Case Reports in Orthopedics最新文献

{"title":"Successful Surgical Intervention for External Snapping Hip Syndrome in a Middle-Aged Woman.","authors":"Mehdi Motififard, Amirarsalan Armanfar, Armin Adibi","doi":"10.1155/cro/1944562","DOIUrl":"https://doi.org/10.1155/cro/1944562","url":null,"abstract":"<p><strong>Background: </strong>Snapping hip syndrome is a condition characterized by a palpable or audible snap in the hip, particularly during movement. It can be asymptomatic and is categorized into external (lateral) and internal (medial) types. External snapping hip syndrome (ESHS), often due to the iliotibial band (ITB) flipping over the greater trochanter, is more common and usually responds to conservative treatments.</p><p><strong>Case presentation: </strong>We present a case of a 44-year-old woman who experienced a sensation of hip dislocation and lateral pain in her right hip in the last 3 years which worsened over time. Her symptoms, including pain triggered by hip flexion and external rotation, were not alleviated by different conservative treatments. Imaging studies, including ultrasound and MRI, did not reveal a thickened ITB or bursa abnormalities. Subsequently, the patient underwent ITB release procedure. A longitudinal incision and perpendicular cuts were made on the ITB in the lateral decubitus position, and the trochanteric bursa was resected. Postoperatively, the patient was allowed weight-bearing with crutches for 1-2 weeks. The patient improved significantly and returned to normal activities within eight weeks.</p><p><strong>Conclusion: </strong>This case highlights an atypical presentation of ESHS in a patient outside the typical demographic. A clinical diagnosis was made after unrevealing imaging and ruling out common causes of lateral hip pain. After failed conservative management, surgical treatment resulted in complete symptom resolution and no early complications. These findings support considering ESHS in patients with lateral hip pain across age and activity levels and demonstrate the effectiveness of operative management when conservative treatment fails.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"1944562"},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783238","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":"Malignant Melanoma Bone Metastasis With Unknown Primary Site: A Case Report and Literature Review.","authors":"Cao Wang, Yan Liu, Lei Han, Xin Qu, Hang Yang, Fengming Ran, Dongqi Li, Dachang Xu, Chenying Yang, Zuozhang Yang","doi":"10.1155/cro/1437495","DOIUrl":"https://doi.org/10.1155/cro/1437495","url":null,"abstract":"<p><strong>Introduction: </strong>Cases of malignant melanoma first identified in bone are relatively uncommon. Approximately 4.3% of the patients will have metastasis, among which 23% will have metastasis to the bone.</p><p><strong>Case presentation: </strong>This article presents a case involving malignant melanoma with a metastatic lesion located at the distal femur, which was the initial symptom observed. The patient was a 21-year-old male who was admitted to the hospital due to intermittent pain in his lower left thigh. Imaging studies indicated bone destruction in the distal left femur, and pathological and immunohistochemical confirmed metastatic malignant melanoma. The patient underwent \"resection of the tumor segment from the left distal femur followed by artificial knee arthroplasty,\" after which he received chemotherapy according to established protocols for advanced malignant melanoma. Currently, the patient's condition is stable, and no recurrence or metastasis has been observed upon re-examination.</p><p><strong>Discussion: </strong>This article details the diagnosis, treatment, and prognosis of a patient with malignant melanoma bone metastasis originating from an unknown primary lesion. Additionally, it reviews and analyzes relevant literature concerning malignant melanoma bone metastasis, emphasizing that clinicians should provide timely local and systemic interventions for patients presenting with malignant melanoma bone metastasis, even when the primary lesion remains unidentified.</p><p><strong>Conclusion: </strong>For patients with malignant melanoma bone metastasis with unknown primary site, after a clear pathological diagnosis, surgical intervention and postoperative systemic treatment should be carried out in a timely manner to improve the overall survival rate of the patients.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"1437495"},"PeriodicalIF":0.6,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783222","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":"Differentiation of Pediatric Osteochondroma From Trevor's Disease and Successful Surgical Management: A Case Report.","authors":"Andrea Montalbano, Angelina Furyes, Matthew Spangler, Adrian Lewis","doi":"10.1155/cro/6640185","DOIUrl":"10.1155/cro/6640185","url":null,"abstract":"<p><p>Osteochondroma is the most common benign bone tumor; however, its presentation in the small bones of the appendicular skeleton, particularly the talus and subtalar joint, is quite rare. Although most cases of osteochondroma are asymptomatic, symptomatic presentations can lead to joint deformity, pain, swelling, tarsal tunnel syndrome, gait alterations, and a limited range of motion. Surgical resection has proven to be an effective treatment for symptomatic osteochondromas. This case report describes the management of a rare presentation of an isolated lateral osteochondroma of the talus successfully treated with surgical excision without evidence of recurrence 1.5 years postoperatively.