定の接圧力の下で接合せしめられており、且つ、当該疑似脚部142は、当該疑似足先部151に対して、当該疑似距腿関節148を介して、前後、左右に傾斜する様に揺動す出来るように構成されている。
In this specific example, the lower end portion of the pseudo tibia 144 and the lower end portion of the pseudo rib 143 may be formed individually or in combination, It may be formed integrally.
In the pseudo ankle joint structure 141 according to the present invention, as shown in FIGS. 15A and 15B, the second pseudo foot pseudo-structure made of a substantially hollow cylindrical body. The pseudo leg 142 corresponding to the bone member and the pseudo toe portion 151 corresponding to the first pseudo foot pseudo bone member, which is also formed of a substantially hollow frame, form the pseudo thigh joint 148. And the pseudo leg 142 is connected to the pseudo toe 151 via the pseudo thigh joint 148 in the front-rear, left-right, and right-and-left directions. It can be swung so as to be inclined.

そして、係る状態を実現する為に、本発明に於ける当該具体例では、当該疑似脚部142の上方端部の適宜の部位P2に設けられた適宜の固定手段27にその一端部30が固定された当該伸縮性弾発部材24を当該疑似脚部142の内部空間部内に配置すると同時に、当該伸縮性弾発部材24の一方の端部31に適宜の強度、伸度を有する適宜の連結部材21の一方の端部33を接続させ、その他方の端部35を当該疑似足先部151の上側表面の内面に適宜の固定手段28を介して接続固定したものである。
本具体例に於いては、2本の当該連結部材21を使用し、それぞれを当該伸縮性弾発部材24の端部から当該疑似距腿関節148の内部を通過させて当該疑似足先部151の上側表面に固定したものである。
即ち、当該連結部材21は、図15(C)に示す様に、当該疑似距腿関節148の当該関節窩6が形成されている面に設けられた2つの穴部86と、当該疑似距骨145の上面部に形成された当該疑似距骨滑車150による疑似関節頭5が形成されている面に設けられた2つの穴部或はスリット状の溝部87とを貫通して、固定部28に接合されている。
尚、図15(C)は、当該疑似脚部142が少しつま先に倒れた様な脱臼状態にある状況を踵側から見た斜視図である。
本具体例に於ける当該2本の連結部材21が、当該疑似足部151の上側表面に当該固定手段28を介して固定されている状態は、背面図である図15(B)に示す、当該疑似足部151の裏面図に示されている。
尚、本発明に於ける別の具体例に於いては、図15(A)に於いて、当該伸縮性弾発部材24の下端部31に接続される当該2本の連結部材21を一本の連続した糸条体として、その折り曲げ部分33を、当該伸縮性弾発部材24の下端部31に接続させる構成としても良く、更に、係る具体例に於いては、図15(D)に示す様に、適宜の滑車手段2000を使用して、係合させる事も好ましい具体例である。
In order to realize such a state, in the specific example of the present invention, one end 30 is fixed to appropriate fixing means 27 provided in an appropriate portion P2 of the upper end of the pseudo leg 142. The stretchable elastic member 24 is disposed in the internal space of the pseudo leg 142, and at the same time, an appropriate connecting member having appropriate strength and elongation at one end 31 of the elastic elastic member 24. One end portion 33 of 21 is connected, and the other end portion 35 is connected and fixed to the inner surface of the upper surface of the pseudo toe portion 151 via appropriate fixing means 28.
In this specific example, two of the connecting members 21 are used, and each of the connecting members 21 is passed through the inside of the pseudo-thigh joint 148 from the end of the stretchable elastic member 24 and the pseudo toe 151 It is fixed to the upper surface.
That is, as shown in FIG. 15C, the connecting member 21 includes two holes 86 provided in the surface of the pseudo-thigh joint 148 where the glenoid 6 is formed, and the pseudo-talus 145. The two holes or slit-like grooves 87 provided on the surface where the pseudo joint head 5 is formed by the pseudo talar pulley 150 formed on the upper surface portion of the head are joined to the fixing portion 28. ing.
In addition, FIG.15 (C) is the perspective view which looked at the condition in the dislocation state where the said pseudo leg part 142 fell down to a little toe from the heel side.
The state in which the two connecting members 21 in this specific example are fixed to the upper surface of the pseudo foot 151 via the fixing means 28 is shown in FIG. This is shown in the rear view of the pseudo foot 151.
In another specific example of the present invention, in FIG. 15A, the two connecting members 21 connected to the lower end 31 of the elastic elastic member 24 are one. As the continuous thread body, the bent portion 33 may be connected to the lower end portion 31 of the stretchable elastic member 24. Further, in this specific example, as shown in FIG. Similarly, it is also a preferable specific example that the appropriate pulley means 2000 is used for engagement.

更に、本発明に係る当該具体例に於いては、必要に応じて、当該伸縮性弾発部材24に平行して当該連結部材21と同一或いは異なる伸度、強度を有する補助線状体50を配置し、当該補助線状体50の一方の端部51を、当該伸縮性弾発部材24の一端部30が固定されている当該疑似脚部142の上部に於いて、当該伸縮性弾発部材24の固定手段27が配置されている部位P2の近傍部位P1に、適宜の固定手段55を介して接合すると共に、当該補助線状体50の他方の端部52を、当該伸縮性弾発部材24の当該他端部31若しくは当該連結部材21の上端部に接合させた構成を採用するものである。
係る具体例に於いては、当該補助線状体50は,靭帯若しくは腱の機能と類似した機能を発揮する様に構成されているものであって、当該補助線状体50の当該疑似脚部142の上端部に接合されている当該一端部51は、当該疑似足部142に着脱自在に接合されている事が好ましい具体例である。
当該補助線状体50を、当該疑似脚部142の上端部に着脱自在に接合させる為の具体的な構成の例は、上記した図6(B)に示す様な構成を採用するものであっても良い。
本発明者が実際に作成した当該疑似足関節構造体141のモデルに於ける上記した各構成の具体例の写真が、参考図の図36に示されており、その脱臼状態の一例を示す写真が参考図の図37 に示されている。
Furthermore, in the specific example according to the present invention, an auxiliary linear body 50 having the same or different elongation and strength as the connecting member 21 in parallel with the stretchable elastic member 24 as necessary. The one end 51 of the auxiliary linear body 50 is placed on the upper part of the pseudo leg 142 to which the one end 30 of the elastic elastic member 24 is fixed. It joins to the vicinity part P1 of the site | part P2 in which 24 fixing means 27 is arrange | positioned via the appropriate fixing means 55, and the other edge part 52 of the said auxiliary linear body 50 is connected to the said elastic | stretch elastic member The structure joined to the other end portion 24 of 24 or the upper end portion of the connecting member 21 is adopted.
In such a specific example, the auxiliary linear body 50 is configured to exhibit a function similar to that of a ligament or tendon, and the pseudo leg portion of the auxiliary linear body 50 is provided. The one end portion 51 joined to the upper end portion of 142 is a concrete example that is preferably detachably joined to the pseudo foot portion 142.
An example of a specific configuration for detachably joining the auxiliary linear body 50 to the upper end portion of the pseudo leg portion 142 employs a configuration as shown in FIG. May be.
A photograph of a specific example of each configuration described above in the model of the pseudo ankle joint structure 141 actually created by the present inventor is shown in FIG. 36 of the reference diagram, and a photograph showing an example of the dislocation state Is shown in FIG. 37 of the reference diagram.

係る構成を採用することによって、本発明に係る当該補助線状体50の当該一端部51を当該疑似脚部142から離反させることにより、当該関節1の脱臼状態に於いて、靭帯或いは腱が切断されている状態を顕出させる様に構成されているものである。   By adopting such a configuration, the ligament or tendon is cut in the dislocation state of the joint 1 by separating the one end 51 of the auxiliary linear body 50 according to the present invention from the pseudo leg 142. It is comprised so that the state currently performed may be revealed.

即ち、本具体例に於いては、当該疑似関節構造体141に於いて、当該補助線状体50が、実際の関節部148に於ける靭帯或いは腱の機能と類似した機能を発揮する様に構成されているものであり、当該補助線状体50を当該疑似脚部142に対して着脱自在に接合固定しておく事によって、当該疑似関節部148に於ける靭帯或いは腱の機能が正常に機能している場合と、当該靭帯或いは腱が切断或いは破壊されてその機能が消失されている場合との状況を作り出せることになり、当該整復処理操作を体験、学習する人にとっては、上記した両方の脱臼状態に対処する整復処理操作を体験・実習する事が可能となる。
本具体例に於ける当該各構成部材等の材質、特性、形状、寸法等は、上記した各具体例に於いて使用されたものと同じものを使用する事が可能である。
更に、本具体例に於ける当該疑似距腿関節148に於いては、当該疑似脚部142が図15(C)に於ける矢印Yの方向に、或いは図16(A)或は図16(B)に於ける矢印Zの方向に、左右若しくは前後に遥動傾斜させる事が可能であるので、疑似距腿関節148に関する種々の関節脱臼の状態を再現する事が可能である。
本発明に於ける当該疑似距腿関節148に於いて、一例として、上記した様な脱臼状態が発生した場合に、当該距腿関節148に対して脱臼整復処理する場合には、脱臼整復処理者は、当該疑似脚部142をその長手方向に、所定の張力を印加しながら引張上げ、傾斜した当該疑似脚部142を垂直方向に戻しながら、当該印加した張力を開放することにより、当該脱臼が整復される。
That is, in this specific example, in the pseudo joint structure 141, the auxiliary linear body 50 exhibits a function similar to the function of the ligament or tendon in the actual joint portion 148. The auxiliary linear body 50 is detachably joined and fixed to the pseudo leg 142 so that the function of the ligament or tendon in the pseudo joint 148 is normal. For those who experience and learn the reduction processing operation, it is possible to create a situation where the function is lost and the function is lost due to the ligament or tendon being cut or destroyed. It is possible to experience and practice the reduction processing operation to cope with the dislocation state.
The material, characteristics, shape, dimensions, and the like of the respective constituent members in this specific example can be the same as those used in the above specific examples.
Further, in the pseudo thigh joint 148 in this specific example, the pseudo leg 142 is arranged in the direction of arrow Y in FIG. 15C, or in FIG. 16A or FIG. Since it is possible to make a slight tilt in the direction of the arrow Z in B) from side to side or back and forth, various joint dislocation states regarding the pseudo-thigh joint 148 can be reproduced.
In the pseudo-thigh joint 148 according to the present invention, for example, when the dislocation state as described above occurs, when the dislocation reduction process is performed on the thigh joint 148, the dislocation reduction processor Pulling up the pseudo leg 142 in the longitudinal direction while applying a predetermined tension, and releasing the applied tension while returning the tilted pseudo leg 142 in the vertical direction, thereby removing the dislocation. Be reduced.

つまり、本発明に於ける当該疑似関節構成体141は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。   In other words, the pseudo joint component 141 according to the present invention can be used for reducing a specific dislocation at the specific joint portion to a dislocation reduction processor or trainer who has not experienced the dislocation reduction processing. Repeated training and training on how much force is applied in the direction, how much the dislocated bone is pulled, and how the bone of the dislocated joint is returned to its original state. This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

又、足関節に関する本発明の他の具体例を、図17を参照しながら詳細に説明する。
即ち、本具体例に於いては、図5に於いて説明した本発明の基本的な1具体例の構成を有する一態様を示すものである。
即ち、当該具体例に於いては、当該疑似距腿関節148は、当該疑似脚部142が、当該疑似足先部151に対して,捩じられる事によって、当該疑似距腿関節148内に脱臼が発生した場合の状況を再現する様に構成された疑似足関節構造体141である。
当該具体例の構成の一例は、図17(A)に示す様に、基本的には、当該疑似足関節構造体141の当該第2疑似骨部材である当該疑似足先部151の底部152に設けられた適宜の台座部153から略垂直方向に延展する第1の中空状円筒体154を設けると同時に、当該第1の疑似骨部材である当該疑似脚部142の内に、当該第1の中空状円筒体154と摺動嵌合する略垂直方向に固定された第2の中空状円筒体155とを設け、且つ、当該第1若しくは第2の中空状円筒体154、155の外表面の適宜の部位に、適宜のテ―パ状部を有するカム状部材156と、当該カム状部材156に摺動し且つ当接する係止部157を配置するものである。
Further, another specific example of the present invention relating to an ankle joint will be described in detail with reference to FIG.
In other words, this specific example shows one aspect having the configuration of one basic specific example of the present invention described in FIG.
That is, in the specific example, the pseudo-thigh joint 148 is dislocated into the pseudo-thigh joint 148 by the pseudo leg 142 being twisted with respect to the pseudo toe 151. This is a pseudo ankle joint structure 141 configured to reproduce the situation in the event of the occurrence of the above.
As shown in FIG. 17A, an example of the configuration of the specific example is basically the bottom 152 of the pseudo toe portion 151 that is the second pseudo bone member of the pseudo ankle joint structure 141. At the same time as providing the first hollow cylindrical body 154 extending in a substantially vertical direction from the appropriate pedestal portion 153 provided, the first leg portion 142 which is the first pseudo bone member is included in the first leg portion 142. A second hollow cylindrical body 155 fixed in a substantially vertical direction to be slidably fitted to the hollow cylindrical body 154, and the outer surface of the first or second hollow cylindrical body 154, 155 A cam-like member 156 having an appropriate taper-like portion and an engaging portion 157 that slides on and contacts the cam-like member 156 are arranged at appropriate portions.

即ち、係るカム機構としては、当該第2若しくは第1の中空状円筒体155、154の外表面であって、当該カム状部材の係止部157と対応する適宜の部位に、当該カム状部材の係止部157と係合する適宜の斜面を有するカム部156を固定配置し、更に、当該第1及び当該第2の中空状円筒体154、155の内部に、その一端部31が当該第1の中空状円筒体154の内部に設けた適宜の固定手段28を介して、当該疑似足部151の底部152に固定配置され、その他方の端部30が当該第2の中空状円筒体155の内部に設けられた適宜の固定手段27に接続されて固定配置された伸縮性弾発部材24を直接或は適宜の連結部材21を介して配置し、それによって、当該第1と第2の疑似骨部材142と151同士が、当該疑似距腿関節148において適宜の押圧力によって相互に接圧され、少なくとも当該第2の疑似骨部材である当該疑似脚部142を矢印Qの方向に沿って、所定の旋回角度を以って捻じられることによって、当該疑似距腿関節148に於ける当該関節頭5と当該関節窩6の少なくとも一方が矢印Pの方向に沿って上下方向に所定の間隔Hを有する様に相互に離反した状態に静止される様に構成されているものである。
従って、ねじれによる脱臼の状態が表現されることになる。
That is, as the cam mechanism, the cam-like member is disposed at an appropriate portion corresponding to the locking portion 157 of the cam-like member on the outer surface of the second or first hollow cylindrical body 155, 154. The cam portion 156 having an appropriate slope to be engaged with the locking portion 157 is fixedly arranged, and the one end portion 31 is further provided in the first and second hollow cylindrical bodies 154 and 155 in the first end. One of the hollow cylindrical bodies 154 is fixedly disposed on the bottom 152 of the pseudo-foot 151 via appropriate fixing means 28, and the other end 30 thereof is the second hollow cylindrical body 155. The elastic elastic member 24 fixedly connected to an appropriate fixing means 27 provided inside the device is arranged directly or via an appropriate connecting member 21, whereby the first and second The pseudo bone members 142 and 151 are The thigh joints 148 are brought into contact with each other by an appropriate pressing force, and at least the pseudo leg 142 as the second pseudo bone member is twisted along the direction of the arrow Q with a predetermined turning angle. Accordingly, at least one of the joint head 5 and the glenoid cavity 6 in the pseudo-thigh joint 148 is stopped in a state of being separated from each other so as to have a predetermined interval H in the vertical direction along the direction of the arrow P. It is configured as follows.
Therefore, the state of dislocation due to twisting is expressed.

本具体例に於ける当該カム状部材156の係止部157は、その形状、配置位置、突出高さ、材料等は特に限定されるものではなく、周知の部材、例えば金属製或いは合成樹脂製、珪素、炭素繊維等を複合混在させた高強度の合成樹脂で構成された、ボルト、フック、突起、溝等が使用されるものであり、その形状、配置位置、突出高さ等は、当該疑似距腿関節148に於いて予想される脱臼状態の形状、状況等を勘案して、適宜選択して決定すればよい。
本具体例に於ける当該カム状部材156のカム部の形状、つまり、当該カムのピッチ及び波形等も特に特定されるものではないが、当該脱臼時に当該第2の疑似骨部材に相当する当該疑似脚部142が、当該疑似足部151に対して、どの程度の旋回角度で捻じれて脱臼するかに関する多数の実測データを基礎に決定する事が可能であり、又、その際、当該脱臼に際して、当該疑似距腿関節148に於ける当該関節頭5と当該関節窩6とがどの程度、主に上下方向に相互に離反するかに関する多数の実測データを基礎に当該カムのピッチ及び波形等を決定する事が可能である。
例えば、図5(C)及び図5(D)に示されるカム機構と同様の構成を示す図17(B)では、当該カム部156のカム面Bと当該係止部157とが係合している部位X1は、当該脱臼が発生して、当該疑似脚部142が最も高い位置に配置されているのであり、又、当該カム部156のカム面Aと当該係止部157とが係合している部位X2は、脱臼が整復されて正常な距腿関節148に戻った場合の部位を示すものである。
本発明者が実際に作成した当該疑似足関節構造体141のモデルに於ける上記した各構成の具体例の写真が、参考図の図38乃至図39 に示されている。
The locking portion 157 of the cam-like member 156 in this specific example is not particularly limited in its shape, arrangement position, protruding height, material, etc., and is a well-known member such as a metal or a synthetic resin. Bolts, hooks, protrusions, grooves, etc., made of high-strength synthetic resin mixed with silicon, carbon fiber, etc., are used. What is necessary is just to select and determine suitably in consideration of the shape, condition, etc. of the dislocation state expected in the pseudo-thigh joint 148.
The shape of the cam portion of the cam-like member 156 in this specific example, that is, the pitch and waveform of the cam are not particularly specified, but the cam corresponding to the second pseudo bone member at the time of dislocation It is possible to determine the pseudo leg 142 based on a large number of actually measured data on how much the turning angle is twisted with respect to the pseudo foot 151 and dislocation. At this time, the pitch and waveform of the cam, etc. based on a large number of measured data on how much the joint head 5 and the glenoid cavity 6 in the pseudo-thigh joint 148 are separated from each other mainly in the vertical direction. Can be determined.
For example, in FIG. 17B showing the same configuration as the cam mechanism shown in FIGS. 5C and 5D, the cam surface B of the cam portion 156 and the locking portion 157 are engaged. In the portion X1 where the dislocation occurs, the pseudo leg 142 is arranged at the highest position, and the cam surface A of the cam 156 and the locking portion 157 are engaged. The part X2 is a part when the dislocation is reduced and returned to the normal thigh joint 148.
Photographs of specific examples of the above-described configurations in the model of the pseudo ankle joint structure 141 actually created by the present inventor are shown in FIGS.

尚、上記した本具体例に於ける、脱臼した関節の整復処理操作としては、例えば、当該捻じれている疑似脚部142を、その長手方向に所定の引張張力を印加して、上方に持ち上げ、当該カム部の脱臼状態を保持する傾斜面Bから当該カム状部材の係止部157との係合状態を解消させ、その後、当該疑似脚部142の捻じれ状態を解消させる為に、当該疑似脚部142を反対方向に旋回させて、元の関節の配置状態に戻す操作を行うものである。
然しながら、本具体例に於いては、上記操作後に、脱臼整復操作トレーナが、若干当該疑似脚部142を元の方向に僅かに旋回させるだけで、当該伸縮性弾発部材24の収縮力によって、当該カム部156のカム面Aは、自動的に当該係止部157上を摺動して、脱臼が発生する以前の正常位置X2に戻る様に構成されている。
The reduction operation of the dislocated joint in the above-described specific example includes, for example, lifting the twisted pseudo leg 142 upward by applying a predetermined tensile tension in the longitudinal direction. In order to cancel the engagement state of the cam-like member with the locking portion 157 from the inclined surface B that holds the dislocation state of the cam portion, and then to eliminate the twisted state of the pseudo leg portion 142, The pseudo leg 142 is swung in the opposite direction to perform an operation of returning to the original joint arrangement state.
However, in this specific example, after the above operation, the dislocation reduction operation trainer slightly turns the pseudo leg portion 142 slightly in the original direction, and by the contraction force of the elastic elastic member 24, The cam surface A of the cam portion 156 is configured to automatically slide on the locking portion 157 and return to the normal position X2 before the dislocation occurs.

4.肩関節に対応した疑似関節構造体:
次に、本発明に於ける、肩関節に対応した当該疑似肩関節構造体191の構成の一具体例を以下に示す。
即ち、図18に示す様に、一般的な人間の肩関節180は、肩甲骨181の一部に設けられた比較的浅い深さを持つ関節窩6と、上腕骨部182の一方の端部に設けられている比較的大きな球状を持つ関節頭5とが相互に嵌合されて構成されている球関節である。
4). Pseudo joint structure corresponding to shoulder joint:
Next, a specific example of the configuration of the pseudo shoulder joint structure 191 corresponding to the shoulder joint in the present invention will be described below.
That is, as shown in FIG. 18, a general human shoulder joint 180 includes a glenoid 6 having a relatively shallow depth provided in a part of the scapula 181 and one end portion of the humerus 182. The joint head 5 having a relatively large spherical shape provided on the ball joint is configured to be fitted to each other.

係る実際の肩関節180に対応した本発明に係る当該疑似肩関節構造体190の構成の一例としては、図19(A)に示す様に、当該肩甲骨181に対応する、その一表面部に浅い湾曲状凹み部が形成されている関節窩6を有する疑似肩甲骨191と、当該上腕骨部182に対応する、疑似肘関節部101をその一端部に有する疑似上腕骨部192の他方の端部に形成された略球状を呈する上腕骨頭を形成する関節頭5とが、適宜の接圧力の下に、その両者が相互に接合され、且つ嵌合しあって当該疑似肩関節190が形成されているものである。
本発明に係る当該疑似肩関節構造体190の構成の一具体例に付いて、更に詳細に説明するならば、本発明に於ける当該関節窩6を有する適宜の形状に形成された当該肩甲骨の一部の形状に対応させた当該疑似肩甲骨191を、適宜の中空状内部形状を有する第1の補助支持手段1922の一部の表面に固定して取り付けると共に、当該第1の補助支持手段1922内の内壁の一部に、その一端部1930を適宜の固定手段1927を介して取り付けられた少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材24を配置せしめ、当該それぞれの伸縮性弾発部材24の他方の端部1931に適宜の強度或は伸度を有する連結部材21の一端部を接続させ、当該連結部材21の他方の端部1933を当該第1の補助支持手段1922の表面部に形成された穴部1932を貫通させて、且つ当該関節窩6の外側部を通過させた後、当該関節頭5の表面に設けられた適宜の固定手段1934に接合固定するか、又は、当該関節頭5の表面に設けられた適宜の貫通孔1935を介して当該関節頭5内部に導入し、当該関節頭5内部に設けられた適宜の固定手段1934に接合固定する様に構成したものであっても良い。
As an example of the configuration of the pseudo shoulder joint structure 190 according to the present invention corresponding to the actual shoulder joint 180, as shown in FIG. 19 (A), on one surface portion corresponding to the scapula 181 A pseudo scapula 191 having a glenoid fossa 6 in which a shallow curved dent is formed, and the other end of a pseudo humerus 192 corresponding to the humerus 182 and having a pseudo elbow joint 101 at one end thereof The joint head 5 which forms the humeral head having a substantially spherical shape formed in the portion is joined to each other and fitted together under an appropriate contact pressure, and the pseudo shoulder joint 190 is formed. It is what.
A specific example of the configuration of the pseudo shoulder joint structure 190 according to the present invention will be described in more detail. The scapula formed in an appropriate shape having the glenoid 6 according to the present invention. The pseudo-scapula 191 corresponding to a part of the shape of the first auxiliary support means 1922 having a suitable hollow internal shape is fixedly attached to a part of the surface, and the first auxiliary support means At least one, preferably two, elastic elastic members having a predetermined elongation and elongation recovery rate, one end 1930 of which is attached to a part of the inner wall of 1922 via appropriate fixing means 1927 24, one end of the connecting member 21 having an appropriate strength or elongation is connected to the other end 1931 of each of the elastic elastic members 24, and the other end 1933 of the connecting member 21 is connected. The first After passing through the hole 1932 formed in the surface portion of the auxiliary support means 1922 and passing through the outer portion of the joint glenoid 6, it is joined to appropriate fixing means 1934 provided on the surface of the joint head 5. Fixed or introduced into the joint head 5 through an appropriate through-hole 1935 provided on the surface of the joint head 5 and bonded and fixed to appropriate fixing means 1934 provided in the joint head 5 It may be configured to do so.

本具体例では、当該連結部材21は、少なくとも2本を並列させて、当該関節頭5の所定の部位から当該関節窩6の側壁面を平行な状態で通過させて、当該伸縮性弾発部材24の一つの端部に接合させると同時に、同じ様に他の2本の当該連結部材21を同様の配置形態を保持せしめながら、他方の当該伸縮性弾発部材24の一つの端部に接合させる様に構成するものである。
勿論、本発明に於ける当該具体例に於いては、当該伸縮性弾発部材24を一つとして、これに4本の当該連結部材21を接続させる様に構成しても良い。
又、本具体例に於いては、当該連結部材21の他方の端部1933を適宜の接合固定手段1934により当該関節頭5に設けた適宜の接合手段により接合したものであっても良いが、場合によっては、当該一つの伸縮性弾発部材24に接続されている当該連結部材21は、連続した状態で、当該関節頭5内でループ状を形成した形で当該関節頭5の接合されているものであっても良い。
即ち、本具体例に於いては、当該関節窩6と当該関節頭5とが、当該伸縮性弾発部材24の伸長回復力により適宜の接圧力下に相互に嵌合しあって、正常な疑似肩関節部190を構成している。
係る具体例に於いても、前記した通り、当該複数個の伸縮性弾発部材24の端部と一本の連続した当該連結部材21を適宜折り曲げて、図50に示す様に、各必要部位を循環して接続させる様に構成したものであっても良く、更には、当該伸縮性弾発部材24の端部と当該連結部材21との接合部には、適宜の滑車手段125を取り付ける事も可能である。
In this specific example, at least two of the connecting members 21 are juxtaposed to pass through a side wall surface of the glenoid 6 in parallel from a predetermined part of the joint head 5, and the elastic elastic member. At the same time, the two other connecting members 21 are joined to one end of the other elastic elastic member 24 while maintaining the same arrangement form. It is constituted so as to make it.
Of course, in the specific example of the present invention, the elastic elastic member 24 may be provided as one, and the four connecting members 21 may be connected thereto.
In this specific example, the other end 1933 of the connecting member 21 may be joined by a suitable joining means provided on the joint head 5 by a suitable joining and fixing means 1934. In some cases, the joint member 21 connected to the one elastic elastic member 24 is joined to the joint head 5 in a continuous state in a loop shape within the joint head 5. It may be.
That is, in this specific example, the glenoid fossa 6 and the joint head 5 are fitted to each other under an appropriate contact pressure by the extension recovery force of the stretchable elastic member 24, and thus normal. A pseudo shoulder joint portion 190 is formed.
Also in such a specific example, as described above, the end portions of the plurality of elastic resilient members 24 and one continuous connecting member 21 are appropriately bent, and as shown in FIG. In addition, an appropriate pulley means 125 may be attached to the joint between the end of the stretchable elastic member 24 and the connecting member 21. Is also possible.

