Journal of Clinical Orthopaedics and Trauma最新文献

{"title":"Infection management in hip arthroplasty: Comparative insights on revision strategies","authors":"Narendra Singh Kushwaha ,&nbsp;Pushprajan ,&nbsp;Ankur Ojha ,&nbsp;Ashish Kumar ,&nbsp;Mohit Kumar Patel ,&nbsp;Shriansh Pandey","doi":"10.1016/j.jcot.2025.103079","DOIUrl":"10.1016/j.jcot.2025.103079","url":null,"abstract":"<div><h3>Background</h3><div>Periprosthetic joint infection (PJI) remains a major complication following total hip arthroplasty (THA), often necessitating revision surgery. Debate persists regarding the optimal approach between single-stage and two-stage revision strategies.</div></div><div><h3>Methods</h3><div>This retrospective comparative study evaluated 60 patients (30 in each group) undergoing revision THA for chronic PJI. Patients were matched demographically, and outcomes were assessed over 24 months. Primary endpoints included infection recurrence and functional scores, including the Visual Analog Scale (VAS) for pain.</div></div><div><h3>Results</h3><div>At 24-month follow-up, neither group demonstrated reinfection (0 % recurrence in both cohorts). VAS scores were slightly better in the single-stage group at 3, 6, and 12 months postoperatively (mean 1.9 vs 2.2 at 6 months, p = 0.24). The two-stage group had longer hospital stays and greater overall healthcare costs. Polymicrobial infections were more common in the two-stage cohort (20 % vs. 10 %), while 15 % of all cases were culture-negative. Staphylococcus aureus was identified as the primary pathogen in 46.7 % and 50.0 % of the respective groups. At 24 months, the Harris Hip Score averaged 85.4 ± 6.2 for single-stage compared to 83.3 ± 7.1 for two-stage revisions.</div></div><div><h3>Conclusion</h3><div>Both revision strategies are viable for managing chronic PJI, with comparable reinfection rates. However, single-stage revision may offer faster pain relief and reduced resource utilization. Clinical decision-making should consider factors such as infection type, organism profile, patient comorbidities, and surgical expertise.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103079"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240444","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":"Robot-assisted total knee arthroplasty using modified sub-vastus approach: A series of 120 knees","authors":"B.N. Prashanth,&nbsp;Karthik Sangani,&nbsp;Yeshwanth M. Reddy","doi":"10.1016/j.jcot.2025.103078","DOIUrl":"10.1016/j.jcot.2025.103078","url":null,"abstract":"<div><h3>Background</h3><div>The application of the Sub-vastus (SV) approach in Robot-assisted total knee arthroplasty (RATKA) is a relatively new practice with many potential benefits. This study aimed to assess the cases that underwent robot-assisted knee replacement through the sub-vastus approach, using functional and clinical parameters.</div></div><div><h3>Methods</h3><div>This monocentric, single-surgeon, retrospective observational study included 81 consecutive cases (120 knees) who had undergone Robot-assisted total knee arthroplasty with the Sub-vastus approach. Their Postoperative evaluation included hemoglobin levels, functional outcomes like the straight leg raising test (SLRT), walking ability, and the Oxford Knee Score (OKS).</div></div><div><h3>Results</h3><div>The average age of participants was 63.3 years. The mean hospital stay was 3.4 days (median 3 days). Perioperative drop in Hemoglobin concentration averaged 1.27 g/dl for unilateral and 1.5 g/dl for bilateral cases. By the second postoperative day, 85 % of the study group were able to perform active straight leg raising and 66 % were able to walk with support. These numbers increased to 95 % by the third day. The mean OKS was 45.832 (SD: 1.29).</div></div><div><h3>Conclusion</h3><div>The SV approach, when combined with RATKA, can yield improved functional results by showing the short-term benefits of a quadriceps-sparing technique, like less blood loss, faster recovery, and shorter hospital stay, while also enhancing surgical precision and accuracy in implant placement, thereby improving longevity. This combination is also effective in addressing severe deformities and obese cases, which previously were a limitation of the SV approach. Incorporating an oblique under-vastus release of the suprapatellar pouch and capsule was found to facilitate surgical access and may enhance procedural efficiency.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103078"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205307","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":"Recovery after Total Knee Arthroplasty: Does one or two knees matter?","authors":"Clevio Desouza ,&nbsp;Vijay Shetty","doi":"10.1016/j.jcot.2025.103076","DOIUrl":"10.1016/j.jcot.2025.103076","url":null,"abstract":"<div><h3>Background</h3><div>Total Knee Arthroplasty (TKA) is an effective surgical intervention for end-stage osteoarthritis (OA). The decision between unilateral TKA and simultaneous bilateral TKA remains a topic of debate due to differences in functional outcomes, complication rates, and recovery trajectories. This study aims to compare the functional recovery, complications, and patient satisfaction between unilateral and simultaneous bilateral TKA in the Indian population.