BMC Musculoskeletal Disorders最新文献

{"title":"Comparison of the clinical outcomes and radiological parameters between the greater tuberosity strengthened proximal humeral plate and the proximal humeral internal locking system plate in the minimally invasive plate osteosynthesis treatment of proximal humeral fractures involving the greater tuberosity: a retrospective cohort study.","authors":"Jiadi Le, Jianpeng Lu, Jianxiong Zhang, Zhenghao Wu, Long Chen","doi":"10.1186/s12891-025-08543-w","DOIUrl":"10.1186/s12891-025-08543-w","url":null,"abstract":"<p><strong>Background: </strong>With the gradual promotion of minimally invasive plate osteosynthesis (MIPO) in the treatment of proximal humeral fractures, some patients using the proximal humeral internal locking system (PHILOS) plate experience significant displacement of the fixed greater tuberosity. However, this is rarely seen in patients using a new plate named the greater tuberosity strengthened proximal humeral plate (GTSPHP). Notably, a comparison of these two plates is lacking. Therefore, we aimed to retrospectively compare the clinical outcomes and radiological parameters of MIPO using the GTSPHP and PHILOS plates.</p><p><strong>Methods: </strong>The data of 40 patients with proximal humeral fractures involving the greater tuberosity who underwent MIPO performed by the same physician between 1 April 2019 and 31 December 2022 were retrospectively analysed. Sixteen and 24 patients were included in the GTSPHP and PHILOS plate groups, respectively and followed up for at least 1 year postoperatively. General clinical characteristics, perioperative data, postoperative follow-up clinical outcomes, complications, and reduction loss of the greater tuberosity were compared between the two groups.</p><p><strong>Results: </strong>No significant differences were found in age, sex, affected side, injury mechanism, fracture type, injury to surgery time, operative time, postoperative hospital stay, the shortened version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH) score, and Constant score between the two groups. However, the GTSPHP group was superior to the PHILOS plate group regarding surgical incision length, intraoperative blood loss, and the 11-point numerical rating scale score on the first, second and third postoperative days. In the PHILOS plate group, three patients had fracture malunion; both groups showed no signs of incision infection, fracture non-union, screw cut-out, or subacromial impingement syndrome. Both groups showed no significant differences in complication rates. The risk of reduction loss of greater tuberosity was lower in the GTSPHP group than in the PHILOS plate group.</p><p><strong>Conclusions: </strong>Our study showed that in MIPO treatment of proximal humeral fractures involving the greater tuberosity, the GTSPHP outperformed the PHILOS plate in terms of intraoperative blood loss, surgical incision length, short-term postoperative pain, and fixation capability of the greater tuberosity. However, further research is needed to confirm these findings.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"301"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the quality of care for knee osteoarthritis in Singapore: a cross-sectional study.","authors":"Ren Hao Linus Tan, Anthony J Goff, Chien Joo Lim, Yijia Bryan Tan","doi":"10.1186/s12891-025-08524-z","DOIUrl":"10.1186/s12891-025-08524-z","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to assess the self-reported quality of care for people with knee osteoarthritis in Singapore and to investigate the associations between participant characteristics and functional outcomes at 1 year in relation to the reported quality of care.</p><p><strong>Methods: </strong>Patients with knee osteoarthritis completed the osteoarthritis quality indicator (OA-QI) questionnaire, a validated patient-reported measure that assesses the clinician's adherence to evidence-based guidelines for non-surgical knee osteoarthritis education and patient education. The OA-QI includes 17 indicators, with \"achievement\" defined as a 'Yes' response for each. We calculated individual per-item, overall per-item mean, and per-person achievement rates (%) and examined associations between participant characteristics, achievement rates, and function at 1 year.</p><p><strong>Results: </strong>A total of 314 participants completed the OA-QI. Referral for physical activity (87.5%) and referral for daily activity aid assessment (15.7%) had the highest and lowest per-item achievement rates, respectively. The overall mean per-item and per-person achievement rates were both 62.2%. Participants educated about steroid injections (adjusted coefficient [95% CI]: 7.23 [1.42-13.04]; p = 0.015) or surgery (adjusted coefficient [95% CI]: 12.65 [5.89-19.40]; p < 0.001) had worse functional outcomes at one year than those who were eligible but not informed. Those not assessed for walking aids and indicating walking issues had poorer outcomes one year later (adjusted coefficient [95% CI]: -9.89 (-19.63, -0.15); p = 0.0470). However, no significant associations were found between per-person achievement rates and 1-year functional outcomes.