Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin最新文献

{"title":"[The Athlete's Endoprosthesis: Sense or Nonsense?]","authors":"Anna-Maria Behr, Johannes Rieger, Peter Buschner, Johannes Beckmann","doi":"10.1055/a-2777-3813","DOIUrl":"10.1055/a-2777-3813","url":null,"abstract":"<p><strong>Abstract: </strong>Joint arthroplasty in young, physically active patients poses a particular challenge for surgeons. Pre-arthritic changes are common in this population. The long life expectancy of younger patients, combined with high functional demands related to work and recreational activities, makes implant selection critical. A variety of implant designs and bearing materials are available to address these requirements. Depending on individual functional demands, different combinations may be chosen to minimize wear and reduce the risk of implant-related complications. In addition, evolving alignment philosophies in knee arthroplasty, patient-specific implants, and robotic-assisted techniques have shown promising results. However, beyond accurate implant positioning, the surgeon's experience and procedural volume remain key determinants of surgical success and patient satisfaction. Increasingly, patients with hip and knee arthroplasties - particularly after unicompartmental knee arthroplasty - are encouraged to maintain an active lifestyle, including participation in sports.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 3","pages":"129-137"},"PeriodicalIF":0.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Reduction of Muscle Atrophy after Anterior Cruciate Ligament Reconstruction].","authors":"Maurice Balke, Ralph Akoto, Jürgen Höher, Markus Fink, Paulina Ioannidou","doi":"10.1055/a-2904-8661","DOIUrl":"https://doi.org/10.1055/a-2904-8661","url":null,"abstract":"<p><strong>Background: </strong>Thigh muscle atrophy is a consistently reported complication following anterior cruciate ligament (ACL) reconstruction. Poor postoperative muscle status is associated with inferior functional outcomes and an increased risk of re-injury.</p><p><strong>Methods: </strong>This narrative review is based on a systematic literature search in PubMed and Cochrane investigating pre-, intra-/perioperative, and postoperative interventions, as well as adjunctive measures (nutrition, supplementation) aimed at reducing muscle atrophy following ACL reconstruction.</p><p><strong>Results: </strong>Several factors and interventions can reduce post-reconstruction muscle atrophy. Preoperatively, the timing of surgery (21-100 days after injury) and structured prehabilitation are essential. Intraoperatively, tourniquet use increases early postoperative atrophy without affecting long-term outcomes; femoral nerve block should be avoided. Graft choice has a substantial impact on the risk of muscle atrophy (quadriceps tendon > patellar tendon > hamstring tendon). Postoperatively, progressive eccentric resistance training and early neuromuscular electrical stimulation (NMES) are most effective interventions, while blood flow restriction training (BFRT) is a promising adjunctive strategy. Nutritional optimization (≥ 1.6-1.9 g protein/kg/day) and perioperative supplementation with essential amino acids (EAAs) and β-hydroxy-β-methylbutyrate (HMB) have demonstrated beneficial effects, particularly in high-risk patients.</p><p><strong>Conclusion: </strong>Muscle atrophy following ACL reconstruction is unavoidable but can be substantially reduced through a multimodal perioperative approach. In particular, high-risk patients are likely to benefit from the consistent combination of all available preventive strategies.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sports and Spondylolysis: Chances and Limits].","authors":"Tobias Pitzen, Jörg Drumm, Timo Zippelius, Michael Ruf","doi":"10.1055/a-2542-0106","DOIUrl":"https://doi.org/10.1055/a-2542-0106","url":null,"abstract":"<p><strong>Abstract: </strong>Spondylolysis is a unilateral or bilateral defect of the interarticular region of a vertebra, most commonly in the lumbar spine. This pathology occurs frequently in young athletes and leads to spondylolisthesis in 75% of cases. Athletically active patients generally wish to continue their sports activity. This article aims to present literature-based recommendations and our personal experience regarding sports participation in children and adolescents suffering from spondylolysis and spondylolisthesis. We conclude that sports participation is possible despite spondylolysis in individuals of growing age. However, sports involving repetitive hyperextension and rotational loading under maximal stress should initially be avoided. A conservative treatment approach is recommended as a first step. If this approach fails, surgical treatment should be considered. According to the literature and our experience, most athletes return to sport after both conservative and surgical treatment, often at the level achieved prior to diagnosis.