Age estimation from clavicle by histomorphometry method: a review

Histomorphometry method, the quantitative study of histology, is a useful method to estimate age of death in the present and ancient skeletal remains by measurable morphology of osteon. This method, which reduces individual bias and difference in the level of experience for estimation of age, is useful for constructing paleodemographic models and forensic identifications when adult fragmentary skeletal remains are encountered. Most parts of skeletons that are studied by histomorphometry method are femur, tibia, rib, and clavicle. Clavicle bone has been poorly studied except for Caucasian populations. Moreover, clavicle is a very interesting bone because it is a non-weight bearing bone, is usually found as entire bone and has different bone development from other long bones. Thus, the interest of this review article is on the age estimation by histomorphometry method of clavicle. This review article also describes the histomorphometry method, clavicle bone, bone remodeling, and forensic application of clavicle with histomorphometry method

Biological markers associated osteoarthritis

Osteoarthritis is the most common degenerative joint disease that develops in the elderly. The worldwide prevalence continues to rise, leading to pain and disability in older ages. Osteoarthritis can be diagnosed by using plain film X-ray combined with clinical appearance and structural features. The imbalance between cartilage synthesis and degradation has been explained in the development of osteoarthritis, which is associated with chondrocyte death. There are many cytokines and biological markers related to the disease. The present review provides a background and discusses the known biological markers that are related to developing osteoarthritis. These include advance glycation end products, glutathione and glycosaminoglycans

Sleep Related Epilepsy and Pharmacotherapy: An Insight

In the last several decades, sleep-related epilepsy has drawn considerable attention among epileptologists and neuroscientists in the interest of new paradigms of the disease etiology, pathogenesis and management. Sleep-related epilepsy is nocturnal seizures that manifest solely during the sleep state. Sleep comprises two distinct stages i.e., non-rapid eye movement (NREM) and rapid eye movement (REM) that alternate every 90 min with NREM preceding REM. Current findings indicate that the sleep-related epilepsy manifests predominantly during the synchronized stages of sleep; NREM over REM stage. Sleep related hypermotor epilepsy (SHE), benign partial epilepsy with centrotemporal spikes or benign rolandic epilepsy (BECTS), and Panayiotopoulos Syndrome (PS) are three of the most frequently implicated epilepsies occurring during the sleep state. Although some familial types are described, others are seemingly sporadic occurrences. In the present review, we aim to discuss the predominance of sleep-related epilepsy during NREM, established familial links to the pathogenesis of SHE, BECTS and PS, and highlight the present available pharmacotherapy options

Age estimation by using aspartic acid racemization from purified elastin of aorta

Age estimation is the one of biological profiles which plays an important role in identification in forensic field. The application of biochemical approach known as aspartic acid racemization in human provides more accuracy and less error of estimated age in age determination. During aging, amino acids within protein transform between D-and L-form (racemization), which results in increasing concentration of D-amino acids. This change of amino acids is related to aging. Aspartic acid has been generally applied in racemization because it has fastest rate of racemization. Racemization of aspartic acid not only takes place in teeth and many kinds of bone, but also can occur in the flexible structure which contain mostly elastin. For example, skin yellow ligament, lung parenchyma, and aorta. Elastin is essential protein which is comprised most composition of several structures and it is major content in the elastic fibers. Additionally, elastin is the longest lasting protein in the body with slow metabolic turnover rate. Recently, there is a purification technique to obtain only single protein in human aorta. There was a good correlation between degree of racemization (D/L ratio) and age. Therefore, aspartic acid racemization by purifies elastin from aorta is a one of indicator for age estimation. This review provides an overview of aspartic acid racemization, elastin protein, purification method bases on racemization and the application of D/L ratio by purified of elastin in artery for age estimation

Aspartic acid racemization method for age estimation in human tissues: a review

The amino acid racemization is a chemical reaction process that depends on the property change of proteins in the organism. There is change in the concentration of L-and D-amino acids in during life and after death, as well. This change leads to the relationship with aging process. Aspartic acid (Asp) is non-essential amino acid which is commonly utilized on racemization because it has most rapidly accumulated of D-aspartic acids of all amino acids. Therefore, aging is related to the interconversion of amino acids, which is a useful tool for age estimation in forensic science. Aspartic acid racemization can occur in many human structures e.g. teeth, bone, articular cartilage, intervertebral disc, yellow ligament, skin, lung parenchyma, aorta, and eye-lens. Additionally, the relationship between aspartic acid racemization and age can be used for investigation of protein turnover and pathological diseases. There are different aspartic acid preparation methods which obtain different results. In this review, we describe aspartic acid racemization method, several factors of racemization, application of racemization for age estimation including several preparation methods based on racemization in both teeth and bones

Efficiency of dry bone inspection compared with two-dimensional os coxal images for age estimation in a Thai population

The auricular surface and pubic symphysis are commonly used in age estimation. This study aimed to compare the results of age estimation between dry bones and 2D images of the os coxae and to develop a tool specifically for Thai individuals. The total samples were 250 left os coxal dry bones divided into 200 samples (100 males, 100 females) for the training set and 50 samples for the test set. The age range was 26 – 94 years. We used the Suchey-Brooks method and Berg method for observing the pubic symphysis and the Buckberry-Chamberlain method for observing the auricular surface. Afterward we compared the dry bones and photo parts. Our results showed sex did not play a significant role in estimating the age-at-death. In both parts, the auricular surface yielded the highest accuracy (80 – 84%) with SEE = 13.99 – 14.24 years. The pubic symphysis showed an accuracy of 74 – 76% and SEE = 14.37 – 14.44 years. The results of the dry bone and photo parts did not differ significantly. In both dry bone and photo parts, the intra-observer agreement performed moderate to almost perfect agreement. On the other hand, the inter-observer agreement was slight to fair. In conclusion, our study can be potentially applied for distant consultation for age estimation using 2D pelvic images with a forensic anthropologist for estimating biological profiles

