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Kobe University Sports Medicine Fellowship Program

Fellowship/Residency Information

7-5-2 Kusunoki-cho, Chuo-ku
Kobe, Hyogo 650-0017
JAPAN


In this Program, you can acquire clinical experience and knowledge in diagnosing, treating, and preventing sports related injuries and disorders. There is a wealth of clinical cases focused on knee and shoulder arthroscopic surgery, and the research environment encompasses cutting-edge studies ranging from basic science to clinical applications.

Involved ISAKOS Member(s): Ryosuke Kuroda, MD, PhD, Knee Arthroscopy | Yuichi Hoshino, MD, PhD, Knee Arthroscopy | Noriyuki Kanzaki, MD, PhD, Ankle Arthroscopy | Yutaka Mifune, MD, PhD, Shoulder Arthroscopy and Arthroplasty | Atsuyuki Inui, MD, PhD, Hand, Elbow and Shoulder Arthroscopy | Kanto Nagai, MD, PhD, Knee Arthroscopy | Kyohei Nishida, MD, PhD, Knee Arthroscopy

Contact Information

Yuichi Hoshino, MD, PhD, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine / Lecturer

Fellowship Program Information

Affiliation (Center Type): Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine (Teaching, Academic, University)
Fellowship Training Session or Other Educational Opportunity Length: 12 months
Can the Center customize educational opportunities for participants?: Yes
Fellows Accepted Per Year: 7
Faculty Participating in Fellowship Education: Ryosuke Kuroda, MD, PhD, Knee Arthroscopy | Yuichi Hoshino, MD, PhD, Knee Arthroscopy | Noriyuki Kanzaki, MD, PhD, Ankle Arthroscopy | Yutaka Mifune, MD, PhD, Shoulder Arthroscopy and Arthroplasty | Atsuyuki Inui, MD, PhD, Hand, Elbow and Shoulder Arthroscopy | Kanto Nagai, MD, PhD, Knee Arthroscopy | Kyohei Nishida, MD, PhD, Knee Arthroscopy
Recent activity of Teaching Center:

Financial Support and Expenses

Types of Financial Support Available: Public
Other support that the Teaching Center can provide: On demand from program website
Estimate of Living Expenses (Housing and other major costs):