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Hand Position on Performance Outcomes of the Y-Balance and Reactive Balance Tests in Young Athletes.","authors":"Ebru Tekin, Fatma Unver, İzzet Şener Kara, Hüseyin Konuk","doi":"10.1055/a-2851-1474","DOIUrl":"https://doi.org/10.1055/a-2851-1474","url":null,"abstract":"<p><strong>Background: </strong>Balance ability is a fundamental component of athletic performance and injury prevention. Although upper extremity position is known to influence postural control, its effect on commonly used lower-extremity balance tests has not been sufficiently clarified.</p><p><strong>Objective: </strong>To investigate the effect of hand position on performance parameters in the Y Balance Test (YBT) and Reactive Balance Test (RBT) and to assess within-condition test-retest reproducibility in young athletes.</p><p><strong>Methods: </strong>This randomized crossover study with repeated measures and a test-retest design was conducted in a physiotherapy laboratory in Türkiye. Nineteen adolescent female volleyball players (mean age: 16.16 ± 1.01 years) participated in the study. The YBT and RBT were performed under two hand position conditions (free hand position and hands on hips). The initial hand position was randomly assigned, and all assessments were repeated after 48 hours under identical conditions. The study was registered at ClinicalTrials.gov (NCT07111923).</p><p><strong>Results: </strong>For the YBT, hand position had no significant effect on reach distances in the anterior, posteromedial, or posterolateral directions, nor on composite scores (p > 0.05). Exploratory reproducibility analyses demonstrated moderate test-retest reproducibility in selected YBT directions only: left anterior (ICC = 0.479, p = 0.016), left posterolateral (ICC = 0.476, p = 0.017), and right posteromedial (ICC = 0.472, p = 0.018). In contrast, RBT performance was significantly influenced by hand position. The free hand condition resulted in shorter reaction times (right: p = 0.007; left: p = 0.003), whereas the hands-on-hips condition yielded higher accuracy rates (right: p = 0.039; left: p = 0.026), indicating a clear speed-accuracy trade-off.</p><p><strong>Conclusion: </strong>Hand position does not substantially alter overall YBT performance; however, reproducibility appears to be direction-specific. In contrast, RBT outcomes are highly sensitive to hand position. These findings highlight the need for explicit standardization of hand position during RBT administration to ensure comparable and interpretable results in both research and clinical settings.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nachwuchssport (kindliche Verletzungen, Überlastungen, Probleme im Leistungssport).","authors":"Christian Nührenbörger, Holger Schmitt, Peter U Brucker","doi":"10.1055/a-2843-9788","DOIUrl":"https://doi.org/10.1055/a-2843-9788","url":null,"abstract":"","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 2","pages":"70"},"PeriodicalIF":0.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back in the Game, But Maybe Not at the Top: Mid-term Sports Ability After Microfracturing For Juvenile Osteochondral Lesions Of The Talus.","authors":"Gregor Berrsche, Eva-Maria Fuchs, Holger Schmitt, Yannic Bangert, Sébastien Hagmann","doi":"10.1055/a-2760-7355","DOIUrl":"10.1055/a-2760-7355","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Juvenile osteochondral lesions of the talus (OLT) occur more frequently in children and adolescents who are physically active, although no clear causality can be established. For the frequently used, stage-adapted microfracture procedure, evidence remains insufficient regarding medium-term sports participation and sport-specific performance levels in this population with a view to competitive youth sports.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The primary objective of this study was to evaluate the rate of medium-term sports participation (in accordance with the IOC Consensus Statement on the continuum of return to sports) and sport-specific performance in adolescents following microfracture treatment of a juvenile OLT in the context of potentially persistent limitations. Secondly, the study aimed to evaluate the everyday functionality and pain levels of the patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A retrospective clinical longitudinal study was conducted on first-line therapy following microfracture treatment of OLT stage 3 according to Dipaola in a consecutive cohort of systematically physically active children and adolescents, recorded at a single centre. PROMS included the modified Heidelberg Sports Activity Score (HAS) to assess the rate of medium-term sports participation and sport-specific performance, as well as the Visual Analogue Scale Foot and Ankle (VAS FA) and the modified Foot and Ankle Outcome Score (FAOS) to assess the development of functionality and pain intensity immediately before the injury and at follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 35 patients were included in the study, with a loss to follow-up of 18.6%. Mean age at surgery