Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Translation, Cross-Cultural Adaptation and Psychometric Properties of the Persian Version of Patient-Specific Functional Scale in Patients with Chronic Low Back Pain.","authors":"Afshin Aghazadeh, Soheil Mansour Sohani, Reza Salehi, Mohamad Parnianpour","doi":"10.22038/ABJS.2024.76731.3546","DOIUrl":"10.22038/ABJS.2024.76731.3546","url":null,"abstract":"<p><strong>Objectives: </strong>The major emphasis of physical therapy in patient evaluation is the assessment of physical function, and the Patient-Specific Functional Scale (PSFS) is one of the most commonly used instruments for this purpose. Therefore, the present study aims to translate and cross-culturally adapt the PSFS into Persian and test its psychometric properties in patients with chronic low back pain (CLBP).</p><p><strong>Methods: </strong>The PSFS was translated from English to Persian and cross-culturally adapted in accordance with the study by Beaton et al. Psychometric properties of 100 CLBP patients were assessed. Reliability (internal consistency and test-retest) was examined for 32 participants who completed the Persian version of the PSFS (PSFS-P) twice with one week interval. Construct validity was assessed against the Persian versions of the Oswestry Disability Index (ODI-P) and the Numerical Pain Rating Scale (NPRS-P).</p><p><strong>Results: </strong>The PSFS-P showed excellent reliability (Cronbach's alpha=0.88, intraclass correlation coefficient [ICC _{3, 1}] =0.95, 95% CI [0.87 to 0.98]). The construct validity analysis revealed a moderate negative correlation between PSFS-P and NPRS-P (r=-0.47) and a high negative correlation between PSFS-P and ODI-P (r=-0.61). The PSFS-P showed no floor and ceiling effects.</p><p><strong>Conclusion: </strong>The PSFS-P has adequate psychometric properties and is applicable in both clinical settings and research involving the Iranian population with CLBP.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"47-53"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067697","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":"Reliability of Diagnostic Tests for Movement System Impairment-based Categories of Mechanical Neck Pain.","authors":"Mehrnoosh Amin, Amin Behdarvandan, Maryam Saadat, Armin Jahangiri Babadi, Payam Amini, Frouzan Orak","doi":"10.22038/ABJS.2024.79331.3635","DOIUrl":"10.22038/ABJS.2024.79331.3635","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the current study was to investigate the inter-tester reliability of the MSI classification test items in patients with neck pain.</p><p><strong>Methods: </strong>sixty subjects with neck pain (18-65 years) participated in this cross-sectional study. The examination of each patient, included the evaluation of signs and symptoms during posture and movement tests and the MSI diagnosis of subjects with cervical pain, was performed simultaneously by three testers in one session. Kappa and gamma values were used to determine the measure of agreement between testers for each of the test items and classification judgment.</p><p><strong>Results: </strong>The kappa values for inter-tester reliability of the sign items ranged from 0.36 to 1. For the symptom items kappa values ranged from 0.36 to 1. The kappa values of inter-tester reliability for patients' classification judgments ranged from 0.71 to 0.73.</p><p><strong>Conclusion: </strong>The inter-tester reliability between three testers according to the MSI approach for neck pain classification, sign and symptom was generally acceptable.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"106-113"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469511","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":"Outcomes of Patients with Bennett Fracture Treated with Three Different Surgical Techniques: A Systematic Review.","authors":"Eduardo Velásquez-Girón, Edna Rocio Buitrago-Quiñonez, Jorge Hernández-Guevara, Álvaro Antonio Kafury","doi":"10.22038/ABJS.2024.81116.3702","DOIUrl":"10.22038/ABJS.2024.81116.3702","url":null,"abstract":"<p><strong>Objectives: </strong>Bennett's fracture, the most common intra-articular fracture occurring at the base of the thumb, accounts for less than 1% of all hand fractures. It typically results from specific traumatic mechanisms, deforming forces, and ligamentous injuries. To compare the functional outcomes and sequelae in patients with Bennett's fracture treated surgically using: Open reduction and internal screw fixation, closed reduction and percutaneous fixation, arthroscopy-assisted reduction and screw fixation.</p><p><strong>Methods: </strong>A systematic literature review was conducted to identify studies on Bennett's fracture dislocations in patients over 18 years of age without additional injuries. Searches were performed in PubMed, Scopus, Cochrane Central, Web of Science, Scielo, Lilacs, Oneme, and Epistemonikos databases, with language restrictions in English, French, Spanish, Portuguese, Italian, and German, and no date restrictions. Primary outcome variables included measures of functionality and secondary outcomes such as pain, stiffness, and osteoarthritis.</p><p><strong>Results: </strong>A total of 18 studies met the selection criteria, with most being retrospective (94.45%). Pain measures were reported in 77.78% of the studies, predominantly using the VAS (min=0 and max=2). All techniques seemed to achieve similar functional outcomes. The main difference was the pain registered at follow-up, mainly by patients treated with open reduction. Osteoarthritis appeared as a common consequence of these fractures, regardless of the treatment type -excluding arthroscopy-assisted reduction as there was not enough data.