Journal of Orthopaedic Science最新文献

{"title":"The influence of age, biological sex, anthropometrics, and neck characteristics on external occipital protuberance size.","authors":"Caleb Burruss, Anita Vasavada, Claire Terhune, Kaitlin Gallagher","doi":"10.1016/j.jos.2024.10.013","DOIUrl":"10.1016/j.jos.2024.10.013","url":null,"abstract":"<p><strong>Background: </strong>40-45 % of the population presents with enlarged external occipital protuberances (EEOPs), which can lead to pain. EEOP occurrence is higher in younger males; however, the reason is debated. We used plane lateral radiographs to investigate how anthropometrics, age, biological sex, head and neck kinematics, and neck strength differ between those with and without an EEOP.</p><p><strong>Methods: </strong>Data was compiled across four study samples, which included lateral radiographs taken in a neutral neck posture (n = 102, 50% females). An enlarged EOP was defined as being longer than 10 mm, and this threshold was used to classify participants as having a presence or absence of an EEOP. Statistical analyses were used to compare outcome measures between those with and without an EEOP presence for age, biological sex, skull angle, intervertebral joint angle (C1-C2 through C6-C7), and neck strength (flexion and extension).</p><p><strong>Results: </strong>Twenty-four percent of participants (19 males and five females, p = 00.002 for biological sex differences) presented with an EEOP; only one was over 30 years old. There were no significant main effects on the skull and intervertebral joint angles, participant anthropometrics, or neck strength.</p><p><strong>Conclusions: </strong>This study confirmed that enlarged EOPs are more prevalent in males; however, neck posture and other anthropometrics do not differ with the presence or absence of an EEOP.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incremental cost-effectiveness ratio between titanium plate and hydroxyapatite block spacers in cervical laminoplasty for degenerative cervical myelopathy.","authors":"Yujiro Kagami, Hiroaki Nakashima, Naoki Segi, Sadayuki Ito, Jun Ouchida, Keisuke Ogura, Ryuichi Shinjo, Shiro Imagama","doi":"10.1016/j.jos.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.003","url":null,"abstract":"<p><strong>Introduction: </strong>Laminoplasty is a widely used surgical procedure to decompress the cervical spinal cord. Recently, titanium plates (TPs) have been used instead of conventional hydroxyapatite block (HA) spacers to prevent laminar reclosure. However, no study has compared the cost-effectiveness of TP and HA. Therefore, this study aimed to compare the cost-effectiveness and postoperative outcomes of laminoplasty using TP or HA.</p><p><strong>Methods: </strong>A total of 167 patients who underwent cervical laminoplasty at our institution were included in this study. Patients with cervical spinal cord injury, epidural hematoma, or follow-up of <1 year were excluded. Of the 167 patients, 69 underwent laminoplasty using TP (the TP group), and 98 underwent laminoplasty using HA (the HA group). The surgical costs and incremental cost-effectiveness ratio (ICER) were compared between the two groups. Additionally, the operation time, complications, Japanese Orthopaedic Association score, Hirabayashi recovery rate, and pre and postoperative cervical alignment on X-ray images were investigated.</p><p><strong>Results: </strong>The surgical costs were significantly higher in the TP group than in the HA group (HA, 7255 ± 1504 USD vs. TP, 11,642 ± 2492 USD, p < 0.01). The ICER was 21,935 USD per quality-adjusted life year in the TP group. The operation time was shorter in the TP group than in the HA group (HA, 70.0 ± 22.5 min vs. TP, 63.6 ± 19.3 min, p = 0.06). The Hirabayashi recovery rate and radiographic parameters were similar between the two groups. Implant displacements were significantly more common in the HA group than in the TP group (HA, 11.2 % vs. TP, 0 %, p < 0.01).</p><p><strong>Conclusions: </strong>The surgical costs and ICER with TPs were higher than those with HA spacers. However, no difference in the Hirabayashi recovery rate and postoperative radiological parameters was observed between the two groups, although the HA group had more implant displacements.