Clinical Osteology最新文献

Single-Lateral-Incision Technique for Talar Neck Fractures—A Viable Option 距骨颈骨折单侧切口技术-可行的选择

Clinical Osteology Pub Date : 2023-10-20 DOI: 10.3390/osteology3040013

Paul M. Ryan, Jacob Arthur, Keanu McMurray, Alicia Unangst

{"title":"Single-Lateral-Incision Technique for Talar Neck Fractures—A Viable Option","authors":"Paul M. Ryan, Jacob Arthur, Keanu McMurray, Alicia Unangst","doi":"10.3390/osteology3040013","DOIUrl":"https://doi.org/10.3390/osteology3040013","url":null,"abstract":"Background: Displaced talar neck fractures are subject to avascular necrosis and degenerative joint disease. A single-lateral-incision approach may avoid damage to the remaining blood supply to the talar body provided by the deltoid artery. The purpose of this paper is to describe the surgical technique for a single approach to talar neck fractures, to evaluate the outcomes in a cohort of patients, and to review the literature on the topic. Method: A retrospective review. Patients were identified at a single medical center and met the following inclusion criteria: closed fracture, type-II talar neck fracture with displacement of the subtalar joint, single lateral operative approach, and radiographic follow-up of at least 6 months. Results: Five patients were identified meeting the inclusion criteria. The mean follow-up was 18 months (12–25). The mean VAS (Visual Analog Score) score at the final follow-up was 1.2 (0–3). Four of five patients returned to running at the final follow-up. The one patient who did not return to running was able to bike and hike. There were no cases of avascular necrosis and no cases of degenerative joint disease. Conclusions: Although a two-incision approach could be considered for all displaced talar neck fractures, there are certain fractures that can be anatomically reduced and stabilized through a single lateral incision which may limit the risk of avascular necrosis.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135618035","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}

引用次数: 0

Diagnosis and Management Controversies Illustrated by an Uncommon Case of Postpartum Pubic Symphysis Diastasis 产后耻骨联合移位1例诊断与治疗争议

Clinical Osteology Pub Date : 2023-09-20 DOI: 10.3390/osteology3030012

Ryan J. Bickley, Ronald G. Blasini, John D. Johnson, Paul M. Ryan

{"title":"Diagnosis and Management Controversies Illustrated by an Uncommon Case of Postpartum Pubic Symphysis Diastasis","authors":"Ryan J. Bickley, Ronald G. Blasini, John D. Johnson, Paul M. Ryan","doi":"10.3390/osteology3030012","DOIUrl":"https://doi.org/10.3390/osteology3030012","url":null,"abstract":"Pubic symphysis diastasis is a complication of pregnancy that can lead to prolonged recovery, persistent pain, and functional disability if managed inappropriately. There is a lack of universally accepted clinical guidelines with regards to the timeframe and defect criteria for surgical management, which contributes to delayed care resulting in increased surgical complexity and subsequent impairments in functionality and quality of life. The current standard of care utilizes non-operative measures exclusively for separations measuring less than 2.5 cm correlating to symphyseal ligament sparing. Surgical interventions are typically reserved for severe cases or those resistant to initial non-operative treatment. Non-surgical methods have been attempted for 4–6 weeks, even in severe cases, with patients still requiring eventual surgery. We herein report an uncommon case of pubic symphysis diastasis measuring 5.5 cm and the successful implementation of non-surgical management to demonstrate the need for updated standardized treatment guidelines. The defect in this case was treated with early application of a pelvic binder resulting in anatomic alignment and full resolution of pain within 3 months, and full return to activity within 6 months. In conclusion, the establishment of management guidelines for pubic symphysis is recommended, including the use of non-surgical management early in the patient recovery process and in cases with diastasis greater than 2.5 cm. This treatment strategy may decrease morbidity, recovery time, and complications in affected patients.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"176 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136313527","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}

