bluuebunny/crossref_metadata_2025_split huggingface dataset:
Controversies of the Plantar Fasciitis
Authors: Desnantyo Andre Triadi 
Published: October 2024

Plantar fasciitis commonly reflects a repetitive strain injury of foot’s plantar fascia structure cause by overuse standing or weight bearing activities. Plantar fascia not really a tendon ; it’s sheet of connective tissue (fascia) from bone at back foot to bone at in front, and more like a ligament. This tissue spanning the arch of the foot and stretch from the heel to toes. The pain is caused by chronic irritation of the arch of the foot due to excessive strain of the plantar fascia as the bow’s string and location of the pain is closely to the heel. Pain hits when get up after a period of sitting or rest. Morning pain is a signature symptom of plantar fasciitis. In fact, the plantar fasciitis found so little inflammation and shows collagen degeneration-disorganization, so better to use a more generic suffix – like ‘opathy’ (diseased) or osis (condition) become fasciosis. And degeneration in plantar fascia is similar to the chronic necrosis of tendinosis (dying tissue). Inflammation and necrosis are not the same medical situation, and understanding the differences is essensial for adequate treatment. Bone spurs on the heel or calcaneal spurs get the blame often for plantar fasciitis because it seems so obvious and simple known after x-ray examination. Heel spurs merely a modest calcification of the plantar fascia. The spurs is brittle and thin so that are not as much of painful mechanical problem. Statistically about 10-20% of the population has this spurs and thats lots of people have painless spurs. But the spurs are probably more painful at plantar fasciitis symptoms when other factors are present. In the other hand, examining the foot with ultrasound might turn up some other obvious cause of plantar foot pain, for example thickening of fascia. The evidence shows a connection between fascia thickening, flat feet and plantar fasciitis, but cannot confirmed that thickened plantar fascia is the caused. Treating plantar fasciitis with all available modalities is more rationale consideration because plantar fasciitis has more variable origin and condition, so that is why respond after treatment might be different in each other cases, especially in a chronic plantar fasciitis or stubborn overuse injury.
Bucket-Handle Meniscus Tear Management with Meniscectomy Versus Repair
Authors: Sakti Muhammad 
Published: October 2024

A torn meniscus is one of the most common knee injuries. Bucket handle tears make up about 10% of all meniscus tears. A bucket handle meniscus tear can happen to anyone, but it's more likely to occur if you play sports or exercise frequently. Twisting your knee while running or pivoting may cause a bucket handle meniscus tear. After a bucket-handle meniscus tear, a partial meniscectomy by arthroscopy is recommended, when a meniscal suture is impossible. Short-term results of meniscectomy after bucket-handle meniscus tear, without cartilage or ligament additional injury, are mostly excellent: pain and blocking disappear, return to sports activities is possible. But the clinical and radiological long-term outcomes are worse after meniscectomy than after meniscus preservation. The consensus clearly states that numerous meniscus tears that were considered irreparable should be repaired, e.g., older tears, tears in obese patients, long tears, etc. Bucket-handle meniscus tears are common knee injuries that are often treated surgically with meniscectomy or meniscal repair. the current data revealed that only 24.0% of surgically treated bucket-handle meniscus tears were treated using repair. Identification of patient, socioeconomic, and hospital factors differentially associated with meniscal repair suggest that other factors may systematically influence surgical decision-making for this patient population. However, repair of a displaced bucket handle tear of the meniscus can be technically challenging. When repair is required, surgery should be performed as early as possible. Evidence that biological enhancement such as needling or the application of platelet-rich plasma would improve healing was not identified. Preservation of the meniscus should be considered as the first line of treatment because of an inferior clinical and radiological long-term outcome after partial meniscectomy compared to meniscus repair. We use an all-inside suture device on the middle and posterior part of the tear The anterior part of the tear is repaired with an outside-in method. Postoperatively, patients will be nonweight-bearing on the operated limb, and range of motion restricted from 0 to 90° for 6 weeks, with the aim of resuming running by 6 months.
Arthroscopic Management of Stiff Elbow
Authors: Kholinne Erica 
Published: October 2024

