Musculoskeletal Diseases
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  • ||||||||||  Journal:  Bilateral Sagittal Stress (Pubmed Central) -  May 5, 2025   
    Surgical intervention, by total knee replacement with adjunctive measures to stabilize the fractures, can effectively alleviate pain and improve functional outcomes in these patients. V.
  • ||||||||||  Journal:  Pelvis/acetabulum: management of geriatric injuries. (Pubmed Central) -  May 5, 2025   
    Despite advancements, controversy remains regarding the optimal treatment of complex acetabular fractures in elderly patients. This review synthesizes the latest evidence and expert perspectives to aid clinicians in selecting the most appropriate management strategies, with the goal of restoring mobility, minimizing complications, and enhancing the quality of life in this vulnerable population.
  • ||||||||||  Journal:  Trauma systems: a global comparison. (Pubmed Central) -  May 5, 2025   
    Other countries, such as the United States and South Africa, face different challenges linked to disparities in quality of and access to care between public and private systems. Although centralization of trauma care, standardization of national trauma care systems, and investment in workforce and infrastructure are universal goals for improving outcomes, solutions tailored to each country are required to optimize trauma systems globally.
  • ||||||||||  Journal:  Current concepts in tibial plateau fracture management: a Spanish Orthopaedic Trauma Association review. (Pubmed Central) -  May 5, 2025   
    With the classification of columnar involvement and their variants, surgeons can use computed tomography scans to formulate solutions to approach and fix individual fracture patterns. Finally, a finite element analysis may inform the surgeon's decision for immediate weight bearing of a split plateau fracture after fixation with locking screw plates or cannulated screws.
  • ||||||||||  Journal:  Proximal humerus fractures: Treatment controversies. (Pubmed Central) -  May 5, 2025   
    Hemiarthroplasty may not provide good, reliable function but may be the best option in younger or middle-aged patients when fracture fixation is not feasible. While several studies reported no benefit of surgical treatment in elderly patients, more recent literature showed better outcomes with reverse total shoulder arthroplasty.
  • ||||||||||  Journal:  Spontaneous Orbital Emphysema: A Case Report. (Pubmed Central) -  May 5, 2025   
    Spontaneous orbital emphysema, while rare, should be considered in patients with sudden periorbital swelling without history of trauma. Conservative management is often effective, but vigilant monitoring is crucial.
  • ||||||||||  Journal:  Redesigning to V-Y Fasciocutaneous Flaps: Optimizing Outcomes in Patients With Pressure Injuries and Spinal Cord Injuries. (Pubmed Central) -  May 5, 2025   
    Interestingly, our approach records complication and recurrence rates equal to those of other flap types reported in the literature, with the advantage of not having full or partial necrosis. We describe an easy, highly reproducible, new technique of marking, tracing, dissecting, and advancing the V-Y fasciocutaneous flap so that its simplicity makes it the preferred choice of local flaps for this type of lesion; additionally, this technique is applicable to defects of varying sizes in any anatomical region.
  • ||||||||||  Journal:  Effect of plastic deformation on the hydrogen embrittlement of ferritic high strength steel. (Pubmed Central) -  May 5, 2025   
    The increased hydrogen uptake did not lead to a decrease in fracture strain, which remained between 6 and 10% for all pre-strains, compared to 60% for full SSRT tests that were charged for a shorter time. This research highlights the necessity of high plastic strains and the presence of hydrogen in the environment during crack growth to cause HE in ductile steels.
  • ||||||||||  Journal:  Flexural Strength and Stress Analysis of CAD-CAM Milled Glass Fiber Post and Core. (Pubmed Central) -  May 5, 2025   
    Intermediate values were demonstrated by conventional posts. In comparison, to the customized post, the stress study revealed that conventional and CAD-CAM posts had a lower stress in the apical area and a lower general root stress value; but the cervical stress from CAD-CAM posts were practically twice of conventional and customized posts.
  • ||||||||||  Journal:  Care Utilization and Measures of the Subjective. (Pubmed Central) -  May 5, 2025   
    The finding that statistical groupings of patient personal factors were not associated with planned utilization of visits, tests, or treatments is inconsistent with other evidence linking mindsets actual utilization. A better understanding of sources of variation in planned and actual utilization is needed to help limit unwarranted variation and enhance effective use of resources.
  • ||||||||||  Journal:  Forces on the Incisor Teeth During Odontoplasty of the Cheek Teeth in Sedated Horses. (Pubmed Central) -  May 5, 2025   
    Forces were recorded for different incisor separation distances and for dental rasping at a defined incisor separation distance. The results showed a significant difference in the median loads on the incisors at 82 mm (198.88 N), 92 mm (214.18 N), and 102 mm (293.95 N) incisor separation distance, and between active treatment with a mechanical bur (173.28 N) and no active mechanical bur (237.81 N) with maximum peaks up to 3783.60 N. Increasing bodyweight and mandible length showed a correlation with increasing forces, whereas age, gender and regularity of dental treatments did not suggest any influence on force development.
  • ||||||||||  Journal:  Stabilisation of thoracolumbar vertebral fractures and luxations in cats with a polyaxial screw/rod system. (Pubmed Central) -  May 5, 2025   
    The results showed a significant difference in the median loads on the incisors at 82 mm (198.88 N), 92 mm (214.18 N), and 102 mm (293.95 N) incisor separation distance, and between active treatment with a mechanical bur (173.28 N) and no active mechanical bur (237.81 N) with maximum peaks up to 3783.60 N. Increasing bodyweight and mandible length showed a correlation with increasing forces, whereas age, gender and regularity of dental treatments did not suggest any influence on force development. The polyaxial screw rod system described here is a potential option for stabilization of thoracolumbar vertebrae in cats.
