Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders最新文献_第8页

Closed Limb Fractures With Compromised Vascularization: A Narrative Review. 闭合性肢体骨折伴血管化受损:叙述性回顾。

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-03-18 eCollection Date: 2019-01-01 DOI: 10.1177/1179544119836742

Christopher Vannabouathong, Emil Schemitsch, Bradley Petrisor, Mohit Bhandari

{"title":"Closed Limb Fractures With Compromised Vascularization: A Narrative Review.","authors":"Christopher Vannabouathong, Emil Schemitsch, Bradley Petrisor, Mohit Bhandari","doi":"10.1177/1179544119836742","DOIUrl":"https://doi.org/10.1177/1179544119836742","url":null,"abstract":"Vascular compromised fractures typically result in a high rate of healing complications, such as avascular necrosis, nonunion, delayed union, and arthritis, which severely affect a patient's function and quality of life. The purpose of this review was to identify and describe the epidemiology and available treatment options for the most well-known vascular compromised closed fractures. The injuries discussed in detail in this review were scaphoid, lunate, femoral neck, and talar fractures. Current evidence suggests that optimal treatment for vascular compromised fractures is dependent on the degree of fracture displacement and comminution, and the patient's post-injury functional demands, age, and bone quality. Conservative efforts generally include casting or splinting with a period of immobilization. Surgery is indicated for substantially displaced fractures, patients who require higher functional demands and an earlier return to activity, or if complications occur following nonoperative treatment; however, operative intervention is typically performed for femoral neck fractures regardless of the amount of displacement. Various surgical techniques exist, though internal fixation with screws is a common procedure among these injuries and can be used in combination with other implants, such as plating or Kirschner wires (k-wires), when needed. Severe fracture comminution, poor bone quality, or arthritis can contraindicate the use of screws and more invasive intervention will be required. Bone grafting is done in some cases to enhance vascularity. Salvage procedures exist for patients who develop severe complications, but these will permanently alter the anatomy of the injured area and should be considered a last resort.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"12 ","pages":"1179544119836742"},"PeriodicalIF":2.6,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544119836742","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37265790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Bohler Angle and the Crucial Angle of Gissane in Paediatric Population. 儿科人群中的Bohler角和Gissane关键角。

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-03-12 eCollection Date: 2019-01-01 DOI: 10.1177/1179544119835227

Bruno Pombo, Ana Cristina Ferreira, Luís Costa

{"title":"Bohler Angle and the Crucial Angle of Gissane in Paediatric Population.","authors":"Bruno Pombo, Ana Cristina Ferreira, Luís Costa","doi":"10.1177/1179544119835227","DOIUrl":"https://doi.org/10.1177/1179544119835227","url":null,"abstract":"Bohler angle and the crucial angle of Gissane are used on the evaluation of calcaneus fractures. However, few authors have described the variation of the angles when the calcaneus is growing. In this study, Bohler angle and the crucial angle of Gissane in paediatric population were measured using lateral foot radiographs of 429 patients, from 0 to 16 years of age. The control group was composed of 70 adult patients. The sample had a mean Bohler angle of 35.4° ± 5.9° and a mean crucial angle of Gissane of 110.5° ± 7.4°. The greater mean difference was identified for Bohler angle (8°) in the age group of 5 to 8 years (39.6° ± 5.7°) and for the crucial angle of Gissane (5°-6°) in the age group of 0 to 4 years (115.8° ± 7.3) (P < .05). The influence of the ossification centres on the geometry of the calcaneus across age groups makes Bohler angle and the crucial angle of Gissane higher in young children. The increase in Bohler angle points out the relative development of the posterior facet in young children and the importance of the reconstruction of the posterior facet height in the intra-articular calcaneus fractures. Level of Evidence: Diagnostic study; Level III.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"12 ","pages":"1179544119835227"},"PeriodicalIF":2.6,"publicationDate":"2019-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544119835227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37071810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Bilateral Levofloxacin-Induced Achilles Tendon Rupture: An Uncommon Case Report and Review of the Literature. 左氧氟沙星致双侧跟腱断裂一例罕见病例报告及文献复习。

