論文 - 田島 卓也
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Screening for musculoskeletal problems in Japanese schoolchildren: a cross-sectional study nested in a cohort（共著） 査読あり
N.Yamaguchi，E.Chosa，K.Yamamoto，K.Kawahara，H.Hamada，N.Taniguchi，T.Tajima，T.Funamoto，S.Kurogi，T.Ota，S.Nakamura
Public Health 139 189 - 197 2016年8月
記述言語：英語 掲載種別：研究論文（学術雑誌）
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ラグビー競技会における医療体制向上と重傷事故発生予防を目的とした安全度評価法の活用 査読あり
田島卓也、帖佐悦男、山本惠太郎、中村嘉宏、山口奈美、柏木輝行
日本整形外科スポーツ医学会雑誌 32 ( 2 ) 35 - 40 2012年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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膝前十字靭帯再再建術症例の検討 査読あり
田島卓也、山本惠太郎、石田康行、山口奈美、崎浜智美、帖佐悦男
JOSKAS雑誌 36 ( 4 ) 258 - 263 2011年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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九州地方にて開催されたラグビー競技会に対する安全度評価 査読あり
田島卓也、帖佐悦男、山本惠太郎、河原勝博、中村嘉宏、吉川大輔、吉川教恵、柏木輝行、東原潤一郎
日本臨床スポーツ医学会雑誌 16 ( 3 ) 402- - 407 2008年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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ラグビー競技会に対する安全度評価について 査読あり
田島卓也
日本臨床スポーツ医学会雑誌 12 ( 3 ) 478 - 482 2004年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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医学部ラグビー部員の頚部周囲筋力 査読あり
田島卓也、田島直也、帖佐悦男、園田典生、山本惠太郎
日本臨床スポーツ医学会雑誌 490 - 494 2002年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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医学部ラグビー部員の頚椎変化：初心者における2年間での変化 査読あり
田島卓也、田島直也、帖佐悦男、園田典生、樋口潤一
九州・山口スポーツ医科学研究会誌 12 86 - 91 2000年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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医学部ラグビー部員の頚椎変化(第一報）；初心者における1年間での変化 査読あり
田島卓也、田島直也、帖佐悦男、園田典生、樋口潤一
日本整形外科スポーツ医学会雑誌 20 ( 1 ) 92 - 97 2000年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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医学部ラグビー部員の頚椎変化 査読あり
田島卓也、田島直也、帖佐悦男、園田典生、樋口潤一
日本整形外科スポーツ医学会雑誌 19 ( 1 ) 63 - 68 1999年4月
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Yang F., Yokoe T., Ouchi K., Tajima T., Kamei N., Chosa E.
Scientific Reports 15 ( 1 ) 10008 2025年12月
担当区分：筆頭著者, 最終著者, 責任著者 記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Scientific Reports
Whether isolated high tibial osteotomy (HTO) or HTO combined with medial meniscus posterior root (MMPR) repair is the optimal surgical treatment of MMPR tears remains controversial. This study compared the biomechanical effects of isolated HTO versus MMPR repair combined with medial open wedge HTO (MOWHTO) or lateral closed wedge HTO (LCWHTO) using finite element analysis (FEA). In this study, the MRI and CT data of the knee joint were used to create an FEA model. MOWHTO and LCWHTO simulations adjusted the mechanical axis to the Fujisawa point, with MMPR conditions simulated as intact, tear, or repaired. The ankle center was fixed and a 1000 N force was applied to the knee. In the LCWHTO models, the posterior tibial slope (PTS) decreased, whereas it increased in the MOWHTO models. Changes in the PTS following HTO influenced the stress distribution in the MMPR. HTO combined with MMPR repair showed a reduction in the maximum contact stress by 5.4–11.4% and increased contact area by 29.5–41.0% in the medial knee compartment relative to isolated HTO. This study demonstrated that MMPR repair combined with LCWHTO would be more protective against stress loading in the MMPR than MMPR repair combined with MOWHTO or isolated HTO.
