{"title":"Complex forearm deformities in brachial plexus birth palsy: Radial head dislocation, forearm bones crossing, and distal ulna volar dislocation","authors":"J. T. J. Jerome","doi":"10.25259/jmsr_216_2024","DOIUrl":"https://doi.org/10.25259/jmsr_216_2024","url":null,"abstract":"We present a rare and complex case involving a 6-year-old boy with brachial plexus birth palsy, which is complicated by secondary developmental changes such as proximal radial head dislocation, distal ulna dislocation, and a severe supination deformity in the forearm. Despite the severity of his condition, his parents declined further treatment. This case underscores the presence of unclassifiable complex anomalies and highlights the need to expand the current classification system, especially when these anomalies are associated with birth palsy. Our report emphasizes the importance of recognizing and addressing these intricate presentations to enhance diagnostic and therapeutic strategies.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"56 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141929212","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 inclusion of the journal of musculoskeletal surgery and research in the web of science™ (emerging sources citation index)","authors":"Khalid I. Khoshhal","doi":"10.25259/jmsr_244_2024","DOIUrl":"https://doi.org/10.25259/jmsr_244_2024","url":null,"abstract":"","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"82 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798321","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":"Developing hypotheses for scientific research in musculoskeletal conditions: A guide for health-care professional","authors":"Saliha Rafat, A. Srivastav","doi":"10.25259/jmsr_117_2024","DOIUrl":"https://doi.org/10.25259/jmsr_117_2024","url":null,"abstract":"The importance of hypothesis formulation in health-care research cannot be overstated. Hypotheses serve as a guiding framework for scientific inquiry. This narrative review highlights the characteristics, significance, and applications of hypotheses across musculoskeletal (MSK) research. Utilizing various databases, articles were scrutinized to delineate the role of hypotheses in research, education, and practice among MSK health-care professionals. The review underscores the pivotal role of hypotheses in advancing evidence-based practices and fostering critical thinking in MSK research.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801214","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 absence of flexor and extensor tendons in the middle finger: A rare disorder","authors":"J. T. J. Jerome","doi":"10.25259/jmsr_168_2024","DOIUrl":"https://doi.org/10.25259/jmsr_168_2024","url":null,"abstract":"Congenital absence of flexor and extensor tendons in the middle finger is a rare disorder that was observed in a 21-year-old female patient. This case involved the missing flexor digitorum profundus, flexor digitorum superficialis, and extensor tendons in the middle finger of the right hand. Despite the absence of these tendons, radiographic imaging revealed a well-formed joint in the affected finger. In addition, the finger displayed hypoplasia and lacked both volar and dorsal skin creases. These findings contribute to understanding congenital hand differences, emphasizing the importance of recognizing such anomalies for accurate diagnosis and tailored management. This case report sheds light on a rare condition that expands the spectrum of congenital hand disorders, paving the way for further research and clinical considerations in similar cases.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":" May","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141824109","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}
Felipe A. Chavez, Carlos A. Arellanes Chavez, Maria E. Martinez Tapia, Carolina Martinez-Loya, Cesar M. Gaytan Medina
{"title":"The accuracy of intraoperative O-arm imaging in assessing thoracolumbar pedicle screws placement","authors":"Felipe A. Chavez, Carlos A. Arellanes Chavez, Maria E. Martinez Tapia, Carolina Martinez-Loya, Cesar M. Gaytan Medina","doi":"10.25259/jmsr_132_2024","DOIUrl":"https://doi.org/10.25259/jmsr_132_2024","url":null,"abstract":"\u0000\u0000Pedicle screw fixation in spine surgery is often considered the gold standard due to its biomechanical advantages. Complications such as screw misplacement may arise during the procedure, leading to severe consequences. Intraoperative 2D/3D imaging system images or a post-operative computed tomography (CT) scan are employed to assess this. This study aimed to determine the agreement between these two imaging systems to evaluate the placement of transpedicular screws using the Zdichavsky classification.\u0000\u0000\u0000\u0000Image data from the intraoperative 2D/3D imaging system and CT scans of patients undergoing spine surgery at the neurosurgery department were collected from March 2021 to May 2022. The position of transpedicular screws was evaluated using the Zdichavsky classification.\u0000\u0000\u0000\u0000Images from 19 patients, 7 males (36.84%) and 12 females (63.16%), aged 28–77 years, were gathered. A total of 131 transpedicular screws were evaluated, ranging from 4 to 10 screws per patient. In the post-operative CT scan, 123 screws were classified as type Ia (93.89%), seven screws as type Ib (5.34%), and one screw as type IIb (0.76%). With the navigation system, 125 screws were classified as type Ia (95.42%), five as type Ib (3.82%), and one screw as type IIb (0.76%).\u0000\u0000\u0000\u0000It was demonstrated that intraoperative 2D/3D system images can be used to assess screw placement without the need for post-operative studies such as CT scans.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825751","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}
