World Journal of Orthopedics最新文献

{"title":"Progress in diagnosis and treatment of Essex-Lopresti injury in children.","authors":"Feng Xiang, Ding-Qi Zhang, Juan Guo, Xing Li, Xi-Ping Zhang, Yan-Jun Li, Jie Wen","doi":"10.5312/wjo.v16.i6.106758","DOIUrl":"10.5312/wjo.v16.i6.106758","url":null,"abstract":"<p><p>Essex-Lopresti injury is characterized by a radial head fracture accompanied by dislocation of the distal radioulnar joint and rupture of the interosseous membrane (IOM). This type of injury typically results from high-energy axial forces transmitted through the wrist to the elbow, leading to tears in the IOM, fractures of the radial head, injuries to the distal radioulnar joint, and disruption of the triangular fibrocartilage complex, ultimately causing axial instability of the radioulnar joint. Due to its complexity, this injury is often overlooked in clinical settings, with a reported misdiagnosis rate as high as 60%. In pediatric cases, the misdiagnosis rate is even higher due to children's limited ability to articulate symptoms, the presence of substantial cartilaginous structures that have not fully ossified, and less typical radiographic findings compared to adults. This review aims to provide a comprehensive overview of the injury mechanism, clinical presentation, diagnosis, and treatment of Essex-Lopresti injuries in children, emphasizing the importance for pediatric orthopedists to recognize and manage this condition accurately to prevent misdiagnosis and inappropriate treatment.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"106758"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477340","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":"Rotator cuff and capsule healing after shoulder arthroscopy: A second look arthroscopic study.","authors":"Christos Yiannakopoulos, Christos Koukos, Apostolos Habipis, Constantinos Apostolou","doi":"10.5312/wjo.v16.i6.106458","DOIUrl":"10.5312/wjo.v16.i6.106458","url":null,"abstract":"<p><strong>Background: </strong>Shoulder arthroscopy is commonly used for the repair of glenohumeral ligament avulsions or tendon tears. The success of the operation depends on the ability of the ligaments or rotator cuff tendon to heal to their original attachment site. Soft tissue healing can be evaluated with imaging methods or alternatively with second-look arthroscopy.</p><p><strong>Aim: </strong>To investigate shoulder tendon and capsule healing after arthroscopic rotator cuff and instability repair using second-look arthroscopy.</p><p><strong>Methods: </strong>In this study, 24 adult patients with rotator cuff tears (13 patients) or anterior shoulder instability (11 patients) were included. All patients were initially subjected to arthroscopic repair using suture anchors and were re-evaluated with second-look arthroscopy for reasons not related to the original pathology. The second operation was performed in 8 patients due to mild but persistent pain or stiffness, in 3 patients for recalcitrant stiffness, in 5 patients for secondary biceps tenotomy, in 6 patients for persistent acromioclavicular joint pain and in 2 patients for suture anchor prominence causing shoulder grinding. Soft tissue healing was evaluated visually and by probing, whereas clinical outcomes were evaluated using the University of California-Los Angeles (UCLA) and Rowe rating scales.</p><p><strong>Results: </strong>In almost all patients, complete soft tissue healing occurred at the site of tissue reattachment, either on the glenoid articular surface or the greater humeral tuberosity. The strongest repair, as confirmed by probe palpation, was encountered at the site of suture passage through the soft tissue. All suture material was covered with bursal synovial tissue, with no cases of knot impingement or cartilage fraying. The mean preoperative and postoperative UCLA scores for rotator cuff repair patients were 1354 ± 3205 and 2931 ± 2898, respectively (<i>P</i> < 0.001), whereas for shoulder instability patients, the mean Rowe scores preoperatively and postoperatively were 2591 ± 1338 and 9272 ± 754, respectively (<i>P</i> < 0.001). The use of bioabsorbable implants did not cause synovitis or other tissue reactions.</p><p><strong>Conclusion: </strong>Soft tissue healing in the shoulder is successful and strongest at the site of suture anchor placement.