Orthopedic Reviews最新文献

{"title":"Traumatic Hallux Fracture.","authors":"Shilpa Subramanian, Garv Bhasin, Latha Ganti","doi":"10.52965/001c.122540","DOIUrl":"10.52965/001c.122540","url":null,"abstract":"<p><p>The authors present a case of a traumatic hallux (big toe) fracture in a 77-year-old male who was walking near a construction site when a brick fell and hit his big toe on his right foot. This case report highlights the usage of different treatment types in a toe fracture and different techniques used to diagnose the fracture. Treatment options are evaluated based on the location and severity of the fracture.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"122540"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409950","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":"Deep Vein Thrombosis and Compartment Syndrome in an Intravenous Heroin User: A Case Report.","authors":"Anya Mantripragada, Sanjana Konda, Rohan Mangal, Sanjiv Gray, Latha Ganti","doi":"10.52965/001c.123663","DOIUrl":"10.52965/001c.123663","url":null,"abstract":"<p><p>The authors report on the case of a 34-year-old male intravenous heroin user who experienced severe complications including deep vein thrombosis (DVT), and compartment syndrome (CS), in his left leg as a result of drug abuse. An immediate surgical intervention and subsequent physical therapy led to the patient's successful recovery. The diagnosis, clinical presentation and emergency department management are discussed.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123663"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409858","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":"Volleyball Related Injuries in Adolescents: A Decade of Data.","authors":"Aaditya Jandhyala, Jasra Elahi, Latha Ganti, Darren McAuley","doi":"10.52965/001c.123665","DOIUrl":"10.52965/001c.123665","url":null,"abstract":"<p><strong>Objectives: </strong>Playing sports is crucial to adolescents as a source of entertainment, a factor in improving mental health, and a way to promote physical development. However, sports, including volleyball, have an inherent risk of causing injuries to its players. The objective of this study is to determine the most common locations, types, and outcomes of volleyball injuries in adolescent athletes so that more people are aware of how these injuries occur. This would encourage volleyball athletes to be more mindful of these injuries when playing.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) was used to analyze injuries in adolescents (ages 10-19) that occurred due to volleyball between the years 2013 and 2022.</p><p><strong>Results: </strong>Approximately 347,395 volleyball injuries occurred in adolescents between 2013 and 2022, with the median age of patients being 15 years old. 274,003 patients were female (78.9%) while 73,392 patients were male (21.1%). 59,530 had injuries in the head or neck (17.1%), 141,660 in the lower extremities (40.8%), and 119,230 in the upper extremities (34.3%). 151,364 patients had sprains or strains (43.6%), 35,760 had fractures (10.3%), 36,804 had contusions or abrasions (10.6%), and the rest of the patients had other injuries. 342,567 patients were treated and released (98.6%), 2049 patients were left without being seen (0.6%), and 1648 patients were hospitalized (0.5%).</p><p><strong>Conclusions: </strong>This study shows that volleyball players are most vulnerable to getting sprains, strains, fractures, or bruises in the upper or lower extremities. While there are more injuries in adolescent females, this is likely because a majority of volleyball players between the ages of 10 and 19 are female. Further study may be done to identify how volleyball causes these injuries in an effort to prevent them.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123665"},"PeriodicalIF":1.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409985","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":"Biologic Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Narrative Review.","authors":"Peter D Vu, Dorina Pinkhasova, Zohal B Sarwary, Anush Rita Markaryan, Bakir Mousa, Omar Viswanath, Christopher L Robinson, Giustino Varrassi, Vwaire Orhurhu, Ivan Urits, Jamal Hasoon","doi":"10.52965/001c.123443","DOIUrl":"https://doi.org/10.52965/001c.123443","url":null,"abstract":"<p><strong>Purpose of review: </strong>Spinal cord stimulation (SCS) is a minimally invasive and reversible therapy for the treatment of severe neuropathic pain. There are several biologic complications that can arise during the implantation of SCS systems. This review aims to consolidate recent research on complications associated with SCS, specifically focusing on biologic complications.</p><p><strong>Recent findings: </strong>Biologic complications are less frequently encountered compared to device-related complications but may have more severe consequences. Biologic complications covered in this review include infection, seromas, hematomas, dural puncture, nerve/spinal cord injury, and therapy habituation.