Glenohumeral joint motion after subscapularis tendon repair: an analysis of cadaver shoulder models

BACKGROUND: As for the surgical treatment of the rotator cuff tears, the subscapularis tendon tears have recently received much attention for the mini-open or arthroscopic repair. The results of surgical repair for the subscapularis tendon tear are satisfactory, but the range of external rotation is reported to be restricted after the repair. The purpose of this study was to evaluate the range of glenohumeral joint motion after repairs of various sizes of subscapularis tendon tears. METHODS: Using eight fresh frozen human cadaveric shoulders (mean age at death, 81.5 years), three sizes of subscapularis tendon tear (small, medium, and large) were made and then repaired. With the scapula fixed to the wooden jig, the end-range of glenohumeral motion was measured with passive movement applied through 1.0-Nm torque in the directions of scapular elevation, flexion, abduction, extension, horizontal abduction, and horizontal adduction. The passive end-ranges of external and internal rotation in various positions with rotational torque of 1.0 Nm were also measured. Differences in the ranges among the three type tears were analyzed. RESULTS: As tear size increased, range of glenohumeral motion in horizontal abduction after repair decreased gradually and was significantly decreased with the large size tear (P < 0.01). The end-range of external rotation decreased progressively with increasing tear size in every glenohumeral position. The prominent decrease in external rotation (around 40° reduction from intact shoulders) was observed in shoulders after repair of large size tear at 30° to 60° of scapular elevation and abduction. CONCLUSIONS: As the size of the subscapularis tendon tear increased, the passive ranges of horizontal abduction and external rotation of the glenohumeral joint after repair decreased significantly. In shoulders with a subscapularis tendon tear, it is necessary to consider the reduction of external rotation depending on tear size

SHRIMP U-Pb ages of the Karasaki mylonites in western Shikoku, Japan

唐崎マイロナイトの優白質角閃岩マイロナイトについて, ジルコンのSHRIMP U-Pb年代測定を行った結果, 1試料からの8粒子は114.2±3.9～102.3±4.5Ma(±1σ)の年代値を示した.マイロナイト化した優白質角閃岩は, SiO_2含有量が低い(49wt.%)ことと, 主として角閃石, 曹長石, 緑泥石および緑簾石のモード比の違いによる数百μm～数mm幅の顕著な層状構造を有することから, 玄武岩質火山岩または火山砕屑岩に由来する砂岩を原岩としている可能性が高い.優白質角閃岩マイロナイト中の丸みを帯びたジルコンは, ある程度遠方より運搬される過程で円磨された可能性が高いこと, マグマから晶出したジルコンに特徴的なオシレトリー累帯構造が認められることから, 砕屑性起源のジルコンであると判断される.また, その年代値が約110Maの狭い範囲を示す事実は, ジルコンが"古領家帯"に帰属すると考えられる真穴帯の大島変成岩や肥後帯の約110Ma深成岩類のみに由来する可能性を示唆する.したがって, 本論において初めて"古領家帯"中にアルビアン以降の堆積岩源変成岩が存在していることが明らかとなった.Zircon U-Pb isotope ages have been analyzed by the Sensitive High Resolution Ion MicroProbe (SHRIMP) in an leucocratic amphibolite mylonite from the Karasaki mylonites, western Shikoku, Japan which has been considered to belong to the "Paleo-Ryoke" belt. Eight zircon grains from the sample yielded U-Pb ages of Albian (Early Cretaceous) ranging from 114.2 ± 3.9 Ma to 102.3 ±4.5 Ma (± 1σ errors). The protolith of the mylonitized leucocratic amphibolite has been inferred to be basaltic volcanic sandstones, because the SiO_2 content is low (49 wt.%), and the leucocratic amphibolite (consisting of albite and epidote rich, and chlorite and epidote rich layers alternates with amphibole rich and chlorite rich layers on the order of a few mm, suggestive of original sedimentary layering. All the zircon grains can be inferred to be detrital based on both the facts that they were abraded possibly due to sedimentation processes, and that they show oscillatory zoning indicating igneous (primary) texture. The small range of U-Pb ages varying ca. 110 Ma suggests that the zircon grains in the volcanic sandstones were supplied only from the Oshima metamorphic rocks of the Maana belt and the Higo plutonic rocks of the Higo belt whose U-Pb zircon ages were dated as ca. 110 Ma. The fact clearly indicates that the metamorphic rocks (Karasaki mylonites) originated from post-Albian sediments also constitute as a new member of the "Paleo-Ryoke" belt

High prevalence of wild-type transthyretin deposition in patients with idiopathic carpal tunnel syndrome: a common cause of carpal tunnel syndrome in the elderly

