論文 - 田島 卓也
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A case of nail-patella syndrome with osteochondral lesion of the lateral femoral condyle accompanied with anomalies of anterior horns of the menisci and lateral femoral condyle 査読あり
Takuji Yokoe, Takuya Tajima, Nami Yamaguchi, Yudai Morita, Etsuo Chosa
Journal of Orthopaedic Science 2021年10月
掲載種別：研究論文（学術雑誌）
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當瀬 雅大, 大田 智美, 坂本 武郎, 田島 卓也, 山口 奈美, 長澤 誠, 森田 雄大, 横江 琢示, 川越 秀一, 帖佐 悦男, 川野 啓介
整形外科と災害外科 70 ( 4 ) 749 - 753 2021年9月
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：西日本整形・災害外科学会
〔はじめに〕腱鞘巨細胞腫は手指に多く発生することが知られているが，多発例の報告は稀である．上下肢3か所に多発した稀な腱鞘巨細胞腫の症例を経験したので報告する．〔症例〕45歳男性で，約4年前に左示指に釣り針が刺さった同時期より左示指，左肘，左膝の腫瘤を自覚した．MRIで3か所とも関節外にT1強調画像で等から軽度高信号，T2強調画像で低信号，造影で不均一に造影される境界明瞭な腫瘤を認めた．左膝腫瘤の切除生検を施行した結果，腱鞘巨細胞腫の診断に至った．生検と画像所見より，多発腱鞘巨細胞腫と判断し，3か所同時に腫瘍摘出術を施行し，最終診断もすべて腱鞘巨細胞腫であった．〔考察〕我々が渉猟しえた限りでは多発例は32報告で，上下肢に及ぶ2か所発生例，3病変の発生例はそれぞれ1例のみであった．本症例は上下肢に及ぶ3病変の多発例であり，稀な症例であると思われた．〔結語〕本症例は再発リスク因子が多く，今後の慎重な経過観察が必要と考える．
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木戸 義隆, 田島 卓也, 山口 奈美, 長澤 誠, 大田 智美, 森田 雄大, 横江 琢示, 川越 秀一, 帖佐 悦男
整形外科と災害外科 70 ( 4 ) 703 - 706 2021年9月
記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：西日本整形・災害外科学会
【目的】高校空手選手の貧血について調査したので報告する．【対象・方法】2012-2019年の宮崎県某高校空手部1年生68名（男子39名，女子29名）を対象とし，2015-2019年の国民体育大会宮崎県代表候補選手のうち高校1年生160名（男子114名，女子46名）と比較した．【結果】男子はHb＜13 g/dL，女子はHb＜12 g/dLを貧血とした．【結果】空手選手では30.8％（男子28.2％，女子34.5％）に貧血を認め，全例正球性貧血だった．他競技の貧血例は陸上女子選手1例だった．空手選手の貧血群と非貧血群で血清鉄，網赤血球，フェリチン，不飽和鉄結合能に有意差はなく，貧血と鉄欠乏に関連はなかった．【考察】空手部の貧血が全例正球性貧血であったことから，空手の突き動作に伴い頻回に足を踏み込む動作で足底血管にて溶血をきたしたと考えた．空手選手のメディカルサポートの際には，貧血を考慮する必要があると考えられた．
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Yokoe T, Tajima T, Yamaguchi N, Ota T, Nagasawa M, Morita Y, Chosa E
Journal of Foot and Ankle Surgery 60 ( 5 ) 1054 - 1059 2021年9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：Journal of Foot and Ankle Surgery
Osteotomy of the distal fibula or anterolateral corner of the tibia is usually required to fix a displaced osteochondral fracture of the talus that is located central to posterior area of the lateral talar dome. However, osteotomy is an invasive procedure and is associated with complications, including nonunion, persistent pain, and hardware-related problems. Lateral inverted osteochondral fracture of the talus (LIFT) lesion is an extremely rare type of displaced osteochondral lesion of the talus. We describe a case in which a LIFT lesion was fixed using an innovative surgical approach, inverting capsulo-lateral fibulotalocalcaneal ligament (LFTCL)–fibular periosteum complex, with a favorable short-term clinical outcome.
