JSES reviews, reports, and techniques最新文献

{"title":"Acromion bone block transfer with preserving coracoacromial ligament for surgical treatment of anterior instability novel method (Reverse Latarjet)","authors":"Süleyman Semih Dedeoğlu MD , Mustafa Buğra Ayaz MD , Yavuz Şahbat MD , Yasin Güler MD , Ahmet Keskin MD , Yunus İmren MD , Bülent Karslıoğlu MD","doi":"10.1016/j.xrrt.2025.100641","DOIUrl":"10.1016/j.xrrt.2025.100641","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100641"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078561","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":"Anatomical characterization of sternoclavicular joint and correlation of arthroscopic portals and structures at risk: a cadaveric study on Colombian specimen","authors":"Fabio Alfonso Suarez Romero MD ,&nbsp;Deisy Consuelo Celeita Medina MD ,&nbsp;María Camila Ruiz Cardenas MD ,&nbsp;Andrea Juliana Hernández Caicedo MD ,&nbsp;Federico Suarez MD","doi":"10.1016/j.xrrt.2025.100650","DOIUrl":"10.1016/j.xrrt.2025.100650","url":null,"abstract":"<div><h3>Background</h3><div>The sternoclavicular joint (SCJ) is a synovial saddle joint and the only articulation between the axial skeleton and the upper limb. Although SCJ pathology is rare, it may include degenerative, autoimmune, infectious, tumoral, or traumatic conditions. Arthroscopic approaches to this region carry a risk of damaging vital mediastinal structures. This study aims to anatomically characterize the SCJ and surrounding neurovascular structures, emphasizing the posterior capsule as a critical safety barrier during arthroscopy.</div></div><div><h3>Methods</h3><div>Ten cadaveric specimens were bilaterally dissected. Arthroscopic portals were first marked and used to identify the posterior capsule. Open dissections were performed to measure the distances between the portals and nearby mediastinal structures using digital calipers. Data were recorded in Excel 2024 (Microsoft Corp., Redmond, WA, USA) and REDCap (Vanderbilt University, Nashville, TN, USA) and analyzed with SPSS version 28 (IBM Corp., Armonk, NY, USA).</div></div><div><h3>Results</h3><div>The posterior capsule consistently acted as a protective boundary between the joint and mediastinal structures. The average distances from the superomedial (SM) and inferolateral (IL) portals to the posterior capsule were 26.3 mm and 26.5 mm, respectively. From the posterior capsule, the average distances to key mediastinal structures were: common carotid artery: 42.5 mm (SM), 44.1 mm (IL), brachiocephalic trunk: 40.5 mm (SM), 43.5 mm (IL), innominate vein: 37.8 mm (SM), 39.7 mm (IL), and vagus nerve: 45.4 mm (SM), 46.5 mm (IL).</div></div><div><h3>Discussion and/or Conclusion</h3><div>The posterior capsule provides a reliable anatomical safety margin between the SCJ and vital mediastinal structures. During SCJ arthroscopy, referencing the anterior sternoclavicular ligament and maintaining a minimum 5.1 cm safety margin posteriorly can minimize the risk of catastrophic injury. These findings support safer surgical planning and highlight the importance of precise portal placement.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100650"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078937","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":"Talus allograft for bipolar bone loss in locked anterior shoulder fracture dislocation","authors":"Cameron R. Guy MD,&nbsp;Jonathan Burke MS, ATC,&nbsp;Tyler Thorne MD,&nbsp;Christopher D. Joyce MD","doi":"10.1016/j.xrrt.2025.100652","DOIUrl":"10.1016/j.xrrt.2025.100652","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100652"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078592","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":"Allograft reconstruction of distal biceps ruptures: surgical technique and analysis of outcomes in chronic tears and failed repairs","authors":"Sameer R. Khawaja MD ,&nbsp;Victoria A. Conn BS ,&nbsp;Brianna L. Siracuse MD ,&nbsp;Krishna N. Chopra MA ,&nbsp;Amalie Erwood MD ,&nbsp;Eric R. Wagner MD ,&nbsp;Spero G. Karas MD","doi":"10.1016/j.xrrt.2025.100661","DOIUrl":"10.1016/j.xrrt.2025.100661","url":null,"abstract":"<div><h3>Background</h3><div>Distal biceps tendon tears are relatively uncommon injuries that may result in pain and dysfunction. When these injuries are addressed acutely, healing rates, functional recovery, and patient outcomes are excellent. Despite generally good outcomes, failures do occur. Chronic tears of the distal biceps or those requiring revision surgery pose a unique challenge, as the tendons are often retracted and atrophic, requiring allograft reconstruction to bridge the gap in the repair construct. This manuscript aims to describe a safe, reproducible surgical technique and examine the clinical outcomes of distal biceps tendon reconstructions performed with allografts.