引用次数: 0

Bone Health, Intersectionality and Climate Change 骨健康、交叉性与气候变化

Clinical Osteology Pub Date : 2023-09-06 DOI: 10.3390/osteology3030011

Elaine Dennison

引用次数: 0

The Impact of Preoperative Education on Knee and Hip Replacement: A Systematic Review 术前教育对膝关节和髋关节置换术的影响:一项系统综述

Clinical Osteology Pub Date : 2023-08-24 DOI: 10.3390/osteology3030010

U. Longo, S. De Salvatore, Chiara Rosati, Irene Pisani, A. Ceccaroli, G. Rizzello, M. D. De Marinis, V. Denaro

引用次数: 0

The Impact of Psychological Factors on Return to Sports after Anterior Cruciate Ligament Reconstruction: A Systematic Review 心理因素对前交叉韧带重建后恢复运动的影响:一项系统综述

Clinical Osteology Pub Date : 2023-07-24 DOI: 10.3390/osteology3030009

U. Longo, S. De Salvatore, Federica D’Orrico, Matilda Bella, Alessandra Corradini, G. Rizzello, M. D. De Marinis, V. Denaro

{"title":"The Impact of Psychological Factors on Return to Sports after Anterior Cruciate Ligament Reconstruction: A Systematic Review","authors":"U. Longo, S. De Salvatore, Federica D’Orrico, Matilda Bella, Alessandra Corradini, G. Rizzello, M. D. De Marinis, V. Denaro","doi":"10.3390/osteology3030009","DOIUrl":"https://doi.org/10.3390/osteology3030009","url":null,"abstract":"The rehabilitation of those who have undergone anterior cruciate ligament reconstruction (ACL-R) is a complex process that involves many factors. Physical ability recovery is not the only factor in the return to sport; psychosocial factors such as anxiety, pain response, self-esteem, locus of control, and fear of re-injury also play an important role. A systematic search was conducted on the PubMed, Medline, Cochrane, CINAHL and Embase databases using the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). No randomized controlled trials (RCTs) were identified. The Methodological Index for Non-Randomized Studies (MINOR) was used to assess the quality of the identified non-RCT studies. A total of 308 studies were identified, of which 32 met the eligibility criteria. The results of these studies were obtained using the KOOS (ADL, Sport, QoL), ACL, TSK-11, K-SES, questionnaires/interviews, and other scales as instrumental approaches. This systematic review and meta-analysis revealed that psychological factors have a significant influence on the post-anterior cruciate ligament reconstruction outcomes of athletes. Fear of re-injury and pain were the primary factors that limited return to sport, whereas self-efficacy, psychological will, and age were associated with better functional outcomes and were essential for male and young patients. Clinicians should focus on both physical and psychological components to optimize rehabilitation.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88224457","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}

引用次数: 1

Tibial Plateau Fractures among Alpine Skiers: A Retrospective Case Series 高山滑雪者胫骨平台骨折:回顾性病例系列

Clinical Osteology Pub Date : 2023-06-29 DOI: 10.3390/osteology3030008

Tyler R. Williamson, Joel N. Smith, Britta L. Swanson, J. Robinson, K. Swanson, K. Swanson

{"title":"Tibial Plateau Fractures among Alpine Skiers: A Retrospective Case Series","authors":"Tyler R. Williamson, Joel N. Smith, Britta L. Swanson, J. Robinson, K. Swanson, K. Swanson","doi":"10.3390/osteology3030008","DOIUrl":"https://doi.org/10.3390/osteology3030008","url":null,"abstract":"The purpose of this retrospective case series was to review the demographics of alpine skiers who sustain tibial plateau fractures, evaluate the inter-observer reliability of the Schatzker classification for fractures sustained while alpine skiing, and to evaluate patient-reported outcomes. We hypothesized that most tibial plateau fractures would be low-energy fracture patterns (Schatzker I–III) and occur in women and less-experienced skiers. Charts and radiographs of patients treated surgically for tibial plateau fractures caused by alpine skiing were evaluated. Patients treated less than two years prior to review were excluded. Patients who qualified were contacted to complete a questionnaire regarding their skiing experience, their pain levels experienced following their accident, the weather conditions during the accident, and their return to sport. Forty-seven patients met the inclusion criteria. The mean age was 49, and 60% of the participants were male. There were 28 low-energy fracture patterns (Schatzker I–III) and 19 high-energy patterns (Schatzker IV–VI) with a 95.7% inter-observer reliability. Contrary to the hypothesis, tibial plateau fractures sustained while alpine skiing occurred in older, experienced riders. Approximately 40% were high-energy fractures. Although over 75% of patients reported having no pain or occasional pain at their final follow-ups, less than half of the patients returned to alpine skiing.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"205 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82822656","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}

