Current Reviews in Musculoskeletal Medicine最新文献_第2页

Correction: Nonoperative Management of Gartland Type II Supracondylar Humeral Fractures: A Comprehensive Review.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-12 DOI: 10.1007/s12178-025-09959-6

Michaela Booker, Faith Sumandea, Nirav Pandya, Ishaan Swarup

引用次数: 0

Biomechanics of Meniscus Tears and Repair Techniques.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-05 DOI: 10.1007/s12178-025-09958-7

Jason Ina, Grant Nelson, John T Strony, Adam Tagliero, Jacob Calcei, Aaron J Krych, James Voos

{"title":"Biomechanics of Meniscus Tears and Repair Techniques.","authors":"Jason Ina, Grant Nelson, John T Strony, Adam Tagliero, Jacob Calcei, Aaron J Krych, James Voos","doi":"10.1007/s12178-025-09958-7","DOIUrl":"https://doi.org/10.1007/s12178-025-09958-7","url":null,"abstract":"Purpose of review: Treatment of meniscus injuries can have a substantial effect on the intra-articular biomechanics and long-term function of the knee. Meniscus repair has become a more favorable treatment option as prior studies have demonstrated a strong correlation between meniscal preservation and restoration of intra-articular contact pressure and decreased progression of arthritis. The goal of meniscus repair is to provide a stable load bearing construct to allow for meniscal healing. Repair constructs vary by tear pattern, tear location, and repair technique. The purpose of this review is to highlight the biomechanical strength of meniscus repair techniques for frequently encountered meniscus tears.Recent findings: Recent literature reports that meniscus tear type and location influence which repair technique would provide the most stable construct. Prior studies report that inside-out meniscus repair is the gold standard for longitudinal tears, but more recent literature on modern all-inside repair devices suggest improvements with all-inside devices. Radial tears repaired with vertical mattress rip stop sutures added to horizontal mattress repair sutures have less suture cut-out and improved stability. Root tears repaired with a locking suture configuration result in biomechanical strength similar to a native meniscus and addition of a centralization suture may further improve this construct. No single repair technique is superior to others across meniscus repair types. Surgeons need to thoroughly understand various tear patterns and be familiar with a variety of repair techniques in order to provide the most stable construct for meniscus repair.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Treatment of Hip Dysplasia in Adolescent Patients.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-04 DOI: 10.1007/s12178-025-09953-y

Alicia Asturias, Sara Kiani, Ryan Sadjadi, Ishaan Swarup

{"title":"The Treatment of Hip Dysplasia in Adolescent Patients.","authors":"Alicia Asturias, Sara Kiani, Ryan Sadjadi, Ishaan Swarup","doi":"10.1007/s12178-025-09953-y","DOIUrl":"https://doi.org/10.1007/s12178-025-09953-y","url":null,"abstract":"Purpose of review: Adolescent hip dysplasia represents a unique challenge for pediatric orthopaedic surgeons. The disease spectrum is broad and the complications of untreated disease can be severe. The purpose of this review is to provide a framework for understanding and treating adolescent hip dysplasia and when to consider nonoperative versus operative interventions.Recent findings: Combined hip arthroscopy and periacetabular osteotomy may be considered for patients with concomitant symptomatic labral tears, which is often diagnosed by history and advanced imaging. Hip dysplasia in adolescent patients is an important diagnosis. There are various clinical and radiographic parameters and the most important ones are lateral center edge angle, Tonnis grade, and joint congruency. Management is based on symptoms and radiographic findings. Nonoperative management is typically recommended for patients with symptomatic borderline dysplasia. Surgical management includes periacetabular osteotomy for patients with symptomatic hip dysplasia that have failed nonoperative treatment. Concomitant hip arthroscopy may be considered for patients with symptomatic labral tear, but is generally not recommended in isolation if there is evidence of dysplasia. Outcomes are generally good after operative management of hip dysplasia in adolescent patients.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Horizontal Cleavage Meniscus Tears. 半月板水平劈裂撕裂的处理。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-26 DOI: 10.1007/s12178-024-09940-9

