Upper extremity division of Orthopaedic Surgery Keio University consist of two services, Shoulder surgery, and Hand and Elbow surgery, that are grouped by 4 experienced instructors and 3 residents. Our division has more than 100 special physicians working in related Hospitals and Universities, which makes us one of the largest upper extremity group in Japan.
We have regular out-coming patient clinic every week, and specialty clinics for shoulder (Tuesday afternoon), and hand and elbow patients (Thursday afternoon). The patients are coming from all places in Japan, including the patients from other special hospitals and Universities.
Our basic research includes bone, cartilage and peripheral nerve biology, tendon and rotator cuff morphology, development of novel prosthesis for the elbow, and biomechanics of upper extremity.
We present 5 to10 papers at each related scientific meetings such as Japanese Society for Surgery of the Hand, Japan Shoulder Society, American Society Surgery of the Hand, and European Society of Shoulder Surgery. Many of our members are council members of those societies that are related to Shoulder, Hand and Elbow surgery.
Kazuki Sato, MD
|Specialty||Hand and Elbow trauma, Sports related injury of the Hand and Elbow|
|Study in Abroad||University at Buffalo, the State University of New York (USA)|
Takuji Iwamoto, MD
|Specialty||Hand an Elbow surgery, Rheumatoid Arthritis of the Hand and Elbow, Total Elbow Arthroplasty|
Noboru Matsumura, MD
|Specialty||Shoulder surgery, Shoulder Arthroscopy, Total Shoulder Arthroplasty (Reverse Shoulder Arthroplasty)|
|Study in Abroad||Centre Hospitalier Privé St Grégoire(France)|
Satoshi Ohki, MD
|Specialty||Hand and Elbow surgery, Shoulder surgery, Trauma, Musculoskeletal ultrasound diagnosis|
Total Elbow Arthroplasty (K-NOW)
We have developed a novel prosthesis for the elbow (K-NOW) based on anatomic morphology of Japanese population. K-NOW has unique concept which enables us to reduce bone resection, increase type of the implants, and increase modularity at revision. We use 3D surgical planning based on CT images, and ensure minimum invasive surgery and appropriate placement of the prosthesis.
Costal Osteochondral Graft
It has been an unsolved problem to treat articular cartilage damage biologically. We perform Costal Osteochondral Graft to the patients who suffered from severe cartilage injury at the finger joint and elbow, and achieved successful clinical results with those cases.
Surgical treatment for Peripheral Nerve disorders
Clinical results of peripheral nerve disorders depend on affected time period and surgical procedures to treat them. We have published many papers about mechanism and treatment of the peripheral nerve disorders, such as spontaneous paralysis of the anterior interosseous nerve and posterior interosseous nerve. We work as an official of multiple center study for the interosseous nerve palsies.
Surgery for Rheumatoid Arthritis
Since there have been significant progress in the treatment of rheumatoid arthritis (RA) by biologic drugs, goal of surgical treatment is now functional recovery by arthroplasties and corrective surgeries. Those procedures include tendon transfer and early postoperative rehabilitation for the rupture of the finger extensors, arthroplasty for the distal radio-ulnar joint disorder, and those achieved satisfactory clinical results and are followed by many of our related institutions.
Total Shoulder Arthroplasty (Reverse Shoulder Arthroplasty)
We perform total shoulder arthroplasty for the patients with end stage osteoarthritis and severe rotator cuff injury. We have been analyzing the morphological feature of the shoulder in Japanese normal population and developing nominal arthroplasty for the patients.
