Journal of Musculoskeletal Disorders and Treatment is an international, open access, peer reviewed journal that publishes wide variety of information on conditions that affect the muscles, bones, and joints. The journal sets a forum for publication, education, and exchange of opinions globally. JMDT provides a podium for authors to contribute their findings and help raise awareness among readers on causes, diagnosis and prevention of various musculoskeletal disorders. We provide an immediate and unlimited access to highest quality clinical content via open access platform.
Journal of Musculoskeletal Disorders and Treatment focus on various aspects of Repetitive Motion Injuries, Repetitive Strain Injuries, Cumulative Trauma Disorders, Occupational Cervicobrachial Disorders, Overuse Syndrome, Regional Musculoskeletal Disorders, Soft Tissue Disorders, Work-Related Musculoskeletal Disorders, Musculoskeletal Disorders in the Elderly, Arthritis, Drug Interaction Checker, Fibromyalgia, Living Healthy, Lupus Osteoarthritis, Pill Identifier, Rheumatoid Arthritis, Sports Injuries, etc. Original Article, Reviews, Mini Reviews, Short Communications, Case Reports, Clinical Image, Perspectives/Opinions, Letters, Short Note and Commentaries are acceptable for publication. All articles published in the journal are subject to a rigorous peer review process.
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Open Access DOI:10.23937/2572-3243.1510076
Jeffrey S Shilt, MD, Lawrence P Lai, MD, MS, John Georgy, MD, MBA and Indranil Kushare, MD
Article Type: Original Article | First Published: May 08, 2020
Providing medical care in the days leading up to an event for age group athletes in endurance sports can be challenging in large participant events. Little direction is provided in the medical literature to help prepare one for this task. The objective of the report is to describe our experiences with delivery of care to the United States athletes’ preceding and immediately after an International Triathlon Union (ITU) World Triathlon Age Group Championship. This report can guide preparation by...
Open Access DOI:10.23937/2572-3243.1510077
Awdhah Al-Samhan, MD, BS, Owayed Al-Mutairi, MD, Abdulaziz Al-Kudair, MD and Aliaa Khaja, MD
Article Type: Original Article | First Published: May 13, 2020
110 patients participated in this survey. The internal consistency tests were performed using Cronbach’s alpha. Test-retest reliability (intra-correlation coefficient), convergent construct validity, convergent validity, floor & ceiling effects and responsiveness were also calculated. In order to measure the level of agreement, Bland & Altman Plot, forest Plots and ROC curve analysis are performed. Test reliability for the first testing situation - calculated using Cronbachs alpha - was 0.98 f...
Open Access DOI:10.23937/2572-3243.1510075
Amanda Purcell, Alesia Voice, Katerina Kellar and Mimi Zumwalt
Article Type: Case Report | First Published: April 03, 2020
Angiolipoma is a histological variant of the more common lipoma that may occur superficially throughout the body. After review of recent literature, different cases of angiolipomas were reported within various areas, more so in the upper extremity and truncal regions. Our clinical case demonstrates an extremely rare presentation of a non-infiltrating angiolipoma lesion growing within a hamstrings autograft after anterior cruciate ligament (ACL) reconstruction. There have been a few prior reports...
Open Access DOI:10.23937/2572-3243.1510074
David Sherwood, DO, Benjamin Gill, DO, MBA and Derick Schirmer, MS
Article Type: Original Article | First Published: March 13, 2020
Given a previous review on emu oil from 2014, which concluded a lack of clinical trial evidence, these authors set out to summarize the literature with regard to emu oil use for non-specific pain management. Non-specific pain management was selected as Google Trend data suggest that emu oil may be commonly amongst the general population for the treatment of non-specific pain. Using PRISMA guidelines, three randomized, controlled trial studies were identified, which found either no statistically ...
Open Access DOI:10.23937/2572-3243.1510073
Mai Adnan Banjar, MBBS, EDiR, Premilla Pillay, MD, FRCR and Salil Babla Singbal, MBBS, FRCR
Article Type: Short Commentary | First Published: January 23, 2020
9-year-old presented with left thigh pain for several weeks. Physical assessment of gait noted external rotation of the left hip. Anteroposterior and lateral radiographs of the hip demonstrated normal alignment. No fractures or dislocation. In particular, no femoral epiphysis slip was noted. The lateral view first interpreted as normal, although in hindsight there might have been subtle alignment irregularity. MRI was performed which showed high T2/STIR signal intensity with slight widening of t...
Open Access DOI:10.23937/2572-3243.1510072
William H Miears, BS, Christian Douthit, MD and Mimi Zumwalt, MD
Article Type: Case Report | First Published: January 18, 2020
Pectoralis major tendon ruptures are uncommon injuries that are most commonly seen in active males between 20-40 years of age. While the most frequently cited mechanism of injury is during bench press, other causes from activities such as contact sports have also been reported. With the rise in popularity of CrossFit, or high intensity variable functional training, practitioners may begin to notice an increase in other mechanisms of injury. In this clinical case we present a patient who ruptured...
Open Access DOI:10.23937/2572-3243.1510071
Amanda Weaver, Katerina Kellar, William H Miears, Rhett Butler, Ali Ashraf, MD, Adam Woolridge, MD, Anudeep Dasaraju, John Chappa, Matthew Ferguson, MD, George Brindley, MD, Phillip Watkins and Mimi Zumwalt, MD
Article Type: Original Research | First Published: January 08, 2020
Previous studies have demonstrated that females have more severe pain in more locations in the body than males but tend to wait longer to seek help which leads to worse postoperative outcomes. Also, physicians may have an unconscious bias in recommending surgery more often for men than women. We analyzed 798 medical charts with chief complaints of shoulder or knee pain from 2007-2015. We categorized patients based on acute or chronic injury and then looked at time from referral to first orthoped...