本具体例に於いて使用される当該疑似関節窩6や当該疑似関節頭5の形状、寸法、或はその材質、固定方法、及び当該伸縮性弾発部材24や当該連結部材21の伸度、伸長力、強度等は、前記した具体例の場合と同様に任意に設定することが可能である。
上記した本発明に係る当該疑似肩関節部190に於いて、関節脱臼が発生する代表的な形態としては、例えば、当該関節頭5が関節窩6に対して人間の体の前側に移動して脱臼する場合と、反対に、当該関節頭5が関節窩6に対して人間の体の後側に移動して脱臼する場合とが見られる。
一方、図19(B)は、図19(A)の態様に於いて、当該関節頭5が矢印Tの方向に横方向に或は斜め方向に移動して脱臼状態が発生する場合の状況を示す斜視図である。
又、図20(A)及び図20(B)は、本具体例に於ける当該疑似肩関節部190に於ける上記した特定の脱臼状態を発生させた状態を示す側面図及び上面図である。
即ち、当該疑似肩関節部190に於いては、その関節構造上、その他の関節に比べて比較的容易に脱臼し易い状態にあり、当該関節頭5が当該関節窩6の位置に対して前後方向或は左右方向に略水平に変位して関節窩6から離脱する事が多い。
上記した図20(A)及び図20(B)は、そのような状況下で、当該関節頭5が、外力によって、矢印Tの方向にずれて、当該関節窩6の側壁部側に脱落して脱臼している状態を示している。
本発明者が実際に作成した当該疑似肩関節構造体190のモデルに於ける上記した各構成の具体例を示す写真及びその脱臼発生状況を示す写真は、参考図の図40及び図41にそれぞれ示されている。
The shape and dimensions of the pseudo-glenoid fossa 6 and the pseudo-joint head 5 used in this specific example, the material thereof, the fixing method, and the elongation of the stretchable elastic member 24 and the connecting member 21, The extension force, strength, etc. can be arbitrarily set as in the case of the specific example described above.
In the pseudo shoulder joint 190 according to the present invention described above, as a typical form in which joint dislocation occurs, for example, the joint head 5 moves to the front side of the human body with respect to the glenoid 6. In the case of dislocation, on the contrary, the joint head 5 moves to the rear side of the human body with respect to the glenoid 6 to dislocate.
On the other hand, FIG. 19 (B) shows the situation when the dislocation state occurs when the joint head 5 moves laterally or obliquely in the direction of arrow T in the embodiment of FIG. 19 (A). It is a perspective view shown.
FIGS. 20A and 20B are a side view and a top view showing a state in which the specific dislocation state is generated in the pseudo shoulder joint 190 in this specific example. .
That is, the pseudo shoulder joint 190 is relatively easily dislocated compared to other joints due to its joint structure, and the joint head 5 is front and rear with respect to the position of the glenoid 6. In many cases, it displaces from the glenoid 6 after being displaced substantially horizontally in the direction or the left-right direction.
FIG. 20A and FIG. 20B described above show that the joint head 5 is displaced in the direction of the arrow T by the external force and falls off to the side wall portion side of the glenoid 6 under such a situation. The dislocation state is shown.
A photograph showing a specific example of each of the above-described configurations in a model of the pseudo-shoulder joint structure 190 actually created by the present inventor and a photograph showing the dislocation occurrence state thereof are shown in FIGS. It is shown.

本発明に於ける当該疑似肩関節部190に於いて、一例として、図20(A)及び図20(B)に示す様な脱臼状態が発生した場合に、当該関節部に対して脱臼整復処理する場合に、脱臼整復処理者は、図20(A)及び図20(B)に示す矢印S或いはTの方向に,当該上腕骨部192を外側若しくは内側に所定の角度で旋回させながら、当該脱臼した関節部の当該関節頭5を手で所定の引張伸長張力を掛けながら上方向に徐々に持ち上げて、当該関節窩6内に押し込み、その後、当該伸長張力を解除することにより、脱臼を整復させることが出来る。
つまり、本発明に於ける当該疑似関節構成体1は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。
In the pseudo shoulder joint 190 according to the present invention, for example, when a dislocation state as shown in FIGS. 20A and 20B occurs, the dislocation reduction process is performed on the joint. In this case, the dislocation reduction processor turns the humerus part 192 outwardly or inwardly at a predetermined angle in the direction of the arrow S or T shown in FIGS. The joint head 5 of the dislocated joint is gradually lifted upward while applying a predetermined tensile elongation tension by hand, pushed into the glenoid 6 and then released to reduce the dislocation. It can be made.
That is, the pseudo-joint structure 1 in the present invention is used when a specific dislocation at the specific joint is reduced by a dislocation reduction person or trainer who has not experienced the dislocation reduction. Repeated training and training on how much force is applied in the direction, how much the dislocated bone is pulled, and how the bone of the dislocated joint is returned to its original state. This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

5.股関節に対応した疑似関節構造体:
次に、本発明に於ける、股関節に対応した当該疑似股関節構造体220の構成の一具体例を以下に示す。
即ち、図21に示す様に、一般的な人間の股関節210は、骨盤の左右側縁側に有る寛骨211の一部に形成された比較的深い、おわん形をした関節窩6に相当する寛骨臼窩212と当該寛骨臼窩212内にはまり込む大腿骨部213の一方の端部に設けられた当該関節頭5に相当する大腿骨頭214とが相互に嵌合されて構成されている球関節である。
5). Pseudo joint structure corresponding to hip joint:
Next, a specific example of the configuration of the pseudo hip joint structure 220 corresponding to the hip joint in the present invention will be described below.
That is, as shown in FIG. 21, a general human hip joint 210 is a generous portion corresponding to a relatively deep, bowl-shaped glenoid fossa 6 formed in a part of the hipbone 211 on the left and right side edges of the pelvis. The acetabulum 212 and a femoral head 214 corresponding to the joint head 5 provided at one end of the femoral portion 213 that fits in the acetabular cavities 212 are configured to be fitted to each other. It is a ball joint.

係る実際の股関節210に対応した本発明に係る当該疑似股関節構造体220の構成の一例としては、図22(A)乃至図22(D)に示す様に、当該骨盤の左右側縁側に有る寛骨211の一部に相当し、その一部に設けられた比較的深い、おわん形をした関節窩6に相当する疑似寛骨臼窩222を有する疑似寛骨221と、当該大腿骨部213に対応する疑似大腿骨部223であって、その一端部に設けられた略球状を呈する当該上腕骨頭214に相当する関節頭5である当該疑似上腕骨頭224とから構成されたものであって、且つ当該疑似上腕骨頭224と当該疑似寛骨臼窩222とが、適宜の接圧力の下に、その両者が相互に接合され、且つ嵌合しあって当該疑似股関節220が形成されているものである。   As an example of the configuration of the pseudo hip joint structure 220 according to the present invention corresponding to the actual hip joint 210, as shown in FIGS. 22 (A) to 22 (D), there is a tolerance on the left and right side edges of the pelvis. A pseudo-acetabulum 221 having a pseudo-acetabular fossa 222 corresponding to a part of the bone 211 and corresponding to the relatively deep bowl-shaped glenoid 6 provided in the part; A corresponding pseudo-femoral portion 223, which is composed of the pseudo-humeral head 224 which is the joint head 5 corresponding to the humeral head 214 which has a substantially spherical shape provided at one end thereof, and The pseudo humeral head 224 and the pseudo acetabular acetabulum 222 are joined to each other under an appropriate contact pressure, and are fitted together to form the pseudo hip joint 220. .

本発明に係る当該疑似股関節構造体220の構成の一具体例に付いて、更に詳細に説明するならば、本発明に於ける当該関節窩6に相当する疑似寛骨臼窩222を有する適宜の形状に形成された当該疑似寛骨221を、適宜の中空状内部形状を有する補助支持手段240の一部の表面に適宜の固定手段241を介して固定して取り付けると共に、当該補助支持手段240内の内壁の一部に、その一端部242を適宜の固定手段270を介して取り付けられた少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材24を配置せしめ、当該それぞれの伸縮性弾発部材24の他方の端部243に適宜の強度或は伸度を有する連結部材21の一端部を接続させ、当該連結部材21の他方の端部244を当該第1の補助支持手段240の表面部に形成された穴部若しくはスリット245を貫通させて、且つ当該疑似寛骨221に形成されている疑似寛骨臼窩222に相当する底面部Wに設けられている挿通穴300を通って、当該関節頭5である当該疑似上腕骨頭224の外表面に形成された挿通穴301を介して当該疑似上腕骨頭224の内部に導入されそこで、適宜の固定手段246によって、当該疑似上腕骨頭224の外部表面に接合固定されているものである。   A specific example of the configuration of the pseudo hip joint structure 220 according to the present invention will be described in more detail. The pseudo hip acetabulum 222 corresponding to the glenoid cavity 6 according to the present invention is appropriately The pseudo hipbone 221 formed in a shape is fixed and attached to a part of the surface of the auxiliary support means 240 having an appropriate hollow internal shape via an appropriate fixing means 241, and the auxiliary support means 240 has an inside. At least one, preferably two, elastic elastic members 24 having a predetermined elongation and elongation recovery rate are attached to a part of the inner wall of the one end 242 via an appropriate fixing means 270. One end of the connecting member 21 having an appropriate strength or elongation is connected to the other end 243 of each of the elastic elastic members 24, and the other end 244 of the connecting member 21 is connected to the other end 244 First aid An insertion hole provided in the bottom surface W corresponding to the pseudo acetabulum 222 formed in the pseudo-acetabulum 221 through the hole or slit 245 formed in the surface portion of the holding means 240 300 is introduced into the inside of the pseudo humeral head 224 through an insertion hole 301 formed in the outer surface of the pseudo humeral head 224 that is the joint head 5. It is bonded and fixed to the outer surface of the humeral head 224.

本具体例に於ける当該挿通穴300及び301は、適宜の大きさ及び形状を有するものであっても良く、好ましくは、後述する様に、所定の脱臼状態が意図的に形成され且つその状態を静止した状態で維持するため、所定の長さを有し且つ所定の方向に配置された長溝形状を有するものである。
例えば、当該疑似寛骨221に設けられている当該挿通穴300の当該第1の補助支持手段240側に面している表面では、細長く短い溝状形状を呈しているが、その反対側面、つまり、当該関節頭5と接触する面に形成されている溝形状は、当該疑似寛骨臼窩222の略中央部からその端縁部に至る切り欠け溝の形状を呈しており、そこから当該連結部材21が脱臼状態の際にすり抜けられる様な構造である事も好ましい具体例である。
即ち、当該関節頭5の変位方向を規定するための当該連結部材21の移動方向を規制する様に、当該挿通穴300長めのスリット状の溝部である事が望ましい。
当該スリット状溝部の形状や配置位置等に関しては、図24にその具体例の一部が示されていると同時に、その構造例を撮影した参考写真である図44及び図45に示されている。
本発明に於ける当該具体例に於いては、当該伸縮性弾発部材24は、一本だけでなく、2本若しくはそれ以上の複数本を使用する事が望ましい。
本発明に於ける当該具体例に於いては、係る構成を採用することによって、当該関節窩6と当該関節頭5とが、当該伸縮性弾発部材24の伸長回復力により適宜の接圧力下に相互に嵌合しあって、正常な疑似股関節部220を構成している。
更に、本具体例に於いて使用される当該疑似関節窩6や当該疑似関節頭5の形状、寸法、或はその材質、固定方法、及び当該伸縮性弾発部材24や当該連結部材21の伸度、伸長力、強度等は、前記した具体例の場合と同様に任意に設定することが可能である。
The insertion holes 300 and 301 in this specific example may have an appropriate size and shape. Preferably, as described later, a predetermined dislocation state is intentionally formed and the state. In order to maintain a stationary state, it has a long groove shape having a predetermined length and arranged in a predetermined direction.
For example, the surface facing the first auxiliary support means 240 side of the insertion hole 300 provided in the pseudo hipbone 221 has an elongated and short groove-like shape. The groove shape formed on the surface in contact with the joint head 5 has a shape of a notch groove extending from a substantially central portion of the pseudo acetabular fossa 222 to an end edge thereof, and the connection from there It is also a preferable specific example that the member 21 has a structure that can be slipped through in the dislocation state.
That is, it is desirable that the slit-like groove portion is longer in the insertion hole 300 so as to regulate the moving direction of the connecting member 21 for defining the displacement direction of the joint head 5.
With respect to the shape and arrangement position of the slit-shaped groove, a part of a specific example thereof is shown in FIG. 24, and at the same time, it is shown in FIG. 44 and FIG. .
In the specific example of the present invention, it is desirable to use not only one but also two or more plural elastic elastic members 24.
In the specific example of the present invention, by adopting such a configuration, the joint fossa 6 and the joint head 5 are subjected to an appropriate contact pressure by the extension recovery force of the elastic elastic member 24. Are fitted together to form a normal pseudo hip joint 220.
Further, the shape and size of the pseudo-glenoid 6 and the pseudo-joint head 5 used in this specific example, the material thereof, the fixing method, and the extension of the stretchable elastic member 24 and the connecting member 21. The degree, extension force, strength, and the like can be arbitrarily set as in the case of the specific example described above.

一方、本発明に於ける具体例に於いては、後述する脱臼状態の形成並びに当該脱臼用体を一時的に保持する機能、更には、当該疑似股関節部220に発生する可能性の高い特定の幾つかの脱臼状態を、意図的に発生しえる様な機構を有している事も望ましい具体例である。
更に、本発明に係る当該具体例に於いては、当該疑似股関節部220に於いて、靭帯の影響が付加される場合と靭帯の影響が付加されない場合の状況を選択的に設定出来る様な特別の構成を採用している事も更に好ましい具体例の一つである。
本発明に於ける当該疑似股関節部220に於いて、良く発生する形の脱臼の構造の一例としては、図25に示されている様に、当該関節頭5が当該関節窩6の凹陥部222から脱落して、当該疑似寛骨221の側壁部外の部位に転落している状態である。
On the other hand, in a specific example of the present invention, the formation of a dislocation state to be described later, the function of temporarily holding the dislocation body, and a specific possibility that the pseudo hip joint portion 220 is highly likely to occur. It is also desirable to have a mechanism that can intentionally generate several dislocation states.
Furthermore, in the specific example according to the present invention, in the pseudo hip joint part 220, a special situation is set such that the situation when the influence of the ligament is added and the case where the influence of the ligament is not added can be selectively set. It is one of the more preferable specific examples that the above configuration is adopted.
In the pseudo hip joint 220 according to the present invention, as an example of a dislocation structure that often occurs, as shown in FIG. 25, the joint head 5 has a recess 222 in the glenoid 6. It is in a state where it has fallen from the side wall part of the pseudo hipbone 221.

係る本発明の具体例を詳細に説明するならば、図22(A)乃至図23(C)に示す様に、当該伸縮性弾発部材24に平行して、当該伸縮性弾発部材24の伸度、伸長回復率等が異なる別の伸縮性弾発部材24’を配置し、当該別の伸縮性弾発部材24’の一方の端部242’を適宜の固定手段270’を介して当該第一の補助支持手段240内の内壁の一部に取り付けると共に、当該伸縮性弾発部材24’の他方の端部243’に適宜の強度或は伸度を有する別の連結部材21’の一端部を接続させ、当該別の連結部材21’の他方の端部244’を当該第1の補助支持手段240の表面部に形成された穴部若しくはスリット245を貫通させて、且つ当該疑似寛骨221の底面部Wに設けられている適宜の挿通穴302を通って、当該関節窩6である当該疑似寛骨221の外表面近傍に設けられたに形成された出口穴303から外部に出て、当該疑似上腕骨頭224の表面湾曲状面に沿って配置された後、当該疑似上腕骨頭224上に形成された適宜の挿通穴304から当該疑似大腿骨部223内部に挿入され、そこで、適宜の接合手段246’により固定されているものである。   If the specific example of this invention which concerns is described in detail, as shown in FIG. 22 (A) thru | or FIG. Another stretchable elastic member 24 ′ having different elongation, elongation recovery rate, etc. is arranged, and one end 242 ′ of the other stretchable elastic member 24 ′ is connected via appropriate fixing means 270 ′. One end of another connecting member 21 ′ attached to a part of the inner wall in the first auxiliary support means 240 and having an appropriate strength or elongation at the other end 243 ′ of the elastic elastic member 24 ′. The other end 244 ′ of the other connecting member 21 ′ is passed through a hole or slit 245 formed in the surface portion of the first auxiliary support means 240, and the pseudo-acetabulum 221 through the appropriate insertion hole 302 provided in the bottom surface W of the 221. After exiting from an exit hole 303 formed in the vicinity of the outer surface of the pseudo-hipbone 221 that is the fossa 6 and being arranged along the surface curved surface of the pseudo-humeral head 224, the pseudo-bone 221 It is inserted into the pseudo femur 223 through an appropriate insertion hole 304 formed on the humeral head 224, and is fixed there by appropriate joining means 246 ′.

係る具体例においては、図23(A)に示されている当該疑似大腿骨部223の当該疑似上腕骨頭224に近接する部位に、適宜の深さ、長さを有する一対の溝部315、316を形成し、当該別の連結部材21’を、図23(B)の点線、若しくは図23(C)の実線に示す様に、当該溝部315、316に係止させて配置した状態にある場合には、当該靭帯が有効に機能している状態を示す様にし、一方、当該別の連結部材21’を図23(C)の実線に示す様に、当該溝部315、316に係止させなで配置した状態にある場合には、当該靭帯が切断されているか有効に機能していない状態を示す様にすることが出来る(図45参照)。
本発明に於ける上記した具体例に於いては、当該疑似股関節220の当該疑似大腿骨部223は、比較的自由に当該関節頭5である当該疑似上腕骨頭224を中心として、多方向に旋回、回転が出来る様になっている。
その際、当該疑似大腿骨部223が、当該疑似上腕骨頭224を中心として旋回した場合には、当該疑似大腿骨部223の当該疑似上腕骨頭224と接続されている近傍部分と当該疑似上腕骨頭224の外表面に、当該別の連結部材21’が、巻き付けられる形態を示す。
本発明者が実際に作成した当該疑似股関節構造体240のモデルに於ける上記した各構成の具体例は、参考図の図42、乃至図44 に示されている。
In such a specific example, a pair of grooves 315 and 316 having appropriate depths and lengths are formed in a portion of the pseudo femur 223 shown in FIG. 23 (A) close to the pseudo humeral head 224. When the other connecting member 21 ′ is formed and locked to the grooves 315 and 316 as shown by the dotted line in FIG. 23B or the solid line in FIG. Indicates that the ligament is functioning effectively, while the other connecting member 21 ′ is not locked to the grooves 315 and 316 as indicated by the solid line in FIG. In the placed state, the ligament can be cut or not functioning effectively (see FIG. 45).
In the above-described specific example of the present invention, the pseudo femoral portion 223 of the pseudo hip joint 220 pivots in multiple directions around the pseudo humeral head 224 that is the joint head 5 relatively freely. , Can be rotated.
At this time, when the pseudo femoral portion 223 pivots about the pseudo humeral head 224, a portion near the pseudo humeral head 224 of the pseudo femoral portion 223 and the pseudo humeral head 224 are connected. The other connecting member 21 ′ is wound around the outer surface of FIG.
Specific examples of each configuration described above in the model of the pseudo hip joint structure 240 actually created by the present inventor are shown in FIGS.

本具体例に於いて、上記した様な、良く発生する脱臼の代表的な構成例を図25に示す。
本具体例に於いて、当該疑似上腕骨頭224が当該疑似寛骨臼窩222から離脱して脱臼状態を発生させるには、当該疑似大腿骨部223を遥動旋回させながら、当該疑似上腕骨頭224を所定の方向、例えば矢印Sの方向に所定の押圧力を印加しながら、変位させると容易に脱臼状態が発生する。
この際、上記した様に、当該別の連結部材21’を図23(B)の点線若しくは図23(C)の実線に示す様に、当該溝部315、316に係止させた状態に配置した場合には、当該靭帯が有効に機能している状態を示す態様であるので、当該印加すべき押圧力は、より強い力が要求される。
In this specific example, FIG. 25 shows a typical configuration example of dislocation that frequently occurs as described above.
In this specific example, in order to cause the pseudo humeral head 224 to detach from the pseudo acetabular fossa 222 and generate a dislocation state, the pseudo humeral head 224 is pivoted while the pseudo femur 223 is swung. Dislocation occurs easily while applying a predetermined pressing force in a predetermined direction, for example, in the direction of the arrow S.
At this time, as described above, the other connecting member 21 ′ is disposed in a state of being engaged with the groove portions 315 and 316 as indicated by a dotted line in FIG. 23B or a solid line in FIG. In this case, since the ligament is in a state of functioning effectively, a stronger force is required for the pressing force to be applied.

又、本具体例に於いては、当該脱臼の発生方向を予め定めた特定の方向に向けて発生する様に規制する事が可能であり、その為に、図24(A)乃至図24(C)等に示す様に、前記した特定の形状と特定の長さを有する溝部301、301’を当該疑似寛骨臼窩222の内面部で、且つ当該脱臼を発生させたい方向に向けて配置形成しておくと同時に、当該疑似上腕骨頭224の当該疑似寛骨臼窩222に接触する外表面に、特定の形状と特定の長さを有する溝部301、301’を当該溝部300と対向する様に配置形成しておく事が望ましい。
係る当該溝部301、301’と当該溝部300、300’との形状や配置位置の相互関係等が本発明者が実際に作成した当該疑似股関節構造体240のモデルに於いて、どの様に具体化されているかに付いては、当該脱臼を表現している参考図の図45に示されている。
係る構成を採用する事によって、図25(A)乃至図25(B)に示す様に、当該連結部材21は、当該伸縮性弾発部材24を伸長させながら当該両溝部300、301内を通過し、矢印Sの方向に沿って、伸びながら脱臼を所定の方向に容易に発生させる事が可能となる。
この際、当該別の連結部材21’は、脱臼が発生するに際して、当該伸縮性弾発部材24’を伸長させながら前進して当該疑似大腿骨部223の一部に巻きつく様になる。
従って、本発明に於いて、当該疑似上腕骨頭224を上記図示の脱臼方向と反対の方向に脱臼させた状態を発生させたい場合には、当該溝部300と当該溝部301とを上記した図示の方向とは反対の方向に向けて当該疑似上腕骨頭224の外表面と当該疑似寛骨臼窩222の内部表面に配置形成すれば良い。
Further, in this specific example, it is possible to restrict the direction of occurrence of the dislocation so as to occur in a predetermined direction. For this purpose, FIGS. C) and the like, the groove portions 301 and 301 ′ having the specific shape and the specific length are arranged on the inner surface portion of the pseudo-acetabular fossa 222 and in the direction in which the dislocation is desired to occur. At the same time as forming, groove portions 301 and 301 ′ having a specific shape and a specific length are opposed to the groove portion 300 on the outer surface of the pseudo humeral head 224 in contact with the pseudo acetabulum 222. It is desirable to arrange and form the
In the model of the pseudo hip joint structure 240 actually created by the present inventor, how the shapes of the groove portions 301 and 301 ′ and the groove portions 300 and 300 ′ and the interrelationships between them are realized. It is shown in FIG. 45 of the reference figure expressing the dislocation.
By adopting such a configuration, as shown in FIGS. 25 (A) to 25 (B), the connecting member 21 passes through both the groove portions 300 and 301 while extending the elastic elastic member 24. Then, along the direction of the arrow S, dislocation can be easily generated in a predetermined direction while extending.
At this time, when the dislocation occurs, the other connecting member 21 ′ moves forward while extending the stretchable elastic member 24 ′ and winds around a part of the pseudo femoral portion 223.
Therefore, in the present invention, when it is desired to generate a state in which the pseudo humeral head 224 is dislocated in the direction opposite to the dislocation direction shown in the drawing, the groove 300 and the groove 301 are shown in the direction shown in the drawing. May be formed on the outer surface of the pseudo humeral head 224 and the inner surface of the pseudo acetabular cavity 222 in the opposite direction.