Restoration of motion in a stiff elbow is complex, time-consuming, and costly. Traditionally, a stiff elbow has been defined as having less than 100 degrees of motion arc in the pronosupination and flexion-extension plane. However, this definition may not be sufficient and accurate anymore. Stiff elbow is often underestimated because the traditional belief is that the elbow is not a weight-bearing joint. However, recent studies have shown that the elbow bears loads created by gravity and muscle contraction, and stiffness of the elbow increases load-bearing during resting and arm swing motion. Stiffness of the elbow can be caused by intrinsic and extrinsic components, which can later be mixed. If degeneration is the background of the disease, then the bony component is more dominant. At the same time, if post-traumatic is the background of the disease, then the soft tissue component is more dominant. Limitations of flexion are usually caused by a bony block in the anterior compartment and soft tissue contracture in the posterior part. On the other hand, a limitation in extension is usually caused by a bony block in the posterior compartment and soft tissue contracture in the anterior part. Treatment of the stiff elbow ranges from debridement surgery to reconstruction surgery. Arthroscopic osteocapsular arthroplasty is one of the options for treating a stiff elbow. However, it has its challenges, such as a steep learning curve, limited working space, and limited indication in a stiff elbow with advanced-stage elbow osteoarthritis. It benefits patients because of less pain and less intra-articular bleeding, with the premise for early exercise and rapid return of function. During an arthroscopic osteocapsular release, release to the medial collateral ligament can improve flexion. However, good visualization during MCL release is mandatory to avoid ulnar nerve injury and perform adequate release. Prophylactic ulnar nerve release prior to arthroscopic osteocapsular release is recommended for patients with less than 90 degrees of preoperative elbow flexion. Arthroscopic osteocapsular release provides the same functional score compared to open osteocapsular release in primary elbow OA with a stiff elbow. However, the open group can expect a greater flexion arc due to better visibility during the MCL procedure. Arthroscopic osteocapsular release for post-traumatic stiff elbow showed better range of motion gain in extra-articular fracture cases compared to intra-articular fracture cases. Stiff elbow is challenging, and arthroscopic limitations are especially significant for severely limited flexion motion cases or advanced cases. Arthroscopic management should be avoided if the anatomy is distorted.
Outcome of the Nirschl Technique for Treating Tennis Elbow: A Systematic Review
Authors: Sihotang Airlangga B P , Harvy M Marsheila 
Published: October 2024

Introduction & Objectives: In the modern era, marked by remarkable advancements in medical science and technology, open surgery often referred to as conventional or traditional surgery including in the managmenet of lateral epicondylitis or tennis elbow. Despite being introduced approximately 40 years ago, there are scarce information regarding the outcome of the Nirscl technique. To date, there are no reviews regarding the outcome of such technique in lateral epincodylitis. We aim to investigate the clinical results of surgical treatment of lateral epicondylitis using the Nirschl technique. Materials & Methods: A systematic literature search was performed in PubMed, Google Scholar, Sciencedirect, and Cochrane in August 11, 2023. The studies were critically appraised using the Rayyan. We included studies involving adult patients (>16 years) diagnosed with lateral epicondylitis that had undergone the Nirschl surgical procedure. There was no language and date restriction. Outcomes that were recorded were pain scale, scorings, rate of returning to sports or work, number of revision surgeries required, and patient satisfaction. Results: From a total 614 studies, 9 studies involving 561 elbows were included in this review. The mean duration of follow-up ranged from 6 months to 12.6 years. The available data suggested the patient who underwent the surgery were mostly ended up with an excellent condition. The mean pain of the patients were decreased. Almost all patients reported with no complication and returned to work or sport. Conclusion: The Nirschl technique offers satisfactory outcome for those with lateral epincodylitis, with majority of the patients return to sports or work. However, as this review was limited by level of evidence of the studies, more prospective studies are required to investigate the outcome of such technique.
Single bundle vs double bundle for anterior cruciate ligament reconstruction evaluated with T2 mapping: A case series
Authors: Nelwan Bobby N. , Lubis Andri M.T. , Dilogo Ismail H. , Hanitya Alberto L. 
Published: October 2024

