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Discordance in Published 30-Day Readmission Rates Following Primary Total Hip and Total Knee Arthroplasty: Centers for Medicare and Medicaid Services (CMS) Versus the National Surgical Quality Improvement Program (NSQIP). 已公布的全髋关节和全膝关节置换术后 30 天再入院率不一致:医疗保险和医疗补助服务中心 (CMS) 与国家手术质量改进计划 (NSQIP)。
Pub Date : 2024-01-01
Kyle W Geiger, Christopher N Carender, Bennett W Feuchtenberger, Taylor J Den Hartog, David E DeMik, Jacob M Elkins

Background: 30-day readmission is an important quality metric evaluated following primary total joint arthroplasty (TJA) that has implications for hospital performance and reimbursement. Differences in how 30-day readmissions are defined between Centers for Medicare and Medicaid Services (CMS) and other quality improvement programs (i.e., National Surgical Quality Improvement Program [NSQIP]) may create discordance in published 30-day readmission rates. The purpose of this study was to evaluate 30-day readmission rates following primary TJA using two different temporal definitions.

Methods: Patients undergoing primary total hip and primary total knee arthroplasty at a single academic institution from 2015-2020 were identified via common procedural terminology (CPT) codes in the electronic medical record (EMR) and institutional NSQIP data. Readmissions that occurred within 30 days of surgery (consistent with definition of 30-day readmission in NSQIP) and readmissions that occurred within 30 days of hospital discharge (consistent with definition of 30-day readmission from CMS) were identified. Rates of 30-day readmission and the prevalence of readmission during immortal time were calculated.

Results: In total, 4,202 primary TJA were included. The mean hospital length of stay (LOS) was 1.79 days. 91% of patients were discharged to home. 30-day readmission rate using the CMS definition was 3.1% (130/4,202). 30-day readmission rate using the NSQIP definition was 2.7% (113/4,202). Eight readmissions captured by the CMS definition (6.1%) occurred during immortal time.

Conclusion: Differences in temporal definitions of 30-day readmission following primary TJA between CMS and NSQIP results in discordant rates of 30-day readmission. Level of Evidence: III.

背景:30 天再入院是评估初级全关节置换术(TJA)后的一项重要质量指标,对医院绩效和报销都有影响。美国医疗保险与医疗补助服务中心(CMS)和其他质量改进计划(如国家外科质量改进计划 [NSQIP])对 30 天再入院率的定义不同,可能会导致公布的 30 天再入院率不一致。本研究的目的是采用两种不同的时间定义评估原发性 TJA 术后 30 天再入院率:方法:通过电子病历(EMR)中的通用程序术语(CPT)代码和机构NSQIP数据,对2015-2020年期间在一家学术机构接受初级全髋关节和初级全膝关节置换术的患者进行识别。确定了手术后 30 天内发生的再入院(与 NSQIP 中 30 天再入院的定义一致)和出院后 30 天内发生的再入院(与 CMS 中 30 天再入院的定义一致)。计算了 30 天再入院率和不住院期间再入院率:结果:共纳入 4,202 例初次 TJA。平均住院时间(LOS)为 1.79 天。91%的患者出院回家。根据 CMS 的定义,30 天再入院率为 3.1%(130/4,202)。采用 NSQIP 定义的 30 天再入院率为 2.7%(113/4,202)。根据 CMS 定义,8 例再入院(6.1%)发生在永生时间内:结论:CMS和NSQIP对原发性TJA术后30天再入院的时间定义不同,导致30天再入院率不一致。证据等级:III.
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引用次数: 0
2024 Dedication of the Iowa Orthopedic Journal. 2024 年《爱荷华骨科杂志》创刊。
Pub Date : 2024-01-01
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引用次数: 0
Searching for a Job: A Survey of Hand Fellowship Applicants and Current Hand Surgeons. 寻找工作:手外科奖学金申请者和当前手外科医生的调查。
Pub Date : 2024-01-01
Nicholas James, Nolan Farrell, Derek Dixon, Reed Hoyer, F Thomas Kaplan, William J Weller

Background: Core curricula do not include courses on how to find employment after hand fellowships. Little data exists in literature regarding job selection in hand surgery. This study's purpose was to provide information to future hand surgeons on ways of finding a job that meets their expectations and to elucidate factors that should be considered before deciding on a hand practice.