本発明に於ける当該疑似股関節210に於いて、一例として、上記した図25に様な脱臼状態が発生した場合に、当該疑似股関節210に対して脱臼整復処理する場合には、脱臼整復処理者は、当該疑似大腿骨223を元の位置の方向に戻す様に動かしながら、当該疑似上腕骨頭224を一旦上方に、所定の張力を印加しながら引張上げ、その後、疑似上腕骨頭224を当該疑似寛骨臼窩222の内部方向に向けて移動させた後、当該印加された所定の引き上げ張力を開放することにより、当該脱臼が整復される。
つまり、本発明に於ける当該疑似関節構成体210は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。
In the pseudo hip joint 210 of the present invention, as an example, when the dislocation state as shown in FIG. 25 described above occurs, when the dislocation reduction process is performed on the pseudo hip joint 210, the dislocation reduction processor While moving the pseudo femur 223 back to the original position, the pseudo humeral head 224 is once pulled upward while applying a predetermined tension, and then the pseudo humeral head 224 is moved to the pseudo relaxed position. After the movement toward the inside of the acetabulum 222, the dislocation is reduced by releasing the applied predetermined pulling tension.
That is, the pseudo-joint structure 210 according to the present invention can be used to reduce a specific dislocation at the specific joint to a dislocation reduction processor or trainer who has not experienced the dislocation reduction process. Repeated training and training on how much force is applied in the direction, how much the dislocated bone is pulled, and how the bone of the dislocated joint is returned to its original state. This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

6.膝関節に対応した疑似膝関節構造体:
次に、本発明に於ける、膝関節に対応した当該疑似膝関節構造体280の構成の一具体例を以下に示す。
即ち、図26(A)及び図26(B)に示す様に、一般的な人間の膝関節260は、大腿骨261の内側顆263と外側顆262及び脛骨264の内側顆265と外側顆266、それと膝蓋骨267とで構成されており、更に係る構成の膝関節部を外側側副靭帯(LCL)270、内側側副靭帯(MCL)269、前十字靱帯(ACL)271、後十字靱帯(PCL)272及び関節半月板268等で強固に保護されている。
当該膝関節260に於いて、当該大腿骨261の内側顆263と外側顆262の最下端部に形成された突起部が関節頭5、5’をそれぞれ構成し、又当該脛骨264の内側顆265と外側顆266に於ける上縁部の当該各関節頭5、5’に対応する部分6、6’が明確な凹部を形成しているものではないが、関節窩6に相当する。
6). Pseudo knee joint structure corresponding to the knee joint:
Next, a specific example of the configuration of the pseudo knee joint structure 280 corresponding to the knee joint in the present invention will be described below.
That is, as shown in FIGS. 26A and 26B, a general human knee joint 260 includes a medial condyle 263 and a lateral condyle 262 of the femur 261 and a medial condyle 265 and a lateral condyle 266 of the tibia 264. And the patella 267. Further, the knee joint portion having such a configuration includes an outer collateral ligament (LCL) 270, an inner collateral ligament (MCL) 269, an anterior cruciate ligament (ACL) 271, and a posterior cruciate ligament (PCL). ) 272 and the joint meniscus 268 and the like.
In the knee joint 260, the protrusions formed at the lowermost ends of the medial condyle 263 and the lateral condyle 262 of the femur 261 constitute the joint heads 5 and 5 ′, respectively, and the medial condyle 265 of the tibia 264. The portions 6 and 6 ′ corresponding to the joint heads 5 and 5 ′ at the upper edge of the lateral condyle 266 do not form a clear recess but correspond to the glenoid 6.

係る実際の膝関節260に対応した本発明に係る当該疑似膝関節構造体280の構成の一例としては、図27(A)及び図27(B)に示す様に、当該膝関節260の大腿骨261に相当する疑似大腿骨281であって、当該疑似大腿骨281の下端部282に当該内側顆263と外側顆262に相当する疑似内側顆283と外側顆284を形成し、当該各部の突起部を関節頭5、5’として機能させる様に構成した疑似大腿骨281と、当該脛骨264に相当する疑似脛骨285であって、当該疑似脛骨285の上端部286に当該内側顆265と外側顆266に相当する疑似内側顆287と外側顆288を形成し、当該各部の略平坦部を関節窩6、6’として機能させる様に構成した疑似脛骨285とを直列状に連結固定させ、更に、当該関節頭5、5’と関節窩6、6’とが相互に所定の適度の接圧応力が印加される様に構成されて当該疑似膝関節構造体280が構成されている。   As an example of the configuration of the pseudo knee joint structure 280 according to the present invention corresponding to such an actual knee joint 260, as shown in FIGS. 27A and 27B, the femur of the knee joint 260 A pseudo femur 281 corresponding to 261, and a pseudo medial condyle 283 and a lateral condyle 284 corresponding to the medial condyle 263 and the lateral condyle 262 are formed at the lower end 282 of the pseudo femur 281, and the protrusions of the respective parts Pseudo femur 281 configured to function as a joint head 5, 5 ′, and a pseudo tibia 285 corresponding to the tibia 264. A pseudo medial condyle 287 and a lateral condyle 288 corresponding to the above are formed, and a pseudo tibia 285 configured so that the substantially flat part of each part functions as the glenoid fossa 6, 6 ′ is connected and fixed in series. 'And glenoid 6,6' joint head 5,5 and is constructed such that contact pressure stress moderate predetermined mutual is applied the pseudo knee-joint structure 280 is constructed.

本具体例に於ける当該疑似大腿骨281と当該疑似脛骨285との連結には、当該疑似大腿骨281内に設けられた或いは当該疑似大腿骨281に接続して設けられた適宜の補助支持部293内に配置された適宜の伸度、伸長特性を有するスプリング等からなる伸縮性弾発部材24(第1の伸縮性弾発部材という)と当該伸縮性弾発部材24に連結された適宜の強度或いは伸度を有する連結部材21であって、その他方の端部が当該疑似脛骨285の一部の部位に適宜の接合固定手段を介して接続固定されている連結部材21とによって、相互に引っ張られ、それぞれの連結部位に於いて、相互に適度の接圧応力が印加される様に構成されるものである。   In connection with the pseudo femur 281 and the pseudo tibia 285 in this specific example, an appropriate auxiliary support portion provided in the pseudo femur 281 or connected to the pseudo femur 281 is provided. An elastic elastic member 24 (referred to as a first elastic elastic member) made of a spring having appropriate elongation and elongation characteristics disposed in the 293 and an appropriate elastic member connected to the elastic elastic member 24 A connecting member 21 having strength or elongation, the other end of which is connected and fixed to a part of the pseudo-tibia 285 via an appropriate joining and fixing means, It is configured to be pulled so that appropriate contact pressure stress is applied to each other at each connecting portion.

本具体例に於いては、例えば、当該補助支持部293内に配置された当該第1の伸縮性弾発部材である適宜のスプリング24の一端部を当該第1の補助支持部293の適宜の部位に於いて、適宜の固定手段27を使用して固定配置すると同時に、当該スプリング24の他方の端部には、適宜の強度或いは低い伸度を有する適宜の材料からなる連結部材21を連結し、当該連結部材21を、上記した当該疑似大腿骨281の内部空間部を挿通させた後、当該疑似大腿骨281の下端部282の近傍部位283、284に設けられた適宜の形状を有する穴若しくはスリット等294から当該疑似大腿骨281の外表面に導出させ、そのまま当該疑似膝関節構造体280の外表面を移行させた後、当該疑似脛骨285の上端部286に於ける適宜の部位に設けた挿入穴部或いは挿入スリット295から当該連結部材21を当該疑似脛骨285の内部に導入させ、その部位で適宜の固定手段28を介して固定保持する。
同様に、本具体例では、当該スプリング24と略同様の特性を有する別のスプリング24’(第2の伸縮性弾発部材という)を当該第1の伸縮性弾発部材24と略同じ部位に略平行して配置し、当該第1の伸縮性弾発部材24と同様に第2の連結部材21’を連結し、当該連結部材21’を、上記した当該疑似大腿骨281の内部空間部を挿通させた後、当該疑似大腿骨281の下端部282の近傍部位に設けられた適宜の形状を有する穴若しくはスリット等294’から当該疑似大腿骨281の外表面に導出させ、そのまま当該疑似膝関節構造体280の外表面を移行させた後、当該疑似脛骨285の上端部286に於ける適宜の部位に設けた挿入穴部或いは挿入スリット295’から当該連結部材21’を当該疑似脛骨285の内部に導入させ、その部位で適宜の固定手段28’を介して固定保持する。
In this specific example, for example, one end portion of the appropriate spring 24 that is the first elastic elastic member disposed in the auxiliary support portion 293 is connected to the appropriate one of the first auxiliary support portion 293. At the same time, the connecting member 21 made of an appropriate material having an appropriate strength or low elongation is connected to the other end of the spring 24 at the same time as being fixedly arranged using an appropriate fixing means 27. After inserting the connecting member 21 through the internal space portion of the pseudo femur 281, holes having appropriate shapes provided in the vicinity portions 283 and 284 of the lower end portion 282 of the pseudo femur 281, or After derivation from the slit or the like 294 to the outer surface of the pseudo femur 281, the outer surface of the pseudo knee joint structure 280 is transferred as it is, an appropriate amount at the upper end portion 286 of the pseudo tibia 285 is obtained. Position the coupling member 21 from the insertion hole or the insertion slot 295 provided in is introduced into the interior of the pseudo tibia 285, is fixedly held via suitable fixing means 28 at the site.
Similarly, in this specific example, another spring 24 ′ (referred to as a second elastic elastic member) having substantially the same characteristics as that of the spring 24 is disposed at substantially the same site as the first elastic elastic member 24. Arranged substantially in parallel, the second connecting member 21 ′ is connected in the same manner as the first elastic elastic member 24, and the connecting member 21 ′ is connected to the internal space portion of the pseudo femur 281 described above. After insertion, the pseudo knee joint is led out to the outer surface of the pseudo femur 281 through a hole or slit 294 ′ having an appropriate shape provided in the vicinity of the lower end 282 of the pseudo femur 281, and the pseudo knee joint as it is. After the outer surface of the structure 280 is moved, the connecting member 21 ′ is inserted into the inside of the pseudo tibia 285 from an insertion hole or an insertion slit 295 ′ provided at an appropriate portion of the upper end 286 of the pseudo tibia 285. To introduce Fixed holding through suitable fixing means 28 'at the site.

係る本発明の具体例に於いては、当該第1の伸縮性弾発部材24と当該第2の伸縮性弾発部材24’とが当該疑似膝関節構造体280の外表面を一時的に走行する長さは、相互に同じでもよいが、相互に異なる様に構成する事も可能である。
即ち、本具体例に於いては、当該第1の伸縮性弾発部材24と当該第2の伸縮性弾発部材24’及び当該第1及び第2の連結部材21、21’とは、上記した他の具体例とは異なり、当該関節構造体に於ける靭帯或いは腱の機能を発揮する様に構成されているのである。
係る構成によって、当該疑似膝関節構造体280に於ける当該疑似大腿骨281の脱臼の方向に於ける変位の程度を左右で調整する事が可能となる。
本具体例に於ける当該個々の当該疑似大腿骨281と当該疑似脛骨285は当該第1の補助支持部293を含めて、前記した様な適宜の材料で略中空状の円筒体形或いは半円形の形成しており、それぞれの個別の形状、大きさ等は適宜決定する事が出来る。
In the specific example of the present invention, the first elastic elastic member 24 and the second elastic elastic member 24 ′ temporarily run on the outer surface of the pseudo knee joint structure 280. The lengths to be performed may be the same as each other, but may be configured to be different from each other.
That is, in this specific example, the first stretchable resilient member 24, the second stretchable resilient member 24 ', and the first and second connecting members 21, 21' Unlike the other specific examples, it is configured to exhibit the function of the ligament or tendon in the joint structure.
With such a configuration, it is possible to adjust the degree of displacement in the dislocation direction of the pseudo femur 281 in the pseudo knee joint structure 280 from the left and right.
The individual pseudo femur 281 and the pseudo tibia 285 in this specific example, including the first auxiliary support portion 293, are made of an appropriate material as described above and have a substantially hollow cylindrical shape or semicircular shape. Each shape, size, etc. can be determined appropriately.

更に、本発明に係る当該他の具体例に於いては、当該第1と第2の伸縮性弾発部材24、24’に平行して当該第1及び第2の連結部材21、21’と同一或いは異なる伸度、強度を有する補助線状体296、296’を配置し、当該各補助線状体296、296’の一方の端部51、51’を、当該伸縮性弾発部材24、24’の一端部30が固定されている当該疑似大腿骨281の上端部に設けられている当該第1の補助支持体296の適宜の部位に於いて、適宜の固定手段55、55’を介して接合すると共に、当該補助線状体296、296’の他方の端部52、52’を、当該伸縮性弾発部材24、24’と当該連結部材21、21’との接合部に接合させた構成を採用するものである。   Furthermore, in the other specific example according to the present invention, the first and second connecting members 21, 21 ′ are parallel to the first and second elastic resilient members 24, 24 ′. Auxiliary linear bodies 296, 296 ′ having the same or different elongation and strength are arranged, and one end portions 51, 51 ′ of the auxiliary linear bodies 296, 296 ′ are connected to the stretchable elastic member 24, At appropriate portions of the first auxiliary support 296 provided at the upper end of the pseudo femur 281 to which one end 30 of 24 ′ is fixed, via appropriate fixing means 55 and 55 ′. And joining the other end portions 52, 52 ′ of the auxiliary linear bodies 296, 296 ′ to the joint portions of the elastic elastic members 24, 24 ′ and the connecting members 21, 21 ′. The configuration is adopted.

係る具体例に於いては、当該補助線状体296、296’は,上記した当該第1と第2の伸縮性弾発部材24、24’と当該第1及び第2の連結部材21、21’とが連結された構成で示される特定の靭帯或いは腱の機能を変化させる機能を有するものであって、当該靭帯或いは腱の拘束力を適宜調整する様に作用するものであっても良く、或いは、当該補助線状体296、296’が、当該縮性弾発部材24と当該連結部材21とで構成される線条体と接合されているか否かによって、当該縮性弾発部材24と当該連結部材21とで構成される線条体が示す靭帯又は腱の一部が切断されたか或いは損傷している状態と、正常な状態にある場合とを区別して表現する事も可能である。
従って、当該補助線状体296、296’の当該疑似大腿骨281の上端部に接合されている当該補助線状体296、296’のそれぞれの当該一端部51、51’は、当該第1の補助支持手段296に着脱自在に接合されている事が好ましい具体例である。
当該補助線状体296、296’を、当該疑似大腿骨281の上端部に着脱自在に接合させる為の具体的な構成は、特に限定されないが、例えば、上記した図6(B)に示す様な構成を採用するものであっても良い。
係る構成を採用することによって、本発明に係る当該補助線状体296、296’の当該一端部51を当該疑似大腿骨281から離反させることにより、当該疑似膝関節構造体280関の脱臼状態に於いて、靭帯或いは腱が切断されている状態を顕出させる様に構成されているものである。
In such a specific example, the auxiliary linear bodies 296, 296 ′ include the first and second stretchable elastic members 24, 24 ′ and the first and second connecting members 21, 21. It may have a function of changing the function of a specific ligament or tendon indicated by a configuration connected to ', and may act so as to appropriately adjust the binding force of the ligament or tendon, Alternatively, depending on whether or not the auxiliary linear bodies 296, 296 ′ are joined to a linear body constituted by the contractible elastic member 24 and the connecting member 21, the contractible elastic member 24 and It is also possible to distinguish between a state in which a part of the ligament or tendon indicated by the striatum constituted by the connecting member 21 is cut or damaged and a case in a normal state.
Therefore, the one end portions 51 and 51 ′ of the auxiliary linear bodies 296 and 296 ′ joined to the upper end of the pseudo femur 281 of the auxiliary linear bodies 296 and 296 ′ A preferred example is that the auxiliary support means 296 is detachably joined.
A specific configuration for detachably joining the auxiliary linear bodies 296, 296 ′ to the upper end portion of the pseudo femur 281 is not particularly limited. For example, as shown in FIG. Such a configuration may be adopted.
By adopting such a configuration, by disengaging the one end portion 51 of the auxiliary linear bodies 296, 296 ′ according to the present invention from the pseudo femur 281, the pseudo knee joint structure 280 is dislocated. However, the ligament or the tendon is configured to be revealed.

即ち、本具体例に於いては、当該疑似膝関節構造体280に於いて、当該補助線状体296、296’を当該疑似大腿骨281に対して着脱自在に接合固定しておく事によって、当該疑似膝関節部280に於ける靭帯或いは腱の機能が正常に機能している場合と、当該靭帯或いは腱が切断或いは破壊されてその機能が消失されている場合との状況を作り出せることになり、当該整復処理操作を体験、学習する人にとっては、上記した両方の脱臼状態に対処する整復処理操作を体験・実習する事が可能となる。
本具体例に於ける当該各構成部材等の材質、特性、形状、寸法等は、上記した各具体例に於いて使用されたものと同じものを使用する事が可能である。
つまり、本具体例の当該疑似膝関節構造体280に於いては、当該関節構造体280に於ける特定の当該靭帯或いは腱が切断されたか或いは損傷しているかに応じて、図28に示す様に、当該関節頭5と当該関節窩6との接圧状態が変化して、当該関節頭5の当該関節窩6に対する対向位置が様々に変化することにより、脱臼状態が形成される。
尚、図28中、図28(A)乃至図28(D)は、当該疑似膝関節構造体280の正面から観察した当該関節部の脱臼状態を示す概略図であり、図28(E)及び図28(F)は、当該疑似膝関節構造体280の側面から観察した当該関節部の脱臼状態を示す概略図である。
更に、上記した本発明の具体例に於いては、当該膝関節部260に於ける特徴的構成である当該前十字靱帯271及び当該後十字靱帯272の存在が関節の強度に与える影響の少なくとも一部を実現させる為に、少なくとも2本の所定の強度或いは伸長率を有する補強線条体1300、1300’を当該前十字靱帯271及び当該後十字靱帯272に対応させて、当該疑似膝関節構造体280の内部に付加的に配置したものである。
That is, in this specific example, in the pseudo knee joint structure 280, the auxiliary linear bodies 296, 296 ′ are detachably joined and fixed to the pseudo femur 281. It is possible to create a situation in which the function of the ligament or tendon at the pseudo knee joint portion 280 is functioning normally and the function is lost when the ligament or tendon is cut or destroyed. For those who experience and learn the reduction processing operation, it is possible to experience and practice the reduction processing operation for dealing with both of the dislocation states described above.
The material, characteristics, shape, dimensions, and the like of the respective constituent members in this specific example can be the same as those used in the above specific examples.
That is, in the pseudo knee joint structure 280 of this specific example, as shown in FIG. 28, depending on whether a specific ligament or tendon in the joint structure 280 is cut or damaged. Moreover, the dislocation state is formed by changing the contact pressure state between the joint head 5 and the glenoid 6 and changing various positions of the joint head 5 facing the glenoid 6.
28A to 28D are schematic views showing the dislocation state of the joint portion observed from the front of the pseudo knee joint structure 280, and FIG. 28E and FIG. FIG. 28F is a schematic diagram illustrating a dislocation state of the joint portion observed from the side surface of the pseudo knee joint structure 280.
Further, in the above-described specific example of the present invention, at least one of the effects of the presence of the anterior cruciate ligament 271 and the posterior cruciate ligament 272, which are characteristic structures of the knee joint 260, on joint strength. In order to realize the portion, at least two reinforcing linear bodies 1300, 1300 ′ having a predetermined strength or elongation rate are made to correspond to the front cruciate ligament 271 and the posterior cruciate ligament 272, and the pseudo knee joint structure 280 is additionally disposed inside.

即ち、具体的には、2本の補強線条体1300、1300’を相互に平行して当該疑似膝関節構造体280の内部に配置する際に、当該各補強線条体1300、1300’の一方の端部1301、1301’を当該疑似大腿骨281の上端部で、当該第1及び第2の伸縮性弾発部材24、24’が固定配置されている部位の近傍に着脱自在の接合手段1303、1303’を介して、取り付けると共に、当該各強線条体1300、1300’の他方の端部1302、1302’を当該疑似大腿骨281内部を通過させて、当該疑似大腿骨281の下端部282の下面に設けた適宜の開口部305、305’から外部に導出させ、その後、当該2本の補強線条体1300、1300’を適宜の形状で相互に交差させて、当該疑似脛骨285の上端部286の上表面に設けた適宜の開口部306、306’から当該疑似脛骨285内部に導入させ、当該疑似脛骨285内部に設けられた適宜の接合固定手段1304、1304’に固定接合するものである。
即ち、当該2本の補強線条体1300、1300’は、それぞれ前十字靱帯271及び当該後十字靱帯272としての機能を発揮するものであり、
Specifically, when the two reinforcing linear bodies 1300, 1300 ′ are arranged inside the pseudo knee joint structure 280 in parallel with each other, each of the reinforcing linear bodies 1300, 1300 ′ is arranged. One end portion 1301, 1301 ′ is the upper end portion of the pseudo femur 281 and is detachable joining means in the vicinity of the portion where the first and second stretchable elastic members 24, 24 ′ are fixedly arranged. 1303 and 1303 ′ are attached, and the other ends 1302 and 1302 ′ of the respective strong striatums 1300 and 1300 ′ are passed through the pseudo femur 281 so that the lower end of the pseudo femur 281 is reached. The two reinforcing wire bodies 1300 and 1300 ′ are crossed with each other in an appropriate shape, and then the pseudo tibia 285 is formed. Of the upper end 286 Appropriate openings 306, 306 provided on the surface is intended to fixedly joined to the 'from is introduced into the pseudo tibia 285, the pseudo tibia 285 suitable bonding fixing means provided inside 1304,1304'.
That is, the two reinforcing striated bodies 1300 and 1300 ′ exhibit functions as the anterior cruciate ligament 271 and the posterior cruciate ligament 272, respectively.

係る構成を採用することによって、本発明に係る当該補強線条体1300、1300’の当該一端部1301、1301’を当該疑似大腿骨281から離反させることにより、当該疑似膝関節構造体280の脱臼状態に於いて、が切断されている状態を顕出させる様に構成されているものである。
上記した本具体例の当該疑似膝関節構造体280に於いては、当該関節構造体280に於ける脱臼状態の形状は、当該前十字靱帯271及び当該後十字靱帯272の存在の有無と言う条件が更に当該前十字靱帯271及び当該後十字靱帯272が有効に機能しているか否かの条件が加味される事により、図28に示す様に、当該関節頭5と当該関節窩6との接圧状態が更に一層複雑に変化し多様化して、当該関節頭5の当該関節窩6に対する対向位置が更に複雑に変化することにより、多数の脱臼状態が形成される。
即ち、本具体例に於いては、当該疑似膝関節構造体280に於いて、当該補強線条体1300、1300’を当該疑似大腿骨281に対して着脱自在に接合固定しておく事によって、当該疑似膝関節部280に於ける当該前十字靱帯271及び当該後十字靱帯272の機能が正常に機能している場合と、当該前十字靱帯271及び当該後十字靱帯272が切断或いは破壊されてその機能が消失されている場合との状況を作り出せることになり、当該整復処理操作を体験、学習する人にとっては、上記した両方の脱臼状態に対処する整復処理操作を体験・実習する事が可能となる。
尚、図27の(B)に於ける符号1305は、当該疑似脛骨285に形成された空間部であって、当該疑似脛骨285内部の各部材の設定や調整を行う為の作業領域として使用される。
By adopting such a configuration, by disengaging the one end portions 1301 and 1301 ′ of the reinforcing linear bodies 1300 and 1300 ′ according to the present invention from the pseudo femur 281, dislocation of the pseudo knee joint structure 280 is performed. In the state, it is configured so as to reveal the state in which is cut.
In the pseudo knee joint structure 280 of this specific example described above, the shape of the dislocation state in the joint structure 280 is a condition that the presence or absence of the anterior cruciate ligament 271 and the posterior cruciate ligament 272 is present. In addition, the condition whether the anterior cruciate ligament 271 and the posterior cruciate ligament 272 function effectively is taken into consideration, so that the joint head 5 and the glenoid 6 are connected as shown in FIG. As the pressure state changes and diversifies even more complexly, and the position of the joint head 5 facing the glenoid 6 changes more complicatedly, a large number of dislocation states are formed.
That is, in this specific example, in the pseudo knee joint structure 280, the reinforcing linear bodies 1300 and 1300 ′ are detachably joined and fixed to the pseudo femur 281. When the functions of the anterior cruciate ligament 271 and the posterior cruciate ligament 272 in the pseudo knee joint 280 are functioning normally, and the anterior cruciate ligament 271 and the posterior cruciate ligament 272 are cut or destroyed It is possible to create a situation where the function is lost, and for those who experience and learn the reduction processing operation, it is possible to experience and practice the reduction processing operation to cope with both dislocation states described above Become.
In FIG. 27B, reference numeral 1305 denotes a space formed in the pseudo tibia 285, which is used as a work area for setting and adjusting each member inside the pseudo tibia 285. The

本具体例に於いて、当該補強線条体1300、1300’の当該一端部1301、1301’を当該疑似大腿骨281の上端部に於いて当該疑似大腿骨281に対して着脱自在に接合固定する方法は特に限定されるものではなく、公知の結合手段1303、1303’が採用可能であるが、その一例としては、図27(C)に於ける当該疑似大腿骨281を上から見た平面図に示す様に、当該補強線条体1300、1300’の本体部が主として通過しる開口部360、360’を設けると共に、当該補強線条体1300、1300’の一端部に、当該補強線条体1300、1300’の本体部の直径よりも大きい直径を有する膨大部1301、1301’を設け、当該開口部360、360’の直径を、例えば、当該補強線条体1300、1300’の一端部に形成された当該膨大部1301、1301’の直径よりも大きい直径を有する様に設定し、一方、当該開口部360、360’の周縁部の一部から、当該補強線条体1300、1300’の本体部の直径よりも大きくかつ当該膨大部1301、1301’直径よりも小さい幅を有するL字状のスリット部361、361’を連接し、当該スリット部361、361’に当該側膨大部1301、1301’を設け、当該補強線条体1300、1300’の一端部に形成された当該膨大部301、301’を当該スリット部361、361’に係止せしめることにより、当該補強線条体1300、1300’を当該疑似大腿骨281の上端部に固定的に接続させ、又、当該補強線条体300、300’の一端部に形成された当該膨大部1301、1301’を当該開口部360、360’から離脱させる事により当該補強線条体1300、1300’を当該疑似大腿骨281の上端部から離反させることが可能になる。   In this specific example, the one end portions 1301 and 1301 ′ of the reinforcing linear bodies 1300 and 1300 ′ are detachably joined and fixed to the pseudo femur 281 at the upper end portion of the pseudo femur 281. The method is not particularly limited, and known coupling means 1303 and 1303 ′ can be adopted. As an example, a plan view of the pseudo femur 281 in FIG. As shown, the openings 360, 360 ′ through which the main body portions of the reinforcing filaments 1300, 1300 ′ mainly pass are provided, and the reinforcing filaments 1300, 1300 ′ are provided at one end of the reinforcing filaments 1300, 1300 ′. Enlarged portions 1301 and 1301 ′ having a diameter larger than the diameter of the main body portion of the bodies 1300 and 1300 ′ are provided, and the diameters of the openings 360 and 360 ′ are set to, for example, the reinforcing filaments 1300, It is set so as to have a diameter larger than the diameter of the enormous portions 1301 and 1301 ′ formed at one end of 300 ′, and from the part of the peripheral portion of the openings 360 and 360 ′, L-shaped slit portions 361 and 361 ′ having a width larger than the diameter of the main body portion of the body 1300 and 1300 ′ and smaller than the enlarged portions 1301 and 1301 ′ are connected to the slit portions 361 and 361 ′. By providing the side enormous portions 1301 and 1301 ′ and locking the enormous portions 301 and 301 ′ formed at one end of the reinforcing filaments 1300 and 1300 ′ to the slit portions 361 and 361 ′, The reinforcing striated bodies 1300 and 1300 ′ are fixedly connected to the upper end of the pseudo femur 281 and formed at one end of the reinforced striated bodies 300 and 300 ′. 'The opening 360, 360' bulging most 1301,1301 comprising the reinforcing striatum 1300,1300 'by disengaging from the can be separated from the upper end portion of the pseudo femur 281.

