Biological strategies in rotator cuff repair: a clinical application and molecular background.

Conventional repair of rotator cuff tears bears a variable but significant risk of incomplete healing. Biological therapies that accompany surgical rotator cuff repair include platelet-rich plasma, stem cells of different origins, and biological scaffolds. Biological therapies facilitate the regeneration of the correct microarchitecture of the tendon attachment to the bone and reduce failures after surgical rotator cuff repair.

Large language models' performances regarding common patient questions about osteoarthritis: A comparative analysis of ChatGPT-3.5, ChatGPT-4.0, and perplexity.

Background: Large Language Models (LLMs) have gained much attention and, in part, have replaced common search engines as a popular channel for obtaining information due to their contextually relevant responses. Osteoarthritis (OA) is a common topic in skeletal muscle disorders, and patients often seek information about it online. Our study evaluated the ability of 3 LLMs (ChatGPT-3.

Learning curve for combined reconstruction of the anterolateral and anterior cruciate ligaments: a report of 108 cases with a single surgeon.

Background: Anterior cruciate ligament (ACL) rupture is a common lesion among young sports players, for whom isolated surgical repair remains the gold standard. However, there is a high risk of re-rupture after ACL reconstruction. Recent results of ACL reconstruction combined with reconstruction of the anterolateral ligament (ALL) have shown a significant decrease in this risk.

Is pre-operative block-test with lidocaine injection efficient in predicting the functional result of revision total hip arthroplasty?

Background: While performing a hip joint aspiration for culture, a lidocaine diagnostic injection called block test can be performed during the investigation of painful total hip arthroplasties (THA). This test was formerly applied to limited series in pre-operative and without assessing the predictive value on the results of THA revision. Therefore we investigated a consecutive series of THA revisions who underwent pre-operative aspiration-block test to determine if patients with pre-operative positive block test (disappearance of symptoms) have a better clinical improvement after revision.

Translation, cross-cultural adaptation, and clinimetric properties evaluation of the Danish version of the Anterior Cruciate Ligament - Return to Sport after Injury scale (ACL-RSI).

Purpose: To translate and cross-cultural adapt the Anterior Cruciate Ligament-Return To Sport After Injury (ACL-RSI) questionnaire into Danish (ACL-RSI-DK) and evaluate the psychometric properties with the purpose to identify the psychological readiness on returning to sport (RTS).

Methods: The ACL-RSI-DK followed a six-step translation and cultural-adaptation process. Statistical analysis included correlation for construct validity of the ACL-R-DK with the Lysholm, KOOS and K-SES.

Effect of Platelet-Rich Plasma Injection on the Treatment of Achilles Tendinopathy: A Systematic Review and Meta-analysis.

Background: Achilles tendinopathy is a common condition without a reproducible and timely treatment modality. Platelet-rich plasma (PRP) injection has been proposed as an enticing treatment option, but there is no consensus regarding its effectiveness.

Purpose: To pool the available data and evaluate the evidence of the effect of PRP injections on Achilles tendinopathy.

Addressing Knee Osteoarthritis Pathology Through Platelet-Rich Plasma Treatment: A Comprehensive Review.

Platelet-rich plasma (PRP) is gaining popularity across various medical fields, including orthopedics, for its potential in tissue regeneration and wound healing. As intra-articular treatments evolve, PRP has emerged as a promising option for managing knee osteoarthritis, meniscus, and ligament injuries. This review aims to provide an update on the current applications of PRP in treating knee osteoarthritis and its clinical implications in orthopedic and sports medicine.

Physical Activity and Eating Habits of Polish Navy Soldiers and Border Guard Officers-A Comparative Analysis.

Background: Physical fitness and a healthy body mass are important predictors of a good performance of military tasks. The purpose of this study was to assess the physical activity level and nutrition, in terms of the frequency of consumption of individual food groups, of Polish Navy soldiers and Maritime Unit of the Border Guard officers.

Materials And Methods: This study was conducted on 131 Polish Navy soldiers aged 33.

Prognostic Factors in Patients Undergoing Physiotherapy for Chronic Low Back Pain: A Level I Systematic Review.

: Low back pain is common. For patients with mechanic or non-specific chronic LBP (cLBP), the current guidelines suggest conservative, nonpharmacologic treatment as a first-line treatment. Among the available strategies, physiotherapy represents a common option offered to patients presenting with cLBP.