Anticipated Fellowship Participation in Surgical Cases

Area(s) of Specialty: Ankle Arthroscopy Elbow/Wrist Arthroscopy Knee Arthroplasty Knee Arthroscopy Hip Arthroplasty Hip Arthroscopy Shoulder Arthroplasty Shoulder Arthroscopy
Role of the fellow with respect to Clinical, Surgical, Research, and other opportunities:
Types of Educational Opportunities:
Research projects, research facilities and resources, cadaver labs, publication opportunities, integration of the patient and public involvement, and the role of the fellow: 1. Nukuto K, Matsushita T, Kamada K, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Niikura T, Kuroda R. Development and Analysis of Mouse Medial Meniscus Posterior Root Tear Model. Calcif Tissue Int 2023;112(1):55-65. 2. Hara H, Kawamoto T, Fukase N, Sawada R, Fujiwara S, Yahiro S, Miyamoto T, Terakawa T, Mifune Y, Hoshino Y, Kakutani K, Matsumoto T, Matsushita T, Niikura T, Kuroda R, Akisue T. Outcomes of palliative surgery for bone metastasis of metastatic renal cell carcinoma in the era of targeted therapy. Eur J Surg Oncol 2023;49(5):928-933. 3. Shinohara I, Yoshikawa T, Inui A, Mifune Y, Nishimoto H, Mukohara S, Kato T, Furukawa T, Tanaka S, Kusunose M, Hoshino Y, Matsushita T and Kuroda R. Degree of Accuracy With Which Deep Learning for Ultrasound Images Identifies Osteochondritis Dissecans of the Humeral Capitellum. Am J Sports Med. 2023 Feb;51(2):358-366. 4. Kakutani K, Kanda Y, Yurube T, Takeoka Y, Miyazaki K, Ohnishi H, Matsuo T, Ryu M, Kuroshima K, Kumagai N, Hiranaka Y, Hayashi S, Hoshino Y, Hara H, Sakai Y and Kuroda R. The Identification of Risk Factors for Symptomatic Spinal Metastasis Onset: A Prospective Cohort Study of 128 Asymptomatic Spinal Metastasis Patients. Cancers (Basel). 2023 Feb 16;15(4):1251. doi: 10.3390/cancers15041251. 5. Nakanishi Y, Matsushita T, Nagai K, Araki D, Hoshino Y and Kuroda R. Fibrin clot and Leukocyte-rich platelet-rich fibrin show similar release kinetics and amount of growth factors: a pilot study. J Orthop Surg Res. 2023 Mar 25;18(1):238. doi: 10.1186/s13018-023-03709-5. 6. Kihara S, Kanzaki N, Yamashita T, Yamamoto T, Nishida K, Nagai K, Araki D, Hoshino Y, Matsushita T and Kuroda R. Talar component subsidence correlates with periprosthetic osteolysis after total ankle arthroplasty. Eur J Orthop Surg Traumatol. 2023;33(7):2987-2993. 7. Furukawa T, Kurosawa T, Mifune Y, Inui A, Nishimoto H, Ueda Y, Kataoka T, Yamaura K, Mukohara S, Yoshikawa T, Shinohara I, Kato T, Tanaka S, Kusunose M, Hoshino Y, Matsushita T and Kuroda R. Elicitation of Inhibitory Effects for AGE-Induced Oxidative Stress in Rotator Cuff-Derived Cells by Apocynin. Curr Issues Mol Biol. 2023;45(4):3434-3445. 8. Shimabukuro M, Hoshino Y, Kanzaki N, Kataoka K, Yamamoto T, Nukuto K, Nishida K, Nagai K, Matsushita T and Kuroda R: Clinical outcomes of arthroscopic lateral ligament repair using a knotless anchor for chronic lateral ankle instability. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2023;35:15-19 9. Ueda Y, Matsushita T, Shibata Y, Takiguchi K, Ono K, Kida A, Nishida K, Nagai K, Hoshino Y, Matsumoto T, Sakai Y and Kuroda R. Combining age, sex, body mass index, sport level, and preoperative quadriceps strength improves the predictive ability of quadriceps strength recovery after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2023;31(10):4390-4398. 10. Nakano N, Kuroda Y, Maeda T, Takayama K, Ishida K, Hayashi S, Hoshino Y, Matsushita T, Niikura T, Kuroda R, Matsumoto T. The severity of preoperative varus deformity affects the feasibility of correcting lower limb alignment with medial unicompartmental knee arthroplasty. J Orthop Sci 2024;29(1):183-187. 11. Watanabe S, Matsushita T, Nishida K, Nagai K, Hoshino Y, Matsumoto T and Kuroda R. Knee Osteotomy Decreases Joint Inflammation Based on Synovial Histology and Synovial Fluid Analysis. Arthroscopy. 2023 Jul 18:S0749-8063(23)00556-X. doi: 10.1016/j.arthro.2023.07.008. Online ahead of print. 12. Kanda Y, Kakutani K, Sakai Y, Miyazaki K, Matsuo T, Yurube T, Takeoka Y, Ohnishi H, Ryu M, Kumagai N, Kuroshima K, Hiranaka Y, Kawamoto T, Hara H, Hoshino Y, Hayashi S, Akisue T and Kuroda R. Clinical Characteristics and Surgical Outcomes of Metastatic Spine Tumors in the Very Elderly: A Prospective Cohort Study in a Super-Aged Society. J Clin Med. 2023 Jul 18;12(14):4747. doi: 10.3390/jcm12144747. 13. Yoshikawa T, Inui A, Mifune Y, Nishimoto H, Yamaura K, Mukohara S, Shinohara I, Kato T, Furukawa T, Kusunose M, Tanaka S, Hoshino Y, Matsushita T, Kuroda R. Factors Associated with Medial Elbow Torque Measured Using a Wearable Sensor in Junior High School Baseball Pitchers. APPLIED SCIENCES-BASEL. 