</p><p><strong>Conclusions: </strong>The quality of care in Singapore for people with knee osteoarthritis is suboptimal, especially for those needing walking aids and weight loss assistance. However, the quality of care alone does not fully account for long-term outcomes, suggesting that other factors need to be considered.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"298"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy analysis of extrapedicular unilateral percutaneous vertebroplasty via the upper edge of the transverse process for lumbar osteoporotic vertebral compression fractures.","authors":"Junru Zheng, Haopeng Luan, Ying He, Lei Hong, Pengyuan Han, Xiaonan Wang, Xing Wang, Qiaojuan Wang, Qisong Shang","doi":"10.1186/s12891-025-08534-x","DOIUrl":"10.1186/s12891-025-08534-x","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical effect of vertebroplasty through unilateral upper edge of transverse process in the treatment of lumbar osteoporotic vertebral compression fracture (OVCF), and to explore the surgical indications and operation points of this technique.</p><p><strong>Methods: </strong>Ninety patients with osteoporotic vertebral compression fractures of the lumbar spine treated in our hospital from June 2020 to June 2021 were retrospectively analyzed and divided into the experimental group and the control group for vertebroplasty according to the principle of randomization; the experimental group was treated with a lateral pedicle approach through the upper edge of the unilateral transverse process, and the control group was treated with a unilateral pedicle approach. After more than 1 year of follow-up, the operation time, intraoperative fluoroscopy times, bone cement injection volume, Oswestry disability index (ODI), Visual analogue scale (VAS) were compared between the two groups to assess the functional recovery of the patients.</p><p><strong>Results: </strong>There was no significant difference in the general data (age, gender, location and number of fractured vertebral bodies, and follow-up time) between the two groups before surgery. In the experimental group, there were 42 OVCF patients (15 males and 27 females), and the operated segments were L1 vertebral body in 17 cases, L2 vertebral body in 13 cases, L3 vertebral body in 8 cases, L4 vertebral body in 3 cases, and L5 vertebral body in 1 case. The control group consisted of 48 OVCF patients (16 males and 32 females), and the operated segments were L1 vertebral body in 21 cases, L2 vertebral body in 15 cases, L3 vertebral body in 8 cases, L4 vertebral body in 2 cases, and L5 vertebral body in 2 cases. In terms of operation time and intraoperative fluoroscopy times, the experimental group was less than the control group, and the difference had statistical significance (P < 0.05); in terms of bone cement injection volume, the difference between the two groups had no statistical significance (P > 0.05); in terms of pain VAS score and dysfunction index ODI score, the scores of the two groups were improved with the extension of follow-up time compared with those before surgery, but the difference between the two groups had no statistical significance (P > 0.05).</p><p><strong>Conclusion: </strong>Compared with the traditional approach, PVP via the unilateral extrapedicular approach at the upper edge of the transverse process has the advantages of less operation time and fluoroscopy times, uniform diffusion of bone cement, and is comparable to the traditional surgical approach in relieving pain and improving patient function, but due to the limitation of the length of the puncture needle, careful operation is required during the operation.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"293"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A reflexive thematic analysis of existential losses in men with osteoporosis: \"I'm not the person I was somehow … although I am\".","authors":"Francine Toye, Karen Louise Barker, Sarah Drew, Tanzeela Y Khalid, Emma M Clark","doi":"10.1186/s12891-025-08486-2","DOIUrl":"10.1186/s12891-025-08486-2","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis is a global health concern that is likely to increase with a rapidly ageing world population. It affects one in three women and one in five men over the age of 50. Although there is a large body of qualitative research exploring the experience of living with osteoporosis, far fewer studies have focused on men. We aimed to explore the experiences of men with osteoporotic vertebral fracture.</p><p><strong>Methods: </strong>We interviewed 13 White British men aged 63 to 94 with an osteoporotic vertebral fracture. We used the six stages of reflexive thematic analysis: familiarisation with the data; coding; generating initial themes; developing and reviewing themes through discussion; refining and naming themes; writing up.</p><p><strong>Results: </strong>We developed six themes giving insight into the existential losses of men with osteoporosis: I have felt a step change coming; I regret that I am no longer the person I once was; it is demeaning (but others are worse off than me); I need to know where I am heading; I need to understand why me; I need to feel like I am in someone's hands. We describe moral narratives used in defence of self.