Open Access DOI:10.23937/2572-3243.1510070
Mariam Haji, MD, Mohamed Amin, MD, Osama Haji Ahmed, MD, Paula Karabelas, PharmD and Abdulhafez Selim, MD, PhD
Article Type: Original Research | First Published: December 04, 2019
This study was performed at Riyadh Care Hospitals, Saudi Arabia. The data were obtained from rheumatology outpatient clinic records that routinely measure Vitamin D levels. The total number of patients in this database was 1,072. The gathered data included vitamin D serum concentration, age, and gender, as well as body mass index (BMI). Patients were diagnosed according to Wolfe, et al. criteria for diagnosing FMS. Vitamin D deficiency (VDD) was defined according to Mayo Medical Laboratories Ref...
Open Access DOI:10.23937/2572-3243.1510069
Yingyin Liang, PhD, Jie Li, MD, Chen Yang, MD, Xue Xu, MD, Guidian Li, MD, Rongxing He, Dr and Cheng Zhang, PhD
Article Type: Original Article | First Published: October 17, 2019
Impairment in patients with Duchenne muscular dystrophy (DMD) has been evaluated primarily by muscle fiber microscopy examination. Pathologic examination is limited by the choice of muscle and the invasiveness of muscle biopsy. Magnetic resonance imaging (MRI) of the muscle is a noninvasive method of evaluating muscle preservation. To compare muscle MRI and clinical function in patients at different stages (from early to terminal stage) of DMD, and to evaluate the correlation between fatty infil...
Open Access DOI:10.23937/2572-3243.1510068
Rajesh MB, Chamma R and Ranganathan A
Article Type: Review Article | First Published: August 26, 2019
Acute low back pain is a common cause of pain in majority of adult population. Most experience an acute episode at some stage. It is causes disability in both young and middle-aged individuals and prevalent in 4-33% of the population. Facet joint pain contributes to a significant proportion of this prevalence. Here in this review, we present, the background, current treatment and evidence on the management of facet joint arthritis. Goldthwait, in 1911, was the first to suggest that facet joint c...
Open Access DOI:10.23937/2572-3243.1510067
Ismet Gavrankapetanovic and Adnan Papovic
Article Type: Short Note | First Published: May 29, 2019
Orthopedic surgical judgment and a decision-making process in peace is a topic that has been discussed and written about for decades, but the wartime surgical judgment is something that cannot be predicted or prepared for. There is no wartime surgery class in any medical school worldwide that can prepare a surgeon for his/her work under a wartime environment applying all of their knowledge, skill and effort to achieve the best possible result for a patient. With this short note, authors would li...
Open Access DOI:10.23937/2572-3243.1510066
Rajesh MB, Chamma R and Ranganathan A
Article Type: Case Report | First Published: March 30, 2019
Total extrusion of the talus with disruption of all the ligaments is called "missing talus". It is a rare injury, associated with severe soft tissue damage and/or fracture. It is a tri-articular dislocation involving talotibial dislocation from above, subtalar joint below and talonavicular joint anteriorly. We present a report of a patient treated with immediate reimplantation and K-wire stabilisation leading to a successful outcome. A 57-year-old tourist had a closed anterolateral extrusion of ...
Open Access DOI:10.23937/2572-3243.1510065
Adesola C Odole, Ezinne C Ekediegwu and Mercy U Issa
Article Type: Original Article | First Published: March 20, 2019
Osteoarthritis (OA) is a major cause of disability worldwide and it often results in pain, decreased physical functioning and physical activity level. This study was aimed to investigate the Pain Intensity (PI), Physical Function (PF) and Physical Activity Level (PAL) of patients with knee OA and the difference in their PI and PF across the different physical activity levels (PALs). Participants who were more active reported lower PI and higher PF. No significant difference was found between PI ...
Open Access DOI:10.23937/2572-3243.1510064
Eloy Ovando-Sanders, Lilia Patricia Bustamante-Montes, David Gustavo Rodriguez-Cisneros and Rafael Gonzalez-Alvarez
Article Type: Research Article | First Published: February 27, 2019
Low back pain (LBP) is one of the highest prevalence problems of public health. LBP affects up to 85% people worldwide. Somebody will be affected at less in one point of his life. LBP represent an enormous economic burden on society; its total cost includes: Direct medical costs, work absenteeism, insurance, lost production and disability benefits. Current treatments range from bed rest, physiotherapy, oral analgesic, muscle relaxants, injection of corticosteroids, local anesthetic, surgery, cel...
Open Access DOI:10.23937/2572-3243.1510063
Adinma JIB, Adinma ED, Umeononihu OS, Oguaka V, Adinma-Obiajulu ND and Oyedum SO
Article Type: Original Article | First Published: December 31, 2018
A lot of physical and hormonal changes that occur in pregnancy impact the musculoskeletal system leading to a variety of problems, such as back pain, pelvic/pubic pain, transient osteoporosis and tendonitis. The weight gain, hormonal and other biochemical changes that occur during pregnancy increase the strain on the vertebrae and the appendages resulting in increased laxity (and hence mobility) of joints, increased lumbar lordosis, stretching/weakness and separation of the anterior abdominal mu...
Open Access DOI:10.23937/2572-3243.1510062
Tricia Hubbard-Turner, Michael J Turner, Chris Burcal, Kyeongtak Song and Erik A Wikstrom
Article Type: Research Article | First Published: December 14, 2018
One of the biggest public health issues present today is physical inactivity. Physical inactivity is currently classified as one of the three highest risk behaviors in the development of cardiovascular disease, cancer, and other chronic diseases such as diabetes and obesity. Research consistently demonstrates the numerous physiological health and psychological well-being benefits with regular physical activity. Lee, et al. estimated globally 5.3 million deaths per year are a result of physical ...
