Journal of Orthopaedic Case Reports最新文献

{"title":"Inverted Cyclops Lesion Following Anterior Cruciate Ligament Repair: A Case Report.","authors":"Robin Litten, James Pate, Austin Hughes, Jordan Dunson, Chadwick Smith, Jeremy Bruce","doi":"10.13107/jocr.2025.v15.i09.6050","DOIUrl":"10.13107/jocr.2025.v15.i09.6050","url":null,"abstract":"<p><strong>Introduction: </strong>Cyclops lesions are a well-described complication following reconstruction of the anterior cruciate ligament (ACL). These lesions are fibrous nodules that most commonly form anterolateral to the tibial tunnel and impede terminal knee extension. Inverted or femoral-sided cyclops lesions are a rare variant that have been described after ACL reconstruction, but not after repair. This is the first case in the literature to demonstrate an inverted cyclops lesion following ACL repair.</p><p><strong>Case report: </strong>The authors present a case of a 60-year-old Caucasian female who developed a femoral-sided cyclops lesion after ACL repair. After initially achieving full range of motion (ROM) post-surgery, the patient later experienced a palpable clunk and extension loss 3-months postoperatively. While magnetic resonance imaging (MRI) was unremarkable, subsequent arthroscopy confirmed the diagnosis, leading to successful lesion excision and notchplasty.</p><p><strong>Conclusion: </strong>A high index of suspicion for cyclops lesions is critical in patients presenting with a clunk with terminal extension after ACL repair, even in the absence of MRI evidence. Prompt recognition and intervention are crucial, as demonstrated by the removal of the lesion and notchplasty, which led to full recovery of symptoms and ROM of the knee. The authors aim to broaden the limited existing knowledge of inverted cyclops lesions by presenting a detailed case report of a patient after an ACL repair.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"154-158"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040517","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":"Obstetric Neonatal Femur Fracture During Emergency Cesarean Section for Breech: A Case Report.","authors":"Nadeem Akhtar Qureshi, Ravi Prakash Futela","doi":"10.13107/jocr.2025.v15.i09.5996","DOIUrl":"10.13107/jocr.2025.v15.i09.5996","url":null,"abstract":"<p><strong>Introduction: </strong>Neonatal Obstetric fractures are rare birth injuries that newborns sustained from trauma during delivery and birth process. Long bone fractures are common in vaginal breech deliveries. A cesarean section is considered a relatively safe and preferred mode of delivery of breech fetuses to prevent birth trauma and decrease the risk of fetal head entrapment; nevertheless, it can lead to femur fracture in newborn rarely.</p><p><strong>Case report: </strong>A 3915 g male child born at 38 weeks and 4 days of gestation to a primigravida aged 31 years by emergency Lower Segment Cesarean Section for Premature Rupture of Membrane with breech presentation. During extraction, the newborn sustained a fracture to his right femur shaft. X-rays confirmed the diagnosis. The fracture was treated successfully with a toe-groin cast for 25 days with complete healing.</p><p><strong>Conclusion: </strong>As compared to vaginal breech delivery, cesarean section reduces the risk of traumatic birth injuries; however, it does not completely eliminate the possibility of birth injuries and long bone fractures in newborns. Orthopedic opinion must be sought, if the obstetrician and neonatologist suspect any birth trauma in difficult deliveries. Immobilization of the limb leads to complete healing of the fracture without any sequel.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040613","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":"Don't Dismiss the Swelling: A Rare Case of Tenosynovial Giant Cell Tumor in a Young Woman's Finger - A Case Report.","authors":"Mohamed Safiullah, Venkata Kiran Pillella","doi":"10.13107/jocr.2025.v15.i08.5950","DOIUrl":"10.13107/jocr.2025.v15.i08.5950","url":null,"abstract":"<p><strong>Introduction: </strong>Tenosynovial giant cell tumor (TGCT), also known as giant cell tumor of the tendon sheath, is a benign but potentially aggressive soft-tissue tumor that commonly affects the small joints of the hand. It typically presents as a painless, slow-growing mass, often leading to delayed diagnosis. Early recognition is crucial to prevent joint damage and functional impairment.</p><p><strong>Case report: </strong>We present the case of a 26-year-old female who reported sudden onset pain and swelling in her right middle finger without any history of trauma. Initial radiographs were soft-tissue swelling noted. Magnetic resonance imaging revealed a benign soft-tissue lesion suggestive of TGCT. Surgical excision followed by histopathological examination confirmed the diagnosis. Post-operative recovery was uneventful, and the patient regained full function without recurrence at the 6-month follow-up.