Kurume Medical Journal最新文献_第6页

Postoperative Rotation Deformity of Head-Neck Fragments in Unstable Intertrochanteric Fractures Fixed with Intramedullary Nails. 髓内钉固定治疗不稳定转子间骨折头颈部骨折术后旋转畸形。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-10-03 DOI: 10.2739/kurumemedj.MS6912007

Hidehiro Nakamura, Kotaro Jimbo, Shinji Morito, Toshiaki Haraguchi, Yuji Kawasaki, Masafumi Gotoh, Masahiro Shirahama, Kenji Yoshida, Naoto Shiba

{"title":"Postoperative Rotation Deformity of Head-Neck Fragments in Unstable Intertrochanteric Fractures Fixed with Intramedullary Nails.","authors":"Hidehiro Nakamura, Kotaro Jimbo, Shinji Morito, Toshiaki Haraguchi, Yuji Kawasaki, Masafumi Gotoh, Masahiro Shirahama, Kenji Yoshida, Naoto Shiba","doi":"10.2739/kurumemedj.MS6912007","DOIUrl":"10.2739/kurumemedj.MS6912007","url":null,"abstract":"Background: Our purpose was to quantify the postoperative rotation deformity (RD) after osteosynthesis of unstable intertrochanteric fractures (ITFx) using 3D-CT / image processing software, and to clarify the clinical meaning of RD.Methods: Forty-six consecutive patients with unstable intertrochanteric fractures were enrolled in this study. All were fixed with Gamma 3 Trochanteric nail and RC Lag Screw® (Stryker). We performed 3D-CT evaluations for the rotational deformity of head-neck fragments, the medial cortex support (MCS) between main fragments and bone healing at 3 months postoperatively.Results: The RD was significantly larger in the patients without the MCS (5.1 ± 4.0°, N = 9) than those with the MCS (2.4 ± 2.6°, N = 37) (P = 0.006*). Delayed healing (N=3) was observed in patients without the MCS, and the association between RD and delayed healing was significant (P = 0.003*, cut-off value 6.4°, sensitivity 100% and specificity 90.7%, AUC 0.91).Conclusions: This study proposed a novel method of measuring postoperative RD. Lack of MCS may lead to RD and consequent delayed healing in unstable ITFx fixed with intramedullary nails.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reverse Obliquity Intertrochanteric Fracture Treated with a Dynamic Distal Locked Intramedullary Hip Nail. 动态远端锁定髓内钉治疗股骨粗隆间反向倾斜骨折。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-08-07 DOI: 10.2739/kurumemedj.MS6912006

Toru Matsugaki, Hideki Mizu-Uchi, Hideaki Shibata, Yoshitaka Nakanishi, Tsunemasa Matsubara, Yuji Aratake, Takuma Fudo

{"title":"Reverse Obliquity Intertrochanteric Fracture Treated with a Dynamic Distal Locked Intramedullary Hip Nail.","authors":"Toru Matsugaki, Hideki Mizu-Uchi, Hideaki Shibata, Yoshitaka Nakanishi, Tsunemasa Matsubara, Yuji Aratake, Takuma Fudo","doi":"10.2739/kurumemedj.MS6912006","DOIUrl":"10.2739/kurumemedj.MS6912006","url":null,"abstract":"Introduction: The aim of this study was to describe the clinical and radiological results of reverse obliquity intertrochanteric fractures treated with dynamic distal locked intramedullary hip nails.Materials and methods: Patients with a reverse obliquity intertrochanteric fracture (AO/OTA type 31 A3.1 or A3.3) underwent surgical treatment with a dynamic distal locked intramedullary hip nail between August 2017 and September 2020. Fracture type, reduction quality, change in the position of the distal bone fragment, bone union, complications, and walking ability were evaluated.Results: Ten patients with reverse obliquity intertrochanteric fractures (seven females and three males) underwent dynamic distal locked intramedullary hip nailing. The mean age was 72.0 ± 18.9 years. Two patients were classi fied as having A3.1 fractures; eight patients were classified as having A3.3 fractures. Anatomical reduction was achieved in six patients, medial displacement remained in three patients, and lateral displacement remained in one patient postoperatively. In 9 out of 10 patients, the center of the proximal end of the distal bone fragment had moved laterally between the time immediately after surgery and the time of the final evaluation. Bone union was obtained uneventfully without any additional treatments in all patients. There were no complications such as infection or implant failure. Walking ability decreased in four patients.Conclusion: In all patients, bone union was achieved due to good contact of the medial cortices or the migration of the distal bone fragment into the proximal bone fragment. This procedure can be an option for treating reverse obliquity intertrochanteric fractures.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small Cell Neuroendocrine Carcinoma of the Parotid Gland: An Uncommon Example of Incompletely Encapsulated Tumor Including S100 Protein-Positive Clear Cells. 腮腺神经内分泌小细胞癌：包括S100蛋白阳性透明细胞在内的不完全包埋肿瘤的罕见例子。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-10-03 DOI: 10.2739/kurumemedj.MS6912009

