Orthopedics

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Article Orthopedics

Anxiety and Depressive Symptoms During the COVID-19 Emergency Period: A Comparative Cross-Sectional Study in Professional Football

Vincent Gouttebarge, Imtiaz Ahmad, Margo Mountjoy, Simon Rice, Gino Kerkhoffs

Summary: The study aimed to determine the prevalence of anxiety and depressive symptoms among professional football players during the COVID-19 emergency period and compare it with pre-pandemic levels. The results showed that the COVID-19 emergency period is associated with increased symptoms of anxiety and depression in professional football players, especially among those worried about their future as players.

CLINICAL JOURNAL OF SPORT MEDICINE (2022)

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Article Orthopedics

Leukocyte-Rich versus Leukocyte-Poor Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis: A Double-Blind Randomized Trial

Alessandro Di Martino, Angelo Boffa, Luca Andriolo, Iacopo Romandini, Sante Alessandro Altamura, Annarita Cenacchi, Veronica Roverini, Stefano Zaffagnini, Giuseppe Filardo

Summary: This randomized controlled trial showed that leukocyte-rich PRP and leukocyte-poor PRP had similar safety and effectiveness in the treatment of knee osteoarthritis. Both treatment groups reported a low number of adverse events, with no significant differences between them. The presence of leukocytes did not significantly affect the clinical results of PRP injections.

AMERICAN JOURNAL OF SPORTS MEDICINE (2022)

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Review Clinical Neurology

Spinal endoscopy: evidence, techniques, global trends, and future projections

Andrew K. Simpson, Harry M. Lightsey, Grace X. Xiong, Alexander M. Crawford, Akihito Minamide, Andrew J. Schoenfeld

Summary: The use of indirect visualization technology is increasingly replacing traditional direct visualization in various surgical specialties. Although spine surgery has lagged behind other specialties, patient demand for less invasive procedures and surgeon efforts to improve care quality have driven the global adoption of spinal endoscopy. There are diverse endoscopic platforms and techniques in use, with significant regional heterogeneity in the utilization of spinal endoscopic procedures due to differences in technology and health system incentives.

SPINE JOURNAL (2022)

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Article Orthopedics

Osteoarthritic and non-osteoarthritic patients show comparable coronal knee joint line orientations in a cross-sectional study based on 3D reconstructed CT images

Silvan Hess, Lukas B. Moser, Emma L. Robertson, Henrik Behrend, Felix Amsler, Edna Iordache, Vincent Leclercq, Michael T. Hirschmann

Summary: The study aimed to assess the alignment of a large series of osteoarthritic knees and compare it to non-OA knees, finding small differences in the coronal femoral and tibial joint line orientation between the two groups. The results suggest that femoral and tibial joint line orientation of osteoarthritic patients can be used to estimate their native coronal alignment for individualized knee alignment planning.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Knowledge structure and emerging trends on osteonecrosis of the femoral head: a bibliometric and visualized study

Haiyang Wu, Kunming Cheng, Linjian Tong, Yulin Wang, Weiguang Yang, Zhiming Sun

Summary: This study performed a comprehensive bibliometric analysis of osteonecrosis of the femoral head (ONFH) research, revealing a significant growth in research in this field over the past two decades. The findings provide valuable information on the current research hotspots, potential collaborators, and future research directions in the field of ONFH.

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH (2022)

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Review Orthopedics

The Minimal Clinically Important Difference: A Review of Clinical Significance

David A. Bloom, Daniel J. Kaplan, Edward Mojica, Eric J. Strauss, Guillem Gonzalez-Lomas, Kirk A. Campbell, Michael J. Alaia, Laith M. Jazrawi

Summary: This article describes the various methods for determining the minimal clinically important difference (MCID) and discusses their respective strengths and limitations. The article emphasizes the importance of standardization in establishing MCIDs for orthopaedic patient-reported outcome measures and the need for better study design in this area.

AMERICAN JOURNAL OF SPORTS MEDICINE (2023)

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Article Clinical Neurology

Preoperative MRI-based vertebral bone quality (VBQ) score assessment in patients undergoing lumbar spinal fusion

Stephan N. Salzmann, Ichiro Okano, Conor Jones, Jiaqi Zhu, Shuting Lu, Ikenna Onyekwere, Venkatesh Balaji, Marie-Jacqueline Reisener, Erika Chiapparelli, Jennifer Shue, John A. Carrino, Federico P. Girardi, Frank P. Cammisa, Andrew A. Sama, Alexander P. Hughes

Summary: This study aimed to evaluate the correlation between VBQ and spine QCT BMD measurements and assess whether the VBQ score can predict the presence of osteopenia/osteoporosis diagnosed with QCT. The results showed that the VBQ score had moderate diagnostic ability to differentiate patients with normal BMD versus osteopenic/osteoporotic BMD based on QCT.

