Current Reviews in Musculoskeletal Medicine最新文献_第3页

Anterior Cruciate Ligament Reconstruction: Common Intraoperative Mistakes and Techniques for Error Recovery.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-04 DOI: 10.1007/s12178-025-09947-w

Kevin C Wang, Timothy Keeley, Drew A Lansdown

{"title":"Anterior Cruciate Ligament Reconstruction: Common Intraoperative Mistakes and Techniques for Error Recovery.","authors":"Kevin C Wang, Timothy Keeley, Drew A Lansdown","doi":"10.1007/s12178-025-09947-w","DOIUrl":"https://doi.org/10.1007/s12178-025-09947-w","url":null,"abstract":"Purpose of review: Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure among general orthopedists, and is a logged procedure required for graduation from accredited orthopaedic residency programs.Recent findings: ACL reconstruction surgery has a number of critical steps, and intraoperative errors can significantly impact the success rate and morbidity of this operation. Technical errors are frequently cited as some of the most common reasons for ACL reconstruction failure. This narrative review provides low-volume surgeons and trainees with an overview of the common errors that can be made during the critical steps of an ACL reconstruction procedure. We suggest technical points for avoiding commonly-encountered errors and provide a description of evidence-supported error recovery techniques to address these errors if they occur intraoperatively. These key steps include femoral tunnel creation, tibial tunnel creation, graft harvest and preparation, and graft fixation within the tunnels. We discuss a number of primary and backup fixation strategies as well as all commonly used autografts (bone-patellar tendon-bone, hamstring, and quadriceps tendon). Additionally, we provide a brief overview on address intra-operative graft contamination citing currently available evidence.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188517","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 Effects of Microplastics on Musculoskeletal Disorder; A Narrative Review. 微塑料对肌肉骨骼疾病的影响；叙述性综述。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-01 Epub Date: 2024-11-22 DOI: 10.1007/s12178-024-09932-9

Hiroyori Fusagawa, Alex Youn, Elyse Wilkerson, Nirav Pandya, Brian T Feeley

{"title":"The Effects of Microplastics on Musculoskeletal Disorder; A Narrative Review.","authors":"Hiroyori Fusagawa, Alex Youn, Elyse Wilkerson, Nirav Pandya, Brian T Feeley","doi":"10.1007/s12178-024-09932-9","DOIUrl":"10.1007/s12178-024-09932-9","url":null,"abstract":"Purpose of review: The physical health impacts of microplastics have received increasing attention in recent years. However, limited data impedes a full understanding of the internal exposure to microplastics, especially concerning the musculoskeletal system. The purpose of this review is to summarize the recent literature regarding the effects of microplastics on the musculoskeletal system.Recent findings: Microplastics have been shown to cause abnormal endochondral ossification and disrupt the normal function of pre-osteoblasts, osteocyte-like cells, and pre-osteoclasts through gene mutations, endoplasmic reticulum stress induction, and reduced autophagosome formation in bone growth areas. Although there are few reports on their effects on muscle, it has been noted that microplastics inhibit energy and lipid metabolism, decrease type I muscle fiber density, impair muscle angiogenesis, cause muscle atrophy, and increase lipid deposition. Only a few recent studies have shown that microplastics interfere with the normal function of bone growth-related cells and reduce muscle mass and quality. This review underscores the need for further research into other parts of the musculoskeletal system and studies using human tissues at the disease level.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"39-47"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685992","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

Adolescent Idiopathic Scoliosis: Advances in Diagnosis and Management. 青少年特发性脊柱侧凸：诊断和治疗的进展。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1007/s12178-024-09939-2

Alexander H Jinnah, Kyle A Lynch, Taylor R Wood, Michael S Hughes

{"title":"Adolescent Idiopathic Scoliosis: Advances in Diagnosis and Management.","authors":"Alexander H Jinnah, Kyle A Lynch, Taylor R Wood, Michael S Hughes","doi":"10.1007/s12178-024-09939-2","DOIUrl":"10.1007/s12178-024-09939-2","url":null,"abstract":"Purpose of review: Adolescent idiopathic scoliosis (AIS) is a disabling spinal pathology, with a significant morbidity if left untreated. This review investigates the recent advances in the diagnosis and management of AIS.Recent findings: Low radiation techniques have become a paramount focus in the management of patient's with AIS. The EOS system is growing in popularity due to lower radiation compared to conventional radiographs with the added advantage allowing 3D reconstruction. Bracing remains the standard treatment for curves amenable to this, however, due to the importance in compliance with brace wear there has been a recent push for more personalized brace construction using 3-dimensional printing. If curves are not amenable to bracing, then surgical intervention is generally recommended. Posterior spinal fusion (PSF) remains the gold standard; however, newer growth modulating techniques are in their infancy. Anterior vertebral body tethering (VBT) is a relatively novel method of treatment for AIS, that has seen promising early results. Due to its novelty and varying results VBT use remains limited and will need to be further investigated. AIS is a complex disease without a clear understanding of it's etiology. If identified earlier, then non-operative treatment may lead to prevention of curve progression and the need for surgical intervention. Newer technologies, such as the EOS system, allow 3D reconstruction of curves which can assist with pre-operative planning. PSF remains the gold standard surgical intervention for AIS, however, new developments in alternative techniques could have a promising future, especially for skeletally immature patients.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"54-60"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909388","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