</div></div><div><h3>Methods</h3><div>A retrospective review of patient records from 2000 to 2022 to include Current Procedural Terminology code 24342 for reinsertion of biceps tendon, distal, with or without tendon graft, was performed. Operative notes were screened to determine which procedures included a distal biceps repair with an allograft. Charts were reviewed to determine a patient's most recent documented range of motion, pain score, and any postoperative complications. Patients were contacted by phone to determine their Quick Disabilities of Arm, Shoulder and Hand, Mayo Elbow Performance Score, and 12-Item Short Form Health Survey (SF-12) scores, as well as current visual analog scale for pain.</div></div><div><h3>Results</h3><div>Fifteen patients who underwent distal biceps repairs with allograft were identified, and we were able to contact 10 (66%) of them. Six of these patients had chronic tears, while four had recurrent ruptures of previously performed acute distal biceps repairs. None of these patients reported complications or revision procedures. The average follow-up time for patients was 54 months (range: 8-182 months). The average visual analog scale pain score was 0.4 (range: 0-2). Average final flexion–extension was documented as 3°-130°, and prono–supination as 79°-89°. Patients reported an average Mayo Elbow Performance Score of 93.5 (range: 80-100), Quick Disabilities of Arm, Shoulder and Hand score of 4.8 (range: 0-15.9), SF-12 physical score of 54.3 (range: 50-57), and SF-12 mental score of 57.6 (range: 51-62).</div></div><div><h3>Conclusion</h3><div>Allograft reconstruction of distal biceps injuries for chronic and recurrent tears results in excellent patient-reported outcomes and range of motion, with no significant complications among our cohort. Future studies with larger patient populations will help further validate our results.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100661"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188759","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":"Clinical outcomes of coronal shear fractures of the distal humerus associated with olecranon fractures","authors":"Momosuke Shoda MD ,&nbsp;Takahiro Yamazaki MD, PhD ,&nbsp;Yusuke Matsuura MD, PhD ,&nbsp;Takeru Ohara MD, PhD ,&nbsp;Hiromasa Wakita MD, PhD ,&nbsp;Seiji Ohtori MD, PhD","doi":"10.1016/j.xrrt.2025.100654","DOIUrl":"10.1016/j.xrrt.2025.100654","url":null,"abstract":"<div><h3>Background</h3><div>Coronal shear fracture (CSF) of the distal humerus is rare, accounting for approximately 1% of elbow fractures; cases combined with olecranon fracture are even rarer. This study aimed to clarify the relationship between surgical methods and clinical outcomes in this uncommon injury.</div></div><div><h3>Methods</h3><div>Between 2017 and 2025, we retrospectively reviewed 8 patients (8 elbows) with CSF associated with olecranon fracture who underwent open reduction and internal fixation in a multicenter case series and were followed for more than 6 months. Patient demographics, fracture classifications, surgical methods, postoperative complications, additional surgeries, elbow range of motion, and Mayo Elbow Performance Score at the final follow-up were analyzed descriptively.</div></div><div><h3>Results</h3><div>The mean age was 64 years (range, 51–79 years), and the mean follow-up was 27 months (range, 10–96 months). Dubberley classification was type 2A in 2 cases, type 3A in 2, and type 3B in 4. A posterolateral extended approach was used in 6 patients and a combined lateral–posterior approach in 2. Postoperative complications included elbow release in 2 cases and ulnar neuropathy in 2. At final follow-up, the mean Mayo Elbow Performance Score was 92.5 (range, 75–100), and the mean range of motion was −21°/121.3°.</div></div><div><h3>Conclusion</h3><div>Outcomes of CSF with concomitant olecranon fracture appeared to depend on CSF severity, and complications were more frequent than in isolated CSF. Given the small sample size and observational design, these findings should be regarded as preliminary and hypothesis-generating rather than definitive evidence favoring any particular method.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100654"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188758","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":"Shoulder surgery preparation: a systematic review and meta-analysis","authors":"Rajpal S. Narulla MBBS, MS ,&nbsp;Ryan Ting MBBS ,&nbsp;Stone Sima ,&nbsp;Ashish D. Diwan MBBS, MS (Ortho), DipNB, MNAMS, FRACS, FAOrthA, PhD ,&nbsp;Geoffrey C.S. Smith MBBS, MS, FAOrthA, PhD","doi":"10.1016/j.xrrt.2025.100637","DOIUrl":"10.1016/j.xrrt.2025.100637","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder infections are an unfortunate and serious complication of surgery. The prevention strategy for infections is multimodal, with a strong reliance on surgical preparation solutions. There is great variability in the use of and effectiveness of surgical preparation solutions; this review aims to identify the most effective methods of shoulder surgical site preparation in the literature.