Methods: A web-based survey asked hand fellows and fellowship applicants how they were searching for employment, the kind of practice they sought, expectations about hours, call, salary, possible niches, and importance of location, research, and passive income. A second survey was sent to hand surgeons. Statistical analysis determined how fellow expectations differed from reality.

Results: Prospective hand surgeons completed 96 of 270 (36%) surveys and hand surgeons completed 63/107 (59%). Most prospective hand surgeons utilize word of mouth, mentors/faculty to search for employment, whereas most surgeons received connections through residency, friends/ family, or cold calling. The niches that prospective hand surgeons planned to bring to their practice differed from those of practicing surgeons. Expectations of call matched those of practicing hand surgeons, with most expecting to work 50 to 60 hours per week. For prospective surgeons, location and passive income were important but research was less so. Most hand surgeons have passive income and indicated low research participation.

Conclusion: Minimal training in job selection has been cited as a reason for changing jobs. The applicants' and fellows' expectations on call, work hours, passive income, and research were similar to hand surgeons, but the niches they hoped to fill differed, perhaps indicating those may not be possible in actual practice. This study provides perspective on what practice as a hand surgeon is like and things to consider when job searching. Level of Evidence: IV.

背景:核心课程不包括如何在获得奖学金后找到工作的课程。文献中关于手外科职业选择的资料很少。这项研究的目的是为未来的手外科医生提供信息,帮助他们找到符合他们期望的工作,并阐明在决定手外科手术之前应该考虑的因素。方法:一项基于网络的调查询问了手研究员和奖学金申请人他们是如何寻找工作的,他们寻求的实践类型,对工作时间、电话、薪水、可能的利基以及位置、研究和被动收入的重要性的期望。第二份调查发给了手外科医生。统计分析确定了同伴的期望与现实的差异。结果:270份调查问卷中,准手外科医生完成96份(36%),手外科医生完成63份(59%)。大多数未来的手外科医生利用口口相传、导师/教员来寻找工作,而大多数外科医生通过住院医生、朋友/家人或陌生电话获得联系。未来的手外科医生计划在他们的实践中带来的利基与那些执业外科医生不同。对电话的期望与手外科医生的期望相当,大多数人希望每周工作50到60个小时。对于未来的外科医生来说,地理位置和被动收入很重要,但研究并不那么重要。大多数手外科医生都是被动收入,参与研究的程度较低。结论:在选择工作方面缺乏培训被认为是换工作的一个原因。申请人和研究员对电话、工作时间、被动收入和研究的期望与手外科医生相似,但他们希望填补的细分市场不同,这可能表明这些在实际实践中可能不可能实现。这项研究为手外科医生的实践以及求职时需要考虑的事情提供了视角。证据等级:四级。
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引用次数: 0
Is Femoral Head to Acetabular Cup Ratio Associated With Dislocation After Total Hip Arthroplasty? 股骨头与髋臼杯比例与全髋关节置换术后脱位有关吗?
Pub Date : 2024-01-01
Ronit Shah, Nihir Parikh, Tilak Patel, Ryan M Sutton, Justin A Magnuson, Chad A Krueger

Background: Dislocation remains a common complication following total hip arthroplasty (THA). Previous literature has shown that the femoral head-to-neck ratio is essential in hip motion, function, and stability. While large femoral heads and dual mobility bearings have been developed to improve stability, it remains unknown if the ratio between femoral head size to acetabular cup size also plays a role in stability. This study aimed to investigate if the relationship between the femoral head size and the acetabular cup size factors into the risk of hip dislocation.

Methods: 3155 patients who underwent primary THA for the indication of osteoarthritis between 2016 and 2019 were identified. Patient demographic, radiographic, implant and procedural data were analyzed. The primary outcome was determining head-to-cup ratios calculated by dividing the femoral head size by the acetabular cup size. Head-to-cup ratios were then compared in patients who suffered a dislocation after THA to those who did not. Univariate and logistic regression was conducted to determine additional dependent variables for hip dislocation.