Open Access DOI:10.23937/2572-3243.1510061
Miguel Frias, Henrique Sousa, Tiago Pinheiro Torres and Pedro Lourenco
Article Type: Case Series | First Published: November 24, 2018
Anterior dislocation of the shoulder may go undiagnosed and may thus left untreated for a variable length of time. Chronic locked anterior dislocations of the glenohumeral joint is a rare condition. Its diagnosis and management can be challenging. Reverse shoulder arthroplasty has yelded satisfactory outcomes in patients with cuff tear arthropaty and other degenerative changes of the shoulder joint. The concept of this implant theoretically allows stabilization of the dislocated shoulder indepen...
Open Access DOI:10.23937/2572-3243.1510060
Article Type: Systematic Review | First Published: November 19, 2018
CLBP is the leading cause of years lived with disability worldwide and patients with yellow flags have the worst outcomes and contribute significantly to the societal cost. Clinicians are aware of the importance of yellow flags but feel undertrained to deal with them. Furthermore there is a lack of clarity for clinicians looking at how to specifically manage these patients from guidelines and an incredibly varied set of approaches available to clinicians. The objective of this review was to revi...
Open Access DOI:10.23937/2572-3243.1510059
Tamer A Gheita and Hanan M Fathi
Article Type: Editorial | First Published: November 12, 2018
Osteoporosis is a common disease with wide prevalence, especially in seniors. Fractures induced by osteoporosis not only decrease the patient's quality of life, but also cause heavy financial burden to the society during medical treatment making this major metabolic bone disease a growing health-economic problem worldwide. Estimated annual costs for osteoporotic fractures are between $10 billion and $17 billion in the United States with a provisional estimation by year 2025 to rise up to $25.3. ...
Open Access DOI:10.23937/2572-3243.1510058
Roberto Seijas, Pedro Alvarez, Oscar Ares, Andrea Sallent, David Barastegui and Ramon Cugat
Article Type: Original Article | First Published: November 05, 2018
Hip osteoarthritis is related to the deformity caused by femoroacetabular impingement (FAI). This lesion is related too with an increased performance of sports activities, such as soccer. Alpha angle is a possible measurement of the deformity caused by FAI, especially Cam-type lesion. The purpose of the present study is to describe the alpha angle measured in AP and axial projections in a group of soccer players, being able to compare it with the general population and populations of adult socce...
Open Access DOI:10.23937/2572-3243.1510057
JRT Pietrzak, MJ Donaldson, B Kayani, FE Rowan and FS Haddad
Article Type: Review Article | First Published: August 18, 2018
The incidence of hip arthroscopy is increasing worldwide. This is due to improved knowledge of the surgical anatomy, expansion of surgical indications, evolution and refinement of surgical instrumentation and continued reports of good long-term functional results. However hip arthroscopy remains a technically challenging surgical procedure with a described "steep" learning curve....
Open Access DOI:10.23937/2572-3243.1510056
Hamdi Kaziz, Mohamed Amine Triki, Sofien Benzarti, Thabet Mouelhi, Nader Naouar and Mohamed Laziz Ben Ayeche
Article Type: Case Report | First Published: August 08, 2018
Luxatio erecta humeri are an extremely uncommon injury of the shoulder. The reported mechanism is usually a hyper-abduction of the arm, so that the humeral neck is livered against the acromion causing inferior displacement of the humeral head through the capsule tears. Similar to all shoulder injuries, several complications may occur in shoulder erecta dislocation. There are few reports regarding associated injuries to this entity....
Open Access DOI:10.23937/2572-3243.1510055
Santos Isabel, Vasconcelos Jose Carlos, Ribeiro Claudia, Moreira Carolina, Magalhães Alexandre, Cantista Pedro and Vasconcelos Carlos
Article Type: Original Article | First Published: August 06, 2018
A prospective controlled clinical trial, not blinded, randomly assigned of patients with rheumatoid arthritis accordingly to the American College of Rheumatology criteria. The Balneotherapy group received Balneotherapy's throughout 21 days in S. Jorge Spa. The main outcome was hand/wrist ultrasonography measured at the same moments in the two groups, and McNemar's tests were used to compare changes in ecographics signals, with a 5% statistical significance level. Secondary outcomes were taken at...
Open Access DOI:10.23937/2572-3243.1510054
Buckley JG, Nichols S and Bhattacharjee C
Article Type: Original Research | First Published: June 16, 2018
Knee loading from standing for long periods has been shown to cause degenerative effects in knee cartilage, and this has been linked to the onset and progression of osteoarthritis. When lying supine because the heel protrudes 'outwards' from the back of the leg, contact forces are concentrated at the heel and act to 'push' the knee into full extension. The resulting knee-moment (compression loading) can be experienced for prolonged periods....
Open Access DOI:10.23937/2572-3243.1510053
Mariana Lagrutta, Roberto Leandro Parodi and Alcides Alejandro Greca
Article Type: Short Review | First Published: July 05, 2018
Rheumatoid arthritis (RA) is an inflammatory, multisystemic autoimmune disease. It has been described as an often progressive chronic disease, characterized by severe functional decline, radiographic progression, frequent work disability and premature mortality. Efforts have been made to identify among patients with peripheral inflammatory arthritis which patients will have a benign course, with spontaneous resolution, and which will develop a chronic progressive inflammatory disabling disease i...
Open Access DOI:10.23937/2572-3243.1510052
Sheldon Moniz, Ryan Du Sart and Piers Yates
Article Type: Research Article | First Published: June 16, 2018
Total knee replacement (TKR) is a surgical procedure for intractable degenerative disease of the knee joint. Despite continued evolution in prosthesis design and surgical procedures, restricted range of motion and functional performance is still common in patients undergoing TKR. Posterior stabilized TKR aims to maintain a more reproducible roll back than cruciate retaining and mobile bearing knees, possibly leading to better flexion and function....