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis was conducted by 2 independent reviewers in accordance with the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) framework. Articles were screened by title, then abstract, and finally by full text by each clinician independently. A third orthopedic clinician adjudicated any disagreement on the application of the inclusion criteria. Studies included were human clinical studies utilizing skin preparation methods for the shoulder in a simulated or real primary surgery setting. English language databases from 1980 until the first of January 2025 were accessed. The terms searched included “shoulder,” combined with each of the terms “skin,” “wound,” “antibiotic,” “decolonization,” “topical,” “eradication,” “preparation,” and “sterilization.” The results were pooled and then analyzed in subgroups according to the timing of skin preparation, the solution used, and the area of sampling.</div></div><div><h3>Results</h3><div>The search found 13,154 articles, of which 31 studies were included in the final study and captured a total of 2,115 patients who were cultured for organisms. The lowest rates of culture positivity at the time of surgery were associated with the use of benzoyl peroxide (27.1% culture positive) and prior-to-day-of-surgery preparation solution administration (30.5% culture positive). Patients who received preparation solutions with alcohol numbered 1,551, of which 577 (37.2%) had positive cultures. Patients who received preparation solutions without alcohol numbered 564, with 140 (24.8%) culture positive, <em>P</em> &lt; .0001, chi-square = 28.285. Patients who had shoulder preparation only on the day of surgery numbered 2,067 with a total of 703 (34%) with positive cultures. The patients who did not have day-of-surgery preparation were numbered at 39, with 9 (23%) positive cultures, <em>P</em> = .027, chi-square = 4.89.</div></div><div><h3>Conclusion</h3><div>There is a wide range of available surgical preparation solutions to attempt to prevent day-of-surgery culture positivity. However, even the most robust regiments still have a substantially high culture positivity rate at the time of surgery. Further trials are warranted to unify protocols for the management of perioperative shoulder preparation.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100637"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188757","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":"The role of emotional disorders in frozen shoulder: results of a binational study","authors":"Byron Paul Torres Dávila MD ,&nbsp;Rodrigo Alfonso Vargas Lara MD ,&nbsp;Carlos Andres Chaves Lara MD ,&nbsp;Sandra Genoveva Torres Dávila MD ,&nbsp;Carlos Patricio Peñaherrera Carrillo MD ,&nbsp;Francisco Endara Urresta MD ,&nbsp;Katherine Guano MD ,&nbsp;Diego Patricio Michilena Chavez MD","doi":"10.1016/j.xrrt.2025.100623","DOIUrl":"10.1016/j.xrrt.2025.100623","url":null,"abstract":"<div><h3>Background</h3><div>Frozen shoulder or adhesive capsulitis is an inflammatory pathology of the shoulder of multifactorial etiology, without having a clear association, and its relationship with the presence of psychological disorders such as anxiety and depression at the time of diagnosis has recently been studied.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out, in which the Goldberg scale (for anxiety and depression detection) was applied in all patients with a diagnosis of frozen shoulder assessed in the outpatient area.</div></div><div><h3>Results</h3><div>A total of 60 patients with a diagnosis of adhesive capsulitis were obtained, 53 female, 7 male, who were subjected to the application of the Goldberg scale questionnaire, which shows that 6.6% of patients present a positive result for the presence of anxiety, 6.6% for the presence of depression, 71.6% for both disorders, and only 15% of the total sample did not present a concomitant psychological disorder.</div></div><div><h3>Conclusion</h3><div>The presence of psychological disorders such as anxiety and depression are a factor associated with the diagnosis of frozen shoulder with relative frequency, and should be part of our evaluation at the time of care in the outpatient area.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188755","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":"Treatment of isolated greater tuberosity fractures: a scoping review","authors":"Mathilde Abildgaard MD ,&nbsp;David Karimi MD ,&nbsp;Kristine Rask Andreasen MD ,&nbsp;Dennis Karimi MD, PhD ,&nbsp;Tazio Maleitzke MD ,&nbsp;Per Hölmich MD, DMSc ,&nbsp;Adam Witten MD, PhD","doi":"10.1016/j.xrrt.2025.100611","DOIUrl":"10.1016/j.xrrt.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>There are no evidence-based guidelines to support the management of isolated greater tuberosity fractures. While the choice between nonoperative and operative treatment is generally based on the degree of fracture displacement, the definition of an acceptable displacement continues to be debated. Consequently, the ideal management of these fractures can be a therapeutic challenge. The objective of this study was to create an overview of the literature investigating the treatment of isolated greater tuberosity fractures.