</p><p><strong>Conclusions: </strong>Our findings highlight the challenge of deciphering the symptoms of osteoporosis and age-related changes. We also see the impact on self and a struggle to repair self. Healthcare providers are in a unique and privileged position to accompany their patients at points of existential crisis. As such, they attend to the repair of both identity and body. This comes with an ethical responsibility and has implications for clinical education. Health professionals should feel equipped to be alongside people facing existential losses. Qualitative research can give valuable insight into the phenomenology of illness and contribute to improvements in care pathways.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"294"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The body postures of individuals of both sexes ranging in height from 180 to 195 cm, in the light of the mora phenomenon.","authors":"Mirosław Mrozkowiak, Marta Stępień-Słodkowska, Marek Sokołowski","doi":"10.1186/s12891-025-08362-z","DOIUrl":"10.1186/s12891-025-08362-z","url":null,"abstract":"<p><strong>Background: </strong>Proper muscle tension is an essential element for correct body posture and motion. It should be high enough to counteract gravity and low enough to provide smooth, selective movement and isolated activity. Improper muscle tension will disturb the correct development of the body schema. The quality of muscle tension will be dependent upon the following: genetic factors, localization and the degree of damage to the central nervous system. The aim of the study was an attempt to determine the value of features describing the body posture of women and men with a body height of 180 cm to 195 cm.</p><p><strong>Methods: </strong>The research was conducted in a group of 123 people with the body height ranging from 180 to 195 cm, coming from the entire territory of Poland. The photogrammetric method has been implemented in registering 40 features which are descriptive of body posture.</p><p><strong>Results: </strong>The research results demonstrated that the average thoracic kypnosis angle and the lumbar lordosis as well as the Alpha, Beta and Gamma angles included in the sagittal planes are located between the upper and the lower values of normative ranges for both 18 year old males and females. The size of the asymmetry of the axial locomotor system in coronal and sagittal planes and the pelvis, the height and the width of waist triangles, asymmetry of shoulder blades and shoulders in coronal and transverse planes was included between the upper and the lower extremum of normative range.</p><p><strong>Conclusions: </strong>The research material is a representative group for the analyzed body height and sex, because it was strictly selected in terms of somatic structure, body posture, physical activity and lifestyle. The sizes of the features describing the body posture of women and men with a body height of 180 cm to 195 cm fall within the ranges of the normative posture features adopted for 18-year-olds diagnosed with the use of the mora projection method.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"295"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of clinical efficacy and surgeon's neck flexion time between unilateral biportal endoscopic lumbar fusion versus minimally invasive transforaminal lumbar fusion in the treatment of single-level lumbar degenerative diseases: a single center retrospective study.","authors":"Wen-Bo Wei, Sha-Jie Dang, Da-Peng Duan, Wei Zhao, Ling Wei","doi":"10.1186/s12891-025-08406-4","DOIUrl":"10.1186/s12891-025-08406-4","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective study aimed to evaluate the clinical efficacy and surgeon's neck flexion time between unilateral biportal endoscopic lumbar fusion (UBE-LIF) versus minimally invasive transforaminal lumbar fusion (MIS-TLIF) in the treatment of single-level lumbar degenerative diseases (LDD).</p><p><strong>Methods: </strong>This study retrospectively enrolled patients with single-level LDD received UBE-LIF or MIS-TLIF between June 2018 to May 2022. The patients were separated into two groups based on the surgical method used: the UBE-LIF group (n = 38) and the MIS-TLIF group (n = 42). Various parameters, including operative time, fluoroscopy frequency, blood loss, length of hospital stay, total expenses, visual analogue scale (VAS), and Oswestry Disability Index (ODI), modified MacNab criteria, fusion rate, and complications were evaluated and compared between the two groups. And time for neck flexion during surgery by the surgeon were recorded. After the surgery, surgeons completed a questionnaire based on a visual analog scale to assess their discomfort symptoms of the neck, shoulders, and back.