Open Access DOI:10.23937/2572-3243.1510051
Article Type: Original Research | First Published: May 26, 2018
Cervical and/or upper limb pain due to peripheral neuropathy is a common clinical condition in general population. Although the exact prevalence or incidence is uncertain, cervical radiculopathy is estimated to have a yearly incidence of 0.8-3.5 cases per 1,000 people, with a peak at 50 to 54 years of age in the US....
Open Access DOI:10.23937/2572-3243.1510050
Ayesha Yahya and H Brent Bamberger
Article Type: Case Report | First Published: May 25, 2018
Carpometacarpal boss is a rare cause of pain and swelling on the dorsum of the hand. Literature is limited on the etiology of this condition and there is no consensus on treatment. We report an unusual case of a 53-year-old man with extensor tendon rupture caused by carpometacarpal boss. Surgical excision of the bony growth and repair of the EIP utilizing interpositional tendon autograft resulted in relief of symptoms and return of function....
Open Access DOI:10.23937/2572-3243.1510049
Adam Bitterman, Shuguang Gao, Sabah Rezvani, Jun Li, Katie J Sikes, John Sandy, Vincent Wang, Simon Lee, John Holmes, Johnny Lin and Anna Plaas
Article Type: Original Research | First Published: May 21, 2018
The attempted healing of tendon after acute injury (overloading, partial tear or complete rupture) proceeds via the normal wound healing cascade involving hemostasis, inflammation, matrix synthesis and matrix remodeling. Depending on the degree of trauma and the nature of the post-injury milieu, a variable degree of healing and recovery of function occurs....
Open Access DOI:10.23937/2572-3243.1510048
Jay R Shapiro and Mary E Blue
Article Type: Short Note | First Published: May 18, 2018
In this Short Note, we assess what is known about the structural deficits in bone in Rett syndrome (RTT), a rare x-linked neurodevelopmental disorder and in mouse models of RTT and provide a rationale for the treatment of bone fragility observed in this disorder. RTT is caused by mutations in a gene that encodes for methyl CpG protein binding protein 2 (MeCP2), which can act as an inhibitor or activator of gene transcription. MeCP2 is ubiquitously expressed throughout the body....
Open Access DOI:10.23937/2572-3243.1510047
Moniz S, Eranki A, Hodgkinson S and Yates P
Article Type: Research Article | First Published: May 14, 2018
Displaced intracapsular hip fractures are a common problem in Australia. The majority of patients with this injury are of low demand. They present with fragility fractures and are treated successfully with a hemiarthroplasty which offers a shorter operative time, less chance of reoperation and less blood loss. In more active individual's acetabular erosion, pain and decreased function limit the success of these implants and a total hip replacement may be beneficial....
Open Access DOI:10.23937/2572-3243.1510046
Doris Vahtrik, Margot Bergmann , Ingrid Vanahunt and Mark Braschinsky
Article Type: Original Research | First Published: May 12, 2018
Due to controversial information about the effect of different physiotherapy methods used in the treatment of migraine patients, the aim of the study was to assess the effectiveness of postural correction and orthopedic massage as interventions against headache, and neck and shoulder area muscles tenderness, on improving active range of cervical motion and upper body posture in episodic migraine patients (n = 10) before, after five-week therapy program and 6 months after the therapy....
Open Access DOI:10.23937/2572-3243.1510045
Rana Terlemez, Selda Çiftçi, Tülay Erçalık, Jülide Öncü, Figen Yilmaz and Banu Kuran
Article Type: Short Commentary | First Published: March 31, 2018
A 35-year-old man had fallen down from the first floor and admitted emergency department with pain, swelling and deformity on the right elbow. The radiograph showed fracture of the right supracondylar humerus. After surgical exploration and internal fixations, the patient referred to our clinic as elbow contracture with traumatic median and ulnar nerve injury....
Open Access DOI:10.23937/2572-3243.1510044
Giovanna Cuomo, Ciro Romano, Elisabetta Maria Frongillo, Gaetano Scognamiglio and Luigi Elio Adinolfi
Article Type: Case Report | First Published: March 31, 2018
PDB is a progressive monostotic or polyostotic metabolic disease characterized by a focal abnormal bone remodeling, with an increased bone resorption and an excessive, disorganized new bone formation. It affects both men and woman, with a slight predominance in men....
Open Access DOI:10.23937/2572-3243.1510043
William Snyder, Brandon Leighton, Stephanie Kidd, Stephen Shively, Jon Gorog and Jonathan W Lowery
Article Type: Review Article | First Published: March 30, 2018
It is estimated that more than 500,000 bone grafting surgeries occur annually in the US to repair or replace defects. Significant progress has been made in this field in recent years, thus making it opportune to survey the technologies currently available and highlight promising future strategies. Here, we offer a timely summarization of the field separated into three areas: Autografts-where bone tissue is harvested from the patient; allografts- taken from cadavers or animals; and intelligently-...
Open Access DOI:10.23937/2572-3243.1510042
Crystal Lederhos, Tracy L Skaer, Michael Orr, Celestina Barbosa Leiker, Donelle N Howell and Dennis G Dyck
Article Type: Research Article | First Published: October 11, 2017
Chronic Pain (CP) affects over 100 million people in the US and is responsible for $635 billion in direct and indirect costs annually. Behavioral and family education and support can reduce pain intensity and related negative consequences of pain....
Open Access DOI:10.23937/2572-3243.1510041
Koya Mine, Sam Gilbert, Junko Tsuchiya and Takashi Nakayama
Article Type: RESEARCH ARTICLE | First Published: September 11, 2017
78 third-year students from the Tokyo University of Technology participated in this study. An 80-minute one-off lecture regarding pain neurophysiology was delivered. Understanding of pain neurophysiology was assessed through a Japanese version of Neurophysiology of Pain Questionnaire (NPQ), immediately before, after, and one month after the lecture....