本具体例に於いては、当該当該補強線条体1300と1300’とを同時に当該疑似大腿骨281に対して着脱させてもよく或いはその一方のみを当該補助線状体296、296’当該疑似大腿骨281に対して着脱させても良い。
同様に本具体例においては、当該補助線状体296と296’についても上記したと同様の操作を行うことが可能である。
然も、本具体例に於いては、上記したそれぞれの操作を個別に組み合わせることによって、多種多様な脱臼発生時の環境を設定することが可能となる。
本発明に於いては、図28に示す様な、関節脱臼の発生形状に関するモデル状態が示されているが、本発明に於ける当該擬似膝関節構造体に於ける当該脱臼の発生形態は多様であって図28に示されるものに限定されるものではない。
本発明者が実際に作成した当該疑似膝関節構造体280のモデルに於ける上記した各構成の具体例を撮影した写真は、参考図の図46乃至図47 に示されている。
In this specific example, the reinforcing striated bodies 1300 and 1300 ′ may be attached to and detached from the pseudo femur 281 at the same time, or only one of them may be the auxiliary linear bodies 296, 296 ′, the pseudo You may make it attach or detach with respect to the femur 281.
Similarly, in this specific example, the same operation as described above can be performed on the auxiliary linear bodies 296 and 296 ′.
However, in this specific example, it is possible to set various environments for occurrence of dislocation by individually combining the operations described above.
In the present invention, as shown in FIG. 28, a model state relating to the shape of the joint dislocation is shown, but there are various forms of the dislocation in the pseudo knee joint structure according to the present invention. However, the present invention is not limited to that shown in FIG.
Photographs taken of specific examples of the above-described configurations in the model of the pseudo knee joint structure 280 actually created by the present inventor are shown in FIGS. 46 to 47 of the reference diagrams.

本発明に於ける当該疑似膝関節280に於いて、上記した様な脱臼状態が発生した場合に、当該疑似膝関節280に対して脱臼整復処理する場合には、脱臼整復処理者は、当該疑似大腿骨281をその長手方向に、所定の張力を印加しながら引張上げ、変形した当該関節頭の部分を元の方向に戻しながら、当該印加した張力を開放することにより、当該脱臼が整復される。
その際、脱臼整復処理者は、実際の引張力や、変更方向、戻す際の押圧力等を当該疑似膝関節280を操作しながら、その感触を体得することが可能になり実際の整復処理を学ぶことが出来る。
つまり、本発明に於ける当該疑似膝節構成体280は、脱臼整復処理に対して未経験の脱臼整復処理者、トレーナーに、当該特定の関節部に於ける特定の脱臼を整復処理する場合に、如何なる方向に、どのような力を印加して、どの程度当該脱臼した骨部を引張、どのようにして、当該脱臼した関節部の骨部を元の状態に戻すかについて、繰り返し実習、訓練を行う事が可能であり、当該未経験の脱臼整復処理者、トレーナーが短期間でその技術を習得することが出来るという効果を有するものである。
In the pseudo knee joint 280 in the present invention, when the dislocation state as described above occurs, when the dislocation reduction process is performed on the pseudo knee joint 280, the dislocation reduction processing person The dislocation is reduced by pulling up the femur 281 in the longitudinal direction while applying a predetermined tension and releasing the applied tension while returning the deformed portion of the joint head to the original direction. .
At that time, the dislocation reduction processor can acquire the feel of the actual pulling force, the changing direction, the pressing force for returning, etc. while operating the pseudo knee joint 280, and the actual reduction processing is performed. I can learn.
In other words, the pseudo knee joint structure 280 in the present invention is used to reduce a specific dislocation at the specific joint portion to a dislocation reduction processor or trainer who has not experienced the dislocation reduction processing. In what direction, what force is applied, how much the dislocated bone part is pulled, how to return the dislocated joint bone part to its original state, repeated training and training This has the effect that the inexperienced dislocation reduction processor and trainer can learn the technique in a short period of time.

次に、上記した本発明に於ける当該疑似膝関節構造体280の別の具体例として、当該疑似膝関節構造体280に膝蓋骨267に相当する擬似膝蓋骨402が追加され、当該擬似膝蓋骨402が脱臼した場合の整復処理操作を体験できる膝蓋骨つき擬似膝関節構造体400の構成について図29乃至図30を参照しながら詳細に説明する。
当該膝関節に於いて、上記した通り、当該膝関節を保護する為の一つの構成として、当該膝関節の前方部に膝蓋骨267が設けられている。
そして、実際の当該膝蓋骨267は、大腿四頭筋と膝蓋筋とで上下方向に固定保持されており、又、内側膝蓋大腿靭帯と外側膝蓋大腿靭帯とで横方向の移動が制限される様に固定保持されている。
Next, as another specific example of the pseudo knee joint structure 280 in the present invention described above, a pseudo patella 402 corresponding to the patella 267 is added to the pseudo knee joint structure 280, and the pseudo patella 402 is dislocated. The configuration of the artificial knee joint structure 400 with a patella that can experience the reduction processing operation in this case will be described in detail with reference to FIGS.
As described above, in the knee joint, as one configuration for protecting the knee joint, the patella 267 is provided at the front portion of the knee joint.
The actual patella 267 is fixedly held in the vertical direction by the quadriceps and patella, and lateral movement is restricted by the medial patellofemoral ligament and the lateral patellofemoral ligament. It is held fixed.

一方、当該膝蓋骨267は、例えば、膝蓋骨267に外部から何らかの強い外力が印加された場合に、上記した各靭帯の一部が破断するか、伸長されることによって、当該膝蓋骨267が、正常な位置から変位して脱臼状態が発生する。
当該脱臼状態は、その発生方向、発生の大きさ等は、当該脱臼が発生した場合の環境により大きく変化するものである。
そこで、本発明に於ける別の具体例では、係る膝蓋骨267に相当する擬似膝蓋骨402が脱臼した場合の状態を維持すると共に、当該疑似膝蓋骨402の脱臼を整復する為に、当該疑似膝蓋骨402をその脱臼した状態の位置から、元に存在した正常な関節内の部位に戻す際の操作方法や当該操作時にける張力の掛け方等を実習し、体験する事が可能な疑似膝関節構造体を提供するものである。
On the other hand, the patella 267 is, for example, when a certain external force is applied to the patella 267 from the outside, a part of each of the ligaments described above is broken or expanded, so that the patella 267 is in a normal position. Dislocation occurs from the position.
In the dislocation state, the generation direction, the generation size, and the like vary greatly depending on the environment when the dislocation occurs.
Therefore, in another specific example of the present invention, in order to maintain the state when the pseudo patella 402 corresponding to the patella 267 is dislocated, and to reduce the dislocation of the pseudo patella 402, the pseudo patella 402 is used. A pseudo knee joint structure that can be practiced and experienced from the position of the dislocated state to return to the original normal joint site and how to apply tension during the operation. It is to provide.

図29(A)及び図29(B)は、上記した当該疑似膝関節構造体400の一具体例の構成を示す図であって、図中、前記した当該膝関節260の大腿骨261に相当する疑似大腿骨281であって、当該疑似大腿骨281の下端部282に当該内側顆263と外側顆262に相当する疑似内側顆283と外側顆284を形成し、当該各部の突起部を関節頭5、5’として機能させる様に構成した疑似大腿骨281と、前記した当該脛骨264に相当する疑似脛骨285であって、当該疑似脛骨285の上端部286に当該内側顆265と外側顆266に相当する疑似内側顆287と外側顆288を形成し、当該各部の略平坦部を関節窩6、6’として機能させる様に構成した疑似脛骨285とを直列状に連結固定させ、更に、当該関節頭5、5’と関節窩6、6’とが相互に所定の適度の接圧応力が印加される様に構成されて当該疑似膝関節本体部400を構成し、当該疑似膝関節本体部400に於ける当該膝関節部401の外部表面の適宜の部位に於いて、膝蓋骨402を静止状態で配置すると共に、当該膝蓋骨402に所定の押圧力を印加することにより、当該膝蓋骨402を任意の方向に、且つ任意の距離で変位・移動が可能な状態で配置されている疑似膝関節本体部400が示されている。   FIGS. 29A and 29B are diagrams showing a configuration of a specific example of the pseudo knee joint structure 400 described above, and correspond to the femur 261 of the knee joint 260 described above. The pseudo femur 281 is formed with a pseudo medial condyle 283 and a lateral condyle 284 corresponding to the medial condyle 263 and the lateral condyle 262 at the lower end 282 of the pseudo femur 281, and the projections of the respective parts are connected to the joint head. A pseudo femur 281 configured to function as 5, 5 ′, and a pseudo tibia 285 corresponding to the tibia 264 described above, on the upper end 286 of the pseudo tibia 285, on the medial condyle 265 and the lateral condyle 266. A corresponding pseudo medial condyle 287 and lateral condyle 288 are formed, and a pseudo tibia 285 configured so that the substantially flat part of each part functions as the joint fossa 6 and 6 'is connected and fixed in series. Head 5 5 'and glenoid fossa 6 and 6' are configured such that a predetermined appropriate contact pressure stress is applied to each other to form the pseudo knee joint body 400, and in the pseudo knee joint body 400 By placing the patella 402 in a stationary state at an appropriate site on the outer surface of the knee joint portion 401 and applying a predetermined pressing force to the patella 402, the patella 402 can be moved in an arbitrary direction, and The pseudo knee joint main body 400 is shown in a state where it can be displaced and moved at an arbitrary distance.

本具体例に於ける当該疑似膝関節本体部400の構成は、例えば、図27に示す様な構造を有するものであってもよく、或いは、図30に示す様な構成を有するものであっても良い。
即ち、図30に示す当該疑似膝関節本体部400の構成は、図29に示す当該疑似膝関節本体部400に付いて、当該膝蓋骨402が設けられている面とは反対側の面(つまり裏面)からみた裏面図であって、当該疑似大腿骨281の下端部282であって、当該関節頭5、5’を形成している部分と該疑似脛骨285の上端部286であって、当該関節窩6、6’ を形成している部分とが、適切な接圧力によって相互に接合係合する様に設定する為に、上記した連続部材21及び補強線条体1300とは別に、さらなる接続線状体813、814を追加設定するものである。
即ち、当該疑似大腿骨281の下端部282であって、当該関節頭5、5’を形成している部分の上側部近傍にその一端部801,802が固定されており、一方、その他方の端部811,812が当該疑似脛骨285の上端部286であって、当該関節窩6、6’ を形成している部分の下側部近傍に固定されている、2本の相互に且つ当該疑似大腿骨281の長手方向に平行に配置された第1の接続線状体813、814を設けるものである。
一方、本具体例に於いては、更に、該膝関節部401の左右側面に於ける外部表面に沿って個別に配置され、当該似大腿骨281の下端部282と当該疑似脛骨285の上端部286との適宜の部位間を連結している第2の接続線状体803、804を設ける事も可能であり、当該第2の接続線状体803、804は、前述した図27における当該連続部材21の一部を構成するものであっても良い事は言うまでも無い。
更に、本具体例に於いては、当該疑似大腿骨281の下端部282であって、当該関節頭5、5’を形成している面にその一方の端部805、806が固定されており、その他方の端部807、808が、当該疑似脛骨285の上端部286であって、当該関節窩6、6’ を形成している面に固定されている第3の接続線状体809、810であって、当該第3の接続線状体809、810は、当該関節頭5、5’が形成されている面と当該関節窩6、6’が形成されている面との間で相互にX字状に交差している第3の接続線状体809、810によって、当該関節頭5、5’と関節窩6、6’とが相互に所定の適度の接圧応力が印加される様に構成されているものであっても良い。
当該第3の接続線状体809、810は、図27における当該補強線条体1300、1300’の一部を構成するものであっても良い事は、言うまでも無い。
本具体例の構成を撮影した写真が参考図である図48に示されている。
The configuration of the pseudo knee joint main body 400 in this specific example may have, for example, a structure as shown in FIG. 27 or a structure as shown in FIG. Also good.
That is, the configuration of the pseudo knee joint main body 400 shown in FIG. 30 is attached to the pseudo knee joint main body 400 shown in FIG. 29 on the surface opposite to the surface on which the patella 402 is provided (that is, the back surface). ) And a lower end portion 282 of the pseudo femur 281, a portion forming the joint heads 5 and 5 ′, and an upper end portion 286 of the pseudo tibia 285, the joint In addition to the continuous member 21 and the reinforcing linear body 1300 described above, in order to set the portions forming the cavities 6 and 6 ′ to be joined and engaged with each other by an appropriate contact pressure, a further connection line is provided. The shapes 813 and 814 are additionally set.
That is, one end portions 801 and 802 are fixed to the lower end portion 282 of the pseudo femur 281 near the upper portion of the portion forming the joint heads 5 and 5 ′, The end portions 811 and 812 are the upper end portion 286 of the pseudo tibia 285 and are fixed in the vicinity of the lower side of the portion forming the joint fossa 6 and 6 ′. First connecting linear bodies 813 and 814 are provided in parallel to the longitudinal direction of the femur 281.
On the other hand, in this specific example, the lower end portion 282 of the similar femur 281 and the upper end portion of the pseudo tibia 285 are further individually arranged along the external surfaces on the left and right side surfaces of the knee joint portion 401. It is also possible to provide second connection linear bodies 803 and 804 that connect appropriate portions to 286, and the second connection linear bodies 803 and 804 are connected to the continuous line in FIG. Needless to say, it may be a part of the member 21.
Furthermore, in this specific example, one end portions 805 and 806 are fixed to the lower end portion 282 of the pseudo femur 281 and the surface forming the joint heads 5 and 5 '. The other end portions 807 and 808 are the upper end portions 286 of the pseudo-tibia 285, and the third connecting linear bodies 809 are fixed to the surface forming the glenoids 6 and 6 ′. 810, the third connecting linear bodies 809 and 810 are mutually connected between the surface on which the joint heads 5 and 5 ′ are formed and the surface on which the joint fossa 6 and 6 ′ are formed. The joint heads 5 and 5 'and the glenoids 6 and 6' are applied with a predetermined moderate contact pressure stress by the third connecting linear bodies 809 and 810 intersecting in an X shape. It may be configured like this.
It goes without saying that the third connecting linear bodies 809 and 810 may constitute a part of the reinforcing linear bodies 1300 and 1300 ′ in FIG.
The photograph which image | photographed the structure of this example is shown by FIG. 48 which is a reference figure.

次に、本具体例に於ける当該膝蓋骨402を当該疑似膝関節本体部400に係止させる構成の一具体例を図29乃至図31参照しながら詳細に説明する。
即ち、本具体例に於ける当該膝蓋骨402は、当該疑似膝関節本体部400に於ける当該疑似大腿骨281の上端部460に設けられている適宜の接合固定手段(第1の補助支持部)406にその一端部403が接合固定されている所定の伸度或は所定の伸長回復率を有する適宜のスプリング手段を含む、伸縮性弾発部材407の他方の端部403’に、一方の端部が接続固定され、他方の端部が当該疑似膝関節本体部400に於ける当該疑似脛骨285の上端部286近傍の適宜の部位(第2の補助支持部)に接続固定されている1本若しくは複数本の互いに並行状態に配置されている第4の接続線状体405,405’の所定の部位に取り付けられている。
本具体例に於いては、通常の膝関節部の状態であれば、当該膝蓋骨402は、当該膝関節部401の前方正面の略中央部に位置しているものであるが、脱臼等の状況に於いては、その位置が適宜当該正常時の配置部位からずれることになる。
Next, a specific example of the configuration in which the patella 402 is locked to the pseudo knee joint main body 400 in this specific example will be described in detail with reference to FIGS.
That is, the patella 402 in this specific example is an appropriate joint fixing means (first auxiliary support portion) provided at the upper end portion 460 of the pseudo femur 281 in the pseudo knee joint main body 400. One end 403 ′ of the elastic elastic member 407 includes an appropriate spring means having a predetermined elongation or a predetermined extension recovery rate at which one end 403 is bonded and fixed to 406. One of which is connected and fixed to an appropriate portion (second auxiliary support portion) near the upper end 286 of the pseudo tibia 285 in the pseudo knee joint main body 400. Or it attaches to the predetermined | prescribed site | part of the 4th connection linear body 405,405 'arrange | positioned in a mutually parallel state.
In this specific example, if the knee joint is in a normal state, the patella 402 is located at a substantially central portion in front of the knee joint 401. In this case, the position is appropriately deviated from the normal arrangement site.

より具体的に説明するならば、当該第4の接続線状体405は、当該伸縮性弾発部材407の他方の端部403’に接続固定されている部分から当該疑似脛骨285の方向に向けて、相互に平行な2本の接続線状体405、405’で構成されており、当該2本の各線状体405、405’に、適宜の厚みと幅を有する適宜の材質から構成された平板からなる調整板420が設けられており、当該当該2本の各線状体405、405’は、当該調整板420内をその平行状態を維持しながら通過し、当該膝蓋骨402に向かう様に構成されている。
本具体例に於ける当該調整板420は、当該2本の接続線状体405、405’間の相互の間隔を一定の距離に調整し且つ規制する機能を有するものであり、それによって、後述する様に、当該疑似膝蓋骨402が、当該第4の接続線状体405、405’に沿って、当該疑似膝関節本体部400の長手方向に任意に摺動することが可能となる様に構成されているものである。
More specifically, the fourth connecting linear body 405 is directed from the portion connected and fixed to the other end 403 ′ of the stretchable elastic member 407 toward the pseudo tibia 285. The two linear members 405 and 405 ′ are parallel to each other, and each of the two linear members 405 and 405 ′ is made of an appropriate material having an appropriate thickness and width. An adjustment plate 420 made of a flat plate is provided, and the two linear bodies 405 and 405 ′ pass through the adjustment plate 420 while maintaining the parallel state, and are directed to the patella 402. Has been.
The adjustment plate 420 in this specific example has a function of adjusting and regulating the mutual distance between the two connecting linear bodies 405 and 405 ′ to a certain distance, and thereby, described later. Thus, the pseudo patella 402 can be arbitrarily slid in the longitudinal direction of the pseudo knee joint main body 400 along the fourth connecting linear bodies 405 and 405 ′. It is what has been.

その後、当該2本の接続線状体405、405’は、当該相互の平行状態を保持したまま、当該疑似膝蓋骨402の内を非固定の状態で通過し、最終的に、当該2本の接続線状体405、405’のそれぞれの他端部411、412が当該疑似膝関節本体部400の当該疑似脛骨285に於ける上端部の適宜の部位に固定される。
係る構成により、当該膝蓋骨402は、当該2本の接続線状体405、405’に沿って、任意に摺動し、その配置位置を変化させる事が可能となる。
Thereafter, the two connecting linear bodies 405 and 405 ′ pass through the pseudo patella 402 in an unfixed state while maintaining the mutual parallel state, and finally, the two connecting wires The other end portions 411 and 412 of the linear bodies 405 and 405 ′ are fixed to appropriate portions of the upper end portion of the pseudo knee joint main body 400 in the pseudo tibia 285.
With this configuration, the patella 402 can arbitrarily slide along the two connecting linear bodies 405 and 405 ′ to change the arrangement position thereof.

更に、本具体例に於いては、図31に示す様に、当該膝蓋骨402は、その配置位置を当該疑似膝関節本体部400の長手方向と直交する方向に変位させたり、当該変位した位置で固定させたり、当該固定位置から開放させたりする機能を含んでいる。
即ち、図31に示す様に、当該膝蓋骨402に近接する部位に於ける、少なくとも一方の当該第4の接続線状体405に適宜の接続固定手段500を設け、当該接続固定手段500に適宜の太さ、強度、伸長率、伸縮性等を有する適宜の長さからなる第5の接続線状体501の一方の端部502を接続させ、当該第5の接続線状体501の他方の端部503に適宜の膨出部504を設け、当該第5の接続線状体501の他方の端部503を、当該疑似膝関節本体部400の当該疑似大腿骨281の下端部282近傍に設けた適宜の係止部材505に着脱自在に係合接合出来る様に構成するものである。
当該適宜の係止部材505の構成は特に限定されるものではないが、例えば、切溝、穴部、スリット等の手段が使用可能である。
Furthermore, in this specific example, as shown in FIG. 31, the patella 402 is displaced in a direction orthogonal to the longitudinal direction of the pseudo knee joint main body 400 or at the displaced position. A function of fixing or releasing from the fixed position is included.
That is, as shown in FIG. 31, an appropriate connection fixing means 500 is provided on at least one of the fourth connecting wire bodies 405 in a region close to the patella 402, and the connection fixing means 500 is provided with an appropriate One end 502 of the fifth connection linear body 501 having an appropriate length having thickness, strength, elongation rate, stretchability, and the like is connected, and the other end of the fifth connection linear body 501 is connected. An appropriate bulging portion 504 is provided in the portion 503, and the other end portion 503 of the fifth connecting linear body 501 is provided in the vicinity of the lower end portion 282 of the pseudo femur 281 of the pseudo knee joint body portion 400. It is configured so that it can be detachably engaged with an appropriate locking member 505.
The configuration of the appropriate locking member 505 is not particularly limited. For example, means such as a kerf, a hole, and a slit can be used.

本具体例では、当該第5の接続線状体501の他方の端部503を当該係止部材505に係止させることにより、当該第5の接続線状体501の予め設定された長さに応じて、当該疑似膝蓋骨402の配置位置を正常な状態の位置から左の方向に変位させることが出来る。
又、当該第5の接続線状体501の他方の端部503を当該係止部材505との係止状態を解消させることにより、当該疑似膝蓋骨402の配置位置を正常な状態の位置まで戻す事が可能となる。
係る構成により、当該疑似接骸骨402の配置位置は、脱臼の状況に応じて、その正常な配置位置から上下・左右に変位させることが可能である。
上記した本発明に於ける当該具体例に於ける各部材の寸法、形状、特性或は材質等は上記した別の各具体例の場合と同様である。
In this specific example, the other end portion 503 of the fifth connection linear body 501 is locked to the locking member 505, so that the fifth connection linear body 501 has a preset length. Accordingly, the arrangement position of the pseudo patella 402 can be displaced in the left direction from the position in the normal state.
In addition, the other end portion 503 of the fifth connecting linear body 501 is released from the locking state with the locking member 505, thereby returning the placement position of the pseudo patella 402 to the normal position. Is possible.
With this configuration, the placement position of the pseudo-skeletal bone 402 can be displaced vertically and horizontally from the normal placement position according to the dislocation situation.
The size, shape, characteristics, material, etc. of each member in the specific example of the present invention described above are the same as those in the other specific examples described above.

上記した本発明に於ける詳細な疑似関節構造体の構成から明らかな通り、本発明に係るかる当該個々の部位に於ける当該疑似関節構造体は以下の様な基本的な構成を有するものである。
即ち、当該指疑似関節部に於いては、実際の人体に於ける個々に対応するそれぞれの指を構成する、それぞれに規定された特定個数(複数個)の指疑似骨部材群のそれぞれに対応する指疑似骨部材群が、その中心線に沿って、略直列状に配置形成されており、且つ、当該それぞれの相互に隣接して配置されている個々の当該指疑似骨部材は、手の甲側に位置する第1の指疑似骨部材の近傍に配置された、当該伸縮性弾発部材に係合する当該連結部材の一方の端部と、当該各指部の先端部位に配置された第N番目の指疑似骨部材の先端部近傍に接合固定されている当該連結部材の他方の端部との間で、相互に接圧状態に置かれており、更に、当該それぞれの相互に隣接して配置されている個々の当該指疑似骨部材のそれぞれの接合端部に形成されている当該関節頭若しくは当該関節窩の少なくとも一部には、当該連結部の少なくとも一部が貫通する様に構成された少なくとも一つの貫通穴部若しくは貫通溝部が設けられている、という構成を有するものである。
As is clear from the detailed configuration of the pseudo joint structure in the present invention described above, the pseudo joint structure in the individual portion according to the present invention has the following basic configuration. is there.
That is, in the finger pseudo-joint portion, it corresponds to each of a specific number (a plurality) of finger pseudo-bone member groups that constitute each finger corresponding to each individual in the actual human body. The finger pseudo-bone members are arranged in a substantially series shape along the center line, and each of the finger pseudo-bone members arranged adjacent to each other is on the back side of the hand. One end portion of the connection member that engages with the stretchable elastic member disposed in the vicinity of the first finger pseudo-bone member positioned at the position N, and the Nth portion disposed at the tip portion of each finger portion Between the other end of the connecting member that is bonded and fixed in the vicinity of the tip of the second finger pseudo-bone member, and further adjacent to each other. Formed at each joint end of each finger pseudobone member placed At least a part of the joint head or the glenoid is provided with at least one through-hole part or through-groove part configured to penetrate at least a part of the connection part. Is.