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Large cohort study on prevention strategies for dislocation in total hip arthroplasty.","authors":"Makoto Iwasa, Ichiro Nakahara, Hidenobu Miki","doi":"10.1016/j.jos.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.001","url":null,"abstract":"<p><strong>Background: </strong>Dislocation is a major complication of total hip arthroplasty (THA). This study aimed to assess the dislocation rate after THA using the combined strategy of using CT-based navigation, large diameter heads, and posterior soft tissue repair in a large cohort.</p><p><strong>Methods: </strong>We included 1410 patients who had undergone primary cementless THA using the CT-based navigation system. The posterior approach was used by a single surgeon for all patients. The participants included 143 (10.1 %) men and 1267 (89.9 %) women, with a mean age of 65 years. The mean body mass index was 24 kg/m2. Additionally, the incidence rate of postoperative dislocation per year was calculated. The dislocation onset was classified as early when the dislocation occurred within 2 years of the primary THA and late when it occurred more than 2 years after the primary THA. Recurrence and revision rates in patients with dislocations were investigated.</p><p><strong>Results: </strong>The postoperative dislocation rate was 0.56 % (8 patients). The mean time to dislocation onset was 11.2 (0.5-20.0) months postoperatively. All postoperative dislocations occurred in the early phase whereas none in the late phase, showing a significant difference (p < 0.01). Six (0.43 %) patients experienced recurrent dislocations or required revision.</p><p><strong>Conclusions: </strong>THA using the combined strategy resulted in low dislocation rates, especially without late dislocation.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of locomotive syndrome on knee pain in severe knee osteoarthritis.","authors":"Tatsuru Sonobe, Takuya Nikaido, Miho Sekiguchi, Yoichi Kaneuchi, Tadashi Kikuchi, Yoshihiro Matsumoto","doi":"10.1016/j.jos.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.010","url":null,"abstract":"<p><strong>Background: </strong>Locomotive syndrome (LS) presents symptoms related to decreased mobility due to musculoskeletal disorders. Knee osteoarthritis (KOA) is a significant public health concern linked to age-related musculoskeletal issues and is among the conditions contributing to LS. Age-related lower extremity muscle weakness exacerbates knee pain in KOA, but the impact of LS on knee pain is not clear, prompting the present investigation.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of 76 participants (152 knee joints) with bilateral severe KOA scheduled for total knee arthroplasty. The study investigated the association between the Knee Injury and Osteoarthritis Outcome Score (KOOS) pain subscale and LS using a multiple linear regression model, which included covariates and scaled estimated regression coefficients.</p><p><strong>Results: </strong>LS had a negative impact on KOOS pain (β: 0.35, 95 % confidence interval [CI]: 24.08; -6.05) (p < 0.05) and high self-efficacy had a positive impact (β: 0.25, 95%CI: 1.27; 16.34) (p < 0.05). Age, gender, BMI, Kellgren-Lawrence grade, and Central Sensitization did not influence KOOS pain.</p><p><strong>Conclusions: </strong>Our findings demonstrate that LS negatively affected knee pain while self-efficacy positively affected it. LS has been attracting attention in relation to mobility, but the fact that it also affected the knee pain in severe KOA is an important clinical finding. Further research is required to focus on the relationship between the prevention and improvement of LS, and knee pain in severe KOA.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical simulation of curved periacetabular osteotomy in four types of developmental dysplasia of the hip using finite element analysis and identification of the optimal rotation angle of the osteotomized bone.","authors":"Takahiro Igei, Satoshi Nakasone, Masato Ishihara, Masamichi Onaga, Fumiyuki Washizaki, Sakura Kuniyoshi, Kotaro Nishida","doi":"10.1016/j.jos.2024.10.008","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.008","url":null,"abstract":"<p><strong>Background: </strong>Patients with developmental dysplasia of the hip (DDH) undergo curved periacetabular osteotomy (CPO) to prevent progressive osteoarthritis. The acetabulum's morphology varies with in each DDH type. Therefore, developing a three-dimensional preoperative plan is important in CPO. However, the optimal rotation angle of the osteotomized bone remains unclear. This study aimed to examine the contact pressure (CP) of the acetabular cartilage in each DDH type using the finite element analysis and the optimal rotation angle of the osteotomized bone in surgical simulation.