Current Reviews in Musculoskeletal Medicine最新文献

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Pregnancy-Related Hip and Pelvis Musculoskeletal Conditions, Risk Factors, and Prevention. 妊娠相关的髋关节和骨盆肌肉骨骼状况、危险因素和预防。
IF 5 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub Date: 2025-08-19 DOI: 10.1007/s12178-025-09991-6
Chloe J Leung, Frances Tao, Carlin Senter, Faustine D Ramirez, Stephanie E Wong
{"title":"Pregnancy-Related Hip and Pelvis Musculoskeletal Conditions, Risk Factors, and Prevention.","authors":"Chloe J Leung, Frances Tao, Carlin Senter, Faustine D Ramirez, Stephanie E Wong","doi":"10.1007/s12178-025-09991-6","DOIUrl":"10.1007/s12178-025-09991-6","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This review article examines the etiology, treatments, and outcomes related to common hip and pelvis musculoskeletal conditions associated with pregnancy. We explore the physiological changes that occur during pregnancy and other risk factors to better understand these conditions and their management. RECENT FINDINGS: While some physiological changes are inevitable, other behavioral and psychological factors can be modified in ways that promote healthy pregnancies and better birth and postpartum outcomes. We shed light on the potential of pre-habilitation exercises for injury prevention and explore the spectrum of treatment options available to pregnant women including physical rehabilitation, complementary and alternative modalities, and medications. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"585-598"},"PeriodicalIF":5.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871818","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
Evolution of Titanium Interbody Cages and Current Uses of 3D Printed Titanium in Spine Fusion Surgery. 钛椎间套管的演变和 3D 打印钛在脊柱融合手术中的当前应用。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub Date: 2024-07-14 DOI: 10.1007/s12178-024-09912-z
Justin J Lee, Freddy P Jacome, David M Hiltzik, Manasa S Pagadala, Wellington K Hsu
{"title":"Evolution of Titanium Interbody Cages and Current Uses of 3D Printed Titanium in Spine Fusion Surgery.","authors":"Justin J Lee, Freddy P Jacome, David M Hiltzik, Manasa S Pagadala, Wellington K Hsu","doi":"10.1007/s12178-024-09912-z","DOIUrl":"10.1007/s12178-024-09912-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>To summarize the history of titanium implants in spine fusion surgery and its evolution over time.</p><p><strong>Recent findings: </strong>Titanium interbody cages used in spine fusion surgery have evolved from solid metal blocks to porous structures with varying shapes and sizes in order to provide stability while minimizing adverse side effects. Advancements in technology, especially 3D printing, have allowed for the creation of highly customizable spinal implants to fit patient specific needs. Recent evidence suggests that customizing shape and density of the implants may improve patient outcomes compared to current industry standards. Future work is warranted to determine the practical feasibility and long-term clinical outcomes of patients using 3D printed spine fusion implants. Outcomes in spine fusion surgery have improved greatly due to technological advancements. 3D printed spinal implants, in particular, may improve outcomes in patients undergoing spine fusion surgery when compared to current industry standards. Long term follow up and direct comparison between implant characteristics is required for the adoption of 3D printed implants as the standard of care.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"635-644"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603406","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 ACL Reconstruction. ACL重建后恢复运动。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub Date: 2025-07-17 DOI: 10.1007/s12178-025-09989-0
Aidan Foley, Jamie Confino, Ryan Halvorson, Kyla Petrie, Anisa Torres, Brian Feeley
{"title":"Return To Sport Following ACL Reconstruction.","authors":"Aidan Foley, Jamie Confino, Ryan Halvorson, Kyla Petrie, Anisa Torres, Brian Feeley","doi":"10.1007/s12178-025-09989-0","DOIUrl":"10.1007/s12178-025-09989-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>Outcomes after anterior cruciate ligament reconstruction (ACLR) are generally favorable, yet the timing and extent of return to sport vary widely and are influenced by numerous factors. This review examines the principal pre-operative, intra-operative, and post-operative considerations that influence return to sport following ACLR.</p><p><strong>Recent findings: </strong>Successful return to sport depends on many crucial elements during the pre-operative, intra-operative, and post-operative periods. Recent developments for adjunctive rehabilitation modalities-such as blood flow restriction, hyperbaric oxygen therapy, cryotherapy, and photo-biomodulation-may further enhance recovery for some patients. Additionally, psychological readiness has emerged and continues to grow as a key predictor of both the timing and success of return to sport. A criteria-based strategy that integrates physical performance, sport-specific skills, and psychological preparedness offers the most reliable framework for tailoring rehabilitation and maximizing retorn-to-sport outcomes following ACL reconstruction.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"599-610"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658652","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