一方、本発明に係る当該疑似関節構造体が肘疑似関節構造体である場合には、以下の様な基本的な構成を有するものである。
即ち、当該肘疑似関節構造体は、当該関節頭と当該関節窩とが係合する関節係合部に対向する端部に、少なくとも一つの疑似上腕骨小頭と隣接して配置されている2個の膨出した疑似上腕骨滑車とが形成された一本の疑似上腕骨部と、それらに対向して、当該関節係合部に隣接配置されている、当該一方の疑似上腕骨滑車と係合する疑似関節環状面部をその一方の端部に有する疑似橈骨と、当該他方の疑似上腕骨滑車と係合する疑似滑車切痕をその一方の端部に有する疑似尺骨とで構成され、且つ当該両者が所望の接圧応力の下で相互に接合固定されていると共に、当該2個の膨出した疑似上腕骨滑車のそれぞれ及び当該疑似滑車切痕並びに当該疑似関節環状面部の略中央部或いはその近傍部に、その内部空間と外気とが連通する連通穴部が設けられると共に、当該連通穴部と接合するか或いは当該連通穴部の近傍部に所定の長さで所定の方向に形成されたその内部空間と外気とを連通する貫通溝部とが配置形成されており、更に、当該疑似上腕骨部の他方の端部に設けられた適宜の固定部材に、適宜の伸度、伸長特性を有するスプリング等からなる伸縮性弾発部材の一方の端部が係合固定されており、当該伸縮性弾発部材の他方の端部は、当該疑似橈骨と当該疑似尺骨の他方の端部に共通して設けられている適宜の固定部材に一方の端部が固定されている2本の線状連結部材のそれぞれの他方の端部と連結されており、且つ、当該2本の線状連結部材の一方の線状連結部材は、当該疑似尺骨の内部から当該疑似滑車切痕部の当該連通穴部及び又は当該貫通溝部を経由して且つ当該一方の疑似上腕骨滑車に於ける当該連通穴部及び又は当該貫通溝部を経由して当該伸縮性弾発部材の一方の端部に連結されており、一方、他方の線状連結部材は、当該疑似橈骨の内部から当該当該疑似関節環状面部の当該連通穴部及び又は当該貫通溝部を経由して且つ当該他方の疑似上腕骨滑車に於ける当該連通穴部及び又は当該貫通溝部を経由して当該伸縮性弾発部材の一方の端部に連結されている、という構成を有するものである。
尚、上記構成に於いて、当該2本の線状連結部材が連続体で構成されている場合には、当該伸縮性弾発部材の一方の端部と当該線状連結部材との接合部に滑車手段が使用されている事も好ましい具体例である。
On the other hand, when the pseudo joint structure according to the present invention is an elbow pseudo joint structure, the pseudo joint structure has the following basic configuration.
That is, the elbow pseudo joint structure is disposed adjacent to at least one pseudo humeral head at the end facing the joint engaging portion where the joint head and the glenoid joint engage. One pseudo humerus part formed with one bulged pseudo humerus pulley, and one pseudo humerus pulley arranged adjacent to the joint engaging part opposite to the pseudo humerus part A pseudo rib having a pseudo-articular annular surface portion at one end thereof, and a pseudo ulna having a pseudo pulley notch engaging at the other end of the pseudo humerus pulley, and Both are bonded and fixed to each other under a desired contact stress, and each of the two swollen pseudo humeral pulleys, the pseudo pulley notch, and the substantially central portion of the pseudo joint annular surface portion or its There is a communication hole in the vicinity where the internal space communicates with the outside air In addition, a through-groove portion that is joined to the communication hole portion or is formed in a predetermined direction in a predetermined direction in the vicinity of the communication hole portion and a through groove portion that communicates the outside air is disposed and formed. In addition, one end of a stretchable elastic member made of a spring having an appropriate elongation and extension property is engaged with an appropriate fixing member provided at the other end of the pseudo humerus. The other end of the elastic elastic member is fixed to an appropriate fixing member provided in common to the other end of the pseudo rib and the pseudo ulna. Are connected to the other ends of the two linear connecting members, and one linear connecting member of the two linear connecting members is connected to the pseudo pulley from the inside of the pseudo ulna. Via the communication hole and / or the through groove of the notch and Is connected to one end of the stretchable elastic member via the communicating hole and / or the through groove in the pseudo humeral pulley of the other side, while the other linear connecting member is From the inside of the pseudo rib via the communication hole and / or the through groove of the pseudo joint annular surface part and via the communication hole and / or the through groove of the other pseudo humeral pulley It has the structure that it is connected with one edge part of a stretchable elastic member.
In the above configuration, when the two linear connecting members are formed of a continuous body, a joint between one end of the stretchable elastic member and the linear connecting member is used. It is also a preferable example that a pulley means is used.

更に、本発明に係る当該疑似関節構造体が肩疑似関節構造体である場合には、以下の様な基本的な構成を有するものである。
即ち、当該肩疑似関節構造体は、適宜の中空状内部形状を有する補助支持手段の一部の外表面に固定して取り付けられている凹状くぼみ部を外表面に有する関節窩を有する疑似肩甲骨と、当該関節窩と相互に係合嵌合する関節頭が一方の端部に形成されている疑似上腕骨部とから構成され、且つ当該両者が所望の接圧応力の下で相互に接合固定されており、且つ、当該補助支持手段内部には、その内壁の一部に設けられた適宜の固定手段を介して、その一端部固定把持されている少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材を配置せしめられており、更に、当該それぞれの伸縮性弾発部材の他方の端部には、適宜の強度或は伸度を有する1本或いは2本の連結部材のそれぞれの一端部が接続せしめられており、当該各連結部材のそれぞれの他方の端部は、当該補助支持手段に於ける当該疑似肩甲骨が取り付けられている側の表面に設けられ、当該疑似肩甲骨の両側面側に形成された1個又は2個の穴部にそれぞれ貫通させて、且つ当該関節窩の外表面側部を通過させた後、当該関節頭の表面に設
けられた適宜の個々に対応する固定手段に接合固定するか又、当該関節頭の表面に設けられた個々の適宜の個々に対応する貫通孔を介して当該関節頭内部に導入し、当該関節頭内部に設けられた適宜の個々に対応する固定手段に接合固定する様に構成されているものである。
又、上記の具体例に於いては、当該それぞれの伸縮性弾発部材に接合される2本の連結部材は、一本の連続した線状体で構成されている事も好ましい具体例であり、更に、当該それぞれの伸縮性弾発部材に接合される一連の連結部材も、一本の連続した線状体で構成されている事も好ましい他の具体例であり、その場合には、当該それぞれの伸縮性弾発部材と当該連結部材との接合部には滑車手段が設けられている事も望ましい具体例である。
Further, when the pseudo joint structure according to the present invention is a shoulder pseudo joint structure, the pseudo joint structure has the following basic configuration.
That is, the shoulder pseudo-joint structure is a pseudo-scapula having a glenoid having a concave indentation portion fixed on the outer surface of a part of auxiliary support means having an appropriate hollow inner shape on the outer surface. And a pseudo humerus part formed at one end of a joint head that engages and fits with the glenoid, and the two are bonded and fixed to each other under a desired contact pressure stress. In addition, the auxiliary support means has at least one, preferably two, predetermined ones fixedly held at one end thereof via appropriate fixing means provided on a part of the inner wall. A stretchable elastic member having a degree of elongation and elongation recovery rate is disposed, and a single piece having an appropriate strength or elongation is provided at the other end of each stretchable elastic member. Alternatively, each end of each of the two connecting members is connected. The other end of each connecting member is provided on the surface of the auxiliary support means on the side where the pseudoscapula is attached, and is formed on both sides of the pseudoscapula. After passing through one or two holes and passing through the outer surface side of the glenoid fossa, it is joined and fixed to appropriate individual fixing means provided on the surface of the joint head. In addition, it is introduced into the joint head through an appropriate corresponding through hole provided on the surface of the joint head, and an appropriate individually corresponding fixing means provided in the joint head. It is comprised so that it may join and fix to.
In the above specific example, it is also a preferable specific example that the two connecting members joined to the respective elastic elastic members are composed of one continuous linear body. Furthermore, the series of connecting members joined to each of the elastic elastic members is also another preferred example that is preferably composed of a single continuous linear body. It is also a desirable example that a pulley means is provided at the joint between each elastic resilient member and the connecting member.

又、本発明に係る当該疑似関節構造体が股疑似関節構造体である場合には、以下の様な基本的な構成を有するものである。
即ち、当該股疑似関節構造体は、適宜の中空状内部形状を有する補助支持手段の一部の外表面に固定して取り付けられている疑似寛骨臼窩を有する疑似寛骨と、その一端部に疑似上腕骨頭が形成されている疑似大腿骨部とから構成されており、且つ当該両者が所望の接圧応力の下で相互に接合嵌合固定されており、且つ、当該補助支持手段内部には、その内壁の一部に設けられた適宜の固定手段を介して、その一端部固定把持されている少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材を配置せしめられており、更に、当該それぞれの伸縮性弾発部材の他方の端部には、適宜の強度或は伸度を有する1本或いは2本の線状の連結部材のそれぞれの一端部が接続せしめられており、当該各連結部材のそれぞれの他方の端部は、当該補助支持手段に於ける当該疑似寛骨が取り付けられている側の表面に設けられた穴部或いはスリット部(切溝)にそれぞれ貫通させた後、当該各線状連結部材のそれぞれを、当該疑似寛骨に形成されている疑似寛骨臼窩に相当する底面部に設けられている挿通穴を介して、当該疑似上腕骨頭の外表面に形成された挿通穴を経由して当該疑似上腕骨頭の内部に導入され、そこで、適宜の固定手段によって、当該疑似上腕骨頭の外部表面に接合固定されている様に構成されているものである。
そして、上記具体例に於いては、当該疑似大腿骨部の当該疑似上腕骨頭224に近接する部位に、適宜の深さ、長さを有し、且つ異なる方向に配列形成された複数個の溝部が設けられている事も望ましい具体例であり、更には、当該股疑似関節構造体は、当該伸縮性弾発部材に平行して、当該伸縮性弾発部材の伸度、伸長回復率等が異なる別の伸縮性弾発部材を配置し、当該別の伸縮性弾発部材の一方の端部を適宜の固定手段を介して当該補助支持手段内の内壁の一部に取り付けると共に、当該別の伸縮性弾発部材の他方の端部に適宜の強度或は伸度を有する別の線状の連結部材の一端部を接続させ、当該別の線状連結部材の他方の端部を当該補助支持手段の表面部に形成された穴部若しくはスリットを貫通させて、且つ当該疑似寛骨の底面部に設けられている適宜の挿通穴を通って、当該関節頭5の外表面近傍に設けられた出口穴から外部に出て、当該疑似上腕骨頭の表面湾曲状面に沿って配置された後、当該疑似上腕骨頭上に形成された適宜の挿通穴から当該疑似大腿骨部内部に挿入され、そこで、適宜の接合手段により固定されている事も好ましい具体例である。
更に、本具体例に於いて、当該一本の線状連結部材若しくは一本の別の線状連結部材に、複数本の当該伸縮性弾発部材若しくは複数本の当該別の伸縮性弾発部材が連結されている事も好ましい具体例である。
Further, when the pseudo joint structure according to the present invention is a hip pseudo joint structure, it has the following basic configuration.
That is, the hip artificial joint structure includes a pseudo hipbone having a pseudo acetabular fossa fixedly attached to an outer surface of a part of auxiliary support means having an appropriate hollow internal shape, and one end thereof And a pseudo femoral head portion on which a pseudo humeral head is formed, and both of them are joined and fixed to each other under a desired contact pressure stress, and inside the auxiliary support means Has at least one, preferably two, elastic bullets having a predetermined elongation and elongation recovery rate, which are fixedly gripped at one end thereof, through appropriate fixing means provided on a part of the inner wall. Further, each of the stretchable elastic members is arranged at the other end thereof with one or two linear connecting members having appropriate strength or elongation. One end is connected to each of the connecting members. The other end portion of each of the two is connected to each linear connection after passing through a hole portion or slit portion (cut groove) provided on the surface of the auxiliary support means on the side where the pseudo hipbone is attached. Each of the members passes through an insertion hole formed in the outer surface of the pseudo humeral head through an insertion hole provided in the bottom surface corresponding to the pseudo acetabular fossa formed in the pseudo acetabulum. Then, it is introduced into the inside of the pseudo humeral head, where it is configured to be joined and fixed to the external surface of the pseudo humeral head by an appropriate fixing means.
In the above specific example, a plurality of grooves having appropriate depths and lengths and arranged in different directions in a portion of the pseudo femur near the pseudo humeral head 224. It is also a desirable specific example, and further, the hip pseudo-joint structure is parallel to the stretchable elastic member, and the stretchability, elongation recovery rate, etc. of the stretchable elastic member are Another different elastic elastic member is arranged, one end of the other elastic elastic member is attached to a part of the inner wall in the auxiliary support means through an appropriate fixing means, and One end of another linear connecting member having an appropriate strength or elongation is connected to the other end of the elastic elastic member, and the other end of the other linear connecting member is connected to the auxiliary support. Through the hole or slit formed in the surface portion of the means and the bottom surface of the pseudo-acetabulum After passing through an appropriate insertion hole provided in the outer surface of the joint head 5 and exiting from the exit hole provided in the vicinity of the outer surface of the joint head 5 and being arranged along the curved surface of the pseudo humeral head, It is also a preferred specific example that the pseudo femur is inserted into the pseudo femur from an appropriate insertion hole formed on the pseudo humeral head, and is fixed by an appropriate joining means.
Further, in this specific example, the one linear connecting member or one other linear connecting member is connected to a plurality of the elastic elastic members or the plural other elastic elastic members. It is also a preferable specific example that these are connected.

更に、本発明に係る当該疑似関節構造体が膝疑似関節構造体である場合には、以下の様な基本的な構成を有するものである。
即ち、当該膝疑似関節構造体は、一方の端部先端部に、関節頭として機能する突起部がそれぞれ設けられている疑似内側顆と疑似外側顆が並列的に配置形成されている疑似大腿骨部と、当該疑似内側顆と当該疑似外側顆に個別に形成されている当該突起部のそれぞれと個別に嵌合係合し関節窩として機能しうる凹み状の平坦面を有する疑似内側顆と疑似外側顆とが一方の端部先端部に設けられた疑似脛骨とが、当該関節頭と当該関節窩とを介して直列状に、所望の接続圧力の下で、連結係合固定されている構成を有しており、且つ、両者の連結係合固定は、当該疑似大腿骨部内若しくはそれに接続して設けられている適宜の補助支持部内に配置され、その一方の端部が、当該補助支持部に接合固定されている、適宜の伸度、伸長特性を有する少なくとも一本、好ましくは2本の伸縮性弾発部材と、当該個々の伸縮性弾発部材の他方の端部に、一方の端部が連結された適宜の強度或いは伸度を有する線状の連結部材の他方の端部を、当該疑似大腿骨の内部空間部を挿通させた後、当該疑似大腿骨の下端部近傍部位に設けられた適宜の形状を有する穴若しくはスリット等から当該疑似大腿骨の外表面に導出させ、そのまま当該疑似膝関節構造体の外表面の片側若しくは両側面側を移行させた後、当該疑似脛骨の上端部の適宜の部位に設けた挿入穴部或いは挿入スリットから当該連結部材を当該疑似脛骨の内部に導入させ、その部位で適宜の固定手段を介して固定保持する様に構成されているものである。
上記具体例に於いては、当該1本若しくは2本の伸縮性弾発部材の何れか若しくはその双方に平行して当該線状の連結部材と同一或いは異なる伸度、強度を有する補助線状連結部材を更に配置、使用するものであり、当該各補助線状連結部材の一方の端部を、当該疑似大腿骨の上端部の適宜の部位に於いて、適宜の固定手段を介して着脱自在に接合係合させると共に、当該補助線状連結部材の他方の端部を、当該伸縮性弾発部材と当該線状連結部材との接合部に接合させた構成を採用する事は好ましい具体例であり、更には、2本の補強線条体を相互に平行して当該疑似膝関節構造体280の内部に配置する構成を有するものであって、当該各補強線条体の一方の端部は、当該補助支持部の上端部で、当該伸縮性弾発部材が固定配置されている部位の近傍に着脱自在の接合手段を介して、着脱自在に取り付けられていると共に、当該各補強線条体の他方の端部は、当該疑似大腿骨の内部を通過せしめられて、当該疑似大腿骨の下端部の下面に設けられた当該疑似内側顆と当該疑似外側顆内若しくはそれらの近傍部位に設けられた適宜の開口部から外部に導出させ、その後、当該2本の補強線条体を適宜の形状で相互に交差させた後に、当該疑似脛骨の上端部の上表面に設けた適宜の開口部から当該疑似脛骨内部に導入せしめ、当該疑似脛骨内部に設けられた適宜の接合固定手段に固定接合されているという構成を採用する事も望ましい具体例である。
又、本発明に係る当該膝疑似関節構造体に於いては、更に、疑似大腿骨部と当該疑似脛骨部との接合部の周縁部の一部と対向して、揺動可能な状態で配置されている膝蓋骨が設けられており、且つ当該膝蓋骨は、その一端部が適宜の固定部材に固定されている適宜の伸縮性弾発部材の他方の端部とその一方が接続されている1本或いは複数本の適宜の接続線状体のそれぞれの他方の端部と接合されていると共に、その他方の端部が当該疑似脛骨部の上端部近傍部に固定されている1本或いは複数本の適宜の別の接続線状体のそれぞれの一方の端部と接続されている様な構成を採用する事も好ましい具体例である。
上記具体例に於いても、当該伸縮性弾発部材と、当該線状の連結部との接合係合部には、適宜の滑車手段が設けられていても良い事は言うまでも無い。
Furthermore, when the pseudo joint structure according to the present invention is a knee pseudo joint structure, it has the following basic configuration.
That is, the knee pseudo-joint structure has a pseudo femur in which a pseudo medial condyle and a pseudo lateral condyle are arranged and formed in parallel, each having a projection functioning as a joint head at the tip of one end. And a pseudo medial condyle having a concave flat surface that can function as a glenoid by individually engaging and engaging with each of the projections individually formed on the pseudo medial condyle and the pseudo lateral condyle A structure in which a pseudo-tibia provided with a lateral condyle at one end tip is connected and fixed in series via the joint head and the glenoid joint under a desired connection pressure. And the coupling engagement / fixation of both of them is arranged in the pseudo femur or in an appropriate auxiliary support provided to be connected to the pseudo femur, and one end thereof is the auxiliary support Have appropriate elongation and elongation characteristics. At least one, preferably two stretchable elastic members, and a linear shape having an appropriate strength or elongation in which one end portion is connected to the other end portion of each of the elastic stretchable members. After the other end of the connecting member is inserted through the internal space of the pseudo femur, the pseudo thigh is inserted through a hole or slit having an appropriate shape provided in the vicinity of the lower end of the pseudo femur. From the insertion hole or slit provided in the appropriate part of the upper end of the pseudo tibia, after being led to the outer surface of the bone and moving as it is on one or both sides of the outer surface of the pseudo knee joint structure The connecting member is introduced into the pseudo tibia and is fixed and held at the site via appropriate fixing means.
In the above specific example, the auxiliary linear connection having the same or different elongation and strength as the linear connection member in parallel with either or both of the one or two stretchable elastic members. A member is further arranged and used, and one end of each auxiliary linear connecting member is detachable through an appropriate fixing means at an appropriate portion of the upper end of the pseudo femur. It is a preferable specific example to employ a configuration in which the other end of the auxiliary linear connecting member is joined to the joint between the stretchable elastic member and the linear connecting member while being joined and engaged. Furthermore, it has a configuration in which two reinforcing linear bodies are arranged inside the pseudo knee joint structure 280 in parallel with each other, and one end portion of each reinforcing linear body is The elastic elastic member is fixedly arranged at the upper end of the auxiliary support portion. It is detachably attached to the vicinity of the site via a detachable joining means, and the other end of each reinforcing linear body is passed through the inside of the pseudo femur, so that the pseudo thigh The pseudo medial condyle and the pseudo lateral condyle provided on the lower surface of the lower end of the bone are led out from appropriate openings provided in the pseudo lateral condyle or in the vicinity thereof, and then the two reinforcing filaments are After crossing each other in an appropriate shape, the pseudo tibia is introduced into the pseudo tibia from an appropriate opening provided on the upper surface of the upper end of the pseudo tibia, and is applied to an appropriate joining and fixing means provided in the pseudo tibia. It is also a desirable specific example to employ a configuration in which the joint is fixed.
Further, in the knee pseudo joint structure according to the present invention, the knee pseudo joint structure is further arranged in a swingable state facing a part of the peripheral portion of the joint portion between the pseudo femur and the pseudo tibia. The patella is provided with one end connected to the other end of an appropriate elastic elastic member whose one end is fixed to an appropriate fixing member. Alternatively, one or a plurality of appropriate connecting linear bodies are joined to the other end of each of the connecting linear bodies, and the other end is fixed to the vicinity of the upper end of the pseudo-tibial portion. It is also a preferable specific example to adopt a configuration in which the terminal is connected to one end of each other appropriate connecting wire.
Also in the above specific example, it goes without saying that an appropriate pulley means may be provided at the joint engaging portion between the stretchable elastic member and the linear connecting portion.

一方、本発明に係る当該疑似関節構造体が足首疑似関節構造体である場合には、以下の様な基本的な構成を有するものである。
即ち、当該足首疑似関節構造体は、下端部に、疑似脛骨の疑似下端部関節面と、疑似腓骨の疑似下端部内面と、疑似脛骨の下端部内面並びに、疑似腓骨の疑似下端部内面とが一体的且つ連続的に形成され、疑似関節窩が形成されている疑似脚部と、当該疑似脚部に対して直交或いはそれに近い角度で交差接合されている疑似足先部であって、当該疑似足先部の一部に設けられている疑似距骨の上面に形成された疑似関節頭の機能を有する疑似距骨滑車を介して、当該疑似脚部と当該疑似足先部とが所望の接圧応力の下で相互に接合嵌合固定されており、且つ、当該疑似脚部と当該疑似足先部とは、当該疑似脚部の上方端部の適宜の部位に設けられた適宜の固定手段にその一端部が固定された当該伸縮性弾発部材を、当該疑似脚部の内部空間部内に配置すると同時に、当該伸縮性弾発部材の他方の端部に適宜の強度、伸度を有する適宜の線状の連結部材の一方の端部を接続させ、その他方の端部を当該疑似関節窩が形成されている疑似脚部の下端部に設けられている疑似拒腿関節の表面に形成された、一つ或いは複数個の穴部を介して一旦外部に導出された後、当該疑似関節頭が形成されている疑似拒骨の外表面に形成されている一つ或いは複数個の穴部若しくはスリット状の溝部を介して当該疑似足先部の内部空間内に導入され、疑似足先部の内面に設けられた適宜の固定手段を介して接続固定されている、という構成を有するものである。
更に、上記具体例に於いては、当該伸縮性弾発部材の当該他方の端部には、複数本の線状の連結部材の一方の端部のそれぞれが接続されており、当該複数本の線状の連結部材は、相互に平行に当該疑似脚部と当該疑似足先部の内部に配置されている事が好ましい具体例であり、一方、当該複数本の線状の連結部材は、一本の連続した線状の連結部材で構成されており、且つ当該線状の連結部材と当該伸縮性弾発部材との接合部には、適宜の滑車手段が設けられている様に構成する事も望ましい具体例である。
一方、本発明に係る当該足首疑似関節構造体は、下端部に、疑似脛骨の疑似下端部関節面と、疑似腓骨の疑似下端部内面と、疑似脛骨の下端部内面並びに、疑似腓骨の疑似下端部内面とが一体的且つ連続的に形成され、疑似関節窩が形成されている疑似脚部と、当該疑似脚部に対して直交或いはそれに近い角度で交差接合されている疑似足先部であって、当該疑似足先部の一部に設けられている疑似距骨の上面に形成された疑似関節頭の機能を有する疑似距骨滑車を介して、当該疑似脚部と当該疑似足先部とが所望の接圧応力の下で相互に接合嵌合固定されており、且つ、当該疑似脚部と当該疑似足先部とは、当該疑似脚部の上方端部の適宜の部位に設けられた適宜の固定手段にその一端部が固定された当該伸縮性弾発部材を、当該疑似脚部の内部空間部内に配置すると同時に、当該伸縮性弾発部材の他方の端部に適宜の強度、伸度を有する適宜の線状の連結部材の一方の端部を接続させ、その他方の端部を当該疑似関節窩が形成されている疑似脚部の下端部に設けられている疑似拒腿関節の表面に形成された、一つ或いは複数個の穴部を介して一旦外部に導出された後、当該疑似関節頭が形成されている疑似拒骨の外表面に形成されている一つ或いは複数個の穴部若しくはスリット状の溝部を介して当該疑似足先部の内部空間内に導入され、疑似足先部の内面に設けられた適宜の固定手段を介して接続固定されている様に構成されたものであっても良い。
上記具体例に於いては、当該伸縮性弾発部材の当該他方の端部には、複数本の線状の連結部材の一方の端部のそれぞれが接続されており、当該複数本の線状の連結部材は、相互に平行に当該疑似脚部と当該疑似足先部の内部に配置されている様に構成されたものであっても良く、更には、当該複数本の線状の連結部材は、一本の連続した線状の連結部材で構成されており、且つ当該線状の連結部材と当該伸縮性弾発部材との接合部には、適宜の滑車手段が設けられている事も好ましい具体例である。
On the other hand, when the pseudo joint structure according to the present invention is an ankle pseudo joint structure, the pseudo joint structure has the following basic configuration.
That is, the ankle pseudo-joint structure has a pseudo lower end joint surface of the pseudo tibia, a pseudo lower end inner surface of the pseudo rib, a lower end inner surface of the pseudo tibia, and a pseudo lower end inner surface of the pseudo rib at the lower end portion. A pseudo-leg part formed integrally and continuously with a pseudo-glenoid fossa, and a pseudo-toe part cross-joined at an angle orthogonal to or close to the pseudo-leg part, A desired contact pressure stress between the pseudo leg and the pseudo toe via a pseudo talar pulley having a function of a pseudo joint head formed on the upper surface of the pseudo talar provided at a part of the toe. And the pseudo leg portion and the pseudo toe portion are attached to appropriate fixing means provided at an appropriate portion of the upper end portion of the pseudo leg portion. The elastic elastic member with one end fixed to the internal space of the pseudo leg At the same time, one end of an appropriate linear connecting member having appropriate strength and elongation is connected to the other end of the stretchable elastic member, and the other end is connected to the pseudo joint. The pseudo joint is once guided to the outside through one or a plurality of holes formed on the surface of the pseudo thigh joint provided at the lower end of the pseudo leg where the fossa is formed. Introduced into the internal space of the pseudo toe part through one or a plurality of holes or slit-like grooves formed on the outer surface of the pseudo-boneless bone in which the head is formed, and the pseudo toe part It is configured to be connected and fixed through appropriate fixing means provided on the inner surface.
Furthermore, in the above specific example, each of the one end portions of the plurality of linear connecting members is connected to the other end portion of the stretchable elastic member. The linear connecting member is a specific example that is preferably arranged inside the pseudo leg portion and the pseudo toe portion in parallel with each other. On the other hand, the plurality of linear connecting members include one It is composed of a continuous linear connecting member, and an appropriate pulley means is provided at the joint between the linear connecting member and the elastic elastic member. Is also a desirable example.
On the other hand, in the ankle pseudo joint structure according to the present invention, the pseudo lower end joint surface of the pseudo tibia, the pseudo lower end inner surface of the pseudo rib, the lower end inner surface of the pseudo tibia, and the pseudo lower end of the pseudo rib at the lower end portion. A pseudo-leg part in which the inner surface of the part is integrally and continuously formed and a pseudo-glenoid is formed, and a pseudo-toe part that is cross-joined at an angle orthogonal to or close to the pseudo-leg part. The pseudo leg portion and the pseudo toe portion are desired via a pseudo talar pulley having a function of a pseudo joint head formed on the upper surface of the pseudo talar provided in a part of the pseudo foot tip portion. Are joined and fixed to each other under the contact pressure stress, and the pseudo leg portion and the pseudo toe portion are appropriately provided at appropriate portions of the upper end portion of the pseudo leg portion. The elastic elastic member whose one end is fixed to the fixing means, the pseudo leg portion At the same time as placing in the internal space, one end of an appropriate linear connecting member having appropriate strength and elongation is connected to the other end of the stretchable elastic member, and the other end is connected After being led to the outside once through one or a plurality of holes formed on the surface of the pseudo-reflexion joint provided at the lower end of the pseudo-leg where the pseudo-glenoid is formed, The pseudo joint head is introduced into the internal space of the pseudo toe part through one or a plurality of holes or slit-like grooves formed on the outer surface of the pseudo bone that is formed, It may be configured to be connected and fixed via appropriate fixing means provided on the inner surface of the foot tip.
In the above specific example, each of the one end portions of the plurality of linear connecting members is connected to the other end portion of the stretchable elastic member. The connecting members may be configured to be disposed inside the pseudo leg portion and the pseudo toe portion in parallel with each other, and further, the plurality of linear connecting members. Is composed of one continuous linear connecting member, and an appropriate pulley means may be provided at the joint between the linear connecting member and the elastic elastic member. This is a preferred embodiment.