</div></div><div><h3>Methods</h3><div>This prospective, single-surgeon, comparative cohort study included 216 patients (112 unilateral TKA, 104 simultaneous bilateral TKA). Patients were followed for an average of 6.15 ± 1.21 years. Functional outcomes were assessed using the Oxford Knee Score (OKS) and range of motion (ROM) at 1 year and 5 years postoperatively. Pain, complication rates, hospital stay, and patient satisfaction were also evaluated.</div></div><div><h3>Results</h3><div>Both groups showed significant improvements in OKS and ROM compared to baseline. At 1 year, the OKS improved to 33.12 ± 1.66 (unilateral) and 33.56 ± 1.72 (bilateral) (P-value = 0.028), with further improvement at 5 years (38.65 ± 1.48 vs. 39.14 ± 1.54, P-value = 0.011). ROM improvements were comparable between groups (P-value = 0.787). The bilateral group had a longer hospital stay (P-value = 0.02) and higher early postoperative pain, but overall complication rates and patient satisfaction were similar (P-value = 0.74).</div></div><div><h3>Conclusion</h3><div>Simultaneous bilateral TKA provides comparable long-term functional outcomes to unilateral TKA, with efficient recovery and similar complication rates. Careful patient selection is essential to optimize outcomes.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103076"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189610","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":"Is there an elephant in the Room? Burnout in orthopaedic training: A scoping review","authors":"Benjamin Man ,&nbsp;Chandramohan Ravichandran ,&nbsp;Jay Panchal ,&nbsp;Shaun Zacharia ,&nbsp;Preyeamvadha Ravi Kumar ,&nbsp;Vishnu V. Nair","doi":"10.1016/j.jcot.2025.103077","DOIUrl":"10.1016/j.jcot.2025.103077","url":null,"abstract":"<div><h3>Background</h3><div>Burnout is a growing concern among orthopaedic residents, with numerous studies reporting high prevalence rates. It impacts both mental and physical well-being and typically manifests as emotional exhaustion, depersonalisation, and a reduced sense of personal accomplishment. The medical culture of perseverance often obscures recognition of these issues, leading to underreporting and insufficient support. Burnout not only affects the health of residents but also poses significant risks to patient safety and care quality. This review explores the contributing factors to burnout among orthopaedic residents and evaluates strategies for its prevention and management.</div></div><div><h3>Methods</h3><div>comprehensive search was conducted across PubMed, Scopus, Medline and Web of Science from 2015 to 2025, using a combination of keywords, including ‘Orthopaedic', ‘Orthopaedic surgeon', ‘Orthopaedic resident', ‘Burnout', and ‘Burnout prevention’. Studies were selected based on specific inclusion criteria. This included peer-reviewed articles addressing burnout prevalence, causes, and prevention strategies in orthopaedic residents. Systematic reviews, randomized controlled trials (RCT), cross-sectional studies, and pilot studies were included. Narrative reviews and commentaries were also incorporated due to the limited availability of studies to provide context and synthesise broader perspectives on burnout and resilience. Studies that showed no relevance to orthopaedics were removed. Two independent reviewers assessed the studies. A thematic analysis was performed on the identified studies to synthesise common management strategies.</div></div><div><h3>Results</h3><div>The review identified 69 studies that met the search criteria discussing burnout in orthopaedic residents. These studies highlighted key factors influencing burnout, which were categorized into three domains: work life, personal aspects and home life. There were limited studies on strategies to prevent burnout in orthopaedic residents, specifically with only 2 studies. Individual-level strategies, such as resilience and mindfulness training, show promise in reducing burnout. Organisational changes were also emphasized; however, there were no studies specifically addressing this.</div></div><div><h3>Conclusion</h3><div>To address burnout, individual-level strategies such as mindfulness and resilience training show promise; however, sustainable change requires structural reforms including workload redistribution and supportive leadership. Future research should prioritise high-quality, orthopaedic-specific studies, particularly multicentre RCTs to evaluate the feasibility and effectiveness of these strategies. A comprehensive approach addressing both individual and organisational factors is essential to improve resident well-being and maintain high standards in orthopaedic training and care.