Results: Patients in this study had an average age of 64 ± 11 years. Females comprised 51% of the cohort, and BMI was 29.2 ± 5.2. A total of thirty-six (1.1%) patients sustained a dislocation at a median of 51 days following surgery. The dislocation cohort was similar to the non-dislocation cohort in age, gender, BMI, CCI, and ASA scores. The head-to-cup ratio was also identical between the dislocation (0.64 ± 0.05 mm) and non-dislocation (0.64 ± 0.05 mm) patients, P=0.317. Logistic regression adjusting for age, sex, BMI, and surgical approach demonstrated that the head-to-cup ratio was not associated with an increased risk of dislocation (p=0.728).

Conclusion: Head-to-cup ratio was not found to be predictive of dislocation. Hip dislocation is complex and multifactorial, and it is difficult to isolate specific risks, such as the head-to-cup ratio analyzed in our study. Further investigation is needed to define groups benefiting from specialized implants such as large-diameter or dual mobility heads and the optimal head-to-cup size ratio. Level of Evidence: III.

背景:脱位仍然是全髋关节置换术(THA)后常见的并发症。先前的文献表明,股骨头颈比对髋关节运动、功能和稳定性至关重要。虽然已经开发出大股骨头和双活动轴承来提高稳定性,但仍不清楚股骨头大小与髋臼杯大小之间的比例是否也在稳定性中起作用。本研究旨在探讨股骨头大小和髋臼杯大小之间的关系是否与髋关节脱位的风险有关。方法:对2016年至2019年间因骨关节炎适应症接受原发性THA治疗的3155例患者进行分析。分析患者人口统计学、放射学、种植体和手术数据。主要结果是通过股骨头大小除以髋臼杯大小来确定头杯比。然后比较THA后发生脱位的患者与未发生脱位的患者的头杯比。进行单变量和逻辑回归以确定髋关节脱位的其他因变量。结果:本组患者平均年龄64±11岁。女性占队列的51%,BMI为29.2±5.2。共有36例(1.1%)患者在手术后51天发生脱位。脱位组与非脱位组在年龄、性别、BMI、CCI和ASA评分方面相似。脱位(0.64±0.05 mm)与非脱位(0.64±0.05 mm)患者的头杯比相同,P=0.317。经年龄、性别、BMI和手术方式调整后的Logistic回归显示,头杯比与脱位风险增加无关(p=0.728)。结论:头杯比不能预测脱位。髋关节脱位是复杂且多因素的,很难分离出特定的风险,例如我们研究中分析的头杯比。需要进一步的研究来确定受益于特殊植入物的群体,如大直径或双活动头和最佳头杯尺寸比。证据水平:III。
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引用次数: 0
Tarsal Tunnel Syndrome - A Comprehensive Review. 跗骨隧道综合征-综合综述。
Pub Date : 2024-01-01
Ibad Sha I

Tarsal tunnel syndrome (TTS) refers to compression of the posterior tibial nerve as it traverses the tarsal tunnel in the ankle. First described by Keck and Lam in 1962, TTS is an underdiagnosed cause of heel pain and foot dysfunction.1,2 The tarsal tunnel contains the tibial nerve, posterior tibial artery, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles. Compression of the tibial nerve within this tunnel leads to pain, numbness, tingling, and weakness along its distribution. The clinical presentation of TTS can vary due to the numerous etiologies and range of structures involved. Symptoms may develop insidiously over months to years or have a traumatic onset. Lack of definitive clinical tests or imaging often delays diagnosis, which contributes to poor patient outcomes and treatment success. In severe or long-standing cases, permanent nerve damage may occur if left untreated. TTS deserves increased recognition given its potential to significantly impact mobility and quality of life. This review provides a comprehensive overview of the anatomy, etiology, diagnosis, and management of TTS. Optimal strategies to diagnose and treat this condition based on available evidence are discussed to improve patient outcomes and limit disability. Early diagnosis and intervention are key to avoiding permanent nerve injury and maximizing the benefits of treatment, whether conservative or surgical.