</p><p><strong>Conclusion: </strong>The application of SCS remains a viable and effective choice for managing neuropathic pain conditions. It is crucial for physicians to carefully consider potential complications before proceeding with SCS trials and implantation. Familiarity with biologic complications is critical for patient safety and to optimize patient outcomes.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123443"},"PeriodicalIF":1.4,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770894","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":"Prevalence, clinical predictors, and mechanisms of resorption in lumbar disc herniation: a systematic review.","authors":"Lin Xie, Chenpeng Dong, Hanmo Fang, Min Cui, Kangcheng Zhao, Cao Yang, Xinghuo Wu","doi":"10.52965/001c.121399","DOIUrl":"10.52965/001c.121399","url":null,"abstract":"<p><strong>Study design: </strong>Systematic review.</p><p><strong>Background: </strong>Conservative treatment is clinically preferred for lumbar disc herniation (LDH), and surgery is considered when patients' life quality is still affected by LDH symptoms after three months' conservative treatment. Spontaneous resorption of nucleus pulposus (NP) is common during conservative treatment. However, the current understanding for the mechanism of NP spontaneous resorption is lacking.</p><p><strong>Purpose: </strong>The aim of this study was to elucidate the rate of NP spontaneous resorption, the evidence of predicting spontaneous resorption, and the pathophysiologic mechanisms of spontaneous resorption in the conservative management of LDH based on existing evidence from literature.</p><p><strong>Methods: </strong>Studies related to NP spontaneous resorption of LDH were retried from PubMed, Embase, and Cochrane databases. Based on the studies conforming to inclusion criteria, a systematic review was generated for describing the proportion of NP spontaneous resorption, evidence of predicted resorption, and pathophysiologic mechanisms of spontaneous resorption.</p><p><strong>Results: </strong>We reviewed a total of 34 articles dealing with the percentage of LDH resorption. The percentage of NP spontaneous resorption after conservative treatment was 76.6% (1684/2199), ranging from 20% to 96.2%. A total of 25 papers were reviewed, involving evidence of predicting resorption using predictors including NP size, inflammatory response to NP herniation, NP prolapse, the percentages edge-enhancing area and posterior longitudinal ligament coverage of the herniation measured by enhanced MRI. Moreover, we analyzed a total of 22 papers describing the pathophysiologic mechanisms of NP spontaneous resorption, where main mechanisms include inflammatory response, neovascular growth, macrophage infiltration, immune intervention, and matrix degradation.</p><p><strong>Conclusions: </strong>A percentage of 76.6% in LDH patients undergo NP resorption. Prolapsed NP has a greater contact surface with blood system, which is easily to trigger immune response and thus promote spontaneous resorption. The mechanism of NP spontaneous resorption is mainly due to macrophage infiltration leading to immune response.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"121399"},"PeriodicalIF":1.4,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409779","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":"diagnostic approach to bone metastasis of unknown origin: a systematic review.","authors":"Yuni Artha Prabowo Putro, Teguh Aryandono, Irianiwati Widodo, Rahadyan Magetsari, Dibyo Pramono, Muhammad Phetrus Johan, Mos Asri Abidin, Ardanariswara Wikantyasa, Paramita Ayu Saraswati, A Faiz Huwaidi","doi":"10.52965/001c.123441","DOIUrl":"10.52965/001c.123441","url":null,"abstract":"<p><strong>Background: </strong>Among all MBD cases, 3% have an unidentified origin and are commonly misdiagnosed. On average, nearly 75% of MBD cases with an unknown origin take four months to diagnose. This difficulty in identifying the primary cancer limits the treatment of skeletal metastases to palliative measures, negatively impacting a patient's prognosis. The purpose of this systematic review is to evaluate the current diagnostic work-up approaches available for MBD.</p><p><strong>Methods: </strong>This systematic review was carried out according to the guidelines of the (PRISMA) 2020 Statement, including studies with a population of interest of MBD with unknown primary origin. We excluded studies with non-English language and MBD cases with known origin. The intervention of the diagnostic approach was the primary outcome. The authors searched three electronic medical databases. Individual reviewers performed quality and risk of bias assessments.</p><p><strong>Results: </strong>All ten articles were cohort studies, with the median age of the subjects ranging from 55.6 to 65.2 years. The most frequently recommended supporting examination was biopsy, with a detection rate of 38.2%, followed by chest X-ray and CT scan, both with a detection rate of 26.7%. Overall, the detection rate of the primary lesion from individual examinations ranged from 2.8% to 38.2%, highlighting the difficulty of diagnosis when relying solely on a single examination.