Current Reviews in Musculoskeletal Medicine最新文献_第6页

Primary Care Considerations for the Pediatric Endurance Athlete. 小儿耐力运动员的初级保健注意事项。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-30 DOI: 10.1007/s12178-024-09883-1

Rhonda A Watkins, Rafael Verduzco Guillen

引用次数: 0

Irreparable Subscapularis Tears: Current Tendon Transfer Options. 无法修复的肩胛下肌撕裂：目前的肌腱转移方案。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-06 DOI: 10.1007/s12178-023-09881-9

Jared J Reid, Grant E Garrigues, Richard J Friedman, Joseph K Eichinger

{"title":"Irreparable Subscapularis Tears: Current Tendon Transfer Options.","authors":"Jared J Reid, Grant E Garrigues, Richard J Friedman, Joseph K Eichinger","doi":"10.1007/s12178-023-09881-9","DOIUrl":"10.1007/s12178-023-09881-9","url":null,"abstract":"Purpose of review: Irreparable subscapularis tears, especially in younger patients with higher functional demands, present a challenging entity. Pectoralis major and latissimus dorsi tendon transfers are commonly considered for surgical management of this pathology, yet no consensus exists regarding the superior option. The purpose of this article is to review the most current tendon transfer techniques for irreparable subscapularis tears.Recent findings: For decades, transfer of the pectoralis major has been considered the gold standard technique for irreparable subscapularis tears. This transfer was found to reduce pain and improve functional outcome scores, yet range of motion and force of internal rotation were not maintained in long-term follow-up studies. The latissimus dorsi tendon transfer for the same indications has demonstrated biomechanical superiority in recent cadaveric studies with promising short-term results clinically. Both pectoralis major and latissimus dorsi tendon transfers improve outcomes of patients with irreparable subscapularis tears. Future comparative studies are still needed to determine superiority amongst techniques.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"68-75"},"PeriodicalIF":4.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106000","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

Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome. 预测股骨髋臼撞击综合征髋关节镜手术的疗效。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-06 DOI: 10.1007/s12178-023-09880-w

Andrew D Spencer, Mia S Hagen

{"title":"Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome.","authors":"Andrew D Spencer, Mia S Hagen","doi":"10.1007/s12178-023-09880-w","DOIUrl":"10.1007/s12178-023-09880-w","url":null,"abstract":"Purpose of review: Arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) continues to rise in incidence, and thus there is an increased focus on factors that predict patient outcomes. The factors that impact the outcomes of arthroscopic FAIS treatment are complex. The purpose of this review is to outline the current literature concerning predictors of patient outcomes for arthroscopic treatment of FAIS.Recent findings: Multiple studies have shown that various patient demographics, joint parameters, and surgical techniques are all correlated with postoperative outcomes after arthroscopic FAIS surgery, as measured by both validated patient-reported outcome (PRO) scores and rates of revision surgery including hip arthroplasty. To accurately predict patient outcomes for arthroscopic FAIS surgery, consideration should be directed toward preoperative patient-specific factors and intraoperative technical factors. The future of accurately selecting patient predictors for outcomes will only improve with increased data, improved techniques, and technological advancement.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"59-67"},"PeriodicalIF":4.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106001","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 Role of the Gut Microbiome in Orthopedic Surgery-a Narrative Review. 肠道微生物组在骨科手术中的作用--叙述性综述。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-02-01 Epub Date: 2023-12-22 DOI: 10.1007/s12178-023-09878-4

David M Hiltzik, Alyssa M Goodwin, Steven S Kurapaty, Jacqueline E Inglis, Manasa S Pagadala, Adam I Edelstein, Wellington K Hsu