Hiroshi Harada, Takeharu Ono, Hideyuki Abe, Akihiko Kawahara, Shin-Ichi Nakatsuka, Keiichiro Honma, Hirohito Umeno, Jun Akiba, Akira Kurose

{"title":"Small Cell Neuroendocrine Carcinoma of the Parotid Gland: An Uncommon Example of Incompletely Encapsulated Tumor Including S100 Protein-Positive Clear Cells.","authors":"Hiroshi Harada, Takeharu Ono, Hideyuki Abe, Akihiko Kawahara, Shin-Ichi Nakatsuka, Keiichiro Honma, Hirohito Umeno, Jun Akiba, Akira Kurose","doi":"10.2739/kurumemedj.MS6912009","DOIUrl":"10.2739/kurumemedj.MS6912009","url":null,"abstract":"Small cell carcinoma is rare in salivary glands and has recently been termed small cell neuroendocrine carcinoma. We herein describe an uncommon example arising in the parotid gland. The patient was a 75 yearold Japanese male who had swelling in the right parotid area. He underwent a superficial lobectomy and, after a histological diagnosis was made, a total parotidectomy. Histologically, the tumor had a thick hyalinized capsule that was incomplete, beyond which the tumor invaded into the surrounding parotid parenchyma. The tumor consisted of typical small basophilic cells intermingled with bland clear cells, between which a gradual transition was observed both inside and outside the capsule. Small basophilic cells were immunoreactive for chromograninA as well as synaptophysin, while clear cells were positive for S100 protein. The Ki-67 labeling rate reached 30-40% at the high points of small basophilic cells, but clear cells were minimally labelled. The present case was considered a dedifferentiated carcinoma of the parotid gland, possibly with acinic cell carcinoma as a precursor. This tumor could also be considered a \"mixed exocrine-endocrine carcinoma,\" which may explain the histogenesis of neuroendocrine carcinomas in non-endocrine organs that are not included in the diffuse (dispersed) neuroendocrine system, such as the parotid gland.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

N-Myc Downstream Regulated Gene-1 May Play an Important Role in the Prognosis of Ovarian Cancer, in Its Association with Beta-Catenin. N-Myc下游调控基因-1可能在卵巢癌症预后中发挥重要作用，其与β-儿茶素的关系。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-10-03 DOI: 10.2739/kurumemedj.MS6912010

Atsumu Terada, Naotake Tsuda, Shingo Tasaki, Jangmyong Park, Hiroki Nasu, Kazuto Tasaki, Takahiro Katsuda, Shin Nishio, Tomohiko Yamaguchi, Sakiko Sanada, Jun Akiba, Michihiko Kuwano, Mayumi Ono, Kimio Ushijima