Nonoperative Management of Gartland Type II Supracondylar Humeral Fractures: A Comprehensive Review. Gartland II型肱骨髁上骨折的非手术治疗：综述。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI: 10.1007/s12178-024-09937-4

Michaela Booker, Faith Sumandea, Nirav Pandya, Ishaan Swarup

引用次数: 0

Report on Evolving Indications, Technique, and Outcomes of Novel And Surgical Procedures-NUsurface.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-28 DOI: 10.1007/s12178-025-09944-z

Thomas R Carter

{"title":"Report on Evolving Indications, Technique, and Outcomes of Novel And Surgical Procedures-NUsurface.","authors":"Thomas R Carter","doi":"10.1007/s12178-025-09944-z","DOIUrl":"10.1007/s12178-025-09944-z","url":null,"abstract":"Purpose of review: Meniscectomy alters knee function and known to be associated with an increased incidence of knee arthritis. Several methods and materials have been tried to replicate the function of a meniscus. One is a polycarbonate-urethane synthetic medial meniscus implant labeled as NUsurface. It is a non-anchored implant that is meant to replace the native meniscus. This article is intended to give an overview of the NUsurface implant and the experience to date.Recent findings: The NUsurface implant is not intended to be a substitute for arthroplasty but has indications similar to meniscal allografts. It has had both prospective double armed and single armed prospective studies. Follow up at the 2-year mark has shown the implant can be successful in decreasing patients' pain and improving function. However, the reoperation rate has been high with a little over a 1/3 requiring an additional procedure and 30% requiring implant exchanged. With improved surgical technique and knowledge of contributing anatomic variables, the reoperation rate has been decreased by half. The synthetic medial meniscus implant NUsurface is able to improve the quality of life in select patients that are symptomatic after meniscectomy. The reoperation rate is of concern but it is decreasing as we refine the variables contributing to the high rate.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051916","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 Pediatric Hip Physical Exam.

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-25 DOI: 10.1007/s12178-025-09945-y

Katherine Bach, Sarah Coufal, Nicholas Kelly, Ameera Teal, Ishaan Swarup

引用次数: 0

Endoprosthetic Reconstruction for Proximal Humerus Tumors. 肱骨近端肿瘤的假体内重建。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-04 DOI: 10.1007/s12178-024-09933-8

Favian Su, Edgar Garcia-Lopez, Rosanna Wustrack, Drew A Lansdown

{"title":"Endoprosthetic Reconstruction for Proximal Humerus Tumors.","authors":"Favian Su, Edgar Garcia-Lopez, Rosanna Wustrack, Drew A Lansdown","doi":"10.1007/s12178-024-09933-8","DOIUrl":"10.1007/s12178-024-09933-8","url":null,"abstract":"Purpose of the review: Anatomic and reverse endoprosthetic reconstruction are two common surgical options used after tumor resection of the proximal humerus. The purpose of this article is to provide an overview of the functional outcomes and complications of modern anatomic and reverse endoprostheses.Recent findings: The anatomic endoprosthesis has traditionally been a successful reconstructive technique as it provided a stable platform upon which the hand and elbow could function. However, the reverse endoprosthesis has gradually replaced the anatomic endoprosthesis given that its semi-constrained design affords greater stability. Patients with reverse endoprostheses have improved motion, patient-reported outcome scores, and revision-free implant survivorship compared to those with anatomic endoprostheses. Shoulder function may be further improved with a reverse allograft prosthetic composite (APC) due to reconstruction of the rotator cuff tendons or by transferring the latissimus dorsi and teres major tendons to recreate the function of the posterosuperior rotator cuff muscles. The short-term functional improvement observed with the use of an allograft reconstruction, however, may diminish with longer follow-up due to delayed graft complications, such as resorption, nonunion, and fracture. In most patients undergoing oncologic resection of the proximal humerus, the reverse endoprosthesis or reverse APC is recommended due to improved functional outcomes and reduced postoperative complications compared to other reconstructive techniques.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"26-37"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767272","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

Return to Sport Following Anterior Cruciate Ligament Reconstruction: A Scoping Review of Criteria Determining Return to Sport Readiness. 前十字韧带重建术后重返运动场：确定恢复运动能力标准的范围审查。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-20 DOI: 10.1007/s12178-024-09934-7

Elisa Kodama, Sina Tartibi, Robert H Brophy, Matthew V Smith, Matthew J Matava, Derrick M Knapik

