BMC Musculoskeletal Disorders最新文献

{"title":"Oxford Shoulder Instability Score: cross-cultural adaptation into Spanish and analysis of its methodological quality.","authors":"Rocio Aldon-Villegas, Gema Chamorro-Moriana, Fernando Espuny-Ruiz, Maria-Luisa Benitez-Lugo","doi":"10.1186/s12891-024-08075-9","DOIUrl":"10.1186/s12891-024-08075-9","url":null,"abstract":"<p><strong>Background: </strong>Oxford Shoulder Instability Score (OSIS) is a patient reported outcome measure designed specifically to assess functional difficulties resulting from shoulder instability. The main aim of this study was to cross-culturally adapt the OSIS to Spanish. Secondary, it aimed to analyse its methodological quality.</p><p><strong>Methods: </strong>A cross-cultural adaptation to Spanish has been carried out following the recommendations of COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) with a sample of 167 cases of shoulder instability. Inclusion criteria were: subjects with instability symptoms in at least one shoulder with or without clinical diagnosis; aged between 18 and 60. The following psychometric properties were evaluated: validity (construct, internal and external), reliability (internal consistency, test-retest and measurement error), discriminant ability and feasibility. The methodological quality was addressed with Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) and COSMIN Risk of Bias checklist (COSMIN RoB).</p><p><strong>Results: </strong>The construct validity obtained an OSIS correlation with the Simple Shoulder Test of r = 0.636 and with the Western Ontario Shoulder Instability of r = 0.80. The unidimensionality of the OSIS was confirmed through second-order factor analysis. Cronbach's alpha and intraclass correlation coefficient were both 0.93 (IC95%: 0.91-0.94). Standard error of measurement was 0.70, and the percentage of error and smallest detectable change were 1.46% and 1.94, respectively. No floor or ceiling effects were found. Assessing feasibility of OSIS, the participants answered all questions, had no questions and completion time was: mean 2 min 30 s; SD ± 1 min. Regarding methodological quality, the study showed low risk of bias in the areas of patient selection, index test, reference standard and flow and timing, as well as low concern regarding applicability in the domains of patient selection, index test and reference standard according to QUADAS-2. In relation to COSMIN RoB, all psychometric properties, except for content validity, obtained very good results.</p><p><strong>Conclusions: </strong>The Spanish version of OSIS offers valid, reliable and feasible functional outcome measures for Spanish-speaking subjects with shoulder instability, based on its psychometric properties and its methodological quality.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"946"},"PeriodicalIF":2.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695040","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":"Radiographic and clinical evaluation of external pedicle screw fixation as a definitive solution for selective acetabular fractures: a retrospective analysis.","authors":"Zhen Xia, Yazhong Zhang, Xu Zhang, Wenbo Li, Yongxiang Lv, Xiangyu Qi, Yunqing Wang, Ziqiang Zhu","doi":"10.1186/s12891-024-08049-x","DOIUrl":"10.1186/s12891-024-08049-x","url":null,"abstract":"<p><strong>Background: </strong>Acetabular fractures typically require open surgery to restore hip joint function. Openness may lead to serious tissue damage, increased bleeding, and the risk of nerve and vascular damage. Minimally invasive closed reduction or percutaneous fixation aims to minimize additional harm to patients and provide reliable fixation to promote fracture recovery and functional rehabilitation. This study aimed to assess the radiographic and clinical effectiveness of pedicle screw external fixation as a definitive treatment approach for selective acetabular fractures.</p><p><strong>Methods: </strong>The present study enrolled 43 patients with acetabular fractures who were categorized into three groups based on their definitive treatment plans: pedicle screw external fixation group, traditional external fixation stent fixation group, and open reduction internal fixation group, comparing the operative duration and the time required for fracture healing. Fracture reduction was evaluated using the Tornetta and Matta grading system, and postoperative clinical outcomes were analyzed using the Majeed score. Analyze three surgical methods by comparing clinical indicators and prognostic references.