</p><p><strong>Conclusion: </strong>The three techniques had similar functional outcomes. Closed reduction and percutaneous fixation appear to result in less pain; however, both closed reduction with percutaneous fixation and open reduction with internal screw fixation have similar rates of osteoarthritis at follow-up. Unfortunately, there is insufficient data to evaluate arthroscopy-assisted reduction with screw fixation, suggesting the need for rigorous follow-up in patients undergoing this surgical intervention.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"4-16"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068704","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":"Applications, Implications, and Drawbacks of Artificial Intelligence in Medical Publications.","authors":"Kylen Bruey, Amir R Kachooei","doi":"10.22038/ABJS.2024.82343.3751","DOIUrl":"10.22038/ABJS.2024.82343.3751","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"1-3"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068767","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 Persian Version of Constant-murley Score in Patients with Rotator Cuff Tears: Reliability and Validity.","authors":"Arash Farbood, Sanaz Jowkar, Mehrdad Askarian, Omidreza Momenzadeh, Zahra Shayan, Afshin Zare","doi":"10.22038/ABJS.2024.73893.3453","DOIUrl":"10.22038/ABJS.2024.73893.3453","url":null,"abstract":"<p><strong>Objectives: </strong>Shoulder pain is a prevalent reason in orthopedic clinic patients, with rotator cuff disorders being the most common cause. The Constant-murley Score (CMS) questionnaire is a practical and reliable tool for the assessment of shoulder joint function.</p><p><strong>Methods: </strong>The CMS questionnaire was translated into Persian and completed by 57 patients with persistent shoulder pain due to rotator cuff tears (case group) and 50 healthy controls. The case group refilled the questionnaire after 7-10 days without receiving any special treatment. The reliability and validity of the questionnaire were measured via the test-retest method and known-groups validity with the t-test, respectively. The intraclass correlation coefficient (ICC) was calculated to estimate the agreement as a measure of test-retest reliability.</p><p><strong>Results: </strong>The mean ages of the case (51.8±14.2) and control groups (52.0±10.0) were similar (P=0.94). No significant difference was found between the groups regarding co-existing clinical conditions (P=0.74). The mean CMS values of the case and control groups were 46.2 (±22.3) and 87.4 (±5.7), respectively, showing a statistically significant difference (P<0.001). Moreover, the ICC was 0.95.</p><p><strong>Conclusion: </strong>The findings indicated that the Persian version of the CMS questionnaire was reliable (ICC=0.95) and valid (P<0.001) for the assessment of shoulder pain and functional status in the Southern Iranian population with rotator cuff tear disorders.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469559","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":"Repeat Revision Anterior Cruciate Ligament Reconstruction Remains a Challenge for Orthopedic Surgeons.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.76809.3549","DOIUrl":"10.22038/ABJS.2024.76809.3549","url":null,"abstract":"<p><p>The re-revision of anterior cruciate ligament reconstruction (ACLR) can be contemplated a secure and efficacious surgical technique with good results, whether it is performed in one-stage or two-stages or is performed with autograft or allograft. With regard to the surgical technique, there is no evidence that performing ACLR in one stage is superior to performing it in two stages. With respect to graft choice, allograft is the most chosen, and the allograft most frequently utilized is the Achilles tendon. However, the best graft to use for re-revision is not yet known. For revision ACLR orthopedic surgeons have to contemplate the amendment of an outrageous posterior tibial slope, especially after having failed two or more consecutive interventions. The potential benefit of combining ACLR with an anterolateral ligament reconstruction is to achieve greater rotational stability. It will diminish both the elevated failure percentages observed specifically in young individuals and increasing osteoarthritic changes encountered following sole ACLR.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"114-118"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469558","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 Role of Intraarticular Injections of Hyaluronic Acid and Platelet Rich Plasma for the Treatment of Articular Pain in Knee Osteoarthritis.","authors":"E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez","doi":"10.22038/ABJS.2024.78852.3621","DOIUrl":"10.22038/ABJS.2024.78852.3621","url":null,"abstract":"<p><p>The purpose of this in brief article was to determine the current role of intraarticular injections of hyaluronic acid (HA) and platelet-rich plasma (PRP) for the treatment of painful KOA. It has been reported that the average duration of effectiveness (pain relief) of one injection of extended-release HA is around one year. Kellgren-Lawrence grade (I-II versus III-IV), male gender, and older age are associated with a longer duration of effectiveness. Cartilage degeneration might be improved with a higher number of injections of HA. Intraarticular injections of HA alleviate pain, function, and diminish non-steroidal anti-inflammatory drugs (NSAIDs) consumption. In addition, several studies have indicated that the combination of HA and PRP is more effective than HA alone. Finally, other studies seemed to demonstrate that PRP was more effective than HA.