</p><p><strong>Conclusion: </strong>This case underscores the importance of considering TGCT in the differential diagnosis of acute finger swelling, even in the absence of trauma. Early imaging and surgical intervention are key to preventing potential complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"231-234"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816914","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":"Management of Geriatric Acetabulum Fracture - A Case Report.","authors":"R Ajay Nickson Samuel, K Tarun Prashanth, M R Thirunthaiyan, R Dorai Kumar, B Sundararaja","doi":"10.13107/jocr.2025.v15.i08.5962","DOIUrl":"10.13107/jocr.2025.v15.i08.5962","url":null,"abstract":"<p><strong>Introduction: </strong>Geriatric acetabular fractures resulting from low-energy trauma represent an emerging challenge in orthopedic trauma care. This case highlights the successful management of a complex osteoporotic acetabular fracture with medial dome impaction (\"Gull sign\") and quadrilateral plate involvement using a modified Stoppa approach with suprapectineal plating, followed by an accelerated rehabilitation protocol. While not the first report of its kind, this case provides critical insights into achieving early weight-bearing in elderly patients, addressing a key gap in current management strategies for these challenging fractures.</p><p><strong>Case report: </strong>A 63-year-old male presented with right hip pain and inability to bear weight after a standing-height fall. Imaging revealed a comminuted right acetabular fracture with superomedial dome impaction, quadrilateral plate involvement, and central subluxation. The patient underwent open reduction and internal fixation through a modified Stoppa approach using a suprapectineal plate. Postoperatively, an accelerated rehabilitation protocol was implemented, progressing to full weight-bearing by 6 weeks with radiographic evidence of union.</p><p><strong>Conclusion: </strong>This case demonstrates that anatomical reduction and stable fixation of complex geriatric acetabular fractures can be achieved through the modified Stoppa approach with suprapectineal plating. More importantly, it establishes the feasibility and safety of an accelerated rehabilitation protocol enabling full weight-bearing by 6 weeks postoperatively. These findings significantly advance the management of osteoporotic acetabular fractures by providing orthopedic surgeons with a replicable treatment strategy that prioritizes early mobilization - a critical factor in reducing complications and improving functional outcomes in elderly patients. The protocol presented here has broad clinical implications for geriatric trauma care and post-operative rehabilitation.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816951","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":"Modified Minimally Invasive Reduction and Osteosynthesis System Technique for Fixation of Distal Radius.","authors":"Atanu Mohanty, Anuraag Mohanty, Jitendra Sarangi, Sibananda Ratha, Rabindra Kumar Nayak","doi":"10.13107/jocr.2025.v15.i08.5978","DOIUrl":"10.13107/jocr.2025.v15.i08.5978","url":null,"abstract":"<p><strong>Aim & background: </strong>Distal radius fractures are among the most frequently encountered bone injuries. Percutaneous pinning with a modified minimally invasive technique offers a less invasive alternative to conventional surgical interventions. This study aims to evaluate the early functional outcomes of this technique in managing distal radius fractures. Optimal management relies on precise anatomical alignment, minimal soft-tissue disruption, and prompt initiation of wrist rehabilitation. The objective is to assess the early functional outcomes of distal radius fractures treated with percutaneous pinning using a modified minimally invasive approach in adults.</p><p><strong>Materials & methods: </strong>A prospective study was carried out on 20 adult patients presenting with distal radius fractures. All patients underwent percutaneous pinning using a modified technique and were monitored over 6 months at Jajati Kesari Medical College and Hospital, Jajpur, Odisha. Functional recovery was evaluated postoperatively using Cooney's adaptation of the Green and O'Brien scoring system.</p><p><strong>Results: </strong>Among the 20 participants, 9 (45%) demonstrated good functional outcomes, 9 (45%) had fair outcomes, and 2 (10%) had poor outcomes based on the Green and O'Brien scoring criteria.