Joints最新文献

{"title":"Erratum: Porous-Coated Metaphyseal Sleeves in Revision Total Knee Arthroplasty: Midterm Results.","authors":"Giacomo Stefani,&nbsp;Valerio Mattiuzzo,&nbsp;Greta Prestini,&nbsp;Carolina Civitenga,&nbsp;Giuseppe Calafiore,&nbsp;Francesco Traverso","doi":"10.1055/s-0041-1736205","DOIUrl":"https://doi.org/10.1055/s-0041-1736205","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0041-1730377.].</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/7b/10-1055-s-0041-1736205.PMC8570911.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39693999","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":"Hip and Groin Pain in Soccer Players.","authors":"Vincenzo Candela,&nbsp;Angelo De Carli,&nbsp;Umile Giuseppe Longo,&nbsp;Sofia Sturm,&nbsp;Giorgio Bruni,&nbsp;Giuseppe Salvatore,&nbsp;Vincenzo Denaro","doi":"10.1055/s-0041-1730978","DOIUrl":"https://doi.org/10.1055/s-0041-1730978","url":null,"abstract":"<p><p><b>Purpose</b>  The aim of this article is to illustrate the recent framework necessary to standardize studies on groin pain and review the existing literature on groin pain in football. <b>Methods</b>  The common pathological processes underlying groin pain such as muscle, tendon or ligament strain, bone injury or fracture, sport hernia, bursitis, osteitis pubis, and hip-related diseases have been reviewed and current management options have been considered. <b>Results</b>  Groin pain is considered a pain in pubic or lower abdominal or adductors region which can be monolateral or bilateral. It is common in high-intensity team sports and can negatively affect an athlete's professional carrier, causing serious disruption in the performance. Despite a high prevalence of groin pain in athletes, diagnosis and management of the underlying pathological processes remain a challenge for surgeons, radiologists, and physiotherapists alike. <b>Conclusion</b>  A multidisciplinary approach is essential for patients with groin pain allowing prompt diagnosis and initiation of treatment thus facilitating more rapid return to play and preventing potential long-term sequelae of chronic groin pathology.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163345","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":"Acute Groin Pain Syndrome Due to Internal Obturator Muscle Injury in a Professional Football Player.","authors":"Gian N Bisciotti,&nbsp;Alessandro Corsini,&nbsp;Emanule Cena,&nbsp;Andrea N Bisciotti,&nbsp;Alessandro L Bisciotti,&nbsp;Andrea Belli,&nbsp;Piero Volpi","doi":"10.1055/s-0041-1730976","DOIUrl":"https://doi.org/10.1055/s-0041-1730976","url":null,"abstract":"<p><p>Traumatic groin pain syndrome is the result of an acute trauma, usually an indirect muscle injury (i.e., an overstretching of the muscle fibers). The most affected muscles in traumatic groin pain syndrome are rectus abdominis, adductors, and iliopsoas. The internal obturator muscle lesion is very rare. The internal obturator muscle externally rotates the thigh and contributes to the stabilization of the hip joint and its indirect injury may cause the onset of traumatic groin pain syndrome. This case report describes a rare indirect injury of internal obturator in a 29-year-old professional male soccer player.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163348","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":"Short-Term Outcomes of the Grammont Reverse Shoulder Arthroplasty: Comparison between First and Second Generation Delta Prosthesis.","authors":"Riccardo Luigi Alberio, Marco Landrino, Paolo Fornara, Federico Alberto Grassi","doi":"10.1055/s-0041-1731010","DOIUrl":"10.1055/s-0041-1731010","url":null,"abstract":"<p><p><b>Purpose</b>  This article compares short-term outcomes of two series of patients, who underwent reverse total shoulder arthroplasty (RTSA) with two different implants, both based on Grammont's principles: the Delta III (D-3) and the Delta Xtend (D-XT) prostheses. <b>Methods</b>  The D-3 group included a consecutive series of 26 patients (mean age 75 years), that were treated between 2000 and 2006; the D-XT group included a consecutive series of 31 patients (mean age 72.5 years), for a total of 33 implants performed between 2011 and 2015. In both groups the most common diagnoses were cuff tear arthropathy (18 and 22 shoulders, respectively) and malunion of proximal humerus fractures (3 and 5). All procedures were performed by the same surgeon. Constant-Murley score (CMS) was used to assess clinical and functional outcomes. Radiographic evaluation included the true anteroposterior and axillary views. <b>Results</b>  Twenty-three patients of the D-3 group and 22 patients (24 shoulders) of the D-XT group were evaluated at a mean follow-up of 42 months (range 26-84) and 44 months (range 26-66), respectively. Four complications occurred in the D-3 group (1 partial deltoid detachment, 1 dislocation, and 2 glenoid component