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"54-61"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068824","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":"Dorsal Interosseous Muscle Weakness from Mid-palm Ganglion Cyst.","authors":"Lilah Fones, Mitchell K Freedman, Pedro K Beredjiklian, Gregory G Gallant","doi":"10.22038/ABJS.2024.80728.3684","DOIUrl":"10.22038/ABJS.2024.80728.3684","url":null,"abstract":"<p><p>Ulnar nerve compression is commonly seen at the elbow at the cubital tunnel and the wrist at the Guyon canal but is rarely seen in the hand. This case report describes an 18-year-old male presenting with seven months of atraumatic hand weakness and atrophy associated with heavy weightlifting. Exam demonstrated isolated interosseous muscle atrophy mostly sparing the abductor digiti minimi with intact sensation and negative nerve compression tests including Tinel at carpal and ulnar tunnels, Froment sign, Wartenberg test, cross finger test, and Spurling test. Electromyography and nerve conduction studies demonstrated prolonged distal latency, low amplitude potential, and large amplitude fibrillations with severely reduced motor unit firing in the first dorsal interosseous muscle consistent with ulnar nerve deep motor branch compromise. Magnetic resonance imaging revealed a ganglion cyst between the third metacarpal shaft and the flexor profundus tendon. Given the progressive symptoms, ganglion cyst excision and ulnar motor nerve branch neurolysis were performed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"119-124"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469502","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":"Bibliometric Analysis of Outpatient Hip and Knee Arthroplasty Research Evolution.","authors":"Marc Boutros, Fong H Nham, Matthew P Corsi, Maroun Aoun, Jhonny Lopez, Eliana Kassis, Mohammad Daher, Mouhanad M El-Othmani","doi":"10.22038/ABJS.2024.80590.3681","DOIUrl":"10.22038/ABJS.2024.80590.3681","url":null,"abstract":"<p><strong>Objectives: </strong>Total joint arthroplasty is an effective treatment for end stage osteoarthritis. As perioperative protocols are developed, outpatient arthroplasty has been gaining traction to facilitate earlier recovery and same day discharge. The aim of this manuscript is to analyze the trends in outpatient arthroplasty over a 17-year duration. This analysis seeks to predict emerging themes in the literature on patient optimization and outcomes in outpatient arthroplasty.</p><p><strong>Methods: </strong>This study conducted a literature review on outpatient arthroplasty with the Web of Science Core Collection over a 17-year period between 2005 and 2022. Bibliometric data was imported and analyzed with Bibliometrix and VOSviewer.</p><p><strong>Results: </strong>198 articles were identified demonstrating an annual growth of 19.61% with notable bursts in 2017 and 2021. United States was the top global contributor followed by Canada and European nations. There were significant contributions across 219 institutions and 758 authors, with the Journal of Arthroplasty being the most productive and influential journals. Key themes identified include the feasibility of outpatient surgery, pain management, and perioperative complications and costs.</p><p><strong>Conclusion: </strong>This bibliometric analysis highlights the ongoing growth and development within outpatient arthroplasty since 2005. The United States remain the global leader within outpatient related arthroplasty research. Previous, current, and ongoing trends are highlighted within this field for further development as hotspots.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"87-99"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469501","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":"Artificial Intelligence and the State of the Art of Orthopedic Surgery.","authors":"Mohammad Amin Khojastehnezhad, Pouya Youseflee, Ali Moradi, Mohammad H Ebrahimzadeh, Nafiseh Jirofti","doi":"10.22038/ABJS.2024.84231.3829","DOIUrl":"10.22038/ABJS.2024.84231.3829","url":null,"abstract":"<p><p>Artificial Intelligence (AI) is rapidly transforming healthcare, particularly in orthopedics, by enhancing diagnostic accuracy, surgical planning, and personalized treatment. This review explores current applications of AI in orthopedics, focusing on its contributions to diagnostics and surgical procedures. Key methodologies such as artificial neural networks (ANNs), convolutional neural networks (CNNs), support vector machines (SVMs), and ensemble learning have significantly improved diagnostic precision and patient care. For instance, CNN-based models excel in tasks like fracture detection and osteoarthritis grading, achieving high sensitivity and specificity. In surgical contexts, AI enhances procedures through robotic assistance and optimized preoperative planning, aiding in prosthetic sizing and minimizing complications. Additionally, predictive analytics during postoperative care enable tailored rehabilitation programs that improve recovery times. Despite these advancements, challenges such as data standardization and algorithm transparency hinder widespread adoption. Addressing these issues is crucial for maximizing AI's potential in orthopedic practice. This review emphasizes the synergistic relationship between AI and clinical expertise, highlighting opportunities to enhance diagnostics and streamline surgical procedures, ultimately driving patient-centric care.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"17-22"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068771","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}