引用次数: 0

Human Middle Ear Anatomy Based on Micro-Computed Tomography and Reconstruction: An Immersive Virtual Reality Development 基于微计算机断层扫描和重建的人体中耳解剖:沉浸式虚拟现实的发展

Clinical Osteology Pub Date : 2023-05-23 DOI: 10.3390/osteology3020007

K. Cheng, I. Curthoys, H. MacDougall, J. Clark, P. Mukherjee

{"title":"Human Middle Ear Anatomy Based on Micro-Computed Tomography and Reconstruction: An Immersive Virtual Reality Development","authors":"K. Cheng, I. Curthoys, H. MacDougall, J. Clark, P. Mukherjee","doi":"10.3390/osteology3020007","DOIUrl":"https://doi.org/10.3390/osteology3020007","url":null,"abstract":"Background: For almost a decade, virtual reality (VR) has been employed in otology simulation. The realism and accuracy of traditional three-dimensional (3D) mesh models of the middle ear from clinical CT have suffered because of their low resolution. Although micro-computed tomography (micro-CT) imaging overcomes resolution issues, its usage in virtual reality platforms has been limited due to the high computational requirements. The aim of this study was to optimize a high-resolution 3D human middle ear mesh model suitable for viewing and manipulation in an immersive VR environment using an HTC VIVE VR headset (HTC and Valve Corporation, USA) to enable a seamless middle ear anatomical visualisation viewing experience in VR while preserving anatomical accuracy. Methods: A high-resolution 3D mesh model of the human middle ear was reconstructed using micro-CT data with 28 μm voxel resolution. The models were optimised by tailoring the surface model polygon counts, file size, loading time, and frame rate. Results: The optimized middle ear model and its surrounding structures (polygon counts reduced from 21 million polygons to 2.5 million) could be uploaded and visualised in immersive VR at 82 frames per second with no VR-related motion sickness reported. Conclusion: High-resolution micro-CT data can be visualized in an immersive VR environment after optimisation. To our knowledge, this is the first report on overcoming the translational hurdle in middle ear applications of VR.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80706128","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}

引用次数: 0

The Influence of Anti-Citrullinated Polypeptide Antibodies on Bone Mineral Density Decrease and Incident Major Osteoporotic Fractures in Patients with Rheumatoid Arthritis: A Retrospective Case-Control Study 抗瓜氨酸多肽抗体对类风湿关节炎患者骨密度降低和发生重大骨质疏松性骨折的影响:回顾性病例对照研究

