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        Clinical outcome in patients with hand lesions associated with complex regional pain syndrome after arthroscopic rotator cuff repair

        Takaki Imai,Masafumi Gotoh,Keiji Fukuda,Misa Ogino,Hidehiro Nakamura,Hiroki Ohzono,Naoto Shiba,Takahiro Okawa 대한견주관절의학회 2021 대한견주관절의학회지 Vol.24 No.2

        Background: Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR. Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups. Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 “general health perception” (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema. Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.

      • KCI등재

        Effects of elevation on shoulder joint motion: comparison of dynamic and static conditions

        Takaki Imai,Takashi Nagamatsu,Junichi Kawakami,Masaki Karasuyama,Nobuya Harada,Yu Kudo,Kazuya Madokoro 대한견주관절의학회 2023 대한견주관절의학회지 Vol.26 No.2

        Background: Although visual examination and palpation are used to assess shoulder motion in clinical practice, there is no consensus on shoulder motion under dynamic and static conditions. This study aimed to compare shoulder joint motion under dynamic and static conditions. Methods: The dominant arm of 14 healthy adult males was investigated. Electromagnetic sensors attached to the scapular, thorax, and humerus were used to measure three-dimensional shoulder joint motion under dynamic and static elevation conditions and compare scapular upward rotation and glenohumeral joint elevation in different elevation planes and angles. Results: At 120° of elevation in the scapular and coronal planes, the scapular upward rotation angle was higher in the static condition and the glenohumeral joint elevation angle was higher in the dynamic condition (P<0.05). In scapular plane and coronal plane elevation 90°–120°, the angular change in scapular upward rotation was higher in the static condition and the angular change in scapulohumeral joint elevation was higher in the dynamic condition (P<0.05). No differences were found in shoulder joint motion in the sagittal plane elevation between the dynamic and static conditions. No interaction effects were found between elevation condition and elevation angle in all elevation planes. Conclusions: Differences in shoulder joint motion should be noted when assessing shoulder joint motion in different dynamic and static conditions.

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        Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis

        Masaki Karasuyama,Masafumi Gotoh,Keiji Tahara,Junichi Kawakami,Kazuya Madokoro,Takashi Nagamatsu,Takaki Imai,Nobuya Harada,Yu Kudo,Naoto Shiba 대한견주관절학회 2020 대한견주관절의학회지 Vol.23 No.2

        Background: Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. Methods: PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36. The meta-analysis used a linear mixed model weighted with the variance of the estimate. Results: The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months) and 24.8 mm (12 months) (P

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        OPTICAL AND NEAR-INFRARED POLARIMETRY FOR A HIGHLY DORMANT COMET 209P/LINEAR

        Kuroda, Daisuke,Ishiguro, Masateru,Watanabe, Makoto,Akitaya, Hiroshi,Takahashi, Jun,Hasegawa, Sunao,Ui, Takahiro,Kanda, Yuka,Takaki, Katsutoshi,Itoh, Ryosuke,Moritani, Yuki,Imai, Masataka,Goda, Shuhei IOP Publishing 2015 The Astrophysical journal Vol.814 No.2

        <P>We conducted an optical and near-infrared polarimetric observation of the highly dormant Jupiter-Family Comet, 209P/LINEAR. Because of its low activity, we were able to determine the linear polarization degrees of the coma dust particles and nucleus independently, that is P-n = 30.3(-0.9)(+1.3)% at alpha = 92 degrees.2 and P-n = 31.0(-0.7)(+1.0)% at alpha = 99 degrees.5 for the nucleus, and P-c = 28.8(-0.4)(+0.4)% at alpha = 92 degrees.2 and 29.6(-0.3)(+0.3)% at alpha = 99 degrees.5 for the coma. We detected no significant variation in P at the phase angle coverage of 92 degrees.2-99 degrees.5, which may imply that the obtained polarization degrees are nearly at maximum in the phase-polarization curves. By fitting with an empirical function, we obtained the maximum values of linear polarization degrees P-max = 30.8% for the nucleus and P-max = 29.6% for the dust coma. The P-max of the dust coma is consistent with those of dust-rich comets. The low geometric albedo of P-v. =. 0.05 was derived from the slope-albedo relationship and was associated with high P-max. We examined P-max-albedo relations between asteroids and 209P, and found that the so-called Umov law seems to be applicable on this cometary surface.</P>

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