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"106458"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477342","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":"Effect of blood flow restriction on muscle strength and stability following foot and ankle injury: A systematic review.","authors":"Julia M Balboni, Karthik Madhira, Victor Martinez, Wei-Shao Tung, John G Kennedy, Arianna L Gianakos","doi":"10.5312/wjo.v16.i6.106804","DOIUrl":"10.5312/wjo.v16.i6.106804","url":null,"abstract":"<p><strong>Background: </strong>Poor musculoskeletal recovery following foot and ankle injury can result in chronic instability and persistent muscle weakness. Preliminary evidence has shown that blood flow restriction (BFR) rehabilitation can increase muscle strength and stability, helping to restore physical function and prevent repeated injury.</p><p><strong>Aim: </strong>To determine whether BFR is more effective than traditional rehabilitation in improving muscle strength, size, and stability after foot and ankle injury.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were performed. Articles were retrieved from MEDLINE, EMBASE, and CENTRAL databases. Included studies compared the effectiveness of BFR rehabilitation to traditional foot and ankle rehabilitation exercises. Eligible patients were those with a history of foot or ankle injury. Muscle strength, size, and dynamic balance were assessed by comparing improvements in peak torque, cross-sectional area, and percent muscle activation. Methodological quality assessments were performed using the PEDro scale and Methodological Index for Non-Randomized Studies (MINORS).</p><p><strong>Results: </strong>Ten studies met the inclusion criteria. Five studies were of good to excellent quality according to the PEDro scale, and 5 studies were of moderate quality as per the MINORS criteria. Two studies compared the effect of BFR and non-BFR rehabilitation on muscle strength; the overall mean difference between the BRF and non-BFR groups was 0.09 [95%CI: (0.05, 0.12), <i>P</i> < 0.0001]. Two studies analyzed muscle activation following BFR and non-BFR rehabilitation; the overall mean difference between the BRF and non-BFR groups was 0.09 [95%CI: (0.05, 0.12), <i>P</i> < 0.0001]. Data on dynamic balance was synthesized from two studies; the mean difference between the BFR and control groups was 1.23 [95%CI: (-1.55, 4.01); <i>P</i> = 0.39].</p><p><strong>Conclusion: </strong>BFR rehabilitation is more effective than non-BFR rehabilitation at improving muscle strength and activation following foot and ankle injury. Additional studies are needed to develop a standardized BFR training protocol.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"106804"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477335","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-based diagnosis of hallux valgus interphalangeus using anteroposterior foot radiographs.","authors":"Konrad Kwolek, Artur Gądek, Kamil Kwolek, Agnieszka Lechowska-Liszka, Michał Malczak, Henryk Liszka","doi":"10.5312/wjo.v16.i6.103832","DOIUrl":"10.5312/wjo.v16.i6.103832","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;A recently developed method enables automated measurement of the hallux valgus angle (HVA) and the first intermetatarsal angle (IMA) from weight-bearing foot radiographs. This approach employs bone segmentation to identify anatomical landmarks and provides standardized angle measurements based on established guidelines. While effective for HVA and IMA, preoperative radiograph analysis remains complex and requires additional measurements, such as the hallux interphalangeal angle (IPA), which has received limited research attention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To expand the previous method, which measured HVA and IMA, by incorporating the automatic measurement of IPA, evaluating its accuracy and clinical relevance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A preexisting database of manually labeled foot radiographs was used to train a U-Net neural network for segmenting bones and identifying landmarks necessary for IPA measurement. Of the 265 radiographs in the dataset, 161 were selected for training and 20 for validation. The U-Net neural network achieves a high mean Sørensen-Dice index (&gt; 0.97). The remaining 84 radiographs were used to assess the reliability of automated IPA measurements against those taken manually by two orthopedic surgeons (O&lt;sub&gt;A&lt;/sub&gt; and O&lt;sub&gt;B&lt;/sub&gt;) using computer-based tools. Each measurement was repeated to assess intraobserver (O&lt;sub&gt;A1&lt;/sub&gt; and O&lt;sub&gt;A2&lt;/sub&gt;) and interobserver (O&lt;sub&gt;A2&lt;/sub&gt; and O&lt;sub&gt;B&lt;/sub&gt;) reliability. Agreement between automated and manual methods was evaluated using the Intraclass Correlation Coefficient (ICC), and Bland-Altman analysis identified systematic differences. Standard error of measurement (SEM) and Pearson correlation coefficients quantified precision and linearity, and measurement times were recorded to evaluate efficiency.