Open Access DOI:10.23937/2572-3243.1510040
Marian Vives Barquiel , Jose Roberto Ballesteros Betancourt, Raquel Garcia Tarrino, Manel LLusa, Guillem Claret, Xavier Tomas Batlle, Borja Garcia Torres, Guillem Navarro, Jose Estrada and Alex Soriano
Article Type: Case Report | First Published: August 31, 2017
The presence of gas in joints or soft tissues is usually indicative of infectious pathology or degenerative diseases. However, the presence of gas inside the medullary canal in the diaphysis of long bones is an uncommon condition, and it is often associated with fractures or previous surgeries....
Open Access DOI:10.23937/2572-3243.1510039
Sabrina Metairon, Cibele B Zamboni, Dalton Nogueira da Silva Giovanni, Miriam F Suzuki, Carlos R Bueno Jr and Marcia de Almeida Rizzutto
Article Type: Research Article | First Published: August 26, 2017
Several diseases can be monitored by assessing the variation of specific ion concentration in body fluids. This study proposes an alternative analysis, based on the X-ray fluorescence spectrometry technique, for the investigation of iron (Fe concentration determination) in whole blood of the dystrophic animal models....
Open Access DOI:10.23937/2572-3243.1510038
Traci J Speed, Matthew Hand, Paul D Sponseller, Kayode A Williams and Claudia M Campbell
Article Type: Research Article | First Published: August 05, 2017
Pain in Marfan syndrome is common, although frequently under diagnosed and undertreated. Few studies have investigated the treatment of pain symptoms in Marfan syndrome and no study has reported on the use of opioid therapy in this patient population. This study aims to characterize the use of pain treatment interventions, including opioid use in individuals with Marfan syndrome....
Open Access DOI:10.23937/2572-3243.1510037
John Bryant, James MacKrell, David Gifondorwa, Benjamin Yaden, Bethany Monroe, Kimberly Tyler, Joshua Davis, Alexander Culver, Pamela Shetler, Prabhakar Jadhav, Henry Bryant and Venkatesh Krishnan
Article Type: Research Article | First Published: June 22, 2017
Nerve crush injury at focal sites causes rapid muscle atrophy in the connected muscle downstream of the affected motor end plate, and results in profound functional and metabolic deficits. This report characterizes the resultant functional and molecular changes at the post-synapse in an androgen depleted mouse model of reversible nerve injury....
Open Access DOI:10.23937/2572-3243.1510036
Hamdi Kaziz, Thabet Mouelhi, Walid Osman, Nader Naouar and Mohamed Laziz Ben Ayeche
Article Type: Case Report | First Published: June 21, 2017
Floating first metacarpal has been scarcely described in the literature. Fracture dislocation of the trapezio-metacarpal joint has been reported more than the isolated form but deemed exceptional....
Open Access DOI:10.23937/2572-3243.1510035
Simon-Perez C, Garcia-Virto V, Garcia-Medrano B, Rodriguez-Mateos JI, Faour-Martin O and Martin-Ferrero MA
Article Type: Research Article | First Published: June 01, 2017
This study present the results of an effective, minimally invasive treatment method for displaced diaphyseal and articular fractures of hand phalanges, which are difficult to manage and frequently involve complications stemming from excessive treatment....
Open Access DOI:10.23937/2572-3243.1510034
Gaafar Ragab, Hala El-Gendy and Rasmia M El-Gohary
Article Type: Case Report | First Published: June 08, 2017
The present report describes the case of an 18-year-old male exhibiting Acute Lymphocytic Leukemia (ALL). He initially presented with a multitude of rheumatic manifestations that were attributed to Systemic Lupus Erythematosus (SLE). The initial peripheral smear and bone marrow exam did not show any abnormal cells that developed later on along his disease course....
Open Access DOI:10.23937/2572-3243.1510033
Article Type: Short Communication | First Published: May 19, 2017
A 37-year-old male presented with progredient weakness of dorsiflexion in his left ankle since 5 months that was accompanied with sensory deficits in the superficial peroneal nerve area at the dorsal aspect of his left foot. Additionally, the patient reported increasing pain around his left Proximal Tibiofibular Joint (PTFJ). There was a history of known Multiple Hereditary Exostoses (MHE) that was primarily diagnosed with patient's age of 8 years....
Open Access DOI:10.23937/2572-3243.1510032
Article Type: Research Article | First Published: May 10, 2017
Enthesial reaction, as a stress or disease marker, has been a generalized perspective, largely untested as to its veracity. Perhaps valid with soft tissue visualization by computerized tomography or magnetic resonance imaging, examination of standard radiographs reveals minimal evidence of enthesial reaction. The current study seeks to assess the disease-specificity of enthesial reaction by examining the primary evidence that of disease-related variation in its presence in defleshed skeletons......
Open Access DOI:10.23937/2572-3243.1510031
Sungwook Choi, Younghee Maeng, Kyungryeol Lee and Donghee Kim
Article Type: Case Report | First Published: February 13, 2017
We report a case of a 21-year-old male with knee injury with a giant cell tumor of the tendon sheath resulting in a pes anserinus. As seen in this case, in a sports-related knee injury with an associated giant cell tumor, an initial treatment of the mass was performed first. After the confirmation of non-recurrence after 1 year follow up, the treatment of the sports related injury was followed. In any type of knee injury associated with giant cell tumor, initial treatment of the mass followed by...
