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The Effect of Estrogen on Anterior Cruciate Ligament Structure and Function: A Systematic Review 雌激素对前十字韧带结构和功能的影响:系统回顾
Pub Date : 2023-12-31 DOI: 10.23937/2572-3243.1510128
Ojoawo Adesola Ojo, Adedeji Olusesan Olufemi, Kunuji Kayode, Afolabi Taofik Olusegun, Awotipe Adedayo Ayotunde
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引用次数: 0
The Effect of Estrogen on Anterior Cruciate Ligament Structure and Function: A Systematic Review 雌激素对前交叉韧带结构和功能影响的系统综述
Pub Date : 2023-09-30 DOI: 10.23937/2572-3243.1510127
Birt Katherine M., McCarthy Helen E.
There is a widely acknowledged biological sex difference in anterior cruciate ligament (ACL) injuries, with females at a significantly higher risk compared to males. Due to the sex difference, the influence of the sex hormone estrogen has been investigated. Consequently, the aim of this study through reviewing current literature was to explore the association fluctuations in estrogen concentration during the menstrual cycle and altered ACL extracellular matrix (ECM) structure and subsequent function.
在前交叉韧带(ACL)损伤中存在着广泛认可的生理性别差异,女性的风险明显高于男性。由于性别差异,人们对性激素雌激素的影响进行了研究。因此,本研究的目的是通过回顾现有文献,探讨月经周期雌激素浓度波动与ACL细胞外基质(ECM)结构和功能改变的关系。
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引用次数: 0
Neglected Radiocarpal Dislocations: Descriptive Note on Five Cases in Black Africa 被忽视的桡腕关节脱位:黑色非洲五例的描述性笔记
Pub Date : 2023-09-30 DOI: 10.23937/2572-3243.1510126
Koné Seydou Gnombena N’golo, Feigoudozoui Hermann Victoire, Yamalet Ulrich Florentin N’guena
Background: Neglected radiocarpal dislocations are rare and may have functional repercussions on the injured limb. Objective: The aim of this study was to evaluate the functional results of our management of neglected radiocarpal dislocation. Patient and method: This was a retrospective and descriptive study of five cases of neglected radiocarpal dislocation between January 2011 and December 2020. Patients were collected from various hospitals in Abidjan, Ivory Coast (some private centers and the orthopaedic surgery and trauma department of Cocody University Hospital). The minimum consultation time was 11 weeks. The initial treatment was traditional in 3 cases and failure of hospital treatment in 2 cases. Lesions were classified according to the Dumontier classification. Treatment was surgical in all cases. Functional results were assessed using the Quick DASH score and the modified Green and O'Brien score. Results: Patients were assessed for function at a minimum follow-up of 24 months. The total Quick DASH score was obtained using the formula: [(Sum) × 1.1] × 5/2. The mean Quick DASH score was 88.55 (extremes: 74.25 and 99). The mean modified Green and O'brien score was 96 (extremes: 80 and 100). Conclusion: Our functional results were satisfactory overall, as demonstrated by assessments using recognised and reliable tools. Further studies with a larger sample size are needed to confirm the conclusions of our study.