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上下肢3ヶ所に多発した腱鞘巨細胞腫の治療経験 査読あり
當瀬 雅大, 大田 智美, 坂本 武郎, 田島 卓也, 山口 奈美, 長澤 誠, 森田 雄大, 横江 琢示, 川越 秀一, 帖佐 悦男, 川野 啓介
整形外科と災害外科 2021年9月
掲載種別：研究論文（学術雑誌）
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高校空手選手における貧血調査 査読あり
木戸 義隆, 田島 卓也, 山口 奈美, 長澤 誠, 大田 智美, 森田 雄大, 横江 琢示, 川越 秀一, 帖佐 悦男
整形外科と災害外科 2021年9月
掲載種別：研究論文（学術雑誌）
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The current clinical practice of general orthopaedic surgeons in the treatment of lateral ankle sprain: a questionnaire survey in Miyazaki, Japan
Yokoe T, Tajima T, Yamaguchi N, Morita Y, Chosa E
BMC Musculoskeletal Disorders 2021年7月
掲載種別：研究論文（学術雑誌）
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Symptomatic discoid lateral meniscus shows a relationship between types and tear patterns, and between causes of clinical symptom onset and the age distribution
Yamaguchi N, Chosa E, Tajima T, Morita Y, Yokoe T
Knee Surgery, Sports Traumatology, Arthroscopy 2021年6月
掲載種別：研究論文（学術雑誌）
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Non-anatomical placement adversely affects the functional performance of the meniscal implant: a finite element study
Shriram D, Yamako G, Kumar G.P, Chosa E, Cui F, Subburaj K
Biomechanics and Modeling in Mechanobiology 2021年6月
掲載種別：研究論文（学術雑誌）
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Turner’s syndrome associated with discoid lateral meniscus and Blount’s disease: a case report
Kita T, Tajima T, Chosa E
BMC Musculoskelet Disord 2021年5月
掲載種別：研究論文（学術雑誌）
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Tajima T., Yamaguchi N., Morita Y., Yokoe T., Nagasawa M., Ota T., Kawagoe S., Nakamura Y., Chosa E.
Journal of Knee Surgery 36 ( 10 ) 1095 - 1101 2021年5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：Journal of Knee Surgery
This study was conducted to present remnant-preserving anterior cruciate ligament (ACL) augmentation as a useful option for partial ACL injury in multiligament knee injury (MLKI) cases, which may also contribute to conserving graft resources. The present study involved patients diagnosed with MLKI at our institute from Spring 2006 to February 2021. A total of 71 MLKI cases were provided surgery due to knee instability and disability. For every patient, an arthroscopic diagnostic was performed to ensure that ACL tear and a remnant were present. When the ACL remnant was classified into group 2, 3, or 4 of Nakamae's classification, remnant-preserved single bundle ACL augmentation was performed. Graft selection and the combination of injured ligaments were evaluated. The side-to-side difference under an anterior tibial load of 134 N with an arthrometer and the leg symmetry index at 60 degrees/s were measured. The present procedure was performed for five cases (male/female: 4/1, mean age: 33.6 years). The mean follow-up period was 26.4 months. The combination of torn ligaments was as follows: 3 cases of ACL + medial collateral ligament, one case of ACL + posterior cruciate ligament, and one case of ACL + posterolateral corner. An ACL augmentation graft was performed using an ipsilateral gracilis tendon in 2 cases, a contralateral full semitendinosus tendon in 2 cases, and the ipsilateral distal 1/2 of the semitendinosus tendon in 1 case. The mean side-to-side difference was 1.07 ± 0.4 mm. The mean leg symmetry index was 82.6 ± 12.2% in knee extension and 96.3 ± 9.9% in knee flexion. Although the present study was a small case series, the remnant-preserved single-bundle ACL augmentation for MLKI surgery provided good clinical outcome and conserved the graft resource. Even in the MLKI case, this technique is one of the useful surgical options. The level of evidence of this study is level IV (case series).
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Predictors of Spondylolysis on Magnetic Resonance Imaging in Adolescent Athletes With Low Back Pain
Takuji Yokoe, Takuya Tajima, Hiroshi Sugimura, Shinichirou Kubo, Shotarou Nozaki, Nami Yamaguchi, Yudai Morita, Etsuo Chosa
Orthopaedic Journal of Sports Medicine 2021年4月
掲載種別：研究論文（学術雑誌）
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Turner’s syndrome associated with discoid lateral meniscus and Blount’s disease: a case report
Kita T, Tajima T, Chosa E
BMC Musculoskeletal Disorders 2021年3月
掲載種別：研究論文（学術雑誌）
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Effect of total hip arthroplasty on improving locomotive syndrome in hip disease patients: A prospective cohort study focused on total clinical decision limits stage 3 査読あり
Shigeaki Miyazaki, Kurumi Tsuruta, Saori Yoshinaga, Yoichiro Yamaguchi, Yoshinori Fujii, Hideaki Arakawa, Masaru Ochiai, Tsubasa Kawaguchi, Aya Unoki, Takero Sakamoto, Takuya Tajima, Yoshihiro Nakamura, Taro Funamoto, Masaru Hiyoshi, Etsuo Chosa
Journal of Orthopaedic Science 21 2021年2月
記述言語：英語 掲載種別：研究論文（学術雑誌）
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座談会 ラグビーワールド･カップからみえてきたスポーツ医学の実際と課題
田島 卓也, 守屋 拓朗, 高森 草平, 井澤 秀典, 大野 均, 德永 祥尭, 黒田 良祐
臨床整形外科 56 ( 1 ) 4 - 14 2021年1月
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Predictors of Spondylolysis on Magnetic Resonance Imaging in Adolescent Athletes With Low Back Pain 査読あり
Yokoe T., Tajima T., Sugimura H., Kubo S., Nozaki S., Yamaguchi N., Morita Y., Chosa E.