Open Access DOI:10.23937/2572-3243.1510030
Emilio Gonzalez-Reimers, Lucia Romero-Acevedo, Geraldine Quintero-Platt, Candelaria Martin-Gonzalez, Patricia Cabrera-Garcia, M Angeles Gomez-Rodriguez, Elisa Espelosin-Ortega and Francisco Santolaria-Fernandez
Article Type: Research Article | First Published: January 27, 2017
Chronic alcoholic myopathy is a common complication of alcoholism, leading to muscle atrophy and reduced muscle strength. Sclerostin inhibits bone synthesis in situations of reduced load, such as prolonged bed rest or spinal cord injury. The aim pf this study is to analyze the behavior of serum sclerostin in chronic alcoholic myopathy....
Open Access DOI:10.23937/2572-3243.1510029
Carlos Acosta Olivo, J Antonio Ibargüengoytia, Felix Vilchez Cavazos, J Fernando de la Garza Salazar, J Alberto Moreno, Victor Peña Martinez and Eloy Cardenas Estrada
Article Type: Research Article | First Published: January 26, 2017
We conducted a prospective, longitudinal, randomized clinical trial on patients aged 5-16 years with diaphyseal femur fractures. All patients weighed more than 30 kg and exhibited no evidence of distal neurovascular compromise or severe polytrauma. We evaluated radiographic consolidation and knee flexion and extension mobility....
Open Access DOI:10.23937/2572-3243.1510028
Alan W Reynolds, AB and April D Armstrong, MD, FRCSC
Article Type: Case Report | First Published: January 24, 2017
Magnetic resonance imaging (MRI) accounts for a significant proportion of the cost to manage patients with shoulder pain. Improved decision making for MRI use could result in a meaningful reduction in the total number of studies ordered and thereby costs of treating shoulder pain. This study aimed to document MRI ordering patterns for patients with shoulder pain and to propose a protocol to guide efficient management of these patients....
Open Access DOI:10.23937/2572-3243.1510027
Masaki Fujioka, Kiyoko Fukui and Satoko Ishiyama
Article Type: Case Report | First Published: November 01, 2016
Tocilizumab is a monoclonal antibody directed against the interleukin-6 receptor and used for the treatment of rheumatoid arthritis (RA). However, patients treated with tocilizumab have risk of infection, such as necrotizing fasciitis (NF). We report two cases of NF involving patients who had been treated with tocilizumab, and highlight the risk of serious soft tissue infection....
Open Access DOI:10.23937/2572-3243.1510026
Matthew R Kaufman, Lisa Schneider, Andrew I Elkwood, Kameron S Rezzadeh and Reza Jarrahy
Article Type: Original Article | First Published: October 24, 2016
Background: Diaphragmatic paralysis may occur as a result of dysfunction in the central nervous system or phrenic nerves leading to inspiratory muscle weakness and a restrictive ventilatory deficit. Phrenic nerve reconstruction and diaphragm pacemakers have each been studied independently as effective therapeutic modalities. Methods: We report three cases of diaphragmatic paralysis in patients with particularly complex pathological processes to investigate the use of multi-modality therapy consi...
Open Access DOI:10.23937/2572-3243.1510025
Nieves Marie Leonardo and Julian McNeil
Article Type: Case Report | First Published: October 22, 2016
Deep vein thrombosis (DVT) in the lower extremities is a common medical presentation. Anticoagulation is the cornerstone of management. However, not all DVTs require anticoagulation. We report a case of DVT in a patient with Behcet's Syndrome where venous inflammation is the primary pathology and anti-inflammatory therapy is primary and the role of anti-coagulation is moot....
Open Access DOI:10.23937/2572-3243.1510024
Takashi Nagai, Heather M Bansbach, Mallory S Faherty, John P Abt, Timothy C Sell and Scott M Lephart
Article Type: Research Article | First Published: October 05, 2016
Prolonged exposure to seated whole-body vibration (WBV) is considered a risk factor for neck pain (NP) and low back pain (LBP) in aircrew. Decreased trunk proprioception following WBV exposure has been previously reported. Proprioceptive feedback from the mechanoreceptors of the neck and trunk regions plays an important role in maintaining proper postural stability; therefore, it was hypothesized that WBV exposure would negatively affect both cervical/trunk proprioception and postural stability,...
Open Access DOI:10.23937/2572-3243.1510023
Middei Sonia, Pasqualucci Simona and Martin-Martin Luis Severino
Article Type: Research Article | First Published: October 03, 2016
Rheumatic chronic diseases (RCD) are among the most common chronic non-communicable diseases. They are the leading cause of disability in developed countries, and consume a large amount of health and social resources. The purpose of this preliminary study (PHOENIX PROJECT) was to evaluate changes in the quality of life of patients suffering from RCD followed by talks in Group Counseling for emotional support. Group Counseling talks for emotional support is a behavioural intervention to facilitat...
Open Access DOI:10.23937/2572-3243.1510022
Begum Gokce and Burcak Kaya
Article Type: Short Review | First Published: September 30, 2016
Functional matrix theory is the most widely accepted theory of craniofacial growth recently. Moss and Salentijn, have suggested that the craniofacial growth is the result of the changes in functional matrix. Accordingly, neither bone nor cartilage is responsible for the growth of the craniofacial skeleton. The growth of the face, is formed by the growth of the soft tissues as a result of functional requirements. The soft tissues grow; and bone and cartilage react....
Open Access DOI:10.23937/2572-3243.1510021
Harvey W Wallmann and William R VanWye
Article Type: Research Article | First Published: September 15, 2016
Osteoarthritis (OA), referred to as degenerative joint disease, affects over 30 million U.S. adults, accounting for billions of dollars spent on joint replacements and lost work. Modifiable risk factors for developing OA include excessive body mass, joint injury, muscle weakness, and occupation as well as non-modifiable factors such as female gender, increasing age, and genetic predisposition....
