Jantaj Singh, Rajkumar Aggarwal, Chandan Jasrotia, A. Dewan
Distal femur fractures include fractures of the supracondylar and intercondylar region. They account for around 3-6% of femur fractures. They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as pathological fracture secondary to osteoporosis or malignancy). Despite advances in implant design, the management of distal femur fractures remain challenging. Fracture comminution and intra-articular extension with severe soft tissue injury can make it difficult to obtain an adequate reduction while preserving the soft tissue attachments to bone fragments to allow for bone healing. This study was done to study the functional of MIPO (Minimally Invasive Plate Osteosynthesis) in distal third femur fractures with intra articular extension.
{"title":"Functional Outcome of MIPO (Minimally Invasive Plate Osteosynthesis) in Distal Third Femur Fractures with Intra Articular Extension","authors":"Jantaj Singh, Rajkumar Aggarwal, Chandan Jasrotia, A. Dewan","doi":"10.26502/josm.511500081","DOIUrl":"https://doi.org/10.26502/josm.511500081","url":null,"abstract":"Distal femur fractures include fractures of the supracondylar and intercondylar region. They account for around 3-6% of femur fractures. They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as pathological fracture secondary to osteoporosis or malignancy). Despite advances in implant design, the management of distal femur fractures remain challenging. Fracture comminution and intra-articular extension with severe soft tissue injury can make it difficult to obtain an adequate reduction while preserving the soft tissue attachments to bone fragments to allow for bone healing. This study was done to study the functional of MIPO (Minimally Invasive Plate Osteosynthesis) in distal third femur fractures with intra articular extension.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Restuccia, Giovanni Ficarra, Fulvio Perani, G. Bagnato, Joseph N. Grima, C. Mannucci, A. Bitto, F. Trimarchi, D. Di Mauro
Physical Activity (PA) has a fundamental role in subjects with Rheumatoid Arthritis (RA), in terms of motility, joint function, muscle wasting, BMI (Body Mass Index), Cardiovascular Fitness (CRF), mental health, but also changes in bioactive molecules that might influence the disease activity and patient’s wellbeing. Literature was searched for clinical trials, randomized-controlled trials, and pilot studies published in the last 15 years. Studies using as adjunctive therapy aerobic exercise, HighIntensity Interval Training (HIIT), and moderate training were included. The available papers shown that exercise programs improve joint’s mobility and flexibility and the overall health status, without differences regarding age, gender or disease activity. All these findings are supported by the modulatory role of exercise-induced cytokines as interleukin-6 (IL6) and irisin, together with a reduction of inflammatory markers.
{"title":"Beneficial Effects of Physical Activity in Rheumatoid Arthritis Patients: Focus on Active Biomolecules","authors":"R. Restuccia, Giovanni Ficarra, Fulvio Perani, G. Bagnato, Joseph N. Grima, C. Mannucci, A. Bitto, F. Trimarchi, D. Di Mauro","doi":"10.26502/josm.511500096","DOIUrl":"https://doi.org/10.26502/josm.511500096","url":null,"abstract":"Physical Activity (PA) has a fundamental role in subjects with Rheumatoid Arthritis (RA), in terms of motility, joint function, muscle wasting, BMI (Body Mass Index), Cardiovascular Fitness (CRF), mental health, but also changes in bioactive molecules that might influence the disease activity and patient’s wellbeing. Literature was searched for clinical trials, randomized-controlled trials, and pilot studies published in the last 15 years. Studies using as adjunctive therapy aerobic exercise, HighIntensity Interval Training (HIIT), and moderate training were included. The available papers shown that exercise programs improve joint’s mobility and flexibility and the overall health status, without differences regarding age, gender or disease activity. All these findings are supported by the modulatory role of exercise-induced cytokines as interleukin-6 (IL6) and irisin, together with a reduction of inflammatory markers.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ishith Seth, Aaron Rodwell, R. Tso, John Valles, G. Bulloch, Nimish Seth
The Chat Generative Pre-Trained Transformer (Chat-GPT) is an Artificial Intelligence (AI) platform that was made available to the public in November of 2022 [1]. This technology, which is capable of generating humanoid text, has been regarded as a tool that can reduce the workload burden of writing scientific journal articles while ensuring the academic standards of writing [2]. Its potential has been demonstrated through its acceptance for publication as an author in multiple journals, and even passing the United States medical board examinations [2-5].
