Peritoneal Dialysis-Related Peritonitis Caused by Streptococcus oralis.

A 77-year-old man developed peritoneal dialysis-related peritonitis caused by Streptococcus oralis, a rare pathogen causing the disease. The infection, which was not controlled by one-week intraperitoneal administration of cefazolin and ceftazidime, was cured only after switching to two-week intravenous administration of cefazolin and ceftazidime. The patient had no major dental disease or recent history of dental intervention.

A new classification of anterior talofibular ligament injuries based on ultrasonography findings.

Background: Ultrasonography (US) has become a useful tool in the evaluation of thickness and continuity of damaged ligaments owing to the rapid advances in its performance and availability. Furthermore, US examination is economical and can be undertaken in a more timely manner than MRI, as it can be performed during the first patient visit. It is also likely to be more accurate than the traditional method of palpating ligaments to diagnose possible injury.

Common variants in DVWA on chromosome 3p24.3 are associated with susceptibility to knee osteoarthritis.

Susceptibility to osteoarthritis, the most common human arthritis, is known to be influenced by genetic factors. Through a genome-wide association study using approximately 100,000 SNPs, we have identified a previously unknown gene on chromosome 3p24.3, DVWA, which is associated with susceptibility to knee osteoarthritis.

A functional SNP in EDG2 increases susceptibility to knee osteoarthritis in Japanese.

Osteoarthritis (OA) is the most common form of arthritis and is characterized by the gradual loss of articular cartilage. Several OA-susceptibility genes have been identified; however, there are few pharmaceutical targets that can be targeted with small-molecule compounds. To investigate whether a susceptibility gene for OA exists among G-protein-coupled receptors (GPCRs), we performed a stepwise association study for 167 single nucleotide polymorphisms (SNPs) in 44 GPCR genes that were present in cartilage.

Factors influencing range of motion after contemporary total knee arthroplasty.

A detailed analysis of 219 total knee arthroplasties performed with a single implant design was performed. Factors significantly affecting the postoperative range of motion of total knee arthroplasties 2 years after surgery included preoperative diagnosis and preoperative range of motion. Sex, age, body mass index, femoral component size, posterior cruciate ligament status, or fixed vs mobile bearing design did not correlate with knee range of motion 2 years postoperatively.

A functional single nucleotide polymorphism in the core promoter region of CALM1 is associated with hip osteoarthritis in Japanese.

Osteoarthritis (OA), a common skeletal disease, is a leading cause of disability among the elderly populations. OA is characterized by gradual loss of articular cartilage, but the etiology and pathogenesis of OA are largely unknown. Epidemiological and genetic studies have demonstrated that genetic factors play an important role in OA.

An aspartic acid repeat polymorphism in asporin inhibits chondrogenesis and increases susceptibility to osteoarthritis.

Osteoarthritis is the most common form of human arthritis. We investigated the potential role of asporin, an extracellular matrix component expressed abundantly in the articular cartilage of individuals with osteoarthritis, in the pathogenesis of osteoarthritis. Here we report a significant association between a polymorphism in the aspartic acid (D) repeat of the gene encoding asporin (ASPN) and osteoarthritis.

Experimental study on thermal welding for the knee meniscal white zone.

It is difficult to repair tears of the meniscus at the white zone by suturing. We considered that there might be an optimal tissue welding temperature when thermally welding the meniscal white zone, so we conducted a thermal welding experiment using bovine and human menisci. The samples prepared after thermal welding were investigated by measuring the tensile strength, analyzing the histological findings of the welded portion and the meniscal parenchyma, and conducting biochemical analyses.

Bilateral plica synovialis mediopatellaris syndrome: a case report.

The plica synovialis mediopatellaris, a so-called shelf, is found in 20%-50% of normal knees. A shelf syndrome with pain or functional injury is uncommon, however, and cases that occur during the adolescent growth phase are rare. We report a rare case of a bilateral shelf syndrome that developed simultaneously in both knees.

Effects of drug treatment on bone strength and structural changes with aging: an experimental study in rats.

The purpose of the present study was to evaluate the profiles of the bone strength of rats treated from infancy with various drugs. Young female Sprague-Dawley rats were classified into five groups according to the composition of their diets. They underwent resection of their femurs for a three-point flexion test and an impaction test at 6, 8, 12, and 16 months of age.