M. Alrayes, Abdulrahman A. Alghamdi, Dania Waggas, Ziyad Alharbi
{"title":"Successful use of platelet-rich plasma as a regeneration technique for a non-healing diabetic leg ulcer with chronic osteomyelitis: A case report","authors":"M. Alrayes, Abdulrahman A. Alghamdi, Dania Waggas, Ziyad Alharbi","doi":"10.25259/jmsr_249_2023","DOIUrl":"https://doi.org/10.25259/jmsr_249_2023","url":null,"abstract":"Chronic diabetic leg ulcers can be challenging to manage, particularly when osteomyelitis coexists resulting in serious or even life-threatening conditions if not managed appropriately. Such cases require very long periods of treatment with several debridements, antibiotic bead implants, skin grafts or even amputations in many unfortunate cases. Despite that, conventional management appears to be inadequate with poor outcomes and a higher relapse rate. We report a case of a 26-year-old type 1 diabetic female patient presented with a history of non-healing diabetic leg ulcer complicated by chronic osteomyelitis of the left leg. Several wound debridements were performed with the application of vacuum-assisted closure, and culture-guided antibiotics were given. However, only minimal improvements were observed. Eventually, the leg was labeled as an unsalvagable limb due to poor blood supply based on an ankle-brachial index. Platelet-rich plasma (PRP) was tried showing promising results and significant improvement as confirmed by a gallium scan, which showed evidence of osteomyelitis remission. Two months later, the patient improved significantly with the ulcer healed and the osteomyelitis resolved. Autologous PRP promotes wound healing by providing necessary growth factors, reducing inflammation, and showing bactericidal activity. All efforts must be taken to preserve any limb before labeling it non-salvageable. This case report aimed to draw attention to the method that can be implemented to manage non-healing diabetic leg ulcers complicated by chronic osteomyelitis.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"81 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236560","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":"Neurophysiological pre-training protocols for performance and pain - a case report","authors":"Andrew Lock, Brogan Williams","doi":"10.25259/jmsr_268_2023","DOIUrl":"https://doi.org/10.25259/jmsr_268_2023","url":null,"abstract":"In the strength and conditioning domain, various methods are used to enhance range of motion (ROM), reduce pain, and enhance athletic performance. Among many popular interventions is the use of neurophysiological pre-training protocols, such as post-activation performance enhancement (PAPE). This case study aimed to detail the effects of a PAPE prescription and the accompanying neurophysiological mechanisms. While attempting to generate leg drive in a competition bench press position, a 35-year-old male powerlifter with 20 years of lifting experience complained of severe 9/10 right-sided hip pain. A gluteus medius dysfunction and abduction/extension intolerance were diagnosed. Using PAPE principles, a treatment strategy was designed targeting hip adduction to access hip extension better and restore appropriate ROM with leg drive. The participant reported 0/10 pain on the subsequent warm-up sets after the first six rounds of seated adductor isometric hold. The participant then performed a 220 kg 1 rep max bench press with an adequate ROM, leg drive, and no pain. More research should be done on neurophysiological rehabilitative strategies. This case study sheds light on the possibilities and calls for further research into the protocols and mechanisms discussed above.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"100 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236484","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}
Rafia Abdul Rahman, Hammad Sattar, Ayesha Zulfiqar, Bisma Shakil Butt, Sana Shakir, Nisar Fatima, R. Saleem, Moquddas Gull
{"title":"Effects of proprioceptive neuromuscular facilitation technique on scapular dyskinesis in patients with subacute stroke","authors":"Rafia Abdul Rahman, Hammad Sattar, Ayesha Zulfiqar, Bisma Shakil Butt, Sana Shakir, Nisar Fatima, R. Saleem, Moquddas Gull","doi":"10.25259/jmsr_267_2023","DOIUrl":"https://doi.org/10.25259/jmsr_267_2023","url":null,"abstract":"\u0000\u0000The objective of this was to compare the effects of the proprioceptive neuromuscular facilitation (PNF) hold-relax technique on pain severity, range of motion (ROM) of the shoulder, shoulder disability, and scapular asymmetry in stroke patients with scapular dyskinesis.\u0000\u0000\u0000\u0000The study used a randomized clinical trial design including 46 patients ranging from 40 to 60 years with at least five months of stroke with type-1 scapular dyskinesia. The participants were divided into two groups, taking the upper limb Diagonal 1 (D1) flexion pattern and Diagonal 2 (D2) flexion pattern, respectively, which were allocated by consecutive sampling using the lottery method. We used a visual analog scale (VAS) for pain, goniometry for shoulder ROM, shoulder pain and disability index (SPADI) for shoulder disability, and lateral scapular slide test for scapular asymmetry.