13(19) doi:10.3390/app131910573 14. Kato T, Shinohara I, Mifune Y, Inui A, Nishimoto H, Yoshikawa T, Furukawa T, Tanaka S, Kusunose M, Hoshino Y, Matsushita T, Kuroda R. Intra-articular site-specific distribution of advanced glycation end products in the shoulder of patients with diabetes mellitus having rotator cuff tears. Mol Biol Rep. 2023 Dec;50(12):10339-10349. doi: 10.1007/s11033-023-08861-z. Epub 2023 Nov 20. PMID: 37982930. 15. Shinohara I, Mifune Y, Inui A, Nishimoto H, Yoshikawa T, Kato T, Furukawa T, Tanaka S, Kusunose M, Hoshino Y, Matsushita T, Mitani M and Kuroda R: Re-tear after arthroscopic rotator cuff tear surgery: risk analysis using machine learning. J Shoulder Elbow Surg. 2024;33(4):815-822 16. Tokura T, Nagai K, Hoshino Y, Watanabe S, Kanzaki N, Nishida K, Matsushita T, Kuroda R. Injuries to both anterolateral ligament and Kaplan fiber of the iliotibial band do not increase preoperative pivot-shift phenomenon in ACL injury. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2024;36:40-44. 17. Ueda Y, Matsushita T, Shibata Y, Takiguchi K, Ono K, Kida A, Nishida K, Nagai K, Hoshino Y, Matsumoto T, Sakai Y, Kuroda R. Association Between Psychological Readiness to Return to Sports at 3 Months Postoperatively and Risk of Second ACL Injury. Orthop J Sports Med. 2024 Apr 4;12(4):23259671241239325. doi: 10.1177/23259671241239325 18. Sano S, Matsushita T, Nagata N, Tokura T, Nukuto K, Nakanishi Y, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Kuroda R. Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy. Sci Rep. 2024 May 27;14(1):12130. 19. Nakano N, Maeda T, Kuroda Y, Ishida K, Hayashi S, Hoshino Y, Matsushita T, Kuroda R, Matsumoto T. Difference in the Extension Gap Between Osteoarthritis and Osteonecrosis in Medial Fixed-Bearing Unicompartmental Knee Arthroplasty with the Spacer Block Technique. J Knee Surg. 2024 Aug;37(10):718-723. doi: 10.1055/s-0044-1785222. Epub 2024 Mar 29. PMID: 38552643. 20. Tokura T, Matsushita T, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Kuroda R. Younger age, hyperextended knee, concomitant meniscectomy and large prerevision anterior tibial translation are associated with graft failure after the revision anterior cruciate ligament reconstruction. J Exp Orthop. 2024 Sep 25;11(3):e70021. doi: 10.1002/jeo2.70021. PMID: 39323750; PMCID: PMC11423261. 21. Goto R, Matsushita T, Ueda Y, Shibata Y, Miura D, Ono K, Kida A, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Sakai Y, Kuroda R. Quadriceps strength can improve twelve months after opening wedge high tibial osteotomy and opening wedge distal tibial tubercle osteotomy, particularly after opening wedge high tibial osteotomy. Knee. 2024 Dec;51:258-267. doi: 10.1016/j.knee.2024.09.013. Epub 2024 Oct 15. PMID: 39413454. 22. Mukohara S, Mifune Y, Inui A, Nishimoto H, Kurosawa T, Yamaura K, Shinohara I, Hoshino Y, Matsushita T, Matsumoto T, Kuroda R. Assessing the Elasticity of the Flexor Pronator Muscles After Throwing Using Ultrasound Shear Wave Elastography. Orthop J Sports Med. 2024 Nov 28;12(11):23259671241298001. doi: 10.1177/23259671241298001. PMID: 39611120; PMCID: PMC11603555. 23. *Tokura T, Hoshino Y, Nagai K, Nishida K, Kanzaki N, Matsushita T, Kuroda R. A majority of the patient achieved both patient-acceptable symptom state and minimal clinically important difference of International Knee Documentation Committee Subjective Knee Form score at one year after anatomical double-bundle anterior cruciate ligament reconstruction. J ISAKOS. 2024 Dec;9(6):100344. doi: 10.1016/j.jisako.2024.100344. Epub 2024 Oct 11. PMID: 39396606. 24. Tokura T, Nagai K, Hoshino Y, Okimura K, Otsuki Y, Nishida K, Kanzaki N, Matsushita T, Kuroda R. Ramp lesions of the medial meniscus are associated with greater preoperative anterior knee laxity in anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2024 Nov 7. doi: 10.1002/ksa.12530. Epub ahead of print. PMID: 39506540. 25. Sano S, Kanzaki N, Kataoka K, Nukuto K, Yamamoto T, Nakanishi Y, Nishida K, Nagai K, Hoshino Y, Matsushita T, Kuroda R. Clinical outcomes over 2 years following arthroscopic ankle lateral ligament repair with os subfibulare. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2024 Nov 26;39:9-14. doi: 10.1016/j.asmart.2024.11.002. PMID: 39660165; PMCID: PMC11626778. 26. Miyamoto T, Fukase N, Kawamoto T, Fujiwara S, Hara H, Sawada R, Nakamatsu Y, Mifune Y, Kakutani K, Hoshino Y, Hayashi S, Matsumoto T, Matsushita T, Koyanagi-Aoi M, Aoi T, Takemori T, Yahiro S, Kuroda R, Akisue T. SPRR1A is a potential therapeutic target for osteosarcoma: in vitro and in vivo evaluations using generated artificial osteosarcoma cancer stem cell-like cells. Oncol Rep. 2025 Feb;53(2):24. doi: 10.3892/or.2024.8857. 