</p><p><strong>Conclusions: </strong>Biopsy is crucial in identifying the primary lesion of metastatic bone disease with an unknown origin, with a detection rate of 38.2%, making it the most frequently recommended examination. However, this review has several limitations. A few assumptions were made in the synthesis of numerical data.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123441"},"PeriodicalIF":1.4,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409863","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":"Haemodynamics, side effects and safety of the combination of continuous femoral nerve block and intravenous parecoxib for pain management after Total Knee Arthroplasty: A pilot study.","authors":"Despoina Sarridou, Anna Gkiouliava, Helena Argiriadou, Aikaterini Amaniti, Georgia Chalmouki, Athina Vadalouka","doi":"10.52965/001c.122536","DOIUrl":"https://doi.org/10.52965/001c.122536","url":null,"abstract":"<p><strong>Background: </strong>Total Knee Arthroplasty (TKA) is a well-established surgical procedure for the treatment of knee joint diseases. This operation leads to severe acute and chronic pain, and intravenous administration of parecoxib could provide significant pain relief.</p><p><strong>Objective: </strong>The aim of the study was to compare the hemodynamic data and safety profile of patients who received parecoxib compared to placebo following TKA.</p><p><strong>Methods: </strong>Ninety patients were followed during this study and were randomly assigned into two equal groups. Group P received parecoxib and Group C received the placebo. Exclusion criteria included age < 40 or > 80 years, ASA III or higher, obesity (>140 kg), allergy to local anaesthetics, opioid dependence, contraindications for subarachnoid anaesthesia, femoral block or the administration of parecoxib.The haemodynamic data collected were Systolic Arterial Pressure (SAP), Diastolic Arterial Pressure (DAP), Heart Rate (HR), Oxygen Saturation (Ox-Sat), blood transfusion requirements and side effects. Recordings were performed every hour for up to 10 hours and at 15min, 4, 8, 12, 24, 36 hours postoperatively.</p><p><strong>Results: </strong>The postoperative SAP and DAP data presented similar findings among groups (p>0.05) within the aforementioned time intervals. The postoperative HR data for both groups displayed no statistically significant difference between the two cohorts (p>0.05). Regarding the occurrence of transfusion, there is no statistically significant difference between the parecoxib and placebo cohorts. The frequency of side effects was negligible and could not be correlated with either group.</p><p><strong>Conclusion: </strong>Therefore, parecoxib did not render any noticeable impact on the hemodynamic profile of the patients.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"122536"},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292827","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":"Practice Patterns of Physicians who Perform Caudal Epidural Steroid Injections.","authors":"Ashlyn Brown, Jason Parmar, Suma Ganji-Angirekula, Christopher L Robinson, Rana Al-Jumah, Jatinder Gill, Jamal Hasoon","doi":"10.52965/001c.123283","DOIUrl":"https://doi.org/10.52965/001c.123283","url":null,"abstract":"<p><strong>Introduction: </strong>Caudal epidural steroid injections (ESIs) are commonly employed in the management of low back pain and radiculopathy. Despite their widespread use, practice patterns among physicians performing caudal ESIs can vary significantly. This study aims to identify variability in injection techniques utilized by physicians during caudal ESIs, focusing on steroid use, needle selection, and catheter use. This study also looks at major permanent neurological injuries related to caudal ESIs.</p><p><strong>Methods: </strong>A survey was distributed to a cohort of physicians who regularly perform ESIs. The survey comprised questions regarding the type of needle primarily used, steroid selection, the use of catheters, and major neurological injuries from caudal ESIs. The respondents included a diverse group of pain management physicians from various specialties and practice settings.</p><p><strong>Results: </strong>The results revealed a predominant preference for the use of particulate steroids (72.41%) when performing caudal ESIs. Additionally, physicians primarily prefer to use spinal needles (72.41%) compared to other needle types. A majority of physicians (65.12%) reported that they never use a catheter when performing caudal ESIs to access higher pathology. Finally, all physician responders (100%) reported that they have never caused a permanent neurological injury when performing a caudal ESI.</p><p><strong>Conclusion: </strong>This survey provides initial data among physicians who perform caudal ESIs. Our results demonstrate the majority of physicians favor using particulate steroids and a spinal needle, with fewer opting to use a catheter during these procedures. There were no reported major permanent neurological injuries, demonstrating that caudal ESIs are a safe interventional option for managing lumbosacral pain complaints.