Introduction: ACL reconstruction is needed to restore the stability and biomechanics properties of the injured knee joints in order to reproduce the function of the native ACL. The single-bundle (SB) and double-bundle (DB) techniques are most commonly used to reconstruct the injured ACL. However, its superiority upon each other is still controversial. The goal of this case series is to determine the superiority of either methods of ACL repair in terms of postoperative joint stability. Materials and methods: This study presented a case series of six patients underwent ACL reconstruction, consisted of three patients with SB ACL reconstruction and three patients with DB ACL reconstruction with further T2 mapping for joint instability evaluation. Only two DB patients showed consistent decreased value in every follow-up. Results: ACL tear can generate joint instability. Joint instability is resulted from two mechanisms of relative cartilage overloading. First, there is an abnormal load distribution due to shifting of the center of pressure of the tibiofemoral force, resulting in increased stresses on the articular cartilage of the knee joint. There is also an increase of translation between articular surfaces, resulting in increased shear stresses on the articular cartilage. A trauma of knee joint causes cartilage damage and increased oxidative and metabolic stress of chondrocytes, resulting in chondrocyte senescence acceleration. Conclusion: This case series showed inconsistent results to determine either SB or DB has a better outcome in joint instability, thus further larger studies are needed.
Risk Factors for Graft Rupture following ACL Reconstruction Surgery: A Systematic Review
Authors: Dewantara Armansyah Nur , Wien Aryana I Gusti Ngurah , Febyan  
Published: October 2024

Introduction & Objectives: Anterior Cruciate Ligament (ACL) injuries are common in sports-related activities and often require reconstruction surgery to restore knee stability. Graft rupture, the failure of the reconstructed ACL graft, remains a significant concern post-surgery. This systematic review and meta-analysis aim to identify risk factors associated with graft rupture, including age, graft type, and meniscal injuries, to enhance clinical decision-making and patient outcomes. Materials & Methods: A comprehensive literature search was conducted in multiple electronic databases. Studies meeting inclusion criteria were analyzed for age distribution, graft type impact, and the association between meniscal injuries and graft rupture. Data were extracted, and the risk of bias was assessed using standardized criteria. Results: Five studies met the inclusion criteria, providing insights into risk factors for graft rupture. Younger age consistently emerged as a significant risk factor for graft failure due to increased activity levels, biomechanical demands, and physiological factors. Graft type, specifically hamstring tendon grafts, showed a slightly elevated risk of failure compared to quadriceps tendon grafts. Meniscal injuries were associated with increased graft failure risk, potentially due to altered biomechanics and impaired graft integration. These risk factors interact and contribute to the overall outcome of ACL reconstruction. Conclusion: The interplay of age, graft type, and meniscal injuries significantly influences graft rupture risk in ACL reconstruction. Addressing each risk factor within the context of the patient's profile is essential for successful treatment. Individualized treatment plans should be developed, accounting for patient demographics, lifestyle, and injury characteristics. Further research into the underlying mechanisms connecting these risk factors could lead to targeted preventive strategies and improved patient outcomes.
Future Potential of Stem Cells Conditioned Medium (Secretome) in Knee Cartilage Healing: A Systematic Review
Authors: Adisthanaya Surya , Febyan  , Astawa Putu , Wien Aryana Gusti Ngurah 
Published: October 2024

