Publishing type：Research paper (scientific journal)   Publisher：MDPI AG  

Study Design: Retrospective observational study. Background: Sacral insufficiency fractures (SIF) are relatively rare fractures and difficult to diagnose on plain radiographs. The primary objective of the present study was to evaluate the role of lumbar magnetic resonance imaging (MRI) for the diagnosis of SIF. The secondary objective was to identify the classification of SIF by computed tomography (CT). Methods: A total of 77 (Male 11, female 66, mean 80.3 years) people were included in this study. Inclusion criteria for this study were: age ≥ 60 years and no history of high energy trauma. Exclusion criteria were high energy trauma and a current history of malignancy. Differences in the fracture detection and description in the various radiologic procedures were evaluated. Fracture patterns were evaluated with CT. The detection rates of additional pathologies in the MRI of the pelvis and lumbar spine were also recorded. Results: The sensitivities for SIF were 28.5% in radiographs and 94.2% in CT, and all fractures were detected in MRI. MRI showed a more complex fracture pattern compared with CT in 65% of the cases. We observed 71.4% of single SIFs, 9.1% with other spinal fractures, 13.0% with other pelvic fractures, and 7.8% with other fractures. According to the SIF fracture pattern, the H/U type was 40.2%, transverse type was 33.7%, λ/T type was 24.7%, unilateral vertical type was 1.3%, and bilateral vertical type was 0%. Conclusions: an MRI of the lumbar spine including the sacrum with a coronal fat-suppressed T2-weighted image is useful for elderly patients with suddenly increasing low back pain at an early stage. This procedure improves an early SIF detection, recognition of concomitant pathologies, and adequate treatment for the patients.

DOI： 10.3390/jcm11174968

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Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.wneu.2021.01.066

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Language：English   Publisher：Okayama University Medical School  

DOI： 10.18926/AMO/52008

CiNii Article

CiNii Books

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Other Link： http://search.jamas.or.jp/link/ui/2015047266

Publishing type：Research paper (scientific journal)  

Tissue engineering has been increasingly applied to treat diseases of the joints that adversely affect components such as cartilage and ligaments. These components do not contain blood vessels and nerves; the risk of rejection during tissue transplantation is therefore less than that for other organs. Treatment of cartilage and ligaments requires highly skilled surgeons, however, and it is necessary to establish a quantitative evaluation method. It is difficult to measure the mechanical properties of cartilage because of its viscoelasticity. Sensing technology that enables uniform qualitative evaluation is therefore desired. In this study, a portable diagnostic probe was developed and the viscoelasticity of cartilage was measured quantitatively over a short period of time. The probe was designed based on the Voigt model and comprises a piezoelectric actuator, a force sensor, and a contact probe. Stiffness and viscosity coefficients of various samples such as silicone rubber and the bovine meniscus were measured, and the accuracy of the developed probe was evaluated. Finally, the mechanical properties of human articular cartilage were measured using the diagnostic probe.

DOI： 10.20965/jrm.2012.p0782

Scopus

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