bluuebunny/crossref_metadata_2025_split huggingface dataset:
Isolated Fourth Carpometacarpal Joint Injury in High-Level Baseball Players: A Case Series
Authors: Stults William P. , Lourie Gary M. , Royal Jeremy T. 
Published: May 2023

Background: We present a case series of high-level baseball players having sustained a rare, isolated injury to the fourth carpometacarpal joint of the nondominant or bottom hand during a jammed swing. Methods: Ten patients were evaluated for ulnar-sided wrist pain and were subsequently diagnosed with fourth carpometacarpal joint synovitis based on physical examination and magnetic resonance imaging revealing increased signal intensity within the joint. Results: Conservative treatment modalities including rest, nonsteroidal anti-inflammatory medications, splinting, and corticosteroid injections resulted in return to play within 4 weeks for all patients. Conclusions: We propose a mechanism of injury involving the bottom hand in relative pronation receiving a dorsally directed force from bat during a jammed swing resulting in isolated injury to the fourth carpometacarpal joint. This report serves to highlight this rare injury in high-level baseball players and recommend a treatment algorithm for early return to play.
Feasibility of ‘Daughters and Dads Cricket’: A programme targeting fathers to improve daughters’ engagement and skills in cricket
Authors: Morgan Philip J , Pollock Emma R , Kennedy Stevie-Lee , Young Myles D , Eather Narelle , Ashton Lee M 
Published: May 2023

Background Utilising fathers to support their daughters and enhance their cricket skills may be an innovative approach to addressing traditional socio-cultural views of cricket relating to gender, by improving girls’ enjoyment, participation and long-term retention in in the sport. Purpose To assess the feasibility of the ‘Daughters and Dads Cricket’ programme. Methods In a single-arm, pre–post study, fathers (n  =  34, 43.1  ±  4.4 years) and daughters (n  =  34, 9.4  ±  1.5 years) from Newcastle, Australia were recruited. The 9-week programme was delivered by trained facilitators and included weekly educational and practical sessions, plus home-based tasks. A priori feasibility benchmarks targeted recruitment (20 dyads), fidelity (≥80%), attendance (≥70%), compliance (≥70%), satisfaction (mean: ≥ 4/5) and retention (≥85%). Preliminary efficacy outcomes included cricket skill proficiency, daughters’ enjoyment in cricket, intention to keep playing cricket and long-term retention in cricket. Results Feasibility benchmarks were exceeded for recruitment (n  =  34 dyads), fidelity (98% education, 100% practical), attendance (88%), satisfaction (fathers: 4.6 of 5, daughters: 4.8 of 5) and retention (97%). Home-programme compliance fell short of the benchmark (64%). Preliminary efficacy was confirmed with medium-to-large effect size changes in 11 of the 13 daughters’ cricket skill proficiency outcomes. Promising findings were identified for daughters’ enjoyment of cricket, intention to continue playing and long-term retention in cricket. Conclusion A cricket-focused programme targeting daughters and dads was feasible and led to medium-to-large improvements in cricket skill proficiency among the daughters. Additionally, daughters were engaged with cricket, as shown by high levels of enjoyment, intention to continue playing and their long-term retention. Examining future efficacy in a larger trial is warranted.
Reducing trauma theatre list delays through improved communication between orthopaedic teams and radiographers: A quality improvement project
Authors: Anazor Fitzgerald , Ekungba-Adewole Mutmainah , Dhinsa Baljinder , Mohammed Omar 
Published: May 2023

Aims: This quality improvement project was performed to improve delays in starting our trauma theatre lists by implementing measures to improve effective communication between the surgical team and the theatre radiographers. Materials and Methods: This was a quality improvement project performed prospectively for 30 orthopaedic trauma lists over two cycles. Only lists requiring fluoroscopy guidance (image intensifier) for the first case were included. Interventions included improvements in use of theatre booking forms with fluoroscopy request checkboxes, dedication of an allocated radiographer for the trauma lists, timely communication of the finalised theatre list order and radiographers participating in the team briefing. Results: Improvements in the timing of fluoroscopy requests and prompt arrival of the radiographer to the theatre were achieved. Furthermore, there was elimination of radiographer-related surgical start time delays following implementation of the interventions. Nevertheless, only minimal improvements were achieved in the participation of the radiographers for the trauma theatre team briefings. Conclusion: Although reasons for trauma theatre delays are multifactorial, this quality improvement project has demonstrated that these delays can be reduced through improved communication between radiographers and the orthopaedic team. This is especially important for theatre cases requiring the use of an image intensifier.
Chronic hippocampal subfield damage in transient global amnesia revealed by 7T MRI: All is not reversible?
Authors: Singh Rahul B , Ahmed Ahmed K , Vibhute Prasanna , Middlebrooks Erik H , Sandhu Sukhwinder JS 
Published: May 2023

