Formosan Journal of Musculoskeletal Disorders最新文献_第2页

Prognostic factors for complex meniscal repair failure 复杂半月板修复失败的预后因素

Formosan Journal of Musculoskeletal Disorders Pub Date : 2020-06-03 DOI: 10.6492/FJMD.202006/PP.0001

Yi-Lun Ho, Shih-Sheng Chang, C. Chiu, Chun-Ying Cheng, A. Chen, Y. Chan

{"title":"Prognostic factors for complex meniscal repair failure","authors":"Yi-Lun Ho, Shih-Sheng Chang, C. Chiu, Chun-Ying Cheng, A. Chen, Y. Chan","doi":"10.6492/FJMD.202006/PP.0001","DOIUrl":"https://doi.org/10.6492/FJMD.202006/PP.0001","url":null,"abstract":"Background: Meniscal repair is indicated for complex meniscal tears, but the reported failure rate for repair is 5.8%. Purpose: This study aimed to explore prognostic factors for complex meniscal repair failure. Methods: This retrospective study included 69 meniscal repair procedures, with (52.2%) or without ligament tears, and arthroscopic technique using the FasT-Fix system (Smith & Nephew Endoscopy, Andover, MA, USA) for the meniscal tear. Preoperative variables were age, sex, and smoking status. Sports activities were categorized as pivot sports (tennis, baseball), basketball, badminton, running, nonspecific sport, or no sport. Other variables were time from trauma to surgery (months) and body mass index ＞ 25 (kg/m^2). Intraoperative variables were lesion site (affected leg, meniscus, and horn), suture number, torn size, associated ligament tear (anterior, posterior, and medical cruciate and lateral collateral ligaments or a combination), associated chondropathy, and existence of contralateral meniscal tear. Failure was mainly defined by symptomatic re-tear of the same site of a previous meniscal lesion and was assessed by the postoperative Lysholm score. Results: At follow-up after a mean of 29 months, 4 failures were reported (5.8%). Age analyzed as a linear model (p = 0.034, univariate analysis; p = 0.019, multivariate analyses), age older than 40 years (p = 0.005, univariate analysis), and tear of both medial and lateral (p = 0.003, univariate analysis) emerged as significant factors for poor prognoses. Conclusion: Epidemiological and lesion-related factors mentioned in this case did not influence the symptomatic re-tear rate after complex meniscal repair. However, tears due to aging and bilateral meniscus tears emerged as predictors of poor outcomes of complex meniscal repair. Age was probably a significant factor because of the better healing potential of a complex meniscus tear in younger patients.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"130 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81131673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic asymmetrical bilateral hip dislocation: A case report 外伤性不对称双侧髋关节脱位1例

Formosan Journal of Musculoskeletal Disorders Pub Date : 2020-06-03 DOI: 10.6492/FJMD.202006/PP.0005

M. Cheng

引用次数: 0

Bioscrew degradation without osseous replacement but with large pretibial cystic formation following anterior cruciate ligament reconstruction: A report of two cases and a literature review 前交叉韧带重建后无骨替代的生物螺钉降解伴胫前大囊性形成:两例报告并文献回顾

Formosan Journal of Musculoskeletal Disorders Pub Date : 2019-11-01 DOI: 10.6492/FJMD.201911_10(4).0006

Hao-I Wu, C. Lee

引用次数: 0

Late shedding of uncemented cup-Retrieval analysis and postulate the mechanism of failure 非胶结水杯的后期脱落——恢复分析及失效机理的假设

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-05-01 DOI: 10.6492/FJMD.201805_9(2).0008

Chao-Tse Chiu, Ta-I Wang, Jen-Ting Huang, Kui-Chou Huang

引用次数: 0

Using magnetic resonance imaging (MRI) as an aid to better define the center of patella and tibial tubercle in determining quadriceps angles 在确定股四头肌角度时，利用磁共振成像(MRI)辅助更好地确定髌骨和胫骨结节的中心

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-05-01 DOI: 10.6492/FJMD.201805_9(2).0003