</p><p><strong>Results: </strong>There were no significant differences in VAS or ODI scores at 12 months after surgery among two groups. However, the UBE-LIF group had significantly better VAS scores for low back pain on the first day after surgery than the MIS-TLIF group(2.00 ± 0.70) (2.55 ± 0.94) (P < 0.05). Additionally, the UBE-LIF group had shorter intraoperative bleeding (78.42 ± 51.440) ml (169.29 ± 52.656) ml (P < 0.05). There were no significant differences in fluoroscopy frequency and incidence of complications among two groups. But total expenses in the UBE-LIF group (73246 ± 4354) yuan were significantly higher than those in the MIS-TLIF group (60577 ± 4160) yuan (P < 0.05). In the UBE-LIF group, the surgeon's neck flexion time was significantly reduced(52.00 ± 18.233) min (102.83 ± 11.77) min (P < 0.05), and there was a statistically significant reduction in the visual analog scale discomfort scores for the neck, back, and shoulders (P < 0.05).</p><p><strong>Conclusions: </strong>Both UBE-LIF and MIS-TLIF can achieve good postoperative results. UBE has less intraoperative bleeding, less postoperative drainage flow, lower postoperative patient low back pain score, and slightly higher cost than MIS-TLIF. However, the surgeon has a shorter time to lower their head during surgery and higher comfort during surgery.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"296"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Incidence of Knee Arthroscopy, Total Knee Arthroplasty (TKA), and Readmission Rates for TKA After Previous Knee Arthroscopy in the Queensland (QLD) Population.","authors":"Sang Hyun Samuel Kang, Annie Yunser Hwang, David Ta-Chun Ho, Thirumurugan Thangarajah, Lahann Wijenayake, Simon Parfit, Andrew Mclean, James Clayton","doi":"10.1186/s12891-025-08521-2","DOIUrl":"10.1186/s12891-025-08521-2","url":null,"abstract":"<p><strong>Background: </strong>In situations of osteoarthritis (OA), the therapeutic value of knee arthroscopy is still a topic of discussion that is ongoing. This study aims to produce data about the relevance of arthroscopy and total knee arthroplasty (TKA) in knee OA by assessing the overall rates of arthroscopy and subsequent conversion to TKA over a two-year period in QLD Australia within the time frame between 2008 and 2023.</p><p><strong>Methods: </strong>A retrospective cohort analysis was undertaken at Queensland (QLD) hospitals that underwent arthroscopy and TKA between 2008 and 2023. Research datasets obtained from the Centre for Health Record Linkage (CHeReL) were analyzed using negative binomial regression. An investigation was performed to determine the rates of arthroscopy admissions by year, age group, sex, and hospital system (public versus private). The TKA readmission rates were calculated during a 24-month period.</p><p><strong>Results: </strong>The results demonstrate an overall decrease in the frequency of arthroscopies from 2008 to 2022, but total knee arthroplasties (TKA) have increased by 2.79% (95% CI: 2.19 to 3.38). There was a 3.34% reduction in arthroscopy rates at private hospitals and a 0.98% drop at public hospitals (95% CI: -0.26 to 2.23). The largest significant rise in TKA rates was seen in private hospitals. The TKA procedure was performed on 14.48% of patients aged 65 and older within 24 months of knee arthroscopy. After taking sex and age into account, there was a 4.97% reduction in the occurrence of total knee TKA within 24 months following knee arthroscopy (95% CI: -5.55 to -4.40) across the board.</p><p><strong>Conclusions: </strong>While the rates of TKA are on the rise, arthroscopies and their conversions to TKA are on the decrease. Possible explanations for the persistent drop in TKA conversion rates include better patient selection, more effective non-operative care, or longer wait times for the operation.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"292"},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between osteoporosis under treatment and all-cause and specific-cause mortalities: a nationwide retrospective cohort study in South Korea.","authors":"Hyun Youk, Hee Young Lee, Eun Young Lee, Yoon Ji Kim, Ji Yeong Park, Hyo Geun Choi, Hyun Sik Kim, Jung Woo Lee","doi":"10.1186/s12891-025-08527-w","DOIUrl":"10.1186/s12891-025-08527-w","url":null,"abstract":"<p><strong>Background: </strong>Despite the association between osteoporosis treatment and reduced mortality, evidence on specific-cause mortality is lacking. Therefore, this study explored the association between osteoporosis under treatment and all-cause and specific-cause mortalities using nationwide retrospective cohort data from South Korea.</p><p><strong>Methods: </strong>This study utilized data from the National Health Insurance Service screening cohort of South Korea from 2002 to 2019. Participants with osteoporosis who had undergone treatment at least twice and were diagnosed based on bone densitometry were included. Control groups were matched 1:1 based on age, sex, income, and region. Propensity score overlap weighting was applied to balance covariates. Cox proportional hazards models and Fine-Gray sub-distribution hazard models were used to assess all-cause and specific-cause mortalities across 14 disease categories based on the Korean standard classification of diseases.</p><p><strong>Results: </strong>Finally, 34,181 participants were included in both osteoporosis and control groups. The largest age group was 55-59 years, with a majority of female participants (81.60%). Osteoporosis under treatment was significantly associated with reduced all-cause mortality with consistent results across various demographic and clinical subgroups. Specific-cause mortality analysis revealed lower mortality due to neoplasms and metabolic diseases and higher mortality from respiratory and muscular diseases. However, increased risks of respiratory and muscular disease-related mortality were observed.