{"title":"The Role of the Gut Microbiome in Orthopedic Surgery-a Narrative Review.","authors":"David M Hiltzik, Alyssa M Goodwin, Steven S Kurapaty, Jacqueline E Inglis, Manasa S Pagadala, Adam I Edelstein, Wellington K Hsu","doi":"10.1007/s12178-023-09878-4","DOIUrl":"10.1007/s12178-023-09878-4","url":null,"abstract":"Purpose of review: The importance of the gut microbiome has received increasing attention in recent years. New literature has revealed significant associations between gut health and various orthopedic disorders, as well as the potential for interventions targeting the gut microbiome to prevent disease and improve musculoskeletal outcomes. We provide a broad overview of available literature discussing the links between the gut microbiome and pathogenesis and management of orthopedic disorders.Recent findings: Human and animal models have characterized the associations between gut microbiome dysregulation and diseases of the joints, spine, nerves, and muscle, as well as the physiology of bone formation and fracture healing. Interventions such as probiotic supplementation and fecal transplant have shown some promise in ameliorating the symptoms or slowing the progression of these disorders. We aim to aid discussions regarding optimization of patient outcomes in the field of orthopedic surgery by providing a narrative review of the available evidence-based literature involving gut microbiome dysregulation and its effects on orthopedic disease. In general, we believe that the gut microbiome is a viable target for interventions that can augment current management models and lead to significantly improved outcomes for patients under the care of orthopedic surgeons.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"37-46"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828668","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

Subacromial Balloon Spacer for the Massive Irreparable Cuff Tear. 肩峰下球囊垫片治疗大面积不可修复的袖带撕裂。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-02-01 Epub Date: 2024-01-09 DOI: 10.1007/s12178-023-09879-3

Yash Sewpaul, Andrew J Sheean, Mustafa S Rashid, Robert U Hartzler

{"title":"Subacromial Balloon Spacer for the Massive Irreparable Cuff Tear.","authors":"Yash Sewpaul, Andrew J Sheean, Mustafa S Rashid, Robert U Hartzler","doi":"10.1007/s12178-023-09879-3","DOIUrl":"10.1007/s12178-023-09879-3","url":null,"abstract":"Purpose of review: The purpose of the review is to provide an updated overview of a relatively novel but controversial surgical device (InSpace subacromial balloon, Stryker, Kalamazoo, MI) that can be readily incorporated into the armamentarium of the shoulder surgeon. The authors review the critical clinical and surgical decision-making aspects of InSpace. A recommended surgical technique and rehabilitation protocol are outlined. The authors present a nuanced view of the balloon spacer in the continuum of care of the irreparable rotator cuff tear.Recent findings: Within the last year, two Level I clinical trials have been published, and the data from these studies offer conflicting evidence regarding the utility of the subacromial balloon spacer. The current review contrasts these two recent studies and offers a framework by which the available evidence can be practically understood with respect to clinical decision-making. The literature currently supports a limited indication for use of InSpace: the elderly, low-demand patient with preserved active range of motion with an operatively irreparable, posterosuperior rotator cuff tear with an intact subscapularis. The InSpace subacromial balloon spacer is a simple device that can yield substantial improvements in clinical outcomes among a subset of patients with irreparable rotator cuff tears. InSpace is not a panacea for the complex, irreparable rotator cuff tear. Individualized decision-making is necessary in this diverse and challening patient population.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"47-57"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10806962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402234","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 Evolution of Neuroimaging Technologies to Evaluate Neural Activity Related to Knee Pain and Injury Risk. 评估与膝关节疼痛和受伤风险相关的神经活动的神经成像技术的发展。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-01-01 Epub Date: 2023-12-18 DOI: 10.1007/s12178-023-09877-5

Christopher D Riehm, Taylor Zuleger, Jed A Diekfuss, Emilio Arellano, Gregory D Myer