{"title":"A Conversation with an Open Artificial Intelligence Platform on Osteoarthritis of the Hip and Treatment","authors":"Ishith Seth, Aaron Rodwell, R. Tso, John Valles, G. Bulloch, Nimish Seth","doi":"10.26502/josm.511500088","DOIUrl":"https://doi.org/10.26502/josm.511500088","url":null,"abstract":"The Chat Generative Pre-Trained Transformer (Chat-GPT) is an Artificial Intelligence (AI) platform that was made available to the public in November of 2022 [1]. This technology, which is capable of generating humanoid text, has been regarded as a tool that can reduce the workload burden of writing scientific journal articles while ensuring the academic standards of writing [2]. Its potential has been demonstrated through its acceptance for publication as an author in multiple journals, and even passing the United States medical board examinations [2-5].","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faranak Rafiee, Shadi Asadollahi, R. Luna, M. Motaghi, M. Hoseinyazdi, Gary X Gong, D. Yousem
Background and Purpose: Annular fissures are common in the lumbar spine; their natural history is not well-known. They typically are bright on T2W and show linear enhancement. We hypothesized that Lumbar Annular Fissures (LAF) rarely resolve over time and their imaging features are static. Materials and Methods: From 2011 to 2021, we evaluated patients who had more than one lumbar spine MR. We recorded LAF imaging features on T1W, T2W, and post-contrast sequences and the evolution of those findings over time. We also inspected the evolution of concomitant disc pathology. Finally, we reviewed the radiologic reports to see if LAFs were mentioned. Results: Of the 441 included patients, 238 (54.0%) had a LAF. Of these, 123/238 (51.7%) had more than one LAF (total 436 LAFs). 433 (99.3%) LAFs were bright on T2W; 3 LAFs enhanced but were not bright on T2W. In follow up, (mean 621 days, SD 951 days), 145/436 (33.3%) LAFs changed in T2W signal intensity; 62.8% showed less hyperintensity on T2W, 7 resolved completely. Of 65 gadolinium-enhanced cases, 53 (81.5%) LAFs enhanced; that enhancement persisted in 85.4%. Bulges or herniations coexisted with LAFs in 388/436 (89.0%). With changes in signal intensity and gadolinium enhancement, the bulge/herniation often evolved. 15.8% of LAFs were reported. Conclusion: LAFs are prevalent (54.0%) but are under-reported. The vast majority are bright on T2W but that hyperintensity may change over time. Most LAFs enhance and do so persistently. Disk bulges and herniations coexist in 89% of cases and evolve with the LAFs. Clinical Relevance: The stability of T2 hyperintensity and gadolinium enhancement of LAFs over time implies that the age of the AF cannot be inferred unless it is newly appearing on a current study.
{"title":"Long Term Follow-up of Lumbar Spine Annular Fissures","authors":"Faranak Rafiee, Shadi Asadollahi, R. Luna, M. Motaghi, M. Hoseinyazdi, Gary X Gong, D. Yousem","doi":"10.26502/josm.511500107","DOIUrl":"https://doi.org/10.26502/josm.511500107","url":null,"abstract":"Background and Purpose: Annular fissures are common in the lumbar spine; their natural history is not well-known. They typically are bright on T2W and show linear enhancement. We hypothesized that Lumbar Annular Fissures (LAF) rarely resolve over time and their imaging features are static. Materials and Methods: From 2011 to 2021, we evaluated patients who had more than one lumbar spine MR. We recorded LAF imaging features on T1W, T2W, and post-contrast sequences and the evolution of those findings over time. We also inspected the evolution of concomitant disc pathology. Finally, we reviewed the radiologic reports to see if LAFs were mentioned. Results: Of the 441 included patients, 238 (54.0%) had a LAF. Of these, 123/238 (51.7%) had more than one LAF (total 436 LAFs). 433 (99.3%) LAFs were bright on T2W; 3 LAFs enhanced but were not bright on T2W. In follow up, (mean 621 days, SD 951 days), 145/436 (33.3%) LAFs changed in T2W signal intensity; 62.8% showed less hyperintensity on T2W, 7 resolved completely. Of 65 gadolinium-enhanced cases, 53 (81.5%) LAFs enhanced; that enhancement persisted in 85.4%. Bulges or herniations coexisted with LAFs in 388/436 (89.0%). With changes in signal intensity and gadolinium enhancement, the bulge/herniation often evolved. 15.8% of LAFs were reported. Conclusion: LAFs are prevalent (54.0%) but are under-reported. The vast majority are bright on T2W but that hyperintensity may change over time. Most LAFs enhance and do so persistently. Disk bulges and herniations coexist in 89% of cases and evolve with the LAFs. Clinical Relevance: The stability of T2 hyperintensity and gadolinium enhancement of LAFs over time implies that the age of the AF cannot be inferred unless it is newly appearing on a current study.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impacts of Religious and Conspiracy Beliefs on Disease Prevention: The Case of COVID-19 in Ethiopia","authors":"Heron Gezahegn Gebretsadik","doi":"10.26502/josm.511500113","DOIUrl":"https://doi.org/10.26502/josm.511500113","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01Epub Date: 2023-12-04DOI: 10.26502/josm.511500133
