BMC Musculoskeletal Disorders最新文献

{"title":"Annual trends in childhood fracture and injury in Beijing from 2010 to 2019.","authors":"Liu Zhiwei, Zhang Tao, Ye Xin, Lv Yanwei, Zhao Bin, Yang Zheng, Tian Zhaoxing","doi":"10.1186/s12891-025-08831-5","DOIUrl":"10.1186/s12891-025-08831-5","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the 10-year epidemiological trends of pediatric fracture and injuries in Beijing from 2010 to 2019.</p><p><strong>Methods: </strong>This retrospective study included children presenting with fracture or injuries at the emergency department of Beijing Jishuitan Hospital (National Orthopedic Medical Center) during the study period. Demographic and clinical data (age, sex, seasonal distribution) were analyzed using linear regression.</p><p><strong>Result: </strong>The number of fracture and injury in children increased (R = 0.856 and 0.828, P = 0.002 and 0.003); The mean age of children with fracture and injury increased (R = 0.946 and 0.744, p = 0.000 and 0.009). The number of fracture increased in the 6 ~ 8 years old, 9 ~ 11 years old and 12 ~ 14 years old age group (R = 0.748, 0.986 and 0.874, p = 0.013, 0.000 and 0.001). The number of injury in the 9 ~ 11 years old and 12 ~ 14 years old age group increased (R = 0.914 and 0.762, p = 0.000 and 0.010). The number of fracture in boys and girls increased (R = 0.806 and 0.912, p = 0.005 and 0.000). The number of injury in boys and girls increased (R = 0.646 and 0.935, p = 0.044 and 0.000). The number of fracture in spring and winter increased (R = 0.844 and 0.932, p = 0.002 and 0.000). The number of injury in spring, autumn and winter increased (R = 0.851, 0.701 and 0.918, p = 0.002, 0.024 and 0.000).</p><p><strong>Conclusion: </strong>Beijing children experienced progressively rising fracture and injury rates during the study decade, with notable increases in older age groups. The proportional rise of fracture among injured children suggests changing injury patterns. While seasonal and gender differences persist, their relative impact appears to be diminishing over time.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"674"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synovitis, acne, pustular lesions, hyperostosis, and osteitis syndrome associated with monoclonal gammopathy of undetermined significance: a case report.","authors":"Cheng Xu, Wenjuan Zhang, Xin Huang, Yongmei Han","doi":"10.1186/s12891-025-08877-5","DOIUrl":"10.1186/s12891-025-08877-5","url":null,"abstract":"<p><p>Herein, we present a case of synovitis, acne, pustular lesions, hyperostosis, and osteitis (SAPHO) syndrome in which the patient had monoclonal gammopathy. To identify whether the patient had blood proliferative disorders, we performed bone marrow aspiration and positron emission tomography-computed tomography (PET-CT) examination. Finally, we diagnosed the patient with SAPHO syndrome and monoclonal gammopathy of undetermined significance (MGUS). The patient was followed up for two years with repeat bone marrow and PET-CT examinations, and no apparent disease progression or progression to another condition was observed. We concluded that SAPHO syndrome may coexist with monoclonal globulinemia; however, the pathogenesis of this combination remains unclear. This phenomenon should be closely monitored by clinicians to avoid misdiagnosis.In patients with SAPHO syndrome who present with MGUS, the diagnostic challenge lies in determining whether the bone pain symptoms are attributable to SAPHO syndrome itself or to the development of bone lesions due to the progression of MGUS to MM. When this rare condition arises, clinicians must exercise careful differentiation, ensuring neither its oversight nor its overdiagnosis as multiple myeloma (MM). CLINICAL TRIAL NUMBER: Not applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"675"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generic health status improves after non-surgically and surgically treated hip abductor tendon pathology: a retrospective study of ninety-seven female patients.","authors":"Nickan Zakikhany, Jeppe Lange, Bent Lund, Marie B Bohn","doi":"10.1186/s12891-025-08889-1","DOIUrl":"10.1186/s12891-025-08889-1","url":null,"abstract":"<p><strong>Background: </strong>Insertional hip abductor tendon pathology (tendinopathy or tears of gluteus medius and/or minimus tendons) are increasingly recognized as the main cause of lateral hip pain. This study aims to evaluate generic health status in patients with lateral hip pain due to Magnetic Resonance Imaging (MRI) verified hip abductor tendon pathology using the EQ-5D-5L and compare these findings with a matched national population norm.