Introduction and Objectives: Articular cartilage injuries, caused by trauma, genetic predisposition, and degenerative changes, are characterized by limited self-repair abilities due to the absence of blood vessels and restricted progenitor cell entry. Osteoarthritis (OA) is a common condition, progressively eroding articular cartilage and impacting all joint tissues. Mesenchymal Stem Cells (MSCs) offer promising stem cell-based therapies for cartilage regeneration, with their secretome playing a vital role in tissue repair. MSC-derived exosomes have demonstrated beneficial effects in promoting cartilage regeneration and preventing degeneration. This review highlights the potential of MSCs in cell therapy for repairing articular cartilage defects and related issues. Materials and Methods: In this systematic review PubMed, MEDLINE, the Cochrane Library, Scopus, Web of Science, and Science Direct were searched up to 27 July 2023. The ARRIVE criteria were used to assess the risk of bias. Results: Of the 63 screened studies, based on the inclusion and exlusion criteria, 6 studies met the eligibility criteria to systematically reviewed. Theres a significance of synovial membrane-derived MSCs (SMMSCs) in cartilage repair due to their close relation to chondrocytes and enhanced chondrogenic potential. We also found specific microRNAs to enhance the effectiveness. To enhance the impact of MSC exosomes, we have explored methods for effectively retaining them at the cartilage defect site. Conclusion: It was demonstrate strong support for the promising potential of Stem Cells Conditioned Medium (Secretome) in facilitating knee cartilage healing.
Single Bundle vs. Double Bundle ACL Reconstruction: Is there any difference in Joint Stability and Subjectivity?
Authors: Manalu Vinalola , Marsetio Aldo Fransiskus , Nelwan Bobby 
Published: October 2024

Introduction: Anterior cruciate ligament rupture (ACL) is one of the most frequent orthopedic sport injuries. Total rupture of ACL can be managed either with single bundle (SBACL) or double bundle (DBACL) reconstruction techniques. The aim of the study was to compare surgical outcomes with joint stability and subjectivity outcomes to analyze whether DBACL reconstruction is superior than SBACL. Methods: A cohort study was conducted in total ACL rupture patients between 2019-2022 at Gatot Soebroto Central Army Hospital. Fourty three male patients were included in this study, with 22 patients in SBACL group and 21 patients in DBACL group. The International Knee Documentation Committee (IKDC) and Lysholm scores were used to subjectively evaluate the function of the knee joint before the surgery and the postoperative follow-up at three and six months. Both groups were measured by Lachman test, Pivot test, and rolimeter for joint stability. Results: The results of patient reported outcomes using IKDC and Lysholm scores showed no significant difference in both groups before surgery and after three-month and six-month follow-ups (p=0.401; p=0.054; p=0.066 and p=0.345; p=0.217; p=0.082), although the mean value from each group had improved. Joint stability was measured using Lachman test (p=0.849; p=0.126; p=0.466), Pivot test (p=0.877; p=0.678; p=0.904), and rolimeter (p=0.395; p=0.566; p=0.455) also showed no significant differences. Conclusion: The study showed non superiority between single bundle ACL reconstruction and double bundle ACL reconstruction in joint stability and subjectivity.
An extraordinary case of Buschke–Lowenstein tumor: multiple localization, malignant transformation, and clinical insights—a case presentation and literature review
Authors: Müdüroğlu Mustafa , Güllüoğlu Yaşar Barış , Taşlıpınar Melike , Uymaz Derya Salim , Büyükbabani Nesimi , Ağaoğlu Galip , Kordan Yakup , Özkan Arif 
Published: October 2024

Abstract
Background
Buschke–Lowenstein (B–L) tumors are rare, aggressive warty lesions that can grow to enormous sizes and have a risk of malignant transformation despite their benign histology. These tumors are primarily caused by HPV types 6 and 11, with additional risk factors, including immunodeficiency, multiple sexual partners, poor hygiene, and a history of other genital infections. The typical treatments include topical medications, cryotherapy, chemotherapy, radiotherapy, and surgery. Surgery is considered the gold standard, particularly for extensive and infiltrative lesions, as demonstrated in our case.