Kawano Y, Nakamichi N, Matsumura N. Lipoma in the subscapularis muscle causing scapular malposition. Shoulder & Elbow 7: 268-271, 2015
Yoshida A. Corrective Osteotomy for Ipsilateral Distal Clavicular and Coracoid Malunions. Orthopedics 38e: 742-745, 2015
Takagi T, Seki A, Mochida J, Takayama S. On-top plasty as a treatment for floating finger. Journal of Plastic, Reconstructive & Aesthetic Surgery 68: 876-877, 2015
Morisawa Y, Takayama S, Sato K. Surgical repair with external fixation of epiphyseal fractures of the proximal phalanges of three fingers:a case report. Hand Surgery 20: 471-473, 2015
Ochi K, Sakuma Y, Ishida O, Yano K, Yoshida S, Koyama T, Ishibashi M, Ikari K, Momohara S. Modified metacarpal shortening osteotomy of the mid carpal bone for preserving metacarpophalangeal joints in patients with rheumatoid arthritis. Modern Rheumatology 19: 1-2, 2015
Ochi K, Iwamoto T, Saito A, Ikari K, Toyama Y, Taniguchi A, Yamanaka H, Momohara S. Construct validity, reliability, response rate, and association with disease activity of the quick disabilities of the arm, shoulder and hand questionnaire in the assessment of rheumatoid arthritis. Modern Rheumatology 25: 241-245, 2015
Nagoshi N, Yamanaka K, Sasaki T. Radial shaft stress fracture after internal fixation using a titanium plate. BMJ Case Reports, 2015
Ochi K, Schindele S, Herren D. Zone 2 rupture of finger flexor tendons due to sharp bone spikes at volarly dislocated metacarpophalangeal joints in patients with rheumatoid arthritis. Journal of Hand Surgery (JHS) 40: 746-747, 2015
Ochi K, Horiuchi Y, Arino H, Toyama Y. Interfascicular Neurolysis for Incomplete Spontaneous Posterior Interosseous Nerve Palsy with a Surgical Delay of 17 Years: Is It Still Effective? Hand Surgery 20: 302-303, 2015
Suzuki T, Yoshida H, Matsumura N, Iwamoto T, Ochi K, Sato K. Anterior Transverse Divergent Dislocation of the Elbow in a Child. JBJS Case Connector 5: 75-75, 2015
Suzuki T, Seki A, Nakamura T, Ikegami H, Takayama S, Nakamura M, Matsumoto M, Sato K. Re-dislocation after corrective osteotomy for chronic dislocation of the radial head in children. Journal of Bone and Joint Surgery (JBJS) 97-B: 1582-1587, 2015
Ochi K, Horiuchi Y, Horiuchi K, Iwamoto T, Morisawa Y, Sato K. Shoulder position increases ulnar nerve strain at the elbow of patients with cubital tunnel syndrome. Journal of Shoulder and Elbow Surgery (JSES) 24: 1380-1385, 2015
Shiono S, Matsumura N, Ogawa K. Myositis ossificans circumscripta occurring in the subacromial space with severe mechanical blocking of the shoulder joint: a case report. JBJS Case Connector . 4: e49, 2014.
Matsumura N, Ogawa K, Ikegami H, Collin P, Walch G, Toyama Y. Computed tomography measurement of glenoid vault version as an alternative measuring method for glenoid version. Journal of Orthopaedic Surgery and Research. 9: 17, 2014. (1.577)
Ogawa K, Matsumura N, Yoshida A. Modified osteotomy for symptomatic malunion of the greater tuberosity of the proximal humerus. Journal of Orthopaedic Trauma 28: e290-e295, 2014
Okuno Y, Oguro S, Iwamoto W, Miyamoto T, Ikegami H, Matsumura N. Short-term results of transcatheter arterial embolization for abnormal neovessels in patients with adhesive capsulitis: A pilot study. Journal of Shoulder and Elbow Surgery. 23: e199-e206, 2014. (2.365)
Matsumura N, Ogawa K, Kobayashi S, Oki S, Watanabe A, Ikegami H, Toyama Y. Morphological features of humeral head and glenoid version in the normal glenohumeral joint. Journal of Shoulder and Elbow Surgery. 23: 1724-1730, 2014. (2.365)
Collin P, Matsumura N, L?dermann A, Denard P, Walch G. Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion. Journal of Shoulder and Elbow Surgery. 23: 1195-1202, 2014. (2.365)
Morioka T, Honma T, Ogawa K. Incomplete avulsion fractures of the scapular spine caused by violent muscle contraction. Keio Journal of Medicine 63: 13-17, 2014
Takagi T, Mochida J, Takayama S. Gentle manual reduction for traumatic bowing plastic deformation of the ulna with radial head dislocation. Journal of Hand Surgery American volume (JHS Am) 39: 2346-2348, 2014
Kato T, Iwamoto T, Matsumura N, Sato K, Nakamura T, Toyama Y. Radial deviation of the finger caused by an occult intramuscular ganglion in a patient with rheumatoid arthritis. Modern Rheumatology, 2014. (2.206)
Suzuki T, Takeda K, Iwamoto T, Sato K, Nakamura T, Yoshida H. Acute compartment syndrome in the forearm with extensor and flexor tendon ruptures. JBJS Case Connector. 4: e106, 2014.