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"6640185"},"PeriodicalIF":0.6,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723897","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":"A Modified External Fixation Device for Treating Open Fractures of the Lower Extremities: Two Case Reports.","authors":"Shen Liu, Xiangdang Liang, Songyang Liu, Fei Xie, Zhanshe Guo, Xing Wei","doi":"10.1155/cro/1185255","DOIUrl":"10.1155/cro/1185255","url":null,"abstract":"<p><p>Open fractures of the lower extremities are often poor candidates for early internal fixation due to severe soft tissue injury and high risk of infection. Although traditional external fixation can effectively stabilize fractures and protect soft tissues, it presents several drawbacks, including a bulky structure, poor mechanical stability, inconvenience in dressing and ambulation, and difficulty in combined application with vacuum sealing drainage (VSD). To overcome these limitations, we designed a compact, lightweight modified external fixation device. Its biomechanical stability was enhanced by increasing plate thickness and thread depth. We report two male patients, aged 44 and 56, with open tibial and femoral fractures who underwent debridement and suture followed by stabilization with this modified external fixation device. Following surgery, both patients were capable of early partial weight-bearing walks without any complications such as pin tract infections, fixation loosening, or nonunion. Radiographic follow-up demonstrated satisfactory fracture healing, with bony union achieved at 12 and 20 weeks, respectively. The device features a compact structure, facilitating combined use with VSD, and offers ease of operation and high patient comfort. This preliminary experience suggests that the modified external fixation device is a feasible option for selected open lower extremity fractures, though further validation is required.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"1185255"},"PeriodicalIF":0.6,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723905","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":"A Modified Warner and Fackler Technique With Posterior Plate for Kyphectomy in a Myelomeningocele Patient With Lumbar Kyphosis.","authors":"J Manuel Sarmiento, Saagar Dhanjani, Nitin Jagdhane, Ryan Goodwin, Anthony S Rinella","doi":"10.1155/cro/7972090","DOIUrl":"https://doi.org/10.1155/cro/7972090","url":null,"abstract":"<p><p>Congenital kyphotic spinal deformities in children with myelomeningocele are usually progressive and can impair sitting posture. Kyphectomy is classically performed to restore spinal alignment, but the procedure is historically associated with high complication rates. There are several variations of kyphectomy surgery. We favor an all-posterior, modified Warner and Fackler procedure with plate fixation. A 5-year-old, nonambulatory female with a history of myelomeningocele repaired at birth presented with a progressive, semirigid 132° lumbar kyphosis to clinic during a surgical mission trip to Colombia. The lumbar kyphosis was increasingly impairing her sitting posture and balance. We indicated this patient for kyphectomy surgery involving an all-posterior, modified Warner and Fackler procedure with long S-shape rods cantilevered against the anterior sacrum and posterior plate fixation for spinal fusion and deformity correction. A modified Warner and Fackler procedure with long S-shape rods anchored in the first sacral foramen and cantilevered against the anterior sacrum with posterior plate fixation is our preferred technique for kyphectomy in myelomeningocele patients with lumbar kyphosis to restore spinal alignment and reduce lumbosacral instrumentation prominence.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"7972090"},"PeriodicalIF":0.6,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723931","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":"Missed Jeffery Type II Injury: Treatment in Two Cases and Literature Review.","authors":"Julián Carlos Segura-Nuez, Diana Elena Mandu, Victoria Eugenia Gómez-Palacio, Isabel Parada-Avendaño, Jorge Gil-Albarova","doi":"10.1155/cro/2730280","DOIUrl":"10.1155/cro/2730280","url":null,"abstract":"<p><p>The diagnosis and management of Type 2 Jeffery injuries, particularly when missed in the acute phase, present significant challenges. There are few documented cases of Jeffery fractures in the literature, and limited evidence regarding outcomes following treatment of delayed or missed injuries. We present two cases of undiagnosed Jeffrey Type 2 lesions. Both patients, aged 10 and 8 years, initially presented with elbow pain after falls. The injuries were unrecognised at initial assessment, but were identified at follow-up 3-4 weeks later. Surgery was performed promptly after diagnosis. In both cases, the postoperative results included full flexion-extension of the elbow, but residual limitations in supination and pronation were observed. Long-term follow-up showed gradual improvement in range of motion, although mild deficits persisted. In the context of acute elbow dislocation in childhood, the recognition of concomitant Jeffery's injury is of paramount importance given the potential for significant morbidity and the need for prompt intervention. Open reduction with soft tissue reconstruction and osteosynthesis of the fracture can be an effective treatment, providing satisfactory long-term clinical and radiographic results, even in cases where the fracture was initially missed. Systematic radiographic assessment of paediatric elbow injuries is therefore essential to avoid misdiagnosis and ensure optimal treatment.