{"title":"N-Myc Downstream Regulated Gene-1 May Play an Important Role in the Prognosis of Ovarian Cancer, in Its Association with Beta-Catenin.","authors":"Atsumu Terada, Naotake Tsuda, Shingo Tasaki, Jangmyong Park, Hiroki Nasu, Kazuto Tasaki, Takahiro Katsuda, Shin Nishio, Tomohiko Yamaguchi, Sakiko Sanada, Jun Akiba, Michihiko Kuwano, Mayumi Ono, Kimio Ushijima","doi":"10.2739/kurumemedj.MS6912010","DOIUrl":"10.2739/kurumemedj.MS6912010","url":null,"abstract":"NDRG1 is a nickel- and calcium-inducible gene that plays important roles in the primary growth of malignant tumors, as well as in invasion and metastasis. This study investigated the associations of NDRG1 expression with cell adhesion and other clinicopathological factors in ovarian cancer. The clinical records of 123 women who underwent surgery for ovarian cancer in our institute were reviewed retrospectively. The expression of NDRG1, E-cadherin, and beta-catenin in surgical specimens were evaluated immunohistochemically. The NDRG1 expression level was significantly associated with beta-catenin expression, peritoneal metastasis outside the pelvic cavity, lymph node metastasis, and FIGO stages. The Kaplan-Meier analysis showed a significant association between the NDRG1 expression level and progression-free survival: high NDRG1 expression was related to poor survival. Our results suggest that the increased expression of NDRG1 is associated with cell adhesion and may be a poor prognostic indicator in women with ovarian cancer.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Management and Birth After Perimortem Cesarean Delivery and Stillbirth Due to Anaphylaxis. 成功的管理和分娩后剖宫产和死产过敏性反应。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-08-07 DOI: 10.2739/kurumemedj.MS6912005

Yuji Orita, Shota Uebo, Kaoru Arai, Tomonori Hamada, Yuichiro Niihara, Hiroaki Kobayashi

引用次数: 0

Single-Leg Loading Test to Predict Time to Jog and Return to Sports after Acute Lateral Ankle Sprain in Competitive Athletes. 预测竞技运动员急性踝外侧扭伤后慢跑和恢复运动时间的单腿负荷试验。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-10-03 DOI: 10.2739/kurumemedj.MS69120014

Yuki Noda, Shuji Horibe, Kunihiko Hiramatsu, Rikio Takao, Kenji Fujita

{"title":"Single-Leg Loading Test to Predict Time to Jog and Return to Sports after Acute Lateral Ankle Sprain in Competitive Athletes.","authors":"Yuki Noda, Shuji Horibe, Kunihiko Hiramatsu, Rikio Takao, Kenji Fujita","doi":"10.2739/kurumemedj.MS69120014","DOIUrl":"10.2739/kurumemedj.MS69120014","url":null,"abstract":"In a previous study, the utility of a single-leg loading (SLL) test after acute lateral ankle sprain (LAS) was reported. However, whether the severity level assessed by the SLL test is associated with the time to jog and return to sports (RTS) remains unclear. Therefore, this study aimed to examine whether the time to jog and RTS differ depending on the severity level. A total of 240 athletes after sustaining acute LAS were included in this study. The SLL test was performed at the first visit, and the patients were classified into four levels (Levels 1-4). The Steel-Dwass multiple comparison method and multiple regression analysis was performed to verify whether the SLL test can predict the time to jog and RTS. On examining the relationship between the severity levels assessed by the SLL test and time to jog and RTS, significant differences were found among almost all the severity levels. Moreover, the multiple regression analysis revealed that only the SLL test showed a significant correlation with both the time to jog and RTS. This study suggested that the time to jog and RTS can be predicted by conducting the SLL test for acute LAS and dividing the severity into four levels.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Attitude of Young Adults on Child Abuse- A Community Based Cross-Sectional Survey. 青少年对虐待儿童的态度-一项以社区为基础的横断面调查。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-08-07 DOI: 10.2739/kurumemedj.MS6912001

