Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Letter to The Editor about paper entitled \"Improvement of Orthopedic Residency Programs and Diversity, Dilemmas and Challenges, an International Perspective\".","authors":"Aziz Ahmadi","doi":"10.22038/ABJS.2025.92057.4176","DOIUrl":"https://doi.org/10.22038/ABJS.2025.92057.4176","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 12","pages":"862-863"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935688","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":"Comparing 3D MERGE MRI and 2D MRI for Rotator Cuff Tear Evaluation and Surgical Planning; A Cross-Sectional Prospective Study.","authors":"Mahyar Daskareh, Leila Aghaghazvini, Saeid Esmaeilian, Elham Rahmanipour, Mohammad Ghorbani, Mohammad Reza Guity","doi":"10.22038/ABJS.2025.83512.3802","DOIUrl":"10.22038/ABJS.2025.83512.3802","url":null,"abstract":"<p><strong>Objectives: </strong>Accurate diagnosis and characterization of rotator cuff tendon (RCT) tears are crucial for optimal treatment planning. This study compared the diagnostic performance of 3D Multiple Echo Recombined Gradient Echo (MERGE) MRI with conventional 2D MRI for the assessment of RCT tears and surgical planning.</p><p><strong>Methods: </strong>Sixty-two patients with suspected RCT tear underwent shoulder MRI using standard 2D and 3D MERGE protocols, followed by arthroscopic evaluation. RCT tears were classified as crescent, longitudinal, or massive. The sensitivity, specificity, and accuracy of 3D MERGE and 2D MRI were calculated using arthroscopy as the reference standard. Inter-observer agreement was assessed using kappa statistics.</p><p><strong>Results: </strong>Arthroscopy confirmed crescent tears in 25 patients (40%), longitudinal tears in 9 patients (15%), and massive tears in 28 patients (45%). 3D MERGE MRI demonstrated higher accuracy for tear shape classification compared to 2D MRI (90.5% vs. 79.6%, P < 0.05). Sensitivity and specificity were markedly improved with 3D MERGE MRI, particularly for crescent tears (sensitivity 88.2% vs. 70.6%, specificity of 94.6% vs. 86.5%, P < 0.05). The inter-observer agreement was excellent for 3D MERGE MRI (kappa = 0.91) and good for 2D MRI (kappa = 0.76).</p><p><strong>Conclusion: </strong>3D MERGE MRI exhibited superior diagnostic performance and reliability compared to 2D MRI in characterizing RCT tears. The enhanced accuracy of 3D MERGE MRI may facilitate preoperative assessment and surgical decision-making for RCT tears.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 9","pages":"558-566"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12536971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349161","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":"Robotic-assisted Total Knee Arthroplasty versus Conventional Total Knee Arthroplasty.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2025.90882.4110","DOIUrl":"10.22038/ABJS.2025.90882.4110","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 11","pages":"670-672"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935612","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":"Preliminary Study for the Early Diagnosis of Osteoarthritis in Human Synovial Fluid Using ATR-FTIR Combined with Chemometrics.","authors":"Atiqah Ab Aziz, Nur Farah Anis Abd Halim, Muhamad Shirwan Abdullah Sani, Veenesh Selvaratnam, Ismail Tarhan, Tunku Kamarul","doi":"10.22038/ABJS.2025.83723.3810","DOIUrl":"10.22038/ABJS.2025.83723.3810","url":null,"abstract":"<p><strong>Objectives: </strong>Osteoarthritis (OA) is the most common form of arthritis resulting in joint deterioration. Currently, OA treatment primarily focuses on symptom management. The development of tools suitable for diagnosis is needed to support a paradigm shift towards the prevention of OA rather than treatment. Therefore, having effective diagnostic tools for early detection of OA is crucial.</p><p><strong>Methods: </strong>The present study aimed to develop a rapid, inexpensive, and reliable detection method using attenuated total reflection Fourier transform infrared (ATR-FTIR) spectroscopy and chemometrics using synovial fluid (SF) for the early diagnosis of osteoarthritis (OA). A preliminary sample consisting of 10 participants in the OA group and 10 in the non-OA group was used to establish the feasibility of the method. All synovial fluid samples were handled uniformly, using fresh drops of 50 µL from each sample ten times, resulting in a total of 200 infrared spectra collected and analysed, revealing significant differences that effectively separated the OA and non-OA groups, demonstrating the potential of this approach for future larger-scale studies.