{"title":"Return to Sport Following Anterior Cruciate Ligament Reconstruction: A Scoping Review of Criteria Determining Return to Sport Readiness.","authors":"Elisa Kodama, Sina Tartibi, Robert H Brophy, Matthew V Smith, Matthew J Matava, Derrick M Knapik","doi":"10.1007/s12178-024-09934-7","DOIUrl":"10.1007/s12178-024-09934-7","url":null,"abstract":"Purpose of review: Provide a concise review of currently utilized functional metrics and patient reported outcomes measures (PROMs) determining appropriate return to sport following anterior cruciate ligament reconstruction (ACLR).Recent findings: When determining return to sport following ACLR, a limb symmetry index (LSI) ≥ 90% when compared to the contralateral extremity is the most commonly reported functional metric. LSI is most commonly assessed using isokinetic quadriceps strength, followed by single-leg vertical hop and cross-over hop test. A minimum ACL-Return to Sport Index (ACL-RSI) score of 68.2 was reported, as well as a mean International Knee Documentation Committee (IKDC) score of 88.3%. A minimum Knee Injury and Osteoarthritis Outcome Score-Quality of Life (KOOS-QoL) of 62.5% was reported in a single investigation. There remains limited data on reported metrics guiding return to sport following ACLR. Evaluation of LSI when compared to the contralateral extremity is the most commonly reported functional measure, with ACL-RSI, IKDC and KOOS-QoL also being reported. Further investigations examining return to sport rate and the incidence of recurrent injury, factoring in differences in sex, competition level, and the presence or absence of concomitant meniscal injuries, based on functional metrics and PROMs is warranted to better understand which outcome measures are predictive of successful return to sport following ACLR.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"1-5"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675333","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

Hip Arthroscopy for Labral Tears and FAI is Associated with a High Rate of Return to Play for Professional American Football Athletes, A Literature Review. 对美国职业橄榄球运动员进行髋关节镜检查治疗唇部撕裂和FAI与高恢复率相关，文献综述。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-30 DOI: 10.1007/s12178-024-09936-5

Teron A Nezwek, Austin Witt, Dakota Doucet, Mark S Muller

{"title":"Hip Arthroscopy for Labral Tears and FAI is Associated with a High Rate of Return to Play for Professional American Football Athletes, A Literature Review.","authors":"Teron A Nezwek, Austin Witt, Dakota Doucet, Mark S Muller","doi":"10.1007/s12178-024-09936-5","DOIUrl":"10.1007/s12178-024-09936-5","url":null,"abstract":"Purpose of review: Femoroacetabular impingement (FAI) with labral tear is an increasingly recognized source of hip pain and lost playing time in elite athletes, yet data pertaining to professional American football athletes remains scarce. Prognostic recommendations are largely limited to single-institution cohort studies. To date, no large-scale literature review of surgical treatment of FAI in elite American football athletes has been performed. This review article reports the prevalence, return to play, performance outcomes, and career longevity following hip arthroscopy in professional American football athletes across all orthopedic literature between 2004-2024. We hypothesize high rates of return to sport (> 85%) to the same competition level and no differences in career longevity or postoperative performance.Recent findings: In the last 20 years, 8 studies have reported outcomes following hip arthroscopy in NFL athletes; no outcomes have been reported since the 2017 season. Return to play ranged from 79-93% and time to return ranged between 6.0-7.4 months. Offensive lineman returned at the lowest rate among all position groups. There were no differences in postoperative performance or career length compared to age-matched controls. There is high rate of return to professional American football after hip arthroscopy for labral tear and/or FAI with no differences in performance or career longevity compared to control groups. Offensive lineman undergoing hip arthroscopy return to same-level competition at a lower rate compared to other football positions.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"6-16"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767290","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

Treatment Options, Return to Play, and Functional Performance after Operatively and Non-operatively Managed Acute Scaphoid Fractures. 手术和非手术治疗急性舟状骨骨折后的治疗选择、恢复运动和功能表现。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1007/s12178-024-09935-6

Mark L Dunleavy, Nicholas Pilla, Michael Darowish

{"title":"Treatment Options, Return to Play, and Functional Performance after Operatively and Non-operatively Managed Acute Scaphoid Fractures.","authors":"Mark L Dunleavy, Nicholas Pilla, Michael Darowish","doi":"10.1007/s12178-024-09935-6","DOIUrl":"10.1007/s12178-024-09935-6","url":null,"abstract":"Purpose of review: Scaphoid fractures are commonly encountered injuries in the athletic population. Conservative management is pursued for incomplete fractures and those involving the distal pole. Operative management is indicated for displaced fractures, unstable fractures, and those involving the proximal pole. Complete non-displaced scaphoid waist fractures can be treated operatively or non-operatively based on patient and surgeon preference. The purpose of this article is to discuss the treatment, rehabilitation, and return to play guidelines for scaphoid injuries.Recent findings: CT scan is critically important to determine fracture displacement (which influences treatment choices) and healing (which influences return to activity determination). Nondisplaced scaphoid waist fractures can be treated with casting with 99.4% healing rate. Surgical treatment can hasten return to activities; newer surgical constructs have been suggested including dual screw fixation, plating, and staples. Outcomes of scaphoid fractures are generally favorable, as long as the selected treatment achieves a united, well-aligned scaphoid. In the athletic population specifically, there are high return to play rates and functional performances seen after these injuries. Each athlete is unique with regard to chosen sport, level of play, fracture type, and timing of the injury. Treatment options and return-to-play must be determined in a case-by-case manner to ensure an optimal clinical outcome.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"17-25"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784430","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