本発明に係る上記した個別の疑似関節構造体のそれぞれは、個別に製造して、個別的にそれが対応する人体の関節部位に於ける脱臼の整復技術の習得並びに訓練に使用するものであっても良く、複数種類の当該個々の疑似関節構造体を相互に長手方向に連結接続させて、対応する人体の個々の関節部位に於ける脱臼の整復技術の習得並びに訓練に使用するものであっても良い。
例えば、第1の態様として、図19等に示されている当該肩疑似関節構造体190と図10等に示されている当該肘疑似関節構造体101とをその長手方向に接続させるか、或いは更には、当該肘疑似関節構造体101と図8等で示されている当該指疑似関節構造体80とを長手方向に接続させるか、更には、上記3者を相互に接続させて使用する事も可能である。
勿論、第2の態様として、図22等に示されている当該股疑似関節構造体220と図27等に示されている当該膝疑似関節構造体280とをその長手方向に接続させるか、或いは当該膝疑似関節構造体280と図14等で示される足首疑似関節構造体141をその長手方向に接続させるか、更には、上記3者を相互に接続させて使用する事も可能である。
Each of the above-described individual pseudo-joint structures according to the present invention is individually manufactured and used for learning and training of the dislocation reduction technique in the joint part of the human body to which it individually corresponds. A plurality of types of individual pseudo joint structures may be connected to each other in the longitudinal direction and used for learning and training of dislocation reduction techniques in the corresponding joint parts of the human body. May be.
For example, as the first aspect, the shoulder pseudo joint structure 190 shown in FIG. 19 or the like and the elbow pseudo joint structure 101 shown in FIG. 10 or the like are connected in the longitudinal direction, or Further, the elbow pseudo-joint structure 101 and the finger pseudo-joint structure 80 shown in FIG. 8 or the like are connected in the longitudinal direction, or further, the above three members are connected to each other. Is also possible.
Of course, as the second aspect, the hip pseudo joint structure 220 shown in FIG. 22 and the knee pseudo joint structure 280 shown in FIG. 27 are connected in the longitudinal direction, or The knee pseudo-joint structure 280 and the ankle pseudo-joint structure 141 shown in FIG. 14 or the like can be connected in the longitudinal direction, or further, the above three members can be connected to each other.

次に、本発明に於ける上記第1の具体例の構成を実現させる関節脱臼整復技術習得装置120の例を図49に示す。
即ち、図49は、本発明に係る当該関節脱臼整復処理訓練用装置120の構成の概略を示す斜視図であって、基本的には、上記した構成を有する個々の疑似関節構造体から選択された複数種の当該疑似関節構造体群が長手方向に相互に連続して接合されている事を特徴とする関節脱臼整復処理訓練用装置120が示されている。
上記具体例を実用化した構成例の写真を参考図である図52乃至図57に示す。
本発明に係る当該関節脱臼整復処理訓練用装置120は、上記した様に、第1の具体例の構成を実現させる為の関節脱臼整復技術習得装置であって、その基本的構成は、 基板121を有し、当該基板121の上面部の略半分の領域は、滑り止め部材で被覆された平坦面部123と、当該基板121の残りの約半分の領域には、所定の高さを持ち、湾曲状に上方に、その一部を除き密閉状に膨出形成された格納庫部122が配置されており、且つ当該格納庫部122の内部には、疑似肩関節部の関節機能を制御する為のスプリング24を含むスプリング機構部、即ち前記した第1の補助支持部1922の少なくとも一部が格納されており、更には、当該格納部122の、当該基板121の長手方向線に対向する部分125に形成された開口部126からは、当該スプリング機構部に連動する当該疑似肩関節部190の一部191が外方に突出せしめられており、更に当該疑似肩関節部190の外方端部191である、疑似上腕骨部192の先端部には、適宜の疑似肘関節部101と適宜の疑似指関節部80とが、それぞれの疑似関節部の長手方向に沿って、且つ、それぞれの疑似関節構造体に使用される適宜の伸縮性弾発部材の端部を保持する為の個別の補助支持部材127乃至129を介して、直列状に接合一体化されており、且つ、それぞれの当該疑似関節部に於ける伸縮性弾発部材及び連結部材が配置されている部分160、162及び接続部分161は、円筒状中空体を呈する筒状体で被覆されており且つその外層部分は、例えば、人間の皮膚の外観、触感、色、弾力性に近似させた、弾性と伸縮性のある柔軟性のある例えば、発泡性を有する円筒状中空体を呈する合成樹脂膜状体124等で被覆されている。
Next, FIG. 49 shows an example of a joint dislocation reduction technique learning device 120 that realizes the configuration of the first specific example of the present invention.
That is, FIG. 49 is a perspective view showing an outline of the configuration of the joint dislocation reduction processing training device 120 according to the present invention, and is basically selected from the individual pseudo-joint structures having the above-described configuration. In addition, a joint dislocation reduction processing training apparatus 120 is shown in which a plurality of types of the pseudo joint structure groups are continuously joined to each other in the longitudinal direction.
52 to 57, which are reference drawings, show photographs of configuration examples in which the above specific examples are put into practical use.
As described above, the joint dislocation reduction processing training device 120 according to the present invention is a joint dislocation reduction technique learning device for realizing the configuration of the first specific example. A substantially half region of the upper surface portion of the substrate 121 has a flat surface portion 123 covered with a non-slip member, and a remaining half region of the substrate 121 has a predetermined height and is curved. A hangar portion 122 that is formed in a hermetically bulging shape except for a part of the hangar portion 122 is disposed on the upper side, and a spring for controlling the joint function of the pseudo shoulder joint portion is provided inside the hangar portion 122. 24, that is, at least a part of the first auxiliary support portion 1922 described above is stored, and further, formed in a portion 125 of the storage portion 122 facing the longitudinal line of the substrate 121. Opening 1 26, a portion 191 of the pseudo shoulder joint portion 190 that is linked to the spring mechanism portion is projected outward, and the pseudo humerus is an outer end portion 191 of the pseudo shoulder joint portion 190. An appropriate pseudo elbow joint portion 101 and an appropriate pseudo finger joint portion 80 are used at the distal end portion of the portion 192 along the longitudinal direction of each pseudo joint portion and for each pseudo joint structure. It is joined and integrated in series via individual auxiliary support members 127 to 129 for holding the end portions of appropriate elastic elastic members, and the elastic properties at each of the pseudo joint portions. The portions 160 and 162 and the connecting portion 161 where the elastic members and the connecting members are arranged are covered with a cylindrical body that has a cylindrical hollow body, and the outer layer portion thereof is, for example, the appearance and touch of human skin. , Close to color, elasticity Were, a flexible with elasticity and stretchability example, is coated with a synthetic resin-coated film 124 or the like exhibiting a cylindrical hollow body having an expandable.

つまり、上記具体例に於いては、当該疑似肩関節部190の外方端部である、疑似上腕骨部の先端部内部には、当該疑似肘関節部101の機能を制御する為の別のスプリング機構部が内蔵され、当該疑似肘関節部外側にある疑似橈骨と疑似尺骨の内部には、当該別の伸縮性弾発部材及び連結ひも状部材を含むスプリング機構部163が設けられており更にその先端部には、当該連結ひも状部材が、当該疑似橈骨と当該疑似尺骨の内部の適宜の部位に固定されており、更に、当該疑似肘関節部の当該疑似橈骨と当該疑似尺骨の何れかの外方端部の内部には、当該疑似指関節部の機能を制御する為の更に別のスプリング機構部164が内蔵されると同時に、当該疑似指関節部が長手方向にかつ外方部に向けて接続形成されている事を特徴とする関節脱臼整復処理訓練用装置120が示されている。
当該スプリング機構部163の一具体例の構造の例を撮影した写真を参考図である図58、図61乃至図63に示す。
尚、図49に於ける具体例に於いて、当該肩疑似関節構造体190使用した疑似関節頭5と疑似関節窩6の構造は、図51に示す様な構造のものを採用した。
上記した疑似関節頭5と疑似関節窩6の構造の例を撮影した写真を参考図である図59、図60および図64乃至図65に示す。
即ち、当該疑似関節頭5の外観構造は、上記で説明した様な形状を採るものであるが、当該疑似関 節窩6の構造は、当該疑似関節頭5と係合する凹部状に湾曲した凹み部6“‘の周縁部に近接して、当該疑似関節頭5が、当該疑似関節窩6から脱落しない様に案内する2つの独立して湾曲状に立設された保持案内部6’及び6”が配置されており、且つ当該一方の保持案内部6”は、他方の保持案内部6’よりも全体的に大きな寸法を有し、且つその壁状部の一部に、適宜の大きさの開口部が設けられているものである。
此処で、上記した本発明に係る当該関節脱臼整復処理訓練用装置120に於ける当該格納庫部122内に配置される当該第1の補助支持部1922に対応するスプリング機構部の他の構成例の概略を図50を参照しながら詳細に説明する。
処で、上記本発明に於ける具体例に於いては、少なくとも2本の当該線条を有する連結部材21を使用する場合には、後述する図6に示されている通り、一本の当該連結部材21をその途中の略中央部位置で折り曲げて使用する事が可能であり、更には、当該線条を有する連結部材21の略中央部位置で折り曲部と当該伸縮性弾発部材24の他方の端部との接合部には、後述する図50に示されている様な適宜の構造を持ったか滑車手段2000を挿入配置せしめ、当該連結部材21を連続した状態で使用することも好ましい具体例である。
又、更なる具体例としては、当該伸縮性弾発部材24と当該連結部材21をそれぞれ複数本づつ使用する場合にあっては、例えば、図50に示される様に、複数個の滑車手段2000を併用すると同時に、当該1本の連結部材21を一連に循環させた後に、その端部同志を適宜の締め継ぎ手段1200等を使用して固定させて使用するものであっても良い。
一方、本発明の具体例に於ける好ましいスプリング機構部1922としては、図50にしめされている通り、平板状基板部2001の長手方向左右端部に直立した一対の支持壁部1270、1270’が設けられており、当該一方の支持壁部1270の一部に2本の伸縮性弾発部材24,24’である適宜のスプリング部の一方の端部が係止せしめられており、且つ当該2本の伸縮性弾発部材24,24’のそれぞれの他方の端部には、適宜の滑車手段2000、2000’が取り付けられており、当該各滑車手段2000、2000’には、それぞれ当該連結紐状部材21、21’が摺動自在に係止せしめられている。
そして、本具体例に於ける特に特徴的な部分としては、当該結紐状部材21、21’が環状に連結されていて一本の連続した紐状体として使用されているものである。
つまり、本具体例に於いては、例えば、当該第1の滑車手段2000から出発した当該結紐状部材21は、当該支持壁部1270’に形成された貫通穴部1932を通過して、当該肩疑似関節構造体の当該関節頭5の表面の一部に形成された穴部1934から当該関節頭5の内部に導入された後、当該関節頭5の表面の一部に形成された別の穴部1935から当該関節頭5の外表面に導出せしめられ、その後、当該支持壁部127’に形成された別の貫通穴部1932を通過して、当該第2の滑車手段2000’に至り、当該第2の滑車手段2000’を周回した後、再び、当該支持壁部1270’に形成された更に別の貫通穴部1932を通過して、当該肩疑似関節構造体の当該関節頭5の表面の一部に形成された別の穴部1934から当該関節頭5の内部に再び導入された後、当該関節頭5の表面の一部に形成された更に別の穴部1935から当該関節頭5の外表面に導出せしめられ、その後、当該支持壁部1270’に形成された更に異な貫通穴部1932を通過して、当該第1の滑車手段2000に至るが、その途中で、適宜の紐状体結束結合手段120を介して環状に形成されるものである。
上記した本発明に係る当該関節脱臼整復処理訓練用装置120に於けるスプリング制御機構の具体例の構成を撮影した写真を、参考図である図53乃至57に示す。
In other words, in the above specific example, another portion for controlling the function of the pseudo elbow joint portion 101 is provided inside the distal end portion of the pseudo humerus portion, which is the outer end portion of the pseudo shoulder joint portion 190. A spring mechanism portion is built in, and a spring mechanism portion 163 including the other elastic elastic member and a connecting string-like member is provided inside the pseudo rib and pseudo ulna outside the pseudo elbow joint portion. The connecting string member is fixed to the distal end of the pseudo rib and an appropriate part inside the pseudo ulna, and either the pseudo rib or the pseudo ulna of the pseudo elbow joint. In addition, a spring mechanism 164 for controlling the function of the pseudo finger joint is incorporated in the outer end of the pseudo finger joint, and at the same time, the pseudo finger joint is disposed in the longitudinal direction and on the outer part. A connection characterized by being formed Dislocation reduction processing training device 120 is shown.
58 and 61 to 63, which are reference drawings, show photographs of examples of the structure of one specific example of the spring mechanism 163.
In the specific example shown in FIG. 49, the structure of the pseudo joint head 5 and the pseudo joint fossa 6 using the shoulder pseudo joint structure 190 is the same as that shown in FIG.
59 and 60 and FIGS. 64 to 65, which are reference views, show photographs of examples of the structures of the pseudo joint head 5 and the pseudo joint fovea 6 described above.
That is, the external structure of the pseudo joint head 5 takes the shape as described above, but the structure of the pseudo joint fistula 6 is curved into a concave shape that engages with the pseudo joint head 5. In close proximity to the peripheral edge of the recess 6 ′ ′, two independent guides 6 ′ standing upright and curved to guide the pseudo joint head 5 so as not to drop out of the pseudo glenoid cavity 6, and 6 ″ is arranged, and the one holding guide portion 6 ″ has an overall size larger than that of the other holding guide portion 6 ′, and an appropriate size is formed on a part of the wall-like portion. An opening is provided.
Here, another configuration example of the spring mechanism portion corresponding to the first auxiliary support portion 1922 disposed in the storage portion 122 in the joint dislocation reduction processing training device 120 according to the present invention described above. The outline will be described in detail with reference to FIG.
By the way, in the specific example of the present invention described above, when the connecting member 21 having at least two of the filaments is used, as shown in FIG. The connecting member 21 can be used by being bent at a substantially central position in the middle thereof, and further, the bent portion and the stretchable elastic member 24 can be used at a substantially central position of the connecting member 21 having the filament. It is also possible to insert a pulley means 2000 having an appropriate structure as shown in FIG. 50, which will be described later, or to place the pulley 21 in a continuous state at the joint with the other end. This is a preferred embodiment.
As a further specific example, when a plurality of each of the elastic resilient member 24 and the plurality of connecting members 21 are used, for example, as shown in FIG. At the same time, after the one connecting member 21 is circulated in series, the end members may be fixed using an appropriate fastening means 1200 or the like.
On the other hand, as a preferable spring mechanism portion 1922 in the specific example of the present invention, as shown in FIG. 50, a pair of support wall portions 1270 and 1270 ′ standing upright at the left and right ends in the longitudinal direction of the flat substrate portion 2001 are provided. One end portion of an appropriate spring portion, which is the two elastic resilient members 24, 24 ', is locked to a part of the one support wall portion 1270, and Appropriate pulley means 2000 and 2000 ′ are attached to the other ends of the two elastic elastic members 24 and 24 ′, and the pulley means 2000 and 2000 ′ are connected to the respective pulley means 2000 and 2000 ′. The string-like members 21 and 21 'are slidably locked.
And as a particularly characteristic part in this specific example, the said string-like members 21 and 21 'are connected cyclically | annularly, and are used as one continuous string-like body.
That is, in this specific example, for example, the tying member 21 starting from the first pulley means 2000 passes through the through hole portion 1932 formed in the support wall portion 1270 ′, and the After being introduced into the joint head 5 from a hole 1934 formed in a part of the surface of the joint head 5 of the shoulder pseudo joint structure, another joint formed in a part of the surface of the joint head 5 It is led out to the outer surface of the joint head 5 from the hole 1935, and then passes through another through hole 1932 formed in the support wall 127 ′ to reach the second pulley means 2000 ′. After circling the second pulley means 2000 ′, it passes again through another through-hole portion 1932 formed in the support wall portion 1270 ′ and the surface of the joint head 5 of the shoulder pseudo joint structure. The joint from another hole 1934 formed in a part of 5 is introduced again into the outer surface of the joint head 5 through another hole 1935 formed in a part of the surface of the joint head 5, and then the support wall portion 1270 ′. It passes through a further different through-hole portion 1932 formed in the above and reaches the first pulley means 2000, but in the middle, it is formed in an annular shape through an appropriate string-like body binding and coupling means 120. .
53 to 57, which are reference diagrams, show photographs of the configuration of a specific example of the spring control mechanism in the joint dislocation reduction processing training apparatus 120 according to the present invention described above.

以下に、本発明に於ける当該関節脱臼整復処理訓練用装置120の詳細なスペックと使用方法を具体的に説明する。
つまり、 本発明に於ける当該関節脱臼整復処理訓練用装置120は、肩関節や、肘関節或いは指関節等を脱臼した患者の当該脱臼関節を、元の正常な関節状態に戻すために、整復師が治療・施術を行うが、当該整復師が当該脱臼した関節を元の状態に戻すための治療・施術の操作や手順を、訓練し、体験し、体で覚える為の関節脱臼整復訓練装置であって、当該関節脱臼整復処理訓練用装置120の長さは、例えば、600mm、幅が400mmで厚みが20mm程度の基板121を有し、当該基板121の上面部の略半分の領域は、ゴム材或いは合成樹脂材からなる滑り止め部材で被覆された平坦面部123と、その残りの約半分の領域には、最大高さが150mm程度の湾曲状に、一部を除き密閉状に膨出形成された格納庫部122とで構成されており、且つ当該格納庫部122の内部には、疑似肩関節部の関節機能を制御する為のスプリング機構部の少なくとも一部が格納されており、さらには、当該格納庫部122の、当該基板の長手方向線に対向する部分125に形成された開口部126からは、少なくとも当該肩疑似関節構造体190の一部である疑似上腕骨部192が外方に突出した構造となっている。
The detailed specifications and usage of the joint dislocation reduction processing training apparatus 120 according to the present invention will be specifically described below.
That is, the joint dislocation reduction processing training apparatus 120 according to the present invention reduces the dislocation joint of the patient who has dislocated the shoulder joint, the elbow joint, the finger joint, etc., to the original normal joint state. A joint dislocation reduction training device that trains, experiences, and learns the operation and procedure of the treatment and treatment to restore the dislocated joint to its original state, while the teacher performs treatment and treatment. The length of the joint dislocation reduction processing training apparatus 120 is, for example, 600 mm, the width is 400 mm, and the substrate 121 has a thickness of about 20 mm. The flat surface portion 123 covered with a non-slip member made of a rubber material or a synthetic resin material, and the remaining half of the region bulge in a curved shape with a maximum height of about 150 mm, except for a part, in a sealed state. With the formed hangar part 122 And at least a part of a spring mechanism unit for controlling the joint function of the pseudo shoulder joint unit is stored inside the storage unit 122, and further, A pseudo humerus 192 that is at least a part of the shoulder pseudo-joint structure 190 protrudes outward from the opening 126 formed in the portion 125 facing the longitudinal line of the substrate.

此処で、本発明に於ける当該関節脱臼整復処理訓練用装置120の使用方法を説明するならば、例えば整復師訓練生が、脱臼した関節を整復する操作を練習する場合には、当該整復師訓練生は、先ず、当該基板121上の平坦部領域123に足若しくは膝をのせ、整復対象となっている対象骨部、例えば、肩関節が脱臼している場合には、疑似上腕骨部を手で持ち上げ、同時に別の足又は膝を当該湾曲状に膨出している格納庫部122の外表面に載せて、体の支持点を確保した上で、当該対象骨部を例えば、所定の方向にねじりながら、上方向に持ち上げて、脱臼した関節部を元の形に戻す操作を行い、係る操作を何回も繰り返して、脱臼整復施術の方法を体験し、覚える事が可能となる。 Here, if the usage method of the joint dislocation reduction processing training apparatus 120 according to the present invention is described, for example, when a reduction teacher trainee practices an operation to reduce the dislocated joint, the reduction teacher. First, the trainee puts his / her foot or knee on the flat region 123 on the substrate 121, and when the target bone part to be reduced, for example, the shoulder joint is dislocated, the pseudo humerus part is placed. Lifting by hand, and simultaneously placing another foot or knee on the outer surface of the hangar part 122 bulging in the curved shape to secure the support point of the body, the target bone part is, for example, in a predetermined direction It is possible to experience and learn the method of dislocation reduction by repeating the operation many times by lifting the upper part while twisting and returning the dislocated joint part to its original shape.