</p><p><strong>Methods: </strong>Data from patients with lateral hip pain, referred to our hospital from 2017-2023, was retrospectively reviewed. Females aged 18+ years, with positive clinical tests and MRI verified hip abductor tendon pathology, who had completed the EQ-5D-5L at relevant timepoints, were included. Our treatment algorithm consisted of a baseline physiotherapist led intervention (patient education followed by 3-months un-supervised training). Surgery was offered to patients who, after the intervention, had recalcitrant lateral hip pain and MRI verified tendon tears. Post hoc two treatment groups were identified. The EQ-index scores were calculated from individual health profiles using a national value set. The student's t-test was used to compare groups. Summary statistics are used, including numbers of patients and proportions of categorical responses for the five EQ-5D dimensions. To compare responses between groups, the Fisher's exact test was used.</p><p><strong>Results: </strong>Ninety-seven female patients were included; 48 (57±12 years) received rehabilitation only (REHAB) and 49 (59±11 years) underwent subsequent surgery (SURG). At baseline, the mean EQ-index was inferior to population norms. After 3 months of rehabilitation, EQ-index (p<0.0001) and EQ-VAS (p=0.004) improved in REHAB, but not in SURG (EQ-index: p=0.32, EQ-VAS: p=0.22). Twelve months after surgery, EQ-index (p<0.0001) and EQ-VAS (p<0.0001) improved and, notably, the dimension \"pain/discomfort\" was comparable to population norms (p=0.788).</p><p><strong>Conclusion: </strong>Generic health status in female patients suffering from lateral hip pain due to hip abductor tendon pathology is severely affected compared to a national population norm measured with the EQ-5D-5L. Generic health status may improve after three months of patient education and rehabilitation in some cases, while surgery may improve health status three months postoperative in the remaining cases.</p><p><strong>Trial registration: </strong>The study is registered at the Central Denmark Region List of Research Projects (Jr nr: 1-16-02-761-17 and 1-16-02-125-19).</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"676"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteomyelitis of the cuboid treated with one-stage debridement and bone grafting: a case report and literature review.","authors":"Yitie Chang, Linru Zeng, Dawei Xin","doi":"10.1186/s12891-025-08929-w","DOIUrl":"10.1186/s12891-025-08929-w","url":null,"abstract":"<p><strong>Background: </strong>Osteomyelitis (OM) is a challenging bone infection that commonly associated from trauma or surgical procedures. Although it typically affects long bones, osteomyelitis of the cuboid bone is rare due to its distinct anatomical features and abundant vascular supply. Early recognition and prompt treatment are essential for effective management.</p><p><strong>Case presentation: </strong>We report a 52-year-old female presenting with persistent left foot pain and restricted mobility following a nail puncture injury three years prior. Initially managed with analgesics alone, her symptoms significantly worsened one month before presentation. MRI revealed abnormal signals in the cuboid bone, suggesting osteomyelitis. Bacterial culture, antibiotic susceptibility testing, and histopathological examination confirmed the diagnosis of chronic osteomyelitis caused by methicillin-sensitive Staphylococcus aureus (MSSA). The patient underwent surgical debridement and iliac bone grafting with local vancomycin. After six weeks of antibiotics, she exhibited excellent recovery at six months, with normalized gait, full joint motion, and no recurrence. One year postoperatively, the internal fixation was successfully removed after radiographic confirmation of complete fracture healing.</p><p><strong>Discussion and conclusion: </strong>This report presents the diagnostic and therapeutic experience of an adult case of cuboid bone osteomyelitis. Early diagnosis and treatment of this condition are essential for enhancing clinical awareness, thus preventing misdiagnosis and delays in treatment. Surgical debridement, in conjunction with autologous bone grafting, can yield favorable outcomes.