\u0000\u0000\u0000\u0000D1 flexion and D2 flexion both improved the ROM in both groups (P < 0.05) and decreased pain and disability, while in-between comparisons did not find a significant difference between the effectiveness of both treatments in terms of pain measured by VAS, ROM, that is, flexion, extension, and abduction (P > 0.05). In terms of external and internal rotation, the D1 flexion pattern of PNF techniques showed more improvement as compared to D2 flexion (P < 0.05). While in terms of SPADI, D2 flexion showed more improvement as compared to D1 flexion (P < 0.05).\u0000\u0000\u0000\u0000Scapular PNF substantially influences stroke patients’ shoulder discomfort and ROM.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"57 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140242522","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. Alzakri, Nasser Almousa, Noura A. AlNasser, Shahad F. AlThaqeb, Shahad H. AlDumkh, Faisal Almuhid, Muaath Aljehani
{"title":"The effectiveness of pneumatic compression devices in preventing venous thromboembolism in patients undergoing elective spine surgeries","authors":"A. Alzakri, Nasser Almousa, Noura A. AlNasser, Shahad F. AlThaqeb, Shahad H. AlDumkh, Faisal Almuhid, Muaath Aljehani","doi":"10.25259/jmsr_224_2023","DOIUrl":"https://doi.org/10.25259/jmsr_224_2023","url":null,"abstract":"\u0000\u0000Venous thromboembolic events are devastating complications that may arise following spine surgery with rates ranging from 0% to 14% in the literature. Orthopedic procedures increase the risk of thromboembolic events, and diagnosis is often challenging due to the varying presentations. Most research on venous thromboembolism (VTE) and international standards emphasizes that prevention such as mechanical prophylaxis is more crucial than therapy. This study aimed to assess the effectiveness of pneumatic compressive devices in preventing VTE in spinal surgery patients.\u0000\u0000\u0000\u0000This retrospective cohort study assessed the outcomes of mechanical prophylaxis in the form of pneumatic devices in 547 patients at our institution over five years from 2016 to 2021. Above-knee pneumatic compression stockings were applied before, during, and after surgery with patient outcomes being recorded.\u0000\u0000\u0000\u0000Data was collected from 547 patients, who underwent elective spinal surgery at our center between January 2016 and January 2021. The mean age was 47.27 years (±20.84), and most patients were male (63.1%). Most patients were classified as having a low risk (35.6%) or mild risk (43.5%) of VTE determined by the Caprini score. Following spinal surgery, only one patient in our cohort experienced post-operative VTE (0.18%).\u0000\u0000\u0000\u0000Pneumatic compression effectively prevents VTE in patients undergoing elective spine surgery. Although pharmacologic prophylaxis has traditionally been used to prevent VTE, pneumatic compressive devices represent an alternative or supplementary approach to reduce the risk of VTE further.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"17 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139380908","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}
Mir Sadat-Ali, Rasha A Al-Turki, H. Al-Turki, Mohammed S. Almohaya
{"title":"Genetic influence on osteoporosis and fracture risk: Outcome of genome-wide association studies – A systematic review","authors":"Mir Sadat-Ali, Rasha A Al-Turki, H. Al-Turki, Mohammed S. Almohaya","doi":"10.25259/jmsr_220_2023","DOIUrl":"https://doi.org/10.25259/jmsr_220_2023","url":null,"abstract":"This systematic review aimed to identify genome-wide association studies (GWASs) highlighting the genes and single-nucleotide polymorphisms linked to osteoporosis and fragility fracture risk. We searched the search engines EMBASE, MEDLINE, Scopus, Web of Science, Science Citation Index, and Cochrane database of systematic reviews between 2005 and May 2022. The articles were reviewed individually for risk of bias and found no variances in the papers designated for analysis. We analyzed 63 studies with 1,326,798 patients, which included postmenopausal and premenopausal women. Thirty-one studies used dual-energy x-ray absorptiometry (DXA) for the diagnosis. Three studies used ultrasonography, and one used peripheral quantitative computed tomography (pQCT) to diagnose osteoporosis. For the risk of fragility fractures, 15 studies with 744,123 were analyzed, which used DXA in 12, two studies of ultrasonography, and one of radiography. Three studies were reported in premenopausal women and three in children with 18,203 subjects. Our analysis showed that 150 genes, 515 loci that target bone mineral density and 15 loci that increase fracture risk in osteoporosis have been identified. Osteoporosis and fragility fractures are common in the Saudi Arabian population. The GWAS gives an understanding of the genetic basis of low bone density, osteoporosis, and fragility fractures. The GWAS data can provide new pathways to understanding the etiology of osteoporosis and a route to prevention and optimum treatment. Hence, we believe that we should conduct GWASs on osteoporosis sooner rather than later so that we can advise at-risk individuals to change their lifestyle so that they can limit complications of osteoporosis and related complications.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"43 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161835","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}