1:疑似関節構造体
2:第1の疑似骨部材
3:第2の疑似骨部材
5:疑似関節頭
6:疑似関節窩
1’:関節構造体
2’:第1の疑似骨部材
3’:第2の疑似骨部材
4’:骨膜
5’:関節頭
6’:関節窩
7’:関節腔
8’:関節軟骨膜
10’:一端部
11’:一端部
12’:関節包
13’:線維膜
14’:副靭帯
15’:関節包内靭帯
20:補助支持部
21;連結部材
22;補助支持枠部
24;縮性弾発部材
27;固定部材
28;接合手段
29;調整手段
31;他端部
32;切込溝部
35;穴部
40;ピン部
42;カム部
50;補助線状体
51、51’;一方の端部
52;他方の端部
55、55’:固定手段
71:中手骨
72:基節骨
73:中節骨
74:末節骨
75:中手指接間関節
77:遠位指節間関節
715:節頭部
725:関節頭
726:関節窩
735:関接頭
736:関節窩
746:関節窩
80:疑似指関節構造体
81:第1の疑似骨部材
82:第2の疑似骨部材
83:第3の疑似骨部材
84:第4の疑似骨部材
85:補助支持部
86:通過孔、穴部
87:溝部
89:関節環状面部
815:関接頭部
825:関節頭
826:関節窩
835:関節頭
836:関節窩
875:関節部
876:関節部
877:関節部
90:腕尺関節
91:上腕骨
92:尺骨
93:橈骨
94:関節包
95:上腕骨滑車
96:滑車切痕
97:上腕尺関節部
98:上腕骨小頭
100;人間の体
101:疑似肘関節構造体
104:疑似上腕骨部
106:疑似橈骨
107:疑似尺骨
108:疑似上腕尺関節部
109:疑似腕橈尺節部
1095:疑似上腕骨滑車
1096:疑似滑車切痕
1098:疑似上腕骨小頭
1099:疑似関節環状面部
120:関節脱臼整復訓練装置
1200:締め継ぎ手段
121:基板
122:格納庫部
123:平坦面部
124:円筒状中空体を呈する合成樹脂膜状体
125:長手方向線に対向する部分
126:開口部
127:補助支持部材
128:補助支持部材
129:補助支持部材
1270、1270’ :支持壁部
131:腓骨
132:脛骨
133:距骨
134:腿関節
135:脛骨の下関節面
136:脛骨の端部内面
137:腓骨の下端部内面
138:距骨滑車
1300:補強線条体
1301:一端部
1303:結合手段
1304:結合固定手段
1305:空間部
141:疑似脚関節構造体
142:疑似脚部
143:腓骨
144:脛骨
145:疑似距骨
147:内面
148:擬似距腿関節
149:疑似下端部内面
150:疑似距骨滑車
151:擬似足先部
152:底部
153:台座部
154:第1の中空状円筒体
155:第2の中空状円筒体
156:カム状部材
157:係止部
160:円筒状中空体を呈する筒状体
161:円筒状中空体を呈する筒状体
162:円筒状中空体を呈する筒状体
163:伸縮性弾発部材と連結部材との接続部分
164:伸縮性弾発部材と連結部材との接続部分
180:肩関節
181:肩甲骨
182:上腕骨部
190:疑似肩関節構造体
191:疑似肩甲骨
192:疑似上腕骨部
1922:補助支持手段
1927:固定手段
1930:一端部
1931:他方の端部
1932:穴部
1933:連結部材の他方の端部
1934:挿入穴部
1935:挿入穴部
245:空間部
260:膝関節
261:大腿骨
262:外側顆
263:内側顆
264:脛骨
265:内側顆
266:外側顆
267:膝蓋骨
268:関節半月板
269:内側側副靭帯
270:外側側副靭帯
271:前十字靱帯
272:後十字靱帯
280:疑似膝関節構造体
281:疑似大腿骨
282:下端部
283:疑似内側顆
284:外側顆
285:疑似脛骨
286:上端部
287:疑似内側顆
288:外側顆
293:補助支持部
294:近傍部位
294’:近傍部位
295:挿入穴部
295’:挿入穴部
296、296’:補助線状体
300、300’:挿入穴、切り溝部
301、301’:挿入穴
302、302’:挿入穴
303、303’:出口穴
304、304’:接合固定手段
305、305’:開口部
306、306’:開口部
315:溝部
316:溝部
360、360’:開口部
361、361’:L字状のスリット部
400:擬似膝関節構造体
401:膝関節部
402:膝蓋骨
403:一端部
405、405’:第4の接続線状体
406:接合固定手段
407:伸縮性弾発部材
411、412:他端部
420:調整板
460:上端部
500:接続固定手段
501:第5の接続線状体
502:一方の端部
503:他方の端部
504:適宜の膨出部
505:係止部材
628:疑似脛骨
801,802:一端部
803、804:第2の接続線状体
805、806:一方の端部
807、808:一方の端部
809、810:第3の接続線状体
811,812:他方の端部
813、814:第1の接続線状体
900:腕橈尺節部
2000:滑車手段
2001:平板状基板部
1: Pseudo joint structure 2: First pseudo bone member 3: Second pseudo bone member 5: Pseudo joint head 6: Pseudo glenoid fossa 1 ': Joint structure 2': First pseudo bone member 3 ': Second pseudo bone member 4 ': periosteum 5': joint head 6 ': glenoid fossa 7': joint cavity 8 ': articular cartilage 10': one end 11 ': one end 12': joint capsule 13 ': fiber Membrane 14 ': Secondary ligament 15': Joint capsular ligament 20: Auxiliary support portion 21; Connecting member 22; Auxiliary support frame portion 24; Shrinkable elastic member 27; Fixing member 28; Joining means 29; Adjusting means 31; End portion 32; Cut groove portion 35; Hole portion 40; Pin portion 42; Cam portion 50; Auxiliary linear body 51, 51 '; One end portion 52; Other end portion 55, 55': Fixing means 71: Medium Hand bone 72: proximal phalanx 73: middle phalanx 74: distal phalanx 75: metacarpophalangeal joint 77: distal interphalangeal joint 715: nodal head 725: joint head 726: Glenoid fossa 735: Seki prefix 736: Glenoid 746: Glenoid fossa 80: Pseudo finger joint structure 81: First pseudo bone member 82: Second pseudo bone member 83: Third pseudo bone member 84: No. 4 pseudo bone members 85: auxiliary support portion 86: passage hole, hole portion 87: groove portion 89: joint annular surface portion 815: joint prefix 825: joint head 826: glenoid 835: joint head 836: glenoid 875: joint portion 876: joint part 877: joint part 90: brachial joint 91: humerus 92: ulna 93: fibula 94: joint capsule 95: humeral pulley 96: pulley cut 97: humeral joint 98: humeral head 100 Human body 101: pseudo elbow joint structure 104: pseudo humerus 106: pseudo rib 107: pseudo ulna 108: pseudo humeral joint 109: pseudo arm ulnar joint 1095: pseudo humeral pulley 1096: pseudo Car notch 1098: Pseudohumeral head 1099: Pseudo joint annular surface portion 120: Joint dislocation reduction training device 1200: Fastening means 121: Substrate 122: Storage box portion 123: Flat surface portion 124: Synthetic resin film exhibiting a cylindrical hollow body Shaped body 125: portion 126 facing the longitudinal line 126: opening 127: auxiliary support member 128: auxiliary support member 129: auxiliary support members 1270, 1270 ′: support wall 131: rib 132: tibia 133: talar bone 134: thigh Joint 135: Lower joint surface of the tibia 136: Inner surface of the end of the tibia 137: Inner surface of the lower end of the rib 138: Talar pulley 1300: Reinforced striatum
1301: One end part 1303: Coupling means 1304: Coupling and fixing means 1305: Space part 141: Pseudo leg joint structure 142: Pseudo leg part 143: Rib 144: Tibial 145: Pseudotalus 147: Inner surface 148: Pseudo thigh joint 149: Pseudo lower end inner surface 150: Pseudotalar pulley 151: Pseudo toe part 152: Bottom part 153: Base part 154: First hollow cylindrical body 155: Second hollow cylindrical body 156: Cam-like member 157: Locking part 160: Cylindrical body 161 exhibiting a cylindrical hollow body 1: Cylindrical body 162 presenting a cylindrical hollow body: Cylindrical body 163 presenting a cylindrical hollow body: Connection portion 164 between a stretchable elastic member and a coupling member Connection portion 180 of the elastic elastic member and the connecting member 180: shoulder joint 181: scapula 182: humerus 190: pseudo shoulder joint structure 191: pseudo scapula 192: pseudo humerus 1 22: Auxiliary support means 1927: Fixing means 1930: One end portion 1931: The other end portion 1932: Hole portion 1933: The other end portion 1934 of the connecting member: Insertion hole portion 1935: Insertion hole portion 245: Space portion 260: Knee joint 261: Femur
262: lateral condyle 263: medial condyle 264: tibia 265: medial condyle 266: lateral condyle 267: patella 268: joint meniscus 269: medial collateral ligament 270: lateral collateral ligament 271: anterior cruciate ligament 272: posterior cruciate ligament 280 : Pseudo knee joint structure 281: Pseudo femur 282: Lower end
283: Pseudo medial condyle 284: Lateral condyle 285: Pseudo tibia 286: Upper end 287: Pseudo medial condyle 288: Lateral condyle 293: Auxiliary support part 294: Proximal part 294 ': Proximal part 295: Insertion hole part 295': Insertion hole Portions 296, 296 ′: Auxiliary linear bodies 300, 300 ′: Insertion holes and kerfs 301, 301 ′: Insertion holes 302, 302 ′: Insertion holes 303, 303 ′: Exit holes 304, 304 ′: Joining fixing means 305 , 305 ′: Opening 306, 306 ′: Opening 315: Groove 316: Groove 360, 360 ′: Opening 361, 361 ′: L-shaped slit 400: Pseudo knee joint structure 401: Knee joint 402 : Patella 403: one end 405, 405 ': fourth connecting linear body 406: joining and fixing means 407: stretchable elastic member 411, 412: other end 420: adjusting plate 460: End portion 500: Connection fixing means 501: Fifth connecting linear body 502: One end portion 503: Other end portion 504: Appropriate bulging portion 505: Locking member 628: Pseudo tibia 801, 802: One end portion 803, 804: Second connecting linear body 805, 806: One end 807, 808: One end 809, 810: Third connecting linear body 811, 812: The other end 813, 814: First connecting linear body 900: Arm measure node part 2000: Pulley means 2001: Flat substrate part

以下に、本発明に於ける当該疑似関節構造体の構成及び機能を、図面を参照しながら詳細に説明する。
即ち、図3(A)は、本発明に係る当該疑似関節構造体1の一具体例の構成を示す図であり、図中、人間の体100に於ける所定部位に於ける所定の関節構造に近似した構造からなる疑似関節構造体1であって、当該疑似関節構造体1は、関節頭5がその一端部に形成されている第1の疑似骨部材2と、関節窩6がその一端部に形成されている第2の疑似骨部材3とからなり、且つ当該第1と第2の疑似骨部材2,3は、当該関節頭5と当該節窩6とが相互に嵌合する様に相互に対向して近接配置されており、然も、当該第1と第2の疑似骨部材2,3は、当該第1と第2の疑似骨部材2,3の何れか一方の疑似骨部材2、3の一部若しくは当該疑似骨部材2、3の一方に連接されている第1の補助支持部20に、その一端部が固定され、その他端部が、当該他方の疑似骨部材3、2の一部若しくは当該疑似骨部材3、2に連接されている第2の補助支持部22に固定されている、適宜の連結部材21及び/又は適宜の伸縮性弾発部材24を含む連結部材21により、所定の押圧力の下で、相互に接圧せしめられており、更に、当該疑似関節構造体1は、当該第1と第2の疑似骨部材2,3が、当該両疑似骨部材2,3間での脱臼状態を表示して静止する機能と、当該脱臼状態にある当該疑似関節構造体1に於ける当該第1と第2の疑似骨部材2,3の少なくとも一方を伸長させるか、押し込みながら所定の方向に変位させるか、旋回させる動作を付加することにより当該脱臼状態を整復させる機能と、を有している事を特徴とする関節脱臼に対する整復操作を習得するための疑似関節構造体1が示されている。
Hereinafter, the configuration and function of the pseudo joint structure in the present invention will be described in detail with reference to the drawings.
That is, FIG. 3A is a diagram showing a configuration of a specific example of the pseudo joint structure 1 according to the present invention. In the figure, a predetermined joint structure in a predetermined part of the human body 100 is shown. A pseudo joint structure 1 having a structure similar to that of the first pseudo bone member 2 having a joint head 5 formed at one end thereof, and a glenoid 6 having one end thereof. And the first and second pseudo bone members 2 and 3 are configured such that the joint head 5 and the nodule 6 are fitted to each other. However, the first and second pseudo bone members 2 and 3 are either pseudo bones of the first and second pseudo bone members 2 and 3. the first auxiliary supporting portion 20 which is connected a portion of member 2 or to one of the pseudo bone members 2, one end portion is fixed, its Appropriate connecting members 21 and / or other end portions fixed to a part of the other pseudo bone members 3, 2 or the second auxiliary support portion 22 connected to the pseudo bone members 3, 2. Alternatively, the connecting member 21 including an appropriate elastic elastic member 24 is brought into contact with each other under a predetermined pressing force. Further, the pseudo joint structure 1 includes the first and second The pseudo bone members 2 and 3 display the dislocation state between the two pseudo bone members 2 and 3 and stop, and the first and second in the pseudo joint structure 1 in the dislocation state. A function of reducing the dislocation state by adding an operation of extending or rotating at least one of the pseudo bone members 2, 3 of the pseudo bone members 2, 3 or pushing the pseudo bone members 2, 3. For learning reduction operation for joint dislocation Section structure 1 is shown.

Claims (41)