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-03-05 eCollection Date: 2019-01-01 DOI: 10.1177/1179544119835222

Marcos Edgar Fernández-Cuadros, Luz Otilia Casique-Bocanegra, María Jesús Albaladejo-Florín, Sheila Gómez-Dueñas, Carmen Ramos-Gonzalez, Olga Susana Pérez-Moro

{"title":"Bilateral Levofloxacin-Induced Achilles Tendon Rupture: An Uncommon Case Report and Review of the Literature.","authors":"Marcos Edgar Fernández-Cuadros, Luz Otilia Casique-Bocanegra, María Jesús Albaladejo-Florín, Sheila Gómez-Dueñas, Carmen Ramos-Gonzalez, Olga Susana Pérez-Moro","doi":"10.1177/1179544119835222","DOIUrl":"https://doi.org/10.1177/1179544119835222","url":null,"abstract":"Since the introduction of Fluoroquinolones (FQ) in 1960s, these antibiotics have been used in airway and urinary tract infections, due to absorption, biodisponibility, posology and long half-life time properties. However, several reports state that FQ can cause tendinopathy and rupture. These adverse effects can occur within hours after initial treatment to up to 6 months after withdrawal. FQ-induced tendinopathy was first reported in 1983; since then more than 100 cases have been published. FQ usage can lead to complete tendon rupture and no more than 8 to 15 cases are reported worldwide. Most of rupture cases have been associated to corticoid use and rheumatic, vascular or renal disease. The purpose of this case report is to present the challenging diagnosis of a bilateral rupture of Achilles tendon in an old patient, because of the uncommon of the presentation and to review the current literature on such a debilitating condition.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"12 ","pages":"1179544119835222"},"PeriodicalIF":2.6,"publicationDate":"2019-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179544119835222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

The Combined Effect of Body Mass Index and Tibial Slope Angles on Anterior Cruciate Ligament Injury Risk in Male Knees: A Case-Control Study 体重指数和胫骨斜角对男性膝关节前交叉韧带损伤风险的影响:一项病例对照研究

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119867922

V. Kızılgöz, A. K. Sivrioglu, H. Aydin, G. R. Ulusoy, T. Çeti̇n, K. Tuncer

{"title":"The Combined Effect of Body Mass Index and Tibial Slope Angles on Anterior Cruciate Ligament Injury Risk in Male Knees: A Case-Control Study","authors":"V. Kızılgöz, A. K. Sivrioglu, H. Aydin, G. R. Ulusoy, T. Çeti̇n, K. Tuncer","doi":"10.1177/1179544119867922","DOIUrl":"https://doi.org/10.1177/1179544119867922","url":null,"abstract":"Introduction: Tibial slope angles (TSAs) have been identified as potential risk factors of anterior cruciate ligament (ACL) injury in the literature. A higher body mass index (BMI) might increase the risk of ACL tear because of greater axial compressive force. The aim of this study was to determine the relationship of these factors and the combined effect of BMI and TSA in determination of risk potential for ACL injury. Methods: The preoperative magnetic resonance (MR) images of 81 ACL-injured male knees and of 68 male individuals with no ACL injuries were evaluated by 2 radiologists to measure the TSA. The Mann-Whitney U-test was performed to indicate the significant difference in height, weight, and BMI values. The independent samples t-test was used to determine the differences between ACL-injured and non-injured groups regarding TSA values. Odds ratios were calculated by logistic regression tests, and receiver operating characteristics (ROC) curves revealed the area under the receiver operating characteristics curve (AUC) values to compare the relationships of these parameters with ACL injury. Results: Body mass index, lateral tibial slope (LTS), and medial tibial slope (MTS) were predictive of ACL risk injury. Body mass index alone had the greatest effect among these parameters, and there were no statistically significant differences in coronal tibial slope values between the ACL-ruptured and control groups. The greatest AUC was observed for the combination of BMI, MTS, and LTS. Conclusions: Body mass index, LTS, and MTS angles were associated with ACL injury risk and BMI + MTS + LTS together revealed the greatest effect on ACL injury.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"43 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80545542","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: 6

