{"title":"Rotator Cuff Health, Pathology, and Repair in the Perspective of Hyperlipidemia.","authors":"Armand N Yazdani, Vikrant Rai, Devendra K Agrawal","doi":"10.26502/josm.511500063","DOIUrl":"10.26502/josm.511500063","url":null,"abstract":"<p><p>Rotator Cuff Injuries (RCI) are prevalent cause of shoulder pain affecting over 20% of the population in the USA. Surgical repair of the torn rotator cuff helps in relieving the pressure on the rotator cuff tendon and from symptoms, however tendon-to-bone healing after rotator cuff surgery still has a high failure rate. Hyperlipidemia has been strongly associated with RCI although the cellular and molecular mechanisms are largely unknown. The focus of this critical review is to further explore the role of hyperlipidemia in RCI and rotator cuff tissue repair to determine its implication as a risk factor for tears, repair, and retears. A literature review was conducted to elucidate the role of hyperlipidemia as an inflammatory mediator and catalyst for structural instability within the shoulder. The results from various studies were critically reviewed to summarize the relationship between hyperlipidemia and rotator cuff pathology. Hyperlipidemia induces LDL-particle entrapment within the dense regular collagen of rotator cuff tendons resulting in foam cell aggregation and macrophage recruitment. Subsequent inflammatory pathways including the JAK2/STAT3 pathway and NLRP3 inflammasome pathway led to persistent inflammation and Extracellular Matrix (ECM) degradation within the rotator cuff. While arthroscopic repair remains the most common treatment modality, nonsurgical treatment including statins, vitamin D, and targeting miRNA are also of therapeutic benefit. Hyperlipidemia interferes with arthroscopic repairs by inducing inflammation and stiffness within tendons and increases the risk of retears. Most notably, targeting underlying mechanisms influencing inflammation has large therapeutic value as a novel treatment strategy for the management of rotator cuff pathology.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"4 4","pages":"263-275"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40469039","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}
Simeng Gu, Yumeng Li, Yao Jiang, Jason H Huang, Fushun Wang
{"title":"Mindfulness Training Improves Sport Performance via Inhibiting Uncertainty Induced Emotional Arousal and Anger","authors":"Simeng Gu, Yumeng Li, Yao Jiang, Jason H Huang, Fushun Wang","doi":"10.26502/josm.511500066","DOIUrl":"https://doi.org/10.26502/josm.511500066","url":null,"abstract":"Mindfulness training has gained popularity in the scientific field, and has been proposed as an efficient psychotherapy for affective disorders. Mindfulness training requires the individual to pay attention to the good things that are happening “right now and here” and neglect the nervous uncertainty. Uncertainty (un-expectancy) plays a critical role in inducing stressful emotions during sport games, and mindfulness training is especially useful in calming the body peacefully for the athletes. In this paper, we will review experimental studies and propose theoretic speculations concerning uncertainty and emotional arousal during sport games. We first analyzed the effects of emotions on sports according to two dimensions (arousal and valence), next we analyzed the effects according to our previous three-primary-color emotional theory, which suggested that there are three prototypical emotions (Joy, Fear and Disgust). In addition, we proposed that anger might be the only basic emotion that can only be evoked by others’ behavior responses and directly affect sport performance. Furthermore, we proposed that emotional arousal activates the sympathetic and norepinephrine system, while mindfulness activates the para-sympathetic and dopamine system. Therefore, mindfulness will activate the neural systems that are totally different from or contrary the emotional arousal systems to induce peaceful mind. This review will contribute greatly to theoretical and empirical explorations of emotional regulations with mindfulness during sports.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349383","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}
D. Saragaglia, Guillaume Favarel, J. Banihachemi, A. Chamseddine
{"title":"Epidemiology of Downhill Mountain Biking Injuries: 178 Injuries in 129 Patients","authors":"D. Saragaglia, Guillaume Favarel, J. Banihachemi, A. Chamseddine","doi":"10.26502/josm.511500070","DOIUrl":"https://doi.org/10.26502/josm.511500070","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349468","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 Rituximab Therapy Associated with Achilles Tendinopathy?","authors":"Mallak Zatreh","doi":"10.26502/josm.511500056","DOIUrl":"https://doi.org/10.26502/josm.511500056","url":null,"abstract":"Rituximab is a chimeric anti-CD20 monoclonal antibody that is used to treat CD20+ non-Hodgkin's lymphoma, and a wide variety of autoimmune diseases. Rituximab-associated tendinopathy has been described in a few cases in the literature. Here, we present a case of Achilles partial tendon rupture with classic clinical and radiographic findings in a patient treated with rituximab.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349753","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}