Clinical Osteology Pub Date : 2023-04-06 DOI: 10.3390/osteology3020006

I. Yoshii, T. Chijiwa, N. Sawada

{"title":"The Influence of Anti-Citrullinated Polypeptide Antibodies on Bone Mineral Density Decrease and Incident Major Osteoporotic Fractures in Patients with Rheumatoid Arthritis: A Retrospective Case-Control Study","authors":"I. Yoshii, T. Chijiwa, N. Sawada","doi":"10.3390/osteology3020006","DOIUrl":"https://doi.org/10.3390/osteology3020006","url":null,"abstract":"Background: Effects of anti-citrullinated polypeptide antibodies (ACPA) on the bone mineral density (BMD) reduction and incidence of major osteoporotic fractures (MOF) in patients with rheumatoid arthritis (RA) were evaluated using a retrospective longitudinal case-control study. Methods: Patients with RA who were examined using dual-energy X-ray absorptiometry and simultaneously treated for more than 5 years were recruited. BMD absolute value and Z-scores at initial measurements (baseline) and changes of these values from baseline were assessed, and associations between BMD and candidate risk factors including ACPA positivity and serum titer levels were statistically evaluated. Additional statistical evaluations of ACPA positivity in regard to the incidence of MOF were tested. Results: A total of 222 patients were included. Higher ACPA titers correlated significantly with lower BMD and Z-scores at baseline using a multivariate model (p < 0.05). ACPA positivity correlated significantly with lower values and an annual decrease in the Z-score in total hip at follow-up using a univariate model (p < 0.05), whereas no significant correlation was found using a multivariate model. Z-scores in the ACPA-positive group were significantly lower than those of the ACPA-negative group (p < 0.05). However, ACPA-positivity demonstrated no higher risk for incident MOF. Conclusions: The presence of ACPA is a potential risk of BMD loss however weak.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89097587","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}

引用次数: 0

Managing Native Hip Protrusio: Simplified Classification and Surgical Recommendations 治疗髋关节突出症:简化分类和手术建议

Clinical Osteology Pub Date : 2023-03-13 DOI: 10.3390/osteology3010005

Lidia Ani, Zachary J. Radford, L. Rubin

引用次数: 1

Disease-Modifying Adjunctive Therapy of Osteopenia and Osteoporosis with a Multimineral Marine Extract, LithoLexal® Bone 多矿物质海洋提取物LithoLexal®Bone对骨质减少和骨质疏松症的辅助治疗

Clinical Osteology Pub Date : 2023-02-20 DOI: 10.3390/osteology3010004

D. O’Gorman, Z. Naderi, A. Yeganeh, R. Malboosbaf, E. Eriksen

{"title":"Disease-Modifying Adjunctive Therapy of Osteopenia and Osteoporosis with a Multimineral Marine Extract, LithoLexal® Bone","authors":"D. O’Gorman, Z. Naderi, A. Yeganeh, R. Malboosbaf, E. Eriksen","doi":"10.3390/osteology3010004","DOIUrl":"https://doi.org/10.3390/osteology3010004","url":null,"abstract":"There is evidence to suggest that restoration of major/rare biominerals by supplementation can produce osteogenic and anti-resorptive effects in humans. LithoLexal® is a natural extract harvested from a marine alga, Lithothamnion sp., with a porous microstructure and multimolecular composition rich in calcium (32% w/w) and magnesium (2.2% w/w) together with ~72 trace bioelements. In vitro, LithoLexal® demonstrated cellular-level osteogenic efficacy through enhancing the maturation and activity of pre-osteoblasts. This extract also expressed the ability to suppress osteoclastogenesis by downregulating the pro-resorptive cytokines TNF-α and IL-1β and the master regulator of inflammation NF-κB. Parathyroid hormone inhibition of parathyroid hormone secretion is another bioactivity of LithoLexal® Bone reported with both short- and long-term administration at a longer duration and higher magnitude than what calcium carbonate could induce. Due to these bioactivities that affect pathogenetic factors of osteoporosis, LithoLexal® Bone is referred to as a disease-modifying adjunctive therapy (DMAT). In postmenopausal animal models, LithoLexal® monotherapy preserved bone mineral density, microarchitecture, and biomechanical properties, while calcium carbonate failed to produce significant outcomes. The pro-resorptive effect of a high-fat diet was also efficiently counteracted in vivo by supplementary LithoLexal®. A large clinical trial on postmenopausal women verified the mitigating effects of LithoLexal® Bone on bone resorption and turnover rate. The characteristic composition of LithoLexal® together with its lattice microstructure are suggested to underlie its in vivo bioactivities. In conclusion, adjunctive therapy with LithoLexal® Bone is an attractive option for clinical prevention and treatment of osteopenia/osteoporosis.","PeriodicalId":36674,"journal":{"name":"Clinical Osteology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88733686","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}

引用次数: 0