J. Yeow, Chi-Chuan Wu, K. Yeow

{"title":"Using magnetic resonance imaging (MRI) as an aid to better define the center of patella and tibial tubercle in determining quadriceps angles","authors":"J. Yeow, Chi-Chuan Wu, K. Yeow","doi":"10.6492/FJMD.201805_9(2).0003","DOIUrl":"https://doi.org/10.6492/FJMD.201805_9(2).0003","url":null,"abstract":"Background: A full-length standing scanogram (FLSS) can be difficult to measure a quadriceps angle (Q-angle). The trochlear groove (TG) and tibial tubercle (TT) normally cannot be inspected. Purpose: The purpose of this retrospective study was to use magnetic resonance imaging (MRI) of knees to aid in accurately defining the TG and TT on FLSS radiographs. Methods: Sixty consecutive adult patients (29 men and 31 women; average, 46 years) took knee MRI for ligament or meniscus injury. A standardized patellar center was defined as the deepest point of the TG on a transverse MRI film along the femur trans-epicondylar line (TEL). The distance from this point to the lateral femoral cortex and the TEL were measured. The TT was chosen at the insertion of patellar tendon (the lowest margin) revealed on a transverse MRI film. Then, the distance from the TT to the lateral tibial cortex and the tibial diameter at this level were measured. Results: The standardized patellar center was at a point 42% from the lateral end of the femur TEL. The TT was 2 cm distal to the articular surface, and 37% from the lateral end of the tibial diameter. There was no statistical significance between men and women for the location of the TG and TT (p ＞ 0.05). However, men had more distal insertion of the TT (22.2 mm vs. 19.6 mm, p ＜ 0.001). Conclusion: A Q-angle may be more accurately defined on a FLSS by using MRI to aid localizing the TG and TT.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"3 1","pages":"54-59"},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82883164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Latent spondylodiscitis following elbow cellulitis: A case report and literature review 肘部蜂窝织炎并发潜伏性脊柱炎1例报告及文献复习

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-05-01 DOI: 10.6492/FJMD.201805_9(2).0005

Ye Chen, C. Fu

{"title":"Latent spondylodiscitis following elbow cellulitis: A case report and literature review","authors":"Ye Chen, C. Fu","doi":"10.6492/FJMD.201805_9(2).0005","DOIUrl":"https://doi.org/10.6492/FJMD.201805_9(2).0005","url":null,"abstract":"Spondylodiscitis is usually caused by hematogenous spread, and recently there have been only a few published reports citing the soft tissue as the hematogenous source. We present an unusual case of pyogenic spondylodiscitis following elbow cellulitis. In addition to white blood cell (WBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) values, we checked the procalcitonin (PCT) level to confirm if the infection was in acute phase. Although the patient’s fever subsided after administration of antibiotics, the neurologic claudication worsened, and we performed an anterior debridement and interbody fusion combined with posterior instrumentation. The direct lateral retroperitoneal approach, which we adapted, has the advantage of excellent exposure for irrigation, debridement, and reconstruction without requiring blood vessel mobilization or manipulation of the peritoneal contents. After surgery, intravenous antibiotics were administered for 6 weeks, followed by oral antibiotics until the CRP normalized and the ESR was decreasing. The patient made an uneventful recovery, with no significant neurologic sequelae reported at outpatient follow-up evaluations. The purpose of this case report is to inform clinicians of the potentially severe complication of spondylodiscitis following cellulitis and describe a modified approach to surgical treatment.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"75 10 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83433711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bone mineral density in patients with symptomatic vertebral compression fractures after instrumented spinal fusion: A retrospective analysis 椎体融合术后症状性椎体压缩性骨折患者的骨矿物质密度:回顾性分析

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-05-01 DOI: 10.6492/FJMD.201805_9(2).0001

