Current Reviews in Musculoskeletal Medicine最新文献

{"title":"The Current State of Anterior Cruciate Ligament Reconstruction: Graft Selection, Lateral Augmentation, Rehabilitation, and Return-to-Play.","authors":"Jeffrey George, Andrew J Moyal, Isha K Shah, Robert J Burkhart, Louis S Kang, Jacob G Calcei, James E Voos","doi":"10.1007/s12178-026-10060-9","DOIUrl":"10.1007/s12178-026-10060-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>Anterior cruciate ligament reconstruction (ACLR) reliably restores anteroposterior stability; however, the rate of return to prior level of play and incidence of recurrent ACL injury have improved little over the past two decades. The purpose of this review is to describe the current state of ACLR with respect to graft selection, lateral extra-articular augmentation, rehabilitation and return to play, including the role of psychological readiness, and the specific rehabilitation protocol utilized by the senior author.</p><p><strong>Recent findings: </strong>Graft utilization has shifted substantially. Quadriceps tendon autograft accounted for less than 5% of primary reconstructions prior to 2014 and approximately 20% by 2023. Contemporary registry data demonstrate smaller differences in revision risk between autograft types than previously reported. Randomized and comparative data support lateral extra-articular tenodesis in selected high-risk knees, with the largest effect reported in the revision setting. Return-to-play practice has shifted from fixed timelines toward criteria-based clearance. However, a subset of athletes do not pass a full clearance battery, and some athletes who do pass and observe recommended timeframes still sustain reinjury. Limb symmetry index may overestimate functional recovery, while test batteries and thresholds vary considerably between institutions. Psychological readiness is independently associated with both return to sport and second ACL injury. Graft selection should be matched to the patient profile, and lateral augmentation should be reserved for high-risk knees. Return to play should be determined by a combination of time from surgery, functional criteria, and psychological readiness. Future study should focus on validating return-to-play criteria against reinjury endpoints and on standardizing how these criteria are defined and reported.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outpatient Reverse Total Shoulder Arthroplasty.","authors":"Zaamin B Hussain, Thomas W Throckmorton, Grant E Garrigues","doi":"10.1007/s12178-026-10055-6","DOIUrl":"https://doi.org/10.1007/s12178-026-10055-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review aims to evaluate the current landscape of outpatient reverse total shoulder arthroplasty, as well as summarize protocols to facilitate safe and effective patient selection and implementation. It also aims to demystify cost and reimbursement concerns surrounding this topic.</p><p><strong>Recent findings: </strong>Formal risk stratification, structured perioperative pathways, and proactive follow-up can make outpatient RTSA safe and highly effective. Medical comorbidity profile, age, social factors as well as non-medical barriers can all assist with decision making. Additionally, there are considerable cost savings that do not compromise outcomes or safety, which will drive more patients to receive outpatient RTSA. Caution should be exercised if considering RTSA for fracture as well as in a revision setting given the case unpredictability, anticipated blood loss and the possible need for a higher level of care. Further work is needed to standardize nomenclature in reporting care settings around outpatient RTSA. Outpatient RTSA can be safe and effective with careful patient selection.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calf Injuries: An Anatomy-Based Approach to Diagnosis, Management and Return to Sport.","authors":"Carles Pedret, Stefano Palermi, Sandra Mechó, Emilio Javier Frutos, Jorge Rovira, Oscar Vicente, Ramon Balius","doi":"10.1007/s12178-026-10059-2","DOIUrl":"10.1007/s12178-026-10059-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>Calf muscle injuries are common in athletes but represent a heterogeneous group of lesions involving different muscles and myoconnective structures. This review provides a practical overview of gastrocnemius-soleus injuries, with particular emphasis on how anatomical characterization can contribute to diagnosis, management and return-to-sport decision-making. It also examines the limitations of current evidence and the extent to which increasingly detailed imaging findings translate into clinically meaningful information.