loosening), while one early postoperative infection occurred in the D-XT group. Increases in elevation and CMS between preoperative and postoperative period were observed in both groups; only the D-XT group showed a slight improvement in rotations. The incidence of scapular notching was significantly different between the two groups: 100% for D-3 and 22.2% for D-XT in patients with a minimum follow-up of 5 years. <b>Conclusion</b>  Prosthetic design evolution and greater acquaintance with this surgery have undoubtedly led to an improvement in short-term outcomes with second generation implants of RTSA. Future studies will have to ascertain whether newer implants, relying on biomechanical solutions alternative to Grammont's original concept, might provide additional advantages and minimize drawbacks.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/10/10-1055-s-0041-1731010.PMC8253613.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39162964","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":"The Relationship between Kinesiophobia and Return to Sport after Shoulder Surgery for Recurrent Anterior Instability.","authors":"Alberto Vascellari,&nbsp;Carlo Ramponi,&nbsp;Davide Venturin,&nbsp;Giulia Ben,&nbsp;Nicolò Coletti","doi":"10.1055/s-0041-1730975","DOIUrl":"https://doi.org/10.1055/s-0041-1730975","url":null,"abstract":"<p><p><b>Purpose</b>  To evaluate the relationship between kinesiophobia and patient's return to sport after shoulder stabilization surgery. The hypothesis was that kinesiophobia represents an independent factor correlated to the difference between preinjury and postoperative level of sport. <b>Methods</b>  This study retrospectively evaluated 66 patients (mean age: 35.5, standard deviation [SD] = 9.9 years) and at a mean follow-up of 61.1 (SD = 37.5) months after arthroscopic Bankart's repair or open Bristow-Latarjet procedure. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK); return to the preinjury sport was assessed by the difference between baseline and postoperative degree of shoulder involvement in sport (D-DOSIS) scale. The Western Ontario Shoulder Instability index (WOSI) was used to evaluate participants' perceptions of shoulder function. <b>Results</b>  TSK showed correlation with D-DOSIS ( <i>ρ</i>  = 0.505, <i>p <</i>  0.001) and the WOSI score ( <i>ρ</i>  = 0.589, <i>p</i>  < 0.001). There was significant difference in TSK and WOSI scores between participants who had and had not returned to their previous level of sport participation ( <i>p</i>  = 0.006, and 0.0001, respectively). <b>Conclusion</b>  This study demonstrated that kinesiophobia is correlated to the return to sport after shoulder stabilization surgery. <b>Level of Evidence</b>  Level IV, retrospective case series.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730975","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39162965","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":"Prospective Comparative Study of Preoperative Expectations and Postoperative Outcomes in Anatomic and Reverse Shoulder Arthroplasty.","authors":"Cassandra Lawrence,&nbsp;Mark Lazarus,&nbsp;Joseph Abboud,&nbsp;Gerald Williams,&nbsp;Surena Namdari","doi":"10.1055/s-0041-1730982","DOIUrl":"https://doi.org/10.1055/s-0041-1730982","url":null,"abstract":"<p><p><b>Background</b>  Compared with anatomic total shoulder arthroplasty (aTSA), reverse total shoulder arthroplasty (RTSA) is associated with lower preoperative and postoperative outcome scores and range of motion. It is unknown whether patients' preoperative expectations of surgery are lower in RTSA compared with aTSA. The purpose of this study was to assess preoperative patient expectations and postoperative outcomes in aTSA and RTSA. <b>Methods</b>  A consecutive series of patients undergoing primary aTSA for diagnosis of osteoarthritis or primary RTSA for diagnosis of rotator cuff tear arthropathy were studied prospectively. Expectations were evaluated using the validated Hospital for Special Surgery's Shoulder Surgery Expectations Survey. Baseline demographics, comorbidities, and social factors were collected. Baseline and 2 years postoperative American Shoulder and Elbow Surgeons (ASES) score, visual analog scale pain, Single Assessment Number Evaluation (SANE), and patient satisfaction were obtained. <b>Results</b>  There were 128 patients (64 aTSA and 64 RTSA). There was no significant difference in total preoperative expectations score between groups. On multivariate linear regression analysis, aTSA ( <i>p</i>  = 0.024) and younger age ( <i>p</i>  = 0.018) were associated with higher expectations for improved ability to exercise. Changes in preoperative to postoperative ASES ( <i>p</i>  = 0.004) and SANE ( <i>p</i>  = 0.001) scores were higher in the aTSA group. Total preoperative expectations score was not correlated with postoperative functional outcomes or satisfaction in either group. In the aTSA group, expectations for participation in exercise were positively correlated with changes in preoperative to postoperative ASES score ( <i>p</i>  = 0.01) and SANE score ( <i>p</i>  = 0.01). <b>Conclusion</b>  Though patients undergoing primary aTSA demonstrated greater improvement in functional outcome than those undergoing primary RTSA, both groups reported similar aggregate preoperative expectations. Those undergoing aTSA had higher expectations for return to exercise which was positively correlated with postoperative functional outcomes. <b>Level of Evidence</b>  Level II, prospective cohort study.