Current Reviews in Musculoskeletal Medicine最新文献

{"title":"Can we Predict the Outcomes of Arthroscopic Partial Meniscectomy?","authors":"Pietro Conte, Giuseppe Anzillotti, Imrane Gazali, Marco Minelli, Daniele D'Arrigo, Elizaveta Kon, Peter Verdonk","doi":"10.1007/s12178-026-10014-1","DOIUrl":"10.1007/s12178-026-10014-1","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This manuscript comprehensively reviews the most recent studies on preoperative and intraoperative factors that positively or negatively influence the clinical and radiological outcomes of arthroscopic partial meniscectomy (APM). RECENT FINDINGS: Initial research focused on baseline demographic (e.g., age, sex, BMI) and meniscal tear characteristics to predict short- and medium-term outcomes. Recent investigations, however, have broadened this scope to include previously overlooked ancillary elements, such as socio-economic and psychological factors. Furthermore, non-meniscal anatomical features—including bony alignments and morphology, and joint stability—have been studied, along with surgical-related elements like the volume of resected tissue and the impact of specific surgical techniques. Crucially, long-term studies, some with over 20 years of follow up, are now available, offering a clearer understanding of the rates of symptomatic and asymptomatic osteoarthritic progression based on different baseline characteristics. While precisely predicting the clinical and radiological outcomes of APM remains challenging, this manuscript provides a comprehensive review of the most current evidence. It aims to help surgeons more adequately treat and counsel patients presenting with meniscal tears. Future research should prioritize developing and validating predictive algorithms that integrate the multitude of success and failure factors discussed in this review. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147572750","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":"Shoulder Instability from Scapular Dyskinesia: How Rebalancing the Scapula Stabilizes the Shoulder.","authors":"Eric R Wagner","doi":"10.1007/s12178-026-10017-y","DOIUrl":"10.1007/s12178-026-10017-y","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: The main components of the shoulder complex, including the glenohumeral and scapulothoracic articulations, are both dependent on a balance of dynamic force couples to facilitate motion and function. The purpose of this review is to summarize when a disruption of the scapular force couple has a direct impact on the glenohumeral force couple and associated stability; how to diagnose this and ultimately treat it. RECENT FINDINGS: The coordinated motion between the two articulations, termed scapulohumeral rhythm (SHR), drives the shoulder to do many types of motions and function in many directions. The relationship between the glenohumeral and scapulothoracic articulations is not only important for shoulder function, but pathologic processes impacting one also impact the other. This can be seen in excessive scapular compensation in the setting of a rotator cuff tear, or excessive glenohumeral compensation in the setting of a paralyzed serratus anterior. This relationship is particularly important in the setting of recurrent shoulder instability, where scapulothoracic abnormal motion patterns predispose the glenohumeral joint to subluxate or dislocate. When the scapula either loses its ability to externally rotate, remains excessively protracted, or functions with abnormal uncoordinated motion patterns, its uncoordinated movement and resting position predisposes the shoulder joint to be unstable, particularly in the posterior direction. When addressing shoulder instability, it is critical to consider these motion patterns and address them when present, or the patient will be predisposed to continuing to have recurrent shoulder instability. In this review, we will highlight the critical role of glenohumeral and scapulothoracic dynamic force couples and muscle balances, as well as the important impact scapulothoracic pathology can have on glenohumeral joint stability. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520015","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":"Topic: The Role of Trochleoplasty in Treating Patellar Instability Due to High Grade Trochlear Dysplasia.","authors":"J Lee Pace, Sharif Garra","doi":"10.1007/s12178-026-10025-y","DOIUrl":"10.1007/s12178-026-10025-y","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Lateral patellar instability is one of the most common knee conditions among adolescents, with an estimated incidence of approximately 43 per 100,000 individuals. Trochlear dysplasia has been identified as the most common anatomic risk factor for patellar instability and may be present in up to 90% of patients with lateral patellar instability. It presents across a spectrum of severity ranging from mild to severe. While multiple surgical treatment algorithms exist for managing patellar instability, trochleoplasty remains the only procedure that directly addresses the underlying trochlear pathology and restores normal patellar tracking. The purpose of this review is to highlight the critical role of trochlear dysplasia in patellar instability and to review the indications, surgical technique, and