肘の内外反変形に伴う尺骨神経の伸長度変化に関する生体力学的研究

Background: Cubital tunnel syndrome can be caused by overtraction and dynamic compression in elbow deformities. The extent to which elbow deformities contribute to ulnar nerve strain is unknown. Here, we investigated ulnar nerve strain caused by cubitus valgus/varus deformity using fresh-frozen cadavers. Methods: We used six fresh-frozen cadaver upper extremities. A strain gauge was placed on the ulnar nerve 2 cm proximal to the medial epicondyle of the humerus. For the elbow deformity model, osteotomy was performed at the distal humerus, and plate fixation was performed to create cubitus valgus/varus deformities (10°, 20°, and 30°). Ulnar nerve strain caused by elbow flexion (0–125°) was measured in both the normal and deformity models. The strains at different elbow flexion angles within each model were compared, and the strains at elbow extension and at maximum elbow flexion were compared between the normal model and each elbow deformity model. However, in the cubitus varus model, the ulnar nerve deflected more than the measurable range of the strain gauge; elbow flexion of 60° or more were considered effective values. Statistical analysis of the strain values was performed with Friedman test, followed by the Williams’ test (the Shirley‒Williams’ test for non-parametric analysis). Results: In all models, ulnar nerve strain increased significantly from elbow extension to maximal flexion (control: 13.2%; cubitus valgus 10°: 13.6%; cubitus valgus 20°: 13.5%; cubitus valgus 30°: 12.2%; cubitus varus 10°: 8.3%; cubitus varus 20°: 8.2%; cubitus varus 30°: 6.3%, P < 0.001). The control and cubitus valgus models had similar values, but the cubitus varus models revealed that this deformity caused ulnar nerve relaxation. Conclusions: Ulnar nerve strain significantly increased during elbow flexion. No significant increase in strain 2 cm proximal to the medial epicondyle was observed in the cubitus valgus model. Major changes may have been observed in the measurement behind the medial epicondyle. In the cubitus varus model, the ulnar nerve was relaxed during elbow extension, but this effect was reduced by elbow flexion.博士（医学）・甲第865号・令和5年3月15

足関節運動とアキレス腱の緊張がアキレス腱と踵骨間の接触圧に与える影響

Impingement between the Achilles tendon and the posterosuperior prominence of the calcaneus is considered to be a cause of insertional Achilles tendinopathy. The corresponding treatment intends to reduce tensile stress from calf muscles and avoid hyper-dorsiflexion of the ankle joint for decreasing the contact pressure; however, no study has reported on whether these treatments can decrease impingement. Thus, this study investigated the hypothesis that the tensile stress of the Achilles tendon and ankle motion affect the contact pressure between the Achilles tendon and the posterosuperior prominence of the calcaneus. Six fresh-frozen cadaveric lower leg specimens were procured. Each specimen was set to a custom foot-loading frame and loaded with a ground reaction force of 40 N and a tensile load of 70 N along the Achilles tendon. The contact pressure between the Achilles tendon and the posterosuperior prominence of the calcaneus was measured using a miniature pressure sensor under different tensile loadings of the Achilles tendon at the neutral ankle position. Similarly, the contact pressures during the ankle motion from a neutral position to maximum dorsiflexion were measured. The tensile load of the Achilles tendon and ankle motion affected the contact pressure between the Achilles tendon and the posterosuperior prominence of the calcaneus. The contact pressure increased with tensile load or ankle dorsiflexion. Conditions with increasing the tensile load of the Achilles tendon or under ankle dorsiflexion increase the contact pressure between the Achilles tendon and the posterosuperior prominence of the calcaneus.博士（医学）・甲第806号・令和3年12月21日Copyright © 2021 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved

尺骨偽関節に対する前骨間動脈を血管茎とした橈骨遠位からの有茎血管柄付き骨移植：解剖学的研究と症例報告

Background: A vascularized distal radius graft can be a reliable solution for the treatment of refractory ulnar nonunion. The aim of this study is to establish the anatomical basis of a vascularized bone graft pedicled by the anterior interosseous artery and report its clinical application, using cadaveric studies and a case report. Methods: Fourteen fresh frozen cadaveric upper limbs were used. The branches of the anterior interosseous artery (the 2, 3 intercompartmental supraretinacular artery and the fourth extensor compartment artery) were measured at the bifurcation site. The anatomical relationship between the anterior interosseous artery and motor branches of the posterior interosseous nerve was investigated. An anterior interosseous artery pedicled bone flap was used in a 48-year-old woman with refractory ulnar nonunion. Results: There were two variations depending on whether the 2,3 intercompartmental supraretinacular artery branched off distally or proximally from the terminal motor branch of the posterior interosseous nerve. The proximal border of the graft was located at an average of 10.5 cm (range, 6.5-12.5 cm) from the distal end of the ulnar head in the distal type (57%) and 17.5 cm (range, 9.5-21.5 cm) in the proximal type (43%). In the clinical application, successfully consolidation was achieved 4 months post-surgery. The patient had not developed any postoperative complications until the 2-year postoperative follow-up. Conclusions: The anterior interosseous artery-pedicled, vascularized distal radius bone graft would be a reliable alternative solution for the treatment of an ulnar nonunion located within the distal one-third of the ulna.博士（医学）・甲第767号・令和3年3月15日© 2020 Wiley Periodicals, Inc.This is the peer reviewed version of the following article: https://onlinelibrary.wiley.com/doi/full/10.1002/micr.30566, which has been published in final form at https://doi.org/10.1002/micr.30566. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions