Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine最新文献

{"title":"THE INCLUSION OF SEX AND GENDER IN RESEARCH METHODOLOGY, FUNDING, AND PUBLICATION: A SYSTEMATIC REVIEW.","authors":"Jennifer Green, Kimberly Templeton, Ashley J Bassett","doi":"10.1016/j.jisako.2024.100377","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100377","url":null,"abstract":"<p><strong>Importance: </strong>Gender inequity in access to and outcomes of orthopaedic care demands research that properly analyses data based on sex and gender. Orthopaedic surgeons have an obligation to mitigate gender inequity in the provision of care by addressing the sex and gender bias in orthopaedic research methodology, grant funding, and publication demonstrated by this review.This study aimed to review the literature on known gender inequities in orthopaedic care, as well as sex and gender bias in orthopaedic research methodology, funding and publication; and to then to outline mitigating strategies.</p><p><strong>Methods: </strong>A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for articles published in English between 2000 and 2024. The databases searched included MEDLINE, PubMed, EMBASE, Scopus and Cochrane, and Scopus.</p><p><strong>Results: </strong>A total of 70 studies were identified that met inclusion criteria. Women often have poorer access to care and poorer outcomes than men for many common orthopaedic procedures. Sex-specific analysis reached a maximum of 34% for combined basic science, translational and clinical research in major orthopaedic journals. Women were less likely than men to be study participants. Orthopaedic outcome measures do not adequately account for the epidemiological factors that predominantly affect women including pregnancy and care of the (often extended) family or differences in factors such as pain and return to work or sport. The probability of sex-related reporting was higher in papers with women first and last authors, often in journals with lower impact factors.Women orthopaedic researchers received only 55.2% of the funding of men orthopaedic researchers. While women first authorship increased statistically significantly from 1995 to 2020 (6.70% to 15.37%, P< 0.001) manuscripts submitted by women were less likely to be published, and those with a woman first author demonstrated a lower citation rate. Mitigating strategies to address biases in research methodology and publication include adopting evidence-based Gender Specific Analysis (GSA) methods into the orthopaedic research process, considering GSA as a prerequisite for research grants and manuscript publication, increasing the diversity of orthopaedic editorial boards, and supporting the careers of women in the orthopaedic academic community through a more gender equitable environment and career-long mentorship and sponsorship.</p><p><strong>Conclusion and relevance: </strong>There are well-documented gender inequities in orthopaedic care. Addressing the identified sex and gender bias in orthopaedic research methodology, funding and publication is a public health imperative. Mitigating strategies include education and the integration of sex and gender analysis in each step of the research to publication pathway, and increasing women in academic orthopae","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100377"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872946","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":"Radiofrequency Ablation of Terminal Sensory Articular Nerves Before Arthroscopic Rotator Cuff Repair Surgery Improved Early Postoperative Functional Outcomes: A Pilot Study With 3 Months Follow-up.","authors":"Marvin Thepsoparn, Arunthip Luechoowong, Thanathep Tanpowpong, Danaithep Limskul","doi":"10.1016/j.jisako.2024.100379","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100379","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic shoulder pain caused by a rotator cuff tear is commonly treated with arthroscopic rotator cuff repair surgery (ARCR). However, ARCR may be associated with moderate-to-severe postoperative pain, and poorly controlled pain can result in delayed functional recovery and the development of frozen shoulder. Terminal sensory articular nerve radiofrequency ablation (RFA) has been shown to be clinically effective in patients with severe refractory shoulder pain from multiple etiologies. We aimed to investigate whether preoperative RFA would improve the postoperative pain and functional outcomes after ARCR.</p><p><strong>Methods: </strong>In this prospective pilot study, participants were randomized to receive fluoroscopic-guided terminal sensory articular nerve cooled RFA (CRFA) (supraspinatus nerve, axillary nerve, lateral pectoral nerve) 1-5 days prior to elective ARCR as an intervention group compared to ARCR without prior RFA as a control group. Constant score (CS), American Shoulder and Elbow Surgeon score (ASES), and Pain numerical rating score (NRS) were assessed at 1, 2, 3, 4, 5, and 6 weeks and 3 months following ARCR.</p><p><strong>Results: </strong>Twenty-one participants were enrolled in this study, including 11 in the control group and 10 in the cooled RFA group. The cooled RFA group showed statistically significantly better CS and ASES both at 6 weeks and 3 months. The two groups showed no differences in pain outcomes at all time points. No intervention-related complications were noted.</p><p><strong>Conclusion: </strong>Cooled RFA of the terminal sensory articular branches of the supraspinatus, axillary, and lateral pectoral nerves performed 1-5 days prior to elective ARCR as part of a multimodal postoperative pain management regimen can improve functional outcomes as early as 6 weeks.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100379"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872938","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 Diagnostic Value of an Upright Chest Radiograph in Diagnosing Acromioclavicular Joint Dislocation.","authors":"Warunyoo Puntu, Tanakorn Chaichana, Adinun Apivatgaroon","doi":"10.1016/j.jisako.2024.100375","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100375","url":null,"abstract":"<p><strong>Introduction: </strong>A chest radiograph (CXR), whether supine or upright, is the primary tool for assessing blunt thoracic and abdominal trauma. Thoracic injuries often come with shoulder girdle injuries like scapular or clavicular fractures, and acromioclavicular joint (ACJ) dislocations. The Zanca view is standard for diagnosing ACJ dislocation. While upright CXR can screen for high-grade ACJ dislocation, its diagnostic value in these cases remains unreported.</p><p><strong>Objective: </strong>To determine the diagnostic value of upright CXR, compared to the standard Zanca view in diagnosing ACJ dislocation.</p><p><strong>Methods: </strong>Upright CXRs from 70 patients with ACJ dislocation were matched 1:1 by age and gender with 70 control CXRs from individuals with no shoulder disorders. A total of 140 CXRs were randomized and blinded to clinical information, then assessed for coracoclavicular distance (CCD) differences by two independent evaluators. The study compared the diagnostic accuracy of the upright CXR against the Zanca view, the gold standard. Inter- and intra-observer agreements on ACJ dislocation categorization using upright CXRs were also measured.</p><p><strong>Results: </strong>There were 55 male and 15 female patients with an average age of 46 in both cases and controls. In the disease group, the percentage of CCD difference, compared to the unaffected side (DCCD) was not statistically significantly different (p-value= 0.052) between the upright CXR and Zanca view. The median of DCCD was 121.64 (interquartile range = 69.45, 159.76) and 135.57 (interquartile range = 88.64, 200.18) in upright CXR and Zanca view, respectively. Totally 140 CXRs, Zanca as the gold standard, the upright CXRs with the definition of abnormal CCD difference of ≥25%, revealed 95.71% sensitivity, 85.71% specificity, 6.7 of the positive likelihood ratio (+LLR), 0.05 of the negative likelihood ratio (-LLR). The accuracy was 90.71%. The intra-observer reliability was 94.29% agreement and 0.94 of weighted kappa coefficient (95%CI = 0.89-0.98). The inter-observer reliability was 95.7% agreement and 0.95 with a weighted kappa coefficient (95%CI = 0.92-0.99).</p><p><strong>Conclusion: </strong>Upright CXR is a reliable diagnostic screening tool for ACJ dislocation, particularly for displacements of ≥25%. It provides high sensitivity and specificity compared to the Zanca view, with nearly perfect inter- and intra-observer reliability.</p><p><strong>Level of evidence: </strong>Level of evidence 3. Retrospective matched case-control study.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100375"},"PeriodicalIF":2.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855851","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":"Low rate of growth disturbance after posterior cruciate ligament reconstruction or repair in skeletally immature patients: a systematic review.","authors":"Riccardo D'Ambrosi, Luca Farinelli, Srinivas Bs Kambhampati, Luca Maria Sconfienza, Salvatore Gitto, Elisabeth Abermann, Christian Fink","doi":"10.1016/j.jisako.2024.100378","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100378","url":null,"abstract":"<p><strong>Importance: </strong>The management of posterior cruciate ligament (PCL) injuries in children is complex and varies depending on the specific nature of the injury. Avulsions of the PCL can often be addressed with proximal or distal repair, while intra-substance tears and cases with persistent instability generally require more extensive reconstruction. Despite the prevalence of such cases, the literature is predominantly composed of case reports, indicating a lack of comprehensive research in this area.</p><p><strong>Aim: </strong>The purpose of this systematic review was to analyze growth disturbance in skeletally immature patients after PCL reconstruction or repair.</p><p><strong>Evidence review: </strong>A systematic review was conducted on the basis of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The following search terms were used in the title, abstract, and keyword fields: \"PCL\" or \"posterior cruciate ligament\" AND \"children\" or \"open physis\" or \"immature\". The main outcome data extracted from the studies was to assess growth disturbance at a minimum 1-year follow-up after surgery.</p><p><strong>Results: </strong>A total of 34 patients, from 17 articles, were included of which 30 (88.24%) male and 4 (11.76%) female. Mean age at surgery was 10.18 ± 2.88 years. The mean interval from injury to surgery was 178.9 ± 288.04 days. Average follow-up duration was 50.64 ±22.69 months. Six studies reported on PCL reconstructions using various grafts, including autologous allografts (hamstring or tibialis anterioris), Achilles tendon allografts with bone plugs, and parental donated hamstrings allografts. Only one study reported the use of internal brace to repair PCL, while in all the other studies was performed a repair of the PCL with fixation of the bone fragment (to the femur or tibia) with screws or suture. Growth disturbances (≥ 10mm) were reported in 2 of the 13 (15.38%) patients underwent PCL, while in PCL repair was noted in 2 of the 21 patients (9.52%) (p=0.63). Only 1 patients belonging to PCL reconstruction reported a slight increase in the valgus alignment of the operated knee compared to the contralateral knee, representing medial overgrowth at the distal femur (p=0.33).</p><p><strong>Conclusions: </strong>There is scarce literature on the risk of growth disturbance in skeletally immature patients after PCL reconstruction or repair. Nevertheless, posterior cruciate ligament reconstruction in children indicate a low risk of growth disturbance, in particular for length leg discrepancy (<15%) in the mid-long term follow-up, and a low rate of angular deviations (<8%). This surgery remains a major challenge for orthopaedic surgeons, and many unknowns remain regarding ideal grafts, technique, and time for surgery to prevent growth disturbance.</p><p><strong>Level of evidence: </strong>Systematic review of Level IV.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100378"},"PeriodicalIF":2.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855841","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":"ChatGPT 3.5 and 4 Provide Mostly Accurate Information When Answering Patients' Questions Relating to Femoroacetabular Impingement Syndrome and Arthroscopic Hip Surgery.","authors":"David Slawaska-Eng, Yoan Bourgeault-Gagnon, Dan Cohen, Thierry Pauyo, Etienne L Belzile, Olufemi R Ayeni","doi":"10.1016/j.jisako.2024.100376","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100376","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the accuracy of ChatGPT in answering patient questions about femoroacetabular impingement (FAI) and arthroscopic hip surgery, comparing the performance of versions ChatGPT-3.5 (free) and ChatGPT-4 (paid).</p><p><strong>Methods: </strong>Twelve frequently asked questions (FAQs) relating to FAI were selected and posed to ChatGPT-3.5 and ChatGPT-4. Responses were assessed for accuracy by three hip arthroscopy surgeons using a four-tier grading system. Statistical analyses included Wilcoxon signed-rank tests and Gwet's AC2 coefficient for interrater agreement corrected for chance and employing quadratic weights.</p><p><strong>Results: </strong>Median ratings for responses ranged from \"excellent not requiring clarification\" to \"satisfactory requiring moderate clarification.\" No responses were rated as \"unsatisfactory requiring substantial clarification.\" Median accuracy scores were 2 (range 1-3) for ChatGPT-3.5 and 1.5 (range 1-3) for ChatGPT-4, with 25% of ChatGPT-3.5's responses and 50% of ChatGPT-4's responses rated as \"excellent.\" There was no statistical difference in performance between the two versions (p = 0.279) although ChatGPT-4 showed a tendency towards higher accuracy in some areas. Interrater agreement was substantial for ChatGPT-3.5 (Gwet's AC2 = 0.79 [95%CI = 0.6 - 0.94]) and moderate to substantial for ChatGPT-4 (Gwet's AC2 = 0.65 [95%CI = 0.43 - 0.87]).</p><p><strong>Conclusion: </strong>Both versions of ChatGPT provided mostly accurate responses to FAQs on FAI and arthroscopic surgery, with no significant difference between the versions. The findings suggest potential utility of ChatGPT in patient education, though cautious implementation and further evaluation are recommended due to variability in response accuracy and low power of the study.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100376"},"PeriodicalIF":2.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824653","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 Coraco-Gleno-Scapular Line: A Simple Novel Tool for Assessing Glenoid Bone Defects.","authors":"K N Subramanian, Saseendar, K S Jeash Narayan, Kumar M J Krishna, B Easwar, Dheepan Kumar, G Iyyapan, Aravind Ravichandran","doi":"10.1016/j.jisako.2024.100374","DOIUrl":"https://doi.org/10.1016/j.jisako.2024.100374","url":null,"abstract":"<p><strong>Background: </strong>Treatment decisions for shoulder instability often necessitate surgical intervention, with glenoid bone loss being a key factor. Currently, various techniques exist to identify glenoid bone loss, each with its own advantages and disadvantages. This study introduces the Coraco-Gleno-Scapular (CGS) line as a tool for assessing critical glenoid bone defects. The objective is to define the CGS line and evaluate its utility in guiding clinical decisions regarding bone loss, proposing that defects extending posterior to this line indicate critical bone involvement requiring surgical intervention.</p><p><strong>Methods: </strong>The study analyzed 50 normal right shoulders from individuals aged 18-40 years. Using 3D en face views of the glenoid, the CGS line was defined from the anteroinferior base of the coracoid process, crossing the anterior glenoid, to the anteroinferior pole of the scapula. The Best fit circle area method and the Glenoid index linear method were used to calculate the percentage of the bone area located anterior to the CGS line.</p><p><strong>Results: </strong>The Best Fit Circle Area Method revealed a mean glenoid surface area anterior to the CGS line of 22.19%, while the Glenoid Index Linear Method indicated a mean area of 27.2% anterior to the CGS line. Of the 50 shoulders, 14 had a glenoid surface area <20% anterior to the CGS line using the Best Fit Circle Method, with no cases below 17.5%, while 36 individuals had a glenoid surface area >20%.</p><p><strong>Conclusion: </strong>The Coraco-Gleno-Scapular line is a reliable and simple tool for assessing glenoid bone loss, providing valuable guidance in managing shoulder instability. Its ease of use makes it a promising candidate for standard application in clinical practice.</p><p><strong>Level of evidence: </strong>Prospective observational study, Level III.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100374"},"PeriodicalIF":2.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796190","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":"Partial subscapularis tear: State-of-the-art.","authors":"Ankit Kumar Garg, Amit Meena, Luca Farinelli, Riccardo D'Ambrosi, Sachin Tapasvi, Sepp Braun","doi":"10.1016/j.jisako.2024.06.009","DOIUrl":"10.1016/j.jisako.2024.06.009","url":null,"abstract":"<p><p>The subscapularis (SSC) muscle is a crucial anterior glenohumeral stabilizer and internal rotator of the shoulder joint. The partial tears of the SSC might result from traumatic injury or intrinsic degeneration. Partial SSC tears can range in severity and be classified into different categories based on the location of the tear, size of the lesion, and associated pathology. The tear usually begins from the superolateral margin in the first facet and propagates downwards. It is frequently associated with biceps pathology or anterosuperior lesions. These tears are now increasingly recognized as distinct pathology that requires specific diagnostic and management approaches. The current management approaches are shifting towards operative, as partial SSC tears are increasingly recognized as a distinct pathology. At present, there is no consensus regarding the timing of repair, but the relative tendency of the SSC to retract much faster than other rotator cuff muscles, and difficulty in mobilization, advocates an early repair for SSC irrespective of the lesion size. An associated biceps pathology can be treated with either tenotomy (biceps delamination/erosion) or tenodesis. The techniques of partial SSC repair are constantly improving. There is no reported difference in use of 2-anchor-based conventional single-row (SR), a 3-anchor-based interconnected double-row technique, or a 2-anchor-based interconnected hybrid double-row construct in the repair construct. However, the 2-anchor-based interconnected double-row provides an advantage of better superolateral coverage with leading-edge protection, as it helps in placing the superolateral anchor superior and lateral to the original footprint. A timely intervention and restoration of the footprint will help restore and rehabilitate the shoulder. Future directions should prioritise injury prevention, early diagnosis with clinic-radiological cues and targeted interventions to mitigate risk.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100290"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443411","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":"Gender-based differences in mid-term clinical outcomes and patient acceptable symptomatic state attainment after arthroscopic rotator cuff repair: Minimum 2-year follow up.","authors":"Gerald Joseph Zeng, Ying Hao, Denny Tjiauw Tjoen Lie","doi":"10.1016/j.jisako.2024.06.002","DOIUrl":"10.1016/j.jisako.2024.06.002","url":null,"abstract":"<p><strong>Objective: </strong>There is paucity of literature on the impact of patients' gender on recovery and treatment success after arthroscopic rotator cuff repair. This study investigates the effect of gender on patient-reported outcomes preoperatively and postoperatively (minimum 2 years), and to determine if gender affects the attainment of patient-acceptable symptomatic state (PASS) thresholds.</p><p><strong>Methods: </strong>266 patients (117 males, 149 females), who underwent primary arthroscopic rotator cuff repair for atraumatic, full-thickness tears, were included. Functional outcomes and pain scores were collected preoperatively and postoperatively. Percentage of attainment of PASS for the various outcome scores was calculated and compared between males and females.</p><p><strong>Results: </strong>Women had statistically significantly poorer functional outcome and pain scores preoperatively and at 1 and 2 years postoperatively (P ​< ​0.01). They also experienced less improvement in outcome scores throughout the postoperative period. Women had statistically significantly lower rates of PASS attainment at 2 years postoperatively.</p><p><strong>Conclusion: </strong>Women experience greater pain and poorer shoulder function compared with men preoperatively, and up to 2 years postoperatively. Women are less likely to achieve PASS thresholds postoperatively, compared to their male counterparts.</p><p><strong>Study design: </strong>Retrospective Cohort Study.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100283"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427820","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":"Evaluating the reliability and quality of YouTube videos regarding medial collateral ligament knee injury as a patient education resource.","authors":"Jason H Kim, Richard M Danilkowicz, Zachary D Meeker, Kyle R Wagner, Zeeshan A Khan, Jorge Chahla","doi":"10.1016/j.jisako.2024.06.007","DOIUrl":"10.1016/j.jisako.2024.06.007","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to assess the educational reliability and quality of videos shared on YouTube regarding medial collateral ligament (MCL) injuries of the knee.