</p><p><strong>Conclusions: </strong>Osteoporosis treatment was associated with reduced all-cause and specific-cause mortalities, particularly from neoplasms and metabolic diseases. Further studies, particularly randomized controlled trials, are required to confirm these results, establish causality, and explore the medication-specific effects on mortality.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"291"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The clinical efficacy of proprioceptive neuromuscular facilitation technique in the treatment of scapulohumeral periarthritis: a systematic review and meta-analysis.","authors":"Chengyu Zhu, Xueyan Huang, Jiaying Yu, Ying Feng, Haifang Zhou","doi":"10.1186/s12891-025-08303-w","DOIUrl":"10.1186/s12891-025-08303-w","url":null,"abstract":"<p><strong>Background: </strong>Scapulohumeral periarthritis (SP) is a disease caused by chronic inflammation of the shoulder soft tissue area, which is characterized by shoulder pain and limited mobility. Due to the long course of disease, it often has a great impact on the life and work of patients.</p><p><strong>Objectives: </strong>The purpose of this study was to systematically evaluate the effect of proprioceptive neuromuscular facilitation (PNF) stretching technique in the treatment of SP.</p><p><strong>Methods: </strong>A systematic search of 10 databases such as China National Knowledge Infrastructure (CNKI), China Biomedical Literature Database, Weipu, Wanfang, PubMed, Embase, Web of Science, Cochrane Library, Clinical Trials, and China Clinical Trial Registry Platform was performed. The retrieval time was from inception to January 2024. Two researchers screened the literature according to the inclusion and exclusion criteria, extracted the data, and evaluated the quality.Revman5.3 software was used for meta-analysis, and only descriptive analysis was performed on the outcome indicators of the number of literature ≤ 2.</p><p><strong>Results: </strong>A total of 12 articles were included, including 968 patients. The results of Meta-analysis showed that PNF technique could reduce pain intensity ((Visual analog scale (VAS) score (SMD = -0.67, 95% CI [-1.18, -0.15], P = 0.03), Japanese Orthopaedic Association (JOA) score (subjective pain score standard) (SMD = 0.79, 95% CI [0.23,1.35], P < 0.01)), improve the shoulder function of patients (SMD = 1.13, 95% CI [0.96,1.31], P < 0.01), and improve the patient's daily living ability (SMD = 1.06, 95% CI [0.77,1.34], P < 0.01). The results of descriptive analysis showed that the PNF technique could improve the psychological state of patients with scapulohumeral periarthritis to a certain extent.</p><p><strong>Conclusion: </strong>The PNF technique can help patients with scapulohumeral periarthritis to relieve pain, improve shoulder function, and strengthen daily living ability. In addition, a good psychological state is conducive to better recovery of patients ' health. In clinical work, medical staff should pay attention to the psychological state of patients with SP.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"288"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment for central polydactyly of the foot with nine toes: a rare case report.","authors":"Yu Chen, Chunhua Yin, Xiaofang Shen","doi":"10.1186/s12891-025-08520-3","DOIUrl":"10.1186/s12891-025-08520-3","url":null,"abstract":"<p><strong>Background: </strong>Pediatric polydactyly is a common congenital disorder of the hand and foot that affects the development and psychology of children. It can be classified into postaxial polydactyly, preaxial polydactyly and central polydactyly. Among the three types, central polydactyly is the rarest, resulting in limited literature pertaining to the management of this condition. We present a rare case of central polydactyly of the left foot with nine toes.</p><p><strong>Case presentation: </strong>A 10-month-old female child was brought to us with left congenital central mirror foot and ill-fitting shoe concerns. The foot had nine toes and eight metatarsals with tarsal duplications. To correct the contour of the foot, the central polydactylous components were excised through a V-shaped incision. After a follow-up period of two years, the outcomes of the operation were satisfactory based on the American Orthopaedic Foot and Ankle Score, and values of the distance between the head of the first metatarsal and fifth metatarsal and the distance between the base of the first metatarsal and fifth metatarsal were improved notably. We successfully treated an extremely rare case of central mirror foot.</p><p><strong>Conclusions: </strong>There is a unique challenge in treating central polydactyly of the foot, particularly when the tarsal and metatarsal bones are duplicated. Surgeons should identify it preoperatively and take into account the duplicated tarsal bones while planning the surgery.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"26 1","pages":"290"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}