Carpal tunnel syndrome is the most common type of entrapment neuropathy. However, the cause of carpal tunnel syndrome remains unclear in most cases. Senile systemic amyloidosis, induced by wild-type transthyretin deposition, is a prevalent aging-related disorder and often accompanied by carpal tunnel syndrome. In this study, we measured the frequency of unrecognized wild-type transthyretin deposition in patients with idiopathic carpal tunnel syndrome. One hundred twenty-three patients with carnal tunnel syndrome, including 100 idiopathic patients, treated by carpal tunnel release surgery were analyzed. Tenosynovial tissues obtained at surgery were analyzed by Congo red and immunohistochemical staining. If staining for transthyretin was positive, the entire transthyretin gene was analyzed by direct DNA sequencing. We also analyzed tenosynovial tissues from 32 autopsy cases as controls. Thirty-four patients (34.0%) with idiopathic carpal tunnel syndrome showed amyloid deposition in the tenosynovial tissue, and all amyloid showed specific immunolabeling with antitransthyretin antibody. Direct DNA sequencing of the entire transthyretin gene did not reveal any mutations, indicating that all amyloid deposits were derived form wild-type transthyretin. Statistical analysis using logistic regression showed that the prevalence of transthyretin deposition in the idiopathic carpal tunnel syndrome group was significantly higher than that in controls (odds ratio, 15.8; 95% confidence interval, 3.3-75.7), and age and male sex were independent risk factors for transthyretin amyloid deposition. Our results demonstrate that wild-type transthyretin deposition is a common cause of carpal tunnel syndrome in elderly men. It is likely that many patients develop carpal tunnel syndrome as an initial symptom of senile systemic amyloidosis.ArticleHUMAN PATHOLOGY. 42(11):1785-1791 (2011)journal articl

Amplitude enhancement of short period GPS-TEC oscillations over rainfall area

Correlation between rainfall and short period GPS-TEC (total electron content) variations are investigated by using the precipitation data obtained on the ground and estimated from satellite observations (JAXA/GSMaP) as a proxy of lower atmospheric wave activity. The GPS-TEC data obtained at a tropical station, PHIM, in Phimai, Thailand, for 2014–2020, and the data obtained at a mid-latitude station, NAKG, in Tokara Nakanoshima Island, Japan, for 2017–2019, are examined. A statistical analysis of MEM (maximum entropy method) power spectral density (PSD) in the period range from 50 to 1200 s over PHIM clearly shows an enhancement in the cases of rainfall from that in no-rainfall cases, in particular, on the dusk side. The enhancement is observed both acoustic wave periods less than 5–6 min and internal gravity wave periods more than 10 min. The enhancement after sunset could be an effect of strong rainfall more frequent on the dusk side than that in other local time, or it could suggest the importance of ionospheric electron density profile change for the TEC variation. On the other hand, the PSD does not show such clear enhancement over NAKG on the dusk side, although it shows a small enhancement on both dayside and night-side. A clear PSD bulge near the main vertical acoustic resonance periods, i.e., around 275 s, appears in the average PSD profile of the TEC at PHIM, which suggests that the resonance effect contribute to some extent the PSD enhancement under rainy condition. An event analysis also suggests the contribution of acoustic resonance to the enhancement of the short period TEC variation. A complicated spatial distribution of TEC oscillation over a rainfall area around PHIM, where the TEC oscillations with various periods co-exist, is presented

Increased IP-10 production by blood–nerve barrier in multifocal acquired demyelinating sensory and motor neuropathy and multifocal motor neuropathy

Objective Dysfunction of the blood–nerve barrier (BNB) plays important roles in chronic inflammatory demyelinating polyneuropathy (CIDP) and multifocal motor neuropathy (MMN). The aim of the present study was to identify the candidate cytokines/chemokines that cause the breakdown of the BNB using sera from patients with CIDP and MMN. Methods We determined the levels of 27 cytokines and chemokines in human peripheral nerve microvascular endothelial cells (PnMECs) after exposure to sera obtained from patients with CIDP variants (typical CIDP and multifocal acquired demyelinating sensory and motor neuropathy [MADSAM]), MMN and amyotrophic lateral sclerosis (ALS), and healthy controls (HC), using a multiplexed fluorescent bead-based immunoassay system. Results The induced protein (IP)10 level in the cells in both the MADSAM and MMN groups was markedly increased in comparison with the typical CIDP, ALS and HC groups. The other cytokines, including granulocyte colony-stimulating factor, vascular endothelial growth factor (VEGF) and interleukin-7, were also significantly upregulated in the MADSAM group. The increase of IP-10 produced by PnMECs was correlated with the presence of conduction block in both the MADSAM and MMN groups. Conclusion The autocrine secretion of IP-10 induced by patient sera in PnMECs was markedly upregulated in both the MADSAM and MMN groups. The overproduction of IP-10 by PnMECs leads to the focal breakdown of the BNB and may help to mediate the transfer of pathogenic T cells across the BNB, thereby resulting in the appearance of conduction block in electrophysiological studies of patients with MADSAM and MMN

