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Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_4 | Pages 8 - 8
1 Jan 2016
Shigemura T Kishida S
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Introduction

The patients with hip fracture have a general complication including heart disease. The heart echo is useful for the preoperative evaluation of cardiac function.

Objectives

The purpose of this study was to assess the relationship between echocardiographic findings and postoperative walking ability of patients with hip fracture.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_15 | Pages 327 - 327
1 Mar 2013
Shigemura T Kishida S Iida S Oinuma K Nakamura J Harada Y
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Objectives

The purpose of the present study was to describe the long-term results of THA for ONFH in patients with SLE.

Methods

From 1994–2001, 18 cementless THAs (14 SLE patients) were included in the present study. Four hips (3 patients) were lost to follow-up. The remaining 14 hips (11 patients) were available for evaluation. The mean follow-up period was 13.1(range, 10.0–16.4) years. The follow-up rate was 77.8%. The mean age at the time of surgery was 35.2 (range, 27.4–51.0) years.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 215 - 215
1 Sep 2012
Shigemura T Kishida S Ohtori S Nakamura J Takeshita M Takazawa M Miyasaka T Harada Y Takahashi K
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Introduction

Nociceptive and neuropathic components both contribute to chronic pain. Since these components require different pain management strategies, correct pain diagnosis before and during treatment is important.

Freynhagen et al. (2006) reported that they had developed and validated the pain-DETECT questionnaire (PD-Q) to detect neuropathic components in chronic low back pain patients. They also reported that 37% of unselected cohort of chronic LBP patients had predominantly neuropathic pain. However, the extent to which neuropathic components relate to the pathomechanism of pain deriving from osteoarthritis of hip joint remains unknown.

The purpose of this study was to utilize PD-Q to investigate the relationship between neuropathic components and pain deriving from osteoarthritis of the hip joint.

Methods

Between March and August 2010, 125 patients with osteoarthritis of hip joint completed PD-Qs about their pain. From this data set, we investigated whether or not the patients’ pain contained neuropathic components.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 443 - 443
1 Sep 2012
Shigemura T Kishida S Nakamura J Takeshita M Takazawa M Miyasaka T Harada Y Takahashi K
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Introduction

The purpose of this study was to clarify the incidence of steroid-induced osteonecrosis among different collagen diseases and to evaluate the predictive factors for steroid-induced osteonecrosis in a prospective MRI study.

Methods

We prospectively used MRI to study 337 eligible collagen disease patients requiring corticosteroid therapy and succeeded in examining 1199 joints (hips and knees) in 302 patients with MRI for at least one year starting immediately after the onset of corticosteroid therapy, a one-year follow-up rate of approximately 90%. The underlying collagen diseases included systemic lupus erythematosus (SLE) in 687 joints and a variety of other collagen diseases in 512 joints.


Bone & Joint Research
Vol. 1, Issue 1 | Pages 8 - 12
1 Jan 2012
Shigemura T Kishida S Eguchi Y Ohtori S Nakamura J Kojima M Masuda Y Takahashi K

Objectives

The purpose of this study was to assess N-acetyl aspartate changes in the thalamus in patients with osteoarthritis of the hip using proton magnetic resonance spectroscopy.

Methods

Nine patients with osteoarthritis of the hip (symptomatic group, nine women; mean age 61.4 years (48 to 78)) and nine healthy volunteers (control group, six men, three women; mean age 30.0 years (26 to 38)) underwent proton magnetic resonance spectroscopy to assess the changes of N-acetyl aspartate in the thalamus.