Tenascin-C-Matrix Metalloproteinase-3 Phenotype and the Risk of Tendinopathy in High-Performance Athletes: A Case-Control Study.

Tendon structure is predominantly composed of the extracellular matrix (ECM), and genetic variants in non-collagenous ECM components may influence susceptibility to tendinopathy. We investigated the potential influence of single nucleotide polymorphisms (SNPs) in fibrillin-2 (), tenascin-C (), and matrix metalloproteinase-3 () on the tendon regeneration failure phenotype and impact on the susceptibility to tendinopathy in Brazilian high-performance athletes. This case-control study was conducted with 397 high-performance athletes from different sports modalities (197 tendinopathy cases and 200 controls), and they were analyzed by validated TaqMan SNP genotyping assays of the SNPs (rs331079), (rs2104772), and (rs591058).

Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain-The 8:1 Block.

Upper Crossed Syndrome (UCS), described by Vladimir Janda, is characterized by postural changes involving the cervical spine and trunk, leading to biomechanical limitations and cervicoscapulobrachial pain. This study proposes a mesotherapy protocol, termed the 8:1 block, to address cervicoscapulobrachialgia by targeting the scapulae and associated musculature. The scapula, central to shoulder girdle kinematics, often exhibits dyskinesis and muscular imbalances, notably the pattern referred to as scapular upper trapping (SUT).

Functional performance profile of Under-20 soccer athletes from a Brazilian first division team during the COVID-19 pandemic: A descriptive study.

Background: The COVID-19 pandemic led to widespread social isolation and the suspension of sports activities, significantly impacting the physical and psychological performance of athletes worldwide, particularly soccer players. This study aims to evaluate the effects of pandemic-related training suspensions on the functional performance of U-20 soccer players from a first-division club in Rio de Janeiro.

Methods: Forty-one male U-20 soccer players were assessed during the preseason (PS) periods of 2020 and 2021.

Runners have more latent myofascial trigger point than non-runners in medialis gastrocnemii.

Objectives: The goals of this study were to i. describe the prevalence of latent myofascial trigger points (MTrPs) in the medialis gastrocnemius in runners versus non-runners, and ii. examine their level of pain and stiffness.

Effects of a Specific Trunk and Shoulder Strength Training Program on Throwing Velocity and Accuracy: A Study Among Hungarian First-League Female Handball Players.

The aim of the study was to record shoulder and trunk stability of elite female handball players and to investigate their effect on throwing velocity and accuracy. 151 female handball players (9 teams in total) from the Hungarian first league participated in a mid-season conditional survey. The study included tests of trunk and shoulder stability, and measurements of factors affecting shoulder stability, as well as throwing speed and throwing accuracy.

Osteosynthesis with anatomic reduction after malleolar fractures improves ten years outcome: a single center trial.

Introduction: Malleolar fractures are the most common ankle fractures and a major risk factor for ankle osteoarthritis in the long-term. Little is known about modifiable risk factors for a satisfactory outcome. This study aimed to assess the long-term clinical, functional and radiological outcomes in patients after osteosynthesis.

Functional Recovery After Hip Arthroplasty with a Minimal Invasive or Classical Approach Eight Years After Intervention.

The aim of this study was to investigate differences in functional recovery eight years after total hip arthroplasty in patients who underwent hip joint surgery using two different approaches: the classic lateral approach and the anterolateral minimally invasive surgical approach. Eight years after the hip replacement, 68 subjects, 32 in the classic and 36 in the minimally invasive group, underwent follow-up measurements involving the Harris Hip Score (HHS), range of motion, strength of the abductor muscles, 50-m walk time, body mass index (BMI), physical activity questionnaire, and visual analogue scale (VAS) pain during general activities. Higher HHS ( < 0.

Metatarsal fracture without Lisfranc injury.

Metatarsal fractures are frequent, at one-third of all fractures in the foot. The present study reviews the field, addressing 4 questions. Isolated or associated, benign but, in case of crush injury, sometimes severe, prognosis varies and sequelae can be serious.

Plate or Arthroplasty for complex Mason Type-III Radial Head Fractures? Mid-to-long term results from a blinded outcome assessor study.

Background: The surgical treatment of radial head fractures like Mason type III comminuted radial head fractures is challenging and controversial. Whether to use open reduction and internal fixation (ORIF) or radial head arthroplasty (RHA) as treatment methods is under constant debate.

Methods: We retrospectively analyzed clinical and radiographic mid- to long-term results of 42 patients with a mean follow-up time of 4.