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"2730280"},"PeriodicalIF":0.6,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723874","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":"Endoscopic-Assisted Spinal Approach to Remove a Broken Spinal Needle: Technical Notes and Case Report of a Complication of Spinal Anesthesia.","authors":"Paolo Capitani, Matteo Messori, Pietro Domenico Giorgi, Giuseppe Rosario Schirò, Simona Legrenzi, Cristina Di Grigoli, Lorenzo Napoli, Valerio Moretti, Dario Capitani, Stefano Marco Paolo Rossi, Federico Bove, Mirko Poli","doi":"10.1155/cro/8123454","DOIUrl":"https://doi.org/10.1155/cro/8123454","url":null,"abstract":"<p><strong>Background: </strong>Spinal anesthesia is widely used for many surgical procedures in orthopedic surgery. The breakage of a spinal needle within the patient's intrathecal space represents a rare but potentially serious complication. The management of a broken spinal needle (BSN) remains unclear. Only a few clinical cases have been reported, and no surgical guidelines are available in the literature to date. Early surgical removal of the broken needle appears to be advisable.</p><p><strong>Case presentation: </strong>A 65-year-old woman with a body mass index (BMI) of 32.1 kg/m² was admitted to the operating theater for a knee arthroscopy. During spinal anesthesia, the tip of the needle broke off and remained in the patient's back. The needle had a diameter of 25 gauge, and the retained fragment measured approximately 35 mm in length. Throughout the entire surgical procedure, the patient was maintained in the left lateral decubitus to prevent migration of the needle fragment. Initially, radiological landmarks were obtained with a C-arm to localize the spinal needle. Once identified, a first percutaneous attempt to remove it with a different type of forceps was unsuccessful. Once endoscopic equipment was prepared, two small Farabeuf retractors and a self-retaining retractor (Caspar lumbar retractor system) were positioned, and a 30° arthroscope was inserted by the surgeon. The broken needle was clearly visualized once arthroscopic saline inflow was initiated (inflow pump pressure 50 mmHg): the fluid dilated the muscle fibers and clearly exposed the BSN. The fragment was then successfully removed using arthroscopic grasping forceps, without any risk of mobilization or further breakage.</p><p><strong>Conclusions: </strong>In cases of a BSN during spinal anesthesia:-early removal should be performed;-the patient should be kept in the same position;-radiological landmarks should be obtained using a C-arm;-if available, an endoscopic-assisted spinal surgical approach should be considered as an effective and safe technique for needle removal.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"8123454"},"PeriodicalIF":0.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699977","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":"Primary End-to-End Repair of Subacute Extensor Hallucis Longus Tendon Rupture Supported by a Preserved Extensor Hallucis Capsularis: A Case Report.","authors":"Ryo Inoue, Yuki Suzuki, Masanari Hamasaki, Yukinori Tsukuda, Shigeto Hiratsuka, Katsuro Ura, Takuya Ogawa, Masatake Matsuoka, Koji Iwasaki, Tomohiro Onodera, Eiji Kondo, Norimasa Iwasaki","doi":"10.1155/cro/4752831","DOIUrl":"https://doi.org/10.1155/cro/4752831","url":null,"abstract":"<p><p>Extensor hallucis longus (EHL) tendon rupture is an uncommon injury that usually results from trauma and often requires surgical intervention. In the subacute phase, primary tendon repair becomes challenging because of tendon retraction, and tendon transfer or graft reconstruction is often necessary. Anatomical variations of the EHL, particularly the extensor hallucis capsularis (EHC), may influence tendon retraction and reparability, although their clinical significance has rarely been reported. We present a rare case of subacute EHL rupture in which primary end-to-end repair was feasible owing to the presence of a preserved EHC. The purpose of this case report is to highlight the surgical and anatomical significance of the EHC, specifically the Olewnik Type IIb variant, in preserving tendon alignment and enabling delayed primary repair. A 26-year-old woman presented with loss of hallux extension 1 week after a sharp laceration. Magnetic resonance imaging revealed complete EHL rupture. During surgery performed 11 days postinjury, the EHC was identified as a medial accessory tendon inserting distal to the extensor hallucis brevis insertion, consistent with the Olewnik Type IIb classification. The EHC appeared to prevent proximal tendon migration, leaving a 5-mm tendon gap and enabling a six-strand Yoshizu Type I repair. Rehabilitation began at 2 weeks, and by 12 weeks the patient achieved full strength and motion without complications. This case demonstrates that preservation of the EHC can maintain partial extensor mechanism continuity and may expand the indications for primary repair in carefully selected subacute cases. Awareness of this anatomical variant may assist in preoperative planning and surgical decision-making.