Zachary R Burnett, David C Flanigan

{"title":"Management of Horizontal Cleavage Meniscus Tears.","authors":"Zachary R Burnett, David C Flanigan","doi":"10.1007/s12178-024-09940-9","DOIUrl":"10.1007/s12178-024-09940-9","url":null,"abstract":"Purpose of review: The management of horizontal cleavage meniscus tears (HCT) has evolved in recent years. Historically, HCTs have been treated with partial meniscectomy, but multiple studies have shown the long-term risks of development of arthritic changes in the knee following meniscectomy. These findings have renewed interest in meniscal preservation whenever possible, even in older patients not previously considered for meniscus repair. This article provides an overview of current management of horizontal cleavage meniscus tears and describes modern surgical techniques for repair of HCTs.Recent findings: Current research studies have continued to emphasize the benefits of meniscal preservation on long-term function. Recent data has demonstrated similar success rates following repair of HCTs compared to repair of other types of meniscus tears. Additionally, multiple recent studies have demonstrated the potential benefit of biologic augmentation in decreasing failure rate after meniscal repair. Modern surgical techniques and biologic augmentation have improved outcomes of meniscal repair. However, consideration of a patient's individual goals, activity level, and expectation are important to achieve a successful outcome regardless of treatment modality. While not every patient is a candidate for meniscal repair, current data has shown it should be considered for a growing number of patients.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"79-86"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892506","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}

引用次数: 0

Navigating the Complexities of Range of Motion in Reverse Shoulder Arthroplasty: Innovations and Future Directions. 在反向肩关节置换术中导航运动范围的复杂性：创新和未来方向。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-08 DOI: 10.1007/s12178-024-09943-6

Karsyn N Bailey, Alexander W Aleem

{"title":"Navigating the Complexities of Range of Motion in Reverse Shoulder Arthroplasty: Innovations and Future Directions.","authors":"Karsyn N Bailey, Alexander W Aleem","doi":"10.1007/s12178-024-09943-6","DOIUrl":"10.1007/s12178-024-09943-6","url":null,"abstract":"Purpose of review: With the growing popularity and broadening indications for Reverse Shoulder Arthroplasty (RSA), increasing modularity in design and adjustments to each component can enhance postoperative range of motion (ROM), thus expanding treatment capabilities. This review outlines the advancements developed to optimize ROM through modifications in glenoid and humeral components and the integration of computational tools for surgical planning.Recent findings: Enhancements in glenoid component design aim to mitigate complications like scapular notching and improve ROM, particularly in abduction and external rotation. Modifications to the humeral component, including adjustments in neck-shaft angle and lateralization, also contribute to ROM optimization. The integration of computational modeling and intraoperative navigation is advancing towards a more tailored approach to RSA to increase postoperative ROM. While RSA has evolved considerably since the introduction of the Grammont prosthesis, current research continues to improve upon implant design and positioning to overcome early design limitations. Modifications such as glenoid lateralization and inferior positioning and humeral neck-shaft angle and lateralization contribute to better postoperative ROM. The integration of these advancements in implant adjustments with computational modeling for surgical planning has the potential to enhance ROM and patient-specific outcomes. Translating these biomechanical improvements into clinical benefit remains a key area for future investigation.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"94-101"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946137","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}

引用次数: 0

Primary Care Considerations for Youth Martial Arts Athletes. 青少年武术运动员的初级保健考虑。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-09 DOI: 10.1007/s12178-024-09942-7