was 14.6 years, and the mean follow-up period was 49.8 months. There was a significant improvement in the VAS FA and the modified FAOS compared with the preoperative status regarding everyday functionality and pain levels. Return to participation in sports was 97.1%. A significant medium-term reduction in overall athletic performance compared with the pre-injury level was observed in the modified HAS (p &lt; 0.017) from 58.8 to 43.1 median points, although this reduction was not consistent across all sports. Only three of eleven sports analysed (running/jogging, cycling, ball sports) showed a significant decline in sport-specific performance (p &lt; 0.017), whereas performance in eight sports remained unchanged. Functional, pain-related impairments of the operated-on ankle were most frequently reported in ball sports, racket sports, dancing and running/jogging in the medium term. During the return-to-sport phase within the return-to-sport continuum, participants rarely switched to lower-impact sports to a comparable extent or intensity (n=3). Persistent impairments led to a higher number of sport attrition (n=19).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Stage-adapted microfracture treatment in juvenile OLT shows very good results with respect to pain-fr","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":"40 2","pages":"91-98"},"PeriodicalIF":0.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Significant improvements regarding explosive power, endurance and agility through structured athletic training in junior fencing].","authors":"Daniel Güray, Armin Wald, Sven Mattausch, Andreas Kopf, Markus Geßlein","doi":"10.1055/a-2752-6223","DOIUrl":"10.1055/a-2752-6223","url":null,"abstract":"<p><strong>Background: </strong>Given the decline in performance in German fencing since 2012, systematic athletic training has become increasingly important in youth development. This study is the first to investigate the effects of structured athletic training on physical performance parameters in German youth fencing.</p><p><strong>Materials & methods: </strong>In a twelve-month interventional cohort study, 22 youth fencers (aged 13-17 years) from a performance centre were examined. The intervention group (n=12) completed 60 minutes of structured athletic training per week in addition to regular fencing training, while the control group (n=10) performed an exclusively fencing-specific training. Pre- and post-tests included standing long jump, 10 m sprint, T-test, rotational throw, Bourban test, and beep test. The intervention group also underwent Functional Movement Screen (FMS), Y-Balance test, and Skillcourt assessments. Statistical analysis was performed using t-tests and Mann-Whitney U tests, supplemented by effect sizes (Cohen's d).</p><p><strong>Results: </strong>Compared with the control group, the intervention group showed significant improvements in explosive strength (sprint: p=0.023, d=1.31; T-test: p=0.043, d=1.00; rotational throw right: p=0.023, d=1.05; left: p=0.003, d=1.44) and endurance (beep test: p=0.002, d=1.54). Core stability showed a trend towards significance (p=0.065, d=0.84). Within the intervention group, flexibility improved significantly (FMS: p=0.002, d=1.14; Y-Balance lower extremity right: p=0.012; left: p=0.019).</p><p><strong>Conclusion: </strong>Structured athletic training produces large to very large training effects in fencing-relevant physical performance parameters. The results provide evidence-based support for the integration of systematic athletic training into youth development programmes in German fencing.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"99-107"},"PeriodicalIF":0.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Incidence of Lumbar Bone Stress Injuries in Adolescent Athletes: A Systematic Review.","authors":"Lukas Weber, Philip Kurtz, Lucie Risch, Michael Cassel","doi":"10.1055/a-2623-3380","DOIUrl":"10.1055/a-2623-3380","url":null,"abstract":"<p><strong>Background: </strong>Low back pain is prevalent among both the general population and physically active adolescents. A substantial proportion of cases can be attributed to lumbar bone stress injuries (LBSI), particularly among adolescents engaged in competitive sports, likely due to high physical demands. This study aims to evaluate the prevalence and incidence of LBSI in adolescent athletes, with a focus on sport- and location-specific as well as age- or sex-related differences.</p><p><strong>Methods: </strong>A systematic review was conducted using the PubMed and Web of Science databases to identify studies reporting on LBSI in adolescent athletes aged 11 to 19 years. Inclusion criteria focused on MRI-confirmed LBSI. Data synthesis included descriptive statistics, correlation and regression analysis to assess the influence of sport type, age, sex, and injury location on the prevalence and incidence of LBSI.