</p><p><strong>Recent findings: </strong>Advances in ultrasound and magnetic resonance imaging have improved the identification of specific injury patterns involving the gastrocnemius and soleus. Recent studies support moving beyond a muscle-based diagnosis towards more precise characterisation of the myoconnective structures involved. However, evidence linking individual anatomical patterns to prognosis and return-to-sport outcomes remains limited and largely observational. Current rehabilitation approaches favour progressive, criteria-based loading rather than fixed timelines, while return-to-sport decisions increasingly integrate clinical recovery, functional capacity, sport-specific demands and acceptable risk. No validated calf-specific rehabilitation or return-to-sport criteria are currently available. Anatomical characterization provides a useful framework for understanding the heterogeneity of calf muscle injuries but should inform rather than determine clinical management. Rehabilitation should remain function-led and progressively restore the mechanical capacities required for sport, while return to sport should be considered a multifactorial decision rather than the result of isolated imaging findings, tests or predefined timelines. Future prospective studies should determine which anatomical features provide clinically relevant prognostic information and develop validated calf-specific functional and return-to-sport outcomes.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of Endoscopic Spine Surgery: Contemporary Advances and Future Directions.","authors":"Gregory Glauser, Shaarada Srivatsa, Bilal B Butt, Mohamed Macki, Christoph P Hofstetter, Osama N Kashlan","doi":"10.1007/s12178-026-10058-3","DOIUrl":"10.1007/s12178-026-10058-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Endoscopic spine surgery has evolved from non-visualized percutaneous discectomy only, into a comprehensive minimally invasive surgical platform with expanding indications across cervical, thoracic, and lumbar pathology. This review examines endoscopic spine surgery's historical evolution, summarizes recent advances in technology and clinical application, and evaluates current evidence regarding outcomes, complications, and future directions.</p><p><strong>Recent findings: </strong>Endoscopic spine surgery demonstrates clinical outcomes comparable to traditional open and minimally invasive approaches for lumbar disc herniation and spinal stenosis. Advantages of endoscopic approach include reduced tissue disruption, decreased blood loss, shorter hospitalization, expedited recovery, and faster return to work. Emerging applications include endoscopic-assisted fusion procedures, outpatient spine surgery pathways, and revision decompression techniques. Recent meta-analyses additionally suggest comparable outcomes between uniportal and biportal approaches, although differences in visualization, ergonomics, and learning curves remain areas of ongoing investigation. Current data supports the safety and efficacy of endoscopic surgery in appropriately selected patients, particularly for lumbar decompression procedures. Barriers including steep learning curves, limited formalized training pathways, equipment costs, reimbursement challenges, and the need for long-term comparative outcomes data continue to limit widespread adoption. Future integration of robotics, artificial intelligence, navigation technologies, and biologic augmentation may further expand the role of endoscopic spine surgery.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149059011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Biologic Injections in Sports Medicine.","authors":"Alan Z Grusky, Nicolas S Hatamiya, William A Berrigan, Faustine D Ramirez","doi":"10.1007/s12178-026-10057-4","DOIUrl":"10.1007/s12178-026-10057-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>Non-biologic injection therapies are among the most commonly utilized interventions in sports medicine. Yet, the evidence supporting their use varies widely across injectates and clinical indications. This review provides an overview of the most broadly used non-biologic injectates in musculoskeletal care, including corticosteroids, local anesthetics, non-steroidal anti-inflammatory drugs (NSAID), normal saline, dextrose prolotherapy, hyaluronic acid, and botulinum toxin. For each agent, we discuss the mechanism of action, adverse effect profile, and current clinical evidence across a range of sports medicine conditions.</p><p><strong>Recent findings: </strong>Corticosteroids are the most extensively studied injectate and demonstrate consistent short-term analgesic benefit; however, data highlights dose-dependent risks to articular cartilage and tendon with implications for long-term outcomes. NSAID injections have shown comparable efficacy to corticosteroids across several indications, representing a viable alternative in appropriately selected patients. Hyaluronic acid has shown benefit in knee osteoarthritis, but guideline recommendations remain divided on its use. Dextrose prolotherapy and botulinum toxin exhibit condition-specific promise, each supported by a limited but growing evidence base. The therapeutic effects observed in saline control groups underscore the complexity of interpreting injection-based research. While several traditionally employed injectates have demonstrated efficacy for short-term pain relief and functional improvement, concerns regarding long-term tissue effects and variable clinical outcomes have prompted increasing interest in alternative therapies. Accordingly, treatment selection requires careful consideration of the underlying pathology, therapeutic goals, safety profile, and available evidence. This review synthesizes the current literature to provide clinicians with a practical, evidence-based framework for the use of non-biologic injections in sports medicine.