contemporary role of trochleoplasty in the management of this condition. RECENT FINDINGS: Recent studies report favorable short, mid and long term clinical outcomes following trochleoplasty in patients with lateral patellar instability associated with trochlear dysplasia. In parallel, emerging biomechanical and radiographic evidence has further clarified the role of trochlear dysplasia in increasing patellofemoral contact pressures and altering patellar tracking, while also demonstrating favorable radiographic outcomes following trochleoplasty. Together, these findings reinforce the importance of addressing the primary trochlear pathology in patients with lateral patellar instability, particularly in the setting of moderate- to high-grade trochlear dysplasia, and support a treatment paradigm that prioritizes correction of the underlying anatomic abnormality. Recent findings Lateral patellar instability is a multifactorial condition in which trochlear dysplasia represents a primary anatomic contributor to recurrent instability and altered patellofemoral biomechanics. Recent biomechanical, radiographic, and clinical evidence supports a pathology-driven approach to management, emphasizing the importance of directly addressing trochlear morphology in appropriately selected patients. Although the procedure is technically demanding, careful patient selection and surgeon expertise can result in good to excellent clinical outcomes and potential long-term preservation of patellofemoral cartilage. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510359","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":"Implantable Shock Absorber: Breakthrough or Hype?","authors":"Jared A Nowell, David C Flanigan","doi":"10.1007/s12178-026-10022-1","DOIUrl":"10.1007/s12178-026-10022-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this review is to discuss the current understanding of implantable shock absorbers (ISA) including mechanism of action, usage in patients, patient outcomes and the future of this technology.</p><p><strong>Recent findings: </strong>Since the introduction of the ISA, it mainly has functioned as a surgical option for individuals with symptomatic medial compartment osteoarthritis who are too young, not indicated, or do not wish to proceed with arthroplasty. Biomechanically, ISA reduces peak medial compartment force by 32%. In a Food and Drug Administration (FDA) study, ISA was found superior to HTO, with significant reduction of pain and improvement of function. Survivorship and freedom to conversion to arthroplasty remains 85% at 5 years. Current randomized trial focuses on impact of continued non operative treatment of OA verses ISA. ISA is a reasonable surgical option for the treatment of medial compartment osteoarthritis without the need for disruption of the patient's native anatomy through osteotomy or arthroplasty.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13018497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510279","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":"Beach Chair Versus Lateral Decubitus Surgical Positioning for Arthroscopic Shoulder Stabilization Surgery: What Does The Evidence Say?","authors":"Victoria Oladipo, Seif El Masry, Kyle Duchman, Christopher L Camp, Adam J Tagliero, Erick M Marigi","doi":"10.1007/s12178-026-10024-z","DOIUrl":"10.1007/s12178-026-10024-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to compare beach chair (BC) and lateral decubitus (LD) positioning for arthroscopic shoulder stabilization, with an emphasis on the technical considerations, visualization and access, position-specific complications, and clinical outcomes.</p><p><strong>Recent findings: </strong>Recent cohort studies, systematic reviews, and editorials consistently demonstrate that both beach chair (BC) and lateral decubitus (LD) positioning is safe and effective for arthroscopic shoulder stabilization procedures with comparable rates of recurrent instability, revision surgery, return to sports, and patient-reported outcomes. Reported differences between BC and LD positions are more consistently observed in intraoperative mechanics and workflow than in clinical outcomes. Though patient factors are often the most influential with respect to the outcome of surgery, it remains important to understand any available modifiable factors and how they can influence clinical outcomes. Patient position selection for arthroscopic shoulder stabilization procedures should be guided by surgeon experience, operative team familiarity, patient-specific factors, and the technical demands of the instability pattern being addressed. Future prospective and randomized studies are needed to more definitively evaluate whether surgical positioning independently influences outcomes.