Transient global amnesia (TGA) is a neurological condition characterized by temporary memory loss and classically associated with a reversible unilateral punctate focus of restricted diffusion in the cornu ammonis 1 (CA1) region of the hippocampus. Historically, the lesions were considered to be transient in nature with no long-term imaging abnormality. However, more recent studies have challenged the concept that there are no long-term neurological sequelae. In line with this evidence, we explore the role of ultra-high-resolution imaging using 7 Tesla MRI to evaluate for long-term imaging abnormalities in a 63-year-old woman with a typical clinical course and acute TGA imaging findings. The 7 Tesla MRI revealed a residual lesion on susceptibility-weighted imaging (SWI) with evidence of gliosis and volume loss at the site of the acute lesion in CA1 eight months after the acute episode. This case challenges the traditional mantra of TGA as a fully reversible condition with no long-term imaging findings, suggesting the need for further research using ultra-high-field MRI to determine TGA's potential long-term imaging sequelae and any association with neurocognitive sequelae.
Adapting an Electronic STI Risk Assessment Program for Use in Pediatric Primary Care
Authors: Ahmad Fahd A. , Chan Pamela , McGovern Collin , Dickey Viani , Foraker Randi , McKay Virginia 
Published: May 2023

Objectives: Sexually transmitted infections (STIs) are an ongoing public health issue in adolescents. the Centers for Disease Control and Prevention and American Academy of Pediatrics have and continue to recommend STI screening in at-risk adolescents, however screening and testing continues to lag behind the need. We previously designed and implemented an electronic risk assessment tool to support STI testing in our pediatric emergency department. Pediatric primary care clinics may be better positioned for STI risk assessments, as they can offer greater privacy and confidentiality, a lower stress environment, and greater opportunity for longitudinal care. STI risk assessment and testing continues to be a challenge in this setting. The goal of this work was to evaluate the usability of our electronic tool to support adaptation and implementation in pediatric primary care practices. Methods: We conducted qualitative interviews of pediatricians, clinic staff, and adolescents from 4 pediatric practices as part of a study whose goal is to ultimately implement STI screening in pediatric primary care. The goal of the interviews were (1) to understand contextual factors related to STI screening in primary care, which we have reported previously, and (2) to obtain feedback on our electronic platform, the questionnaire content, and their perspective on implementing it in primary care settings, which we report here. We received quantitative feedback using the System Usability Scale (SUS). The SUS is a validated, reliable tool to measure the usability of hardware, software, websites, and applications. SUS scores range from a score of 0 to 100, with a score of 68 or higher indicating above average usability. We additionally obtained qualitative feedback via interviews and used inductive analysis to identify common themes. Results: We recruited 14 physicians, 9 clinic staff, and 12 adolescents. Participants rated the tool highly using the SUS, with a median score of 92.5 (threshold for average usability is 68) and an interquartile range of 82.5 to 100. Thematically, all participants perceived a need for such a screening program and indicated the format would encourage more honest responses on the topic adolescents. We used these results to modify the questionnaire prior to implementing it into participating practices. Conclusion: We demonstrated that our electronic STI risk assessment tool had a high level of usability and could be adapted for use in pediatric primary care.
Bibliometric Analysis of the Top 50 Most Cited Studies on Achilles Tendon Pathology
Authors: Moore M. Lane , Hawkins Ryan J. , Pollock Jordan R. , Makovicka Justin L. , Haglin Jack M. , Brinkman Joseph C. , Patel Karan A. 
Published: May 2023