Chi-Jung Fang, Shih-Chieh Yang, Chin-Hsien Wu, Y. Kao, Hung-Shu Chen, Y. Tu

{"title":"Bone mineral density in patients with symptomatic vertebral compression fractures after instrumented spinal fusion: A retrospective analysis","authors":"Chi-Jung Fang, Shih-Chieh Yang, Chin-Hsien Wu, Y. Kao, Hung-Shu Chen, Y. Tu","doi":"10.6492/FJMD.201805_9(2).0001","DOIUrl":"https://doi.org/10.6492/FJMD.201805_9(2).0001","url":null,"abstract":"Background: Few studies have been published concerning about the osteoporotic symptomatic vertebral compression fractures (VCFs) following instrumented spinal fusion for degenerative spinal disease. Purpose: The purpose of this study was to evaluate the incidence of symptomatic VCFs and the differences in the timing of occurrence and bone mineral density (BMD) between patients with adjacent and remote VCFs after instrumented spinal fusion. Methods: We performed a retrospective analysis of 1,936 patients who received posterior instrumentation for degenerative spinal disease at our institution and were followed-up for at least 3 years. Dual-energy X-ray absorptiometry surveys were arranged, and symptomatic subsequent VCFs were identified during regular follow-up. Eligible patients were divided into two groups (adjacent or remote to instrumented spinal fusion, based on the location of their VCFs. The Wilcoxon signed-rank test or chi-square test was used to assess between-group differences. Linear regression analysis was used to examine the relationship between the timing of the occurrence of VCFs and BMD (T-score). Results: The incidence of symptomatic VCFs following instrumented lumbar spine fusion was 2.37% (46/1,936), which accounted for 20.53% (46/224) of patients with VCFs. Linear regression analysis revealed a positive trend between the timing of the occurrence of symptomatic VCFs and values of BMD (T-score). The mean time to develop adjacent VCFs was 6.8 months, while that to develop remote VCFs was 13.7 months (p ＜ 0.05). Conclusion: Symptomatic adjacent VCFs occurred much earlier than remote VCFs. Device-related osteoporosis may be one of risks in subsequent VCFs, which highlight the importance of osteoporosis medication.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"70 1","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82348385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stress fractures of metatarsal after subtalar arthroereisis in an adolescent with symptomatic pes valgus: A case report 有症状外翻的青少年距下关节挛缩后跖骨应力性骨折1例

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-05-01 DOI: 10.6492/FJMD.201805_9(2).0007

Chien-Cheng Lai, Karl Wu, Chih-Hung Chang, Tsung-Yu Lan

引用次数: 0

Hip arthroscopy for the intra-articular sequelae after Thompson-Epstein type I-II traumatic hip dislocation: A 2-year minimal follow-up 髋关节镜治疗I-II型外伤性髋关节脱位后关节内后遗症:为期2年的最小随访

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-02-01 DOI: 10.6492/FJMD.201802_9(1).0002

Yun-Da Li, Hao-Che Tang, C. Ueng, Feng-Chun Kao, Chun-Ying Cheng, Y. Chan

{"title":"Hip arthroscopy for the intra-articular sequelae after Thompson-Epstein type I-II traumatic hip dislocation: A 2-year minimal follow-up","authors":"Yun-Da Li, Hao-Che Tang, C. Ueng, Feng-Chun Kao, Chun-Ying Cheng, Y. Chan","doi":"10.6492/FJMD.201802_9(1).0002","DOIUrl":"https://doi.org/10.6492/FJMD.201802_9(1).0002","url":null,"abstract":"Background: Traumatic hip dislocation is a usually high-energy injury and often leads to serious intra-articular pathologies. Hip arthroscopy is an increasingly popular minimally invasive procedure for intra-articular conditions. Purpose: This study was designed to review the arthroscopic diagnosis and treatment for mechanic hip symptoms after traumatic hip dislocation and evaluate clinical outcomes. Methods: Seven consecutive patients treated with arthroscopy for mechanical hip symptoms after traumatic hip dislocation between 2005 and 2014 were enrolled in the study. We use Tonnis classification for evaluation of hip osteoarthritis by preoperative and the last follow-up plain radiography. Visual analogue scale (VAS), modified Harris Hip Score (mHHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 12-item short-form (SF-12) were obtained for clinical outcome assessment. All patients were followed up for a minimum of 2 years. Results: The average age of the patients when undergoing hip arthroscopy was 32.7 years. The interval from injury to arthroscopy ranged from 3 days to 2 years, with a mean of 353 days. The mean operative time was 165 mins. Loose bodies were found in 6 patients. Four patients had labral tears, five had ligamentum teres lesions and six had chondral injuries at the femoral head or acetabulum. All preoperative clinical functional scores improved at last follow-up. The mean length of postoperative hospital stay was 2.6 days. No patients had surgery-related complication. Conclusion: Hip arthroscopy is a powerful tool to detect loose bodies or intra-articular fragments after traumatic hip dislocation and provides good-to-excellent clinical outcomes. For patients with mechanic hip symptoms after traumatic hip dislocation, early referral for hip arthroscopy surgeon is recommended.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"19 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88935162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The spinal cord ischemia detected by evoked potentials: The first pediatric scoliosis surgical case report in Taiwan 诱发电位检测脊髓缺血:台湾首例小儿脊柱侧凸手术病例报告

Formosan Journal of Musculoskeletal Disorders Pub Date : 2018-02-01 DOI: 10.6492/FJMD.201802_9(1).0006

C. Feng, K. Liao, Tsui-Fen Yang, Y. Hsieh, J. Chiu, Chun-Hung Chang, Po-Yen Huang

引用次数: 0