Celina de Borja, Raechelle Ocampo, Ameera Teal

{"title":"Primary Care Considerations for Youth Martial Arts Athletes.","authors":"Celina de Borja, Raechelle Ocampo, Ameera Teal","doi":"10.1007/s12178-024-09942-7","DOIUrl":"10.1007/s12178-024-09942-7","url":null,"abstract":"Purpose of review: This review aims to analyze the impact of martial arts on youth, addressing the physical and psychosocial benefits, as well as the injury risks associated with increased participation.Recent findings: Data from the National Federation of State High School Associations indicates a notable increase in youth participation in martial arts, with a rise of over 13,000 participants from 2018 to 2022. In addition to physical benefits, recent studies highlight that martial arts can significantly enhance mindfulness, reduce stress, and improve self-control, thus diminishing bullying behaviors in school-aged children. Additionally, the therapeutic application of martial arts techniques has been effective in managing pain in children with chronic diseases and in alleviating emotional distress in their siblings. However, the popularity of the sport brings concerns over a spectrum of injuries, especially more severe cases in competitive settings. Martial arts provide a dynamic platform for fostering robust physical health and psychological resilience among youth. While the benefits are substantial, they are accompanied by risks that require careful management through informed practices and supervision. This review underscores the importance of understanding the dual nature of martial arts - its capacity to empower and its potential to harm - to maximize its benefits and safeguard young athletes.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"73-78"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946140","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}

引用次数: 0

Osteomyelitis and Septic Arthritis of the Upper Extremity in Pediatric Patients. 小儿上肢骨髓炎和化脓性关节炎。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1007/s12178-024-09938-3

Nnaoma M Oji, Coleen S Sabatini

{"title":"Osteomyelitis and Septic Arthritis of the Upper Extremity in Pediatric Patients.","authors":"Nnaoma M Oji, Coleen S Sabatini","doi":"10.1007/s12178-024-09938-3","DOIUrl":"10.1007/s12178-024-09938-3","url":null,"abstract":"Purpose of review: For pediatric osteomyelitis and septic arthritis, 10-24% of cases occur in the upper extremity (UE). Due to delays in presentation and diagnosis, UE infections are often more complex and severe than infections of the lower extremity (LE). This review evaluates the literature from the past 6 years related to pediatric osteomyelitis and septic arthritis of the UE and provides a guide for professionals managing these conditions in children.Recent findings: The shoulder and elbow are the most commonly affected joints, and the humerus is the most commonly affected bone. As with the LE, diagnosis of UE osteoarticular infections is based on clinical evidence, laboratory data, and diagnostic imaging. While Staphylococcus aureus is the primary bacteria identified in UE infections, there is an underappreciation of the burden from Kingella kingae as a causative organism in culture-negative patients where PCR is not performed. Septic joints should be treated with irrigation and debridement urgently, with subsequent antibiotic therapy for a minimum of 2-4 weeks. For acute osteomyelitis without abscess or concomitant septic joints, antibiotic therapy is standard of care. Methicillin-resistant Staphylococcus aureus is associated with more severe infection requiring more surgeries. Various strategies exist for managing segmental bone loss in chronic osteoarticular infections. Osteomyelitis and septic arthritis tend to occur less frequently in the UE than the LE but have a devastating impact on the health and quality of life of children around the world. Complete resolution of disease can be achieved through an individualized approach to antibiotic and operative management. Further study is needed to assess the efficacy of aspiration as a primary treatment strategy in UE joints.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"61-72"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881715","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}

引用次数: 0

Surgical Management of Anterior Shoulder Instability in Skeletally Immature Patients: A Systematic Review.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1007/s12178-024-09941-8

Aniruddh Mandalapu, Matthew Hartwell, Matthew Veerkamp, Eric Edmonds, Matthew Milewski, Shital Parikh, Paul Saluan, Frank Cordasco, Nirav Pandya