Ochi K, Horiuchi Y. Fascicular constrictions in spontaneous anterior interosseous nerve palsy and spontaneous posterior interosseous nerve palsy. Neurosurgery. 75: e737-e738, 2014. (3.031)
Yamanaka Y, Nakamura T, Sato K, Toyama Y. How does ulnar shortening osteotomy influence morphologic changes in the triangular fibrocartilage complex. Clinical Orthopaedics and Related Research. 472: 3489-3494, 2014. (2.882)
Ochi K, Iwamoto T, Saito A, Ikari K, Taniguchi A, Yamanaka H, Momohara S, Yamanaka H, Momohara S. Construct validity, reliability, response rate, and association with disease activity of the quick disabilities of the arm, shoulder and hand questionnaire in the assessment of rheumatoid arthritis. Modern Rheumatology. 25: 2085-2085, 2014. (2.206)
Ochi K, Ikari K, Momohara S. Attrition rupture of ulnar nerve in an elbow of patient with rheumatoid arthritis. Journal of Rheumatology 41: 2085-2085, 2014
Takagi T, Seki A, Mochida J, Takayama S. Bone lengthening of the radius with temporary external fixation of the wrist for mild radial club hand. Journal of Plastic, Reconstructive & Aesthetic Surgery 67: 1688-1693, 2014
Sakuma Y, Iwamoto T, Momohara S. Ununited fracture of the hook of hamate treated with low-intensity pulsed ultrasound in an older middle-aged patient. Clinical Journal of Sport Medicine. 24: 358-359, 2014. (2.012)
Nakamura T, Matsumura N, Iwamoto T, Sato K, Toyama Y. Arthroscopy of the distal radioulnar joint. Handchirurgie Mikrochirurgie Plastische Chirurgie. 46: 295-299, 2014.
Sakuma Y, Ochi K, Iwamoto T, Saito A, Yano K, Naito Y, Yoshida S, Ikari K, Momohara S. Number of ruptured tendons and surgical delay as prognostic factors for the surgical repair of extensor tendon ruptures in the rheumatoid wrist. Journal of Rheumatology. 41: 265-269, 2014. (3.173)
Fukuoka M, Takayama S, Seki A. Congenital defect of the flexor digitorum profundus tendon of the little finger. Hand Surgery 19: 253-256, 2014
Nakamura S, Okazaki M, Tazaki K. A case reoort of a giant forearm lipoma causing anterior interosseous nerve palsy after fracture of the distal radius. Hand Surgery 19: 109-111, 2014
Nakamura T, Iwamoto T, Matsumura N, Sato K, Toyama Y. Radiographic and arthroscopic assessment of DRUJ instability due to foveal avulsion of the radioulnar ligament in distal radius fractures. Journal of Wrist Surgery. 3: 12-17, 2014.