Frugal Innovations in Orthopaedics. 骨科的节俭创新。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub Date: 2025-06-23 DOI: 10.1007/s12178-025-09985-4
Shravya Kakulamarri, Charlotte F Wahle, Lacey Smith, Sanjeev Sabharwal
{"title":"Frugal Innovations in Orthopaedics.","authors":"Shravya Kakulamarri, Charlotte F Wahle, Lacey Smith, Sanjeev Sabharwal","doi":"10.1007/s12178-025-09985-4","DOIUrl":"10.1007/s12178-025-09985-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>Frugal innovations prioritize low-cost interventions, while keeping in mind efficacy, accessibility and scalability. Despite a scientific culture that often celebrates major financial investment and cutting-edge technologies, frugal innovations can be just as important in both low-income countries where resources are scarce as they are high income countries where the health needs of aging populations may be outpacing economic growth. We sought to comprehensively review the current state of frugal innovations in orthopaedic surgery, as well as to identify next steps as the importance of these low-cost interventions continues to grow.</p><p><strong>Recent findings: </strong>Frugal innovation is particularly relevant in orthopaedic care as musculoskeletal interventions such as prosthetics, orthotics and surgery demand significant materials, skilled labor, and frequent follow-up. There have been numerous innovations in the recent years, including the development of low-cost intramedullary nails, bioabsorbable implants, negative-pressure wound therapy systems made from aquarium pumps, repurposed Foley catheters and nasogastric tubes for use in surgeries, among many more. Frugal innovations in orthopaedic surgery are becoming more relevant and rapidly evolving in all health-care settings as a tool to deliver value-based care to the growing needs of the population. Though many of these projects are performed on a local scale, when considered collectively, they demonstrate powerful efforts to move the needle in enhancing access to high-quality orthopaedic surgical care and reduce the burden of global musculoskeletal disability. Frugal innovations offer immense promise in reducing costs and closing the gap of access to high-quality orthopaedic care worldwide.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"568-576"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474198","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 5 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub 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":"10.1007/s12178-025-09962-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>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.</p><p><strong>Recent findings: </strong>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.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"658-668"},"PeriodicalIF":5.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446161/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lower Extremity Musculoskeletal Injuries Associated with Marathon Running. 与马拉松赛跑相关的下肢肌肉骨骼损伤。
IF 5 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-11-28 DOI: 10.1007/s12178-025-10000-z
Julia M Perugini, Daniel C Touhey, Robert H Brophy, Derrick M Knapik
{"title":"Lower Extremity Musculoskeletal Injuries Associated with Marathon Running.","authors":"Julia M Perugini, Daniel C Touhey, Robert H Brophy, Derrick M Knapik","doi":"10.1007/s12178-025-10000-z","DOIUrl":"10.1007/s12178-025-10000-z","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: To evaluate lower extremity musculoskeletal injury incidence, distribution, and risk factors associated with marathon preparation and race-day running. Evolving trends in specific injury types and body region(s) affected, as well as runner demographics, are highlighted, along with advances in footwear and wearable technologies that may influence injury patterns. The impact of these factors on athlete preparation and race-day participation is discussed. RECENT FINDINGS: Recent studies demonstrate a rising proportion of marathon runners requiring medical attention during races, with musculoskeletal injuries accounting for the largest proportion of race-day injuries. Injuries to the knee, thigh, hip, and leg remain the most prevalent, with varying injury rates between male and female runners. Both non-modifiable (e.g., age, sex, prior injury) and modifiable (e.g., training volume, technology use, alcohol consumption) factors contribute to injury risk. As marathon participation continues to grow and runner demographics shift, an increased understanding of injury patterns, during both preparation and on race-day, is essential to optimize runner safety and performance. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"6"},"PeriodicalIF":5.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12660524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145631158","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 Layer + Model: Incorporating Psychosocial Considerations into Hip Preservation Surgery. 层+模型:将社会心理因素纳入髋关节保留手术。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-11-20 DOI: 10.1007/s12178-025-09994-3