人間の体に於ける所定部位に於ける所定の関節構造に近似した構造からなる疑似関節構造体であって、
当該疑似関節構造体は、関節頭がその一端部に形成されている第1の疑似骨部材と、関節窩がその一端部に形成されている第2の疑似骨部材とからなり、且つ当該第1と第2の疑似骨部材は、当該関節頭と当該関節窩とが相互に嵌合する様に相互に対向して近接配置されており、然も、当該第1と第2の疑似骨部材は、当該第1と第2の疑似骨部材の何れか一方の疑似骨部材の一部若しくは当該疑似骨部材に連接されている第1の補助支持部に、その一端部が固定され、その他端部が直接若しくは適宜の連結部材を介して当該他方の疑似骨部材の一部若しくは当該疑似骨部材に連接されている第2の補助支持部に固定されている適宜の伸縮性弾発部材により、所定の押圧力の下で、相互に接圧せしめられており、更に、当該疑似関節構造体は、当該第1と第2の疑似骨部材が、当該両疑似骨部材間での脱臼状態を表示して静止する機能と、当該脱臼状態にある当該疑似関節構造体に於ける当該第1と第2の疑似骨部材の少なくとも一方を所定の力を印加させながら所定の方向に変位させるか旋回させる動作を印加することにより当該脱臼状態を整復させる機能と、を有している事を特徴とする関節脱臼に対する整復操作を習得するための疑似関節構造体。
A pseudo joint structure having a structure similar to a predetermined joint structure in a predetermined part of a human body,
The pseudo joint structure includes a first pseudo bone member having a joint head formed at one end thereof, and a second pseudo bone member having a joint fossa formed at one end thereof. The first and second pseudo bone members are arranged in close proximity to each other so that the joint head and the glenoid fossa are engaged with each other, and the first and second pseudo bone members The one end is fixed to a part of one of the first and second pseudo bone members or the first auxiliary support portion connected to the pseudo bone member, and the other end By an appropriate elastic elastic member fixed to the second auxiliary support part connected to the part of the other pseudo bone member or the pseudo bone member directly or through an appropriate connecting member, They are pressed against each other under a predetermined pressing force, and the pseudo joint structure is The function that the first and second pseudo bone members display a dislocation state between the two pseudo bone members to be stationary, and the first and second in the pseudo joint structure in the dislocation state. And a function of reducing the dislocation state by applying an operation of displacing or turning at least one of the pseudo bone members in a predetermined direction while applying a predetermined force. Pseudo joint structure for learning reduction operation for dislocation.
当該伸縮性弾発部材及び、又は当該連結部材は、当該第1の疑似骨部材及び当該第2の疑似骨部材の少なくとも一方の内部空間内に配置されている事を特徴とする請求項 1に記載の疑似関節構造体。   2. The stretchable elastic member and / or the connecting member are arranged in an internal space of at least one of the first pseudo bone member and the second pseudo bone member. The pseudo joint structure described. 当該関節頭及び当該関節窩の少なくとも一方に於ける該表面部には、その外部空間部と当該関節頭或いは当該関節窩の内部空間と連結する、少なくとも一つの貫通穴部若しくは貫通溝部が設けられている事を特徴とする請求項1又は2に記載の疑似関節構造体。   The surface portion of at least one of the joint head and the joint fossa is provided with at least one through-hole portion or through-groove portion that connects the external space portion and the joint head or the internal space of the joint fovea. The pseudo-joint structure according to claim 1 or 2, wherein 当該疑似関節構造体が正常な関節形成状態を表示している場合に於いて、当該関節頭と当該関節窩のそれぞれに設けられている当該貫通穴部若しくは当該貫通溝部とは、当該関節頭と当該関節窩相互に嵌合する様に対向して近接接合配置されている部位若しくはその近傍の部位に設けられている事を特徴とする請求項3に記載の疑似関節構造体。 In the case where the pseudo joint structure displays a normal joint formation state, the through-hole portion or the through-groove portion provided in each of the joint head and the glenoid fossa is the joint head and The pseudo joint structure according to claim 3, wherein the pseudo joint structure is provided at a portion where the joint joints are opposed to each other so as to be fitted to each other or at a portion in the vicinity thereof. 当該伸縮性弾発部材又は当該連結部材は、当該関節頭の内部空間から当該関節頭の当該貫通穴部若しくは当該貫通溝部及び隣接配置されている当該関節窩の当該貫通穴部若しくは当該貫通溝部を介して当該関節窩の内部空間に、若しくはその逆方向に挿通せしめられている事を特徴とする請求項3又は4に記載の疑似関節構造体。   The stretchable elastic member or the connecting member extends from the internal space of the joint head to the through-hole portion or the through-groove portion of the joint head and the through-hole portion or the through-groove portion of the joint fistula arranged adjacently. 5. The pseudo joint structure according to claim 3, wherein the pseudo joint structure is inserted into the internal space of the glenoid via or in the opposite direction. 当該関節頭と当該関節窩のそれぞれに設けられている当該貫通穴部若しくは当該貫通溝部は、少なくとも一つ、好ましくは複数個設けられており、且つ当該貫通溝部は、当該疑似関節構造体の当該第1と第2の疑似骨部材間に於ける脱臼状態の方向性を指定する機能を有るものである事を特徴とする請求項3乃至5の何れかに記載の疑似関節構造体。   The through hole or the through groove provided in each of the joint head and the glenoid is provided with at least one, preferably a plurality of through grooves, and the through grooves are provided in the pseudo joint structure. 6. The pseudo joint structure according to claim 3, wherein the pseudo joint structure has a function of designating a directionality of a dislocation state between the first and second pseudo bone members. 当該関節頭又は当該関節窩の該表面部に設けられる当該貫通溝部が複数個設けられる場合には、当該個々の貫通溝部の配列方向が相互に異なっている事を特徴とする請求項 6に記載の疑似関節構造体。   The arrangement direction of each said through-groove part is mutually different, when the said through-groove part provided in this surface part of the said joint head or the said glenoid is provided with two or more. Pseudo joint structure. 当該疑似関節構造体が関節脱臼状態を表示している場合に於いて、当該伸縮性弾発部材若しくは当該連結部材の少なくとも一方は、当該第1と第2の疑似骨部材間に於ける当該関節頭と当該関節窩の少なくとも何れか一方に設けられている当該少なくとも一つの貫通溝部を経由して折り曲げられている事を特徴とする請求項5ないし7の何れかに記載の疑似関節構造体。 In the case where the pseudo joint structure indicates a joint dislocation state, at least one of the stretchable elastic member or the connecting member is the joint between the first and second pseudo bone members. The pseudo joint structure according to any one of claims 5 to 7, wherein the pseudo joint structure is bent through the at least one through groove provided in at least one of the head and the joint fossa. 当該疑似関節構造体内で使用される当該伸縮性弾発部材若しくは当該連結部材は、少なくとも1本、好ましくは、複数本である事を特徴とする請求項1乃至8の何れかに記載の疑似関節構造体。 The pseudo joint according to any one of claims 1 to 8, wherein at least one, preferably a plurality of the elastic elastic members or the connecting members used in the pseudo joint structure are used. Structure. 当該伸縮性弾発部材は、スプリングである事を特徴とする請求項1乃至9の何れかに記載の疑似関節構造体。   The pseudo joint structure according to claim 1, wherein the elastic resilient member is a spring. 当該伸縮性弾発部材若しくは当該適宜の連結部材は、当該第1と第2の疑似骨部材の何れか一方の内部空間部若しくは、当該補助支持枠部に配置されている事を特徴とする請求項1乃至10の何れかに記載の疑似関節構造体。   The stretchable elastic member or the appropriate connecting member is arranged in one of the internal space part of the first and second pseudo bone members or the auxiliary support frame part. Item 11. The pseudo joint structure according to any one of Items 1 to 10. 当該適宜の連結部材の少なくとも一部は、当該疑似関節構造体の外部表面に配置されている事を特徴とする請求項1乃至11の何れかに記載の疑似関節構造体。   The pseudo joint structure according to any one of claims 1 to 11, wherein at least a part of the appropriate connecting member is disposed on an outer surface of the pseudo joint structure. 当該疑似関節構造体の外部表面に配置されている当該適宜の連結部材は、靭帯の機能と類似した機能を発揮する様に構成されている事を特徴とする請求項12に記載の疑似関節構造体。   The pseudo joint structure according to claim 12, wherein the appropriate connecting member disposed on the outer surface of the pseudo joint structure is configured to exhibit a function similar to that of a ligament. body. 当該伸縮性弾発部材の伸度、或いは伸長回復応力を適宜変更する為の調整手段が設けられている事を特徴とする請求項1乃至13の何れかに記載の疑似関節構造体。   The pseudo joint structure according to any one of claims 1 to 13, wherein an adjusting means for appropriately changing the elongation or the elongation recovery stress of the stretchable elastic member is provided. 当該第1の疑似骨部材若しくは当該第2の疑似骨部材に設けられた当該伸縮性弾発部材の当該一端部が固定されている当該疑似骨部材の所定の部位の近傍に一端部が接合された補助線状体を配置し、当該補助線状体の他端部を当該伸縮性弾発部材の当該他端部に接合させた事を特徴とする請求項1乃至14の何れかに記載の疑似関節構造体。   One end portion is joined in the vicinity of a predetermined portion of the pseudo bone member to which the one end portion of the stretchable elastic member provided on the first pseudo bone member or the second pseudo bone member is fixed. The auxiliary linear body is disposed, and the other end portion of the auxiliary linear body is joined to the other end portion of the stretchable elastic member. Pseudo joint structure. 当該補助線状体は,靭帯の機能と類似した機能を発揮する様に構成されている事を特徴とする請求項15に記載の疑似関節構造体。   The pseudo joint structure according to claim 15, wherein the auxiliary linear body is configured to exhibit a function similar to that of a ligament. 当該1本の伸縮性弾発部材に対して、二本の当該連結部材を使用する当該疑似関節構造体に於いて、当該二本の当該連結部材としては、1本の連続状の連結部材を使用すると共に、当該伸縮性弾発部材の接続端部に於いて、滑車手段を配置し、当該1本の連続状の連結部材の略中央部を当該滑車手段に於いて折り返し状態にして連通させた事を特徴とする請求項1乃至16の何れかに記載の疑似関節構造体。   In the pseudo joint structure using the two connecting members with respect to the one elastic resilient member, the two connecting members include one continuous connecting member. In addition, the pulley means is arranged at the connecting end portion of the stretchable elastic member, and the substantially central portion of the one continuous connecting member is folded and communicated with the pulley means. The pseudo-joint structure according to any one of claims 1 to 16, wherein 当該2本の伸縮性弾発部材に対して、二本の当該連結部材を使用する当該疑似関節構造体に於いて、当該二本の当該連結部材としては、1本の連続状の連結部材を使用すると共に、当該それぞれの伸縮性弾発部材の接続端部に於いて、個別に滑車手段を配置し、当該1本の連続状の連結部材を、当該滑車手段群と当該関節頭又は当該関節窩との間で襷(たすき)掛け状にした折り返し状態にして連通させた事を特徴とする請求項1乃至18の何れかに記載の疑似関節構造体。   In the pseudo joint structure using the two connecting members with respect to the two stretchable elastic members, the two connecting members include one continuous connecting member. In addition, the pulley means are individually arranged at the connection ends of the respective elastic elastic members, and the one continuous connecting member is connected to the pulley means group and the joint head or the joint. The pseudo joint structure according to any one of claims 1 to 18, wherein the pseudo joint structure is communicated in a folded state in a hooked shape with the fossa. 当該疑似関節構造体が指疑似関節構造体であって、当該個々の指疑似関節部に於いては、実際の人体に於ける個々に対応するそれぞれの指を構成する、それぞれに規定された特定個数(複数個)の指疑似骨部材群のそれぞれに対応する指疑似骨部材群が、その中心線に沿って、略直列状に配置形成されており、且つ、当該それぞれの相互に隣接して配置されている個々の当該指疑似骨部材は、手の甲側に位置する第1の指疑似骨部材の近傍に配置された、当該伸縮性弾発部材に係合する当該連結部材の一方の端部と、当該各指部の先端部位に配置された第N番目の指疑似骨部材の先端部近傍に接合固定されている当該連結部材の他方の端部との間で、相互に接圧状態に置かれており、更に、当該それぞれの相互に隣接して配置されている個々の当該指疑似骨部材のそれぞれの接合端部に形成されている当該関節頭若しくは当該関節窩の少なくとも一部には、当該連結部の少なくとも一部が貫通する様に構成された少なくとも一つの貫通穴部若しくは貫通溝部が設けられている事を特徴とする請求項1至18の何れかに記載の指疑似関節構造体。   The pseudo joint structure is a finger pseudo joint structure, and in each of the finger pseudo joint parts, each finger corresponding to each individual in the actual human body is configured. Finger pseudo-bone member groups corresponding to each of the number (plural) of finger pseudo-bone member groups are arranged and formed in a substantially series shape along the center line, and adjacent to each other. Each of the arranged finger pseudo-bone members is arranged at one end of the connecting member that is disposed in the vicinity of the first finger pseudo-bone member located on the back side of the hand and that engages with the stretchable elastic member. And the other end of the connecting member that is bonded and fixed in the vicinity of the tip of the Nth finger pseudo bone member disposed at the tip of each finger. Each of which is further arranged adjacent to each other. At least one through-hole configured so that at least a part of the connecting part penetrates at least a part of the joint head or the joint fossa formed at each joint end part of the finger pseudo-bone member The finger pseudo-joint structure according to any one of claims 1 to 18, wherein a part or a through groove is provided. 当該疑似関節構造体が肘疑似関節構造体であって、当該肘疑似関節構造体は、当該関節頭と当該関節窩とが係合する関節係合部に対向する端部に、少なくとも一つの疑似上腕骨小頭と隣接して配置されている2個の膨出した疑似上腕骨滑車とが形成された一本の疑似上腕骨部と、それらに対向して、当該関節係合部に隣接配置されている、当該一方の疑似上腕骨滑車と係合する疑似関節環状面部をその一方の端部に有する疑似橈骨と、当該他方の疑似上腕骨滑車と係合する疑似滑車切痕をその一方の端部に有する疑似尺骨とで構成され、且つ当該両者が所望の接圧応力の下で相互に接合固定されていると共に、当該2個の膨出した疑似上腕骨滑車のそれぞれ及び当該疑似滑車切痕並びに当該疑似関節環状面部の略中央部或いはその近傍部に、その内部空間と外気とが連通する連通穴部が設けられると共に、当該連通穴部と接合するか或いは当該連通穴部の近傍部に所定の長さで所定の方向に形成されたその内部空間と外気とを連通する貫通溝部とが配置形成されており、更に、当該疑似上腕骨部の他方の端部に設けられた適宜の固定部材に、適宜の伸度、伸長特性を有するスプリング等からなる伸縮性弾発部材の一方の端部が係合固定されており、当該伸縮性弾発部材の他方の端部は、当該疑似橈骨と当該疑似尺骨の他方の端部に共通して設けられている適宜の固定部材に一方の端部が固定されている2本の線状連結部材のそれぞれの他方の端部と連結されており、且つ、当該2本の線状連結部材の一方の線状連結部材は、当該疑似尺骨の内部から当該疑似滑車切痕部の当該連通穴部及び又は当該貫通溝部を経由して且つ当該一方の疑似上腕骨滑車に於ける当該連通穴部及び又は当該貫通溝部を経由して当該伸縮性弾発部材の一方の端部に連結されており、一方、他方の線状連結部材は、当該疑似橈骨の内部から当該当該疑似関節環状面部の当該連通穴部及び又は当該貫通溝部を経由して且つ当該他方の疑似上腕骨滑車に於ける当該連通穴部及び又は当該貫通溝部を経由して当該伸縮性弾発部材の一方の端部に連結されている事を特徴とする肘疑似関節構造体。   The pseudo-joint structure is an elbow pseudo-joint structure, and the elbow pseudo-joint structure has at least one pseudo-joint at an end facing the joint engaging portion where the joint head and the glenoid fossa are engaged. One pseudo humerus part formed with two bulged pseudo humerus pulleys arranged adjacent to the humeral head and opposite to the joint engaging part A pseudo rib having a pseudo articulated annular surface engaging with the one pseudo humeral pulley at one end thereof, and a pseudo pulley notch engaging with the other pseudo humeral pulley. Each of the two bulged pseudo humerus pulleys and the pseudo pulley cut-offs, each of which is composed of a pseudo ulna at the end and bonded and fixed to each other under a desired contact pressure stress. In the substantially central part of the trace and the pseudo joint annular surface part or in the vicinity thereof, A communication hole portion that communicates between the internal space and the outside air, and the internal space that is joined to the communication hole portion or formed in a predetermined direction at a predetermined length in the vicinity of the communication hole portion; A through-groove portion that communicates with the outside air is arranged and formed, and further, a suitable fixing member provided at the other end of the pseudo humerus portion is made of a spring or the like having suitable elongation and elongation characteristics. One end of the elastic elastic member is engaged and fixed, and the other end of the elastic elastic member is provided in common with the other end of the pseudo rib and the pseudo ulna. Are connected to the other ends of the two linear connecting members, one end of which is fixed to an appropriate fixing member, and one linear of the two linear connecting members The connecting member is connected from the inside of the pseudo ulna to the communication hole of the pseudo pulley notch portion. And / or connected to one end of the stretchable elastic member via the through-groove and via the communication hole and / or the through-groove in the one pseudo-humeral pulley, On the other hand, the other linear connecting member is connected to the communicating hole in the other pseudo humeral pulley from the inside of the pseudo rib via the communicating hole portion and / or the through groove portion of the pseudo joint annular surface portion. An elbow pseudo-joint structure characterized in that the elbow pseudo-joint structure is connected to one end portion of the stretchable elastic member through the portion and / or the through groove portion. 当該2本の線状連結部材は、連続体で構成されている事を特徴とする請求項20に記載の肘疑似関節構造体。   The elbow pseudo-joint structure according to claim 20, wherein the two linear connecting members are constituted by a continuous body. 当該伸縮性弾発部材の一方の端部と当該線状連結部材との接合部に滑車手段が使用されている事を特徴とする請求項21に記載の肘疑似関節構造体。   The elbow pseudo-joint structure according to claim 21, wherein a pulley means is used at a joint portion between one end portion of the stretchable elastic member and the linear connecting member. 当該疑似関節構造体が肩疑似関節構造体であって、当該肩疑似関節構造体は、適宜の中空状内部形状を有する補助支持手段の一部の外表面に固定して取り付けられている凹状くぼみ部を外表面に有する関節窩を有する疑似肩甲骨と、当該関節窩と相互に係合嵌合する関節頭が一方の端部に形成されている疑似上腕骨部とから構成され、且つ当該両者が所望の接圧応力の下で相互に接合固定されており、且つ、当該補助支持手段内部には、その内壁の一部に設けられた適宜の固定手段を介して、その一端部固定把持されている少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材を配置せしめられており、更に、当該それぞれの伸縮性弾発部材の他方の端部には、適宜の強度或は伸度を有する1本或いは2本の連結部材のそれぞれの一端部が接続せしめられており、当該各連結部材のそれぞれの他方の端部は、当該補助支持手段に於ける当該疑似肩甲骨が取り付けられている側の表面に設けられ、当該疑似肩甲骨の両側面側に形成された1個又は2個の穴部にそれぞれ貫通させて、且つ当該関節窩の外表面側部を通過させた後、当該関節頭の表面に設けられた適宜の個々に対応する固定手段に接合固定するか又、当該関節頭の表面に設けられた個々の適宜の個々に対応する貫通孔を介して当該関節頭内部に導入し、当該関節頭内部に設けられた適宜の個々に対応する固定手段に接合固定する様に構成した事を特徴とする   The pseudo-joint structure is a shoulder pseudo-joint structure, and the shoulder pseudo-joint structure is fixedly attached to the outer surface of a part of auxiliary support means having an appropriate hollow internal shape. A pseudo scapula having a glenoid having an outer surface on the outer surface, and a pseudo humerus having a joint head formed on one end of the glenoid that engages and fits with the glenoid. Are joined and fixed to each other under a desired contact pressure stress, and the auxiliary support means is fixedly gripped at one end thereof through appropriate fixing means provided on a part of the inner wall of the auxiliary support means. At least one, preferably two, elastic elastic members having a predetermined elongation and elongation recovery rate are arranged, and further, the other elastic elastic members are arranged at the other end. Is one or two of the appropriate strength or elongation One end of each linking member is connected, and the other end of each of the connecting members is provided on the surface of the auxiliary support means on the side where the pseudo-scapula is attached, After passing through one or two holes formed on both sides of the pseudoscapula and passing through the outer surface side of the glenoid, it was provided on the surface of the joint head It is joined and fixed to appropriate individually corresponding fixing means, or is introduced into the joint head through each appropriate individually corresponding through hole provided on the surface of the joint head. It is characterized in that it is configured to be joined and fixed to fixing means corresponding to each appropriate provided. 当該それぞれの伸縮性弾発部材に接合される2本の連結部材は、一本の連続した線状体で構成されている事を特徴とする請求項23に記載の肩疑似関節構造体。   24. The shoulder pseudo-joint structure according to claim 23, wherein the two connecting members joined to the respective elastic elastic members are formed of a single continuous linear body. 当該それぞれの伸縮性弾発部材に接合される一連の連結部材は、一本の連続した線状体で構成されている事を特徴とする請求項23又は24に記載の肩疑似関節構造体。 25. The shoulder pseudo-joint structure according to claim 23 or 24, wherein the series of connecting members joined to the respective elastic elastic members are constituted by one continuous linear body. 当該それぞれの伸縮性弾発部材と当該連結部材との接合部には滑車手段が設けられている事を特徴とする請求項23乃至25の何れかに記載の肩疑似関節構造体。   The shoulder pseudo joint structure according to any one of claims 23 to 25, wherein a pulley means is provided at a joint portion between each of the elastic elastic members and the connecting member. 当該疑似関節構造体が股疑似関節構造体であって、当該股疑似関節構造体は、適宜の中空状内部形状を有する補助支持手段の一部の外表面に固定して取り付けられている疑似寛骨臼窩を有する疑似寛骨と、その一端部に疑似上腕骨頭が形成されている疑似大腿骨部とから構成されており、且つ当該両者が所望の接圧応力の下で相互に接合嵌合固定されており、且つ、当該補助支持手段内部には、その内壁の一部に設けられた適宜の固定手段を介して、その一端部固定把持されている少なくとも1本、好ましくは2本の、所定の伸度、伸長回復率を有する伸縮性弾発部材を配置せしめられており、更に、当該それぞれの伸縮性弾発部材の他方の端部には、適宜の強度或は伸度を有する1本或いは2本の線状の連結部材のそれぞれの一端部が接続せしめられており、当該各連結部材のそれぞれの他方の端部は、当該補助支持手段に於ける当該疑似寛骨が取り付けられている側の表面に設けられた穴部或いはスリット部(切溝)にそれぞれ貫通させた後、当該各線状連結部材のそれぞれを、当該疑似寛骨に形成されている疑似寛骨臼窩に相当する底面部に設けられている挿通穴を介して、当該疑似上腕骨頭の外表面に形成された挿通穴を経由して当該疑似上腕骨頭の内部に導入され、そこで、適宜の固定手段によって、当該疑似上腕骨頭の外部表面に接合固定されている事を特徴とする股疑似関節構造体。   The pseudo joint structure is a hip joint structure, and the hip joint structure is fixedly attached to an outer surface of a part of auxiliary support means having an appropriate hollow internal shape. It consists of a pseudo hipbone with an acetabular fossa and a pseudo femur with a pseudo humeral head formed at one end of the pseudo hip bone. The auxiliary support means is fixed, and at least one, preferably two, of which one end is fixed and held via appropriate fixing means provided on a part of the inner wall of the auxiliary support means. A stretchable elastic member having a predetermined elongation and elongation recovery rate is disposed, and the other end of each stretchable elastic member has an appropriate strength or elongation. One end of each of the two or two linear connecting members is connected The other end of each of the connecting members is a hole or a slit (a kerf) provided on the surface of the auxiliary support means on the side where the pseudo-bone is attached. Each of the linear connecting members is inserted into the pseudo-humeral head via an insertion hole provided in a bottom surface portion corresponding to the pseudo-acetabular acetabulum formed in the pseudo-acetabulum. The hip is introduced into the pseudo humeral head via an insertion hole formed on the outer surface of the pseudo humeral head, and is joined and fixed to the external surface of the pseudo humeral head by an appropriate fixing means. Pseudo joint structure. 当該疑似大腿骨部の当該疑似上腕骨頭224に近接する部位に、適宜の深さ、長さを有し、且つ異なる方向に配列形成された複数個の溝部が設けられている事を特徴とする請求項27に記載の股疑似関節構造体。   A plurality of grooves having an appropriate depth and length and arranged in different directions are provided in a portion of the pseudo femur that is close to the pseudo humeral head 224. The hip pseudo joint structure according to claim 27. 股疑似関節構造体は、当該伸縮性弾発部材に平行して、当該伸縮性弾発部材の伸度、伸長回復率等が異なる別の伸縮性弾発部材を配置し、当該別の伸縮性弾発部材の一方の端部を適宜の固定手段を介して当該補助支持手段内の内壁の一部に取り付けると共に、当該別の伸縮性弾発部材の他方の端部に適宜の強度或は伸度を有する別の線状の連結部材の一端部を接続させ、当該別の線状連結部材の他方の端部を当該補助支持手段の表面部に形成された穴部若しくはスリットを貫通させて、且つ当該疑似寛骨の底面部に設けられている適宜の挿通穴を通って、当該関節頭5の外表面近傍に設けられた出口穴から外部に出て、当該疑似上腕骨頭の表面湾曲状面に沿って配置された後、当該疑似上腕骨頭上に形成された適宜の挿通穴から当該疑似大腿骨部内部に挿入され、そこで、適宜の接合手段により固定されている事を特徴とする請求項27又は28に記載の股疑似関節構造体。   The hip artificial joint structure is arranged in parallel with the stretchable elastic member by arranging another stretchable elastic member having different elasticity, elongation recovery rate, etc. One end of the elastic member is attached to a part of the inner wall of the auxiliary support means via an appropriate fixing means, and the other end of the other elastic elastic member has an appropriate strength or extension. Connecting one end of another linear coupling member having a degree, and penetrating the other end of the other linear coupling member through a hole or slit formed in the surface portion of the auxiliary support means, And the surface curved surface of the pseudo humeral head passes through an appropriate insertion hole provided in the bottom surface of the pseudo hipbone and exits from an exit hole provided in the vicinity of the outer surface of the joint head 5. After being placed along the pseudo-thigh from the appropriate insertion hole formed on the pseudo-humeral head Inserted inside parts where the crotch pseudo joint structure according to claim 27 or 28, characterized in that is fixed by an appropriate joining means. 当該一本の線状連結部材若しくは一本の別の線状連結部材に、複数本の当該伸縮性弾発部材若しくは複数本の当該別の伸縮性弾発部材が連結されている事を特徴とする請求項27乃至29の何れかに記載の股疑似関節構造体。   A plurality of the elastic elastic members or a plurality of the other elastic elastic members are connected to the one linear connecting member or another linear connecting member. The hip pseudo joint structure according to any one of claims 27 to 29. 当該疑似関節構造体が膝疑似関節構造体であって、当該膝疑似関節構造体は、一方の端部先端部に、関節頭として機能する突起部がそれぞれ設けられている疑似内側顆と疑似外側顆が並列的に配置形成されている疑似大腿骨部と、当該疑似内側顆と当該疑似外側顆に個別に形成されている当該突起部のそれぞれと個別に嵌合係合し関節窩として機能しうる凹み状の平坦面を有する疑似内側顆と疑似外側顆とが一方の端部先端部に設けられた疑似脛骨とが、当該関節頭と当該関節窩とを介して直列状に、所望の接続圧力の下で、連結係合固定されている構成を有しており、且つ、両者の連結係合固定は、当該疑似大腿骨部内若しくはそれに接続して設けられている適宜の補助支持部内に配置され、その一方の端部が、当該補助支持部に接合固定されている、適宜の伸度、伸長特性を有する少なくとも一本、好ましくは2本の伸縮性弾発部材と、当該個々の伸縮性弾発部材の他方の端部に、一方の端部が連結された適宜の強度或いは伸度を有する線状の連結部材の他方の端部を、当該疑似大腿骨の内部空間部を挿通させた後、当該疑似大腿骨の下端部近傍部位に設けられた適宜の形状を有する穴若しくはスリット等から当該疑似大腿骨の外表面に導出させ、そのまま当該疑似膝関節構造体の外表面の片側若しくは両側面側を移行させた後、当該疑似脛骨の上端部の適宜の部位に設けた挿入穴部或いは挿入スリットから当該連結部材を当該疑似脛骨の内部に導入させ、その部位で適宜の固定手段を介して固定保持する様に構成されている事を特徴とする膝疑似関節構造体。   The pseudo-joint structure is a knee pseudo-joint structure, and the knee pseudo-joint structure has a pseudo medial condyle and a pseudo lateral side, each of which has a protrusion functioning as a joint head at the tip of one end. It functions as a glenoid joint by engaging and engaging with each of the pseudo femur part in which the condyles are arranged in parallel and the projection part individually formed on the pseudo medial condyle and the pseudo lateral condyle. Pseudo medial condyle and pseudo lateral condyle having a dent-like flat surface and a pseudo tibia provided at one end tip are connected in series via the joint head and the glenoid in a desired manner. It has a configuration in which the coupling engagement is fixed under pressure, and both the coupling engagement and fixation are arranged in the pseudo femur or in an appropriate auxiliary support provided to be connected thereto. One end of which is fixed to the auxiliary support One end is connected to at least one, preferably two stretchable elastic members having appropriate elongation and elongation characteristics, and the other end of each of the elastic stretchable members. After the other end portion of the linear connecting member having the appropriate strength or elongation inserted through the internal space portion of the pseudo femur, an appropriate portion provided in the vicinity of the lower end portion of the pseudo femur After being led to the outer surface of the pseudo femur from the hole or slit having the shape of the above, and moving one side or both sides of the outer surface of the pseudo knee joint structure as it is, the upper end of the pseudo tibial is appropriately The knee is configured such that the connecting member is introduced into the pseudo tibia from an insertion hole or an insertion slit provided in the part, and is fixed and held through appropriate fixing means at the part. Pseudo joint structure. 当該1本若しくは2本の伸縮性弾発部材の何れか若しくはその双方に平行して当該線状の連結部材と同一或いは異なる伸度、強度を有する補助線状連結部材を更に配置、使用するものであり、当該各補助線状連結部材の一方の端部を、当該疑似大腿骨の上端部の適宜の部位に於いて、適宜の固定手段を介して着脱自在に接合係合させると共に、当該補助線状連結部材の他方の端部を、当該伸縮性弾発部材と当該線状連結部材との接合部に接合させた事を特徴とする膝疑似関節構造体。   Auxiliary linear connecting member having the same or different elongation and strength as the linear connecting member in parallel with either or both of the one or two elastic elastic members And one end of each auxiliary linear connecting member is detachably joined and connected via an appropriate fixing means at an appropriate portion of the upper end of the pseudo femur. A knee pseudo-joint structure characterized in that the other end of the linear connecting member is joined to the joint between the stretchable elastic member and the linear connecting member. 当該膝疑似関節構造体は、更に、2本の補強線条体を相互に平行して当該疑似膝関節構造体280の内部に配置する構成を有するものであって、当該各補強線条体の一方の端部は、当該補助支持部の上端部で、当該伸縮性弾発部材が固定配置されている部位の近傍に着脱自在の接合手段を介して、着脱自在に取り付けられていると共に、当該各補強線条体の他方の端部は、当該疑似大腿骨の内部を通過せしめられて、当該疑似大腿骨の下端部の下面に設けられた当該疑似内側顆と当該疑似外側顆内若しくはそれらの近傍部位に設けられた適宜の開口部から外部に導出させ、その後、当該2本の補強線条体を適宜の形状で相互に交差させた後に、当該疑似脛骨の上端部の上表面に設けた適宜の開口部から当該疑似脛骨内部に導入せしめ、当該疑似脛骨内部に設けられた適宜の接合固定手段に固定接合されている事を特徴とする請求項32に記載の膝疑似関節構造体。   The knee pseudo-joint structure further has a configuration in which two reinforcing striates are arranged inside the pseudo-knee joint structure 280 in parallel with each other. One end portion is an upper end portion of the auxiliary support portion, and is detachably attached via a detachable joining means in the vicinity of a portion where the stretchable elastic member is fixedly arranged. The other end of each reinforcing striatum is passed through the inside of the pseudo femur, and the pseudo medial condyle and the pseudo lateral condyle provided in the lower surface of the lower end of the pseudo femur or those After being led to the outside through an appropriate opening provided in the vicinity, and then intersecting each other in the appropriate shape, the two reinforcing filaments were provided on the upper surface of the upper end of the pseudo-tibia Introduce into the pseudo-tibia through an appropriate opening Knee pseudo joint structure according to claim 32, characterized in that is fixedly joined to an appropriate bonding fixing means provided in the tibia. 当該膝疑似関節構造体は、更に、疑似大腿骨部と当該疑似脛骨部との接合部の周縁部の一部と対向して、揺動可能な状態で配置されている膝蓋骨が設けられており、且つ当該膝蓋骨は、その一端部が適宜の固定部材に固定されている適宜の伸縮性弾発部材の他方の端部とその一方が接続されている1本或いは複数本の適宜の接続線状体のそれぞれの他方の端部と接合されていると共に、その他方の端部が当該疑似脛骨部の上端部近傍部に固定されている1本或いは複数本の適宜の別の接続線状体のそれぞれの一方の端部と接続されている事を特徴とする請求項31乃至33の何れかに記載の膝疑似関節構造体。 The knee pseudo joint structure is further provided with a patella arranged in a swingable state facing a part of the peripheral portion of the joint portion of the pseudo femur and the pseudo tibia. In addition, the patella has one or more appropriate connecting wires connected to the other end of an appropriate elastic elastic member whose one end is fixed to an appropriate fixing member. One or a plurality of other appropriate connecting linear bodies that are joined to each other end of the body and whose other end is fixed to the vicinity of the upper end of the pseudo-tibial portion. The knee pseudo joint structure according to any one of claims 31 to 33, wherein the knee pseudo joint structure is connected to one end of each. 当該伸縮性弾発部材と、当該線状の連結部との接合係合部には、適宜の滑車手段ヶ設けられている事を特徴とする請求項31乃至35の何れかに記載の膝疑似関節構造体。   36. The knee simulation according to any one of claims 31 to 35, wherein an appropriate pulley means is provided in a joint engagement portion between the stretchable elastic member and the linear connecting portion. Joint structure. 当該疑似関節構造体が足首疑似関節構造体であって、当該足首疑似関節構造体は、下端部に、疑似脛骨の疑似下端部関節面と、疑似腓骨の疑似下端部内面と、疑似脛骨の下端部内面並びに、疑似腓骨の疑似下端部内面とが一体的且つ連続的に形成され、疑似関節窩が形成されている疑似脚部と、当該疑似脚部に対して直交或いはそれに近い角度で交差接合されている疑似足先部であって、当該疑似足先部の一部に設けられている疑似距骨の上面に形成された疑似関節頭の機能を有する疑似距骨滑車を介して、当該疑似脚部と当該疑似足先部とが所望の接圧応力の下で相互に接合嵌合固定されており、且つ、当該疑似脚部と当該疑似足先部とは、当該疑似脚部の上方端部の適宜の部位に設けられた適宜の固定手段にその一端部が固定された当該伸縮性弾発部材を、当該疑似脚部の内部空間部内に配置すると同時に、当該伸縮性弾発部材の他方の端部に適宜の強度、伸度を有する適宜の線状の連結部材の一方の端部を接続させ、その他方の端部を当該疑似関節窩が形成されている疑似脚部の下端部に設けられている疑似拒腿関節の表面に形成された、一つ或いは複数個の穴部を介して一旦外部に導出された後、当該疑似関節頭が形成されている疑似拒骨の外表面に形成されている一つ或いは複数個の穴部若しくはスリット状の溝部を介して当該疑似足先部の内部空間内に導入され、疑似足先部の内面に設けられた適宜の固定手段を介して接続固定されている事を特徴とする足首疑似関節構造体。   The pseudo joint structure is an ankle pseudo joint structure, and the ankle pseudo joint structure has a pseudo lower end joint surface of a pseudo tibia, a pseudo lower end inner surface of a pseudo rib, and a lower end of the pseudo tibial at a lower end portion. The joint inner surface and the pseudo lower end inner surface of the pseudo rib are integrally and continuously formed, and the pseudo leg part in which the pseudo glenoid is formed is cross-joined at an angle orthogonal to or close to the pseudo leg part. Pseudo pseudo toe portion, via the pseudo talar pulley having the function of a pseudo joint head formed on the upper surface of the pseudo talar provided in a part of the pseudo toe portion. And the pseudo toe portion are joined and fixed to each other under a desired contact pressure stress, and the pseudo leg portion and the pseudo toe portion are located at the upper end of the pseudo leg portion. The one end part is fixed to an appropriate fixing means provided at an appropriate part. The compressible elastic member is disposed in the internal space of the pseudo leg portion, and at the same time, one of the appropriate linear connecting members having appropriate strength and elongation at the other end of the elastic elastic member. One or a plurality of holes formed on the surface of the pseudo-rejection joint provided at the lower end of the pseudo leg where the pseudo glenoid fossa is formed with the other end connected After being led to the outside through the part, the pseudo-joint is formed through one or a plurality of holes or slit-like grooves formed on the outer surface of the pseudo-necrotic bone in which the pseudo-joint head is formed. An ankle pseudo-joint structure characterized in that it is introduced into the internal space of the toe portion and connected and fixed through appropriate fixing means provided on the inner surface of the pseudo toe portion. 当該伸縮性弾発部材の当該他方の端部には、複数本の線状の連結部材の一方の端部のそれぞれが接続されており、当該複数本の線状の連結部材は、相互に平行に当該疑似脚部と当該疑似足先部の内部に配置されている事を特徴とする請求項36に記載の足首疑似関節構造体。   One end of each of the plurality of linear connecting members is connected to the other end of the elastic elastic member, and the plurality of linear connecting members are parallel to each other. 37. The ankle pseudo joint structure according to claim 36, wherein the ankle pseudo joint structure is disposed inside the pseudo leg and the pseudo foot tip. 当該複数本の線状の連結部材は、一本の連続した線状の連結部材で構成されており、且つ当該線状の連結部材と当該伸縮性弾発部材との接合部には、適宜の滑車手段が設けられている事を特徴とする請求項36又は37に記載の足首疑似関節構造体。   The plurality of linear connecting members are composed of one continuous linear connecting member, and an appropriate portion is provided at the joint between the linear connecting member and the elastic resilient member. 38. The ankle pseudo joint structure according to claim 36 or 37, wherein a pulley means is provided. 請求項1乃至38に規定された個々の疑似関節構造体から選択された複数種の当該疑似関節構造体群が長手方向に相互に連続して接合されている事を特徴とする関節脱臼整復処理訓練用装置。   A joint dislocation reduction process characterized in that a plurality of types of pseudo joint structures selected from the individual pseudo joint structures defined in claims 1 to 38 are joined together in the longitudinal direction. Training equipment. 基板を有し、当該基板の上面部の略半分の領域は、滑り止め部材で被覆された平坦面部と、当該基板の残りの約半分の領域には、所定の高さを持つ湾曲状に上方に、その一部を除き密閉状に膨出形成された格納庫部が配置されており、且つ当該格納庫部の内部には、疑似肩関節部の関節機能を制御する為のスプリング機構部の少なくとも一部が格納されており、更には、当該格納部の、当該基板の長手方向線に対向する部分に形成された開口部からは、当該スプリング機構部に連動する当該疑似肩関節部が外方に突出せしめられており、更に当該疑似肩関節部の外方端部である、疑似上腕骨部の先端部には、適宜の疑似肘関節部と適宜の疑似指関節部とが、それぞれの疑似関節部の長手方向に沿って、直列状に接合一体化されており、且つ、それぞれの当該疑似関節部は、人間の皮膚の外観、触感、色、弾力性に近似させた円筒状中空体を呈する合成樹脂膜状体で被覆されている事を特徴とする関節脱臼整復処理訓練用装置。   The substrate has a substantially half area of the upper surface portion of the substrate, a flat surface portion covered with a non-slip member, and the other half region of the substrate is curved upward with a predetermined height. In addition, a hangar portion that is formed in a sealed shape except for a part thereof is disposed, and at least one spring mechanism portion for controlling the joint function of the pseudo shoulder joint portion is disposed inside the hangar portion. From the opening formed in a portion of the storage portion facing the longitudinal line of the substrate, the pseudo shoulder joint portion interlocked with the spring mechanism portion is outward. Further, an appropriate pseudo-elbow joint and an appropriate pseudo-finger joint are provided at the distal end of the pseudo humerus, which is the outer end of the pseudo-shoulder joint. Are joined and integrated in series along the longitudinal direction of the part, and Each of the pseudo-joint portions is covered with a synthetic resin film-like body that has a cylindrical hollow body that approximates the appearance, feel, color, and elasticity of human skin. Processing training equipment. 当該疑似肩関節部の外方端部である、疑似上腕骨部の先端部内部には、当該疑似肘関節部の機能を制御する為の別のスプリング機構部が内蔵され、当該疑似肘関節部外側にある疑似橈骨と疑似尺骨の内部には、当該別のスプリング機構部と連携する連結ひも状部が配置され且つその端部は、当該疑似橈骨と当該疑似尺骨の内部の適宜の部位に固定されており、更に、当該疑似肘関節部の当該疑似橈骨と当該疑似尺骨の何れかの外方端部の内部には、当該疑似指関節部の機能を制御する為の更に別のスプリング機構部が内蔵されると同時に、当該疑似指関節部が長手方向にかつ外方部に向けて接続形成されている事を特徴とする請求項40に記載の関節脱臼整復処理訓練用装置。

Another spring mechanism for controlling the function of the pseudo elbow joint is built in the tip of the pseudo humerus, which is the outer end of the pseudo shoulder joint, and the pseudo elbow joint Inside the pseudo rib and pseudo ulna on the outside, a connecting string-like portion that cooperates with the other spring mechanism is arranged, and its end is fixed to an appropriate part inside the pseudo rib and the pseudo ulna Furthermore, another spring mechanism part for controlling the function of the pseudo finger joint part is provided inside the outer end part of either the pseudo rib or the pseudo ulna of the pseudo elbow joint part. 41. The joint dislocation reduction processing training apparatus according to claim 40, wherein the pseudo-finger joint portion is connected and formed in the longitudinal direction and toward the outer portion at the same time as the is incorporated.

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