Radiography, CT and MRI are highly specific in detecting foreign bodies but sensitivity is poor. The detection rate depends on the type of foreign body for all techniques and on location for radiography. To identify foreign bodies with MRI, pulse sequences should be used to enhance the susceptibility artefact. In water-rich wood, as in chronically retained wood, CT is more accurate than MRI.
Failure of closed reduction for an interphalangeal joint dislocation of the great toe resulted from an intra-articular ossicle interposed between the articular cartilages of the phalanges. The knowledge concerning the intra-articular ossicle is unclear. A study was thus carried out on 100 fresh great toes to document the appearance, number, size, and location of the intra-articular ossicle found in the interphalangeal joint of the great toe. Roentgenographic studies of the joint revealed 86% of bony mass representing either the sesamoid bone or the intra-articular ossicle. Anatomical studies revealed no sesamoid bone in the flexor hallucis longus tendon. There was 88% of intra-articular ossicle on the dorsal surface of the plantar capsule of the interphalangeal joint. A medial surgical approach to reduce the irreducible dislocation is thus suggested as easier and safer than other approaches.
To elucidate compositional changes of the coronary artery with aging, the authors investigated age-related changes of elements in the coronary arteries of rhesus and Japanese monkeys by direct chemical analysis in comparison with the coronary arteries of Japanese and Thai. Used monkeys consisted of 38 rhesus monkeys and 23 Japanese monkeys, ranging in age from newborn to 33 years. After perfusion with a fixative, the hearts were resected from the monkeys, and the anterior interventricular branches of the left coronary artery and the right coronary arteries were resected from the hearts. After ashing of the arteries, element contents were determined by inductively coupled plasma-atomic emission spectrometry. It was found that the Ca and P contents did not increase in both the left and right coronary arteries of rhesus and Japanese monkeys at old age. The average contents of Ca and P decreased by 13% and 25% in the left coronary arteries more than 20 years of age in comparison with those below 20 years of age, whereas they decreased by 4% and 15% in the right coronary arteries more than 20 years of age in comparison with those below 20 years of age. This finding indicated that atherosclerosis scarcely occurred in both the left and right coronary arteries of rhesus and Japanese monkeys at old age. In contrast with monkeys, atherosclerosis occurred frequently in the coronary arteries of Japanese and Thai at old age.
To elucidate compositional changes of the limbic system with aging, the authors investigated age-related changes of elements in the hippocampus, dentate gyrus, and fornix and the relationships among elements by direct chemical analysis. After ordinary dissections at Nara Medical University were finished, the hippocampi, dentate gyri, and fornices were resected from identical cerebra of the subjects which consisted of 23 men and 23 women, ranging in age from 70 to 101 years. After ashing with nitric acid and perchloric acid, element contents were determined by inductively coupled plasma-atomic emission spectrometry. The average contents of P, Zn, and Na were significantly less in both the hippocampi and dentate gyri compared with the fornices. It was found that the Ca and Mg contents increased significantly in the hippocampus with aging; the P content increased significantly in the dentate gyrus with aging, whereas the Na content decreased in the dentate gyrus with aging; and the Mg content increased significantly in the fornix with aging. Regarding the relationships among elements, a significant direct correlation between Ca and Fe contents and an extremely significant inverse correlation between P and Zn contents were found in both the hippocampi and dentate gyri. In addition, a significant direct correlation between P and Mg contents was found in both the hippocampi and fornices. Pearson's correlation was used to examine whether there were elements with significant correlation among the hippocampus, dentate gyrus, fornix, and mammillary body. Significant correlations were found in five elements of Ca, P, Mg, Zn, and Fe except for S and Na among the hippocampus, dentate gyrus, and mammillary body with one exception. Regarding the fornix, significant correlations were found in two elements of P and Fe between the fornix and hippocampus, dentate gyrus, or mammillary body.
To elucidate compositional changes of the anterior commissure with aging, the authors investigated age-related changes of elements in the anterior commissures and the relationships among their elements. After ordinary dissection at Nara Medical University was finished, the anterior commissures were resected from 45 subjects, ranging in age from 70 to 101 years. The subjects consisted of 22 men and 23 women. After ashing with nitric acid and perchloric acid, the element content of the anterior commissures was determined by inductively coupled plasma-atomic emission spectrometry. The seven element contents of Ca, P, S, Mg, Zn, Fe, and Na did not change significantly in the anterior commissures with aging. Regarding the relationships among their element contents, significant correlations were found among the contents of Ca, Mg, Zn, and Na in the anterior commissures. The gender difference that the Zn content was significantly higher in men than in women was found in the anterior commissure.
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