Otabe K, Nakahara H, Hasegawa A, Matsukawa T, Ayabe F, Onizuka N, Inui M, Takada S, Ito Y, Sekiya I, Muneta T, Lotz M, Asahara H. Transcription factor Mohawk controls tenogenic differentiation of bone marrow mesenchymal stem cells in vitro and in vivo. Journal of Orthopaedic Research 33: 1-8, 2014
Suzuki T, Takeda K, Iwamoto T, Sato K, Nakamura T, Yoshida H. Acute Compartment Syndrome in the Forearm with Extensor and Flexor Tendon Ruptures. Journal of Bone and Joint Surgery (JBJS) 4: 106, 2014
Terada Y, Kono S, Uchiumi T, Kose K, Miyagi R, Yamabe E, Fujinaga Y, Yoshioka H. Improved reliability in skeletal age assessment using a pediatric hand MR scanner with a 0.3T permanent magnet. Magnetic Resonance in Medical Sciences 13: 215-219, 2014
Yamabe E, Ueno T, Miyagi R, Nakamura T, Dave H, Yoshioka H. Comparison between high-resolution isotropic three-dimensional and high-resolution conventional two-dimensional FSE MR images of the wrist at 3 tesla: a pilot study. Journal of Magnetic Resonance Imaging (JMRI) 40: 603-608, 2014
Ochi K, Horiuchi Y, Nakamura T, Sato K, Morita K, Horiuchi K. Association between the ulnar nerve strain and accompanying conditions in patients with cubital tunnel syndrome. Hand Surgery 19: 329-333, 2014
Furushima K, Itoh Y, Iwabu S, Yamamoto Y, Koga R, Shimizu M. Classification of olecranon stress fractures in baseball players. American Journal of Sports Medicine 42: 1343-1351, 2014
Takagi T, Seki A, Takayama S. Elbow and forearm reconstruction in patients with ulnar dimelia can improve activities of daily living. Journal of Shoulder and Elbow Surgery 23: e68-e72, 2014
Yamanaka K, Sasaki T. Minimally invasive surgery for radial neck fractures using bone paste. Hand Surgery 19: 463-467, 2014
Ochi K, Go Y, Ikari K, Taniguchi A, Yamanaka H, Momohara S. Risk factors associated with the occurrence of distal radius fracture in Japanese patients with rheumatoid arthritis: a prospective observational cohort study. Clinical Rheumatology 33: 477-483, 2014
Imamura H, Iwamoto T, Momohara S. Unusual case of an elbow mass caused by Candida arthritis in a patient with systemic lupus erythematosus. Hand Surgery. 19: 409-411, 2014.
Kaneko Y, Ochi K, Horiuchi Y. Interposed Free bone Fragment in Dislocated Medical Epicondyle Fracture of the Elbow: A Case Report. J Med Cases. 5, 7, 401-3, 2014.
Momohara S, Inoue E, Ikari K, Ochi K, Ishida O, Yano K, Sakuma Y, Yoshida S, Koyama T, Koenuma N, Taniguchi A, Yamanaka H. Recent trends in orthopedic surgery aiming to improve quality of life for those with rheumatoid arthritis: data from a large observational cohort. J Rheumatol. 41, 5, 862-6, 2014. (3.173)
Obara Y, Nakamura T, Shinmoto H, Osada N, Yamabe E, Sato K, Toyama Y. Time course of the osteonecrosis in rabbit articular intercalated bone: Line scan spectroscopic imaging and correlation with histology. Magn Reson Med Sci. in press. (1.038)
Ochi K, Go Y, Furuya T, Ikari K, Taniguchi A, Yamanaka H, Momohara S. Risk factors associated with the occurrence of distal radius fractures in Japanese patients with rheumatoid arthritis: a prospective observational cohort study. Clin Rheumatol. 33, 4, 477-83, 2014. (1.774)
Ochi K, Horiuchi Y, Horiuchi K, Iwamoto T, Morisawa Y, Sato K. Shoulder position increases ulnar nerve strain at the elbow of patients with cubital tunnel syndrome. J Shoulder Elbow Surg. in press. (2.365)
Ochi K, Horiuchi Y, Nakamura T, Sato K, Morita K, Horiuchi K. Association between ulnar nerve strain and accompanying conditions in patients with cubital tunnel syndrome. Hand Surg. 19, 3, 329-33, 2014.
Ochi K, Ikari K, Momohara S. Attrition rupture of ulnar nerve in an elbow of a patient with rheumatoid arthritis. J Rheumatol. 41, 10, 2085, 2014. (3.173)
Ochi K, Inoue E, Furuya T, Ikari K, Toyama Y, Taniguchi A, Yamanaka H, Momohara S. Ten-year incidences of self-reported non-vertebral fractures in Japanese patients with rheumatoid arthritis: discrepancy between disease activity control and the incidence of non-vertebral fracture. Osteoporos Int. epub, 2014 Oct 9. (4.165)
Ogawa K, Matsumura N, Yoshida A. Modified osteotomy for symptomatic malunion of the humeral greater tuberosity. J Orthop Trauma. 28, 12, e290-5, 2014. (1.540)
Yano K, Ikari K, Ochi K, Ishida O, Sakuma Y, Yoshida S, Koyama T, Koenuma N, Momohara S. Validity and responsiveness of a self-administered foot evaluation questionnaire in rheumatoid arthritis. Mod Rheumatol. epub, 2014 Oct 8. (2.206)