Case presentation
We report a case of a male patient with perianal and penopubic B–L tumors, who had multiple sexual partners and no history of homosexual relationships, presenting with refractory classic condyloma. The perianal tumor exhibited malignant transformation, while the penopubic tumor remained histopathologically benign. Upon admission, the patient showed unusual biochemical blood results, including hypercalcemia and anemia of chronic illness. The operation and postoperative period were managed by a multidisciplinary team. The patient was satisfied with both the cosmetic and functional outcomes. Histopathological examination confirmed the suprapubic lesion as a B–L tumor, whereas the perianal specimen revealed a small focus of squamous cell carcinoma arising from a B–L tumor.

Conclusions
With an experienced multidisciplinary team, excision of the tumor is still the standard treatment for BL tumor. Achieving a negative surgical margin for any SCC foci is of utmost importance to prevent recurrence. Close and careful follow-up is essential due to the high recurrence rate associated with these tumors. Further research is needed to clarify existing controversies and to enrich the literature on this rare phenomenon.
Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (a randomized controlled clinical trial)
Authors: Metwaly Ahmed Abdelsattar , Elzoghby Amira Farid , Abd ElAziz Rawda Hesham 
Published: October 2024

Abstract
Aim
The purpose of this study was to evaluate the performance of polyethylene fiber reinforced resin composite fillings compared to bulk fill resin composite fillings in endodontically treated teeth over a two-year monitoring period.

Method
A total of 240 individuals with endodontically treated lower molars and a moderate amount of tooth structure were divided into two equal groups of 120 each. One group received polyethylene fiber reinforced bulk fill resin composite restorations while the other group received only bulk fill resin composite restorations, both applied as per manufacturer guidelines. Two proficient experienced blinded assessors assessed the restorations using modified USPHS criteria at baseline, 6, 12, and 24 months.

Statistical analysis used
Data analysis involved the utilization of Mann-Whitney U, Friedman’s test, and Nemenyi post hoc test, with age data being displayed as mean and standard deviation. The significance level was established as p < 0.05, and R software was utilized for statistical analysis.

Results
There were no notable distinctions in any parameters or scores between the intervention and comparator groups at various time points. Alpha scores were present for retention, gross fracture, and secondary caries at all follow up intervals.

Conclusion
Both direct resin composite restorations reinforced with polyethylene fibers and direct bulk fill resin composite restorations placed in endodontically treated molars with moderate remaining tooth structure demonstrated satisfactory clinical outcomes during a 24-month follow-up period.

Clinical relevance
Bulk fill resin composites directly placed in endodontically treated molars with moderate remaining tooth structure showed promise as a treatment option over a two-year period.

Clinical trial registration
(06-01-2022) on https://ClinicalTrials.gov with the ID (NCT05180903).
Brief communication: Effect of mobile health intervention on medication time adherence among people living with HIV/AIDS receiving care at selected hospitals in Owerri, Imo State Nigeria
Authors: Ezelote Chinelo Judith , Nwoke Eunice Anyalewechi , Ibe Sally Nkechinyere , Nworuh Blessed Okwuchi , Iwuoha Gregory Ndubeze , Iwuala Chimezie Christain , Udujih Obinna Godwin , Osuoji Joy Nkechi , Inah Alain Simon , Okaba Alexis Ebikonbowei , Asuzu Eleanor 
Published: October 2024

Abstract
Aim
This study aimed to assess the impact of Mobile health (M-health) on medication time adherence among people living with HIV/AIDS (PLWHA).

Methods
The study included all PLWHA who were receiving care at the Federal University Teaching Hospital Owerri (FUTH) and Imo State Specialist Hospital (ISSH) Umugumma during the study duration. The test group (FUTH) received a 2-way text message sent three times a week and a once-a-week phone call, while the control group (ISSH) received only the standard care.

Findings
The result shows that the adherence was higher among PLWHA in the test group compared to those in the control group (P = 0.000, χ2 = 168.62, 95% confidence interval (CI): 7.22 to 16.19).

Conclusion
M-health intervention significantly improved the medication time adherence among the participants in the test group compared to those in the control group.