Journal of Orthopaedic Case Reports最新文献

{"title":"Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases.","authors":"Tej Pratap Gupta, Narender Singh, S K Rai, Vivek Mathew Philip, Ritesh Sharma","doi":"10.13107/jocr.2025.v15.i02.5288","DOIUrl":"10.13107/jocr.2025.v15.i02.5288","url":null,"abstract":"<p><strong>Introduction: </strong>Comminuted fractures of the distal end of the tibia and fibula usually occur due to high-velocity trauma, and the tibia, being subcutaneous in this area, is prone to wound healing risks and complications. Fixation typically involves two separate incisions, medial and lateral, which pose risks of wound healing complications and devascularization of the distal tibia. This study aims to present a novel single anterolateral incision approach for the internal fixation of distal tibia and fibula fractures to minimize soft-tissue complications.</p><p><strong>Case report: </strong>Nine patients were treated with internal plate fixation for their comminuted fractures of the distal end of the tibia and fibula using a single-incision technique. The cohort included six male and three female patients, with a mean age of 31.8 years (range 17-59).</p><p><strong>Conclusion: </strong>We present nine cases of comminuted fractures of the distal end of the tibia and fibula treated with a single-incision technique for internal plate fixation, resulting in satisfactory outcomes without any wound healing complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Bilateral Total Knee Replacement for Autofusion Secondary to Juvenile Idiopathic Arthritis: A Case Report.","authors":"Morgan K Villa, Rafael Robles, Maya Johnson, Wesley Lemons, Geoffrey Marano, Gregory J Golladay","doi":"10.13107/jocr.2025.v15.i02.5252","DOIUrl":"10.13107/jocr.2025.v15.i02.5252","url":null,"abstract":"<p><strong>Introduction: </strong>Juvenile idiopathic arthritis (JIA) poses lifelong challenges due to chronic inflammation that can lead to permanent deformities like autofusion, severely affecting quality of life.</p><p><strong>Case report: </strong>In this case, a 31-year-old female with a 21-year history of bilateral knee pain secondary to JIA faced a unique challenge: bilateral knee autofusion. Radiographs revealed severe bilateral contractures, erosive changes, and autofusion, prompting the decision for simultaneous total knee arthroplasties (TKAs). Evaluation at 1-year postoperatively showed significant improvements in function, pain, and activities of daily living.</p><p><strong>Conclusion: </strong>This case provides insight into outcomes of simultaneous TKAs in the context of autofusion, highlighting the procedure's viability in resolving debilitating knee conditions, even in the presence of complex factors such as JIA.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"120-125"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral Neuropathy Secondary to Compression by Spontaneous Iliac Hematoma.","authors":"Rui Sousa, Ana Flávia Resende, Luís Barbosa Pinto, Marta Lages, Luísa Negrão, Nuno Simões","doi":"10.13107/jocr.2025.v15.i02.5258","DOIUrl":"10.13107/jocr.2025.v15.i02.5258","url":null,"abstract":"<p><strong>Introduction: </strong>Femoral neuropathy is a rare condition typically resulting from compression of the femoral nerve. While it is commonly associated with anticoagulated patients due to psoas hematomas, spontaneous iliacus muscle hematomas without any evident trauma or coagulation disorders are exceedingly uncommon. This case report details the occurrence and management of a spontaneous iliacus muscle hematoma in an adolescent patient. Such cases have been scarcely reported, making this documentation critical for enhancing clinical understanding and management strategies.</p><p><strong>Case report: </strong>A 16-year-old male of Caucasian ethnicity, with no significant medical history, presented with thigh muscle atrophy, decreased strength in the left lower limb, and progressive loss of weight-bearing capacity over a month. The patient reported no history of trauma. Clinical examination revealed hypoesthesia in the femoral nerve territory and significantly reduced quadriceps muscle strength. Imaging studies, including magnetic resonance imaging, identified a fusiform mass deep to the left iliac muscle, consistent with an encapsulated hematoma. The patient was treated conservatively with rest and analgesics, followed by physical rehabilitation. Follow-up assessments showed progressive improvement in muscle trophism and weight-bearing capacity, with complete recovery of femoral nerve conduction at 1 year.