</p><p><strong>Results: </strong>Among the 43 patients, there were 12 cases in the pedicle screw external fixation group, 14 cases in the traditional external fixation stent fixation group, and 17 cases in the open reduction internal fixation group. There were no significant differences in age, gender, injury mechanism, Injury Severity Score (ISS), or other demographic factors among the three groups. The reduction of fractures with internal fixation was significantly better than that with external fixation(p = 0.032). Operative duration and quality of reduction did not significantly differ between the pedicle screw external fixation group and the traditional external fixation stent fixation group. However, the pedicle screw external fixation group exhibited distinct advantages in postoperative quality of life (p = 0.041) and a lower incidence of loose fixing screws compared to the traditional external fixation stent fixation group.</p><p><strong>Conclusion: </strong>Compared to traditional external fixation stent fixation, pedicle screw external fixation represents a superior definitive treatment option for acetabular fractures due to its stability and improved patient quality of life.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"947"},"PeriodicalIF":2.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695117","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":"High intensity in interspinous ligaments: a diagnostic sign of lumbar instability and back pain for degenerative lumbar spondylolisthesis.","authors":"Jiang Jiang, Min Chen, Ding-An Huang, Jun-Jie Luo, Jian-Bang Han, Ming Hu, Ying-Feng Wang","doi":"10.1186/s12891-024-08081-x","DOIUrl":"10.1186/s12891-024-08081-x","url":null,"abstract":"<p><strong>Background: </strong>To investigate the clinical significance of high intensity signals in interspinous ligaments at the affected segment in degenerative lumbar spondylolisthesis (DLS), as well as to determine the most effective diagnostic modalities for evaluating segmental instability.</p><p><strong>Methods: </strong>This study reviewed a consecutive series of patients with L4/5 DLS between July 2023 and December 2023. The enrolled patients were divided into two groups based on the presence or absence of high-intensity signals in interspinous ligaments: the higher group (Group H), and the non-higher group (Group NH). Translational and angular motion was determined using flexion and extension (FE) radiographs or a sitting lumbar lateral radiograph with a supine sagittal MR image (combined, S-MR). The five-repetition sit-to-stand test (5R-STS) was employed to evaluate patients' objective functional impairment (OFI).</p><p><strong>Results: </strong>Overall, 73 patients were enrolled in this study, and there were 22 (30.1%) patients in group H and 51(69.9%) patients in group NH, with an average age of 60.3 ± 8.1 years. The patients in Group H exhibited significantly longer 5R-STS times and serious OFI compared to those in Group NH. Compared to Group NH, Group H exhibited significantly higher SP in the sitting position (21.8% vs 16.7%; P < 0.001*), while no significant differences were observed in the upright, flexion, extension, and supine MRI positions (all P values > 0.05). In Group H, \"instability\" was recognized in 77.3% of patients using S-MR versus 40.9% patients using FE (P < 0.001); While in Group NH, no significant difference was observed in the incidence of \"instability\" between FE and s-MR (37.3% vs. 31.4%, P = 0.53). Overall, a significantly higher incidence of instability was found in Group H compared to Group NH (77.3% vs .37.3%, P < 0 .001*).</p><p><strong>Conclusions: </strong>DLS with a high intensity within the interspinous ligaments is a distinct subgroup associated with segmental instability, the combination of 5R-STS and S-MR should be regarded as the most clinically relevant approach for assessing OFI and lumbar instability.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"949"},"PeriodicalIF":2.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695021","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":"Associations between hand osteoarthritis, obesity and lipid metabolism: a cross-sectional study of the Halland County Osteoarthritis (HALLOA) cohort.","authors":"Elisabeth Brogren, Maria Andersson, Melker Westenius, Jenny Wittrup, Malin Zimmerman","doi":"10.1186/s12891-024-08073-x","DOIUrl":"10.1186/s12891-024-08073-x","url":null,"abstract":"<p><strong>Background: </strong>To determine whether obesity and markers of lipid metabolism are associated with radiological hand osteoarthritis (OA) in the Halland County Osteoarthritis (HALLOA) cohort.</p><p><strong>Methods: </strong>In this cross-sectional study, we included 231 participants aged 30-65 from the HALLOA cohort, which began in 2017 and is ongoing. Hand OA was defined as ≥ 2 joint groups (distal interphalangeal, proximal interphalangeal, and carpometacarpal I) with Kellgren-Lawrence grade ≥ 2. The severity of hand OA was classified in terms of the number of affected joint groups (moderate hand OA 2-4 joint groups, severe hand OA 5-6 joint groups). Metabolic profile, including body mass index (BMI), bioimpedance, waist circumference, blood pressure, serum leptin, total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides, were obtained. Multicollinearity was assessed with Pearson's correlation and associations with logistic regression analyses adjusting for age, HDL-cholesterol, and central obesity.