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Meso-anatomic research for shoulder and elbow joints

Research Project

Project/Area Number 16K10890
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionTokyo Medical and Dental University

Principal Investigator

Nimura Akimoto  東京医科歯科大学, 大学院医歯学総合研究科, 准教授 (40622098)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords関節包 / 解剖 / 組織 / 肩関節 / 腱板 / 肘関節 / 内側側副靱帯 / 外側側副靱帯 / 解剖学 / 整形外科
Outline of Final Research Achievements

1)In the shoulder joint, we revealed that the whole capsular complex had the regional variation of the capsular thickness and the attachment width. Particularly, the inferior part of the shoulder capsule had the thickest part and the widest attachment. Furthermore, we reported the fibrous connecting between the joint capsule and the origin of the long head of the triceps brachii. Additionally, we analyzed the composition of the tendinous and muscular origins and insertions of the teres minor muscle.
2) In the elbow joint, we demonstrated that the tendinous septum between the pronator teres and the flexor digitorum superficial(FDS) muscles formed the complex with the brachialis muscle, deep aponeuorsis of FDS, and the joint capsule to dynamically stabilize the joint.

Academic Significance and Societal Importance of the Research Achievements

過去には、着目されなかった関節包や関節周囲の筋腱構造に着目することにより、靱帯構造に特化した解剖により理解されることのなかった、関節の包括的理解や、動的安定化構造を理解することが可能となり、それにより正確な診断やリハビリによる保存療法の可能性を示唆することができた。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (39 results)

All 2019 2018 2017 2016

All Journal Article (8 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 6 results,  Open Access: 4 results) Presentation (30 results) (of which Int'l Joint Research: 7 results,  Invited: 21 results) Book (1 results)

  • [Journal Article] An anatomic study on the origin of the long head of the triceps brachii.2019

    • Author(s)
      Nasu H, Baramee P, Kampan N, Nimura A, Akita K.
    • Journal Title

      JSES Open Access.

      Volume: 15;3(1) Issue: 1 Pages: 5-11

    • DOI

      10.1016/j.jses.2019.01.001

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Medial elbow anatomy: A paradigm shift for UCL injury prevention and management.2019

    • Author(s)
      Hoshika S, Nimura A, Yamaguchi R, Nasu H, Yamaguchi K, Sugaya H, Akita K.
    • Journal Title

      Clin Anat.

      Volume: 32(3) Issue: 3 Pages: 379-389

    • DOI

      10.1002/ca.23322

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Location and thickness of delaminated rotator cuff tears: cross-sectional analysis with surgery record review.2018

    • Author(s)
      Tanaka M, Nimura A, Takahashi N, Mochizuki T, Kato R, Sugaya H, Akita K.
    • Journal Title

      JSES Open Access.

      Volume: 13;2(1) Issue: 1 Pages: 84-90

    • DOI

      10.1016/j.jses.2017.11.004

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment and thickness.2018

    • Author(s)
      Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K.
    • Journal Title

      J Exp Orthop.

      Volume: 7;5(1) Issue: 1 Pages: 16-16

    • DOI

      10.1186/s40634-018-0134-8

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Intramuscular Tendon of the Adductor Pollicis and Underlying Capsule of the Metacarpophalangeal Joint: An Anatomical Study With Possible Implications for the Stener Lesion.2018

    • Author(s)
      Sato T, Nimura A, Yamaguchi R, Fujita K, Okawa A, Akita K.
    • Journal Title

      J Hand Surg Am.

      Volume: 印刷中 Issue: 7 Pages: 682.e1-682.e8

    • DOI

      10.1016/j.jhsa.2017.12.009

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] An anatomic study on the attachment of the joint capsule to the tibia in the lateral side of the knee.2017

    • Author(s)
      Nasu H, Nimura A, Sugiura S, Fujishiro H, Koga H, Akita K.
    • Journal Title

      Surg Radiol Anat.

      Volume: 印刷中 Issue: 5 Pages: 499-506

    • DOI

      10.1007/s00276-017-1942-8

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 肘の超音波画像観察に役立つ関節解剖学2017

    • Author(s)
      中澤正孝, 二村昭元, 秋田恵一.
    • Journal Title

      日本超音波骨軟組織学術研究

      Volume: 16 Pages: 1061-1065

    • Related Report
      2017 Research-status Report
  • [Journal Article] Complex elbow instability の診断・治療に必要な機能解剖(外側)2017

    • Author(s)
      二村昭元, 志村治彦, 秋田恵一.
    • Journal Title

      整形・災害外科

      Volume: 60 Pages: 1061-1065

    • Related Report
      2017 Research-status Report
  • [Presentation] 肘関節における解剖学的解析 最近の知見2018

    • Author(s)
      二村昭元
    • Organizer
      整形外科リハビリテーション学会関東合同症例検討 会&シンポジウム
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肩腱板修復術に必要な解剖学的知見2018

    • Author(s)
      二村昭元
    • Organizer
      第1 回京滋セミナー
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肘関節内側の安定化に対する浅指屈筋の動的因子と しての寄与について2018

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一
    • Organizer
      第30回日本肘関節学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 肘関節解剖のトピック 内側 外側の安定化構造を中心に2018

    • Author(s)
      二村昭元
    • Organizer
      さがみスポリハ研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Reconsideration of the anatomy regarding the ulnar collateral ligament of the elbow in terms of the tendinous fascia2018

    • Author(s)
      Akimoto Nimura, Shota Hoshika, Rerika Yamaguchi, Hiroyuki Sugaya, Keiichi Akita
    • Organizer
      The 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 肘関節内側における安定化構造に関する解剖学的特徴2018

