Burdensome problems of chronic musculoskeletal pain and future prospects
Abstract
According to a recent survey, about 15 % of the Japanese population suffers from moderate-severe chronic musculoskeletal pain persisting for at least 6 months. Social factors and related psychological factors (including depression) thus appear to greatly affect chronic musculoskeletal pain. This suggests the need for measures that take these factors into account. Treatment for musculoskeletal pain at present is generally based on a biomedical model that has been used for many years in this field, and modern medical imaging technologies have been a high priority to support this model and treatme...
Source: Journal of Orthopaedic Science - August 11, 2015 Category: Orthopaedics Source Type: research
Effect of simultaneous stretching of the wrist and finger extensors for lateral epicondylitis: a gross anatomical study of the tendinous origins of the extensor carpi radialis brevis and extensor digitorum communis
Conclusions
On the basis of our anatomical findings, simultaneous stretching of the wrist extensors by wrist, index and middle fingers flexion could provide stretching force to both the tendinous origins of the ECRB and EDC through the EDC-IF and EDC-MF. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - August 11, 2015 Category: Orthopaedics Source Type: research
Journey in Orthopedic Science
(Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - August 7, 2015 Category: Orthopaedics Source Type: research
Clinical characteristics of Japanese patients with axial spondyloarthritis, and short-term efficacy of adalimumab
Conclusions
The findings reveal the short-term efficacy of adalimumab. The remarkably low incidence of HLA-B27 among our patients indicates that HLA-B distribution is different from that in other countries. Serum TNF-α and IL-6 levels were not effective as biomarkers for cases without high disease activity, and further research with larger samples is needed. The efficacy of TNF blockers, however, suggested a potential localized TNF effect was present among SpA patients. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - August 6, 2015 Category: Orthopaedics Source Type: research
Clinical significance of high intramedullary signal on T2-weighted cervical flexion–extension magnetic resonance imaging in cervical myelopathy
Conclusions
A preoperative high intramedullary signal on flexion MRI was associated with a poor surgical outcome, while no such association was seen with extension MRI. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - August 4, 2015 Category: Orthopaedics Source Type: research
Surgical reduction and ligament reconstruction for chronic dorsal dislocation of the lesser metatarsophalangeal joint associated with hallux valgus
Conclusion
Our surgical procedure achieved significant correction of HV, a low rate of postoperative re-dislocation of the lesser MTP joints, and significant improvement of pain and function for symptomatic moderate-to-severe HV with dislocation of the lesser MTP joints.
Level of evidence
Level IV, retrospective case series. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 28, 2015 Category: Orthopaedics Source Type: research
Hyperamylasemia and pancreatitis following posterior spinal surgery
Conclusions
In our case series, intraoperative blood loss caused a rise in the serum amylase level following posterior spinal surgery. Thus, this level should be carefully monitored after spinal surgery with significant blood loss. Clinical symptoms of pancreatitis, such as abdominal pain and vomiting, should also be monitored following spinal surgery. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 28, 2015 Category: Orthopaedics Source Type: research
Neck fracture of femoral stems with a sharp slot at the neck: biomechanical analysis
Conclusion
These findings showed that the sharp corner of slot increased stress concentrations at the anterolateral aspect and led to the neck fractures. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 24, 2015 Category: Orthopaedics Source Type: research
Psychometric properties of the Japanese version of the Tampa Scale for Kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain
Conclusions
The present analysis showed that the Japanese versions of the TSK-J17 and TSK-J11 were psychometrically reliable and valid for detecting fear of movement in the Japanese population suffering from neck to back pain due to a motor vehicle accident. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 22, 2015 Category: Orthopaedics Source Type: research
Risk factors for limb overgrowth after the application of titanium elastic nailing in the treatment of pediatric femoral fracture
Conclusions
The main factors affecting postoperative limb overgrowth are the fracture type and NCD ratio. In order to avoid limb overgrowth, unstable fractures should be fixed as firmly as possible, and the NCD ratio should be ≥0.8. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 22, 2015 Category: Orthopaedics Source Type: research
Do PFNA devices and Intertan nails both have the same effects in the treatment of trochanteric fractures? A prospective clinical study
Conclusions
Trochanteric fractures may be treated effectively with PFNA devices or Intertan nails. During the healing period, the rates of reverse displacement of the proximal screw, shortening of the proximal femur, and decrease in the varus angle of the proximal femur were significantly higher in the PFNA group than in the Intertan group. Surgical technique, implant positioning, and the choice of implant play roles in the successful treatment of trochanteric fractures.
Level of evidence
Level 1, prospective, prognostic study...
Source: Journal of Orthopaedic Science - July 21, 2015 Category: Orthopaedics Source Type: research
Sonographic evaluation of effects of the volar plate on trigger finger
Conclusion
In addition to thickening of the A1 pulley, thickening of the volar plate may represent an important contributor to continuous snapping or locking symptoms. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 21, 2015 Category: Orthopaedics Source Type: research
Shape of the lateral edge of the first metatarsal head changes depending on the rotation and inclination of the first metatarsal: a study using digitally reconstructed radiographs
Conclusion
Positive round sign of the first metatarsal head on the dorsoplantar radiograph of the foot was significantly associated with increased pronation as well as decreased inclination of the first metatarsal. Negative round sign may be used as an indicator of effective correction of first metatarsal pronation during hallux valgus surgery. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 16, 2015 Category: Orthopaedics Source Type: research
Establishment of a liaison clinic for patients with intractable chronic pain
Conclusions
This liaison clinic for patients with intractable chronic pain was able to improve patient anxiety. Severe anxiety at the initial visit represented a risk factor for dropout from the clinic. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 14, 2015 Category: Orthopaedics Source Type: research
Quantitative analysis of attachment of the labrum to the glenoid fossa: a cadaveric study
Conclusion
In the 4 and 6 o’clock positions, the labrum attached to both the articular surface and neck of the glenoid in all of the shoulders (100 %). The length of the entire attachment to the labrum, including the fibrocartilage, was shortest in the 2 o’clock position. The width of attachment to the articular surface of the glenoid was greatest in the 4 o’clock position (p < 0.01). (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - July 14, 2015 Category: Orthopaedics Source Type: research