</p><p><strong>Results: </strong>Two-thirds of the participants were women, and 91 (39%) had hand OA. We found a relationship between LDL-cholesterol and prevalent hand OA in women with an odds ratio of 1.7 (95% CI 1.1-2.6) and an association between LDL-cholesterol and severity of hand OA in women; odds ratio for no hand OA vs. moderate hand OA was 1.6 (95% CI 1.0-2.4) and for no hand OA vs. severe hand OA 2.5 (95% CI 1.2-4.9). There were no significant relationships between hand OA and obesity or serum leptin levels.</p><p><strong>Conclusion: </strong>Circulating LDL-cholesterol levels were associated with the prevalence and severity of hand OA in women but not men.</p><p><strong>Trial registration: </strong>ClinicalTrials. Gov (NCT04928170), Date of registration: 2017-12-20.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"944"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692766","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":"Additive effect of glenohumeral joint hydrodilatation applied in addition to suprascapular nerve blockage in patients with adhesive capsulitis.","authors":"Cevriye Mülkoğlu, Tülay Tiftik, A Berna Deniz, Habibe Kandaşoğlu, Hakan Genç","doi":"10.1186/s12891-024-08082-w","DOIUrl":"10.1186/s12891-024-08082-w","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the efficacy of shoulder hydrodilatation (HD) applied in addition to suprascapular nerve blockage (SSNB) on severity of pain, shoulder joint range of motion (ROM), functional status, handgrip (HG) strength in patients with adhesive capsulitis (AC).</p><p><strong>Methods: </strong>Forty-eight patients who were diagnosed with AC based on physical examination findings included in the study. The patients were randomized into two groups as combination of SSNB + HD and SSNB alone. Injections were performed under ultrasonography guidance. Shoulder ROM angles were measured with a goniometer. Pain intensity was evaluated with visual analog scale. Functional status was evaluated with Quick Disability of Arm, Shoulder, and Hand (QDASH). HG strength was measured by a Jamar dynometer. After the injection, a home-based exercise program was given to all patients. Patients were evaluated at baseline, 1st and 3rd month.</p><p><strong>Results: </strong>Abduction and external rotation ROM angles were statistically significantly limited in SSNB group, at baseline (p = 0.020, p = 0.018, respectively). In terms of other parameters, both groups were similar at baseline (p > 0.05). At comparison of baseline-1st month, a significant improvement was observed in VAS score, abduction and flexion ROM and QDASH score, in both groups (p < 0.05), however, there was no statistically significant difference between the groups. There is a statistically significant decrease in VAS score in both groups, at all times, but, no significant difference between the groups. At the comparison of baseline-3rd month measurements, it was observed that all of the parameters significantly improved in both groups, and there was no statistically significant difference between the groups except for abduction and external rotation ROM (p > 0.05). Abduction ROM and external rotation ROM were significantly higher in the SSNB group than SSNB + HD group at 3rd month.</p><p><strong>Conclusions: </strong>Both SSNB + HD and SSNB alone provide significant improvement clinically especially in shoulder pain. HD added to SSNB does not seem to provide any additional benefit. SSNB is an effective treatment option for up to 3 months in patients with AC, mainly in abduction and external rotation limitation.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"945"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692786","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":"Spontaneous multilevel lumbar pediculolysis associated with spondylolysis: a rare case and review of the literature.","authors":"Zan Chen, Yusheng Bao, Daxiong Feng, Yinxiao Peng, Fei Lei","doi":"10.1186/s12891-024-08084-8","DOIUrl":"10.1186/s12891-024-08084-8","url":null,"abstract":"<p><strong>Background: </strong>Pediculolysis is bone hypertrophy and pseudoarthrosis caused by pedicle fracture and has often been combined with contralateral spondylolysis in previous reports. Multilevel pediculolysis with spondylolysis is extremely rare, and we report a case who underwent surgery. Cases of multisegment pediculolysis were reviewed to inspire the diagnosis and treatment of similar pathological phenomena.