Armand N Yazdani, Arian Abdi, Parth Patel, Prathosh Velpuri, Vikrant Rai, Devendra K Agrawal
Rotator Cuff Injuries (RCI) are highly prevalent and characterized by shoulder pain, restricted shoulder movement, and difficulty with overhead activity, radiating pain in the deltoid muscle, and atrophy of the rotator cuff muscles. Increasing age, hand dominance, smoking, hypertension, hyperlipidemia, and obesity are common risk factors. Chronic inflammation plays a critical role in the underlying pathogenesis. RCI accounts for massive healthcare expenditure costing about $15,000 per repair, and over 4.5 million physician visits per year, however, there is still no therapeutic target to improve clinical outcomes. Mitochondrial biogenesis in response to inflammatory stimuli supports increased cellular energy requirements, cell proliferation, and differentiation. This suggests that mitochondrial biogenesis may play a role in healing RCI by serving as a protective factor against free oxygen species and promoting homeostasis within the rotator cuff. There is evidence highlighting the potential therapeutic benefits of mitochondrial biogenesis in various inflammatory diseases, but no study explored the role of mitochondrial biogenesis in rotator cuff tears. Since hypercholesterolemia is a risk factor for RCI, we investigated the effects of hypercholesterolemia on the expression of PGC-1α, a marker of mitochondrial biogenesis, in rotator cuff muscle. The findings revealed an increased gene and protein expression of inflammatory mediators and PGC-1α, suggesting enhanced inflammation and increased mitochondrial biogenesis due to hypercholesterolemia. Additional studies are warranted to further investigate the chronic effect of hyperlipidemia induced RCI to elucidate the cause of insufficient mitochondrial biogenesis unable to protect the rotator cuff and the therapeutic effect of promoting mitochondrial biogenesis.
{"title":"Mitochondrial Biogenesis as a Therapeutic Target for Rotator Cuff Tendon Tears.","authors":"Armand N Yazdani, Arian Abdi, Parth Patel, Prathosh Velpuri, Vikrant Rai, Devendra K Agrawal","doi":"10.26502/josm.511500133","DOIUrl":"10.26502/josm.511500133","url":null,"abstract":"<p><p>Rotator Cuff Injuries (RCI) are highly prevalent and characterized by shoulder pain, restricted shoulder movement, and difficulty with overhead activity, radiating pain in the deltoid muscle, and atrophy of the rotator cuff muscles. Increasing age, hand dominance, smoking, hypertension, hyperlipidemia, and obesity are common risk factors. Chronic inflammation plays a critical role in the underlying pathogenesis. RCI accounts for massive healthcare expenditure costing about $15,000 per repair, and over 4.5 million physician visits per year, however, there is still no therapeutic target to improve clinical outcomes. Mitochondrial biogenesis in response to inflammatory stimuli supports increased cellular energy requirements, cell proliferation, and differentiation. This suggests that mitochondrial biogenesis may play a role in healing RCI by serving as a protective factor against free oxygen species and promoting homeostasis within the rotator cuff. There is evidence highlighting the potential therapeutic benefits of mitochondrial biogenesis in various inflammatory diseases, but no study explored the role of mitochondrial biogenesis in rotator cuff tears. Since hypercholesterolemia is a risk factor for RCI, we investigated the effects of hypercholesterolemia on the expression of PGC-1α, a marker of mitochondrial biogenesis, in rotator cuff muscle. The findings revealed an increased gene and protein expression of inflammatory mediators and PGC-1α, suggesting enhanced inflammation and increased mitochondrial biogenesis due to hypercholesterolemia. Additional studies are warranted to further investigate the chronic effect of hyperlipidemia induced RCI to elucidate the cause of insufficient mitochondrial biogenesis unable to protect the rotator cuff and the therapeutic effect of promoting mitochondrial biogenesis.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"5 4","pages":"442-449"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manson Tak Hei Chan, Timmy Chi Wing Chan, Henry Chi Yeung Mak, Will Shing Him Chan, Stanley Sau Ching Wong, Vincent Kai Chung Wong, Lewis Ping Keung Chan, C. Cheung