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Early surgery within 48 h for post-injury hip fractures improved clinical outcomes. 査読あり
Kita T, Funamoto T, Mori H, Ikejiri H, Tajima T, Chosa E, Kamei N
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2025年7月
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スポーツによる膝複合靭帯損傷例の特徴と傾向. 査読あり
田島卓也*、山口奈美、森田雄大、横江琢示、大田智美、長澤誠、帖佐悦男、亀井直輔
九州・山口スポーツ医・科学研究会誌. 36 ( 1 ) 74 - 78 2025年7月
担当区分：筆頭著者, 責任著者 記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Miyazaki S., Tsuruta K., Yoshinaga S., Fujii Y., Hombu A., Funamoto T., Sakamoto T., Tajima T., Nakamura Y., Arakawa H., Nakatake J., Chosa E.
Plos One 20 ( 6 June ) e0315353 2025年6月
記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Plos One
Background The 25-Question Geriatric Locomotive Function Scale (GLFS-25) is one of the tests used to assess the risk of locomotive syndrome (LS). It is a comprehensive tool for measuring LS improvement after total hip arthroplasty (THA) and provides beneficial information for rehabilitation after THA. The primary objective of this study was to clarify LS improvement in patients with hip osteoarthritis (OA) who have undergone unilateral primary THA using GLFS-25. A secondary objective was to identify the impact of THA on each specific GLFS-25 item for optimizing functional recovery. Methods The participants of this study were 273 patients who underwent primary THA for hip OA. LS was evaluated using the GLFS-25, stand-up test, and two-step test before receiving THA and three months after THA. Results Before THA, items rated as “moderately difficult” (score ≥2) in GLFS-25 included pain-related Q3 and Q4, activities of daily living (ADL)-related Q12, Q13, Q15, and Q18, and social function-related Q21 and Q23. At three months after THA, these subjective symptoms showed significant improvement. Further analysis of the relationship between these subjective symptom improvements and LS improvement revealed that all items, except pain-related Q3, were significantly associated with LS improvement. Conclusions Patients experienced not only severe hip pain and physical discomfort but also significant difficulties with activities of daily living (ADL) and social participation before THA. LS improvement after THA was strongly associated with improvements in the subjective symptoms of ADL and social functioning. Based on these findings, rehabilitation strategies that focus on enhancing mobility, improving ADL and social engagement, and optimizing gait function after THA are crucial for further supporting LS recovery.
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Yokoe T., Yang F., Tajima T., Yamaguchi N., Morita Y., Chosa E.
Foot and Ankle Surgery 31 ( 1 ) 20 - 24 2025年1月
担当区分：筆頭著者, 最終著者, 責任著者 記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Foot and Ankle Surgery
Background: This study aimed to investigate ankle syndesmosis in healthy subjects under non-weight bearing (NWB) and weight bearing (WB) conditions using two US methods. Methods: The anterior tibiofibular clear space (ATFCS) was measured in healthy subjects in NWB and WB conditions using two US procedures. Method 1 measured 10 mm above the ankle joint and Method 2 measured 30° from the line of 10 mm above the ankle joint. Results: A total of 60 ankles from 30 subjects (male/female, 15/15) were included. There was a significant difference in the ATFCS between the two US methods (p < 0.001), and Method 2 was better at detecting the change in diastasis from NWB to WB conditions. The ATFCS was significantly greater on WB than on NWB, irrespective of the US method. Conclusions: Method 2 was better at detecting diastasis of the syndesmosis from NWB to WB conditions. The influence of WB needs to be considered when evaluating syndesmosis using US. Level of evidence: Cross-sectional cohort study; Level of evidence, Ⅳ
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スポーツ医学の医療連携・地域連携: 宮崎県におけるスポーツ医・科学サポート体制‐コンソーシアムの構築と実際の取り組み‐. 招待あり 査読あり
田島卓也、山口奈美、亀井直輔、帖佐悦男.
臨床スポーツ医学 42 ( 5 ) 560 - 564 2025年
担当区分：筆頭著者, 責任著者 記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Yang F., Yokoe T., Ouchi K., Tajima T., Chosa E.