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"677"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cartilage-generated bioelectric potentials induced by dynamic joint movement; an exploratory study.","authors":"Jae-Hyun Lee, Ye-Seul Jang, Won-Du Chang","doi":"10.1186/s12891-025-08939-8","DOIUrl":"https://doi.org/10.1186/s12891-025-08939-8","url":null,"abstract":"<p><strong>Background: </strong>Excessive loading can damage knee cartilage, making it essential to assess and measure joint load effectively. Despite its importance, real-time monitoring of cartilage load in clinical settings remains challenging due to significant technical constraints. Electroarthrography, a recently introduced non-invasive technique, offers a promising solution by detecting load-generated potentials in joint cartilage through surface electrodes. While previous studies have primarily focused on static load applications, such as standing weight shift task or simple isometric contraction, our study explores its potential in dynamic loading scenarios.</p><p><strong>Methods: </strong>We analyzed data from 20 knees in 20 subjects, using eight surface electrodes placed around each knee to capture electrical signals during three activities: active knee extension in a seated position, passive range of motion exercise in a decubitus position, and restricted squats. The recorded signals were processed into potential-time graphs, decomposed according to movement states, and analyzed through a deep neural network.</p><p><strong>Results: </strong>The results showed that cartilage-generated potentials were significantly higher during active extension compared to passive extension (1.62 mV vs. 0.87 mV; p < 0.05), with the deep neural network achieving an average classification accuracy of 98.77%.</p><p><strong>Conclusion: </strong>These findings highlight the feasibility of measuring and classifying cartilage-generated potentials during dynamic physical activities, providing valuable insights into load-related differences. This approach establishes a solid foundation for applications in rehabilitation medicine by facilitating the determination of appropriate exercise intensities, assessing risks associated with daily activities, and classifying physical activities. Further studies focusing on diverse biomechanical conditions will enhance its clinical utility.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"669"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of surgical outcomes of osteosynthesis using anatomical locking plates with proximal screws and smooth pegs for proximal humeral fractures.","authors":"Ryogo Furuhata, Atsushi Tanji, Yusaku Kamata, Noboru Matsumura","doi":"10.1186/s12891-025-08917-0","DOIUrl":"https://doi.org/10.1186/s12891-025-08917-0","url":null,"abstract":"","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"668"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of carpal tunnel syndrome and its associated factors among patients with musculoskeletal complaints: a single-center experience from Eastern Ethiopia.","authors":"Tewodros Yesuf, Asfaw Borsamo, Hailu Aragie, Yared Asmare","doi":"10.1186/s12891-025-08859-7","DOIUrl":"https://doi.org/10.1186/s12891-025-08859-7","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) is a well-known chronic focal mononeuropathy caused by the mechanical distortion of the nerve at the carpal tunnel. It affects approximately 5% of the population worldwide and 12.1% in Africa. However, it has severe pain that causes discomfort and disturbs daily activities, the magnitude and its risk factors are poorly understood in Ethiopia.</p><p><strong>Objectives: </strong>This study aimed to assess the prevalence and associated factors of carpal tunnel syndrome among patients with musculoskeletal complaints in Dire Dawa, Eastern Ethiopia.</p><p><strong>Methodology: </strong>An institution-based quantitative cross-sectional study was conducted on randomly selected 422 participants at Dilchora Referral Hospital from May-July 2023. The primary data were collected by using structured questionnaires and checklists. The history taking, anthropometric measurements, physical examination, and diagnosis of carpal tunnel syndrome were performed by the orthopedicians. The data were collected by the four BSc midwives under strict supervision. The data carefully checked for the accuracy, completeness, and validity. Next, data were put into Epi-data and then exported to SPSS for analysis. Descriptive statistics, bivariate and multivariable logistic regression analyses were carried out.