</p><p><strong>Conclusion: </strong>This case underscores the importance of considering spontaneous iliacus muscle hematomas in the differential diagnosis of femoral neuropathy, even in the absence of trauma or anticoagulation therapy. The report highlights the necessity for thorough clinical evaluation and imaging to ensure accurate diagnosis. It adds valuable information to the orthopedic literature, particularly in managing rare presentations of femoral neuropathy, emphasizing the need for vigilance in monitoring and follow-up to prevent long-term complications. By detailing this unusual presentation, the report aims to enhance the understanding and treatment strategies for similar cases.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective randomized placebo-controlled study evaluating the safety and benefits of tranexamic acid injections for primary unilateral total knee replacement.","authors":"Prashant Bhavani, Suhas Aradhya Bhikshavarthi Math, Mainak Roy, Mulagondla Harshavardhan Reddy, Deepanjan Das, Priyanshu","doi":"10.13107/jocr.2025.v15.i02.5308","DOIUrl":"10.13107/jocr.2025.v15.i02.5308","url":null,"abstract":"<p><strong>Background: </strong>One of the primary issues following total knee arthroplasty (TKA) is blood loss. According to the research, tourniquet time which works by inducing fibrinolysis activity is one of the primary factors contributing to blood loss. This element gives the surgeon the chance to reduce blood loss, which subsequently avoids allogenic blood transfusion and any associated risks. Both oral and intravenous administrations of tranexamic acid (TXA) are acceptable. There is disagreement over the ideal administrative mode. Because TXA is delivered locally, it has a higher chance of being both safe and effective at the target site due to the drug's low systemic absorption.</p><p><strong>Materials and methods: </strong>We conducted a prospective trial involving 50 unilateral TKA procedures. In 25 TKR following closure, intra-articular TXA was administered, and in 25 TKR, 0.9% normal saline of equivalent volume was provided. Hemoglobin, hematocrit, and the number of patients needing blood transfusions and blood collection in the drain after surgery were used to gauge the effectiveness. Complications were assessed using lower leg Doppler ultrasonography to detect deep vein thrombosis (DVT).</p><p><strong>Results: </strong>Despite the control group receiving more blood transfusions, we observed a substantial decrease in hemoglobin in the TXA group (P < 0.002) and a significant decrease in drain collection (95% CI: 203.8-406.2, P < 0.001). There were no DVT patients in.</p><p><strong>Conclusion: </strong>TXA injected intra-articularly appears to be a safe and effective way to lessen post-TKA blood loss and the need for blood transfusions.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"283-288"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tuberculosis of Rib: Diagnosis and Treatment.","authors":"Mantu Jain, Shibashis Mohapatra, Sujit Tripathy, Baijayantimala Mishra, K P Lubaib, Ankit Bhagat","doi":"10.13107/jocr.2025.v15.i02.5220","DOIUrl":"10.13107/jocr.2025.v15.i02.5220","url":null,"abstract":"<p><strong>Introduction: </strong>Primary tuberculosis (TB) of a rib is a very uncommon presentation and accounts for <1% of musculoskeletal TB.</p><p><strong>Case report: </strong>This case report studies a 34-year-old immunocompetent individual who presented with dull-aching right-side lower chest wall pain and swelling with constitutional symptoms. A routine X-ray of the chest was performed, which revealed no abnormality. Therefore, magnetic resonance imaging was performed given soft-tissue swelling, which suggested an extra-pulmonary swelling with lytic 9th rib lesion TB. The diagnosis was confirmed using a gene-expert of ultrasound-guided aspirated material. A drug susceptibility test was done, and it was found to be rifampicin sensitive. Hence, the patient was started on anti-tubercular therapy. The patient responded to it remarkably and was symptom-free at the end of 1 year.</p><p><strong>Conclusion: </strong>The case illustrates that a high degree of suspicion, early diagnosis, and timely intervention are the key to management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional and Radiological Outcomes after Locking Plate Fixation of AO Type 33C Distal Femur Fractures.","authors":"Ayush Prakash, Sanjay Kumar, Rohit Nath, Sanavvar Ali","doi":"10.13107/jocr.2025.v15.i02.5306","DOIUrl":"10.13107/jocr.2025.v15.i02.5306","url":null,"abstract":"<p><strong>Introduction: </strong>Treatment of supracondylar and intercondylar fractures of the distal femur has historically been difficult. These fractures are often unstable and comminuted and tend to occur in the elderly or in patients with multiple injuries.