</p><p><strong>Methods: </strong>This study included 23 patients (24 hips) with DDH who underwent CPO. The DDH type was determined based on a previously reported DDH type classification using radar charts. Four patients, with each patient presenting with one deficiency type, were selected for analysis. The preoperative computed tomography scan data of each patient were analyzed using a finite element analysis software. Based on each DDH type, the following CPO models were established: the preoperative model, the model rotated 10°, 20°, 30°, and 40° laterally, each lateral rotation model with 10° anterior rotation, and each lateral rotation model with 10° external rotation. Furthermore, the acetabular cartilage and the femoral head cartilage were created. The mesh model based on a 4-mm tetrahedron was generated from the CPO model. The load was set in the one-leg standing position (femur: 500 N, grater trochanter: 1000 N). The medial pubic bone, distal femur, and superior rim of the ilium were constrained. The CP of the acetabular cartilage and the number of contact surfaces in each model were evaluated. The rotation angle that was most effective in reducing the CP was examined.</p><p><strong>Results: </strong>According to the mean CP, the optimal rotation angles of the osteotomized bone in mild, anterior, posterior, and global type deficiencies were 20° laterally, 30° laterally, 30° laterally with 10° anterior rotation, and 30° laterally with 10° anterior rotation, respectively. Based on the contour diagram, the CPO models rotated anteriorly or externally increased the contact surface. The CP of the models rotated 40° laterally did not improve to greater extent than that of the models rotated 30° laterally.</p><p><strong>Conclusions: </strong>The optimal rotation angle of the osteotomized bone should be determined based on the DDH type.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The difference in second - third metatarsal length is associated with the risk of dislocation or arthritic change in the second metatarsophalangeal joint in patients with hallux valgus.","authors":"Dan Moriwaki, Tomoyuki Nakasa, Yasunari Ikuta, Shingo Kawabata, Satoru Sakurai, Saori Ishibashi, Nobuo Adachi","doi":"10.1016/j.jos.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.005","url":null,"abstract":"<p><strong>Background: </strong>Chronic mechanical stress on the second metatarsal head (2 MH) can be a risk factor for osteoarthritis (OA) and dislocation of the second metatarsophalangeal joint (2MTPJ) in hallux valgus (HV). This study aimed to investigate the stress distribution of the 2 MH in HV patients and determine the factors associated with dislocation and OA of the 2MTPJ.</p><p><strong>Methods: </strong>In total, 115 feet with HV were retrospectively reviewed and divided into two groups: those with subluxation or dislocation of the 2MTPJ (group D, 27 feet) and those without (group N, 88 feet). The control group (group C) included 33 feet without HV. Group N was divided into OA and non-OA (NOA) groups according to the presence or absence of OA of the 2MTPJ. The Hounsfield Unit (HU) value of the subchondral bone of the 2 MH was measured on sagittal slices of the preoperative computed tomography images and divided by the HU value of the navicular region (HU ratio). The relationship between the HU ratios and radiographic parameters was compared.</p><p><strong>Results: </strong>The HU ratios were significantly higher in group N than those in groups C and D. In group N, the protrusion of the second metatarsal relative to the third and fourth metatarsals (M2-M3, M2-M4) was positively correlated with the dorsal and central HU ratios, respectively. Group D had a significantly larger HV angle (HVA) and M2-M3 than group N. HVA, the first-second intermetatarsal angle, M2-M3, M2-M4, and dorsal and central HU ratios were significantly larger in the OA group than in the NOA group. The cutoff value of M2-M3 was 5.5 mm when comparing groups D and N, and 4.4 mm when comparing the OA and NOA groups.