SPINE JOURNAL (2022)

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Article Clinical Neurology

The Subaxial Cervical AO Spine Injury Score

Jose A. Canseco, Gregory D. Schroeder, Taylor M. Paziuk, Brian A. Karamian, Frank Kandziora, Emiliano N. Vialle, F. Cumhur Oner, Klaus J. Schnake, Marcel F. Dvorak, Jens R. Chapman, Lorin M. Benneker, Shanmuganathan Rajasekaran, Christopher K. Kepler, Alexander R. Vaccaro

Summary: The aim of this study was to develop an injury score for the AO Spine Subaxial Cervical Spine Injury Classification System in order to develop a surgical algorithm. By numerically grading each variable within the classification system for severity, the Subaxial Cervical AO Spine Injury Score was developed.

GLOBAL SPINE JOURNAL (2022)

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Article Orthopedics

2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport for Athletes at All Participation Levels

Ariane Schwank, Paul Blazey, Martin Asker, Merete Moller, Martin Hagglund, Suzanne Gard, Christopher Skazalski, Stig Haugsbo Andersson, Ian Horsley, Rod Whiteley, Ann M. Cools, Mario Bizzini, Clare L. Ardern

Summary: There is a lack of high-quality evidence to support rehabilitation and return-to-sport decisions for athletes with shoulder injuries. The Athlete Shoulder Consensus Group used a 2-round Delphi process and an in-person meeting to develop a consensus statement that provides guidance on load and risk management, athlete shoulder rehabilitation, and decision making during the return-to-sport process. The principles and consensus of experts across various sports may serve as a template for developing sport-specific guidance in the future.

JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY (2022)

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Article Orthopedics

Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Jacqueline A. Osborne, Rachel Botkin, Cristina Colon-Semenza, Tamara R. DeAngelis, Oscar G. Gallardo, Heidi Kosakowski, Justin Martello, Sujata Pradhan, Miriam Rafferty, Janet L. Readinger, Abigail L. Whitt, Terry D. Ellis

Summary: A clinical practice guideline on Parkinson disease was developed by an American Physical Therapy Association volunteer guideline development group. The guideline was based on systematic reviews of current scientific and clinical information.

PHYSICAL THERAPY (2022)

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Article Orthopedics

Predictors of Graft Failure in Young Active Patients Undergoing Hamstring Autograft Anterior Cruciate Ligament Reconstruction With or Without a Lateral Extra-articular Tenodesis: The Stability Experience

Andrew D. Firth, Dianne M. Bryant, Robert Litchfield, Robert G. McCormack, Mark Heard, Peter B. MacDonald, Tim Spalding, Peter C. M. Verdonk, Devin Peterson, Davide Bardana, Alex Rezansoff, Alan M. J. Getgood

Summary: This study identified predictors of ACL graft failure in high-risk patients and indicated that adding a lateral extra-articular tenodesis (LET) and using a larger graft diameter can significantly reduce the odds of asymmetric pivot shift. Conversely, factors such as younger age, greater posterior tibial slope, high-grade knee laxity, and earlier return to sport were associated with increased odds of graft rupture.

AMERICAN JOURNAL OF SPORTS MEDICINE (2022)

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Article Clinical Neurology

Subsidence of Interbody Cage Following Oblique Lateral Interbody Fusion: An Analysis and Potential Risk Factors

Vit Kotheeranurak, Khanathip Jitpakdee, Guang-Xun Lin, Akaworn Mahatthanatrakul, Weerasak Singhatanadgige, Worawat Limthongkul, Wicharn Yingsakmongkol, Jin-Sung Kim

Summary: This study aimed to investigate the incidence and risk factors of polyetheretherketone (PEEK) cage subsidence following oblique lateral interbody fusion (OLIF) for lumbar degenerative diseases. Through a retrospective cohort analysis, the authors found that age, bone mineral density, cage height, and multifidus muscle fatty degeneration were risk factors for OLIF subsidence.

GLOBAL SPINE JOURNAL (2023)

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Letter Clinical Neurology

Telemedicine: Could it represent a new problem for spine surgeons to solve?