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"4752831"},"PeriodicalIF":0.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699996","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":"Total Hip Arthroplasty for Untreated Acetabular Fractures: A Case Series.","authors":"Christian Emmanuel M Fontanilla, John N Hermosisima, Kenneth Alexis M Yap, Phillipe Y Baclig","doi":"10.1155/cro/2582466","DOIUrl":"https://doi.org/10.1155/cro/2582466","url":null,"abstract":"<p><strong>Introduction: </strong>Acetabular fractures are managed acutely with internal fixation but when left untreated for more than 3 weeks, these injuries lead to post-traumatic arthritis and osteonecrosis of the hip. Such complications indicate the need for total hip arthroplasty. In the Philippines, no studies have been published documenting the outcomes of managing untreated acetabular fractures with total hip arthroplasty.</p><p><strong>Case presentation: </strong>This study documented five cases of untreated acetabular fractures managed with total hip arthroplasty in Vicente Sotto Memorial Medical Center, Philippines in 2023. The cases included four males and one female ages 21-46 years old. All cases resulted from motorcycle crashes and most presented with untreated posterior wall fractures with posterosuperior, segmental, acetabular defects, and chronic posterior hip dislocations. The chronicity of the fractures ranged from 17 to 32.5 weeks. The cases were managed with acetabular augments when needed, dual mobility cups, and femoral short stems. In the short-term postoperative period, all cases had improved Forgotten Joint Scores and Harris Hip Scores with no incidence of infection, dislocation, or implant failure.</p><p><strong>Conclusion: </strong>Untreated acetabular fractures managed with total hip arthroplasty prevent post-traumatic arthritis and osteonecrosis of the hip. Segmental acetabular defects and chronic hip dislocations present in these cases can be managed with acetabular augments and dual mobility cups. When these injuries present in the young, femoral short stems can be used to preserve the femoral neck and maximize the proximal metaphyseal bone stock.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"2582466"},"PeriodicalIF":0.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700049","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":"Periprosthetic Joint Infection With <i>Salmonella</i> Species 2 Years After Unicompartmental Knee Arthroplasty Treated With Debridement, Antibiotics, and Implant Retention (DAIR): A Case Report and Review of the Literature.","authors":"Panagiotis Antzoulas, Vasileios Giannatos, Christos Michailides, Maria Lagadinou, Andreas Panagopoulos, Evangelia Argyropoulou, Vasileios Athanasiou, John Gliatis","doi":"10.1155/cro/2056500","DOIUrl":"https://doi.org/10.1155/cro/2056500","url":null,"abstract":"<p><strong>Background: </strong>Unicompartmental knee arthroplasty (UKA) is a minimally invasive surgical procedure aimed at treating selected patients with osteoarthritis confined to a single compartment of the knee. The concept is to minimize soft-tissue damage retaining the natural ligaments and thus providing kinematics close to normal knee. Periprosthetic joint infection (PJI) is a potentially devastating complication following UKA. Although not a common occurrence, it can lead to prolonged hospitalization, need for repeated surgical intervention, and joint failure. Although <i>Staphylococcus</i> spp. consisting the majority of the pathogens, <i>Salmonella</i> can also be found on rare occasions, particularly in individuals with immunosuppression or vascular disease in the setting of underlying diseases such as sickle cell disease, diabetes mellitus, renal failure, human immunodeficiency virus (HIV) infection, or chronic corticosteroid use.</p><p><strong>Case report: </strong>We describe a case of PJI of the knee following UKA in a 73-year-old woman with a history of long-term corticosteroid oral treatment for polymyalgia rheumatica (PMR). The patient presented with a painful, swollen right knee and elevated inflammatory markers. She was successfully treated with arthroscopic drainage, irrigation, and a 9-week course of antibiotic therapy.</p><p><strong>Conclusion: </strong>This case highlights the virulence of <i>Salmonella</i> in an immunocompromised patient with a joint prosthesis. To our knowledge, this is a rare case that has not previously been reported in the literature. Continuous monitoring, early diagnosis, and close collaboration between infectious disease specialists and orthopedic surgeons were crucial in achieving a successful resolution of the infection.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"2056500"},"PeriodicalIF":0.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699974","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}