Publications by authors named "Hirotaka Nakashima"

Introduction/objectives: Legg-Calvé-Perthes disease (LCPD) leads to complex hip deformities that often result in femoroacetabular impingement (FAI). While traditional open surgeries have been used to address these deformities, hip arthroscopy has emerged as a minimally invasive alternative. However, the factors determining successful outcomes in arthroscopic management of LCPD-related FAI remain poorly defined.

View Article and Find Full Text PDF

Background: Muscle mass assessment is essential for diagnosing sarcopenia and malnutrition. Various equations for estimating appendicular skeletal muscle mass (ASM) exist. Among these, equations based on basic clinical variables-age, sex, height, and weight-are potentially applicable to a broad range of patients.

View Article and Find Full Text PDF

There has been interest in identifying the key factors for exceptional sports performance. One possible approach to addressing this issue is to focus on coordination and numerous studies have empirically examined coordination. In our study, we demonstrated the coordination exhibited by high-skilled athletes but not by novices during a throwing task.

View Article and Find Full Text PDF

Introduction: The clinical outcomes of hip arthroscopic treatment for femoroacetabular impingement syndrome (FAIS) in the older population are good, with a relatively high conversion rate of total hip arthroplasty (THA). However, the risk factors for conversion to THA in patients over 40 years of age are unclear. The purpose of this study was to review the midterm clinical outcomes after hip arthroscopic treatment for FAIS in patients over 40 years of age and to reveal the risk factors for conversion to THA.

View Article and Find Full Text PDF

Aims: To explore the association between Frailty Index based on laboratory tests (FI-lab) and in-hospital fall risk in older adults, and to explore whether incorporating FI-lab improves the predictive accuracy of a traditional fall risk prediction tool.

Methods: We conducted a retrospective cohort study using electronic medical records from patients aged ≥ 60 years who were admitted to Nagoya University Hospital in 2020. We assessed fall risk using the St.

View Article and Find Full Text PDF

: High tibial osteotomy (HTO) was generally not indicated in patients with rheumatoid arthritis (RA) because synovial inflammation may exacerbate joint damage postoperatively. Recently, joint destruction in RA has dramatically changed with the introduction of methotrexate (MTX) and biological disease-modifying antirheumatic drugs (bDMARDs). This study aimed to investigate the clinical outcomes of HTO for patients with RA treated with recent medication.

View Article and Find Full Text PDF

Background: Undernutrition is a prevalent issue among hospitalized older adults. Dietary intake is a major factor in nutritional status. Although insufficient dietary intake during hospitalization has been well documented, little research has focused on dietary intake at discharge, which may reflect the patient's true dietary intake capacity.

View Article and Find Full Text PDF

Objective: To compare Anterior Inferior Iliac Spine (AIIS) morphology between femoroacetabular impingement (FAI) and developmental dysplasia (DDH) and investigate the correlation between AIIS and hip morphology.

Materials And Methods: 374 patients (423 hips) who underwent primary hip arthroscopic surgery were retrospectively reviewed. The inclusion criteria were patients with labral tears and either FAI or DDH.

View Article and Find Full Text PDF

This report describes a patient with type 2 diabetes mellitus who received intravenous immunoglobulin therapy for Guillain-Barré syndrome and subsequently experienced a sudden deterioration in glycemic control. Although anti-glutamate decarboxylase antibodies became positive and insulin secretion was transiently suppressed, both findings returned to baseline during the follow-up period. These changes initially raised concerns about new-onset or coexisting type 1 diabetes mellitus; however, the reversibility of anti-glutamate decarboxylase antibody positivity and the eventual restoration of insulin secretion argued against a new or evolving form of autoimmune diabetes.

View Article and Find Full Text PDF

Objectives: The combination of fecal immunochemical test (FIT) followed by colonoscopy has established itself as one of the preferred population-based screening strategies. Despite extensive exploration of various techniques and technologies, their impact on adenoma detection rate has shown inconsistency across studies in this specific setting "FIT+ population." We aimed to assess the impact of the computer-aided detection (CADe) system in all randomized trials focused on this subpopulation.

View Article and Find Full Text PDF

Introduction: In baseball, a common instruction emphasizes aligning the bat swing trajectory with the pitched ball trajectory near impact when viewed from the side. This alignment is believed to widen the acceptable range of timing error, thereby enhancing batting average. While prior studies have explored the effects of swing speed and sweet spot contact on batted ball velocity, the specific influence of bat swing path on the acceptable range of timing error during bat-ball impact has not been adequately investigated.

View Article and Find Full Text PDF

Background: A subchondral stress fracture of the femoral head (SSFFH) is managed with nonoperative treatment. There is a lack of knowledge regarding whether hip arthroscopic management is effective for active patients with SSFFHs.

Purpose: To elucidate whether arthroscopic management of SSFFHs enables active patients to return to sports activity.