Orthopaedic Journal of Sports Medicine 9 ( 4 ) 2325967121995466 2021年1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：Orthopaedic Journal of Sports Medicine
Background: Spondylolysis and undiagnosed mechanical low back pain (UMLBP) are the main causes of low back pain (LBP) in adolescent athletes. No studies have evaluated the difference in clinical and radiographic factors between these 2 conditions. Furthermore, it remains unclear which adolescent athletes with LBP should undergo advanced imaging examination for spondylolysis. Purpose: To compare the clinical and radiographic factors of adolescent athletes with spondylolysis and UMLBP who did not have neurological symptoms or findings before magnetic resonance imaging (MRI) evaluation and to determine the predictors of spondylolysis findings on MRI. Study Design: Cohort study, Level of evidence, 3. Methods: The study population included 122 adolescent athletes aged 11 to 18 years who had LBP without neurological symptoms or findings and who underwent MRI. Of these participants, 75 were ultimately diagnosed with spondylolysis, and 47 were diagnosed with UMLBP. Clinical factors and the following radiographic parameters were compared between the 2 groups: spina bifida occulta, lumbar lordosis (LL) angle, and the ratio of the interfacet distance of L1 to that of L5 (L1:L5 ratio, %). A logistic regression analysis was performed to evaluate independent predictors of spondylolysis on MRI scans. Results: Significantly more athletes with spondylolysis were male (82.7% vs 48.9%; P <.001), had a greater LL angle (22.8° ± 8.1° vs 19.3° ± 8.5°; P =.02), and had a higher L1:L5 ratio (67.4% ± 6.3% vs 63.4% ± 6.6%; P =.001) versus athletes with UMLBP. A multivariate analysis revealed that male sex (odds ratio [OR], 4.66; P <.001) and an L1:L5 ratio of >65% (OR, 3.48; P =.003) were independent predictors of positive findings of spondylolysis on MRI scans. Conclusion: The study findings indicated that sex and the L1:L5 ratio are important indicators for whether to perform MRI as an advanced imaging examination for adolescent athletes with LBP who have no neurological symptoms and findings.
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Yamaguchi N., Chosa E., Tajima T., Morita Y., Yokoe T.
Knee Surgery, Sports Traumatology, Arthroscopy 30 ( 4 ) 1436 - 1442 2021年1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：Knee Surgery, Sports Traumatology, Arthroscopy
Purpose: Discoid meniscus is a congenital abnormality of the lateral meniscus and is seen more frequently in East Asia. The purpose of this study was to retrospectively assess the relationship between discoid lateral meniscus (DLM) types and tear patterns and causes of age-specific clinical symptom onset. Methods: Of 1650 arthroscopic surgeries over a 20-year period, 138 (105 patients) were performed for DLM and were evaluated in this study. The mean age at surgery was 21.5 ± 15.8 years. The DLM type was classified by Watanabe’s classification, and tear patterns were classified by the modified Bin’s classification as simple horizontal, complicated horizontal, longitudinal, radial, complex, and no tear. Additionally, patients were divided by age group (< 10, 10–19, 20–39, 40–59, and ≥ 60 years) and classified according to the causes of clinical symptom onset as follows: sports activities, minor trauma in daily living, and no traumatic episode. Results: The DLM was complete in 78 (56.5%) knees and incomplete in 60 (43.5%); no Wrisberg type DLM was observed. Simple horizontal and complicated horizontal tears were significantly more frequent in complete DLM, whereas radial tears and no tears were significantly more frequent in incomplete DLM (p < 0.0001). When classified by age group, 74 (53.6%) knees with DLMs were found in teenagers. Sports activities caused symptom onset significantly more often in teenagers, no traumatic episode caused symptom onset in patients aged < 10 years, and minor trauma in daily living caused symptom onset in patients aged 40–59 years and ≥ 60 years (p < 0.0001). No relationship was found between the age distribution and tear patterns; however, the absence of tears tended to be more common in teenaged patients, and complicated horizontal tears were more common in patients over 20 years of age. Conclusion: Symptomatic DLM occurred most often in teenagers. A relationship was identified between the DLM types and tear patterns, which could be helpful in preoperative planning. Causes of clinical symptom onset in patients with DLM were characterised by age group, which might help clinicians to suspect the presence of DLM. Level of evidence: Level IV.
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Efficacy of Diagnosing Carpal Tunnel Syndrome Using the Median Nerve Stenosis Rate Measured on Ultrasonographic Sagittal Imagery: Clinical Case-Control Study
Okura T., Sekimoto T., Matsuoka T., Fukuda H., Hamada H., Tajima T., Chosa E.
Hand 2021年
掲載種別：研究論文（学術雑誌）
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ヤング率を傾斜させた人工股関節ステムの生体力学的評価
中井 亮佑, 落合 清秀, 和佐 宗樹, 花田 修治, 帖佐 悦男, 山子 剛
日本機械学会九州支部講演論文集 2021年
掲載種別：研究論文（学術雑誌）
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小児の運動・スポーツの意義
帖佐 悦男
日本整形外科スポーツ医学会雑誌 2021年
掲載種別：研究論文（学術雑誌）