Background: The development of Achilles tendon treatment modalities has been rapid, and it is increasingly difficult for clinicians to stay up to date with the most influential studies in this field. In order to fully understand the current state of the literature regarding Achilles tendon injury, it is invaluable to be familiar with the foundational articles and studies upon which the field is built. Purpose: To objectively determine the 50 most frequently cited studies in Achilles tendon pathology and to conduct a bibliometric analysis. Study Design: Cross-sectional study. Methods: The Clarivate Analytics Web of Knowledge database was used to gather data and metrics of Achilles tendon research. The 50 most cited articles were selected for analysis from an initial 17,244 identified articles. The information extracted for each article included author name, publication year, country of origin, journal name, study type, and level of evidence. Results: For these 50 studies, the total number of citations was calculated to be 13,159, with a mean of 263.2 citations per paper. The most cited article collected 657 citations. The publication dates of the 50 studies included in this analysis spanned 41 years (1972-2013). The largest number of articles were published by Swedish authors (n = 14); however, many other countries were represented, including Canada and Finland (n = 6 articles each). The most prevalent study designs were cohort studies (n = 13) with level 4 evidence studies being the most common (n = 14). Conclusion: Among the 50 most influential articles in Achilles tendon pathology, the study designs most commonly used were cohort studies and review articles. Sweden was the country of origin for the most studies included on this list, which reflects this country’s interest and commitment to researching Achilles tendon injuries and treatments.
Association of Medial Meniscal Volume With Decreased Joint Space Width After Medial Opening-Wedge High Tibial Osteotomy
Authors: Choe Jung-Su , Bin Seong-II , Kim Jong-Min , Lee Bum-Sik , Song Ju-Ho , Cho Hyung-Kwon , Kee Tae-Hong 
Published: May 2023

Background: Medial opening-wedge high tibial osteotomy (MOWHTO) reduces contact stress by altering the weightbearing axis from the medial to the lateral compartment, relieves knee pain, and slows the progression of osteoarthritis. Purpose/Hypothesis: To evaluate whether the volume of the medial meniscus affects outcomes after MOWHTO. It was hypothesized that reduced medial meniscal volume would be associated with worse midterm clinical and radiographic outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 59 patients who underwent MOWHTO and had ≥4 years of follow-up data. The mean follow-up period was 66.5 ± 15.1 months (range, 48-110 months). The cohort was classified into 3 groups according to the status of the medial meniscus on arthroscopic examination before osteotomy: no meniscal tear, degenerative tear leading to partial meniscectomy, and degenerative tear leading to subtotal meniscectomy. The Hospital for Special Surgery score and Knee Society objective and functional scores were compared among the groups at 2 time points (preoperative and latest follow-up), and the medial joint space width (JSW) was compared among the groups at 3 time points (preoperative, 1 year postoperative, and latest follow-up). Results: Overall, 9 patients had no meniscal tear, 20 patients underwent partial meniscectomy, and 30 patients underwent subtotal meniscectomy. The clinical scores improved significantly from preoperatively to the latest follow-up ( P ≤ .001 for all), with no significant difference among the groups. Post hoc analysis indicated that at the latest follow-up, JSW was significantly lower in the subtotal meniscectomy group compared with the no-tear group on both 45° of flexion posterior-anterior (2.5 ± 1.3 vs 3.9 ± 1.8 mm; P = .004) and anterior-posterior (3.4 ± 1.1 vs 4.5 ± 0.9 mm; P = .011) radiographs. Conclusion: Subtotal meniscectomy of the medial meniscus performed during arthroscopic examination with MOWHTO was associated with decreased JSW at midterm follow-up. Efforts should be made to preserve the medial meniscus as much as possible during MOWHTO.
Contribution of the Bony Bankart in Calculating Glenoid Bone Loss
Authors: Bozzo Isabella , Kooner Paul , Nelson Ralph , Marwan Yousef , Paruthikunnan Samir , Laverdière Carl , Boily Mathieu , Martineau Paul A. 
Published: May 2023

Background: Determining the magnitude of glenoid bone loss in patients with anterior shoulder instability is an important step in guiding management. Most calculations to estimate the bone loss do not include the bony Bankart fragment. However, if it can be reduced and adequately fixed, the estimation of bone loss may be decreased. Purpose: To derive a simple equation to calculate the surface area of the bony fragment in Bankart fractures. Study Design: Case series; Level of evidence, 4. Methods: A total of 26 patients suspected of having clinically significant bone loss underwent computed tomography imaging preoperatively, and the percentage of glenoid bone loss (%BL) was approximated with imaging software using a freehand region of interest area measurement with and without the inclusion of the bony Bankart fragment. By assuming this bony fragment as a hemi-ellipse with height, H, and thickness, d, we represented the surface are of the bony piece ([Formula: see text]), and subtracted it from the overall %BL. They compared this value with the one found using imaging software. Results: Without the inclusion of the bony Bankart, the overall %BL by the standard true-fit circle measured using imaging software was 23.8% ± 9.7%. When including the bony Bankart, the glenoid %BL measured using imaging software was found to be 12.1% ± 8.5%. The %BL calculated by our equation with the bony Bankart included was 10% ± 11.1%. There was no statistically significant difference between the %BL values measured using the equation and the imaging software ( P = .46). Conclusion: Using a simple equation that approximates the bony Bankart fragment as a hemiellipse allowed for estimation of the glenoid bone loss, assuming that the fragment can be reduced and adequately fixed. This method may serve as a helpful tool in preoperative planning when there are considerations for incorporating the bony fragment in the repair.
Return-to-Sport Rate, Type of Sport, Frequency of Participation, and Patient Satisfaction After Elective Spinal Surgery in the Elderly Population
Authors: Goto Kazumi , Kawasaki Yosuke , Hirota Jinso , Yamamoto Naoya , Seichi Atsushi 
Published: May 2023