</p><p><strong>Result: </strong>The prevalence of clinically confirmed carpal tunnel syndrome was 10.8% (95% CI: 6.99% to 14.6%). A multivariable analysis revealed that physical inactivity [AOR = 3.32 (95% CI: 1.95-5.52)], diabetes mellitus [AOR = 4.23 (95% CI: 1.47-6.97)], hypertension [AOR = 2.5 (95% CI: 1.70-5.65)], hand ratio < 2.1 [(AOR = 4 (95% CI: 1.80-9.66)], and wrist ratio > 0.72 [AOR = 2.1 (95% CI: 1.11-4.72)] were statistically associated with carpal tunnel syndrome.</p><p><strong>Conclusion: </strong>The prevalence of carpal tunnel syndrome among the musculoskeletal complaints is 10.8%. Diabetes mellitus, hypertension, physical inactivity, and a wrist ratio > 0.72 were statistically associated with carpal tunnel syndrome. Doing physical exercise, regulating blood sugar levels, and monitoring blood pressure were recommended.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"667"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosthesis survival situation and complications following total hip arthroplasty in hemophilic patients: a systematic review.","authors":"Lei Chen, Shineng Lin, Wenlu Zhou, Yiqing Ling, Zhenyu Shi, Qinwen Ge, Wenbin Liu, Ju Li, Peijian Tong, Huihui Li, Taotao Xu","doi":"10.1186/s12891-025-08919-y","DOIUrl":"https://doi.org/10.1186/s12891-025-08919-y","url":null,"abstract":"<p><strong>Background: </strong>Hemophilic arthropathy, resulting from recurrent joint bleeding in patients with hemophilia, often necessitates total hip arthroplasty (THA) to alleviate pain and improve joint function. However, the unique challenges posed by hemophilia, including coagulopathy and compromised bone health, result in increased risks of complications such as bleeding, infection, and prosthesis loosening.</p><p><strong>Methods: </strong>A systematic search of PubMed, Cochrane Library, EMBASE, and Web of Science was conducted up to September 2024. Studies reporting prosthesis survival or complications in hemophilia patients undergoing THA were included. Methodological quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria.</p><p><strong>Results: </strong>Fourteen retrospective cohort studies, encompassing 190 THA cases, were included. A total of 190 THA cases were involved, of which 175 prostheses survived, with aseptic loosening (57%) being the leading cause of failure. Complications included bleeding (34.8%), infections (19.7%), and aseptic loosening (15.1%). Key risk factors included reduced bone mineral density, recurrent hemarthrosis, and immune dysfunction (HIV) due to clotting factor infusions. Strategies such as preoperative optimization of clotting factors and bone quality were highlighted as crucial for improving outcomes.</p><p><strong>Conclusions: </strong>This paper confirms the findings of previous studies that THA is an effective treatment for advanced-stage haemophilic arthropathy, offering significant pain relief and improved function. However, its high rate of complications has to be reduced with a correct perioperative hemostasis and a good surgical technique. This type of surgery should only be performed in centers specialized in the treatment of haemophilia by a team of surgeons expert in the implantation of hip prostheses.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"672"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proposing a precision-enhancing method for sagittal plane alignment during total knee arthroplasty.","authors":"Jisu Park, Hyeongyu Lim, Chong Bum Chang","doi":"10.1186/s12891-025-08912-5","DOIUrl":"https://doi.org/10.1186/s12891-025-08912-5","url":null,"abstract":"<p><strong>Background: </strong>Achieving appropriate alignment after total knee arthroplasty (TKA) is crucial for long-term survival of implant but alignment in sagittal plane is relatively not well studied. The purpose of this study was to (1) propose the preoperative sagittal planning method of TKA using X-ray, (2) validate its accuracy and (3) find factors contributing to inaccurate sagittal placement of the component.