MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2024-02-10DOI: 10.1007/s12306-023-00805-x
Alberto Rinaldi, Federico Pilla, Ilaria Chiaramonte, Davide Pederiva, Fabio Vita, Francesco Schilardi, Andrea Gennaro, Cesare Faldini
{"title":"Arthroscopic surgery for scaphoid nonunion: a 10-year systematic literature review.","authors":"Alberto Rinaldi, Federico Pilla, Ilaria Chiaramonte, Davide Pederiva, Fabio Vita, Francesco Schilardi, Andrea Gennaro, Cesare Faldini","doi":"10.1007/s12306-023-00805-x","DOIUrl":"10.1007/s12306-023-00805-x","url":null,"abstract":"<p><p>The purpose of the study was to investigate whether arthroscopic treatment of carpal scaphoid nonunions by osteosynthesis with bone grafting represents a successful surgical technique. This systematic literature review, conducted following the PRISMA guidelines, explores the past 10 years of clinical studies concerning the arthroscopic treatment of scaphoid nonunions. The most relevant keywords were used to search the databases, and the Downs and Black 27-item checklist has been used as quality assessment tool. Twelve papers that meet the premised eligibility criteria have been identified. These studies demonstrate the efficacy of this surgical solution, achieving a postoperative union rate of 96% in the average time of 13.5 weeks. Regardless of the method of synthesis and the origin of the graft used, excellent results were obtained. Patients who underwent this procedure reported a pain reduction of almost 80% compared to the preoperative level, improvement in grip strength close to 40%, and recovery in wrist function during daily activities. Arthroscopy has numerous advantages compared to the open approach. These are technically recognized by the surgeon and by the patient. Some disadvantages include a longer intraoperative time and considerable significant technical difficulty. Arthroscopic treatment of scaphoid nonunion by osteosynthesis with bone graft achieves a 96% union rate of the treated scaphoid with satisfying clinical results.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716222","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}
MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2023-06-20DOI: 10.1007/s12306-023-00786-x
G Viroli, T Cerasoli, F Barile, M Modeo, M Manzetti, M Traversari, A Ruffilli, C Faldini
{"title":"Diagnosis and treatment of acute inflammatory sacroiliitis in pregnant or post-partum women: a systematic review of the current literature.","authors":"G Viroli, T Cerasoli, F Barile, M Modeo, M Manzetti, M Traversari, A Ruffilli, C Faldini","doi":"10.1007/s12306-023-00786-x","DOIUrl":"10.1007/s12306-023-00786-x","url":null,"abstract":"<p><p>The aim of the present study is to systematically review the current literature about diagnosis and treatment of acute inflammatory sacroiliitis in pregnant or post-partum women. A systematic search was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about clinical presentation, diagnosis methods and treatment strategies were retrieved from included studies and reported in a table. After screening, five studies on 34 women were included; they were all affected by acute inflammatory sacroiliitis. Clinical examination and magnetic resonance imaging were used to confirm diagnosis. In four studies, patients were treated with ultrasound-guided sacroiliac injections of steroids and local anesthetics, while one study used only manual mobilization. Clinical scores improved in all patients. Ultrasound-guided injections proved to be a safe and effective strategy for inflammatory sacroiliitis treatment during pregnancy or post-partum.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9717864","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}
MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2024-05-01DOI: 10.1007/s12306-024-00818-0
T Vendrig, M N J Keizer, R W Brouwer, H Houdijk, R A G Hoogeslag