Background: Acute Kidney Injury (AKI) may complicate up to 10% of primary lower-extremity total joint arthroplasties. However, none of these previous studies evaluated the duration and reversibility of AKI. Moreover, none specifically evaluated the impact of perioperative celecoxib on the incidence and severity of AKI, especially for patients with preexisting renal impairment. This study was to retrospectively review the incidence, severity and duration of AKI with short term perioperative celecoxib. We also aimed to evaluate the impact of perioperative celecoxib on the incidence and severity of AKI in patients with and without preexisting renal impairment. Methods: We retrospectively reviewed 1077 patients at Queen Mary Hospital, Hong Kong, from January 2018 to December 2021. Data were retrieved from the computerized medical records system. Results: One hundred of 1077 patients (9.3%) had postoperative AKI. Eight hundred eighty-eight patients (82.5%) were prescribed perioperative celecoxib, while 189 patients (17.5%) were not. The overall incidence of AKI in those taking perioperative celecoxib was 9.2%, while it was 9.5% in those not taking perioperative celecoxib. There was no statistically significant difference. There was no association between perioperative celecoxib and postoperative AKI. Among those who received perioperative celecoxib, the overall incidence of postoperative AKI in those with and without preexisting renal impairment (normal renal function test) was 9.3% and 9.2%, respectively. This was not statistically significant. The duration of AKI was 4 days for both groups. In both groups, most AKI cases were stage 1. Conclusions: Short term perioperative celecoxib probably had no additional AKI risk even in patients with preexisting renal impairment.
{"title":"Incidence, Severity and Reversibility of Acute Kidney Injury after Elective Hip and Knee Arthroplasty in Patients Receiving Celecoxib Perioperatively as One of the Standard Multimodal Analgesic Protocols","authors":"Manson Tak Hei Chan, Timmy Chi Wing Chan, Henry Chi Yeung Mak, Will Shing Him Chan, Stanley Sau Ching Wong, Vincent Kai Chung Wong, Lewis Ping Keung Chan, C. Cheung","doi":"10.26502/josm.511500101","DOIUrl":"https://doi.org/10.26502/josm.511500101","url":null,"abstract":"Background: Acute Kidney Injury (AKI) may complicate up to 10% of primary lower-extremity total joint arthroplasties. However, none of these previous studies evaluated the duration and reversibility of AKI. Moreover, none specifically evaluated the impact of perioperative celecoxib on the incidence and severity of AKI, especially for patients with preexisting renal impairment. This study was to retrospectively review the incidence, severity and duration of AKI with short term perioperative celecoxib. We also aimed to evaluate the impact of perioperative celecoxib on the incidence and severity of AKI in patients with and without preexisting renal impairment. Methods: We retrospectively reviewed 1077 patients at Queen Mary Hospital, Hong Kong, from January 2018 to December 2021. Data were retrieved from the computerized medical records system. Results: One hundred of 1077 patients (9.3%) had postoperative AKI. Eight hundred eighty-eight patients (82.5%) were prescribed perioperative celecoxib, while 189 patients (17.5%) were not. The overall incidence of AKI in those taking perioperative celecoxib was 9.2%, while it was 9.5% in those not taking perioperative celecoxib. There was no statistically significant difference. There was no association between perioperative celecoxib and postoperative AKI. Among those who received perioperative celecoxib, the overall incidence of postoperative AKI in those with and without preexisting renal impairment (normal renal function test) was 9.3% and 9.2%, respectively. This was not statistically significant. The duration of AKI was 4 days for both groups. In both groups, most AKI cases were stage 1. Conclusions: Short term perioperative celecoxib probably had no additional AKI risk even in patients with preexisting renal impairment.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamaldeep Singh, R. K. Aggarwal, A. Dewan, Chandan Jasrotia
Introduction: Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. These fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. The female to male ration is between 2:1 and 8:1. Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality. Aim and objectives: Aim of the study is to compare the radiological and functional outcome of proximal femoral nail with helical blade vs. proximal femoral nail with lag screw in intertrochanteric fractures. Materials and methods: Patients fulfilling the inclusion criteria were included in the study and randomly allocated in two groups. Group patients with intertrochanteric fracture were operated with proximal femoral nail using lag screw and group B patients were operated with proximal femoral nail using helical blade.
