Current Reviews in Musculoskeletal Medicine最新文献_第4页

The Role of Alignment in Treating Meniscus Pathology. 准直在半月板病理治疗中的作用。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI: 10.1007/s12178-025-09946-x

Adam V Daniel, Amelia J Weingart, Lindsay E Barrera, Andrew D Carbone, Abhishek S Kannan, Bruce A Levy

{"title":"The Role of Alignment in Treating Meniscus Pathology.","authors":"Adam V Daniel, Amelia J Weingart, Lindsay E Barrera, Andrew D Carbone, Abhishek S Kannan, Bruce A Levy","doi":"10.1007/s12178-025-09946-x","DOIUrl":"10.1007/s12178-025-09946-x","url":null,"abstract":"Purpose of review: Limb alignment correction about the knee joint is crucial for the protection of the meniscus, particularly in the setting of meniscal root repairs and meniscal allograft transplantation. Distal femoral osteotomies and high tibial osteotomies have been described to restore the anatomic alignment to aid in meniscal preservation. This article provides a review of knee alignment and biomechanics, various surgical interventions to correct knee malalignment, and the effect of malalignment on the treatment of meniscal pathology.Recent findings: Both distal femoral and high tibial corrective osteotomies have been shown to slow the progression of osteoarthritis in the postoperative period. Moreover, corrective osteotomies have resulted in high patient satisfaction and good survival rates at mid- to long-term follow-up in patients with prior varus/valgus malalignment. Ongoing research is aimed to determine the best utilization for concomitant osteotomies in the setting and treatment of meniscal pathology with hopes of decreasing the progression of early-onset osteoarthritis, and ultimately, the conversion to total knee arthroplasty. Neutral alignment at the level of the knee joint results in optimal force distributions. Corrective valgus and varus osteotomies aim to restore neutral alignment with the goal of ligamentous and meniscal preservation, ideally slowing osteoarthritis progression.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"149-159"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472188","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

The Pediatric Hip Physical Exam. 儿童髋关节体检。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-04-01 Epub 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

Correction: Report on Evolving Indications, Technique, and Outcomes of Novel and Surgical Procedures-NUsurface. 修正：关于新型外科手术的适应症、技术和结果的报告- n篡位术。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-04-01 DOI: 10.1007/s12178-025-09960-z

Thomas R Carter

引用次数: 0

Muscle Health & Fatty Infiltration with Advanced Rotator Cuff Pathology. 肌肉健康和脂肪浸润与高级肩袖病理。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-26 DOI: 10.1007/s12178-025-09955-w

Edward Bowen, Aboubacar Waque, Favian Su, Michael Davies, Gabriella Ode, Drew Lansdown, Brian Feeley, Asheesh Bedi

{"title":"Muscle Health & Fatty Infiltration with Advanced Rotator Cuff Pathology.","authors":"Edward Bowen, Aboubacar Waque, Favian Su, Michael Davies, Gabriella Ode, Drew Lansdown, Brian Feeley, Asheesh Bedi","doi":"10.1007/s12178-025-09955-w","DOIUrl":"10.1007/s12178-025-09955-w","url":null,"abstract":"Purpose of review: Fatty infiltration (FI) of the rotator cuff is a critical determinant of clinical outcomes following rotator cuff injuries and repairs. This review examines the natural history, pathophysiology, imaging evaluation, and treatment strategies for FI, highlighting recent insights into its cellular mechanisms and emerging therapeutic approaches.Recent findings: Animal models demonstrate that FI begins shortly after tendon injury, progresses with muscle retraction and denervation, and is largely irreversible despite repair. Key cellular drivers include fibroadipogenic progenitor cells (FAPs), influenced by mechanical loading and inflammatory signaling pathways. Clinical studies show that FI is associated with advanced age, female sex, and full-thickness tears. Higher degrees of preoperative FI correlate with poorer functional outcomes and increased re-tear rates. Novel therapeutic targets, including pathways regulating FAP activity, TGF-β, and cell-based therapies, show promise in preclinical studies. Emerging strategies such as leukocyte-poor platelet-rich plasma (PRP) may mitigate FI progression in clinical settings. Fatty infiltration remains a significant barrier to successful rotator cuff repair and functional recovery. While surgical repair may slow FI progression, it is not consistently effective in reversing established muscle degeneration. Improved understanding of the molecular mechanisms driving FI has identified potential therapeutic targets, but their clinical applicability requires further validation. Future advances in regenerative medicine, including cell-based therapies and modulation of fibroadipogenic progenitors, offer hope for mitigating FI and improving long-term outcomes.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"160-172"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499655","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

Approach to Treating Patients after First-time Anterior Shoulder Instability: What Does the Evidence Say? 首次肩关节前不稳患者的治疗方法：证据表明什么？

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-03-31 DOI: 10.1007/s12178-025-09962-x

William R Schulz, Ramiro J Lopez, Ian M Marigi, Matthew M Crowe, Christopher L Camp, Adam J Tagliero, Erick M Marigi

{"title":"Approach to Treating Patients after First-time Anterior Shoulder Instability: What Does the Evidence Say?","authors":"William R Schulz, Ramiro J Lopez, Ian M Marigi, Matthew M Crowe, Christopher L Camp, Adam J Tagliero, Erick M Marigi","doi":"10.1007/s12178-025-09962-x","DOIUrl":"https://doi.org/10.1007/s12178-025-09962-x","url":null,"abstract":"Purpose of review: Management of first-time anterior shoulder instability (ASI) is an extensively studied yet controversial topic. Successful treatment requires incorporation of a wide range of factors including patient demographics, varying presenting pathology, functional demands, and sport specific considerations. The purpose of this review is to provide an up-to-date summary of the current literature and trends regarding management of first time ASI events.Recent findings: For non-operative treatment of first-time ASI events, shorter times for immobilization and consideration of positioning in external rotation may be more beneficial. Operative intervention may be favored for patients at high risk of recurrence (young, male, collision sports, and/or overhead athlete). Historically, open soft tissue stabilization was a primary treatment option for ASI. More recently, there has been an increased emphasis on arthroscopic Bankart repair (ABR) especially in the United States. The remplissage has become a useful adjunct to ABR to manage cases with Hill-Sachs lesions or sub-critical bone loss. Latarjet (coracoid transfer) remains a well-studied and common option for cases of critical glenoid bone loss. When directly compared both ABR with Remplissage and Latarjet improve outcomes and reduce the risk of recurrence in athletes with first-time ASI. Currently, there is no uniform approach to managing first-time ASI events. Therefore, an individualized approach is required with consideration of the individuals demographic, presence of bone loss, functional demands, and sport specific considerations. In young, male, collision athletes early surgical intervention may be beneficial to prevent recurrence. When faced with minimal (< 13.5%) or subcritical bone loss (13.5% to 20%), ABR with Remplissage may reduce rates of instability compared to ABR alone.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751555","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

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

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. 半月板撕裂的生物力学及修复技术。

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

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