{"title":"The Evolution of Neuroimaging Technologies to Evaluate Neural Activity Related to Knee Pain and Injury Risk.","authors":"Christopher D Riehm, Taylor Zuleger, Jed A Diekfuss, Emilio Arellano, Gregory D Myer","doi":"10.1007/s12178-023-09877-5","DOIUrl":"10.1007/s12178-023-09877-5","url":null,"abstract":"Purpose of review: In this review, we present recent findings and advancements in the use of neuroimaging to evaluate neural activity relative to ACL injury risk and patellofemoral pain. In particular, we describe prior work using fMRI and EEG that demonstrate the value of these techniques as well as the necessity of continued development in this area. Our goal is to support future work by providing guidance for the successful application of neuroimaging techniques that most effectively expose pain and injury mechanisms.Recent findings: Recent studies that utilized both fMRI and EEG indicate that athletes who are at risk for future ACL injury exhibit divergent brain activity both during active lower extremity movement and at rest. Such activity patterns are likely due to alterations to cognitive, visual, and attentional processes that manifest as coordination deficits during naturalistic movement that may result in higher risk of injury. Similarly, in individuals with PFP altered brain activity in a number of key regions is related to subjective pain judgements as well as measures of fear of movement. Although these findings may begin to allow objective pain assessment and identification, continued refinement is needed. One key limitation across both ACL and PFP related work is the restriction of movement during fMRI and EEG data collection, which drastically limits ecological validity. Given the lack of sufficient research using EEG and fMRI within a naturalistic setting, our recommendation is that researchers target the use of mobile, source localized EEG as a primary methodology for exposing neural mechanisms of ACL injury risk and PFP. Our contention is that this method provides an optimal balance of spatial and temporal resolution with ecological validity via naturalistic movement.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"14-22"},"PeriodicalIF":4.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799969","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

Selection of Fusion Levels in Adolescent Idiopathic Scoliosis. 选择青少年特发性脊柱侧凸的融合水平。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI: 10.1007/s12178-023-09876-6

Soroush Baghdadi, Keith Baldwin

引用次数: 0

Non-operative Management of Acute Knee Injuries. 急性膝关节损伤的非手术治疗。

IF 2.9 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI: 10.1007/s12178-023-09875-7

Shaheen Jadidi, Aaron D Lee, Eliza J Pierko, Haemi Choi, Nathaniel S Jones

{"title":"Non-operative Management of Acute Knee Injuries.","authors":"Shaheen Jadidi, Aaron D Lee, Eliza J Pierko, Haemi Choi, Nathaniel S Jones","doi":"10.1007/s12178-023-09875-7","DOIUrl":"10.1007/s12178-023-09875-7","url":null,"abstract":"Purpose of review: Acute knee injuries are commonly encountered in both the clinical and sideline setting and may be treated operatively or non-operatively. This article describes an evidence-based approach to non-operative acute knee injury. This includes history, physical exam, imaging, and initial management. In addition, the non-operative management of three such injuries-ligament injury, meniscus injury, and patellar dislocation injury-will be discussed via a case-based practical approach.Recent findings: Aside from grade III ACL tears, most acute knee ligament injuries, especially in the absence of other concurrent injuries, can be treated non-operatively. There is new evidence that acute traumatic meniscus tears in those younger than 40 can be successfully treated non-operatively and can do equally, as well as those that undergo surgery, at 1 year out from injury. Based on the current literature, a short period of knee bracing in extension with progression to weightbearing to tolerance is recommended after initial patellar dislocation. Many of the most common acute knee injuries, including MCL tears, meniscus tears, and patellar dislocations, can be managed non-operatively. A detailed systemic approach to initial evaluation, including pertinent history, physical exam, and appropriate imaging, is essential and complementary to the subsequent non-operative treatment algorithm.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799962","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 Play After Knee Articular Cartilage Restoration: Surgical Options, Rehabilitation Protocols, and Performance Outcomes. 膝关节软骨修复后重返赛场：手术选择、康复方案和表现结果。

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2023-12-01 Epub Date: 2023-10-07 DOI: 10.1007/s12178-023-09872-w