</p><p><strong>Methods: </strong>Using the search keywords \"medial collateral ligament\" on YouTube, the first 50 videos were evaluated by two independent reviewers. Video characteristics were extracted, and each video was categorized by upload source and content type. Three scoring systems were used to evaluate the videos: the Journal of the American Medical Association (JAMA) Benchmark Score to assess a video's reliability; the Global Quality Score (GQS) to assess educational quality; the novel MCL Specific Score (MCL-SS) to assess MCL-specific content quality. Linear regression analyses were conducted to explore relationships between video characteristics and scores.</p><p><strong>Results: </strong>Collectively, the videos were viewed 5,759,427 times with a mean number of views per video of 115,189 ​± ​177,861. The mean JAMA score was 1.8, GQS was 2.1, and MCL-SS was 5.6, indicating both poor reliability and quality. Only videos uploaded by physicians showed a statistically significantly higher mean MCL-SS (P ​= ​0.032) but were still of low quality with a mean MCL-SS of 9.2 ​± ​5.9. Multivariate linear regression revealed that videos uploaded by physicians were statistically significant predictors of greater MCL-SS (β ​= ​4.108; P ​= ​0.029). Longer video durations were statistically significant predictors of greater GQS (β ​= ​0.001; P ​= ​0.002) and MCL-SS (β ​= ​0.007; P ​< ​0.001).</p><p><strong>Conclusions: </strong>YouTube videos regarding MCL injuries, despite their popularity, were found to be on average having poor overall reliability and quality as measured by JAMA, GQS and MCL-SS.</p><p><strong>Level of evidence: </strong>III.</p><p><strong>Study design: </strong>Cross-sectional Study.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100288"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440937","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":"Leukocyte-Rich Platelet-Rich Plasma Injection in an Acute-on-Chronic Rectus Femoris Injury of a Professional Soccer Player: A Case Report.","authors":"Patricia Nuñez de Aysa, Jonas Grani Garðarsson, Ayyoub Al-Dolaymi, Marcelo Bordalo-Rodrigues, Markus Laupheimer, Theodorakys Marín Fermín","doi":"10.1016/j.jisako.2024.06.005","DOIUrl":"10.1016/j.jisako.2024.06.005","url":null,"abstract":"<p><p>This is the case of an 18-year-old male professional soccer player, an attacking midfielder, who presented acute-onset pain in his right thigh during a training match but continued playing and training until the end of the session. Two weeks after the initial symptoms, the athlete's pain increased after kicking the ball and stopping training. He came for consultation a week later with tenderness in his right thigh and impaired gait. A 3 ​cm gap in his right mid-quadriceps muscle and tenderness during resisted knee extension and leg raises with no hip or knee range of motion limitations were observed on physical examination. He was scheduled for magnetic resonance imaging (MRI) after the consultation, revealing an acute-on-chronic type 2A lateral muscle tear of the distal rectus femoris. A 2 ​ml seroma aspiration was performed five weeks after the initial injury with a subsequent intra-lesional 1 ​ml liquid leukocyte-rich platelet-rich plasma (LR-PRP) injection using intermittent ultrasound guidance within 5 ​min after preparation. The LR-PRP preparation was classified as 3 14-1 3-0 0 according to the Universal Coding System (UCS) by Kon et al. Nine physiotherapy sessions, including an initial assessment, were conducted over five weeks. The rehabilitation started with pulley exercises with hip flexion, tension arch, leg extension, and squatting with supporting exercises for core and hip strength, with a gradual increase in loading. As the player's symptoms improved, he started doing eccentric exercises such as the reverse Nordics and leg extension. He also followed a running program, gradually increasing speed to a full sprint without pain or irritation. The return-to-sports clearance consultation was conducted seven weeks after the injury, previously confirming satisfactory healing on an MRI. The patient was cleared after passing the Rehabilitation Department battery tests and physical examination. The patient was asymptomatic and had no complaints despite his right quadriceps gap, returning to competition nine weeks after injury. After a one-year follow-up, the patient remains playing at a competitive level, asymptomatic, with no reported reinjury. Adequate reporting of rehabilitation programs and PRP injection characterization is crucial for future research quality improvement and reproducibility.</p>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":" ","pages":"100286"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427821","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}