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The artificial intelligence (AI)-based system demonstrated excellent reliability, with ICC3.1 values of 0.92 (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;A2&lt;/sub&gt;) and 0.88 (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;), both statistically significant (&lt;i&gt;P&lt;/i&gt; &lt; 0.001). For manual measurements, ICC values were 0.95 (O&lt;sub&gt;A2&lt;/sub&gt; &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;A1&lt;/sub&gt;) and 0.95 (O&lt;sub&gt;A2&lt;/sub&gt; &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;), supporting both intraobserver and interobserver reliability. Bland-Altman analysis revealed minimal biases of: (1) 1.61° (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;A2&lt;/sub&gt;); and (2) 2.54° (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;), with clinically acceptable limits of agreement. The AI system also showed high precision, as evidenced by low SEM values: (1) 1.22° (O&lt;sub&gt;A2&lt;/sub&gt; &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;); (2) 1.77° (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;A2&lt;/sub&gt;); and (3) 2.09° (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;). Furthermore, Pearson correlation coefficients confirmed strong linear relationships between automated and manual measurements, with &lt;i&gt;r&lt;/i&gt; = 0.85 (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;A2&lt;/sub&gt;) and &lt;i&gt;r&lt;/i&gt; = 0.90 (AI &lt;i&gt;vs&lt;/i&gt; O&lt;sub&gt;B&lt;/sub&gt;). The AI method significantly improved efficiency, completing all 84 mea","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"103832"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477331","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":"Prevalence of developmental dysplasia of the hip in Al Jouf province, Saudi Arabia.","authors":"Ziad Ahmed Alanazi, Amirah M Alshammari, Reem M Alruwaili, Rahaf M Alnasser, Hana N Alkhalifah, Eyad A Alakkas","doi":"10.5312/wjo.v16.i6.107423","DOIUrl":"10.5312/wjo.v16.i6.107423","url":null,"abstract":"<p><strong>Background: </strong>Hip dysplasia is a widespread and debilitating musculoskeletal disorder that affects children. Its prevalence varies across different nations.</p><p><strong>Aim: </strong>To evaluate the prevalence of developmental hip dysplasia (DDH) within the pediatric population of Al Jouf province.</p><p><strong>Methods: </strong>From January 2018 to December 2023, children with DDH from all cities of Al Jouf were included in this retrospective cross-sectional study. The disease prevalence was calculated for the entire province as well as for individual cities within the territory.</p><p><strong>Results: </strong>The study included 427 patients with DDH with an overall prevalence of 0.50%, or 5.0 per 1000 live births. At the city level, Sakaka had the highest prevalence at 14.2 per 1000 Live births followed by Qurayyat at 2.2 per 1000 live births. In contrast, cities like Suwayr, Abu Ajram, and Meegowa did not show any incidence of DDH. Significant differences were observed in the sociodemographic characteristics, such as age, sex, and nationality, across the different cities (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The prevalence of DDH in the Al Jouf province is high. The data delivers invaluable insights into the epidemiology of DDH in the Al Jouf locality. The findings highlight the need for targeted screening of DDH across the province.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"107423"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477339","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":"Validation of \"Victorian institute of sports assessment for patellar tendons\" in patellofemoral pain: Reliability, interpretability and feasibility study.","authors":"Gema Chamorro-Moriana, Fernando Espuny-Ruiz, Carmen Ridao-Fernandez, Eleonora Magni","doi":"10.5312/wjo.v16.i6.105068","DOIUrl":"10.5312/wjo.v16.i6.105068","url":null,"abstract":"<p><strong>Background: </strong>The Victorian institute of sports assessment for patellar tendons questionnaire (VISA-P), a valid tool for patellar tendinopathy, has been used for patellofemoral pain (PFP).