</p><p><strong>Case presentation: </strong>A 55-year-old man suffering from low back pain and sciatica was admitted to hospital after failing conservative treatment. The imaging studies revealed bilateral pediculolysis at L3 and L4 and right spondylolysis at L5. When L2-5 internal fixation and fusion surgery were performed, the symptoms improved immediately after surgery. At the 2-year postoperative follow-up, proximal junctional failure appeared and progressively worsened.</p><p><strong>Conclusions: </strong>Multilevel pediculolysis often requires surgical intervention, and segment instability is an important consideration in the development of surgical fusion strategies. The etiology of pediculolysis is still complex and unknown, and the spondylolysis protocol can be used as a reference for treatment. Surgeons should be cautious in surgical planning to minimize the likelihood of postoperative instrumentation failure.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"936"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686057","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 link between osteoporosis and frozen shoulder: exploring the therapeutic effect of TAK715 on reversing fibrosis and protecting against osteoporosis via the p38 MAPK signaling pathway.","authors":"Xinhao Li, Yan Yan, Zhuo Wang, Jingyi Hou, Yuhan Meng, Dedong Cui, Yi Long, Ming Li, Rui Yang","doi":"10.1186/s12891-024-08068-8","DOIUrl":"10.1186/s12891-024-08068-8","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of frozen shoulder (FS) (2% ~ 5%) and osteoporosis (OP) is high (9.1%-12.1%). Clinically, postmenopausal women are particularly at risk for both diseases. The main objective of this current research is to investigate the pathogenesis mechanism of FS and explore the connection between FS and OP.</p><p><strong>Methods: </strong>We obtained FS and OP datasets from GEO and identified crosstalk genes. Following KEGG and GO enrich analysis, the p38 MAPK signaling pathway was focused and the specific p38α inhibitor TAK715 was screened out. We conducted flow cytometry, western blot, and PCR analyses to assess the treatment effect of TAK715 on FS synovium fibroblasts at different concentrations. Additionally, we employed SD rats to validate the treatment effects of TAK715 in vivo.</p><p><strong>Results: </strong>TAK715 was useful in reversing fibrosis at the concentration of 1 μM, 5 μM and 10 μM. The unbalanced apoptosis process in frozen shoulder cell and the activation of osteoclast were inhibited at the concentration of 5 μM by TAK715. Then we successfully established a FS and OP rat model, with the FS with OP rat displaying less range of motion (ROM) and thicker shoulder capsule. In FS rat that was treated with TAK715, the frozen shoulder side was corrected in ROM and bone loss.</p><p><strong>Conclusions: </strong>The frozen shoulder with osteoporosis may exhibit more severe symptoms, and TAK715 is effective in protecting fibrosis and osteoporosis both in vitro and vivo. The therapy to correct FS and OP simultaneously by TAK715 provides novel approach in FS treatment and study.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"942"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686061","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":"Effect of zoledronic acid on muscle metabolism in mice with osteoporosis combined with sarcopenia.","authors":"Weilong Li, Ming Xu, Xuchao Shi, Jie Gu, Jian Guo, Yuanlin Xu, Bo Dai","doi":"10.1186/s12891-024-08054-0","DOIUrl":"10.1186/s12891-024-08054-0","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of zoledronic acid on muscle metabolism in mice with osteoporosis and sarcopenia and elucidate the possible underlying mechanism.</p><p><strong>Methods: </strong>Twenty-four 8-week-old male C57BL/6J mice were randomly divided into four groups: non-suspension (N-SUS), suspension (SUS), suspension + zoledronic acid (ZA), and suspension + PTH(PTH) groups. Equal doses of saline, zoledronic acid, and PTH were administered subcutaneously. After 4 weeks, the mice were sacrificed, and body weight and muscle mass (gastrocnemius and soleus) were measured, the right tibia of mice was taken for micro-CT examination, and the muscle specimens were analyzed using HE staining, ATPase staining, western blotting, and real-time PCR.</p><p><strong>Results: </strong>Compared with the N-SUS group, the bone mineral density (BMD), trabecular bone relative volume (BV/TV) and trabecular bone number (Tb.N) were significantly decreased in the SUS group (P < 0.01), the trabecular bone separation(Tb.Sp)was significantly increased (P < 0.01), which was reversed in ZA and PTH group (P < 0.01).Compared to the SUS group, the body and muscle weights of the ZA and PTH groups were significantly increased. Compared to the SUS group, the muscle structure was less damaged, the proportion of type I muscle fibers was increased, and the protein expression of β-catenin and AKT were upregulated in the ZA and PTH groups(P < 0.05). In addition, the mRNA expression levels of Wnt3a, Wnt16, Myf5, and PI3K were significantly increased (P < 0.05), where as those of Myogenic Differentiation Antigen(MyoD )and Myogenin (MyoG) were significantly decreased (P < 0.05). No significant differences were observed between the ZA and PTH groups.