</p><p><strong>Objective: </strong>The purpose of the study is to assess the functional and radiological outcome of locking plate fixation in AO type 33C distal femur fractures.</p><p><strong>Materials and methods: </strong>A total of 49 patients with distal femoral fractures were operated by open reduction with internal fixation with a distal femur-locking compression plate (LCP) through the standard swashbuckler approach. The functional and radiological outcomes were assessed using the Neers scoring system.</p><p><strong>Results: </strong>Out of 49 patients, Muller type C2 was the most common fracture with 36 out of 49 (73.5%). Union was found in 47 patients with two patients presenting with non-union. The average union time of the fracture was 12-20 weeks with the mean time of union being 16.2 weeks. All patients were successfully given a walking aid in the 20th week. The average knee score was 79.71 using the Neers scoring system.</p><p><strong>Conclusion: </strong>Fractures of the distal femur are more common in high-velocity injuries and occur in middle-aged males and old age women. Most fractures were comminuted. LCP appears to be technically an ideal implant for comminuted distal femoral fractures with proper physiotherapy producing excellent results. Knee stiffness was the most common complication.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"275-282"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Granulomatous Tenosynovitis of the Volar Wrist from Mycobacterium Avium Complex - A Case Report.","authors":"Eric Taris, Christopher Guerra, Parth A Goenka, Jeffrey A Marchessault","doi":"10.13107/jocr.2025.v15.i02.5256","DOIUrl":"10.13107/jocr.2025.v15.i02.5256","url":null,"abstract":"<p><strong>Introduction: </strong>Mycobacterium avium complex (MAC) musculoskeletal (MSK) involvement is a rare clinical presentation of the upper extremity. When MSK involvement does occur, hand and wrist involvement are the most often reported due to the rich synovial fluid environment in these regions. This report describes an unusual case of tenosynovitis of the hand, in which a patient presented with a prolonged course of wrist pain due to MAC.</p><p><strong>Case report: </strong>An 87-year-old Caucasian, right-handed female presented with a 2-year history of right wrist pain and swelling. There had been no previous trauma or immunocompromised state. The patient was hospitalized for severe pneumonia 2 years ago, with wrist pain developing in the months after discharge. The treatment course included radical synovectomy and subsequent triple antibiotic therapy upon confirmation of MAC rice bodies. Due to advanced age and worsening dementia, the patient did not follow-up until 2 years post-operatively. Upon return at 2 years postoperatively, the patient had concerns of recurrent tenosynovitis. Treatment was declined by the family at this time and the patient did not return again until 5 years postoperatively with continued worsening tenosynovitis. Repeat synovectomy was suggested; however, additional treatment was held by the family due to the patient's cognitive decline.</p><p><strong>Conclusion: </strong>The aim of this report is to describe an atypical presentation of MAC-induced tenosynovitis. Patients diagnosed with a MAC infection should be treated promptly and informed of the possibility of recurrence. The goal of this report is to encourage practitioners to keep MAC infection on their list of differentials when evaluating abnormal wrist swelling.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"131-135"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clay-shoveler's Fracture in a 13-year-old Child - Case Report and Review of Literature.","authors":"Panagiotis Antzoulas, Savvas Giakoumakis, Ioannis Sperelakis, Vasileios Giannatos, Andreas Panagopoulos","doi":"10.13107/jocr.2025.v15.i02.5248","DOIUrl":"10.13107/jocr.2025.v15.i02.5248","url":null,"abstract":"<p><strong>Introduction: </strong>A clay-shoveler's fracture is a relatively uncommon stress-type avulsion fracture typically affecting the lower cervical or upper thoracic spinous processes. Historically named after clay shovelers due to their predisposition to such injuries, this type of fracture is now more frequently observed in individuals participating in sports activities that entail rotational movements of the upper spine.