</p><p><strong>Aim: </strong>To validate VISA-P in PFP.</p><p><strong>Methods: </strong>Study of validity, responsiveness and feasibility following COSMIN. Inclusion criteria: Subjects with PFP, aged 18 to 55. Agreement among 10 experts on the relevance and clarity of each item using Aiken's V coefficient determined content validity. An exploratory factorial analysis established structural validity. The correlation of VISA-P with knee injury and osteoarthritis outcome score for PFP and Osteoarthritis (KOOS-PF) and Kujala patellofemoral score (KPS; specific for PFP) analyzed the construct validity. Internal consistency was calculated with Cronbach's <i>α</i> and test-retest reliability with the intraclass correlation coefficient (ICC). Feasibility considered the subjects' self-completion time.</p><p><strong>Results: </strong>The sample consisted of 103 knees from 73 subjects (47 female/26 male; aged 34.9 ± 13 SD). The items were relevant and clear, with the exception of item-8, which didn't reach an acceptable level of agreement on clarity. Exploratory factorial analysis found a 2-factor solution, which explained 63.48% of the variance. VISA-P achieved a strong and significant correlation with KOOS-PF (Spearman rho = 0.826; <i>P</i> < 0.001) and KPS (Spearman rho = 0.771; <i>P</i> < 0.001). The questionnaire showed adequate reliability (Cronbach's <i>α</i>: 0.752; ICC: 0.934; <i>P</i> < 0.0001; 95%CI: 0.902-0.955). The mean self-completion time was 232 ± 0.52 SD seconds.</p><p><strong>Conclusion: </strong>VISA-P proved to be valid and reliable to functionally assess PFP and/or chondromalacia patella. VISA-P is a feasible tool in the clinical and research environment, quick and easy to complete.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"105068"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477345","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":"Arthroscopic management of a rare free-edge medial meniscal cyst: A case report.","authors":"Ming Ding, Bing-Hui Liao, Lei Shangguan, Ying-Chun Wang, Hu Xu","doi":"10.5312/wjo.v16.i6.108454","DOIUrl":"10.5312/wjo.v16.i6.108454","url":null,"abstract":"<p><strong>Background: </strong>Meniscal cysts are a relatively uncommon form of meniscus pathology and often coexist with meniscus tears or degeneration. They are typically diagnosed as intra-meniscal cysts or para-meniscal cysts. The majority of para-meniscal cysts protrude towards the joint capsule side of the meniscus, and to date, no cases have been documented at the free edge of the meniscus. The present case of free-edge medial meniscal cysts will contribute to a deeper understanding of meniscal cysts.</p><p><strong>Case summary: </strong>A 30-year-old male presented with intermittent right knee pain six months ago. Diagnostic arthroscopic examination revealed a medial meniscus tear accompanied by a meniscal cyst. The patient's clinical findings, imaging results, surgical procedures, relevant images and outcomes are described. The unique aspect of this case is the occurrence of the meniscal cyst at the free-edge of the meniscus, providing valuable insights for the classification and further study of meniscal cysts.</p><p><strong>Conclusion: </strong>This first case of meniscal free-edge cyst exemplifies the expansion of the spectrum of morphological types of meniscal cysts.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"108454"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477330","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":"Deciphering the etiology of congenital scoliosis: A genetic and epigenetic perspective.","authors":"Rui Zhao, Ji-Rong Zhao, Xu Xue, Dong Ma","doi":"10.5312/wjo.v16.i6.104853","DOIUrl":"10.5312/wjo.v16.i6.104853","url":null,"abstract":"<p><p>Congenital scoliosis (CS) is a prevalent spinal deformity with a multifaceted etiology that remains incompletely understood. Recent advances in genetic and epigenetic research have provided novel insights into CS pathogenesis. Herein, we review the current progress in genetics and epigenetics to examine genetic variants, susceptibility factors, and the epigenetic regulatory mechanisms implicated in CS. Through an analysis of diverse genetic markers, chromosomal abnormalities, and epigenetic modifications, the correlation between genetic predisposition and environmental influences in CS pathogenesis is elucidated. By integrating these genetic and epigenetic findings, this study aims to clarify the underlying etiology of CS to provide guidance on future clinical interventions and promote the development of personalized therapeutic strategies.