S. Shakya, Roshan Lal Shrestha, Shikshya Prakash Shrestha, N. Shrestha, Umesh Bahadur Bogatee, Anil Shakya
{"title":"Hybrid Ilizarov’s Method and Fibular Strut for Humeral Diaphyseal Nonunion: A Case Report after Multiple Failed Plating","authors":"S. Shakya, Roshan Lal Shrestha, Shikshya Prakash Shrestha, N. Shrestha, Umesh Bahadur Bogatee, Anil Shakya","doi":"10.26502/josm.511500058","DOIUrl":"https://doi.org/10.26502/josm.511500058","url":null,"abstract":"Humeral diaphyseal fracture with non-union and failed implant in situ is a complex case. It is more challenging when the case is accompanied by infection, multiple ORIF, and osteopenic bone. Smoking and alcohol consumption synergically enhances delay in fracture healing and non-union. The various surgical procedures are prevalent and conducted by orthopedic surgeons for its management. We hereby present a complex case of non-union humeral shaft fracture with an implant in situ by the use of autologous fibula strut as a biological nail to fit the non-union gap stabilized by K-wire and hybrid Ilizarov’s external fixator for mechanical support in a single setting. During this process, radical bone debridement was done. At 9 months of follow-up, bone union was achieved and the implants were removed. The final functional outcome was graded as good according to QuickDASH shoulder score with improved shoulder and absence of pain at the non-union site.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349770","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}
E. Varamenti, Catherine E. Beattie, D. Tod, T. Bommasamudram, C. Savoia, S. Pullinger
{"title":"Acute and Long-Term Variations in Variables Related to Redox, Inflammation and Hormonal Status in Male Football Players: A Systematic Review and Recommendations","authors":"E. Varamenti, Catherine E. Beattie, D. Tod, T. Bommasamudram, C. Savoia, S. Pullinger","doi":"10.26502/josm.511500062","DOIUrl":"https://doi.org/10.26502/josm.511500062","url":null,"abstract":"Introduction: The present study aimed to review the acute and long-term variations in variables related to redox, inflammation and hormonal status in male footballers. Materials and methods: A PRISMA-compliant systematic review was conducted. The entire content of PubMed, Scopus and Science Direct were systematically searched until May 2022. Studies with outcomes including: (1) adult male football players, (2) a redox and/or an inflammatory and/or a hormonal marker after a training period, and (3) variables measured in blood/saliva. Results: Thirty-four studies met the inclusion criteria for the qualitative synthesis. Fourteen studies on redox status, 16 on inflammation/muscle damage and 20 on hormonal variations. Only 4 studies incorporated markers related to all 3 statuses, while 8 studies looked at a combination of 2. Studies around redox homeostasis found several markers to fluctuate with MDA, TBARS, protein carbonyls, GSSG, GPx, CAT, and uric acid increasing immediately after a game. Hormonal markers, such as testosterone in blood, revealed no significant change after training. Some found T to increase post-exercise, and some a decrease. Cortisol increased in both short- and long monitoring periods. Markers associated with inflammation and muscle damage found creatine kinase elevated immediately post-game and over extended periods. LDH, C-RP, and IL-6 were also higher post-match. Discussion: Exposure to short or long-term participation in football training and competitions could significantly affect footballers' redox, inflammation and hormonal status. However, greater consistency across studies is required to ascertain the implications of structured training regimens on measured variables. Selecting the most relevant protocol/ conditions and biochemical markers, including the collection time and the type of specimen, must be considered.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349322","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}
Andrew L Alejo, Scott McDermott, Yusuf Khalil, Hope C Ball, Gabrielle T Robinson, Ernesto Solorzano, Amanda M Alejo, Jacob Douglas, Trinity K Samson, Jesse W Young, Fayez F Safadi
{"title":"A Pre-clinical Standard Operating Procedure for Evaluating Orthobiologics in an <i>In Vivo</i> Rat Spinal Fusion Model.","authors":"Andrew L Alejo, Scott McDermott, Yusuf Khalil, Hope C Ball, Gabrielle T Robinson, Ernesto Solorzano, Amanda M Alejo, Jacob Douglas, Trinity K Samson, Jesse W Young, Fayez F Safadi","doi":"10.26502/josm.511500060","DOIUrl":"10.26502/josm.511500060","url":null,"abstract":"<p><p>The rat animal model is a cost effective and reliable model used in spinal pre-clinical research. Complications from various surgical procedures in humans often arise that were based on these pre-clinical animal models. Therefore safe and efficacious pre-clinical animal models are needed to establish continuity into clinical trials. A Standard Operating Procedure (SOP) is a validated method that allows researchers to