Sangeetha Priyadarshini, Pramod Kumar, Elsa Sanatombi Devi, Baby S Nayak

{"title":"The Attitude of Young Adults on Child Abuse- A Community Based Cross-Sectional Survey.","authors":"Sangeetha Priyadarshini, Pramod Kumar, Elsa Sanatombi Devi, Baby S Nayak","doi":"10.2739/kurumemedj.MS6912001","DOIUrl":"10.2739/kurumemedj.MS6912001","url":null,"abstract":"Background: Identifying the attitude of young adults towardschild abuse has a significant role in sensitizing them to theissue, which would bring about a positive change in our society at large. This study aims to assess young adults' attitudes towards child abuse and find the association between their attitudes and the selected socio-demographic variables.Methods: This cross-sectional survey was carried out in the community of Udupi district, Karnataka, among 200 young adults. They were assessed by a self-report attitude scale and a socio-economic status scale.Results: The majority of the respondents (98.0%) had a negative attitude towards child abuse. 59% believed that most of the abuse was perpetrated by people known to the children, and 72.5% strongly agreed that disciplining children can be achieved through dialogue. 44.5% of the respondents believed that society is not taking an active role in child protection.Conclusion: Studying people's attitudes on a social issue creates awareness. This study provided insight into young adults' awareness of the importance of child protection, as expressed by their negative outlook towards child abuse.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of a Desmoid Tumor That Enlarged During Pregnancy: A Case Report and Literature Review. 妊娠期硬纤维瘤增大的治疗:1例报告及文献复习。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-08-07 DOI: 10.2739/kurumemedj.MS6912004

Masayuki Fujita, Megumi Yamamoto, Yasuharu Kaizaki, Mitsunori Kato, Toru Tsuchida

引用次数: 0

Streptococcus Mitis Endocarditis Associated with Early Gastric Carcinoma. 脓毒性链球菌性心内膜炎与早期胃癌相关。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-08-07 DOI: 10.2739/kurumemedj.MS6912003

Shigeaki Aoyagi, Satoru Tobinaga, Kumiko Wada, Shin-Ichi Nata, Hiroshi Yasunaga

引用次数: 0

The Difference in Clinical Features between Small-Sized Soft Tissue Sarcomas and Benign Tumors. 小型软组织肉瘤与良性肿瘤临床特征的差异。

Kurume Medical Journal Pub Date : 2023-11-30 Epub Date: 2023-10-03 DOI: 10.2739/kurumemedj.MS69120015

Keiichiro Iida, Yoshihiro Matsumoto, Akira Nabeshima, Toshifumi Fujiwara, Nokitaka Setsu, Makoto Endo, Yasuharu Nakashima

{"title":"The Difference in Clinical Features between Small-Sized Soft Tissue Sarcomas and Benign Tumors.","authors":"Keiichiro Iida, Yoshihiro Matsumoto, Akira Nabeshima, Toshifumi Fujiwara, Nokitaka Setsu, Makoto Endo, Yasuharu Nakashima","doi":"10.2739/kurumemedj.MS69120015","DOIUrl":"10.2739/kurumemedj.MS69120015","url":null,"abstract":"Background: Small-sized tumors tend to be resected without thorough assessment and are often managed in a sarcoma center after a malignancy is diagnosed. The lack of knowledge about the features of smallsized sarcomas may lead to unplanned resection. The features of small-sized soft tissue sarcomas were investigated by comparing them with those of small benign soft tissue tumors.Methods: We included 17 soft tissue sarcoma cases (7 on the hands and feet and 10 on the limbs and trunk) with a diameter of under 2 cm. The features of small-sized sarcomas were compared to those of 39 benign soft tissue tumors with a diameter of under 2 cm and non-specific imaging findings (30 on the hands and feet and 9 on the limbs and trunk). The investigated features were age, sex, presence of pain, subjective increasing tumor size, and duration of observation.Results: When we compared the tumors in the hands and feet, those <40 years of age (5/7 [71%] vs. 8/30 [27%], p=0.03) experiencing pain (7/7 [100%] vs. 13/30 [43%], p=0.007) were more common in patients with sarcomas than in patients with benign tumors. When we compared the tumors in the limbs and trunk, there was no significant difference in all investigated features.Conclusion: Although clinical features were ineffective in distinguishing malignancy in most small-sized soft tissue tumors, we should pay attention to painful tumors of the hands and feet in younger patients.","PeriodicalId":39559,"journal":{"name":"Kurume Medical Journal","volume":" ","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0