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一
    • Organizer
      第91回日本整形外科学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 関節の臨床解剖 関節包と靱帯を考える2018

    • Author(s)
      秋田恵一, 二村昭元
    • Organizer
      第10回JOSKAS
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肘関節内側における安定化機構に関する解剖学的特 徴2018

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一
    • Organizer
      第10回JOSKAS
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Common fractures のtips & tricks "展開の妙" Terrible triad injury の治療戦略2018

    • Author(s)
      今谷潤也, 森谷史朗, 近藤秀則, 二村昭元, 秋田恵一
    • Organizer
      第44回日本骨折治療学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 骨関節領域解剖に関する最近の知見 関節周囲炎との関連2018

    • Author(s)
      二村昭元
    • Organizer
      第8回栃木県運動機能研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 臨床に役立つ肩関節の解剖について2018

    • Author(s)
      二村昭元
    • Organizer
      第7回香川県肩関節研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肘内側支持機構の微細構造2018

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一
    • Organizer
      第44回日本整形外科 スポーツ医学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 19 歳までの肘内側支持機構傷害への対応:~ 100%を 超える復帰~ 肘内側支持機構の微細構造2018

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一
    • Organizer
      第44 回日本整形外科スポーツ医学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肩関節の解剖について2018

    • Author(s)
      二村昭元
    • Organizer
      第1回Yamaguchi Shoulder Meeting
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肘関節における解剖学的知見ー靱帯とは何かを考える2018

    • Author(s)
      二村昭元
    • Organizer
      第1回関西スポラボセミナー
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Anatomy based on the common pathologies around the elbow joint2018

    • Author(s)
      Nimura Akimoto, Akita Keiichi
    • Organizer
      4th Asian Association of Clinical Anatomists
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 肩関節の解剖について2018

    • Author(s)
      二村昭元
    • Organizer
      岡山Mitek セミナー
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 腱板と上方関節包の解剖2018

    • Author(s)
      二村昭元
    • Organizer
      第3回SCR 研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Anatomical Analysis of the Whole Articular Capsule from the Glenoid and the Humeral Attachment2017

    • Author(s)
      D Momma, A Nimura, T Funakoshi, T Mochizuki, K Akita, N Iwasaki
    • Organizer
      63th the the Orthpaedic Research Society(ORS2017)
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 肘関節内・外側安定化構造に関する解剖学的解析2017

    • Author(s)
      二村昭元、宮本崇、藤田浩二、秋田恵一
    • Organizer
      第31回東日本手外科研究会
    • Place of Presentation
      北海道立道民活動センターかでる(北海道札幌市)
    • Year and Date
      2017-02-11
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 肘関節内側における安定化機構に関する解剖学的特徴2017

    • Author(s)
      星加昭太、二村昭元、佐藤哲也、高橋憲正、菅谷啓之、秋田恵一
    • Organizer
      第29回日本肘関節学会
    • Place of Presentation
      ヒルトン東京お台場(東京都港区)
    • Year and Date
      2017-02-03
    • Related Report
      2016 Research-status Report
  • [Presentation] Stabilizing structures of the medial side of elbow joint: an anatomic study.2017

    • Author(s)
      S Hoshika, A Nimura, H Sugaya, N Takahashi, K Akita.
    • Organizer
      14th Association France Japon d’Orthopedie
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 肩関節の解剖:機能と修復を考えるための構造の理解.2017

    • Author(s)
      秋田恵一
    • Organizer
      第90 回 日本整形外科学会学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Intramuscular tendons of the adductor pollicis and the thumb metacarpophalangeal joint capsule: an anatomic study with implications regarding Stener lesion.2017

    • Author(s)
      A Nimura, T Sato, R Yamaguchi, K Fujita, T Miyamoto, K Akita.
    • Organizer
      Eurohand 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Stener 病変に関わる母指MP 関節尺側の解剖学的知見.2017

    • Author(s)
      二村昭元, 佐藤哲也.
    • Organizer
      第57 回東京手・肘の外科研 究会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 肘関節内側における安定化機構に関する解剖学的特 徴.2017

    • Author(s)
      星加昭太, 二村昭元, 菅谷啓之, 高橋憲正, 秋田恵一.
    • Organizer
      第43 回日本整形外科スポーツ医学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Anatomy of medial ligament complex in elbow.2017

    • Author(s)
      A Nimura, S Hoshika, H Sugaya, K Akita.
    • Organizer
      1st AP Shoulder and Elbow Symposium
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 肘関節における最近の知見.2017

    • Author(s)
      二村昭元
    • Organizer
      第26 回スポラボセミナー
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 「関節包」を基に考える肘関節外側の解剖学的特徴2016

    • Author(s)
      二村昭元、志村治彦、今谷潤也、秋田恵一
    • Organizer
      第42回日本骨折治療学会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2016-07-01
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Anatomical Analysis of the Articular Capsule based on the Widths between the Footprints.2016

    • Author(s)
      D Momma, A Nimura, T Funakoshi, K Akita, N Iwasaki
    • Organizer
      13th International Congress of Shoulder and Elbow Surgery (ICSES2016)
    • Place of Presentation
      Jeju, Korea
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Book] 肩関節手術のすべて2018

    • Author(s)
      菅谷 啓之, 秋田 恵一, 二村 昭元
    • Total Pages
      317
    • Publisher
      メジカルビュー
    • ISBN
      4758313776
    • Related Report
      2018 Annual Research Report

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Published: 2016-04-21   Modified: 2020-03-30  

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