Lecture Notes in Electrical Engineering 1322 LNEE 3 - 12 2025年
担当区分：筆頭著者, 最終著者, 責任著者 掲載種別：研究論文（学術雑誌） 出版者・発行元：Lecture Notes in Electrical Engineering
This research explored how different tibial slope (TS) and tibial tunnel angle (TTA) settings impact the tibial tunnel phenomenon in posterior cruciate ligament (PCL) reconstruction using 3D finite element analysis (FEA). Models derived from CT scans of a healthy male recruiter were utilized. Tibial bone tunnels and PCL grafts were designed using SolidWorks with various tunnel angles (60°, 45°, 30°). Anterior wedge high tibial osteotomy (AW-HTO) was conducted to assess the effects of different TS angles (−4°, −8°, native, +8°, +4°). Finite element analysis (FEA) was conducted using specialized software. In each TS model, the maximum equivalent Von Mises stress (VMS) in PCL grafts diminished with an increase in TTA. Similarly, in each TTA model, the maximum VMS in PCL grafts reduced as the TS angle increased. Increasing both TTA and TS decreased the area of “high-contact stress” at the tibial tunnel (stress exceeding 10 MPa), potentially reducing stress at the “killer turn” during PCL reconstruction.
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Morita Y., Tajima T., Yamaguchi N., Yokoe T., Nagasawa M., Ota T., Ouchi K., Chosa E.
Scientific Reports 14 ( 1 ) 6192 2024年12月
担当区分：責任著者 記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Scientific Reports
Posterior tibial translation (PTT) after double-bundle posterior cruciate ligament (PCL) reconstruction has sometimes occurred. Purpose of this study is to identify the risk factors for postoperative PTT after double-bundle PCL reconstruction with a hamstring autograft. Comparing the results of bilateral gravity sag view (GSV) at 12 months after surgery, over 5-mm PTT was defined as ‘failure’ in this study. Of 26 isolated PCL reconstruction cases, over 5-mm PTT was seen in 7 cases (group F: 9.57 ± 1.28 mm), and 19 cases had less than 5 mm (group G: 2.84 ± 1.29 mm). Age, sex, body mass index (BMI), preoperative GSV, posterior slope angle of the tibia, anterolateral bundle (ALB) and posteromedial bundle (PMB) graft diameters, and tibial tunnel diameter were evaluated. The two groups were compared with the 2 × 2 chi-squared test, the Mann Whitney U-test, and Spearman’s rank correlation coefficient. Multivariate logistic regression analysis was also performed to determine the risk factor. Statistical significance was indicated as p < 0.01 for correlation with postoperative PTT, and as p < 0.05 for all other comparisons. Mean age (group G 31.8 ± 12.5 vs group F 34.9 ± 15.9 years), sex (male/female: 15/4 vs 3/4), BMI (25.6 ± 4.6 vs 24.9 ± 3.9 kg/m2), preoperative GSV (11.3 ± 2.2 vs 11.6 ± 2.9 mm), PMB diameter (5.37 ± 0.33 vs 5.36 ± 0.48 mm), and tibial tunnel diameter (9.32 ± 0.58 vs 9.29 ± 0.49 mm) showed no significant differences. ALB diameter was significantly greater in group G (7.0 ± 0.5 mm) than in group F (6.5 ± 0.29 mm; p = 0.022). There was also a significant difference in posterior tibial slope angle (group G 9.19 ± 1.94 vs group F 6.54 ± 1.45, p = 0.004). On Spearman rank correlation coefficient analysis, ALB diameter GSV (correlation coefficient: − 0.561, p = 0.003) and posterior tibial slope angle (correlation coefficient: − 0.533, p = 0.005) showed a significant correlation with postoperative PTT. Multivariate logistic regression analysis showed that ALB diameter (OR 19.028; 95% CI 1.082–334.6; p = 0.044) and posterior slope angle of tibia (OR 3.081; 95% CI 1.109–8.556; p = 0.031) were independently associated with postoperative PTT, respectively. In double-bundle PCL reconstruction with hamstring, smaller ALB graft diameter and lower (flatted) tibial slope angle were considered risk factors for postoperative PTT.