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730982","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163342","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":"Treatment of Primary Shoulder Stiffness: Results of a Survey on Surgeon Practice Patterns in Italy.","authors":"Davide Cucchi,&nbsp;Silvana De Giorgi,&nbsp;Maristella F Saccomanno,&nbsp;Francesco Uboldi,&nbsp;Alessandra Menon,&nbsp;Max J Friedrich,&nbsp;Sebastian G Walter,&nbsp;Laura de Girolamo","doi":"10.1055/s-0041-1730983","DOIUrl":"https://doi.org/10.1055/s-0041-1730983","url":null,"abstract":"<p><p><b>Objectives</b>  Shoulder stiffness is a condition of restricted glenohumeral range of motion (ROM), which can arise spontaneously or as consequence of a known cause. Several treatment options are available and currently no consensus has been obtained on which treatment algorithm represents the best choice for the patient. The aim of this study was to investigate surgeon practice patterns in Italy regarding treatment of primary shoulder stiffness. <b>Methods</b>  A literature review was performed to identify randomized controlled trials reporting results of shoulder stiffness treatment. The following controversial or critical points in the treatment of primary shoulder stiffness were identified: modalities of physical therapy; indication for oral corticosteroid; indication and frequency for injective corticosteroid; technique and site of injection; and indication, timing, and technique for surgery. A survey composed by 14 questions was created and administrated to the members of a national association specialized in orthopaedics and sports traumatology (SIGASCOT at the time of survey completion, recently renamed SIAGASCOT after the fusion of the societies SIGASCOT and SIA). <b>Results</b>  A total of 204 completed questionnaires were collected. Physical therapy was recommended by 98% of the interviewed. The use of oral corticosteroids was considered by 51%, and injections of corticosteroids by 72%. The posterior injection approach was the one preferred and a number of three was considered the upper limit for repeated injections. Injective therapy with local anesthetics and hyaluronic acid was considered by more than 20% of the interviewed. Thirty percent of the interviewed did not treat shoulder stiffness surgically. <b>Conclusion</b>  Several approaches to shoulder stiffness have been proposed and high-level evidence is available to analyze and discuss their results. Several controversial points emerged both from a literature review and from this national survey. Treatment of shoulder stiffness should be tailored to the patient's clinical situation and the stage of its pathology and should aim at pain reduction, ROM restoration, functional regain, and shortening of symptoms duration, with conservative therapy remaining the mainstay of treatment.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163343","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":"Surgical Management with Self-Locking Pins and Circumferential Wiring for Treating Comminuted Patella Fractures Achieved Seiza-Style Sitting.","authors":"Kazuha Kizaki,&nbsp;Soshi Uchida,&nbsp;Noboru Funakoshi,&nbsp;Daisuke Mori,&nbsp;Ryosuke Nakai,&nbsp;Fumiharu Yamashita","doi":"10.1055/s-0041-1730379","DOIUrl":"https://doi.org/10.1055/s-0041-1730379","url":null,"abstract":"<p><p>Surgical fixation of comminuted patella fractures is technically challenging. Despite the fact that tension band wiring or screw fixation are the most common surgical procedures, these surgical techniques have crucial limitations for laterally scattered fragments. We demonstrate two cases with comminuted patella fractures undergoing surgical fixation with self-locking pin and circumferential wiring, confirming the rigid fixation achieving deep knee flexion. After midline longitudinal skin incision, 2.0 mm stainless pins (AiMedic MMT, Tokyo, Japan) were inserted radially to penetrate each fragment and 1.2 mm stainless wire was circumferentially looped and self-locked in the holes on the pins, which satisfied rigid fixation. Any restrictions in range of motion and weight bearing were required postoperatively and 3- to 6-month postoperative cares achieved seiza-style sitting with deep knee flexion.