</p><p><strong>Results: </strong>A significant discrepancy seen in distinguishing SF samples from different categories via variance spectra specifically highlighted by wavenumber 551 cm-1. The predictive model achieved an accuracy rate of 85%, demonstrating promising results.</p><p><strong>Conclusion: </strong>Our findings suggest that a discriminative model using the ATR-FTIR spectrum could enhance early diagnosis of human OA, providing superior results compared to using serum. This approach reflects the localized joint condition more accurately than serum, which reflects systemic condition.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 11","pages":"738-749"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935646","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":"Virtual Reality in Orthopaedic Residency Training: A Survey of Resident Perspectives and Utilization Patterns.","authors":"Teja Yeramosu, Kassem Ghayyad, Amir R Kachooei, Atif K Ahmed, Daryl C Osbahr","doi":"10.22038/ABJS.2025.88017.3985","DOIUrl":"10.22038/ABJS.2025.88017.3985","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 11","pages":"768-770"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935654","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":"Evaluating the Outcome of Meniscus Root Repair Surgery in Patients with Degenerative Meniscus Posterior Root Tears.","authors":"Abolfazl Bagherifard, Hooman Yahyazadeh, Mehdi Moghtadaei, Alireza Akbarzadeh Arab, Masih Rikhtehgar, Mahmoud Jabalameli","doi":"10.22038/ABJS.2025.76992.3556","DOIUrl":"10.22038/ABJS.2025.76992.3556","url":null,"abstract":"<p><strong>Objectives: </strong>Transtibial pullout repair provides significant clinical improvement in individuals with meniscal root tears; however, there is no consensus on radiological outcomes. In this research, meniscal extrusion and clinical status were evaluated in a homogeneous series of subjects with degenerative medial meniscus posterior root tears (MMPRT).</p><p><strong>Methods: </strong>This retrospective-prospective study was conducted on 16 subjects with degenerative posterior root tears of the medial meniscus who underwent transtibial pullout repair at Shafa Yahyaian Hospital from March 2017 to February 2021. The study population included two males and 14 females. The average age of the study participants was 50.9 ± 11 years. ‏The patients were followed up for an average of ‏‎19.7±14.8‎‏ months. ‏The Lysholm knee scoring scale was used for clinical evaluation of the knee. MRI (magnetic resonance imaging) was used both before and after surgery to assess the improvement in meniscal extrusion. ‎.</p><p><strong>Results: </strong>The average total Lysholm knee score increased from ‎49.6±10.5 to 79.1±11.1 (P<0.001). The knee status was poor in one subject, fair in ten subjects, good in two subjects, and excellent in three subjects. In the last follow-up session, all subscales of the Lysholm Knee Scoring Scale showed improvement. The mean meniscal extrusion was 5.7±1.8 mm before surgery and 3.4±2.5 mm after surgery based on MRI results (P=0.008). Improvement in Lysholm score was not correlated with improvement in meniscal extrusion.</p><p><strong>Conclusion: </strong>Transtibial pullout ‎repair provides significant clinical improvement in degenerative meniscal root tears, even in individuals in whom the meniscal extrusion is not reversed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 10","pages":"656-662"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12576327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432546","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":"Factors Influencing Selection of Orthopedic Residency Among Medical Students in Saudi Arabia.","authors":"Abdulrahman Saud Alhammad, Abdulmajeed Mazi Alanazi, Ammar Saud Alharbi, Maryam Abdulhadi Abdullah Alomari, Turki Alhumaidi Alshammari, Saadeldin Ahmed Idris","doi":"10.22038/abjs.2025.85556.3900","DOIUrl":"10.22038/abjs.2025.85556.3900","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the factors influencing medical students' specialty choices for orthopedics at the University of Hail, Saudi Arabia.