A L Gornitzky, I Zaltz, M J Hartwell, A Bedi, B T Kelly
{"title":"The Layer + Model: Incorporating Psychosocial Considerations into Hip Preservation Surgery.","authors":"A L Gornitzky, I Zaltz, M J Hartwell, A Bedi, B T Kelly","doi":"10.1007/s12178-025-09994-3","DOIUrl":"10.1007/s12178-025-09994-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>The Layer Concept is a widely used model that provides an excellent anatomic framework with which to systematically diagnose and treat non-arthritic hip pain. More recently, there is a growing body of evidence highlighting the significant impact that psychosocial factors can have on both the presentation of various hip disorders and clinical outcomes following hip preservation surgery (HPS). Herein we propose the Layer + Model as a simple modification to help clinicians better diagnose and treat patients presenting with non-arthritic hip pain.</p><p><strong>Recent findings: </strong>Building on the original four layers (osseous, inert, contractile, neuromechanical), the Layer + Model adds in a fifth layer, the psychosocial layer, to contextualize the numerous non-mechanical factors that influence perceived pain and patient-reported outcomes. Such psychosocial variables can include everything from pain level and chronicity to quality of life, mental health, social and family health, cultural contributions and many more factors that we are just learning about. This systematic review summarizes the existing evidence supporting the inclusion of a psychosocial layer. Additionally, we highlight early multidisciplinary efforts aimed at addressing each of these factors around the time of HPS. For patients presenting with non-arthritic hip pain, a complete understanding of all five layers is essential to make an accurate diagnosis and subsequently customize therapeutic recommendations to each patient's unique needs. By recognizing the importance of such psychosocial factors, the Layer + model may also help to support the continued research and development of multidisciplinary strategies to screen for (and treat) psychosocial risk factors around the time of HPS.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":"19 1","pages":"5"},"PeriodicalIF":3.9,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12630411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556417","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
Do Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Adversely Impact Fracture Healing? A Critical Review of the Literature. 非甾体抗炎药(NSAIDs)对骨折愈合有不良影响吗?文献评论。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-11-01 Epub Date: 2025-06-05 DOI: 10.1007/s12178-025-09983-6
Sarah G Stroud, Lara Passfall, Juhayer S Alam, Frank A Segreto, Rachel Baum, Neil V Shah, Jad Bou Monsef, Carl B Paulino, Bassel G Diebo
{"title":"Do Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Adversely Impact Fracture Healing? A Critical Review of the Literature.","authors":"Sarah G Stroud, Lara Passfall, Juhayer S Alam, Frank A Segreto, Rachel Baum, Neil V Shah, Jad Bou Monsef, Carl B Paulino, Bassel G Diebo","doi":"10.1007/s12178-025-09983-6","DOIUrl":"10.1007/s12178-025-09983-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review was to critically appraise the literature and establish an evidence-based clinical guideline for the use of non-steroidal anti-inflammatory drugs (NSAIDs) in a fracture setting.</p><p><strong>Recent findings: </strong>With few exceptions, studies in animals suggest that NSAIDs impair fracture healing. It is unclear if nonselective or cyclooxygenase-(COX)2-selective NSAIDs pose differing effects on fracture healing. Human studies show NSAID use to be a consistent risk factor for fracture non-union in skeletally mature populations across the literature and indicates that indomethacin in particular poses a significant risk for non-union of adult acetabular fractures. Current evidence appears to suggest no harm in using ketorolac or ibuprofen in a pediatric fracture population, while indomethacin poses a significant risk for non-union in adult acetabular fracture patients when used for six weeks. Despite the majority of available clinical studies showing NSAID use as a recurring risk factor for fracture non-union in adult populations, a lack of standardization amongst studies makes it difficult to determine any clinical recommendations about timing, dosage, duration, or type of agent administered. More high-quality prospective studies are needed.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"504-512"},"PeriodicalIF":3.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224654","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