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Direct repair of the chronic ochronotic Achilles tendon rupture: a case report 査読あり
Yokoe T., Nagasawa M., Tajima T., Yamaguchi N., Ota T., Morita Y., Chosa E.
BMC Musculoskeletal Disorders 25 ( 1 ) 843 2024年12月
担当区分：筆頭著者, 最終著者, 責任著者 記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：BMC Musculoskeletal Disorders
Background: Alkaptonuria (AKU) is a rare hereditary disease. Ochronotic arthropathy, tendinopathy, and osteopenia/osteoporosis are generally musculoskeletal manifestations in patients with AKU. Because of the ochronotic tendinopathy and osteopenia, the surgical strategy for chronic ochronotic Achilles tendon rupture may be challenging. No studies have reported the surgical treatment of chronic Achilles tendon rupture in patients with AKU. Case presentation: We report a case of AKU that required surgical treatment for chronic Achilles tendon rupture. A 60-year-old woman was referred to our department for the assessment of left hindfoot pain that persisted for more than nine months after an ankle sprain. Three years prior to the first presentation to our hospital, she was diagnosed with AKU due to pigmented hip cartilage at the time of total hip arthroplasty. The patient was diagnosed as chronic Achilles tendon rupture based on the results of physical examination and magnetic resonance imaging (MRI). The MRI showed enlarged scar tissue of the Achilles tendon with an intrasubstance high signal intensity. We performed resection of the central part of the scar tissue (total length, 24 mm) followed by direct repair using the proximal and distal stumps of the scar tissue. The MRI at 12months after surgery showed continuity of the repaired Achilles tendon. At 18 months after surgery, the Achilles Tendon Total Rupture Score improved from 22 points preoperatively to 84 points postoperatively. The foot and ankle outcome score also improved. Conclusions: We reported a case of AKU with chronic Achilles tendon rupture in which direct repair using scar tissue between the tendon stumps was effective. Careful selection of the surgical procedure for the treatment of chronic ochronotic Achilles tendon rupture is recommended because of concomitant ochronotic tendinopathy and osteopenia/osteoporosis.
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Yokoe T., Yang F., Tajima T., Chosa E.
BMC Musculoskeletal Disorders 25 ( 1 ) 764 2024年12月
担当区分：筆頭著者, 最終著者, 責任著者 記述言語：英語 掲載種別：研究論文（学術雑誌） 出版者・発行元：BMC Musculoskeletal Disorders
Background: The evaluation of lateral ankle laxity remains challenging when diagnosing chronic lateral ankle instability (CLAI). Several studies have reported that internal rotation of the talus as an indicator of rotational lateral ankle laxity (RLAL) increases in patients with CLAI. However, there is no established method for detecting and evaluating the RLAL. This study aimed to report a novel method for evaluating the RLAL in the gravity stress position by measuring the talofibular distance (TFD) using ultrasonography (US) and show the normative value of the TFD. Methods: The TFDs in the subjects with healthy ankles were prospectively measured 10 mm distal to the ankle joint in the neutral ankle position and gravity stress position using US. The differences in the TFD between the two ankle positions were evaluated. The differences in the TFD by gender and ankle laterality were also evaluated. Results: A total of 52 healthy ankles of 28 subjects (mean age, 24.0 ± 1.6; male/female, 12/16) were finally included. There was a significant difference in the TFD between the neutral ankle position (6.9 ± 0.9 mm) and gravity stress position (9.0 ± 0.9 mm) (p < 0.001). The mean difference in the TFD between the two ankle positions was 2.1 ± 0.6 mm. There were no significant differences in the TFD by gender and ankle laterality. Conclusions: The present study reported a novel US method for evaluating RLAL by applying gravity stress and the normative value of the TFD.
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特集 外来でできる運動器疾患に対する最先端保存療法 神経筋電気刺激療法(NMES)の筋萎縮予防･筋力増強効果 査読あり
田島 卓也, 帖佐 悦男
関節外科 基礎と臨床 43 ( 14 ) 116 - 123 2024年10月