{"title":"Lower anxiety level to perform movements after revision anterior cruciate ligament reconstruction with lateral extra-articular tenodesis compared to without lateral extra-articular tenodesis.","authors":"T Vendrig, M N J Keizer, R W Brouwer, H Houdijk, R A G Hoogeslag","doi":"10.1007/s12306-024-00818-0","DOIUrl":"10.1007/s12306-024-00818-0","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the anxiety level to perform movements in patients after revision anterior cruciate ligament reconstruction (ACLR) combined with lateral extra-articular tenodesis (LET) compared to patients after revision ACLR without LET.</p><p><strong>Methods: </strong>Ninety patients who underwent revision ACLR with ipsilateral bone-patellar tendon-bone autograft and with a minimum of 12 months follow-up were included in this study. Patients were divided into two groups: patients who received revision ACLR in combination with LET (revision ACLR_LET group; mean follow-up: 29.4 months, range: 12-80 months), and patients who received revision ACLR without LET (revision ACLR group; mean follow-up: 61.1 months, range: 22-192 months). All patients filled in a questionnaire about anxiety level related to physical activity and sports, the Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee subjective form (IKDC<sub>subjective</sub>), and the Tegner Activity Score.</p><p><strong>Results: </strong>Patients in the revision ACLR_LET group had a significantly lower anxiety level to perform movements than patients in the revision ACLR group (p < 0.05). No significant differences were found in KOOS, IKDC<sub>subjective</sub>, and Tegner Activity Scores.</p><p><strong>Conclusions: </strong>Patients who received LET in addition to revision ACLR have a lower anxiety level to perform movements than patients with revision ACLR alone, despite non-different subjective functional outcomes.</p><p><strong>Study design: </strong>Retrospective cohort study, Level of evidence: III.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"225-230"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859043","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}
MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2023-06-20DOI: 10.1007/s12306-023-00793-y
A Panciera, A Colangelo, A Di Martino, R Ferri, B D Bulzacki Bogucki, D Cecchin, M Brunello, L Benvenuti, V Digennaro
{"title":"Total knee arthroplasty in pigmented villonodular synovitis osteoarthritis: a systematic review of literature.","authors":"A Panciera, A Colangelo, A Di Martino, R Ferri, B D Bulzacki Bogucki, D Cecchin, M Brunello, L Benvenuti, V Digennaro","doi":"10.1007/s12306-023-00793-y","DOIUrl":"10.1007/s12306-023-00793-y","url":null,"abstract":"<p><strong>Purpose: </strong>Pigmented Villonodular Synovitis (PVNS) is a proliferative disease arising from the synovial membrane, mainly affects large joints such as the knee (almost 80% of total). Prostheses implanted in PVNS osteoarthritis show a higher revision rate when compared to primary osteoarthritis, due to the recurrence of disease and the overall surgical complications. The purpose of this systematic review is to summarize and compare indications, clinical and functional outcomes, disease-related and surgical-related complications of total knee arthroplasty in PVNS osteoarthritis.</p><p><strong>Materials and methods: </strong>A systematic review of the literature was performed with a primary search on Medline through PubMed. The PRISMA 2009 flowchart and checklist were used to edit the review. Screened studies had to provide preoperative diagnosis, previous treatments, main treatment, concomitant strategies, mean follow-up, outcomes and complications to be included in the review.</p><p><strong>Results: </strong>A total of 8 articles were finally included. Most of papers reported the use of non-constrained design implants, mainly posterior stabilized (PS) and in case of PVNS with extensive joint involvement implants with higher degree of constraint to obtain a fulfilling balancing. Recurrence of PVNS has been indicated as the major complication, followed by aseptic loosening of the implant and difficult post-operative course with an increased risk of stiffness.</p><p><strong>Conclusion: </strong>Total knee arthroplasty represents a valid treatment for patients with PVNS end-stage osteoarthritis, with good clinical and functional results, even in longer follow-up. It would be advisable a multidisciplinary management and a meticulous rehabilitation and monitoring following the procedure, to reduce the emergence of recurrence and overall complications.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"145-152"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9717865","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}
MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2024-05-07DOI: 10.1007/s12306-024-00817-1
M Haft, J S MacKenzie, B Y Shi, I Ali, S Jenkins, D Nguyen, R van Riet, U Srikumaran