</p><p><strong>Conclusions: </strong>Zoledronic acid can reduce muscle loss and damage by upregulating the mRNA expression of Wnt and PI3K and the protein expression of β-catenin and AKT.Our results provide a novel basis for the development of drugs for the treatment of osteoporosis combined with sarcopenia.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"937"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686056","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":"Swimmer arm-to-shoulder test for early differentiation between shoulder and cervical spine pathology in patients with shoulder pain.","authors":"Hesham Hamoud, Hany Aly, Yasser A Elmotaleb, Mohamad M Ghit, Ahmad Mosalam, Tarek M Nasrallah, Saad M El Zokm, Ibrahim Fawzy, Abdelwahab N Bayoumy, Maha S Mohamed, Seham A Elazab, Amal M Elmesiry, Eman A Rageh, Mai A Moussa, Ahmed Elyasaki, Sherif Refaat, Ahmed M Elhilasy, Ahmed M El Deeb, Walid Elshaitany, Ashraf Eltabiey","doi":"10.1186/s12891-024-08013-9","DOIUrl":"10.1186/s12891-024-08013-9","url":null,"abstract":"<p><strong>Background: </strong>Several tests have been suggested for screening and diagnosis of cervical spine and shoulder girdle conditions underlying shoulder pain with variable degrees of clinical accuracy. The present study aimed to test the reliability, clinical benefit and screening value of the Swimmer Arm-to-Shoulder (SAS) test; a new clinical test developed to differentiate shoulder impingement from cervical radiculopathy in patients with shoulder pain of ≤ 12 weeks.</p><p><strong>Methods: </strong>The study included 718 patients aged 40-65 years, with unilateral and localized shoulder girdle pain lasting for ≤ 12 weeks. Diagnosis based on clinical, electromyography and radiological findings was considered as the reference gold standard for test assessment.</p><p><strong>Results: </strong>Clinical diagnosis identified shoulder pathology in 288 patients (40.1%) and cervical spine pathology in 430 patients (59.9%). SAS test was positive in 274 patients (38.2%). The SAS test proved to be effective in distinguishing shoulder from cervical spine pathology with a sensitivity of 89.2% (95% CI: 85.0-92.6%), specificity of 96.1% (95% CI: 93.8-97.7%), PPV of 93.8% (95% CI: 90.5-96.0%), NPV of 93.0% (95% CI: 90.5-94.9%), LR + of 22.6% (95% CI: 14.1-36.0%), LR- of 0.11 (95% CI: 0.08-0.16) and accuracy of 93.3% (95% CI: 91.2-95.0%).</p><p><strong>Conclusions: </strong>SAS test is an easy to perform, patient dependent and reliable as a screening test and diagnosis confirmatory test.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"940"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686060","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":"Applicability of using dynamic MRI to evaluate alleged cranial rhythmic impulse (CRI).","authors":"Pezhman Masoudi, Noureddin Karimi, Iraj Abdollahi, Enayatollah Bakhshi, Saeideh Moravej, Ahmad Aghazadeh","doi":"10.1186/s12891-024-08064-y","DOIUrl":"10.1186/s12891-024-08064-y","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the feasibility of using dynamic MRI to measure the features of cranial rhythmic impulse (CRI).</p><p><strong>Design and setting: </strong>Fifteen healthy participants (9 females and 6 males, aged 25 to 77) underwent dynamic MRI in a sagittal T2 HASTE view at a rate of 0.60 Hz for 30 s. The MRI videos were analyzed using video tracking software. Three points were marked: the glabella, the midpoint of the sella turcica, and a symmetrical point of the glabella on the occiput. The distances between these points were measured across 46 frames. Amplitudes and rates of asymmetrical CRI waves were calculated using Excel formulas.</p><p><strong>Results: </strong>The mean wave frequencies were 5.65 Hz for the anteroposterior distance, 6.2 Hz from sella turcica to occiput, and 6.76 Hz from sella turcica to glabella. The mean wave amplitudes were 0.39 mm, 0.6 mm, and 0.49 mm for the respective distances. Both intraclass correlation coefficients (ICC) and reliability coefficient (R) indicated excellent reliability (R, ICC > 0.90). The technical error of measurement (TEM) exceeded 1 mm for the anteroposterior and sella-to-occiput distances, while it was 0.32 mm for the sella-to-glabella distance.</p><p><strong>Conclusions: </strong>Dynamic MRI demonstrates potential in measuring the features of CRI, particularly in assessing CRI wave rate. While the ICC values indicate high reliability, the TEM values suggest that using MRI to measure CRI wave amplitude may only be dependable for the distance from the sella to the glabella.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"941"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686053","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}