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Comparison of hook plates vs. locking plates for Neer type IIB fractures of lateral end clavicle: A systematic review.
Chin J Traumatol
February 2025
Department of Trauma and Orthopaedics, Scunthorpe General Hospital, Scunthorpe, DN15 7BH, United Kingdom.
Purpose: Surgical management of the lateral end of clavicle fractures has been a challenge for orthopedic surgeons considering the high rate of non-union. There has been no right and wrong answer to these types of fractures and many methods discussed in the literature, but the 2 most used bony procedures are hook plate and locking plate with or without the use of supplementary soft tissue procedures. The available evidence, in this case, is scarce with questionable reliability.
View Article and Find Full Text PDFFungal arthritis.
Best Pract Res Clin Rheumatol
March 2025
Department of Rheumatology, Allergy and Immunology Tan Tock Seng Hospital, 11, Jalan Tan Tock Seng, 308433, Singapore. Electronic address:
Fungal arthritis is a rare infection with a global distribution that affects neonates, the elderly, and immunocompromised individuals, resulting in severe outcomes. It presents a challenge for healthcare professionals due to its rarity, lack of characteristic features, and difficulty isolating and identifying responsible organisms. Studies on their pathophysiology and treatment have been limited, and evidence-based treatment options are lacking.
View Article and Find Full Text PDFStaged orchiopexy in low intra-abdominal undescended testis with short spermatic cord: Open traction vs. Laparoscopic Fowler-Stephens - A matter of surgeon preference.
J Pediatr Urol
March 2025
Department of Pediatric Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:
Introduction: Among techniques for short spermatic vessels in nonpalpable undescended testis (UDT), the Fowler-Stephens (F-S) procedure is the most favored. However, traction methods have regained popularity with gradual testicular tension for elongation to avoid ligating the spermatic vessels.
Objective: To compare two techniques for low intra-abdominal UDT with a short spermatic cord: staged laparoscopic F-S and a modified staged open traction technique, and to determine if long-practicing surgeons should change their preferred method.
Motor cortex repetitive transcranial magnetic stimulation in fibromyalgia: a multicentre randomised controlled trial.
Br J Anaesth
March 2025
LIM 62 - Pain Center, Department of Neurology, São Paulo, Brazil; Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, University of Aalborg, Gistrup, Denmark. Electronic address:
Background: Despite affecting 2-4% of the population worldwide, fibromyalgia often remains refractory to treatment. Here we report the first international randomised double-blind, sham-controlled trial developed to assess the efficacy of repetitive transcranial magnetic stimulation (rTMS) as an add-on therapy for fibromyalgia.
Methods: Women aged ≥18 yr with fibromyalgia refractory to best available treatment were enrolled in Brazil, France, and Japan, and randomised to 10 Hz motor cortex (M1) rTMS, 3000 pulses day, or sham stimulation.
Social, cultural and ethnic determinants of obesity: From pathogenesis to treatment.
Nutr Metab Cardiovasc Dis
February 2025
Department of Systems Medicine, University of Rome Tor Vergata, Obesity Medical Center, University Hospital Policlinico Tor Vergata, Rome, Italy.
Aims: Obesity is a multifactorial disease influenced by several factors including poor diet, physical inactivity, and genetic predisposition. In recent years, the social and environmental context, along with race/ethnicity and gender, have been recognized as factors influencing obesity risk beyond traditional risk factors. This review aims to increase knowledge of these causal determinants and their implications for the treatment and management of obesity, addressing not only the individual but also the societal sphere.
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