</p><p><strong>Methods: </strong>The cross-sectional study used a self-administered questionnaire and collected data from students who satisfied the research criteria.</p><p><strong>Results: </strong>The study included 108 participants and identified several key factors influencing medical students' choice of orthopedic specialties, such as job opportunities, lifestyle in the specialty, family responsibilities, training hours, and expected income in 94%, 83%, 83%, 80.6%, and 81%, respectively. A statistically significant association was observed between having relatives in the health professions and choosing an orthopedic specialty (P = 0.003), indicating that this factor was important in their decision-making. However, no significant association was found regarding gender or academic year concerning the selection of orthopedic specialty (P > 0.05). The study also revealed a statistically significant difference between female and male students concerning the influence of specialty reputation on their choice (P = 0.033). Despite this, no significant differences were noted between genders regarding the impact of the other factors.</p><p><strong>Conclusion: </strong>Medical students' choice of orthopedic specialty was primarily driven by job prospects, lifestyle, family responsibilities, training hours, expected income, and having a relative in health professions. In addition, more male students chose orthopedics due to its reputation associated with the specialty.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"517-523"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065212","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":"Effects of Prosthesis Shape and Material on the Contact Mechanics of Elbow Joints Following Radial Head Arthroplasty: An In-Silico Investigation.","authors":"Faezeh Naghdbishi, Azadeh Ghouchani, Farzaneh Safshekan, Kassem Ghayyad, Amir R Kachooei","doi":"10.22038/ABJS.2025.86429.3931","DOIUrl":"10.22038/ABJS.2025.86429.3931","url":null,"abstract":"<p><strong>Objectives: </strong>Radial head fractures often require prosthetic replacement, but post-surgical complications like radial neck osteolysis, capitellum osteopenia, and ulnohumeral osteoarthritis can arise due to altered elbow biomechanics. This study used the finite element method to evaluate how radial head prostheses (RHPs) shape and material affect elbow joint biomechanics.</p><p><strong>Methods: </strong>A 3D elbow model was developed, including bones, ligaments, and cartilage. Implants featuring two geometries (anatomical vs. axisymmetric) and three materials (polymethylmethacrylate [PMMA], polyether ether ketone [PEEK], and Cobalt) were tested. Bones were considered isotropic and heterogeneous, ligaments and implants linear elastic, and cartilages were considered hyperplastic materials. Stress distributions, contact stresses, and contact areas were assessed during elbow flexion and forearm rotation.</p><p><strong>Results: </strong>During forearm rotation, Cobalt RHPs exhibited lower stresses in the radial neck, indicating higher stress shielding, and all axisymmetric implants showed increased edge loadings. In rotation, only the PMMA anatomic RHP showed close contact stresses to the intact model, while all other models resulted in lower stress levels. In flexion, anatomical designs produced more uniform stress distributions in the radial neck that resembled intact conditions and matched intact capitellum contact stresses, in contrast to axisymmetric designs. The reduction in the contact area in the ulnohumeral cartilage was most noticeable with all axisymmetric RHPs in flexion.</p><p><strong>Conclusion: </strong>The lower contact areas, higher contact stresses, and lower stresses at the radial neck observed in the presence of most axisymmetric RHPs and anatomic Cobalt RHP can be correlated to postoperative complications. The findings suggest that polymeric anatomical RHPs may be superior to conventional metallic axisymmetric options in preserving elbow biomechanics and reducing postoperative complications. However, their long-term effects need to be further explored.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"497-508"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066048","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":"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}