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123283"},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292839","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":"Lateral ligament reconstruction and additive medial ligament reconstruction in chronic ankle instability: a retrospective study.","authors":"Moritz Kleinevoß, Daiwei Yao, Christian Plaass, Christina Stukenborg-Colsman, Kiriakos Daniilidis, Sarah Ettinger, Leif Claassen","doi":"10.52965/001c.120051","DOIUrl":"https://doi.org/10.52965/001c.120051","url":null,"abstract":"<p><strong>Background: </strong>Ligamentous lesions of the ankle joint are common. Isolated medial ligament injuries are rare but are often associated with lateral ligament injuries, isolated medial ligament lesions are often overlooked. The present study aimed to evaluate the clinical and functional differences in the outcomes of isolated lateral and combined medial and lateral ligament reconstruction. The study is based on patient-reported outcome measurements and motion sensor technology to assess these outcomes.</p><p><strong>Objective: </strong>The purpose of this study was to compare the clinical and functional outcomes of isolated lateral and combined lateral and medial ankle ligament reconstruction.</p><p><strong>Methods: </strong>From December 2014 to August 2018, 111 patients underwent either isolated lateral ligament (LG) or medial and lateral ligament (MLG) reconstruction. Of the 104 patients meeting the inclusion criteria, 49 had LG and 55 had MLG reconstruction. Outcome measures included the Short Form-36 Health Survey SF-36, Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAMG), Tegner Activity Scale, the European Foot and Ankle Society (EFAS), American Orthopaedic Foot and Ancle Society (AOFAS) hindfoot score, and the Karlsson Peterson Score. Mobility and stability were assessed using the Ortheligent™ motion sensor for both healthy and treated ankles.</p><p><strong>Results: </strong>While there were no significant differences in outcome scores between the groups, overall scores improved after treatment (p >0.00). Notably LG showed improved movement, with better dorsal extension measured by the Sensor (p ÷ 0.02). The sensor's results correlated significantly with FAOS subscales for pain (p ÷0.05), stiffness (p ÷ 0.01), ADL (p ÷0.02), and sports (p >0.00).</p><p><strong>Conclusion: </strong>Postoperative results, regardless of LG or MLG, showed significant subjective well-being improvement. LG's advantages were highlighted by a significant improvement in dorsal extension, supported by correlated results from a portable motion sensor assessing ankle stability.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"120051"},"PeriodicalIF":1.4,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11386540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292838","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":"Comparative assessment of bone cement implantation syndrome in cemented bipolar hemiarthroplasty: impact in patients with and without preexisting heart disease.","authors":"Varah Yuenyongviwat, Jiranuwat Janejaturanon, Theerawit Hongnaparak, Khanin Iamthanaporn","doi":"10.52965/001c.122320","DOIUrl":"10.52965/001c.122320","url":null,"abstract":"<p><strong>Background: </strong>With the increasing incidence of hip fractures in older adults, hip replacement with a cemented femoral stem has become a viable treatment option. However, concerns regarding potential complications, particularly bone cement implantation syndrome (BCIS), especially in patients with preexisting medical conditions, have prompted orthopedic surgeons to explore alternative approaches.</p><p><strong>Objective: </strong>The research question of this retrospective study is whether BCIS incidence in patients with preexisting heart disease undergoing cemented bipolar hemiarthroplasty is higher than that of patients without preexisting heart disease.</p><p><strong>Methods: </strong>We retrospectively analyzed data from 311 patients undergoing cemented bipolar hemiarthroplasty, including 188 without preexisting heart disease and 123 with heart disease. Anesthetic records were reviewed to assess parameters related to BCIS. BCIS severity was graded systematically, emphasizing key metrics, such as hypotension, arterial desaturation, and the loss of consciousness.</p><p><strong>Results: </strong>Among the patients, no perioperative deaths occurred. Grade 1 BCIS was observed in 13 patients (4.18 %), without instances of grade 2 or 3. Notably, grade 1 BCIS was observed in only 2 patients with preexisting heart disease (1.63%) and 11 patients (5.85%) without preexisting heart disease.</p><p><strong>Conclusion: </strong>BCIS incidence after cemented bipolar hemiarthroplasty was minimal, with a predominantly low severity. Importantly, preexisting heart disease did not pose a significant increase in the risk of BCIS. This finding confirms the safety of cemented bipolar hemiarthroplasty in older adults.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"122320"},"PeriodicalIF":1.4,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110447","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}