</p><p><strong>Conclusion: </strong>The modified percutaneous fixation technique offers promising results in terms of fracture stabilization and early functional recovery. To confirm these findings, future research should be conducted with larger sample sizes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"306-311"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816954","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":"Fixation of Displaced Lateral Column and Spine of Scapula using Modified Judet Approach.","authors":"Dhruva Angachekar, Samarth Singh, Ashish Singh, Prashik Sirsat, Saurabh Ponde, Padmakar Shine","doi":"10.13107/jocr.2025.v15.i08.5936","DOIUrl":"10.13107/jocr.2025.v15.i08.5936","url":null,"abstract":"<p><strong>Introduction: </strong>Since traumatic injuries to the scapula and scapulothoracic articulation are rare, they have not been extensively covered in the literature. According to reports, arthrosis, rotator cuff dysfunction, scapulothoracic dyskinesis, and impingement pain all contributed to decreased shoulder function after nonsurgical therapy. In addition, it was noted that surgical intervention for scapular fractures produced better results and a higher functional recovery.</p><p><strong>Case report: </strong>A 51-year-old female presented to our emergency department with a history of a fall of a heavy object over her right shoulder. A 3D computed tomography scan of the right shoulder was performed, and it revealed an extraarticular fracture of the lateral column with significant displacement and a glenopolar angle of >40° along with a scapular spine fracture. We decided to fix the fracture using 3.5 mm contoured reconstruction plates through the modified Judet approach. The patient had good clinical function and radiological union at 8 months post-surgery.</p><p><strong>Conclusion: </strong>The modified Judet approach in the open reduction and fixation offers a great exposure of the glenoid neck and lateral column fractures for fixation while causing minimal morbidity and good functional results.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"191-195"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816920","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":"Bilateral Chronic Anterior Cruciate Ligament Tear or Congenital Absence of Anterior Cruciate Ligament? - A Case Report.","authors":"Alok Sahu, Hemant Sharma, Mohit Asthana, Asgar Ali, Chaitanya Sharma, Nikita Jajodia","doi":"10.13107/jocr.2025.v15.i08.5892","DOIUrl":"10.13107/jocr.2025.v15.i08.5892","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital absence of the anterior cruciate ligament (ACL), first reported by Giorgi in 1956 is an extremely rare condition. The prevalence of this condition is reported to be around 0.017/1,000 live births. This congenital anomaly can present in isolation or be associated with other skeletal malformations, including fibular hemimelia, congenital femoral deficiencies, and hip dysplasia. Congenital ACL deficiency may often go undiagnosed in early life. Others will eventually experience symptoms due to the long-term effects of knee instability that can lead to chronic knee pain, particularly in the medial knee and patellofemoral compartments, and may predispose individuals to early-onset osteoarthritis. As the condition is extremely rare and can occur with or without associated deformities, there is no single treatment of choice for the condition.</p><p><strong>Case report: </strong>We herein report a case of bilateral isolated congenital absence of ACL in a 24-year-old young woman who presented to us with the chief complaints of pain in the right knee for the past 2 years and the left knee for the past 10 months.</p><p><strong>Conclusion: </strong>Although good outcomes with conservative management in individuals without symptomatic instability have been reported, surgeons advocate ACL reconstruction in cases presenting with symptomatic instability.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"82-86"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816934","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":"Bilateral Total Hip Arthroplasties Secondary to Renal Osteodystrophy in a Patient with a Rare Cromer Antibody: A Case Report.","authors":"Anisha Tyagi, Caldon Jayson Esdaille, Ajith Kumar Kannan, Jennifer Joseph, James Lee Jr, Rahul Mittal","doi":"10.13107/jocr.2025.v15.i08.5956","DOIUrl":"10.13107/jocr.2025.v15.i08.5956","url":null,"abstract":"<p><strong>Introduction: </strong>Bilateral displaced femoral neck fractures are uncommon in adults without significant trauma, especially in the absence of high-energy impact. This case highlights the importance of considering underlying metabolic disorders such as end-stage renal disease (ESRD) as significant contributing factors. It is one of the few reported cases demonstrating the interplay between ESRD, renal osteodystrophy, anemia of chronic disease, and the presence of rare Cromer blood group antibodies, adding a unique dimension to orthopedic and hematological literature.</p><p><strong>Case report: </strong>We present the case of a 50-year-old African American female with a history of ESRD on dialysis, who presented with bilateral hip pain after a minor fall. Imaging revealed bilateral displaced femoral neck fractures. Laboratory workup showed a hemoglobin level of 7.4 g/dL and microcytic anemia. Due to her chronic kidney disease, she was diagnosed with renal osteodystrophy, contributing to bone fragility. A rare Cromer blood group antibody was also detected, complicating transfusion planning. She underwent surgical repair of both hips, and her post-operative management involved coordinated multidisciplinary care addressing orthopedic, hematologic, and nephrologic concerns.