</p><p><strong>Results: </strong>From 188 initially identified articles, nine studies were included in the final analysis, comprising a total of 572 athletes across various sports. The review revealed LBSI prevalence rates ranging from 10.5% to 54% and incidence rates between 21% and 27%. The highest prevalence was observed in \"cricket fast bowlers\". A strong correlation (r=0.80) was identified between older adolescent age and increased LBSI prevalence, particularly in cricket players. However, the influence of sex could not be adequately analysed due to the limited representation of female athletes. The most frequently reported location of LBSI was the L5 level (24%-86%), followed by L4 (17%-50%), L3 (5%-33%) and L2 (10%-18%), respectively.</p><p><strong>Conclusion: </strong>LBSI is a significant overuse injury among adolescent athletes, particularly in sports that involve repetitive lumbar loading in hyperextension combined with rotation. The findings highlight the need for targeted preventive strategies, focusing on age-related risk and sport-specific demands. Future research should focus on diverse athlete populations, including balanced sex representation, and employ longitudinal designs to better understand the long-term implications of LBSI.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"82-90"},"PeriodicalIF":0.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Paediatric and Adolescent ACL Injuries].","authors":"Amanda Magosch, Christian Nührenbörger, Felix Hoffmann, Caroline Mouton, Romain Seil","doi":"10.1055/a-2537-6205","DOIUrl":"10.1055/a-2537-6205","url":null,"abstract":"<p><strong>Abstract: </strong>Children with open growth plates should not simply be regarded or managed as \"small adults\". A thorough understanding of the paediatric knee and its growth, along with the anatomical, hormonal, and neuromuscular changes occurring in children during maturation, is one of the key factors in the diagnosis, decision-making, and monitoring of skeletally immature patients with anterior cruciate ligament (ACL) injuries. Timely and accurate diagnosis and treatment of these ACL injuries are crucial to protecting the long-term integrity of the child's knee with regular reassessments being required to provide each individual patient with the best possible care. In the case of surgical treatment, the surgical technique must be adapted to the open growth plates. Once the growth plates have closed in adolescents and teenagers, surgery can be performed using adult techniques. However, in this age group, an extremely high rate of recurrent injury must be expected (up to 30% ipsilateral re-ruptures or contralateral primary ruptures). The aim of this article is to present the current understanding of paediatric and adolescent ACL injuries, including challenges in their diagnosis and treatment with a particular focus on associated injuries.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":"71-81"},"PeriodicalIF":0.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dry Needling and Exercise in the Treatment of Musculoskeletal Pain: A Systematic Review.","authors":"Maria P Salazar-Arias, Carlos D Gómez-Carmona, Christian Azofeifa-Mora, Braulio Sánchez-Ureña, Sameer Badri, Daniel Rojas-Valverde","doi":"10.1055/a-2825-6294","DOIUrl":"https://doi.org/10.1055/a-2825-6294","url":null,"abstract":"<p><strong>Abstract: </strong>Musculoskeletal pain presents a major global public health burden as it is a highly prevalent and disabling health condition. Non-pharmacologic treatments such as therapeutic exercise and dry needling are increasingly utilized in current practice although uncertainty remains regarding their comparative and combined effectiveness. This study aimed to systematically review contemporary evidence regarding the effectiveness of dry needling and exercise, alone and in combination, for the management of musculoskeletal pain. A systematic search adherent to PRISMA guidelines was conducted of PubMed, Web of Science, and Scopus databases for relevant studies from 2000-2023. After screening 642 records, 22 studies comprising a total of 1585 participants were analyzed. Seventeen studies (73.9%) found that dry needling provided no additional benefits over exercise alone for the reduction of musculoskeletal pain. Three studies demonstrated no improvements with either intervention alone. However, three studies showed greater improvements when dry needling was combined with exercise in knee osteoarthritis, trapezius myofascial pain, and low back pain. The most frequently utilized dry needling technique involved rapid in-and-out needling for 25 seconds to 15 minutes with 12-15 insertions per muscle, delivered over at least five weeks (twice weekly). Current evidence supports dry needling plus exercise as efficacious for musculoskeletal pain, although dry needling offers no additional benefit versus exercise alone. The heterogeneity of methods underscores the need for further high-quality comparative effectiveness trials across diverse populations and pain conditions to identify optimal protocols.</p>","PeriodicalId":520779,"journal":{"name":"Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}