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163351","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":"Functional Outcomes of Bilateral Reverse Total Shoulder Arthroplasty: A Systematic Review.","authors":"Michael-Alexander Malahias,&nbsp;Emmanouil Brilakis,&nbsp;Dimitrios Chytas,&nbsp;Dimitrios Gerogiannis,&nbsp;Grigorios Avramidis,&nbsp;Emmanouil Antonogiannakis","doi":"10.1055/s-0041-1730974","DOIUrl":"https://doi.org/10.1055/s-0041-1730974","url":null,"abstract":"<p><p><b>Purpose</b>  To answer the question whether bilateral reverse total shoulder arthroplasty (RTSA) is a safe and effective treatment which results in satisfactory clinical and functional outcomes with low complications rates. A second question to be answered was: what is the quality of the evidence of the already published studies which investigate the use of bilateral RTSA? <b>Methods</b>  Two reviewers independently conducted a systematic search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms \"reverse\" AND \"total\" AND \"shoulder\" AND \"arthroplasty\" AND \"clinical.\" Descriptive statistics were used to summarize the data. <b>Results</b>  From the 394 initial studies we finally selected and assessed 6 clinical studies which were eligible to our inclusion-exclusion criteria. The aforementioned studies included in total 203 patients (69% females; mean age range: 67.1-75 years; mean follow-up range: 12-61 months). From those, 168 patients underwent staged bilateral RTSA (mean duration between first and second operation range: 8-21.6 months) and the rest of them a unilateral RTSA as controlled treatment. Almost all mean clinical and functional scores, which were used to assess the therapeutic value of bilateral RTSA, depicted significant postoperative improvement in comparison with the mean preoperative values. The modified Coleman methodology score, which was used to assess the quality of the studies, ranged from a minimum of 36/100 to a maximum of 55/100. <b>Conclusion</b>  Despite the lack of high-quality evidence, staged bilateral RTSA seems to be a safe and effective procedure for patients with cuff tear arthropathy, which results in significantly improved clinical and functional outcomes and low reoperations' rates. <b>Level of Evidence</b>  Systematic review of level III-IV therapeutic studies.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163346","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":"Subchondroplasty in the Treatment of Bone Marrow Lesions of the Knee: Preliminary Experience on First 15 Patients.","authors":"Stefano Pasqualotto,&nbsp;Andrea Vincenzo Sgroi,&nbsp;Araldo Causero,&nbsp;Paolo Di Benedetto,&nbsp;Claudio Zorzi","doi":"10.1055/s-0041-1730984","DOIUrl":"https://doi.org/10.1055/s-0041-1730984","url":null,"abstract":"<p><p><b>Purpose</b>  The aim of this prospective study was to assess the effectiveness in terms of pain relief and functional improvement of the Subchondroplasty procedure in the treatment of osteoarthritis-related bone marrow lesions (BMLs) of the knee. <b>Methods</b>  The study included first 15 consecutive patients undergone to Subchondroplasty procedure for the treatment of chronic degenerative BMLs in which previous conservative treatment have failed. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, Knee Injury and Osteoarthritis Outcome Scores (KOOS), and visual analog scale (VAS) pain scores were obtained preoperatively and at 1, 6, and 12 months of follow-up. <b>Results</b>  WOMAC scores significantly improved from 39.7 ± 20.2 before surgery to 26.8 ± 16.1 at the 1-month follow-up ( <i>p</i>  = 0.045). A further significant improvement to 15.5 ± 12.7 ( <i>p</i>  = 0.02) and to 8.6 ± 3.1 ( <i>p</i>  < 0.01) was obtained both at 6-month and at 1-year follow-up. KOOS scores improved significantly from 47.5 ± 16.6 before surgery to 65.4 ± 14.9 at 1 month ( <i>p</i>  = 0.013) and to 80.4 ± 15.1 at 6-month follow-up ( <i>p</i>  = 0.01). A further improvement to 85.6 ± 15.1 was recorded 1 year postoperatively, although nonsignificant. VAS score showed a significant improvement from 55.8 ± 20.5 preoperatively to 36.2 ± 16.9 at 1 month ( <i>p</i>  = 0.008) and to 18.2 ± 17.3 at 6-month follow-up ( <i>p</i>  = 0.005). This further improved to 12.8 ± 17.9 at 1-year follow-up, although not significantly. <b>Conclusion</b>  Subchondroplasty procedure represents a safe and valid surgical option in the treatment of osteoarthritis-related BMLs of the knee, providing an improvement in terms of pain relief and functional recovery. Longer studies are required to evaluate how long these improvements may last. <b>Level of Evidence</b>  Therapeutic case-series, Level IV study.</p>","PeriodicalId":37852,"journal":{"name":"Joints","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1730984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163344","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}