Considerations in Care of the Transgender Orthopedic Patient. 变性骨科患者的护理注意事项。
IF 5 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-11-01 Epub Date: 2025-06-09 DOI: 10.1007/s12178-025-09984-5
Alicia R Jacobson, Ezra Goodrich, Aliya G Feroe, Ayesha Rahman
{"title":"Considerations in Care of the Transgender Orthopedic Patient.","authors":"Alicia R Jacobson, Ezra Goodrich, Aliya G Feroe, Ayesha Rahman","doi":"10.1007/s12178-025-09984-5","DOIUrl":"10.1007/s12178-025-09984-5","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Transgender and gender diverse (TGD) patients, those with a gender identity different from their sex assigned at birth, are a growing population with specific orthopedic needs based on the use of gender-affirming hormonal and surgical therapies. This article outlines the current understanding of musculoskeletal basic science, clinical management considerations and translational applications that influence orthopedic care for TGD patients. In addition, this review highlights pertinent United States health policy changes that may affect TGD health outcomes including access to gender-affirming care and athletic participation. RECENT FINDINGS: TGD patients comprise a small but growing percentage of the population, yet experience significant barriers to health care. Both receipt of gender-affirming care and physical activity have been shown to improve mental health comorbidities in the TGD population. Since 2021, however, a rise in national and state-level policies have restricted healthcare access for TGD patients and their participation in athletic events. Limited collection of sexual orientation and gender identity (SOGI) data hinders the generation of population-level clinical evidence for TGD patients within Orthopedics. Despite this, early evidence suggests that estrogen-based and testosterone-based GAHT have a neutral to positive effect on bone health and fracture risk for TGD adults. Further clinical research is needed to define injury patterns in other Orthopedic subspecialties. Despite this, findings extrapolated from basic science and other surgical subspecialties can enable orthopedic providers to engage in evidence-based shared clinical decision-making and patient-centered care. </p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"536-546"},"PeriodicalIF":5.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Management of the Discoid Lateral Meniscus: a Systematic Review of Outcomes. 盘状外侧半月板的手术治疗:结果的系统回顾。
IF 3.9 2区 医学
Current Reviews in Musculoskeletal Medicine Pub Date : 2025-11-01 Epub Date: 2025-05-19 DOI: 10.1007/s12178-025-09980-9
Prushoth Vivekanantha, Rhea Thomas, Gabriel Kaplan, Matthew Ho, Darren de Sa, Jeffrey Kay
{"title":"Surgical Management of the Discoid Lateral Meniscus: a Systematic Review of Outcomes.","authors":"Prushoth Vivekanantha, Rhea Thomas, Gabriel Kaplan, Matthew Ho, Darren de Sa, Jeffrey Kay","doi":"10.1007/s12178-025-09980-9","DOIUrl":"10.1007/s12178-025-09980-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>The discoid lateral meniscus is an abnormal variant that can lead to pain and mechanical symptoms. This review aims to summarize the clinical outcomes after surgical management of the discoid lateral meniscus. Procedures included saucerization/meniscectomies, repair, or meniscus allograft transplantation.</p><p><strong>Recent findings: </strong>A total of 52 articles were included, consisting of 4,503 patients (4,784 knees). Weighted preoperative and postoperative Lysholm scores were 57.8 and 88.6, respectively, with 100% of studies (27/27) finding a significant improvement in scores postoperatively. Weighted preoperative and postoperative IKDC scores were 59.6 and 87.3, respectively, with 88.9% of studies (8/9) finding a statistically significant improvement in scores. Weighted preoperative and postoperative Tegner scores were 4.8 and 7.3, respectively, with 100% of studies (5/5) finding a statistically significant improvement in scores postoperatively. Weighted preoperative and postoperative VAS scores were 5.3 and 3.2, respectively, with 100% of studies (5/5) finding a statistically improvement in scores postoperatively. Amongst patients with reported values, 209 (6.6%; range 0-23.7%) suffered retears, while there were 290 reoperations (6.0%; range: 0-36.7%). Complications included persistent pain, mechanical symptoms, or swelling (n = 115; 2-4%). Studies to date have reported good outcomes overall following surgical management of the discoid lateral meniscus, with significant improvements in PROMs. However, retear and reoperation rates within the literature have been reported to be as high as 23.7% and 36.7%, respectively.</p>","PeriodicalId":10950,"journal":{"name":"Current Reviews in Musculoskeletal Medicine","volume":" ","pages":"513-535"},"PeriodicalIF":3.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093158","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
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