{"title":"Surgical Management of Anterior Shoulder Instability in Skeletally Immature Patients: A Systematic Review.","authors":"Aniruddh Mandalapu, Matthew Hartwell, Matthew Veerkamp, Eric Edmonds, Matthew Milewski, Shital Parikh, Paul Saluan, Frank Cordasco, Nirav Pandya","doi":"10.1007/s12178-024-09941-8","DOIUrl":"10.1007/s12178-024-09941-8","url":null,"abstract":"Purpose of review: Anterior shoulder instability management within skeletally immature patients presents a unique challenge for providers. This systematic review examines the surgical management of traumatic anterior shoulder instability in skeletally immature patients, focusing on recurrence rate, pre-operative conditions, post-operative conditions, demographics, and risk factors for failure. Four full-length articles met the inclusion and exclusion criteria, consisting of two retrospective cohort studies and two case series. In total, 77 patients and 79 shoulders underwent surgical stabilization. Mean age at time of surgery ranged from 12 to 15.9 years with a male proportion ranging from 58 to 86%. The indication for surgery in these studies was recurrent anterior shoulder instability. The most used surgeries for stabilization were bone block procedures, such as the Latarjet, followed by the arthroscopic Bankart repair. This review found that surgically managed traumatic anterior shoulder instability in skeletally immature patients had low recurrence rates. The studies examined had recurrence rates of 8%, 4.4% and 0% after surgical stabilization and a singular study showed a return to sport rate of 75%. Subsequently, this study suggests that open bony procedures may be a safe and effective solution to recurrent anterior shoulder instability in the skeletally immature population, but further research is needed to determine the optimal surgical approach with a larger sample of different surgical approaches.Level of evidence: Level IV.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"87-93"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406180","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}

引用次数: 0

Evaluation and Management Anterior Shoulder Instability Among Football Players.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-25 DOI: 10.1007/s12178-025-09957-8

Nathan S Lanham, Ian Davidson, Brad Graefe, Gary Updegrove

引用次数: 0

A Review of Syndesmosis Injuries and Preferred Treatment in Football Players.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-14 DOI: 10.1007/s12178-025-09954-x

Scott Tucker, Indigo Milne, Michaela Pitcher, Christian Benedict, Samantha N Olson, Ashlee MacDonald, Michael Aynardi

{"title":"A Review of Syndesmosis Injuries and Preferred Treatment in Football Players.","authors":"Scott Tucker, Indigo Milne, Michaela Pitcher, Christian Benedict, Samantha N Olson, Ashlee MacDonald, Michael Aynardi","doi":"10.1007/s12178-025-09954-x","DOIUrl":"https://doi.org/10.1007/s12178-025-09954-x","url":null,"abstract":"Purpose of review: Syndesmotic injuries are common football injuries. The unique demands of football athletes create large magnitude rotational moments about the ankle, even during low impact maneuvers. This review explores the structure and function of the syndesmosis, assesses recent data in football athletes at the professional and collegiate levels regarding epidemiology, describes available treatment options, and provides example cases from the authors' institution. The review concludes with clinical and surgical pearls for the evaluation and treatment of syndesmotic injury.Recent findings: In general, flexible syndesmotic fixation has demonstrated similar clinical outcome scores as rigid fixation. Flexible fixation has demonstrated benefit over rigid fixation in terms of implant failure, hardware removal, and local irritation. Both flexible and rigid fixation remain viable options for treatment of syndesmotic injuries yet the indications for selecting a construct are often subjective. Certain cases of high-risk football players such as linemen may warrant careful consideration of rigid fixation options despite the clinical advantages of flexible fixation. During fixation, direct visualization techniques with open or arthroscopic assistance for reduction of the syndesmosis remain superior and enable diagnosis of chondral defects. Flexible and rigid syndesmotic fixation techniques are viable for treatment of unstable syndesmotic injuries in athletes. Recent literature favors flexible fixation. However, at-risk football athletes or those with length unstable fibula fractures may benefit from rigid or supplemental flexible fixation as opposed to traditional flexible fixation. We recommend direct visualization of reduction at the syndesmosis during surgical treatment of unstable ankle injuries.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0