Xanthoma Combined With Gout Infiltration of the Achilles Tendon: A Case Report 黄斑瘤合并痛风侵袭跟腱1例

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119865261

Yuan Fu, Qiu-Li Huang

引用次数: 3

Lyme Arthritis in Children on the Uptick in Western New York Area 纽约西部地区儿童莱姆病发病率上升

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119890851

Lauren Lucente, Aseel Abu-Dayya, T. Hennon, S. Islam, B. Wrotniak, Rabheh Abdul Aziz

{"title":"Lyme Arthritis in Children on the Uptick in Western New York Area","authors":"Lauren Lucente, Aseel Abu-Dayya, T. Hennon, S. Islam, B. Wrotniak, Rabheh Abdul Aziz","doi":"10.1177/1179544119890851","DOIUrl":"https://doi.org/10.1177/1179544119890851","url":null,"abstract":"Objective: This study explores a suspected increasing incidence of Lyme arthritis in the Western New York pediatric population. In addition, we aim to describe a clinical picture of Lyme arthritis and the clinical features that distinguish it from other forms of arthritis. Methods: Patients diagnosed with Lyme arthritis between January 2014 and September 2018 were identified using International Classification of Diseases—10th Revision (ICD 10) codes for Lyme disease and Lyme arthritis. Patients were included in the study if they (1) exhibited arthritis, (2) tested positive for Lyme antibodies, and (3) exhibited a positive Western blot. Results: A total of 22 patients were included in the study. There was a general trend toward an increasing number of cases of Lyme arthritis over the 45-month observation period. We identified 1 case in each 2014 and 2015, 4 cases in 2016, 7 in 2017, and 9 in the first 9 months of 2018. In total, 17 patients had arthritis as their only symptom at the time of diagnosis and 10 patients had a rash or a history that prompted suspicion of Lyme disease. The knee was the most frequent joint (86.4% of patients), and patients typically had 2 or fewer joints affected (86.4% of patients). Conclusions: A significant increase (P = .02) in Lyme arthritis cases was observed at Oishei Children’s Hospital of Buffalo. Lyme arthritis may clinically present similarly to other forms of arthritis, such as oligoarticular juvenile idiopathic arthritis, so health care providers should be aware of distinguishing clinical features, which include rapid onset of swelling and patient age. Because the geographic area of endemic Lyme disease is expanding, all health care providers need to be aware of Lyme arthritis as a possible diagnosis.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"53 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85296317","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: 2

Parkinson’s Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly 帕金森病和症状性骨关节炎是老年人跌倒的独立危险因素

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119884936

Anneli Teder-Braschinsky, A. Märtson, M. Rosenthal, P. Taba

{"title":"Parkinson’s Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly","authors":"Anneli Teder-Braschinsky, A. Märtson, M. Rosenthal, P. Taba","doi":"10.1177/1179544119884936","DOIUrl":"https://doi.org/10.1177/1179544119884936","url":null,"abstract":"Objectives: Deteriorating functionality and loss of mobility, resulting from Parkinson’s disease, may be worsened by osteoarthritis, which is the most common form of joint disease causing pain and functional impairment. We assessed the association between symptomatic hip or knee osteoarthritis, falls, and the ability to walk among patients with Parkinson’s disease compared to a control group. Methods: A total of 136 patients with Parkinson’s disease in Southern Estonia and 142 controls with an average age of 76.8 and 76.3 years, respectively, were enrolled in a retrospective case-control study. Information on falls and related fractures during the previous year was collected from the patients with Parkinson’s disease and controls. Covariates included gender, age, mobility, duration of Parkinson’s disease, and fractures. Results: Patients with Parkinson’s disease were at an increased risk of falls compared to the control group, and for the higher risk of fractures. Symptomatic knee or hip osteoarthritis was a significant independent predictor of falls in both patients with Parkinson’s disease and controls. The higher risk for fractures during the previous year was demonstrated in symptomatic osteoarthritis. Risk factors for falls included also female gender, use of sleep pills, and the inability to walk 500 m. Conclusions: Symptomatic hip and knee osteoarthritis are risk factors for falls and related fractures among the elderly population with and without Parkinson’s disease. The inability to walk 500 m could be used as a simple predictive factor for the increased risk of falls among elderly populations.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"52 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84784195","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: 5