Background: The number of elderly sports participants is increasing, and the possibility of return to sport (RTS) has become an important part of surgical decision making in this population. Purpose: To investigate RTS after elective spinal surgery in elderly patients. Study Design: Case series; Level of evidence, 4. Methods: We enrolled patients aged ≥65 years with a history of preoperative or preinjury sports participation who underwent elective spinal surgery at a single institution between 2019 and 2021. At minimum 12-month follow-up, a questionnaire was administered to each participant to assess postoperative RTS, timing of return, frequency and type of pre- and postoperative activities, and satisfaction (scored 1-10). Descriptive statistical analyses were performed, and regression models were developed to examine the influence of age and sex, as well as surgical site, on RTS. Results: A total of 53 patients (mean ± SD age, 73.8 ± 5.2 years; 24 women) were included, and 23 (43.4%) returned to sports at a median 6 months (interquartile range, IQR, 2-6 months). The RTS rate by surgical site was 17 of 34 (50%) for the lumbar spine and 6 of 17 (35.3%) for the cervical spine. There were no statistically significant differences in RTS rate by surgical site, age, or sex. Overall, 6 of 17 patients returned to golf, 4 of 6 to dance, 2 of 5 to swimming, and 1 of 5 to tennis. Of patients who returned, 34.8% participated in sports 5 times per week and 26.1% participated 3 times per week. The median satisfaction score after RTS was 8 (IQR, 6-9). Conclusion: RTS after spinal surgery was achieved in 43% patients at 1-year minimum follow-up, with high satisfaction scores. More than half of the returning patients participated in sports activities ≥3 times per week.
Developing a pan-European technical standard for a comprehensive high-quality lung cancer computed tomography screening programme: an ERS technical standard
Authors: Baldwin David R. , O'Dowd Emma L. , Tietzova Ilona , Kerpel-Fronius Anna , Heuvelmans Marjolein A. , Snoeckx Annemiek , Ashraf Haseem , Kauczor Hans-Ulrich , Nagavci Blin , Oudkerk Matthijs , Putora Paul Martin , Ryzman Witold , Veronesi Giulia , Borondy-Kitts Andrea , Rosell Gratacos Antoni , van Meerbeeck Jan , Blum Torsten G. 
Published: May 2023

BackgroundScreening for lung cancer with low radiation dose computed tomography (LDCT) has a strong evidence base. The European Council adopted a recommendation in November 2022 that lung cancer screening (LCS) be implemented using a stepwise approach. The imperative now is to ensure that implementation follows an evidence-based process that delivers clinical and cost-effectiveness. This European Respiratory Society (ERS) Task Force was formed to provide a technical standard for a high-quality LCS programme.MethodA collaborative group was convened to include members of multiple European societies. Topics were identified during a scoping review and a systematic review of the literature was conducted. Full text was provided to members of the group for each topic. The final document was approved by all members and the ERS Scientific Advisory Committee.ResultsTopics were identified representing key components of a screening programme. The actions on findings from the LDCT were not included as they are addressed by separate international guidelines (nodule management and clinical management of lung cancer) and by a linked ERS Task Force (incidental findings). Other than smoking cessation, other interventions that are not part of the core screening process were not included (e.g.pulmonary function measurement). 56 statements were produced and areas for further research identified.ConclusionsThis European collaborative group has produced a technical standard that is a timely contribution to implementation of LCS. It will serve as a standard that can be used, as recommended by the European Council, to ensure a high-quality and effective programme.
Association between the use of statins and risk of interstitial lung disease/idiopathic pulmonary fibrosis: time-dependent analysis of population-based nationwide data
Authors: Jang Hye Jin , Lee Dong Yoon , Loloci Gjustina , Jeong Jihyeon , Choi Won-Il 
Published: May 2023

