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Biomedical subjects

Kenji Fujita

Publications and source records attributed to Kenji Fujita.

7 recordsLinked to original sources

Stress fracture of the olecranon in an adult baseball player.

Stress fractures of the olecranon caused by repetitive stress force have infrequently been reported as a cause of elbow pain in adult athletes, engaged in throwing and pitching sports. We diagnosed as a stress fracture of the olecranon by clinical and radiographic findings and treated surgically. The patient returned to playing baseball at a competitive level and was asymptomatic 4 months after the first operation. However, the patient re-injured the olecranon and a second surgical treatment was performed almost 1 year after the first operation. After the second surgery, the patient returned to playing baseball at a competitive level and was free from elbow symptoms. We presented a stress fracture of the olecranon in a semi-professional adult baseball player and suggested that surgical treatment is necessary.

Adult↗

Ultrasound treatment of nonunion of the hook of the hamate in sports activities.

Two cases of nonunion of the hook of the hamate were treated with low-intensity pulsed ultrasound. The patients were baseball players and had been injured as a result of hitting repeatedly. Nonunion was detected on computed tomography (CT) and was exposed to ultrasound for 20 min a day for 4 months. In both cases pain at the hypothenar eminence disappeared, and bone union was confirmed on CT at the end of the ultrasound treatment.

Adolescent↗

MRI-negative rotator cuff tears.

We report two cases of rotator cuff tear in which the T(2)-weighted MRI signal was negative at the first examination, but positive by the second examination without any changes in symptoms. Many authors have reported on correlations between the MRI and operative findings of rotator cuff tears. However, MRI findings, history of symptoms and operative findings in our patients suggest that there was a discrepancy between symptoms and MRI findings dependent on the period from the injury. Operative findings also indicate that intratendinous tears might have occurred first in these patients then progressed to partial or full thickness tears over time. We concluded that physicians should keep rotator cuff pathology in mind even in patients whose MRI findings are negative but symptoms of rotator cuff tear persist.

Adult↗

Comparison of mechanical and histological properties between the immature and mature tendon attachment.

We tested the tensile strength of the Achilles tendon attachment to the calcaneus in skeletal mature and immature rabbits. The mean ultimate failure load was 179.6+/-28.6 N in the mature animals, and 138.5+/-36.1 N in the immature animals ( P<0.05). Although direct insertion was clearly observed histologically in the mature animals, direct insertion was not obvious in the immature animals. In the mature animals, failure occurred partly at the attachment zone (50%) and partly at the tendon zone (50%). In the immature animals, failure occurred at the attachment zone in 85% and at the tendon zone in 15%.

Achilles Tendon↗