27. Kamachi M, Kamada K, Kanzaki N, Yamamoto T, Hoshino Y, Inui A, Nakanishi Y, Nishida K, Nagai K, Matsushita T, Kuroda R. Using deep learning for ultrasound images to diagnose chronic lateral ankle instability with high accuracy. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2025 Jan 22;40:1-6. doi: 10.1016/j.asmart.2025.01.001. PMID: 39911312; PMCID: PMC11791010. 28. Tokura T, Matsushita T, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Kuroda R. SIRT1 antisense long noncoding RNA attenuates interleukin-1ß-induced osteoarthritic gene expression in human chondrocytes through its mRNA interaction. Sci Rep. 2025 Jul 2;15(1):23338. doi: 10.1038/s41598-025-06565-x. PMID: 40603391; PMCID: PMC12223068. 29. Shigemoto R, Matsushita T, Nishida K, Nagai K, Nakanishi Y, Yamamoto T, Matsumoto T, Kanzaki N, Hoshino Y, Kuroda R. Influence of limb position on femoral neck anteversion angle measurement during computed tomography imaging. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2025 Apr 15;40:29-34. doi: 10.1016/j.asmart.2025.04.003. PMID: 40308877; PMCID: PMC12043011. 30. Kato T, Mifune Y, Inui A, Nishimoto H, Mukohara S, Yoshikawa T, Shinohara I, Furukawa T, Tanaka S, Kusunose M, Hoshino Y, Matsushita T, Matsumoto T, Kuroda R. Effects of glutaminase 1 inhibitor on rotator cuff derived cells: a preliminary report in 12 patients. BMC Musculoskelet Disord. 2025 Oct 8;26(1):935. doi: 10.1186/s12891-025-09105-w. PMID: 41063122; PMCID: PMC12505739. 31. Tokura T, Nagai K, Hoshino Y, Okimura K, Otsuki Y, Nishida K, Kanzaki N, Matsushita T, Kuroda R. Ramp lesions of the medial meniscus are associated with greater preoperative anterior knee laxity in anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc. 2025 Aug;33(8):2763-2770. doi: 10.1002/ksa.12530. Epub 2024 Nov 7. PMID: 39506540. 32. Vivekanantha P, Sun B, Tapasvi S, Jaramillo I, Hoshino Y, de Sa D. Should Femoral Nerve Blocks and Adductor Canal Blocks Be Used in Pediatric or Adolescent Anterior Cruciate Ligament Reconstruction?: A Systematic Review. J Pediatr Orthop. 2025 Apr 1;45(4):e301-e309. doi: 10.1097/BPO.0000000000002886. Epub 2024 Dec 19. PMID: 39696669. 33. Kinoshita K, Hoshino Y, Yokota N, Fukuda M, Hirata M, Nishizawa Y. The Impact of Lower Back Pain on Hip Extension and Lumbosacral Lateral Flexion in Junior Gymnasts during Back-Bending. J Hum Kinet. 2025 Jul 21;99:19-28. doi: 10.5114/jhk/196318. PMID: 41245959; PMCID: PMC12612811. 34. Nagata N, Matsushita T, Watanabe S, Nakanishi Y, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Kuroda R. Appropriate patient selection based on joint line convergence angle minimizes the difference between the mechanical axis in the standing and supine positions after open-wedge high tibial osteotomy and distal tuberosity osteotomy. J Orthop Surg Res. 2025 Mar 28;20(1):321. doi: 10.1186/s13018-025-05711-5. PMID: 40148952; PMCID: PMC11951512. 35. Giusto JD, Konstantinou E, Rabuck SJ, Lesniak BP, Hughes JD, Irrgang JJ, Musahl V; Panther ACL Treatment Group. When is anterolateral complex augmentation indicated? Perspectives from the 2024 Freddie Fu Panther Sports Medicine Symposium. J ISAKOS. 2025 Apr;11:100393. doi: 10.1016/j.jisako.2025.100393. Epub 2025 Feb 3. PMID: 39909384. 36. Sano S, Kanzaki N, Kataoka K, Nukuto K, Yamamoto T, Nakanishi Y, Nishida K, Nagai K, Hoshino Y, Matsushita T, Kuroda R. Clinical outcomes over 2 years following arthroscopic ankle lateral ligament repair with os subfibulare. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2024 Nov 26;39:9-14. doi: 10.1016/j.asmart.2024.11.002. PMID: 39660165; PMCID: PMC11626778. 37. Nagai K, Matsushita T, Zhang S, Hoshino Y, Nakanishi Y, Araki D, Nishida K, Kuroda R. Clinical outcomes following anatomic double-bundle ACL reconstruction in skeletally mature adolescent patients: Comparison to single-bundle procedure. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2025 Jun 4;41:1-5. doi: 10.1016/j.asmart.2025.04.006. PMID: 40535716; PMCID: PMC12173021. 38. Otsuki Y, Matsushita T, Mori A, Miyaji N, Yamamoto T, Kataoka K, Sano S, Nagata N, Nishida K, Nagai K, Kanzaki N, Hoshino Y, Matsumoto T, Kuroda R. Temsirolimus, a water-soluble mTOR inhibitor, alleviates osteoarthritic changes in human chondrocytes and mouse osteoarthritis models. Connect Tissue Res. 2025 Nov;66(6):534-548. doi: 10.1080/03008207.2025.2521404. Epub 2025 Jun 29. PMID: 40583471.
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