</p><p><strong>Methods: </strong>Ninety-three knees of 71 patients were prospectively reviewed. Preoperative sagittal planning for the femoral and tibial component was conducted using simple X-ray images. The postoperative X-ray taken six weeks after surgery was used to validate the proposed method. The angle between the reference line and the expected resection line before surgery was defined as the preoperative gamma angle for the femur and delta angle for the tibia. Postoperatively, the angle between the same reference line and the actual component was defined as the postoperative gamma and delta angles, respectively. The target angle range for the difference between the preoperative and postoperative gamma and delta angles was set as -2° to 2°. Demographic and radiologic factors between groups that fell within and outside the target angle range were compared.</p><p><strong>Results: </strong>Total 75 cases (80.6%) met the target angle range of distal femur resection. Femoral component tended to be placed in more flexed position than planned. Anterior femoral notching was not observed in all cases. Total 89 cases (95.7%) met the target angle range of proximal tibia resection. No factors were associated with the increased difference in preoperative and postoperative femoral and tibial prosthesis placement in multiple regression.</p><p><strong>Conclusions: </strong>The proposed sagittal planning method for TKA demonstrated an accuracy of 80.6% for the femoral component and 95.7% for the tibial component. Since this method does not require any programs and additional costs, it could be a good alternative in situations where robotic-assisted TKA is not available.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"671"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of fear of movement on gait characteristics in patients with knee osteoarthritis.","authors":"Bixuan Duan, Yuxuan Zhang, Pei Ma, Fangmin Chen, Wei Li","doi":"10.1186/s12891-025-08920-5","DOIUrl":"10.1186/s12891-025-08920-5","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a disease with a high prevalence in the elderly population, it has placed a significant burden on families and society.To investigate the relationship between fear of movement(FOM) and gait characteristics in KOA patients.</p><p><strong>Methods: </strong>Cross-sectional data from 30 elderly patients with KOA (age 40-65 years) were used. They were divided into a high-fear group (n = 15) and a low-fear group (n = 15) on the basis of the discriminative question (Q9) on the Tampa Scale for Kinesiophobia (TSK-17). Additionally, 15 healthy subjects were selected as the control group. All participants were instructed to cross an obstacle with a height of 20% of the leg length. Gait parameters including hip, knee, and ankle joint angles and moments of both lower extremities were assessed using a 3D motion capture system.</p><p><strong>Results: </strong>In within-group comparisons, difference between unaffected and affected sides in high-fear group were revealed for knee flexion angle(KFA, P = 0.04, ES = 0.70), peak ankle adduction /abduction moment(PAAM, P = 0.001, ES = 0.90)and peak knee adduction /abduction moment(PKAM, P = 0.006, ES = 0.97) during swing phase. Difference were revealed for peak hip internal /external rotation moment(PHIM, P = 0.005, ES = 0.87)and PKAM(P<0.001, ES = 0.91) during stance phase.In between-group comparisons, difference between high-fear and low-fear group were revealed for SI_norm of HAA(P = 0.003)during swing phase. The control group were greater than high-fear group for SI_norm of PAAM(P = 0.004)、PHIM(P = 0.002)during stance phase. Correlation analysis revealed that TSK-17 scores were strongly correlated with the SI_norm of PKAM (r = 0.80, P < 0.01) and PHIM (r = 0.81, P < 0.01).</p><p><strong>Conclusion: </strong>High-fear KOA patients might perform a protective movement strategy, which may lead to asymmetry in movement patterns by reducing weight bearing on the affected side. FOM can significantly affect patients' kinematic and kinetic parameters, especially PHIM and PKAM.Therefore, psychology-related interventions for treating KOA must be valued to improve patients' overall sports function and quality of life.</p><p><strong>Trial registration: </strong>The study was retrospectively registered on Chinese Trial Registry (PID: 246580).</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"673"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}