{"title":"Biomechanical strength of triceps tendon repairs: systematic review and meta-regression analysis of human cadaveric studies.","authors":"M Haft, J S MacKenzie, B Y Shi, I Ali, S Jenkins, D Nguyen, R van Riet, U Srikumaran","doi":"10.1007/s12306-024-00817-1","DOIUrl":"10.1007/s12306-024-00817-1","url":null,"abstract":"<p><strong>Purpose: </strong>It is unclear which triceps tendon repair constructs and techniques produce the strongest biomechanical performance while minimizing the risk of gap formation and repair failure. We aimed to determine associations of construct and technique variables with the biomechanical strength of triceps tendon repairs. PubMed, Embase, Cochrane Library, Web of Science, Scopus, and ClinicalTrials.gov were systematically searched for peer-reviewed studies on biomechanical strength of triceps tendon repairs in human cadavers. 6 articles met the search criteria. Meta-regression was performed on the pooled dataset (123 specimens). Outcomes of interest included gap formation, failure mode, and ultimate failure load. Covariates were fixation type; number of implants; and number of sutures. Stratification by covariates was performed. We found no association between fixation type and ultimate failure load; however, suture anchor fixation was associated with less gap formation compared with transosseous direct repair (β = - 1.1; 95% confidence interval [CI]:- 2.2, - 0.04). A greater number of implants was associated with smaller gap formation (β = - 0.77; 95% CI: - 1.3, - 0.28) while a greater number of sutures was associated with higher ultimate failure load ( β= 3; 95% CI: 21, 125). In human cadaveric models, the number of sutures used in triceps tendon repairs may be more important than the fixation type or number of implants for overall strength. If using a transosseous direct repair approach to repair triceps tendon tears, surgeons may choose to use more sutures in their repair in order to balance the risk of larger gap formation when compared to indirect repair techniques.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"153-162"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MUSCULOSKELETAL SURGERYPub Date : 2024-06-01Epub Date: 2024-03-14DOI: 10.1007/s12306-024-00815-3
A Rizzo, M Paderno, M F Saccomanno, F Milano, G Milano
{"title":"The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors.","authors":"A Rizzo, M Paderno, M F Saccomanno, F Milano, G Milano","doi":"10.1007/s12306-024-00815-3","DOIUrl":"10.1007/s12306-024-00815-3","url":null,"abstract":"<p><strong>Purpose: </strong>The main purpose of the present study was to evaluate if there is a difference between objective or subjective administration of the MSTS score in a cohort of patients affected by musculoskeletal oncological diseases.</p><p><strong>Materials and methods: </strong>All patients who underwent surgery for bone or soft tissue localization of neoplastic disease in lower or upper limb from June 2015 to June 2020 were considered eligible. In order to administer the score as a PROM, the MSTS was first translated and cross-culturally adapted in Italian. During follow up visits, all patients filled out Italian versions of SF36, TESS and MSTS. Psychometric properties of the Italian version of MSTS were analyzed. Correlation between objective and self-administered MSTS score was assessed through Pearson's coefficient.</p><p><strong>Results: </strong>A finale sample of 110 patients were included: 59 affected by lower extremity involvement and 51 affected by upper extremity involvement. The Italian version of the MSTS score showed good psychometric properties for both lower and upper extremity. The correlation between self-administered and hetero-administered version of the questionnaire was as high as r = 0.97 for lower extremities and r = 0.96 for upper extremities.</p><p><strong>Conclusions: </strong>The Italian version of the MSTS is a valid tool to evaluate outcomes of surgical treatment of patients affected by extremities tumors and it can be used as a subjective tool for both lower and upper extremity.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"201-214"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11133199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132077","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}
F. Zannoni, S. Caravelli, A. Russo, C. Perisano, T. Greco, A. Baiardi, M. Di Ponte, E. Vocale, M. Mosca
{"title":"Clinical results in patients affected by moderate-severe knee osteoarthritis and treated with micro-fragmented adipose tissue: the therapeutic effects on symptomatology.","authors":"F. Zannoni, S. Caravelli, A. Russo, C. Perisano, T. Greco, A. Baiardi, M. Di Ponte, E. Vocale, M. Mosca","doi":"10.1007/s12306-024-00816-2","DOIUrl":"https://doi.org/10.1007/s12306-024-00816-2","url":null,"abstract":"","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":"21 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Arceri, A. Mazzotti, E. Artioli, S. Zielli, F. Barile, M. Manzetti, G. Viroli, A. Ruffilli, C. Faldini