跗骨隧道综合征(TTS)是指胫骨后神经在穿过踝部的跗骨隧道时受到压迫。Keck和Lam于1962年首次描述了TTS,它是一种未被诊断出的足跟疼痛和足部功能障碍的病因。跗骨隧道包括胫神经、胫后动脉和胫后肌、趾长屈肌和拇长屈肌的肌腱。胫骨神经在隧道内受压,沿其分布可引起疼痛、麻木、刺痛和无力。TTS的临床表现可能因多种病因和涉及的结构范围而异。症状可能在几个月到几年的时间里悄然发展,或者有创伤性的发作。缺乏明确的临床检查或影像学检查往往会延误诊断,从而导致患者预后不佳和治疗成功率降低。在严重或长期的情况下,如果不及时治疗,可能会发生永久性的神经损伤。交通运输系统有可能对流动性和生活质量产生重大影响,因此应当得到更多的承认。本文综述了TTS的解剖、病因、诊断和治疗。根据现有证据,讨论了诊断和治疗这种疾病的最佳策略,以改善患者的预后并限制残疾。早期诊断和干预是避免永久性神经损伤和最大化治疗效益的关键,无论是保守还是手术。
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引用次数: 0
The Albright-Losee Low Profile Pivot Shift Test for ACL Deficiency. 前交叉韧带缺陷的Albright-Losee低轮廓枢轴移位试验。
Pub Date : 2024-01-01
Brandon Bates, Allison Methenitis, Kevin Dibbern, Scott McDermott, Peter McCunniff, Christopher Anthony, Jay C Albright, John P Albright

Background: Recognizing ACL injuries on the field and in the office can be very challenging in awake and apprehensive patients. Despite high specificity, many published "pivot-shift" techniques have limited acceptance mainly because of unsatisfactory sensitivity. We describe in detail, four specific modifications and provide a critical review of our clinical experiences to empower the new user's readiness to master a novel screening procedure for ACL disruption.

Methods: 18 cadavers assessed instability kinematics of the novel technique. Clinical Exam Study Part II-A (ACL Disrupted): 208 awake, hemarthrosis patients with MRI evidence of ACL deficiency underwent 363 examinations by 41 examiners. Clinical Exam Study Part II-B: (ACL Intact) 47 consecutive posttraumatic hemarthrosis patients with intact ACLs underwent 76 examinations by 30 examiners.

Results: Cadaveric study confirmed patterns of coupled, anterior translation-internal rotation pathologic laxity at 25.6±8.2 degrees flexion. Clinically, the novel test yielded sensitivity of 94.7% and Specificity of 97.3%. Potentially perplexing situations included: MRI availability; pain and anxiety-related traumatic hemarthrosis, protective hamstring antagonism and examiners experience.

Conclusion: When the examiner and patient agree on a feeling of instability, the Albright-Losee Test maximizes ability to establish ACL status in the awake patient to the point that the sensitivity is even greater than the Lachman Test. Armed with background knowledge of our experiences confirms that, despite of impact of various challenging factors, the Positive Predictive Value 98.8% 95% CI (95.5%-99.7%) that a torn ACL exists in face of a positive exam confirms its value for sports medicine providers to master. Level of Evidence: II.

