The Open Orthopaedics Journal最新文献

{"title":"Overview of Juvenile Idiopathic Arthritis","authors":"N. Saad, K. Onel","doi":"10.2174/1874325002014010101","DOIUrl":"https://doi.org/10.2174/1874325002014010101","url":null,"abstract":"\u0000 Joint pain is a common symptom in children and adolescents. While there are many causes of joint pain in children, most of these are acute or not related to underlying joint inflammation. Chronic arthritis, however, can be one of the reasons behind the joint pain. The most common causes of chronic arthritis in children are categorized under juvenile idiopathic arthritis (JIA). The purpose of this review is to highlight the most important clinical features, work-up, and medical management of the different subtypes of JIA.\u0000","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"178 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73151761","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}

{"title":"Retraction Notice: Immediate Postoperative Portable Radiograph After Total Knee Replacements: A Necessity or a Burden?","authors":"A. Aljawder, Dana Alomran, Mohammed Alayyoub, Fahad Alkhalifa","doi":"10.2174/1874325002014010100","DOIUrl":"https://doi.org/10.2174/1874325002014010100","url":null,"abstract":"","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"40 11 Pt 1 1","pages":"100-100"},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82840936","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}

{"title":"Shoulder and Elbow Surgery in Juvenile Idiopathic Arthritis","authors":"M. Figgie, B. Kahn, Evan A. O’Donnell","doi":"10.2174/1874325002014010082","DOIUrl":"https://doi.org/10.2174/1874325002014010082","url":null,"abstract":"Juvenile idiopathic arthritis (JIA) is a chronic inflammatory arthropathy that manifests itself prior to the age of sixteen years with symptoms lasting six weeks or longer. As JIA frequently effects the upper extremities, activities of daily living become compromised during the stages of development when young adults are striving for independence. Symptomatology includes ankylosing, pain and early growth plate closure. Patients with joint involvement prior to growth plate closure have the most destruction in terms of joint abnormality and surgical complexity.Medical management of JIA has allowed for better non-surgical management, yet, there is a continued need to understand the appropriate surgical intervention and order for the greatest functional gains. Comparative studies have shown that varied results as to whether the shoulder replacement should supersede the elbow replacement or should that be reversed or both joint replacements done simultaneously. Our experience found a more significant functional improvement after total elbow replacement due to the unpredictable nature from the shoulder replacement outcomes and an inability for patients to do simple tasks such as bringing a cup to their mouths or handling a toothbrush. The exception to this occurs if the ipsilateral shoulder joint is severely limited to the point that the stressors placed on the elbow due to compensation will lead to early loosening or failure of the elbow joint replacement.Various methods for performing joint replacement of the shoulder and elbow in the JIA population will be discussed. Soft tissue integrity including the functional status of the rotator cuff will be a consideration for which surgical procedure should be considered. Surgical approaches for the elbow present fewer options for improving pain and function in this patient population. Pre, peri and postoperative management is reviewed as careful attention to irregular bony dimensions and dysmorphic anatomy precludes the use of standard implants.Total shoulder and total elbow arthroplasty should be considered in the JIA population where pain and significant functional compromise are present. The order of procedures is dependent on multiple factors and expected outcomes. Educating patients on postoperative expectations over the lifespan is an important part of surgical management for patients with JIA.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"1 1","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88601942","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}

{"title":"The Anatomy and Biomechanics of the Elbow","authors":"S. Islam, A. Glover, R. Macfarlane, Nisarg Mehta, M. Waseem","doi":"10.2174/1874325002014010095","DOIUrl":"https://doi.org/10.2174/1874325002014010095","url":null,"abstract":"A sound knowledge of the elbow anatomy and biomechanics is critical to understanding the pathology of various elbow disorders and instigating appropriate management. The elbow joint is a trochoginglymoid joint: that is, it has flexion-extension [ginglymoid] motion at the ulnohumeral and radiocapitellar articulations and pronation and supination [trochoid] motion at the proximal radioulnar joint. Stability of the elbow joint is achieved through static and dynamic components. The aim of this article is to concisely describe the anatomy and biomechanics of the elbow joint relevant to the practice of trauma and orthopaedic surgeons.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"7 1","pages":"95-99"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73189035","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}