</p><p><strong>Conclusions: </strong>Severe HV and a longer M2-M3 and M2-M4 may be associated with a high risk of dislocation and OA of the 2MTPJ.</p><p><strong>Level of evidence: </strong>Ⅲ.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of nutritional status in patients with metastatic spinal tumors who underwent palliative surgery.","authors":"Masahiro Iinuma, Tsutomu Akazawa, Yoshiaki Torii, Jun Ueno, Atsuhiro Yoshida, Ken Tomochika, Takahiro Hideshima, Naoki Haraguchi, Hisateru Niki","doi":"10.1016/j.jos.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.jos.2024.10.007","url":null,"abstract":"<p><strong>Background: </strong>Preoperative nutritional status significantly affects postoperative outcomes in patients with metastatic spinal tumors. Understanding the relationship between nutritional status and survival rates can help optimize treatment strategies and improve patient outcomes.</p><p><strong>Methods: </strong>This retrospective study was performed on 57 patients who underwent palliative surgery between May 2009 and April 2023. Various indicators of nutritional status including the Japanese-modified Glasgow Prognostic Score (JmGPS), C-reactive protein-to-albumin ratio (CAR), and prognostic nutrition index (PNI) were evaluated.</p><p><strong>Results: </strong>Results showed that a lower JmGPS and CAR and a higher PNI were associated with a longer survival after surgery. Patients with a JmGPS score of 0 had a better postoperative performance status, higher likelihood of postoperative chemotherapy, and a greater median survival (>1 year). Further, CAR and PNI were predictive indicators of a better postoperative performance status and the implementation of chemotherapy.</p><p><strong>Conclusion: </strong>Assessing preoperative nutritional status can predict survival and postoperative outcomes in patients with metastatic spinal tumors. The current findings underscore the importance of nutritional assessment in optimizing treatment strategies and improving outcomes.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the key risk factors of keloid formation after repair of syndactyly of the toe?","authors":"Tatsuya Ishigaki ,&nbsp;Shinsuke Akita ,&nbsp;Akikazu Udagawa ,&nbsp;Hiroyuki Suzuki ,&nbsp;Nobuyuki Mitsukawa","doi":"10.1016/j.jos.2023.10.001","DOIUrl":"10.1016/j.jos.2023.10.001","url":null,"abstract":"<div><h3>Purpose</h3><div><span>Keloid formation in </span>toes<span> area is rare. However, occurrence of this phenomenon in toes after the surgery of syndactyly repair has been reported. Risk factors of keloid formation in toes after syndactyly reconstructions are currently unknown. This study aimed to investigate the risk factors of keloid formation after the surgery of syndactyly repair of the toes.</span></div></div><div><h3>Methods</h3><div>We retrospectively reviewed our case series including patients who were treated surgically at our institution. We hypothesized some key factors of keloid formation and analyzed each of them statistically.</div></div><div><h3>Results</h3><div>A total of 105 patients were treated surgically at our hospital, and 9 patients were involved keloid formations after operations. Among our hypothesized key factors, the results of multivariate logistic regression analysis revealed the number of affected web spaces (OR 0.031; 95%CI 0.001–0.684; p = 0.028) was significantly different. Digital enlargement was not a significant factor (OR 17.731; 95%CI 0.686–458.174; p = 0.091).</div></div><div><h3>Conclusion</h3><div>Involving multiple web space was associated with keloid formation after syndactyly release, on the other hand, toe enlargement did not show a significant difference. However, the digital enlargement showed high Odds ratio, we could not deny its high relativity for keloid formation. Further investigations are needed to clarify the key risk factors of keloid formation after the surgery of syndactyly repair of the toes.</div></div>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":"29 6","pages":"Pages 1406-1410"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41203825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of an adapted Arabic version of Scoliosis Japanese Questionnaire-27 in Saudi Arabia","authors":"Abdulmajeed Alzakri","doi":"10.1016/j.jos.2023.10.002","DOIUrl":"10.1016/j.jos.