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension guidelines for scoping reviews (PRISMA-ScR). Electronic databases MEDLINE, EMBASE, SPORTDiscus, and CINAHL were systematically searched from inception to September 29, 2024. Original studies investigating the treatment of isolated greater tuberosity fractures were eligible for inclusion. Screening of studies was independently performed by 3 reviewers. Data items were extracted using a standardized charting form. Risk of bias of the included studies was assessed by 2 independent reviewers using the Newcastle-Ottawa Quality Assessment Scale.</div></div><div><h3>Results</h3><div>3.788 records were identified in the search, 296 were retrieved for full-text screening, of which 59 were included. No randomized controlled trials were identified. 88% of the included studies were retrospective and 98% had a moderate or high risk of bias. Most of the included studies investigated operative treatment of displaced fractures (defined as &gt;5 mm) in patient populations with a mean age between 40 and 60 years. Few studies investigated nonoperative treatment and treatment in young (&lt;40 years) or elderly (&gt;60 years) patients. Detailed fracture characteristics were not consistently reported. Accordingly, the size of the fragment was reported in 8% of the included studies, fractures were subclassified into avulsion, split or depression type in 29% of the included studies, and the direction of fragment displacement was reported in 34% of the included studies.</div></div><div><h3>Conclusion</h3><div>The literature regarding the treatment of isolated greater tuberosity fractures is comprised of studies with a moderate to high risk of bias and a lack of randomized controlled trials. A 5 mm fracture displacement threshold is often used to guide treatment, though it has not been validated in clinical studies. High-quality studies are needed to establish evidence-based guidelines and improve clinical decision-making.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100611"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929078","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":"A survey of surgical technique preferences for lower trapezius tendon transfer for functionally irreparable rotator cuff tears","authors":"Bradley J. Lauck BA ,&nbsp;Alan W. Reynolds MD ,&nbsp;Jacob L. Ritter BS ,&nbsp;Nicholas A. Trasolini MD ,&nbsp;Brian R. Waterman MD","doi":"10.1016/j.xrrt.2025.100658","DOIUrl":"10.1016/j.xrrt.2025.100658","url":null,"abstract":"<div><h3>Background</h3><div>Lower trapezius tendon transfer (LTT) has emerged as a promising surgical option for addressing deficits after functionally irreparable rotator cuff tears; however, there is limited consensus regarding the optimal technique used for this procedure.</div></div><div><h3>Methods</h3><div>An anonymous 19-item survey was distributed to practicing shoulder and sports medicine surgeons. Questions covered demographics and preferences for LTT, such as indications, surgical technique, and postoperative rehabilitation protocols.</div></div><div><h3>Results</h3><div>The survey had 39 total respondents, with 25 completing the entire survey and reporting experience with LTT in clinical practice. Most were self-taught (72%) and perform LTT with arthroscopic assistance (96%) in the beach chair position (80%), using an Achilles tendon allograft (95%) fixed initially to the tuberosity (100%) using a double-row anchor technique (80%). Significant variability was seen in respondents' contraindications, use of local tissue, and rehabilitation protocols.</div></div><div><h3>Conclusion</h3><div>Substantial variability in technique preferences exists in modern clinical practice, which should be considered when interpreting results across different case series, as there are clearly different indications, surgical techniques, and rehabilitation approaches from surgeon to surgeon. Variability should be recognized as a positive sign of innovation in a nascent procedure, where further research is needed to identify best practices that can optimize patient outcomes.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100658"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188756","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":"Functional reconstruction of complex arm defect with modified Capanna technique and latissimus dorsi muscle transfer: case report and literature review","authors":"Pedro Machado MD ,&nbsp;Francisco Carvalho MD ,&nbsp;Maria Clara Correia MD ,&nbsp;Gonçalo Gandra MD ,&nbsp;Filipe Duarte MD ,&nbsp;Inês Ínsua MD ,&nbsp;Ruben Coelho MD ,&nbsp;Joana Costa MD ,&nbsp;Ricardo Horta MD, PhD","doi":"10.1016/j.xrrt.2025.100656","DOIUrl":"10.1016/j.xrrt.2025.100656","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100656"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146185005","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}