Open Access DOI:10.23937/2572-3243.1510020
Marcus Vinicius Danieli
Article Type: Short Review | First Published: September 12, 2016
The hyaline cartilage structure is very complex, with few cells, and without blood and lymphatic vessels or nerves. This makes the healing potential very limited. Knee cartilage injuries are very common, and its treatment is a major challenge. Surgical options available nowadays like chondroplasty, microfractures, mosaicplasty and autologous chondrocyte transplantation still doesn't have satisfactory results, mainly in long term....
Open Access DOI:10.23937/2572-3243.1510019
Miyuki Takasu, Chihiro Tani, Yoko Kaichi, Baba Yasutaka, Chikako Fujioka, Masao Kiguchi, Kumi Oshima, Yoshiaki Kuroda, Akira Sakai, Tatsuo Ichinohe and Kazuo Awai
Article Type: Original Research | First Published: August 16, 2016
A total of 22 vertebral bodies from 14 patients with multiple myeloma were examined by 64-detector row CT prior to follow-up CT that showed new pathologic spinal fractures. Tissue bone mineral density (tBMD), trabecular parameters, and mechanical properties were calculated for three vertebrae, comprising a vertebra that would become fractured and the two adjacent vertebrae. Areas of lytic lesions were also obtained in the axial images containing the largest lytic lesions....
Open Access DOI:10.23937/2572-3243.1510018
M Brodbeck, A Spiegel, J Hunt and J Gruenert
Article Type: Research Article | First Published: August 16, 2016
The purpose of the study was to test the mechanical fatigue properties (fatigue limit and fatigue strength) of two locking plates designed for the distal ulna. Distal Ulna Plate 2.5 (Medartis, Basel, Switzerland) and 2.0 mm LCP Distal Ulna Plate (DePuySynthes, West Chester (PA), USA) were used....
Open Access DOI:10.23937/2572-3243.1510017
Brunt LH, Kague E and Hammond CL
Article Type: Review Article | First Published: July 14, 2016
Osteoarthritis (OA) is an increasingly common degenerative joint condition, estimated to affect more than 100 million people worldwide and more than 40% of people over 70 years of age. There is currently no pharmacological cure. The genetic contribution to osteoarthritis is estimated at between 39 and 60% in knee and hip OA respectively and a number of Genome Wide association studies have identified a number of alleles and loci that confer increased susceptibility to OA....
Open Access DOI:10.23937/2572-3243.1510016
Matthias Sczesny-Kaiser, Rebecca Kowalewski, Mirko Aach, Dennis Grasmucke, Thomas A Schildhauer, Matthias Vorgerd and Martin Tegenthoff
Article Type: Video Case Report | First Published: July 02, 2016
Objective: HAL robot suit is a new voluntary driven exoskeleton for the lower limbs. It has already been demonstrated to improve walking functions in spinal cord injury and stroke patients. So far, it is not known if HAL training may be beneficial in patients with limb girdle muscular dystrophy, too....
Open Access DOI:10.23937/2572-3243.1510015
James H-C Wang and Xavier Nirmala
Article Type: Commentary | First Published: June 30, 2016
Platelet-rich plasma (PRP), popularly called PRP, is almost like a "house-hold" name these days because of its wide recognition by physicians and patients due to its prevalent use. The popularity of PRP is due to its efficacy in treating chronic tendon injury (or tendinopathy) in some clinical studies. It is particularly preferred by elite athletes because PRP injections were reported to accelerate healing and enable quicker return to sport activities....
Open Access DOI:10.23937/2572-3243.1510014
Christina Brady and Anil Dutta
Article Type: Review Article | First Published: June 03, 2016
Medial elbow pain is a common complaint in the active population. The most frequent muscular or tendinous condition to cause medial elbow pain is Medial Epicondylitis (ME). The disorder is classically described as Golfer's elbow due its association with elbow pain caused by excessive eccentric force across the common flexor origin encountered during the golf swing. In the working population, the condition is frequently associated with repetitive use and is seen in manual laborers who require for...
Open Access DOI:10.23937/2572-3243.1510013
Jonathan Theo and Edward Pang
Article Type: Literature Review | First Published: May 21, 2016
Osteoarthritis (OA) is the most common joint disorder in the world. It commonly affects the knee and current treatment options are limited, focusing mainly on symptom relief. It is now known that OA is the result of both mechanical and biological events that disrupt anabolic and catabolic processes in the joint. Recently, research in regenerative therapies has been gaining interest because of its potential to restore normal structure and function following tissue injury. The goal is to use the b...
Open Access DOI:10.23937/2572-3243.1510012
Ricardo Goncalves Schroder, Rob Roy L Martin, Valerie L Bobb, Anthony Nicholas Khoury, Ian James Palmer and Hal David Martin
Article Type: Case Series | First Published: April 27, 2016
The detailed history, physical examination, imaging, diagnostic testing, and physical therapy of six subjects diagnosed with deep gluteal syndrome were retrospectively analyzed and reviewed. Conservative treatment included neuropsychiatry management, intra-muscular injections through CT guidance, intra-pelvic assessment/therapy, and a home exercise program. The Visual analog scale (VAS), modified Harris Hip Score (mHHS) was utilized to measure outcomes of the non-operative treatment....
Open Access DOI:10.23937/2572-3243.1510011
Uwe Lange, Martin Sperling, Katrin Richter, Gabriel Dischereit, Ulf Muller-Ladner and Ingo H. Tarner
Article Type: Original Article | First Published: April 26, 2016
Two groups, each consisting of 12 patients, were treated with standard physiotherapy during a regular inpatient stay. After randomization, one group was also treated with manual mobilization of the thoracic spine for an average of 6 sessions, whereas the other group only received conventional physiotherapy. The primary outcome parameter was the mobility of the thoracic spine represented by the Ott's sign. The secondary outcome parameters were pain (VAS), respiratory function (differences of ches...
