Publications by authors named "Nobusuke Shibata"
Med Princ Pract
February 2024
Article Synopsis
- Atypical femoral fractures (AFF) involve low-energy breaks in specific areas of the femur, and even after healing, there's a risk of similar fractures in the opposite leg.
- The study analyzed 111 femurs from 104 patients to identify factors affecting the likelihood of complete fractures in the contralateral femur, categorizing them into groups based on their fracture status.
- Key findings included that thicker lateral cortical bone and thigh pain indicated worse outcomes, while using eldecalcitol and previous bisphosphonate or denosumab treatments were protective against future complete fractures.
Med Princ Pract
March 2022
Article Synopsis
- The study investigates the differences in mechanisms and risk factors for diaphyseal atypical femoral fractures (AFFs) in patients, particularly focusing on their clinical backgrounds.
- It includes 80 Japanese patients with 91 diaphyseal AFFs and compares them to 110 matched women with osteoporosis to identify contributing factors.
- Key findings indicate that factors like femoral serrated changes, use of bone resorption inhibitors, and certain femoral curvatures are significant risk factors for diaphyseal AFFs, along with low vitamin D levels and high serum calcium levels being linked to specific curvatures.
Article Synopsis
- Teriparatide is used to treat atypical femoral fractures (AFF), but even after healing, there is a risk of recurring fractures, prompting further investigation into contributing factors.
- In a study of 113 Japanese patients with AFF, researchers compared those who experienced a second fracture to those who did not, analyzing factors affecting recurrence.
- Findings suggest that using teriparatide and active vitamin D for longer periods can help prevent AFF relapse, highlighting the importance of continued treatment after the first fracture heals.
Article Synopsis
- This study aimed to compare blood flow changes (postcontraction hyperemia) after muscle stimulation in individuals with upper extremity paralysis versus healthy controls.
- It involved 13 healthy individuals and 11 patients, measuring blood flow in the basilic vein before and after electrical stimulation of the biceps muscle.
- Results showed that while both groups experienced increased blood flow after stimulation, the change was less pronounced in patients with paralysis, indicating potential for assessing rehabilitation effects in these patients.