背景:在球场和办公室识别前交叉韧带损伤是非常具有挑战性的清醒和忧虑的患者。尽管具有高特异性,但许多已发表的“枢轴转移”技术的接受程度有限,主要是因为灵敏度不理想。我们详细描述了四种具体的修改,并对我们的临床经验进行了批判性的回顾,以使新用户准备好掌握一种新的前交叉韧带断裂筛查程序。方法:18具尸体评估新技术的不稳定运动学。临床检查研究II-A部分(ACL破坏):208名清醒、有ACL缺陷MRI证据的血关节患者接受了41名检查人员的363次检查。临床检查研究II-B部分:(ACL完整)47例连续创伤后关节出血患者ACL完整,由30名检查人员进行了76次检查。结果:尸体研究证实了25.6±8.2度屈曲时前路平移-内旋耦合的病理松弛模式。在临床上,这种新方法的敏感性为94.7%,特异性为97.3%。潜在的令人困惑的情况包括:MRI的可用性;疼痛和焦虑相关的外伤性关节出血,保护性腘绳肌拮抗和检查者经验。结论:当审查员和患者对不稳定的感觉达成一致时,Albright-Losee Test最大限度地提高了在清醒的患者中建立ACL状态的能力,其灵敏度甚至高于Lachman Test。根据我们的背景知识,我们的经验证实,尽管受到各种具有挑战性的因素的影响,阳性预测值(98.8% 95% CI(95.5%-99.7%))表明,面对阳性检查时存在ACL撕裂,这证实了它对运动医学提供者的价值。证据水平:II。
{"title":"The Albright-Losee Low Profile Pivot Shift Test for ACL Deficiency.","authors":"Brandon Bates, Allison Methenitis, Kevin Dibbern, Scott McDermott, Peter McCunniff, Christopher Anthony, Jay C Albright, John P Albright","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Recognizing ACL injuries on the field and in the office can be very challenging in awake and apprehensive patients. Despite high specificity, many published \"pivot-shift\" techniques have limited acceptance mainly because of unsatisfactory sensitivity. We describe in detail, four specific modifications and provide a critical review of our clinical experiences to empower the new user's readiness to master a novel screening procedure for ACL disruption.</p><p><strong>Methods: </strong>18 cadavers assessed instability kinematics of the novel technique. Clinical Exam Study Part II-A (ACL Disrupted): 208 awake, hemarthrosis patients with MRI evidence of ACL deficiency underwent 363 examinations by 41 examiners. Clinical Exam Study Part II-B: (ACL Intact) 47 consecutive posttraumatic hemarthrosis patients with intact ACLs underwent 76 examinations by 30 examiners.</p><p><strong>Results: </strong>Cadaveric study confirmed patterns of coupled, anterior translation-internal rotation pathologic laxity at 25.6±8.2 degrees flexion. Clinically, the novel test yielded sensitivity of 94.7% and Specificity of 97.3%. Potentially perplexing situations included: MRI availability; pain and anxiety-related traumatic hemarthrosis, protective hamstring antagonism and examiners experience.</p><p><strong>Conclusion: </strong>When the examiner and patient agree on a feeling of instability, the Albright-Losee Test maximizes ability to establish ACL status in the awake patient to the point that the sensitivity is even greater than the Lachman Test. Armed with background knowledge of our experiences confirms that, despite of impact of various challenging factors, the Positive Predictive Value 98.8% 95% CI (95.5%-99.7%) that a torn ACL exists in face of a positive exam confirms its value for sports medicine providers to master. <b>Level of Evidence: II</b>.</p>","PeriodicalId":94233,"journal":{"name":"The Iowa orthopaedic journal","volume":"44 2","pages":"117-125"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985936","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}
引用次数: 0
Improving Applicant Satisfaction in Orthopaedic Surgery Residency Matching: The Role of Preference Signaling. 提高矫形外科住院医师配对中申请人的满意度:偏好信号的作用。
Pub Date : 2024-01-01
Lisa M Tamburini, Annabelle P Davey, James C Messina, Francine Zeng, Lauren E Geaney

Background: The orthopaedic surgery residency match is becoming increasingly more competitive with a disproportionate number of applicants to positions. As the residency application process has become more competitive, applicants have resorted to applying broadly to improve their chance of a successful match. Preference signaling was implemented for orthopaedic surgery for the 2022-2023 match cycle which allowed applicants to "signal" 30 programs of their choosing.

Methods: The purpose of this study was to assess the impact of preference signaling on orthopaedic surgery applicant experiences and outcomes in the 2023 residency application cycle and match. An anonymous electronically based survey study developed using Research Electronic Data Capture (REDCap) was send to 895 applicants to a single orthopedic residency program. 148 applicants filled out some portion of the survey for a 16.5% response rate.

Results: 51% of applicants applied to 61-100 programs. Applicants received more interview offers from programs they signaled compared to programs they did not signal. 50% of applicants responded that the number of allotted signals was "just right", with more applicants responding that the number of signals allotted was "too many" rather than "too few". 62% of applicants agreed that signaling increased his/her chances of receiving an interview offer at a signaled program, 66% were satisfied with the results of the match, and 50% thought signaling had a positive impact on the application process.

Conclusion: Overall, preference signaling was well received by applicants and may help to connect applicants with residency programs they are specifically interested in. Level of Evidence: III.