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    Observational data, Retrospective data, Journal:  Treatment of mixed connective tissue disease: A multicenter retrospective study. (Pubmed Central) -  May 5, 2025   
    HCQ and GC were the cornerstones of MCTD treatment and were sufficient to control disease manifestations in nearly half of the patients, reflecting the good prognosis of this disease. DMARDs and IS were used for musculoskeletal involvement, PAH/ILD, and in MCTD-dCTD patients.
  • ||||||||||  Journal:  Treatment Considerations for Severe Osteoporosis in Older Adults. (Pubmed Central) -  May 5, 2025   
    Hormone (oestrogen/sex steroid) status is also a major determinant of bone health. This review explores mechanisms involved in bone homeostasis, followed by the assessment and management of severe osteoporosis, including an overview of several treatment options in older people that range from anti-resorptive to anabolic therapies.
  • ||||||||||  Retrospective data, Journal:  A radiomics nomogram based on MRI for differentiating vertebral osteomyelitis from vertebral compression fractures. (Pubmed Central) -  May 5, 2025   
    This review explores mechanisms involved in bone homeostasis, followed by the assessment and management of severe osteoporosis, including an overview of several treatment options in older people that range from anti-resorptive to anabolic therapies. Our analysis indicated that the radiomics nomogram, combined with radiomic and clinical features, provides significant clinical guidance in distinguishing vertebral compression fractures from spinal vertebral osteomyelitis.
  • ||||||||||  Retrospective data, Review, Journal:  Treatment Trade-Offs and Choices for Femoral Fractures: A Systematic Review and Meta-Analysis. (Pubmed Central) -  May 5, 2025   
    Ultimately, the decision-making process is complex and requires a comprehensive consideration of available resources, cost-effectiveness, patient health status, physician experience, patient preferences, and expected clinical outcomes. In resource-constrained areas, this process is particularly challenging and necessitates a careful consideration of the risks and benefits of both surgical and non-surgical treatment options.
  • ||||||||||  Journal:  Recreational Outdoor Injury and Mortality in Texas State Parks Between 2012 and 2021. (Pubmed Central) -  May 5, 2025   
    Most incidents occurred in Hill Country (n?=?1170, 24.01%) and Prairies and Lakes (n?=?1144, 23.48%) areas.ConclusionThis study evaluates outdoor recreational injuries in the state of Texas. It uncovers and summarizes important trends that may inform the development of prevention and education efforts.
  • ||||||||||  Journal:  Crystallization-Induced Network Growth for Enhancing Hydrogel Mechanical Properties. (Pubmed Central) -  May 5, 2025   
    It uncovers and summarizes important trends that may inform the development of prevention and education efforts. Specifically, localized polymerization of poly(ethylene glycol) diacrylate (PEGDA) monomers occurs at fracture sites, leading to covalent network integration and achieving a 51.5-fold Young's modulus enhancement (from 0.024 to 1.24
  • ||||||||||  Journal:  Anatomical Study of Lateral Compression II Screw Path and Entry Parameters Based on Three-Dimensional CT Image Reconstruction Techniques. (Pubmed Central) -  May 5, 2025   
    Specifically, localized polymerization of poly(ethylene glycol) diacrylate (PEGDA) monomers occurs at fracture sites, leading to covalent network integration and achieving a 51.5-fold Young's modulus enhancement (from 0.024 to 1.24 This study utilized digital medical software to construct the LC-II screw path and analyze sex-based differences, highlighting the importance of individualized preoperative path planning and providing essential anatomical evidence for the precise and safe percutaneous insertion of LC-II screws.
  • ||||||||||  Retrospective data, Journal:  Medical Evacuations of Climbers on Mount Aconcagua, 2022-2024. (Pubmed Central) -  May 5, 2025   
    Helicopter evacuation and medical oversight by APP appear to contribute to climber safety on Aconcagua. Opportunities exist for future study and climber education of risks.
  • ||||||||||  Journal:  Natural History of NAA15-Related Neurodevelopmental Disorder Through Adolescence. (Pubmed Central) -  May 5, 2025   
    Lastly, comparisons between probands with loss of function variants in NAA15 and those with missense variants showed no significant differences in adaptive behavior metrics. Ultimately, additional longitudinal data should be collected to determine the validity of the between sex differences and to better understand the change in adaptive behavioral outcomes of individuals with NAA15-neurodevelopmental disorder as they age.
  • ||||||||||  Journal:  International Expert Opinion on Standard of Care for Patients With Schinzel-Giedion Syndrome: A Modified Delphi Study. (Pubmed Central) -  May 5, 2025   
    Key considerations included early and sustained involvement of a multidisciplinary team, routine monitoring for common tumors, neurologic, renal, genitourinary, pulmonary, musculoskeletal and gastrointestinal manifestations/complications, and facilitation of shared decision-making processes. These recommendations should help guide clinicians and families/caregivers in care decisions to enhance quality and duration of life for individuals with SGS and facilitate shared decision-making.
  • ||||||||||  Journal:  Achieving High-Strength Polymer Adhesion Through Bond Exchange at the Interphase. (Pubmed Central) -  May 5, 2025   
    The incorporation of a small amount of bond exchange catalyst is crucial for enhancing adhesion, and both adhesion strength and fracture behavior can be manipulated through specific heating conditions. Overall, this study explores a new functionalization approach using the bond exchange concept, contributing to the development of a practical adhesion technique that eliminates the need for traditional adhesives.