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473022","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":"Disparities in ACL Injury and Management: The Impact of Sex, Race, and Social Determinants of Health.","authors":"Paul B Walker, Babapelumi Adejuyigbe, Isaiah Hoffman, Timothy Dull, Camille Motchoffo Simo, Kristofer J Jones","doi":"10.1007/s12178-026-10021-2","DOIUrl":"10.1007/s12178-026-10021-2","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Anterior cruciate ligament (ACL) injury is a common condition that significantly affects physical function and long-term knee health across diverse patient populations. Although outcomes after ACL reconstruction have improved, growing evidence demonstrates persistent disparities related to biological sex, gender, race, ethnicity, and socioeconomic factors. This review synthesizes recent literature examining how these factors influence ACL injury risk and outcomes, with the goal of identifying actionable gaps and future directions to improve equity in ACL management. RECENT FINDINGS: Recent studies confirm that female patients sustain ACL injuries at higher rates and experience inferior patient-reported outcomes and lower return-to-sport rates despite largely equivalent objective surgical outcomes. Recent work highlights neuromuscular and plyometric-based rehabilitation, psychological readiness, and adaptable rehabilitation environments as key modifiable contributors to these disparities. Racial and ethnic minority patients experience delayed surgical care, reduced rehabilitation utilization, and worse functional outcomes, with neighborhood-level socioeconomic deprivation and access-related barriers emerging as key modifiable contributors. Disparities in ACL outcomes arise from the interaction of biological risk, rehabilitation-dependent recovery, and structural barriers affecting access to timely surgery and postoperative care. Rehabilitation offers a critical, modifiable opportunity to reduce these gaps by optimizing neuromuscular recovery and ensuring equitable access to supervised therapy. Future progress will require prospective, sex-, race-, or ethnicity-stratified studies, integration of area-level socioeconomic metrics, and care pathways that address delays in evaluation, surgery, and rehabilitation. Earlier implementation of neuromuscular injury-prevention programs in youth and community-based settings may further reduce downstream disparities. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472966","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":"Demographic and Socioeconomic Disparities in Congenital Hand Difference Surgery.","authors":"Erik C B King, Quinci Howard, Elizabeth Santucci","doi":"10.1007/s12178-026-10018-x","DOIUrl":"10.1007/s12178-026-10018-x","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This article aims to identify and discuss the demographic and socioeconomic disparities that exist within the field of congenital hand difference surgery. RECENT FINDINGS: Current literature is somewhat limited regarding disparities within congenital hand difference surgery given the rarity in clinical practice and availability of data. Individuals with congenital hand differences have reported decreased upper extremity functional scores when compared to their peers. Specific demographic backgrounds, geographic locations, and socioeconomic status have been associated with lower quality of life, psychosocial well-being, and functional outcome scores. The orthopaedic surgeon’s role as a healthcare team facilitator and communicator is of high importance during the care of these patients and their families. Gender, racial, and socioeconomic disparities exist within the field of congenital hand difference surgery. A deliberate cognizance of these inequities during the evaluation and management of individuals with congenital hand differences is necessary. Further research and efforts aimed at mitigating the negative functional and psychosocial impact caused by these disparities should be continued. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473036","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":"Disparities in Revision Arthroplasty: A Scoping Review of Racial, Sex-Based, and Geographic Domains.","authors":"James Hwang, Antonia F Chen","doi":"10.1007/s12178-026-10020-3","DOIUrl":"10.1007/s12178-026-10020-3","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Revision total hip arthroplasty (THA) and total knee arthroplasty (TKA) are high-cost procedures that disproportionately burden patients and healthcare systems. While disparities in primary total joint arthroplasty (TJA) are well documented, inequities specific to revision TJA remain less clearly characterized and are inconsistently interpreted. This scoping review synthesizes studies published from January 2019 onward to examine racial, sex-based, and geographic disparities in revision total hip or knee arthroplasty. RECENT FINDINGS: Twenty-six studies met the inclusion criteria. Racial disparities were the most consistently documented, with multiple large database and registry studies demonstrating higher aseptic revision risk following primary TKA among Black patients compared with White patients. These disparities persisted after adjusting for patient, surgeon, and hospital characteristics. In contrast, racial disparities in revision THA were less consistent. Sex-based differences in revision TJA were smaller in magnitude and more heterogeneous, often reflecting biologic and biomechanical variation rather than access-related inequities. Geographic disparities highlighted substantial regional variation in revision TJA utilization and the influence of community-level social determinants of health on revision TJA risk and access. Disparities in revision TJA are multifactorial and reflect the interaction of differential revision TJA risk, unequal access to revision TJA care, and cumulative exposure to social determinants of health across the arthroplasty care continuum. Advancing revision TJA equity will require integrating measures of revision TJA risk and revision TJA access, incorporating social vulnerability into risk stratification, and designing policy interventions that address structural determinants of surgical care. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456243","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":"Structural Drivers of Race and Sex Disparities in Adolescent Idiopathic Scoliosis Care: A Narrative Review.","authors":"Catalina Baez, Stephanie Ihnow","doi":"10.1007/s12178-026-10023-0","DOIUrl":"10.1007/s12178-026-10023-0","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity of adolescence and disproportionately affects females, with outcomes strongly dependent on curve magnitude and timing of detection. Increasing evidence demonstrates that structural and systemic factors influence multiple stages of the AIS care continuum and may be the primary drivers of disparities in care amongst this population. This narrative review synthesizes contemporary evidence on sex- and race-based inequities in AIS, emphasizing structural drivers rather than biologic explanations for these disparities and highlighting priorities for future research.</p><p><strong>Recent findings: </strong>Studies examining presentation severity show heterogeneous results, but intersectional analyses consistently identify compounded disadvantage among Black adolescents with public insurance. Delayed detection and loss to follow-up emerge as central mechanisms linking social context to higher surgical rates and greater economic burden. In contrast, disparities in short-term postoperative complications appear attenuated after adjustment in many cohorts. However, differences in length of stay, hospital charges, and the geographic distribution of care persist, primarily related to patient race and insurance coverage. Most variation in findings across settings reflects differences in screening policies, insurance structures, and the socioeconomic indices used to characterize disadvantage, as well as limitations inherent to administrative databases and registry attrition. The available evidence indicates that structural and systemic factors, rather than biological factors, have a direct impact on disparate care in AIS. This impact is most noticeable at the initial stages of care, such as screening and diagnosis, where sociocultural and socioeconomic differences can affect patients' access to timely non-operative care. However, it seems once the decision to treat with surgery has been made, the previously existing disparities do not affect surgical outcomes but can affect long-term follow-up.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456236","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":"Preferences and Perceptions of Training Models in Global Surgery With a Focus on Orthopedics: A Scoping Review.","authors":"Harlene Kaur, Daniel Flynn, Andrew Haggarty, Sanjeev Sabharwal","doi":"10.1007/s12178-026-10016-z","DOIUrl":"10.1007/s12178-026-10016-z","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This scoping review examines learner-reported preferences and experiences with remote learning, observership, and visiting-surgeon exchange models in low-resource settings. We outline potential benefits, limitations, equity considerations, and evidence gaps that can inform ethical and sustainable global orthopaedic education partnerships. RECENT FINDINGS: Recent literature on global orthopaedic education has largely focused on training exchanges involving high-income country (HIC) trainees in low- and middle-income countries (LMICs), with reported benefits including skills transfer and professional development alongside challenges related to continuity of care, resource burden, and limited reciprocity. However, despite growing consensus around equity and reciprocity, the perspectives of orthopaedic trainees and practicing surgeons in low-resource settings remain underrepresented in the current literature. Learners in low-resource settings valued international exchanges that provided structured teaching, subspecialty exposure, and access to higher-volume clinical environments. Virtual and simulation-based education demonstrated consistent improvements in knowledge and surgical skills despite technical and cost-related barriers. In-person and hybrid programs were associated with meaningful capacity-building benefits but required substantial resources, infrastructure, and long-term institutional commitment. Across all models, challenges related to infrastructure, cost, equity, and reciprocity remained. Notably, none of the included studies examined LMIC learner perspectives on bidirectional exchange with higher-resource settings, despite growing emphasis on reciprocity in contemporary partnership frameworks. These findings underscore the need for locally driven, sustainable global orthopaedic education partnerships with stronger outcome evaluation and greater LMIC leadership. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431430","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}