背景:骨科住院医师配对的竞争越来越激烈,申请职位的人数过多。随着住院医师培训申请过程的竞争越来越激烈,申请者不得不通过广泛申请来提高成功匹配的机会。在 2022-2023 年的匹配周期中,矫形外科实施了优先选择信号,允许申请人 "发出信号 "选择 30 个项目:本研究旨在评估偏好信号对骨科手术申请人在2023年住院医师申请周期和匹配中的经历和结果的影响。使用研究电子数据采集(REDCap)开发的匿名电子调查研究发送给了895名骨科住院医师项目的申请者。148名申请人填写了部分调查内容,回复率为16.5%:51%的申请人申请了61-100个项目。与没有发出信号的项目相比,申请人从发出信号的项目中收到了更多的面试通知。50%的申请者认为分配的信号数量 "恰到好处",更多的申请者认为分配的信号数量 "太多 "而不是 "太少"。62% 的申请者认为,信号传递增加了他/她获得信号传递项目面试通知的机会,66% 的申请者对匹配结果表示满意,50% 的申请者认为信号传递对申请过程产生了积极影响:总体而言,偏好信号传递受到了申请者的欢迎,可能有助于将申请者与他们特别感兴趣的住院医师培训项目联系起来。证据等级:III.
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引用次数: 0
Menstrual Cycle Hormone Relaxin and ACL Injuries in Female Athletes: A Systematic Review. 月经周期激素松弛素与女性运动员的前交叉韧带损伤:系统回顾
Pub Date : 2024-01-01
Emily A Parker, Kyle R Duchman, Alex M Meyer, Brian R Wolf, Robert W Westermann

Background: Female athletes are at increased risk for anterior cruciate ligament (ACL) injuries. The influence of hormonal variation on female ACL injury risk remains ill-defined. Recent data suggests that the collagen-degrading menstrual hormone relaxin may cyclically impact female ACL tissue quality. This review aims to identify any correlation between menstrual relaxin peaks and rates of female ACL injury.

Methods: A systematic review was performed, utilizing the MEDLINE, EMBASE, and CINAHL databases. Included studies had to directly address relaxin/female ACL interactions. The primary outcome variable was relaxin proteolysis of the ACL, at cellular, tissue, joint, and whole-organism levels. The secondary outcome variable was any discussed method of moderating relaxin levels, and the clinical results if available.

Results: AllThe numerous relaxin receptors on female ACLs upregulate local collagenolysis and suppress local collagen production. Peak serum relaxin concentrations (SRC) occur during menstrual cycle days 21-24; a time phase associated with greater risk of ACL injury. Oral contraceptives (OCPs) reduce SRC, with a potential ACLprotective effect.

Conclusion: A reasonable correlative and plausible causative relationship exists between peak relaxin levels and increased risk of ACL injury in females, and further investigation is warranted. Level of Evidence: III.

背景:女性运动员前十字韧带(ACL)受伤的风险增加。荷尔蒙变化对女性前交叉韧带损伤风险的影响仍不明确。最近的数据表明,可使胶原蛋白降解的月经激素松弛素可能会周期性地影响女性前交叉韧带组织的质量。本综述旨在确定月经松弛素峰值与女性前交叉韧带损伤率之间的相关性:方法:利用 MEDLINE、EMBASE 和 CINAHL 数据库进行了系统性综述。纳入的研究必须直接涉及松弛素与女性前交叉韧带之间的相互作用。主要结果变量是松弛素在细胞、组织、关节和整个机体水平上对前交叉韧带的蛋白水解作用。次要结果变量是任何讨论过的调节松弛素水平的方法,以及临床结果(如果有的话):所有女性前交叉韧带上的大量松弛素受体可上调局部胶原溶解,抑制局部胶原生成。血清松弛素浓度(SRC)的峰值出现在月经周期的第 21-24 天;在这一阶段,前交叉韧带损伤的风险更大。口服避孕药(OCPs)可降低松弛素浓度,从而起到保护前交叉韧带的潜在作用:结论:女性松弛素峰值水平与前交叉韧带损伤风险增加之间存在合理的相关性和可信的因果关系,值得进一步研究。证据等级:证据等级:III。
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引用次数: 0
Department of Orthopedics and Rehabilitation Faculty 2023-2024. 矫形与康复系教员 2023-2024。
Pub Date : 2024-01-01
{"title":"Department of Orthopedics and Rehabilitation Faculty 2023-2024.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94233,"journal":{"name":"The Iowa orthopaedic journal","volume":"44 1","pages":"viii-ix"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452597","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}
引用次数: 0
E-Publication - December. 电子出版物--12 月。
Pub Date : 2024-01-01
{"title":"E-Publication - December.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94233,"journal":{"name":"The Iowa orthopaedic journal","volume":"44 1","pages":"i-ii"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452601","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}
引用次数: 0
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The Iowa orthopaedic journal
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