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><div>The Scoliosis<span><span><span> Research Society SRS-22 questionnaire is a standard tool to assess the Health-Related Quality of Life (HRQoL) in scoliosis patients but, because of cultural differences limited use among Arabic patients. The aim is to perform a cross-cultural adaptation and validation of Arabic version of </span>Scoliosis Japanese Questionnaire-27 and test it on Saudi patients with </span>adolescent idiopathic scoliosis (AIS).</span></div></div><div><h3>Methods</h3><div><span>This a cross sectional study<span><span> run between July 2021 and December 2022 recruited 194 patients. The cross-cultural adaptation process was performed using the American Association of Orthopedic Surgeons (AAOS) Outcomes Committee method. All patients had completed the Arabic version of </span>Scoliosis Japanese Questionnaire-27 and SF-12 preoperatively and 3-month postoperatively. The validity and </span></span>internal consistency<span><span> were tested using the Intraclass correlation coefficient (ICC), </span>Cronbach alpha, Pearson correlation coefficient, and confidence interval (CI).</span></div></div><div><h3>Results</h3><div>We analyzed the result of 194 female adolescent patients. The average age is 14 ± 2.4 years (range from 10 to 21 years). The majority of patients have a Lenke type 1 curve (54 %). The overall Cronbach alpha (CA) of all domains of Scoliosis Japanese Questionnaire-27 is 0.92. However, the Cronbach alpha for the mental health (Q17,18,20,21,23,24) and, self-image (Q12-14,22,25,26) are 0.93 and 0.84 respectively.</div></div><div><h3>Conclusion</h3><div>The Arabic version of Scoliosis Japanese Questionnaire-27 is a reliable and valid instrument and can be applied to evaluate the quality of life in patients with AIS.</div></div>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":"29 6","pages":"Pages 1341-1345"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71482770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gap between the prevalence of and consultation rate for lumbopelvic pain in postnatal Japanese women","authors":"Tomoe Inoue-Hirakawa ,&nbsp;Saki Iguchi ,&nbsp;Daisuke Matsumoto ,&nbsp;Yuu Kajiwara ,&nbsp;Tomoki Aoyama ,&nbsp;Rika Kawabe ,&nbsp;Hideshi Sugiura ,&nbsp;Yasushi Uchiyama","doi":"10.1016/j.jos.2023.10.006","DOIUrl":"10.1016/j.jos.2023.10.006","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to assess the prevalence of lumbopelvic pain (LPP), including low back pain (LBP) and/or pelvic girdle pain (PGP), consultation rate, and desire for treatment of postnatal Japanese women.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study of 98 postnatal Japanese women within 1 year of childbirth. We retrospectively evaluated the prevalence of LBP before and during pregnancy and the prevalence of LPP after childbirth using a self-administered questionnaire. We used the distribution of pain to differentiate LBP and/or PGP after childbirth and its intensity was assessed using a visual analogue scale. The effects of LPP on daily life were assessed using the Oswestry disability index (ODI). In addition, we assessed the consultation rate for LPP and the desire to consult a healthcare professional, using self-administered questionnaires.</div></div><div><h3>Results</h3><div>The prevalence of LPP after childbirth was 66%. Women with a history of LBP before and during pregnancy were more likely to have LPP following childbirth (both <em>P</em> &lt; 0.001). The consultation rate among the postnatal women with LPP was 9%, but 56% of the women wished to consult a healthcare professional. The ODI score was significantly higher in postnatal women who wanted to consult a healthcare professional than in those who did not (<em>P</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>Two thirds of the postnatal Japanese women who participated in this study had LPP, but the consultation rate was low. However, more than half of these women had the desire to consult a healthcare professional.</div></div>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":"29 6","pages":"Pages 1353-1358"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71482767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}