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"104853"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477334","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":"Augmented reality in total knee arthroplasty: Balancing precision, promise, and challenges in surgical innovation.","authors":"Miao He, Antonia RuJia Sun, Xiao-Xin Wu, Xi-Wei Fan, Xin-Zhan Mao","doi":"10.5312/wjo.v16.i6.107215","DOIUrl":"10.5312/wjo.v16.i6.107215","url":null,"abstract":"<p><p>Augmented reality (AR) is a technology that superimposes digital information onto real-world objects <i>via</i> head-mounted display devices to improve surgical finesse through visually enhanced medical information. With the rapid development of digital technology, AR has been increasingly adopted in orthopedic surgeries across the globe, especially in total knee arthroplasty procedures which demand high precision. By overlaying digital information onto the surgeon's field of view, AR systems enhance precision, improve alignment accuracy, and reduce the risk of complications associated with malalignment. Some concerns have been raised despite accuracy, including the learning curve, long-term outcomes, and technical limitations. Furthermore, it is essential for health practitioners to gain trust in the utilisation of AR.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"107215"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477332","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":"Clinical comparison of arthroscopic double-row rotator cuff repair with or without long head of biceps tendon transposition.","authors":"Yu-Jun Zhou, Bei-Bei Wang, Hua-Wei Wen, Liang Xu, Jing Feng, Fu-Sheng Xu","doi":"10.5312/wjo.v16.i6.103875","DOIUrl":"10.5312/wjo.v16.i6.103875","url":null,"abstract":"<p><strong>Background: </strong>Long head of biceps tendon (LHBT) transposition is a novel technique based on the double-row suture bridge method, utilizing autologous reconstruction to treat massive rotator cuff tears.</p><p><strong>Aim: </strong>To evaluate the mid-to-long-term clinical outcomes following the double-row repair method for massive rotator cuff tears.</p><p><strong>Methods: </strong>This retrospective analysis included data from 53 patients with massive rotator cuff tears treated at our hospital between 2020 and 2021. The patients were divided into the double-row repair group (conventional group) and the double-row repair combined with the LHBT transposition group (transposition group). Postoperative pain was assessed using the visual analogue scale at one week, one year, and the final follow-up. Shoulder function was evaluated using the American Shoulder and Elbow Surgeons and Constant-Murley scores at one year and the final follow-up. Rotator cuff healing was assessed postoperatively for one year using the Sugaya classification, which categorizes tendon integrity based on magnetic resonance imaging findings.</p><p><strong>Results: </strong>No perioperative complications were observed in any of the patients at any time. There were no significant differences between the groups regarding operative time and intraoperative blood loss. The transposition group had significantly lower visual analogue scale scores than the conventional group at one week postoperatively; however, there were no significant differences between the groups at one year or the final follow-up. At one year postoperatively, the transposition group showed significantly higher American Shoulder and Elbow Surgeons and Constant-Murley scores than the conventional group; no significant differences were observed at the final follow-up. There were no significant differences in rotator cuff healing between the groups at one year postoperatively.</p><p><strong>Conclusion: </strong>Compared to double-row repair alone, double-row repair combined with LHBT transposition for treating massive rotator cuff tears more effectively alleviates short-term postoperative pain and improves shoulder function within the first year.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 6","pages":"103875"},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477333","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}