</p><p><strong>Case report: </strong>A 13-year-old patient, while performing agricultural work and using a manual shovel to excavate an area, experienced cramping in the cervical spine, neck pain, and a significant limitation in the range of motion. The patient presented with a history and physical examination suggestive of a clay-shoveler's fracture. Subsequent X-ray images demonstrated an acute soft-tissue avulsion of the spinous process at C7. With non-operative therapy, the patient returned to work within 2 months, experiencing occasional, intermittent discomfort 6 months after the injury, which did not limit any activities. After 2 years of follow-up, the patient reported no pain.</p><p><strong>Conclusion: </strong>A clay-shoveler's fracture is a rare stress-type avulsion fracture, particularly in children. Diagnosis necessitates clinical suspicion, a targeted history, and a thorough physical examination. Radiographs play a crucial role, and in challenging cases, magnetic resonance imaging may be warranted to detect soft-tissue avulsions. Treatment typically involves cervical immobilization of the cervical spine for 4-6 weeks.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musculoskeletal Manifestations of Rare Lymphoproliferative Neoplasms: A Retrospective Case Report of Four Cases.","authors":"Meagan E Tibbo, Max C Baron, Alina Syros, Jacob Cohen, H Thomas Temple, Brooke Crawford","doi":"10.13107/jocr.2025.v15.i02.5286","DOIUrl":"10.13107/jocr.2025.v15.i02.5286","url":null,"abstract":"<p><strong>Introduction: </strong>Lymphoproliferative neoplasms (LPNs) can lead to diverse musculoskeletal manifestations, presenting diagnostic challenges due to their rarity and atypical clinical features.</p><p><strong>Case report: </strong>This retrospective case series, conducted at a tertiary care hospital, examines four patients with rare LPNs - Rosai-Dorfman disease, Kimura disease, and Castleman disease - initially misdiagnosed as nonneoplastic conditions. The study aims to underscore the importance of histopathological evaluation in achieving accurate diagnoses and initiating timely management. Results reveal diagnostic complexities, with an average of 2.5 biopsies required for accurate diagnosis.</p><p><strong>Conclusions: </strong>In-depth case discussions highlight the unique challenges and treatment strategies for each LPN. The central theme emphasizes the critical role of histopathology in distinguishing these rare LPNs from more common musculoskeletal disorders, guiding appropriate therapeutic interventions, and optimizing patient outcomes. These cases serve as poignant examples of the diagnostic pitfalls encountered by clinicians when faced with rare LPNs, reinforcing the necessity of a nuanced approach and collaboration between clinicians and pathologists in achieving accurate diagnoses.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"209-214"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Pyogenic Abscess in an Immunocompetent Child: An Indian Perspective.","authors":"Swapnil Keny, Harsh Parekh, Janki Chaudhary, Nikhil Gokhale, Nihar Modi","doi":"10.13107/jocr.2025.v15.i02.5274","DOIUrl":"10.13107/jocr.2025.v15.i02.5274","url":null,"abstract":"<p><strong>Introduction: </strong>Pyogenic psoas abscess (PPA) is a rare but severe condition. Previously linked to tuberculosis, it's now seen with diverse causes. This case report details the diagnosis and management of PPA in a healthy Indian child, initially suspected of having hip issues.</p><p><strong>Case report: </strong>A 5-year-old girl was brought for pain in her right hip and lower back, and fever for 3 days. She was irritable and unable to walk. She was febrile (101°F), irritable, and toxic with her right lower limb flexed 30° at the hip with all its movements restricted and painful. Inguinal lymph nodes were palpable. Blood tests showed elevated white blood cell count (18,000 × 109/L) and inflammatory markers, with a negative Mantoux test. Radiographs of the lumbosacral spine were normal. Magnetic resonance imaging showed a large abscess in the right psoas and iliacus muscles, measuring 6.8 × 3.3 × 3 cm. She underwent open drainage through a retroperitoneal approach, and samples were sent for bacteriological analysis. The wound was irrigated and closed over a drain.Post-operatively, she received Linezolid being culture positive for methicillin-resistant Staphylococcus aureus. Her pain reduced by the 3rd day and she was discharged with oral antibiotics. She walked at 6 weeks and was symptom-free on follow-up.</p><p><strong>Conclusion: </strong>This case highlights the crucial need to consider PPA in children showing hip pain, limping, and infection signs. Due to its subtle presentation and similarity to septic arthritis, high suspicion is essential. Timely imaging and proper treatment, such as drainage and antibiotics, can ensure positive results.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}