Purpose: To determine the prevalence of femoroacetabular impingement (FAI) morphology in asymptomatic Japanese young adults using multi-detector computed tomography (MDCT) scan.

Materials and Methods: A total of 170 subjects (85 men; age, 19–39 years) without hip-related problems were included. Radial slices of 2-mm thickness at 30° intervals were reconstructed perpendicular to the central axis of the femoral head and neck for both hips. Alpha (α) angles, acetabular (AC) depths, and lateral centre-edge (LCE) angles were measured; maximum value of measured α angles was defined as max α angle, and minimum value of measured AC depths was defined as min AC depth. Max α angle > 55° was considered positive for cam-type FAI feature and min AC depth < 0 mm or LCE angle > 40° was considered positive for pincer-type FAI feature. Differences among planes, right-left correlations, and sex differences in FAI abnormalities were assessed.

Results: The α angles at 1- and 2-o’clock positions in men and at 2-o’clock position in women were significantly greater than those at other positions. AC depths at 2-o’clock position were smallest in men and women. Max α angles and min AC depths and LCE angles showed strong right-left correlations. Max α angles and the numbers of hips with cam features were significantly higher in men than in women. The prevalence of pincer features was similar between men and women.

Conclusion: The prevalence of cam type deformity is higher in men. Our results in Japanese populations were similar to those reported previously for Caucasians.

Purpose: To evaluate poor visual acuity (PVA) prevalence and factors related to PVA, including parental myopia status and lifestyle, in primary school children.

Methods: Of total 220 primary school children from grades 4–6 in Hiroshima, 184 (83.6%) were enrolled in the study. They were divided into non-PVA (both eyes’ acuities ≥ 1.0) and PVA (one or both eyes’ acuity < 1.0 and/or wearing spectacles) groups. Data on lifestyle activities were obtained using self-reported questionnaires regarding daily lifestyle, including the duration of watching TV, playing games, using a computer, studying, number of books read per month, and outdoor activities.

Results: The total prevalence of PVA was 66.8%: 50.0% for grade 4, 71.4% for grade 5, and 74.6% for grade 6. In binary logistic regression models, children who had at least one parent with myopia showed greater PVA than those with parents without myopia (OR = 1.89; 95% CI, 1.14 to 3.15). In addition, weekend studying was significantly associated with PVA (OR = 1.48; 95% CI, 1.03 to 2.12), and the number of books read per month was associated with PVA (OR = 1.26, 95% CI, 1.05 to 1.51).

Conclusions: This study confirmed a high PVA prevalence in primary school children, and that the rate of PVA increased with advancing grade. Parental myopia was associated with PVA, as were long studying time and a high number of books read per month.

Small intestinal neuroendocrine tumours (NETs) are rare malignancies that occur in the small intestine. The incidence of small intestinal NETs has increased substantially in recent decades. Similar to that of general NETs, the diagnosis rate of small intestinal NETs is increasing continuously. Small intestinal NETs often metastasize to the lymph nodes, even when the lesions are small. Surgical resection of the primary tumour and associated mesenteric lymph nodes is recommended. We present a case of a NET in the ileum that was incidentally diagnosed along with large mesenteric lymph node metastasis. Abdominal computed tomography for examination of urinary frequency revealed an intra-abdominal mass, measuring 80 mm in diameter. The patient was intraoperatively diagnosed with an ileocaecal mesenteric mass, and ileocaecal resection with lymph node dissection was performed. The resected specimen incidentally showed a NET measuring 14 mm in diameter in the ileum, located 90 cm from the ileocaecal valve. The ileocaecal mesenteric mass was histopathologically diagnosed as lymph node metastasis of the NET. This case confirms the importance of making an immediate intraoperative pathological diagnosis and performing a thorough examination of small intestinal lesions when a large mesenteric tumour is suspected.

A 64-year-old woman was evaluated for thoracoabdominal aortic aneurysms (TAAAs). Preoperative computed tomography showed a TAAA extending from the level of the diaphragm to the renal arteries. The Adamkiewicz artery (AKA) arose at the Th10 level, close to the aneurysm, and an abdominal aortic prosthesis and left iliac artery aneurysm were detected. Myogenic and neurogenic motor evoked potentials (MEPs) were monitored during the surgical repair of the TAAA, and there were differences between the two types of MEPs during surgery. Both MEPs fell below 50% of their baseline levels during surgery, which suggested critical ischemia, but the decrease in the myogenic MEP occurred at a different time from the decrease in the neurogenic MEP. A time-course analysis suggested that AKA reimplantation was unnecessary and all intercostal arteries were ligated. Both MEPs recovered completely by the end of surgery and there were no postoperative neurologic deficits. Our findings suggest that the combination of myogenic and neurogenic MEP monitoring is helpful in evaluating spinal cord injury during the surgical repair of TAAAs.