safely and carefully replicate previously successful surgical techniques. Thus, the aim of this study is to describe in detail the procedures involved in a common rat bilateral posterolateral intertransverse spinal fusion SOP used to test the efficacy and safety different orthobiologics using a collagen-soaked sponge as an orthobiologic carrier. Only two orthobiologics are currently FDA approved for spinal fusion surgery which include recombinant bone morphogenetic protein 2 (rhBMP-2), and I-FACTOR. While there are many additional orthobiologics currently being tested, one way to show their safety profile and gain FDA approval, is to use well established pre-clinical animal models. A preoperative, intraoperative, and postoperative surgical setup including specific anesthesia and euthanasia protocols are outlined. Furthermore, we describe different postoperative methods used to validate the spinal fusion SOP, which include <i>μ</i>CT analysis, histopathology, biomechanical testing, and blood analysis. This SOP can help increase validity, transparency, efficacy, and reproducibly in future rat spinal fusion surgery procedures.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"4 3","pages":"224-240"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534599/pdf/nihms-1837082.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33509493","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":"Out of the Trenches: A Review of Modern Rheumatology’s Relationship with War","authors":"M. Alexander","doi":"10.26502/josm.511500071","DOIUrl":"https://doi.org/10.26502/josm.511500071","url":null,"abstract":"This paper provides a brief review of how wars in recent history have shaped the development of rheumatology as a medical specialty. This history is not widely known in the medical field and appears to have been forgotten. However, it is important to the field of both military medicine and rheumatology in a civilian context. Many rheumatic diseases were recognised for the first time as a result of doctors treating arthritis in soldiers during World War I and World War II. Chemical Weapons in both wars lead to the discovery of many Disease Modifying Anti Rheumatic Drugs still commonly used today in rheumatology. During World War I, 93,000 cases of arthritis were reported in US troops. Ten years after the end of World War I in the US, the government was paying $10,000,000 a year to around 35,000 ex-service personnel for disabilities as a result of chronic arthritis, demonstrating arthritis in military history is significant.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349479","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}
Zhifeng Wang, C. Han, C. Yuan, Yiyuan Shen, X. Geng, Chen Wang, Chao Zhang, Jiazhang Huang, Xin Ma, Hanqiu Liu, Xu Wang
{"title":"Cortical Activation Reorganization of Cerebral Regions in Charcot– Marie–Tooth Patients: A Task-state Functional Magnetic Resonance Imaging Study","authors":"Zhifeng Wang, C. Han, C. Yuan, Yiyuan Shen, X. Geng, Chen Wang, Chao Zhang, Jiazhang Huang, Xin Ma, Hanqiu Liu, Xu Wang","doi":"10.26502/josm.511500064","DOIUrl":"https://doi.org/10.26502/josm.511500064","url":null,"abstract":"Background : Evidence of altered brain functional activation in response to different tasks has been reported in some peripheral neuropathies. The aim of this study was to investigate possible central nervous system modifications using task-state Functional Magnetic Resonance Imaging (FMRI) in Charcot–Marie–Tooth patients. Methods: A design of ankle dorsiflexion-plantarflexion and fist clutching paradigm was adopted at a frequency of 1 Hz in the FMRI portion in CMT patients and healthy controls. We acquired 3.0T MRI brain scans. The brain activation MR signals were recorded and a paired voxel-wise t-test was performed. The correlations between FMRI measurement and clinical variables were calculated.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349365","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}
S. Pelet, Jérémy Bergeron, Mireille Marquis, Etienne L Belzile
{"title":"Epidemiology of Injuries in High School Football Players: A Prospective Cohort Study","authors":"S. Pelet, Jérémy Bergeron, Mireille Marquis, Etienne L Belzile","doi":"10.26502/josm.511500065","DOIUrl":"https://doi.org/10.26502/josm.511500065","url":null,"abstract":"Objective: To estimate the incidence and severity of injuries sustained by a group of high-school football players and to identify risk factors associated with these injuries Design: Observational cohort study Settings: High school football programs in Quebec, Canada Participants: 707 male high-school football players were recruited and entered the study. They had to come from one of four participating high schools to be included in the study. All players completed the survey Interventions: Participants filled out a questionnaire about sociodemographic data, football experience, and life habits. They were observed throughout a football season and any injury was entered into a database by the team’s trainer “injured”","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349376","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}