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引用次数: 0
Application of Trimano Universal Manipulator in Clinical and Teaching of Shoulder Arthroscopy Trimano万能机械臂在肩关节镜临床及教学中的应用
Pub Date : 2023-06-30 DOI: 10.23937/2572-3243.1510125
Dongqiang Gu, Haoran Gu, C. Lei, Li Wei
Orthopaedics is a subject with a wide variety of diseases and strong specialties, among which the sports medicine subspecialty is a rapidly developing specialty. In particular, the sports medicine department has been subdivided in the orthopedics department of the national super first-class comprehensive hospital, and on the basis of the sports medicine specialty, professional groups have been subdivided by location, and teaching tasks from various sources and at different levels have been undertaken. In the field of shoulder arthroscopy, the application of the Trimano universal mechanical arm provides a simple and feasible scheme for the minimally invasive treatment of shoulder joint diseases. At the same time, standardized coordination can be provided for the treatment posture of shoulder arthroscopy with individual differences, providing a high standard model for the teaching of sports medicine specialty
骨科是一门疾病种类多、专门性强的学科,其中运动医学亚专科是一个发展迅速的专科。特别是在国家超一流综合医院骨科细分运动医学科室,并在运动医学专业的基础上,按地点细分专业群,承担了多渠道、多层次的教学任务。在肩关节镜领域,Trimano通用机械臂的应用为肩关节疾病的微创治疗提供了一种简单可行的方案。同时为个体差异的肩关节镜治疗姿势提供标准化的协调,为运动医学专业的教学提供高标准的模式
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引用次数: 0
An Intervention Program Based on Motor Coordination Principles Improves Knee Alignment in Pre-Professional Ballet Dancers 基于运动协调原则的干预方案改善专业前芭蕾舞者膝关节对齐
Pub Date : 2023-06-30 DOI: 10.23937/2572-3243.1510120
de Oliveira Melo Mônica, Gontijo Kaanda Nabilla Souza, Candotti Claudia Tarragô, dos Santos Gabriela Cristina, dos Santos Cardoso Stephanie, Soares Bruna, Navarro Isis Juliene Rodrigues Leite, Loss Jefferson Fagundes
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引用次数: 0
Non-Invasive Biomechanical Intervention Leads to Low Rates of Total Knee Replacement and Reduced Utilization of Healthcare Resources among Older Adults with Chronic Knee Pain: A 5-Year Follow-Up Study 无创生物力学干预导致老年慢性膝关节疼痛患者全膝关节置换术发生率低,医疗资源利用率降低:一项5年随访研究
Pub Date : 2023-06-30 DOI: 10.23937/2572-3243.1510121
Shema-Shiratzky Shirley, Mor Amit, Elbaz Avi
Background: Chronic knee pain, primarily associated with knee osteoarthritis (OA), is a leading cause of disability among older adults and place an immense burden on patients and healthcare systems, exceeding $80 billion in direct medical costs annually. Current non-surgical solutions to treat chronic knee pain provide limited relief of symptoms. The present study aims to assess the long-term effect of a biomechanical, non-invasive intervention on total knee replacement (TKR) incidence and the utilization of healthcare resources over five years. Methods: This was a retrospective study among older adults with chronic knee pain, primarily due to OA, who received the biomechanical intervention between 2014 and 2017. An independent survey institute contacted patients between August and September 2022 to confirm their surgical status and utilization of other healthcare services, covering at least five years of follow-up. During the intervention, patients were provided with a FDA-cleared shoe-like device, which includes two convex pods attached to the sole. The pods are attached to the shoe in a customized manner based on the patient's gait and pain (i.e., calibrated). The device shifts the foot's center of pressure to reduce the knee joint load and alleviate pain. The device also creates controlled perturbation that challenges gait and posture stability and creates neuromuscular training. Patients were instructed to wear the device for up to 2-3 hours a day during their daily routine and invited to follow-up sessions for treatment modifications. Results: Four hundred and fourteen patients responded to the survey. Their mean (SD) age was 66.5 (4.2) years, 65% were women and 82% of patients were diagnosed with knee OA. At