Two-Year Results of the PHANTOM High Flex Trial: A Single-Arm Study on the Atlas Unicompartmental Knee System Load Absorber in Patients With Medial Compartment Osteoarthritis of the Knee 为期两年的PHANTOM高屈曲试验结果:Atlas单室膝关节系统负荷吸收器在膝关节内侧骨关节炎患者中的单臂研究

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119877170

K. Slynarski, J. Walawski, R. Śmigielski, W. van der Merwe

引用次数: 7

Prevalence of Sarcopenia Obesity in Patients Treated at a Rural, Multidisciplinary Weight and Wellness Center 在农村多学科体重和健康中心治疗的患者中肌肉减少症的患病率

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119862288

J. Batsis, D. Gilbert-Diamond, Auden C. McClure, Aaron Weintraub, D. Sette, John N. Mecchella, Sivan Rotenberg, Summer B. Cook, R. Rothstein

{"title":"Prevalence of Sarcopenia Obesity in Patients Treated at a Rural, Multidisciplinary Weight and Wellness Center","authors":"J. Batsis, D. Gilbert-Diamond, Auden C. McClure, Aaron Weintraub, D. Sette, John N. Mecchella, Sivan Rotenberg, Summer B. Cook, R. Rothstein","doi":"10.1177/1179544119862288","DOIUrl":"https://doi.org/10.1177/1179544119862288","url":null,"abstract":"Sarcopenic obesity portends poor outcomes, yet it is under-recognized in practice. We collected baseline clinical data including data on body composition (total and segmental muscle mass and total body fat), grip strength, and 5-times sit-to-stand. We defined sarcopenia using cut-points for appendicular lean mass (ALM) and obesity using body-fat cut-points. A total of 599 clinic patients (78.5% female; mean age was 51.3 ± 14.2 years) had bioelectrical impedance analysis (BIA) data (83.8%). Mean body mass index (BMI) and waist circumference were 43.1 ± 8.9 kg/m2 and 132.3 ± 70.7 cm, respectively. All patients had elevated body fat. There were 284 (47.4%) individuals fulfilling criteria for ALM-defined sarcopenia. Sarcopenic obese persons had a lower BMI (38.2 ± 6.4 vs 47.6 ± 8.6; P < 0.001), fat-free mass (113.0 kg ± 16.1 vs 152.1 kg ± 29.4; P < 0.001), fat mass (48.4% ± 5.9 vs 49.5% ± 6.2; P = 0.03), and visceral adipose tissue (216.8 ± 106.3 vs 242.7 ± 133.6 cm3; P = 0.009) than those without sarcopenic obesity. Grip strength was lower in those with sarcopenic obesity (25.1 ± 8.0 vs 30.5 ± 11.3 kg; P < 0.001) and sit-to-stand times were longer (12.4 ± 4.4 vs 10.8 second ± 4.6; P = 0.03). Sarcopenic obesity was highly prevalent in a rural, tertiary care weight and wellness center.","PeriodicalId":10443,"journal":{"name":"Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders","volume":"613 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76570768","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: 3

Reviewers for Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders: 2018 临床医学见解:关节炎和肌肉骨骼疾病:2018年

IF 2.6

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2019-01-01 DOI: 10.1177/1179544119829306

引用次数: 0