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acromial Stress Fractures in Reverse Total Shoulder Arthroplasty: Diagnosis, Prevention, and Treatment.","authors":"Lauren J Hsue, Mathangi Sridharan, Kushagra Tewari, Nicole J Newman-Hung, Nicole M Truong, Edward C Cheung","doi":"10.1007/s12178-026-10054-7","DOIUrl":"https://doi.org/10.1007/s12178-026-10054-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review critically evaluates the literature on acromial stress fractures (ASFs) following reverse total shoulder arthroplasty (rTSA), with a focus on risk factors, prevention, and treatment. By synthesizing contemporary evidence and highlighting areas of ongoing debate, this review aims to provide clinicians with an updated understanding of these complications and identify priorities for future research.</p><p><strong>Recent findings: </strong>ASFs have an approximate incidence of 3-5% following rTSA. Preoperative risk factors include female sex, acromial morphology, rheumatologic disease, chronic systemic steroid use, and intra-articular steroid use within three months of arthroplasty. Intra-operative risk factors include implant positioning parameters such as excessive distalization, as well as prominence of posterior superior baseplate screws, and resection of the coracoacromial ligament. While nonoperative management is the first line of treatment for many ASFs, displaced fractures are commonly treated operatively. Operative intervention facilitates fracture union but does not consistently improve functional outcomes. Intranasal calcitonin is currently being studied as an adjuvant therapy. The impact of implant design features and placement decisions addressing distalization and lateralization are areas of ongoing study. ASFs remain a challenging complication of rTSA with limited treatment success, highlighting the need for better risk identification, bone health optimization, thoughtful intraoperative decision-making, and evaluation of early interventions to improve prevention and progression.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instability After Reverse Shoulder Arthroplasty: Evaluation, Diagnosis, Management.","authors":"Brett D Haislup, Nicholas Farrar, Jason C Ho, Vahid Entezari, Eric T Ricchetti, Charles J Cogan","doi":"10.1007/s12178-026-10053-8","DOIUrl":"10.1007/s12178-026-10053-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>To address the concurrent escalation in shoulder instability revision procedures for reverse shoulder arthroplasty (RSA), an operation that has seen significantly expanded utilization over the past two decades due to broader surgical indications and improved implant designs.</p><p><strong>Recent findings: </strong>Prosthetic instability remains a prevalent and challenging complication following RSA. Current observations show a wide variance in reported dislocation rates, which are driven by a diverse array of newly identified patient, technical, and neurological risk factors. A comprehensive clinical and radiographic workup is required to identify the specific underlying etiology of prosthetic instability-such as loss of compression, loss of containment, impingement, or implant loosening. Determining this precise root cause is essential to effectively guide subsequent revision surgery and optimize patient outcomes.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13442768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopy for the Painful Shoulder Arthroplasty: Indications, Outcomes, and Technical Considerations.","authors":"Garrett R Jackson, Sean Koetting, Justin T Childers, Keith Kenter, Matthew J Smith","doi":"10.1007/s12178-026-10052-9","DOIUrl":"10.1007/s12178-026-10052-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>Persistent pain, stiffness, or suspected infection following shoulder arthroplasty remains a challenging clinical problem. Arthroscopy has emerged as a minimally invasive diagnostic and therapeutic tool in selected patients with painful anatomic total shoulder arthroplasty, reverse shoulder arthroplasty, or hemiarthroplasty. This review summarizes the current evidence regarding indications, outcomes, complications, and technical considerations for arthroscopy in the setting of pain following prior shoulder arthroplasty.