View Article and Find Full Text PDF

Objective: This study aimed to investigate the associations between hip cartilage lesions and bony morphologic parameters in the hip joints using a computed tomography-based software system.

Methods: Seventy-nine symptomatic hips that underwent hip arthroscopic labral preservation surgery were enrolled in this study. Bony structural morphologic parameters were subsequently assessed via a computed tomography-based software system.

View Article and Find Full Text PDF

Aim: Among the many screening tools developed to detect frailty and disability in older adults, the Clinical Frailty Scale (CFS) is a valid, reliable, and easy-to-use tool and has been translated into several languages. The aim of this study was to demonstrate the validity of the Japanese version of the CFS (CFS-J).

Methods: The necessary permissions were obtained from Rockwood and colleagues.

View Article and Find Full Text PDF

While several studies have reported short-term clinical outcomes after medial patellofemoral ligament (MPFL) repair with suture tape augmentation, there is still a dearth of knowledge regarding midterm clinical outcomes. This study aimed to evaluate the midterm clinical outcomes of MPFL repair with suture tape augmentation in patients with patellar dislocation. We retrospectively reviewed the clinical records of patients who underwent MPFL repair with suture tape augmentation for at least one episode of patellar dislocation between 2015 and 2020.

View Article and Find Full Text PDF

Background: The emergency department is treating a growing number of older patients with frailty, which has been linked to poorer outcomes. Urgency is generally emphasized in the emergency department based on indicators such as triage scores and early warning scores for decision-making. However, this approach may not be sufficient for frail older people.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to investigate how vision impairment, hearing impairment, and dual sensory impairment (DSI) relate to the risk of falls in older patients after being discharged from the hospital.
  • Conducted in Japan, the research included 707 patients, analyzing their likelihood of falling within 3 months after discharge based on sensory impairments, physical and cognitive functions, and mental health.
  • The findings indicate that DSI significantly increases the risk of post-discharge falls, with patients having a 3.43 times higher risk compared to those with only vision or hearing impairments.
View Article and Find Full Text PDF

Objectives: To determine whether a Frailty Index based on laboratory tests (FI-lab) is associated with clinical outcomes independently of a standard nonlaboratory Frailty Index (FI-clinical) in older patients starting home-based medical care.

Design: Secondary analysis of data from a multicenter prospective cohort study.

Setting And Participants: Patients aged ≥65 years who were starting home-based medical care services provided by doctors and nurses at Nagoya, Japan.

View Article and Find Full Text PDF

Purpose: To examine the extent to which patients with amnestic mild cognitive impairment (aMCI) or Alzheimer's disease (AD) perceive their own physical decline.

Methods: This study included 4450 outpatients (1008 normal cognition [NC], 1605 aMCI, and 1837 mild AD) who attended an initial visit to a memory clinic between July 2010 and June 2021. Their physical function was assessed by the Timed Up and Go test, one-leg standing test, and grip strength.

View Article and Find Full Text PDF

We developed a test to evaluate badminton-specific endurance. The study included 10 female badminton players. Five participants were ranked in Japan's top 100 national rankings (ranked), whereas the others were unranked (unranked).

View Article and Find Full Text PDF

Osteochondritis dissecans (OCD) of the knee is an uncommon injury in young active patients. There is currently a lack of knowledge regarding clinical outcomes and return-to-sport rates after fragment fixation surgery using hydroxy appetite poly-L-lactic acid (HA/PLLA) threaded pins for knee OCD among athletes. Our purpose was to investigate the clinical outcomes and return-to-sport rates following osteochondral fragment fixation using HA/PLLA pins for the treatment of knee OCD lesions among athletes.

View Article and Find Full Text PDF

The marital relationship is associated with the quality of life among those with cognitive impairment, but sarcopenia status seems to play an important role in the association.

View Article and Find Full Text PDF

Bone damage, a late side effect of radiotherapy, occurs concurrently with the replacement of fat cells in the bone marrow, causing changes in bone composition. Changes in composition can affect bone quality and disease states, and reduced bone mass can reduce quality of life by increasing the risk of fractures. A 70-year-old woman presented to the orthopedic outpatient clinic with the chief complaint of lower-back pain.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to investigate the relationship between cognitive function and phase angle (PhA), an indicator of muscle quality.

Methods: This cross-sectional study enrolled outpatients who visited a memory clinic at the Nagoya University hospital from January 2016 to June 2022. We enrolled 153 participants with body composition measurements.

View Article and Find Full Text PDF

Background: Few studies have examined the relationship between non-cognitive factors and activities of daily living (ADL) according to Alzheimer's disease (AD) stage.

Objective: We aimed to identify the differences in non-cognitive factors according to AD stages and their involvement in basic and instrumental ADL performance by using intrinsic capacity (IC) in groups with cognition ranging from normal to moderate or severe AD.

Methods: We enrolled 6397 patients aged≥65 years who visited our memory clinic.

View Article and Find Full Text PDF