five years since inception, the TKR incidence rate was 18.4% with 95% CI (14.6%, 22.1%). Most responders (79%) reported using other healthcare resources and services to treat their knee pain before the intervention. Of them, 64% ceased receiving intra-articular injections to the knee, 44% discontinued using pain medication and 46% stopped receiving physiotherapy. Conclusion: This biomechanical, non-invasive intervention is a beneficial and sustainable intervention that reduces healthcare resource utilization, including avoidance of TKR and chronic knee pain. With the constant increase in the prevalence of chronic knee pain, offering this intervention to patients can help address the increasing burden on the healthcare system and society. Trial
背景:慢性膝关节疼痛,主要与膝骨关节炎(OA)相关,是老年人致残的主要原因,给患者和医疗保健系统带来了巨大的负担,每年的直接医疗费用超过800亿美元。目前治疗慢性膝关节疼痛的非手术方法只能有限地缓解症状。本研究旨在评估五年内生物力学、无创干预对全膝关节置换术(TKR)发生率和医疗资源利用的长期影响。方法:这是一项回顾性研究,研究对象为2014年至2017年期间接受生物力学干预的主要由OA引起的慢性膝关节疼痛的老年人。一个独立的调查机构在2022年8月至9月期间联系了患者,以确认他们的手术状况和其他医疗服务的利用情况,随访时间至少为5年。在干预期间,为患者提供了一个fda批准的类似鞋子的装置,其中包括两个附着在鞋底的凸舱。根据病人的步态和疼痛(即校准),这些吊舱以一种定制的方式附着在鞋子上。该装置转移足部的压力中心,以减轻膝关节负荷,减轻疼痛。该设备还可以制造可控扰动,挑战步态和姿势的稳定性,并进行神经肌肉训练。患者被要求在日常生活中每天佩戴该设备2-3小时,并被邀请参加治疗修改的后续会议。结果:414例患者回复了调查。他们的平均(SD)年龄为66.5(4.2)岁,65%为女性,82%的患者被诊断为膝关节OA。发病5年后,TKR发病率为18.4%,95% CI(14.6%, 22.1%)。大多数应答者(79%)报告在干预前使用其他医疗资源和服务来治疗他们的膝关节疼痛。其中64%停止接受膝关节内关节注射,44%停止使用止痛药,46%停止接受物理治疗。结论:这种生物力学、无创干预是一种有益的、可持续的干预,可减少医疗资源的利用,包括避免TKR和慢性膝关节疼痛。随着慢性膝关节疼痛患病率的不断增加,为患者提供这种干预可以帮助解决医疗保健系统和社会日益增加的负担。试验
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引用次数: 0
A Core Outcome Set for Exercise and Physical Activity Interventions for Musculoskeletal Disorders 肌肉骨骼疾病的运动和身体活动干预的核心结果集
Pub Date : 2022-12-31 DOI: 10.23937/2572-3243.1510119
Thompson Alexander, Mallett Ross, Potia Tanzila, Harrop Deb, Kirk Matthew, McLean Sionnadh
Background: Musculoskeletal disorders (MSKD) create a significant burden on individuals and society. Physical activity is an effective way of self-managing MSKD. Global health policy routinely recommends the instigation of management approaches to support people with MSKD to engage in physical activity. However, there is considerable heterogeneity in outcome measurement and establishing whether interventions are effective or not. A way of addressing this is to develop a core outcome set (COS). This study aims to identify a COS for exercise and physical activity interventions for people with MSKD. Methods: Guidance from the COMET initiative was followed. The study had two phases. 1) A systematic search of effectiveness studies investigating interventions that aim to increase physical activity levels in people with MSKD was conducted. All outcome concepts evaluated were extracted from the included studies. 2) Patients with MSKD and expert stakeholders then participated in an online and workshop-based consensus process. In accordance with other COS development studies, 70% agreement was required for a concept to be included in the final COS. Results: Phase 1: 25 studies were identified from the systematic searches and 50 conceptually different outcomes were extracted. Phase 2: 14 group members were recruited to the consensus phase. Function, Patient satisfaction, Physical activity, Quality of Life, Pain, Cost-effectiveness, Self-efficacy, Knowledge to plan future exercise, Utilisation of health services were the concepts that reached the 70% threshold for inclusion in the final COS. Conclusions: This study provides a COS that could provide an outcome measurement strategy in interventions that aim to increase exercise and physical activity in people with MSKD.
背景:肌肉骨骼疾病(MSKD)给个人和社会造成了巨大的负担。体育活动是自我管理MSKD的有效途径。全球卫生政策通常建议采取管理办法,支持MSKD患者从事身体活动。然而,在结果测量和确定干预措施是否有效方面存在相当大的异质性。解决这个问题的一个方法是开发一个核心结果集(COS)。本研究旨在确定MSKD患者运动和身体活动干预的COS。方法:遵循COMET倡议的指导。这项研究分为两个阶段。1)对旨在提高MSKD患者身体活动水平的干预措施的有效性研究进行了系统的搜索。评估的所有结局概念均来自纳入的研究。2) MSKD患者和专家利益相关者随后参与了在线和基于研讨会的共识过程。根据其他COS发展研究,一个概念必须得到70%的同意才能列入最后COS。结果:第一阶段:从系统搜索中确定了25项研究,并提取了50个概念上不同的结果。第二阶段:招募14名小组成员进入共识阶段。功能、患者满意度、身体活动、生活质量、疼痛、成本效益、自我效能、计划未来运动的知识、卫生服务的利用等概念达到了最终COS的70%门槛。结论:本研究提供了一个COS,可以为旨在增加MSKD患者的锻炼和身体活动的干预措施提供结果测量策略。