{"title":"The Hip in Juvenile Idiopathic Arthritis","authors":"S. Goodman","doi":"10.2174/1874325002014010088","DOIUrl":"https://doi.org/10.2174/1874325002014010088","url":null,"abstract":"The hip joint is commonly affected in Juvenile Idiopathic Arthritis (JIA), especially in cases of systemic polyarticular disease. Chronic synovitis of the hip leads to joint destruction, therefore, systemic and local control of the disease is of paramount importance. Non-steroidal antiinflammatory drugs, Disease Modifying Anti-Rheumatic Drugs (DMARDs), biologics, intra-articular corticosteroid injections, and physical therapy are the mainstay for controlling ongoing inflammation and hip joint contractures. Synovectomy with soft tissue releases is useful in the early stages of the disease, when the joint cartilage is largely preserved. Total joint arthroplasty (THA) is successful in relieving pain, and improving function, ambulation and range of motion in end-stage degenerative arthritis. With improved designs of smaller prostheses and modern bearing couples, it is hoped that the longevity of THA will facilitate a more normal and enduring lifestyle.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"10 1","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80783313","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}

{"title":"Comparison of Radiographic and Ultrasonographic Findings of Medial Elbow Laxity in High School Baseball Players","authors":"M. Harada, M. Takahara, Masahiro Maruyama, Junya Sasaki, H. Satake, T. Uno, N. Mura, M. Takagi","doi":"10.2174/1874325002014010073","DOIUrl":"https://doi.org/10.2174/1874325002014010073","url":null,"abstract":"Thirty-two high school baseball players participated in this study. Fourteen players (44%) were diagnosed with Ulnar Collateral Ligament (UCL) injury. Valgus stress was applied to the elbow by gravity during ultrasonographic and radiographic assessments, and the MJS was measured. The MJS of the throwing side was compared with that of the non-throwing side, and the increase in the MJS of the throwing side was determined. The correlation between ultrasonographic and radiographic assessments was investigated and the usefulness of these assessments for the diagnosis of UCL injury was evaluated.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"37 1","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87965847","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}

{"title":"Contrast-enhanced Magnetic Resonance Imaging Revealing the Joint Capsule Pathology of a Refractory Frozen Shoulder","authors":"Akira Ando, Y. Hagiwara, Takuya Sekiguchi, Masashi Koide, Kazuaki Suzuki, Kenji Kanazawa, E. Itoi","doi":"10.2174/1874325002014010039","DOIUrl":"https://doi.org/10.2174/1874325002014010039","url":null,"abstract":"Department of Orthopaedic Surgery, Matsuda Hospital, Sendai, Japan Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan Department of Orthopaedic Surgery, Iwate Prefectural Central Hospital, Morioka, Japan Department of Orthopaedic Surgery, East Japan Railway Company Sendai Hospital, Sendai, Japan Department of Orthopaedic Surgery, South Miyagi Medical Center, Shibatagun, Japan","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"34 1","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2020-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81771973","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}