{"title":"Comparison of the Radiological and Functional Outcome of Proximal Femoral Nail with Helical Blade versus Lag Screw in Intertrochanteric Fractures","authors":"Kamaldeep Singh, R. K. Aggarwal, A. Dewan, Chandan Jasrotia","doi":"10.26502/josm.511500078","DOIUrl":"https://doi.org/10.26502/josm.511500078","url":null,"abstract":"Introduction: Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. These fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. The female to male ration is between 2:1 and 8:1. Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality. Aim and objectives: Aim of the study is to compare the radiological and functional outcome of proximal femoral nail with helical blade vs. proximal femoral nail with lag screw in intertrochanteric fractures. Materials and methods: Patients fulfilling the inclusion criteria were included in the study and randomly allocated in two groups. Group patients with intertrochanteric fracture were operated with proximal femoral nail using lag screw and group B patients were operated with proximal femoral nail using helical blade.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael O. Bazzi, Michael A. Downing, David M Civitarese, James R Ross, J. Rothenberg
{"title":"A Novel Ultrasound-Guided Approach for the Management of an Anterior Paralabral Cyst of the Hip","authors":"Michael O. Bazzi, Michael A. Downing, David M Civitarese, James R Ross, J. Rothenberg","doi":"10.26502/josm.511500114","DOIUrl":"https://doi.org/10.26502/josm.511500114","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa Pelak, A. Hassan, Arnav Barve, Antonio Madrazo-Ibarra, Jonathan M. Kirschner, Vijay B. Vad
Background: There has been many different treatments for adhesive capsulitis explored including physical therapy, manipulation under anesthesia, arthroscopic capsular release, corticosteroid injections, and capsular distention without consensus regarding the most effective treatment. Capsular distention has not been explored in a mid-term study. Therefore, this study aims to investigate the mid-term outcomes of the procedure and analyze the need for a second procedure following initial distention. Methods: This study included 27 patients with average age of 58 diagnosed with stage II adhesive capsulitis. The primary outcome was the rate of second procedures in patients following initial capsular distention, utilizing both electronic medical record and direct patient questions. The secondary outcomes included patient satisfaction rating, range of motion (ROM) limitations, limitations on Activities of Daily Living (ADLs) and time to follow up. Results: At an average follow up of 49 months, 78% of patients did not require a second procedure following capsular distention. The group that required second procedure had a significantly higher percentage of hypothyroid patients and a shorter time to follow up visits. Additionally, 81% of the total cohort reported their outcomes as “good,” 74% had no ROM limitations and 89% had no limitations on ADLs. Conclusion: Capsular distention shows promising results for mid-term follow up with patient reported outcomes and over three quarters of patients not requiring a second procedure. Further research on the use of this treatment is warranted including randomized controlled trials and longer term follow up.
{"title":"Outcomes Following Capsular Distention for Stage II Adhesive Capsulitis","authors":"Alyssa Pelak, A. Hassan, Arnav Barve, Antonio Madrazo-Ibarra, Jonathan M. Kirschner, Vijay B. Vad","doi":"10.26502/josm.511500087","DOIUrl":"https://doi.org/10.26502/josm.511500087","url":null,"abstract":"Background: There has been many different treatments for adhesive capsulitis explored including physical therapy, manipulation under anesthesia, arthroscopic capsular release, corticosteroid injections, and capsular distention without consensus regarding the most effective treatment. Capsular distention has not been explored in a mid-term study. Therefore, this study aims to investigate the mid-term outcomes of the procedure and analyze the need for a second procedure following initial distention. Methods: This study included 27 patients with average age of 58 diagnosed with stage II adhesive capsulitis. The primary outcome was the rate of second procedures in patients following initial capsular distention, utilizing both electronic medical record and direct patient questions. The secondary outcomes included patient satisfaction rating, range of motion (ROM) limitations, limitations on Activities of Daily Living (ADLs) and time to follow up. Results: At an average follow up of 49 months, 78% of patients did not require a second procedure following capsular distention. The group that required second procedure had a significantly higher percentage of hypothyroid patients and a shorter time to follow up visits. Additionally, 81% of the total cohort reported their outcomes as “good,” 74% had no ROM limitations and 89% had no limitations on ADLs. Conclusion: Capsular distention shows promising results for mid-term follow up with patient reported outcomes and over three quarters of patients not requiring a second procedure. Further research on the use of this treatment is warranted including randomized controlled trials and longer term follow up.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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