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引用次数: 0
The Dhaga Syndrome: An Important Differential of Acquired Constriction Band around the Wrist in India Dhaga综合征:印度腕部周围获得性收缩带的重要区别
Pub Date : 2022-12-31 DOI: 10.23937/2572-3243.1510116
Garnaik Deepak Kumar, Sree B Satya, Yhoshu Enono
we and the
我们和
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引用次数: 1
Investigating the Effect of Injectable Ozone in Treating Symptoms and Improving Performance in Patients with Tennis Elbow Disease 探讨注射臭氧对网球肘病患者治疗症状和提高运动能力的影响
Pub Date : 2022-12-31 DOI: 10.23937/2572-3243.1510118
Amiri Niloufar Mohtasham, Forogh Bijan
Background: Lateral epicondylitis (LE) is a common cause of elbow pain. Besides conservative treatments, ozone therapy is getting attention due to its safety and effectiveness. This study aimed to assess the effectiveness of ozone therapy in lowering pain and tenderness and improving joint function. Methods: Patients clinically diagnosed with LE were included in our study. Baseline assessments including age, gender, involved elbow, tenderness, pain, and function scores were done. All the patients underwent up to ten sessions of ozone injection in the pain site. Each injection was between six to ten ml of 30 µg/ml ozone gas into the lateral epicondyle. After the treatment regimen, tenderness, pain, and function scores were assessed. Results: Of the 28 patients with LE, 16 and 12 were female and male, respectively. More than 80% had high physical activities with their involved elbow. Comparing the pain, tenderness, and function before and after the treatment, all parameters were statistically improved (P < 0.05). These results were consistent in both men and women subgroups. Conclusion: Ozone therapy is a safe and effective procedure in patients with LE to reduce pain and tenderness, in addition to improving performance. However, large clinical trials are warranted to compare ozone injection with routinely used treatments by clinicians.
背景:外侧上髁炎(LE)是肘部疼痛的常见原因。除保守疗法外,臭氧疗法因其安全性和有效性而备受关注。本研究旨在评估臭氧治疗在减轻疼痛和压痛以及改善关节功能方面的有效性。方法:临床诊断为LE的患者纳入我们的研究。基线评估包括年龄、性别、受累肘部、压痛、疼痛和功能评分。所有患者都在疼痛部位进行了多达10次的臭氧注射。每次将30µg/ml的臭氧气体注射6 ~ 10ml至外侧上髁。治疗方案结束后,评估压痛、疼痛和功能评分。结果:28例LE患者中,女性16例,男性12例。超过80%的患者肘部有高强度的运动。治疗前后疼痛、压痛、功能比较,各项指标均有统计学改善(P < 0.05)。这些结果在男性和女性亚组中都是一致的。结论:臭氧治疗是一种安全有效的治疗方法,可以减轻LE患者的疼痛和压痛,并提高患者的表现。然而,需要进行大型临床试验来比较臭氧注射与临床医生常规使用的治疗方法。
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引用次数: 0
Robotically Assisted Total Knee Arthroplasty - Literature Review 机器人辅助全膝关节置换术-文献综述
Pub Date : 2022-12-31 DOI: 10.23937/2572-3243.1510117
Danieli Marcus Vinicius, Guerreiro João Paulo Fernandes
Despite the evolution in implant design, surgical technique, rehabilitation and better medical training, a great number of patients are not satisfied with the final result of Total Knee Arthroplasty (TKA). The conventional TKA technique could result in a high number of outliers in limb alignment and are related to a high rate of residual symptoms. Robotically assisted (RA) surgery was introduced to improve these results. Recent studies showed this technique is associated to lower costs, better accuracy in implant placement and limb alignment, improvement in function and patient satisfaction. RA technique is also related to less blood loss, less bone resection and smaller aggression to soft tissues. Besides that, this brings better ergonomics to the surgeon with less caloric waste. In this way, by the benefits showed, the adhesion to the robotic surgery must be encouraged.
尽管人工膝关节置换术(Total Knee Arthroplasty, TKA)的植入物设计、手术技术、康复水平和医疗培训水平不断提高,但仍有大量患者对TKA的最终效果不满意。传统的TKA技术可能导致肢体对准的大量异常值,并与残留症状的高比率有关。引入机器人辅助(RA)手术来改善这些结果。最近的研究表明,该技术与较低的成本,更好的准确性植入和肢体对齐,改善功能和患者满意度有关。RA技术也与较少的失血、较少的骨切除和较小的对软组织的侵犯有关。除此之外,这给外科医生带来了更好的人体工程学,减少了热量浪费。通过这种方式,通过所显示的好处,必须鼓励对机器人手术的粘连。
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引用次数: 0
期刊
Journal of musculoskeletal disorders and treatment
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