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103077"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194636","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":"MYNAH Registry: A novel approach to decoding the natural history of degenerative cervical myelopathy","authors":"Nashwa Najib ,&nbsp;Alisha W. Sial ,&nbsp;Hussain Bohra ,&nbsp;Ashish D. Diwan","doi":"10.1016/j.jcot.2025.103075","DOIUrl":"10.1016/j.jcot.2025.103075","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103075"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189611","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":"Recent progress in surgical treatment of cervical spine myelopathy – A narrative review","authors":"Jun Ouchida,&nbsp;Hiroaki Nakashima,&nbsp;Sadayuki Ito,&nbsp;Naoki Segi,&nbsp;Ippei Yamauchi,&nbsp;Shiro Imagama","doi":"10.1016/j.jcot.2025.103074","DOIUrl":"10.1016/j.jcot.2025.103074","url":null,"abstract":"<div><div>Surgical techniques and technology for cervical spondylotic myelopathy (CSM) have demonstrated remarkable advancement during the past decade. This narrative review examines the evolution of surgical approaches and technological innovations, focusing on both anterior and posterior techniques. Anterior approaches have progressed through the development of endoscopic procedures, novel decompression methods such as vertebral body sliding osteotomy, and advanced implant materials including 3D-printed customized devices. Posterior approaches have evolved with the integration of endoscopic techniques and refined fixation methods, demonstrating reduced tissue trauma and improved outcomes. The integration of surgical assistance technologies, including navigation systems, robotics, and augmented reality, has enhanced surgical precision while potentially reducing procedural risks. While these advances show promising outcomes in terms of surgical precision and patient recovery, challenges persist regarding technology implementation and cost-effectiveness. Emerging technologies such as artificial intelligence for surgical planning, patient-specific implants, and adjunctive biological therapies may further improve CSM treatment. The optimal application of these innovations requires continued research and careful evaluation to establish their long-term efficacy and safety in clinical practice.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103074"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194634","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":"\"Inching closer to native anatomy: A CT scan based morphometric analysis of tunnels in all-inside ACL reconstruction\"","authors":"Imroz Jindal ,&nbsp;Kamparsh Thakur ,&nbsp;Chander Mohan Singh ,&nbsp;Chetan Sood ,&nbsp;Saurabh Mahajan ,&nbsp;Mohini Agrawal","doi":"10.1016/j.jcot.2025.103072","DOIUrl":"10.1016/j.jcot.2025.103072","url":null,"abstract":"<div><h3>Background</h3><div>Placement of ACL tunnels closer to native ACL footprint is of utmost importance. Thus, study was designed to analyze radiomorphometric parameters of tunnels in All-inside technique (AI) and compare them to Antero-medial portal with full Tibial tunnel technique (AMP).</div></div><div><h3>Methods</h3><div>Observational study was conducted from January 2019 to December 2021. Participants were divided into two groups for single bundle ACL reconstruction: AI and AMP. Radiomorphometric analysis of tunnels was done on CT-scan. Paired <em>t</em>-test was used for comparison, with p &lt; 0.05 considered to be significant.</div></div><div><h3>Results</h3><div>60 patients were included in the study, with one female and 29 males, with no significant differences in demographic parameters (p = 0.0554). For femoral tunnels, t% was 22.27 ± 3.677 and 22.506 ± 2.481; h% was 29.92 ± 3.255 and 27.654 ± 2.938 for AMP and AI respectively, with no significant differences. For tibial tunnels, ap% was 45.658 ± 3.33 and 46.008 ± 3.448; ml% was 51.247 ± 1.91 and 52.035 ± 2.533 for AMP and AI, respectively. There was no significant differences for t% (p = 0.84), h% (p = 0.0551), ap% (p = 0.7794), and ml% (p = 0.3443). Mean diameter of femoral tunnels was 9.43 ± 0.75 mm and 9.16 ± 0.58 mm, and tibial tunnels were 9.43 ± 0.70 mm and 9.06 ± 0.70 mm for AMP and AI, respectively, with no statistical difference. The length of femoral tunnels was 20.146 ± 3.256 mm and 21.64 ± 2.011 mm, and tibial tunnels were 39.16 ± 5.447 mm and 20.72 ± 3.68 mm for AMP and AI respectively, showing a significant difference in tibial tunnel length (p &lt; 0.00001). No significant difference was noted in sagittal orientation in two techniques. However, a significant difference was noted in coronal alignment for femoral tunnels (p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>There is no significant differences in femoral and tibial tunnel placement, length, diameter, and sagittal orientation. However, significant difference was noted in femoral tunnels' coronal orientation and tibial tunnels’ length. Drilling femoral tunnel at 90° enhances ease of placement for femoral-jig but does not affect tunnel placement.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103072"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185195","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":"Challenges in a neglected case of traumatic anterior dislocation after total knee replacement: A case report","authors":"Aashay Sonkusale ,&nbsp;Vijay Kishore Kondreddy ,&nbsp;Kunal Patel","doi":"10.1016/j.jcot.2025.103073","DOIUrl":"10.1016/j.jcot.2025.103073","url":null,"abstract":"<div><div>Anterior tibio-femoral dislocation following total knee replacement (TKR) is a dreaded complication. We present a case of a 43-year-old lady who presented to us 3 months after a domestic ground level fall with pain, deformity and, inability to bear weight on her right knee. She had undergone a successful TKR 3 years ago with no complaints up until the fall. On examination, the limb was well perfused with no neurologic damage. A vascular surgery opinion was taken and arterial doppler showed good flow at and below the level of the knee. Radiologic assessment revealed a complete anterior dislocation of the prosthetic knee and a bone avulsion of medial epicondyle (ME). With an aim to add to current literature, we focus on the challenges faced intra-operatively and have described excision of the ME with excellent functional outcome at six months in such long-standing cases of dislocation. The patient was revised to constraint hinge knee with a rotating platform. At a 6-month follow-up, patient made a good functional recovery and had a stable knee with an Oxford knee score of 41. Informed consent has been taken from the patient as per CARE guidelines.