{"title":"Correction to: Adipose‑derived stem cells applied to ankle pathologies: a systematic review.","authors":"A. Arceri, A. Mazzotti, E. Artioli, S. Zielli, F. Barile, M. Manzetti, G. Viroli, A. Ruffilli, C. Faldini","doi":"10.1007/s12306-023-00809-7","DOIUrl":"https://doi.org/10.1007/s12306-023-00809-7","url":null,"abstract":"","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":"32 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140734558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MUSCULOSKELETAL SURGERYPub Date : 2024-03-01Epub Date: 2023-11-21DOI: 10.1007/s12306-023-00800-2
P Pondugula, J W Krumme, R Seedat, N K Patel, G J Golladay
{"title":"Evaluation of painful total knee arthroplasty: an approach based on common etiologies for total knee arthroplasty revision.","authors":"P Pondugula, J W Krumme, R Seedat, N K Patel, G J Golladay","doi":"10.1007/s12306-023-00800-2","DOIUrl":"10.1007/s12306-023-00800-2","url":null,"abstract":"<p><p>A differential diagnosis with emphasis on the common indications for revision should be utilized in the workup of painful total knee arthroplasty (TKA). The physician should identify the exact etiology of the patient's pain to maximize outcomes from treatment. Evaluation for infection should be completed using the Musculoskeletal Infection Society (MSIS) criteria. When common causes of revision TKA do not appear to be the cause of the pain, less likely causes should be not be ignored. Further advancements such as pressure sensing devices may be able to improve patient satisfaction and decrease the incidence of pain following TKA.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138176801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MUSCULOSKELETAL SURGERYPub Date : 2024-03-01Epub Date: 2023-12-01DOI: 10.1007/s12306-023-00806-w
P E Ferrara, D M Gatto, S Codazza, P Zordan, G Stefinlongo, M Ariani, D Coraci, G Ronconi
{"title":"An update on rehabilitative treatment of shoulder disease after breast cancer care.","authors":"P E Ferrara, D M Gatto, S Codazza, P Zordan, G Stefinlongo, M Ariani, D Coraci, G Ronconi","doi":"10.1007/s12306-023-00806-w","DOIUrl":"10.1007/s12306-023-00806-w","url":null,"abstract":"<p><p>According to the latest statistics of the American Cancer Society 2022, breast cancer is a leading cause of morbidity and death among women worldwide. As a result of oncological procedures, breast cancer survivors often complain of pain and disability to the ipsilateral arm and shoulder. Objective: we aimed to analyze the latest literature regarding the efficacy of different rehabilitation treatments in patients affected by shoulder impairment secondary to breast cancer care. A comprehensive literature search was conducted on PubMed, PEDRO and Scopus databases. All English studies, published in the last decade up to March 2023, reporting shoulder problems in adult women treated for breast cancer with partial or total mastectomy ± breast reconstruction, lymphadenectomy, radio-, chemo-, hormonal or biologic therapy were assessed for eligibility. The methodological quality of the included trials was evaluated using the Cochrane bias tool. Of 159 articles identified, 26 were included in qualitative synthesis. Data from 1974 participants with a wide heterogeneity of breast cancer treatments were analyzed in this review. The methodological quality for most included studies was moderate. Several physiotherapy and interventional protocols showed some evidence of efficacy in shoulder range of motion (ROM), upper limb function, strength, pain and quality of life recovery after breast cancer treatment. Both physiotherapy alone or in combination with other techniques significantly improves shoulder disability, pain, and quality of life of patients undergoing breast cancer treatment regardless of their baseline characteristics or the time passed from surgery. The optimal treatment protocol and dosage remain unclear, and more homogeneous studies are needed in order to perform a meta-analysis of the literature.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"31-45"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10881637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461097","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}