Open Access DOI:10.23937/2572-3243.1510010
Philip Bright and Karen Hambly
Article Type: Original Article | First Published: March 30, 2016
Assessing curriculum across undergraduate healthcare education can be challenging with potential heterogeneity. Focus on a subset of healthcare may indicate variability in curriculum content. Knee articular cartilage and associated injury and repair procedures demand attention; debilitation and development of osteoarthritis severely affect patient quality of life. The level to which musculoskeletal (MSK) therapy education encompasses this area across disciplines is poorly understood....
Open Access DOI:10.23937/2572-3243.1510009
Jim A Youssef, Sue Lynn Myhre and B. Sonny Bal
Article Type: Original Article | First Published: March 28, 2016
When non operative actions for degenerative spinal disorders fall flat, surgical intervention frequently becomes the popular choice of treatment. Although the class of pathology matters, the surgical operation will generally include an arthrodesis procedure. The gravity of a successful initial fusion surgery is intensified not only by the growing number of arthrodesis procedures, but also by the rising costs for revisal operations. Additionally, fusion success appears to have an impact on patien...
Open Access DOI:10.23937/2572-3243.1510008
Ferenc Peter, Agota Muzsnai, Laszlo Blatniczky and Peter Lakatos
Article Type: Original Article | First Published: March 28, 2016
These examinations were performed in pre-pubertal and early pubertal white European children living in one of the inner Buda districts of Budapest. This region of the city is populated by slightly more well-to-do families than the average. The selection was made in two schools. All parents of studied children provided written informed consent, enrollment included more than 90% of children in the chosen classes. To avoid the effects of pubertal changes as far as possible, the upper age-limit was ...
Open Access DOI:10.23937/2572-3243.1510007
Ruojie He and Cheng Zhang
Article Type: Review Article | First Published: March 01, 2016
The immune response is a critical mechanism for dystrophic muscle pathology and muscle wasting in Duchenne Muscular Dystrophy (DMD). The inflammatory processes are supposed to associate with activation of the innate immune response like macrophages infiltration, T cell-mediated immune response, generation of cytokines and chemokines and the aberrant activation of NF-kB signaling pathway, which contribute to severe muscle necrosis and fibrosis....
Open Access DOI:10.23937/2572-3243.1510006
Czoch Wojciech, William Hennrikus, Alexander Kish and Douglas Armstrong
Article Type: Research Article | First Published: February 01, 2016
The purpose of this study is to perform a practice management evaluation of CD-ROM imaging. Thirty-three patients who presented with images on a CD-ROM before and 33 patients after the addition of DICOM software were compared. Data collected included; site of origin of the CD-ROM, time in minutes spent to access the images, number of computers tried until images were viewed, cases of failure to view the images, quality of the images on a Likert 1-5 scale, and the need to repeat images....
Open Access DOI:10.23937/2572-3243.1510005
Wing Yum Man, Paul Y Lee and Andrew Rogers
Article Type: Research Article | First Published: December 31, 2015
Background: Platelet-rich plasma (PRP) injections are part of a developing therapy believed to promote healing using the patient's own blood components. Certain studies have shown PRP treatment to be effective in the treatment of various tendinopathies such as lateral epicondylitis. Currently there is no standard method for PRP preparation with manufacturers each claiming various benefits for their system. Purpose: Autologous Conditioning serum (ACP) (Arthrex, Naples, Florida) is a recent develo...
Open Access DOI:10.23937/2572-3243.1510004
Hamdi Kaziz, Thabet Mouelhi, Mohamed Amine Triki, Yamen Grissa, Nader Naouar and Mohamed Laziz Ben Ayeche
Article Type: Case Report | First Published: November 16, 2015
Proximal phalangeal fractures are frequently seen in hand injuries. However, multiple proximal phalangeal fractures are uncommon and they are the direct result of a high energy force. The prevalence of multiple phalangeal fractures in our hospital is estimated at roughly 3 cases each year but rarely multiple displaced fractures have been reported. The treatment depends on whether they are displaced, comminuted, compound, intraarticular, spiral, or avulsion injuries. Simple minimally displaced fr...
Open Access DOI:10.23937/2572-3243.1510003
Matthew B Carroll and Christopher M Tessier
Article Type: Original Research Article | First Published: October 14, 2015
Recent studies are lacking in assessing presence of both the anti-gastric parietal cell (GPC) antibody and concurrent vitamin B12 deficiency in Rheumatoid Arthritis (RA) patients in the era of more aggressive disease modifying therapy. We recruited patients to one of three arms: those with RA, autoimmune thyroid disease (AITD), and no known autoimmune disorder (controls). A one-time serum assessment of vitamin B12 level, methylmalonic acid, and anti-GPC antibody level was performed....
Open Access DOI:10.23937/2572-3243.1510002
Glenn Brown, Kayne Park and Ryan T Bicknell
Article Type: Review Article | First Published: September 28, 2015
The shoulder is the most mobile joint in the body and is comprised of an intricate complex of muscles, tendons, and ligaments. Due to thismobility and heavy reliance on arms, shoulder injuries are one of the most debilitating and common disorders afflicted in the workplace. They have been categorized as a high impact injury by the workplace safety and insurance board (WSIB) of Ontario due to the long recovery and return to work (RTW) times....
Open Access DOI:10.23937/2572-3243.1510001
Y. Osawa, Y. Oguma, T. Hashimoto and Naokata Ishii
Article Type: Review Article | First Published: September 21, 2015
We investigated the effects of short-term WBVT program for rehabilitation after ACL reconstruction on postural control, knee position sense, and knee laxity. This review was restricted to randomized controlled trials, which investigated the rehabilitation effects of WBVT on physical function compared with conventional rehabilitation program. Data from a total of 99 participants with ACL reconstruction in 3 studies were included. Articles with high risk of bias were included based on the criteria...
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