BackgroundWe aimed to study whether statin use is associated with lowering the development of interstitial lung disease (ILD) and idiopathic pulmonary fibrosis (IPF).MethodsThe study population was the Korean National Health Insurance Service-Health Screening Cohort. ILD and IPF cases were identified using diagnosis codes (J84.1 for ILD and J84.1A as a special code for IPF) based on the International Classification of Diseases, 10th Revision. The study participants were followed up from 1 January 2004 to 31 December 2015. Statin use was defined by the cumulative defined daily dose (cDDD) per 2-year interval and participants were categorised into never-users, <182.5, 182.5–365.0, 365.0–547.5 and ≥547.5 by cDDD. A Cox regression was used to fit models with time-dependent variables of statin use.ResultsIncidence rates for ILD with and without statin use were 20.0 and 44.8 per 100 000 person-years, respectively, and those for IPF were 15.6 and 19.3 per 100 000 person-years, respectively. The use of statins was independently associated with a lower incidence of ILD and IPF in a dose–response manner (p-values for trend <0.001). ILD showed respective adjusted hazard ratios (aHRs) of 1.02 (95% CI 0.87–1.20), 0.60 (95% CI 0.47–0.77), 0.27 (95% CI 0.16–0.45) and 0.24 (95% CI 0.13–0.42) according to the increasing category of statin use compared with never-users. IPF showed respective aHRs of 1.29 (95% CI 1.07–1.57), 0.74 (95% CI 0.57–0.96), 0.40 (95% CI 0.25–0.64) and 0.21 (95% CI 0.11–0.41).ConclusionA population-based cohort analysis found that statin use is independently associated with a decreased risk of ILD and IPF in a dose–response manner.
Incidence of interstitial lung abnormalities: the MESA Lung Study
Authors: McGroder Claire F. , Hansen Spencer , Hinckley Stukovsky Karen , Zhang David , Nath P. Hrudaya , Salvatore Mary M. , Sonavane Sushilkumar K. , Terry Nina , Stowell Justin T. , D'Souza Belinda M. , Leb Jay S. , Dumeer Shifali , Aziz Muhammad U. , Batra Kiran , Hoffman Eric A. , Bernstein Elana J. , Kim John S. , Podolanczuk Anna J. , Rotter Jerome I. , Manichaikul Ani W. , Rich Stephen S. , Lederer David J. , Barr R. Graham , McClelland Robyn L. , Garcia Christine Kim 
Published: May 2023

BackgroundThe incidence of newly developed interstitial lung abnormalities (ILA) and fibrotic ILA has not been previously reported.MethodsTrained thoracic radiologists evaluated 13 944 cardiac computed tomography scans for the presence of ILA in 6197 Multi-Ethnic Study of Atherosclerosis (MESA) longitudinal cohort study participants >45 years of age from 2000 to 2012. Five percent of the scans were re-read by the same or a different observer in a blinded fashion. After exclusion of participants with ILA at baseline, incidence rates and incidence rate ratios for ILA and fibrotic ILA were calculated.ResultsThe intra-reader agreement of ILA was 92.0% (Gwet's AC1 0.912, intraclass correlation coefficient (ICC) 0.982) and the inter-reader agreement of ILA was 83.5% (Gwet's AC1 0.814, ICC 0.969). Incidence of ILA and fibrotic ILA was estimated to be 13.1 and 3.5 cases per 1000 person-years, respectively. In multivariable analyses, age (hazard ratio (HR) 1.06 (95% CI 1.05–1.08); p<0.001 and HR 1.08 (95% CI 1.06–1.11); p<0.001), high attenuation area at baseline (HR 1.05 (95% CI 1.03–1.07); p<0.001 and HR 1.06 (95% CI 1.02–1.10); p=0.002) and theMUC5Bpromoter single nucleotide polymorphism (HR 1.73 (95% CI 1.17–2.56); p=0.01 and HR 4.96 (95% CI 2.68–9.15); p<0.001) were associated with incident ILA and fibrotic ILA, respectively. Ever-smoking (HR 2.31 (95% CI 1.34–3.96); p=0.002) and an idiopathic pulmonary fibrosis polygenic risk score (HR 2.09 (95% CI 1.61–2.71); p<0.001) were associated only with incident fibrotic ILA.ConclusionsIncident ILA and fibrotic ILA were estimated by review of cardiac imaging studies. These findings may lead to wider application of a screening tool for atherosclerosis to identify pre-clinical lung disease.