Changes in choroidal thickness in healthy pediatric individuals: a longitudinal study

AIM: To investigate the changes in the choroidal thickness in healthy pediatric children in a longitudinal study, and to determine the ocular and systemic parameters that were significantly correlated with the changes in the choroidal thickness. METHODS: This study included 64 eyes of 34 healthy Japanese children with a mean age (±SD) of 4.4 (±0.4)y (range, 3.6-5.8y) at baseline. Swept-source optical coherence tomography (SS-OCT) was used to record images of the retina and choroid at the baseline and after a mean follow-up period of about 1.5y. The 3D raster scan protocol was used to construct the choroidal thickness map. Mean choroidal thickness was calculated for each of the nine sectors of the Early Treatment Diabetic Retinopathy Study grid. Best-corrected visual acuity, axial length, body height, and weight were also measured. Changes in measurements were defined as the baseline values subtracted from the values at the final visit. A generalized estimating equation was used to eliminate the effect of within-subject intereye correlations. RESULTS: The mean central choroidal thickness was significantly reduced during the follow-up period (baseline, 301.8±8.6 µm; final visit, 286.6±8.0 µm, P<0.001). The decrease in the choroidal thickness was greatest in the central sector, followed by the sectors of the inner and outer rings. The inner and outer rings had diameters of 1 to 3 mm and 3 to 6 mm, respectively. The changes in the choroidal thickness in the central, inner ring, and outer ring sectors were significantly and negatively correlated with the age, baseline body height, baseline body weight, and elongation of the axial length. CONCLUSION: These results indicate that the choroidal thickness among preschool-aged Japanese children decreased significantly during the follow-up period. The choroidal thinning is significantly associated with the elongation of axial length. These characteristics should be considered in the evaluation of choroidal thickness in younger children with retinochoroidal disorders

健常日本人小児における脈絡膜厚の経時的変化 : 縦断研究

AIM: To investigate the changes in the choroidal thickness in healthy pediatric children in a longitudinal study, and to determine the ocular and systemic parameters that were significantly correlated with the changes in the choroidal thickness. METHODS: This study included 64 eyes of 34 healthy Japanese children with a mean age (±SD) of 4.4 (±0.4)y (range, 3.6-5.8y) at baseline. Swept-source optical coherence tomography (SS-OCT) was used to record images of the retina and choroid at the baseline and after a mean follow-up period of about 1.5y. The 3D raster scan protocol was used to construct the choroidal thickness map. Mean choroidal thickness was calculated for each of the nine sectors of the Early Treatment Diabetic Retinopathy Study grid. Best-corrected visual acuity, axial length, body height, and weight were also measured. Changes in measurements were defined as the baseline values subtracted from the values at the final visit. A generalized estimating equation was used to eliminate the effect of within-subject intereye correlations. RESULTS: The mean central choroidal thickness was significantly reduced during the follow-up period (baseline, 301.8±8.6 μm; final visit, 286.6±8.0 μm, P<0.001). The decrease in the choroidal thickness was greatest in the central sector, followed by the sectors of the inner and outer rings. The inner and outer rings had diameters of 1 to 3 mm and 3 to 6 mm, respectively. The changes in the choroidal thickness in the central, inner ring, and outer ring sectors were significantly and negatively correlated with the age, baseline body height, baseline body weight, and elongation of the axial length. CONCLUSION: These results indicate that the choroidal thickness among preschool-aged Japanese children decreased significantly during the follow-up period. The choroidal thinning is significantly associated with the elongation of axial length. These characteristics should be considered in the evaluation of choroidal thickness in younger children with retinochoroidal disorders

Elucidation of flow characteristics in honeycomb structure to design nanobubble generating apparatus

A nanobubble generator with honeycomb structures producing a large amount of water including large nanobubble density in a short time is described. The nanobubble‐generating performance is investigated for large and small apparatus having different honeycomb cell dimensions by applying computational fluid dynamics (CFD) coupled with a population balance model (PBM). The CFD simulation shows that a significant pressure drop and shear stress occur in the bubbly flow in the honeycomb cell. The numerical model is based on the Eulerian multiphase model and the PBM is used to calculate the bubble size distribution. The obtained CFD‐PBM results are compared with the experimental results for large and small apparatus. Bubble size distributions in the honeycomb structure under different inlet absolute pressure can be predicted by the PBM. The maximum shear stress is determined as the main controlling factor for nanobubble generation