Nicola Montemurro

GLOBAL SPINE JOURNAL (2022)

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Review Orthopedics

Genetics of osteoarthritis

G. Aubourg, S. J. Rice, P. Bruce-Wootton, J. Loughlin

Summary: Osteoarthritis genetics has made significant progress through large-scale genome-wide association scans. Over 100 genetic risk variants associated with osteoarthritis have been identified, accounting for more than 20% of its heritability. These variants are mainly located in non-protein coding regions of the genome and regulate the expression of target genes. Epigenetic factors, particularly cartilage DNA methylation changes, are also correlated with some of these variants, suggesting a potential mediation of genetic effects on gene expression.

OSTEOARTHRITIS AND CARTILAGE (2022)

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Review Orthopedics

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations

Peter Thomas, Claire Baldwin, Lisa Beach, Bernie Bissett, Ianthe Boden, Sherene Magana Cruz, Rik Gosselink, Catherine L. Granger, Carol Hodgson, Anne E. Holland, Alice Ym Jones, Michelle E. Kho, Lisa van der Lee, Rachael Moses, George Ntoumenopoulos, Selina M. Parry, Shane Patman

Summary: This document provides updated recommendations for the physiotherapy management of adults with COVID-19 in acute hospital settings. It includes guidelines for workforce planning and preparation, screening tools, and recommendations for treatments and personal protective equipment. The guidelines also cover workload management, staff health, clinical education, and interventions like awake proning and rehabilitation for patients with hypoxaemia. Additionally, it highlights the role of physiotherapy in post-COVID syndrome recovery.

JOURNAL OF PHYSIOTHERAPY (2022)

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Review Orthopedics

The Effect of the COVID-19 Pandemic on the Mental and Emotional Health of Athletes: A Systematic Review

Lori Jia, Michael V. Carter, Antonio Cusano, Xinning Li, John D. Kelly, Jessica D. Bartley, Robert L. Parisien

Summary: The COVID-19 pandemic has negatively affected the mental and emotional health of athletes globally, with an increased risk of poor mental health outcomes for female athletes and those in higher levels of play. Providing psychological support, access to training facilities, and utilizing healthy coping mechanisms can improve mental health outcomes for athletes.

AMERICAN JOURNAL OF SPORTS MEDICINE (2023)

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Article Orthopedics

Robot-assisted knee arthroplasty improves component positioning and alignment, but results are inconclusive on whether it improves clinical scores or reduces complications and revisions: a systematic overview of meta-analyses

Nanne Kort, Patrick Stirling, Peter Pilot, Jacobus Hendrik Muller

Summary: Robot-assisted knee arthroplasty allows for more accurate component positioning but significantly prolongs operation time. While robotic assistance improves component alignment, its benefits in terms of clinical scores, patient satisfaction, and implant survivorship need further validation.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

A single type of varus knee does not exist: morphotyping and gap analysis in varus OA

Heiko Graichen, Kreangsak Lekkreusuwan, Kim Eller, Thomas Grau, Michael T. Hirschmann, Wolfgang Scior

Summary: The study aimed to analyze the gap widths and differences in varus knees in different flexion angles, finding a high variability among individuals. While varus deformity correlated with medio-lateral gap difference in extension, no correlation was found in flexion. Women tended to have larger gap sizes, while age and BMI had no significant effect. Individualized balancing techniques are necessary for treating varus knees effectively.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

In-Office Needle Arthroscopy for the Treatment of Anterior Ankle Impingement Yields High Patient Satisfaction With High Rates of Return to Work and Sport

Christopher A. Colasanti, Nathaniel P. Mercer, Jeremie Garcia, Gino M. M. J. Kerkhoffs, John G. Kennedy

Summary: This study evaluated the clinical outcomes and patient experience of in-office needle arthroscopy (IONA) for anterior ankle impingement. The results showed that IONA treatment significantly reduced pain, had a low complication rate, and resulted in excellent patient-reported outcomes. Most patients expressed satisfaction and a willingness to undergo the same procedure again.

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY (2022)

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Article Orthopedics

InSpace Implant Compared with Partial Repair for the Treatment of Full-Thickness Massive Rotator Cuff Tears A Multicenter, Single-Blinded, Randomized Controlled Trial

Nikhil Verma, Uma Srikumaran, Colleen M. Roden, Edwin J. Rogusky, Peter Lapner, Heather Neill, Joseph A. Abboud

Summary: This study compared the efficacy and safety of a subacromial balloon spacer and arthroscopic partial repair in the treatment of irreparable, posterosuperior massive rotator cuff tears. The results showed that both methods significantly improved symptoms in patients, and the subacromial balloon spacer group had advantages in terms of functional recovery and operative time.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2022)

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