{"title":"Comparative Effectiveness of Adjustable Lordotic Expandable versus Static Lateral Lumbar Interbody Fusion Devices: One Year Clinical and Radiographic Outcomes","authors":"Y. Li, R. Frisch, Zhenggu Huang, James E. Towner, Y. Li, Samantha L. Greeley, C. Ledonio","doi":"10.2174/1874325002014010060","DOIUrl":"https://doi.org/10.2174/1874325002014010060","url":null,"abstract":"Aims: This study aims to understand the clinical and radiographic outcomes between patients treated with static and expandable interbody spacers with adjustable lordosis for minimally invasive (MIS) lateral lumbar interbody fusion (LLIF). Background: The use of large interbody spacers in MIS LLIF offers favorable clinical and radiographic results. Static interbody spacers may cause iatrogenic endplate damage and implant subsidence due to forceful impaction and excessive trialing. Expandable interbody spacers with adjustable lordosis offer in situ expansion that may optimize endplate contact and maximize and maintain sagittal alignment correction until fusion occurs. Objective: The objective of this study is to compare the clinical and radiographic outcomes between patients treated with static and expandable interbody spacers with adjustable lordosis for MIS LLIF. Methods: This is a multi-surgeon, retrospective, Institutional Review Board-exempt chart review of consecutive patients who underwent MIS LLIF at 1-2 contiguous level(s) using either a polyetheretherketone (PEEK) static (32 patients) or a titanium expandable spacer with adjustable lordosis (57 patients). The mean differences of radiographic and clinical functional outcomes were collected and compared from preoperative up to 12-month postoperative follow-up. Statistical results were significant if P<0.05. Results: The mean improvement of VAS back pain scores from preoperative to 6 and 12 months was significantly higher in the expandable group compared to the static group (P<0.05). Mean improvement of Oswestry Disability Index (ODI) scores from preoperative to 3, 6, and 12 months were significantly higher in the expandable group compared to the static group (P<0.001). The expandable group had a significantly greater mean improvement in segmental lordosis from preoperative to 6 weeks, 3, 6, and 12 months (P<0.001). For disc height, the mean improvement from preoperative to 6 weeks and 3 months was more significant in the expandable group compared to the static group (P<0.05). In the expandable group, the mean improvement from preoperative to 6 weeks, 3, and 6 months was significantly greater compared to the static group for neuroforaminal height (P<0.001). Subsidence was 0% in the expandable group and 32.4% (12/37) in the static group. Conclusion: This study showed significant positive clinical and radiographic outcomes for patients who underwent MIS LLIF using titanium expandable interbody spacers with adjustable lordosis based on significant changes in VAS back pain scores, ODI scores, and radiographic parameters at 12month follow-up. There was a 0% subsidence rate in the expandable group, compared to a 32% subsidence rate in the static group.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"11 1","pages":"60-68"},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88715980","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}

{"title":"Congenital Knee Dislocation: Which Classification to Follow?","authors":"P. Tiwari, S. Leonchuk, H. Kaur, G. Sharma","doi":"10.2174/1874325002014010058","DOIUrl":"https://doi.org/10.2174/1874325002014010058","url":null,"abstract":"Congenital knee dislocation (CKD) was first reported by a Swiss physician Chatelaine, in the year 1822 [1], but even after the passage of two centuries, the exact treatment protocol is still debatable. CKD is a hyperextension deformity of the knee with anterior tibia displacement, present at birth. It may be idiopathic or syndromic (Larsen’s syndrome, arthrogryposis multiplex congenita, myelomeningocele) [2 4]. The incidence of CDK is 1/100,000 in live births [5, 6]. To make it simple, it is 1% of the incidence of congenital hip dislocation [7, 8]. The exact etiology remains unknown. CDK manifests in the second half of pregnancy [9]. It has been associated with certain factors, including extrinsic factors such as intrauterine packaging disorders, breech presentations, and intrinsic factors like genetic malformation, but most of the cases are sporadic.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"48 1","pages":"58-59"},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82074780","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}

{"title":"Evidence-based Review of Periarticular Injections and Peripheral Nerve Blocks in Total Knee Arthroplasty","authors":"Alexander Gaukhman, S. Garceau, R. Schwarzkopf, J. Slover","doi":"10.2174/1874325002014010069","DOIUrl":"https://doi.org/10.2174/1874325002014010069","url":null,"abstract":"PNBs provide effective analgesia after TKA. Historically, femoral nerve blocks (FNB) have been commonly employed. FNBs, however, lead to the significant motor blockade to the quadriceps musculature, which can dampen early rehabilitation efforts and increase the risk of post-operative falls. Adductor Canal Blocks (ACB) have shown excellent results in reducing post-operative pain while minimizing motor blockade. Periarticular injections (PAI), and infiltration between the popliteal Artery and Capsule of the Knee (IPACK) have similarly helped in reducing patient discomfort after TKA and providing analgesia to the posterior capsular region of the knee.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"7 1","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90284416","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}