</p><p><strong>Conclusion: </strong>This case underscores the need for clinicians to consider renal osteodystrophy in patients with ESRD as a potential cause of spontaneous or low-impact fractures. In addition, it highlights the transfusion challenges posed by rare blood group antibodies like those in the Cromer system. The case demonstrates the value of early recognition, prompt surgical intervention, and interprofessional collaboration in managing complex comorbid conditions. It contributes to broader clinical understanding by linking metabolic bone disease, chronic anemia, and immunohematologic complications in fracture management. Further research into personalized treatment protocols and rare blood antigen matching could enhance outcomes for such medically complex patients.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"244-249"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816935","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":"Intra-Articular Steroid Hip Injections Association with Fracture: A Case Series.","authors":"Ajay Nair, Jacob S Alexander, Carter Bench, David Yatsonsky, Kyle Andrews","doi":"10.13107/jocr.2025.v15.i08.5894","DOIUrl":"10.13107/jocr.2025.v15.i08.5894","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis (OA) is one of the most common orthopedic conditions in the world. Corticosteroid injections (CSIs) are a common treatment option for these patients, with many different options available to patients. The effects vary based on the individual, with some patients experiencing no relief. CSIs work through a variety of immunosuppressive effects, yet the effects on bone health are still debated. Some studies have shown detrimental effects on bone, ranging from bone degeneration to causing fracture. This case series presents a potential link to femoral neck fracture (FNF) from intra-articular corticosteroids.</p><p><strong>Case report: </strong>This series highlights three patients at different ages who underwent intra-articular CSI for known ipsilateral hip OA and subsequently presented with a FNF from a ground-level fall between 4 and 32-days post-procedure. Two of the patients had a right subcapital FNF, while one of the patients demonstrated a left transcervical fracture.</p><p><strong>Conclusion: </strong>Corticosteroids are known to lead to osteoporosis. This case report underlines the potential association between CSIs and subsequent FNF. More emphasis should be placed on the potential bone effects of intra-articular steroid injections, as the decision should be patient-specific to ensure no increased risk is made. Further research should be conducted to look into this potential link.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816947","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":"Disseminated Skeletal Cryptococcosis: A Case Report.","authors":"David Joseph, Prannoy Paul, Vishnu Padmanabhan, Athul Rajesh, Raj Vignesh, Raphael Baby","doi":"10.13107/jocr.2025.v15.i08.5912","DOIUrl":"10.13107/jocr.2025.v15.i08.5912","url":null,"abstract":"<p><strong>Introduction: </strong>Cryptococcus is a rare cause of osteomyelitis, especially in immunocompromised individuals. This case report discusses a rare case of disseminated cryptococcosis with multiple bone lesions in a patient with isolated CD4 lymphocytopenia.</p><p><strong>Case report: </strong>A 31-year-old apparently normal Indian male presented with pain and swelling of his right proximal femur for 8 months without any history of trauma. He also reported a similar swelling in his chest wall with allergic respiratory symptoms for 8 years. Laboratory analysis revealed mild elevation in inflammatory markers. Magnetic resonance imaging of the pelvis revealed osteolytic lesions in the right proximal femur and pubic bone with soft tissue collections, and computed tomography scan of the chest showed an osteolytic lesion in the right 9th rib with an overlying soft tissue collection and a subpleural cavitary nodule in the left lower lobe posterior basal segment. Although initially treated as a case of clinically diagnosed tuberculosis, the patient did not get any relief with antitubercular therapy. Fine needle aspiration cytology and fungal culture identified Cryptococcus neoformans from both lesions and from the blood culture. The patient responded well to antifungal treatment and is currently symptom free.</p><p><strong>Conclusion: </strong>Cryptococcosis should be considered as a rare differential diagnosis in patients presenting with bone pain and multiple lytic lesions. Definitive diagnosis requires a fungal culture from the affected areas. Early treatment with antifungals is important in preventing complications and death.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 8","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816913","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}