</p><p><strong>Recent findings: </strong>Shoulder arthroscopy after arthroplasty has been described for glenoid component loosening, polyethylene wear, rotator cuff pathology, biceps tendon disease, postoperative stiffness, impingement, and suspected periprosthetic joint infection. Reported outcomes suggest that arthroscopy may improve pain and function in selected patients, particularly after glenoid component removal, biceps procedures, capsular release, and lysis of adhesions. Arthroscopic tissue biopsy also demonstrates greater diagnostic utility than aspiration or serum inflammatory markers for suspected periprosthetic shoulder infection. Technical strategies, including initial subacromial evaluation and controlled glenohumeral entry through the rotator interval, may reduce iatrogenic implant damage during arthroscopic evaluation. Arthroscopy can be both diagnostic and therapeutic in well-selected patients with painful or stiff shoulder arthroplasty. Although it is not a substitute for revision surgery in cases of clear implant failure, instability, or massive cuff insufficiency, it may help clarify the diagnosis, treat focal pathology, and delay or avoid open revision in selected patients.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When an Isolated Bankart Repair is Not Enough: Comparing Latarjet Versus Augmentation with Remplissage.","authors":"Nicolas Pascual-Leone, Tyler Khilnani, Joshua R Eskew, Christopher M Brusalis, Joshua S Dines","doi":"10.1007/s12178-026-10041-y","DOIUrl":"10.1007/s12178-026-10041-y","url":null,"abstract":"<p><strong>Purpose of review: </strong>Increased recurrence rates following isolated arthroscopic Bankart repair, particularly in young, high-risk athletes, have prompted adoption of adjunctive surgical strategies. Two commonly utilized techniques are arthroscopic Bankart repair with Remplissage and the Latarjet procedure. Despite widespread use of both options, the optimal indications remain debated. This review synthesizes contemporary evidence regarding indications, clinical scenarios and outcomes, recurrence risk, return to sport and complication profiles following these procedures.</p><p><strong>Recent findings: </strong>Both arthroscopic Bankart repair with remplissage and Latarjet demonstrate excellent outcomes, providing return to sport rates exceeding 80% with recurrence rates ranging from 5 to 10% and 0-5% for the remplissage and Latarjet, respectively [1-3]. Overall complication rates following remplissage have been reported at approximately 1.6% of cases, whereas complication rates range from 5.1 to 16.1% following Latarjet procedures [4, 5]. Recurrent instability following labral repair with remplissage is over 6-fold more likely than following Latarjet when glenoid bone loss exceeds 15% [6]. When addressing patients with recurrent shoulder instability, glenoid and humeral bone loss must be critically analyzed. In patients with subcritical glenoid bone loss who remain at elevated risk for recurrent instability, particularly young, high-demand athletes, arthroscopic Bankart repair with remplissage provides durable stabilization with recurrence rates comparable to Latarjet. However, in the setting of critical glenoid bone loss or true bipolar off-track pathology, the Latarjet procedure confers superior mechanical stability and significantly reduces the risk of recurrence and revision surgery.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13376085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion: A Comprehensive Review of Current Evidence.","authors":"Kalvis Hornburg, Claire E Cassianni, Shaheed M Muhammad, Juan E Muñoz Eusse, R Conner Dixon","doi":"10.1007/s12178-026-10051-w","DOIUrl":"10.1007/s12178-026-10051-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>Concussion is a common form of mild traumatic brain injury affecting nearly two million people yearly, costing the US nearly 19 billion dollars annually. In light of such significant prevalence and disease burden, tools and interventions aimed at improving diagnosis, recovery, and management are constantly evolving. This narrative review synthesizes literature from PubMed, Scopus, and Google Scholar (2015-2025), prioritizing systematic reviews, randomized trials, and consensus guidelines with the goal of summarizing current best-practices based on up-to-date data and expert opinion.</p><p><strong>Recent findings: </strong>Concussion remains a clinical diagnosis supported by tools such as the SCAT6, though limitations persist. Biomarkers demonstrate high sensitivity for intracranial injury, but limited utility for diagnosing uncomplicated concussion. Recovery is heterogeneous, influenced by initial symptom burden, patient factors, and mechanism of injury. Management has shifted toward early, symptom-guided activity and targeted, multimodal rehabilitation. Persistent symptoms reflect multifactorial etiologies that require individualized care. Concussion care is transitioning toward more objective assessment and personalized management, though gaps remain in diagnostic precision and in predicting prolonged recovery.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}