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103073"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194754","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":"BROAD SCORE: A tool for assessing reduction quality and predicting functional outcomes in paediatric diaphyseal both-bone forearm fractures","authors":"Binoti Sheth,&nbsp;Kamal Jain,&nbsp;Pankaj Pawar","doi":"10.1016/j.jcot.2025.103071","DOIUrl":"10.1016/j.jcot.2025.103071","url":null,"abstract":"<div><h3>Background</h3><div>Conservative management is the gold standard in the treatment of both bone forearm fractures in children. However, the guidelines for the same remain unclear. Acceptability of reduction and its maintenance in a cast are both important aspects of this management. Various casting indices have been described for the latter but no acceptability criterion has been considered as a standard. This study aimed to create a simple scoring system that would guide orthopaedicians in accepting a reduction, making informed decisions and explaining the outcomes to the patient and the caregivers.</div></div><div><h3>Methods</h3><div>40 children with both bone forearm fractures under the age of 9 were selected according to inclusion and exclusion criteria, closed reduction and above elbow casting was done and the patients prospectively followed up over a period of 1 year. Forearm radiographs were taken and range of motion (Flexion – Extension and Pronation - Supination) was documented at every visit. The BROAD Score (Bowing, Rotation, Overlap, Angulation, Displacement) was calculated at every visit and correlated with the range of motion and functional outcome grade as per Price criteria.</div></div><div><h3>Results</h3><div>57.5 % of the study population were aged 6–8 years (Male: Female = 5:3). Diaphyseal midshaft fractures were the most common (55 %). In patients with acceptable functional outcome (82.5 %, n = 33), the mean BROAD score immediately post reduction was 4.061 (±0.609), while in those with a fair/poor functional outcome (17.5 %, n = 7), the mean score was 2.643 (±0.626).</div></div><div><h3>Conclusion</h3><div>A BROAD score of at least 3.5 immediate post reduction, with a good casting technique and a meticulous follow up with radiographic evaluation would suffice to result in an acceptable functional outcome, provided there is enough time till skeletal maturity for remodeling. A score less than 3 should encourage the treating orthopaedician to consider re-manipulation in order to achieve a better outcome.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103071"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133997","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":"Osteochondroma of the iliac crest as a mimicker of prolapsed intervertebral disc- A case report and review of literature","authors":"Jeevan Kumar Sharma ,&nbsp;Anuj Gupta ,&nbsp;Md Neshar Ansari","doi":"10.1016/j.jcot.2025.103068","DOIUrl":"10.1016/j.jcot.2025.103068","url":null,"abstract":"<div><div>Osteochondromas of the pelvis are benign bone tumors. They might be accidently discovered during imaging studies and can stay inactive without causing any symptoms. However, as they grow larger, they may cause compressive symptoms in adjacent areas. A 17-year-old male presented with a history of back strain sustained while participating in sports. He experienced shooting pain radiating down his left leg, following the L4 dermatome pattern. Nerve irritation tests, such as the straight leg raise test and reported paresthesia in the L4 dermatome, were positive. The classic symptoms and clinical findings lead to an initial tentative diagnosis of a prolapsed intervertebral disc with no “red flags” symptoms. He was prescribed conservative treatment. However, there was no alleviation of pain over the next six weeks, at which point an MRI (Magnetic Resonance Imaging) identified an osteochondroma of Iliac crest. Following the excision of the lesion, the patient made a complete recovery without recurrence of lesion. Osteochondromas continue to perplex healthcare professionals as they can arise in isolated form at various location of bones. Pelvic osteochondroma leading to radicular symptom is very unusual. The primary treatment approach for symptomatic cases are to surgically remove the lesion.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"68 ","pages":"Article 103068"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116941","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}