Jairo Triana, Zachary I Li, Naina Rao, Matthew T Kingery, Eric J Strauss

{"title":"Return to Play After Knee Articular Cartilage Restoration: Surgical Options, Rehabilitation Protocols, and Performance Outcomes.","authors":"Jairo Triana, Zachary I Li, Naina Rao, Matthew T Kingery, Eric J Strauss","doi":"10.1007/s12178-023-09872-w","DOIUrl":"10.1007/s12178-023-09872-w","url":null,"abstract":"Purpose of review: Numerous cartilage restoration techniques have proven to be effective in the treatment of articular cartilage defects. The ultimate goal of these procedures is to improve pain and function, thereby increasing the likelihood of a patient's return to physical activity. Postoperative rehabilitation is a key component for a successful and expedient return to activities. The purpose of this article is to review the current literature regarding common surgical options, rehabilitation protocols, and performance outcomes after operative treatment of articular cartilage defects.Recent findings: Studies have demonstrated improved short- to long-term outcomes in a majority of techniques. However, the clinical benefits of microfracture are short-lived, which has led to the use of alternative procedures. Rehabilitation protocols are not standardized, but emphasis has been placed on bracing, weightbearing, early continuous passive range of motion, and strengthening to improve function. There is growing evidence to suggest that accelerated rehabilitation after matrix-induced autologous chondrocyte implantation may result in superior outcomes compared to delayed rehabilitation. Overall, most techniques result in satisfactory rates of return to play, though existing comparative studies typically include patients with heterogeneous pathology, complicating effective synthesis of outcomes data. In appropriately selected patients, cartilage restoration procedures after articular cartilage injury result in favorable patient-reported clinical outcomes and high rates of return to play. While studies emphasize the critical role that rehabilitation plays with respect to outcomes after surgery, there are substantial inconsistencies in protocols across techniques.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"575-586"},"PeriodicalIF":4.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10733247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41115980","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

Capsular Management During Hip Arthroscopy. 髋关节镜手术中的关节囊管理

IF 4.1 2区医学

Current Reviews in Musculoskeletal Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-12 DOI: 10.1007/s12178-023-09855-x

Matthew J Hartwell, Samuel G Moulton, Alan L Zhang

{"title":"Capsular Management During Hip Arthroscopy.","authors":"Matthew J Hartwell, Samuel G Moulton, Alan L Zhang","doi":"10.1007/s12178-023-09855-x","DOIUrl":"10.1007/s12178-023-09855-x","url":null,"abstract":"Purpose of review: Hip arthroscopy is widely used for the management of intra-articular pathology and there has been growing interest in strategies for management of the hip capsule during surgery. The hip capsule is an essential structure that provides stability to the joint and it is necessarily violated during procedures that address intra-articular pathology. This article reviews different approaches to capsular management during hip arthroscopy including anatomical considerations for capsulotomy, techniques, clinical outcomes, and the role of routine capsular repair. This article also reviews the concept of hip microinstability and its potential impact on capsular management options as well as iatrogenic complications that can occur as a result of poor capsular management.Recent findings: Current research highlights the key functional role of the hip capsule and the importance of preserving its anatomy during surgery. Capsulotomies that involve less tissue violation (periportal and puncture-type approaches) do not appear to require routine capsular repair to achieve good outcomes. Many studies have investigated the role of capsular repair following more extensive capsulotomy types (interportal and T-type), with most authors reporting superior outcomes with routine capsular repair. Strategies for capsular management during hip arthroscopy range from conservative capsulotomy techniques aimed to minimize capsular violation to more extensive capsulotomies with routine capsule closure, all of which have good short- to mid-term outcomes. There is a growing trend towards decreasing iatrogenic capsular tissue injury when possible and fully repairing the capsule when larger capsulotomies are utilized. Future research may reveal that patients with microinstability may require a more specific approach to capsular management.","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"607-615"},"PeriodicalIF":4.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10733234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10148048","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