bluuebunny/crossref_metadata_2025_split huggingface dataset:
EURO-MUSCULUS/USPRM Dynamic Ultrasound Protocols for Knee
Authors: Pirri Carmelo , Stecco Carla , Güvener Orhan , Mezian Kamal , Ricci Vincenzo , Jačisko Jacuk , Novotný Tomáš , Kara Murat , Chang Ke-Vin , Dughbaj Muhammad , Jain Nitin B. , Özçakar Levent 
Published: February 2023

Abstract
In this dynamic scanning protocol, ultrasound examination of the knee is described using various maneuvers to assess different conditions. Real-time patient examination and scanning videos are used for better simulation of the daily clinical practice. The protocol is prepared by several/international experts in the field of musculoskeletal ultrasound and within the umbrella of European Musculoskeletal Ultrasound Study Group in Physical and Rehabilitation Medicine/Ultrasound Study Group of the International Society of Physical and Rehabilitation Medicine.
Correlation of Glenohumeral Internal Rotation Deficit with Shoulder Pain in Elite Table Tennis Players
Authors: Zhang Botao , Wang Kaili , Zhang Enming , Shang Xuedong 
Published: February 2023

Abstract

Objective
(1) To investigate glenohumeral internal rotation deficit (GIRD: a difference in internal rotation of 15.6° or more between dominant and nondominant shoulders) and its correlation with self-reported shoulder pain in table tennis players. (2) To find the optimal cutoff point for the difference in the internal rotation (IR) range of motion (ROM) between dominant and nondominant shoulders of self-reported shoulder pain.

Design
The IR ROM of both shoulders of 46 table tennis players was measured in the supine and side-lying positions, the external rotation ROM was measured in the supine position.

Results
Significant differences existed in IR ROM between the two sides in the supine (z = 6.53, p < 0.001) and side-lying positions (z = 5.67, p < 0.001). Self-reported shoulder pain was associated with GIRD (OR = 6.86, 95% CI: 1.752–26.832, P = 0.006). The cutoff points for the difference in IR ROM between the sides of self-reported shoulder pain were 17.9° in the supine position and 11.1° in the side-lying position.

Conclusions
Table tennis players exhibited GIRD. There was a correlation between GIRD and self-reported shoulder pain in the past year; therefore, GIRD may be a risk factor for shoulder pain in table tennis players.
Acute and Chronic Injury Patterns in Competitive Paraclimbing Sports
Authors: von Essen Daniel , Schöffl Volker Rainer 
Published: February 2023

Abstract

Objective
This is the first study to evaluate sport-related injuries in competitive Paraclimbing athletes with the aim of creating a medical database for future research on injury prevention.

Design
Descriptive epidemiology study. Data collection in two parts. First part: Online survey (n = 81). Second part: Three competitions (n = 273) of the 2021 International Federation of Sport Climbing Paraclimbing competitions. Injury severity grading: IFSC Climbing Injury Score.

Results

Online survey: 76 injuries were reported. 62% acute and 38% chronic injuries. Injury severity: 21 score 1, 34 score 2a, 19 score 2b and 2 score 3. Most injured body region: upper extremity(66%), shoulder injuries(29%) most common. 53% reported regular pain/discomfort during training/competition, 16% used NSAIDs regularly to prevent pain/discomfort when training.

2021 IFSC Paraclimbing competitions: 8 injuries were recorded. Injury severity: 7 score 1 and 1 score 2a. Most injured body region: upper extremity(47%). Overall: 975 hours calculated climbing time, injury incidence risk: 8.21/1000 h.

Conclusion
Compared to non-disabled climbers, the injury pattern seems to be sport-dependent but influenced by the unique impairments of the athletes.
In Paraclimbing competitions the injury severity is mostly mild with an overall low injury incidence.
A concern is the number of athletes with pain/discomfort during training/competition with regular NSAID intake.
Mechanical micronization of lipoaspirates combined with fractional CO2 laser for the treatment of hypertrophic scars via inducing adipogenesis
Authors: Xiao Shune , Qi Jianghong , Li Jianyi , Wu Bihua , Li Hai , Liu Zhiyuan , Yang Chenglan , Wei Zairong , Wang Dali , Deng Chengliang 
Published: February 2023

Background:
Treating hypertrophic scars remains challenging. Stromal vascular fraction (SVF) gel is produced by a purely mechanical process from lipoaspirates, rich in adipose-derived stem cells, and have showed therapeutic potential on scars. However, controversial effects on hypertrophic scars are emerging. This study aimed to assess the therapeutic effects of SVF gel combined with fractional CO2 laser on hypertrophic scars.

Methods:
A rabbit ear hypertrophic scar model was established. SVF gel combined with fractional CO2 laser was conducted for hypertrophic scars in rabbit. Scar alleviation in rabbits was observed based on the appearance and histology of scars, and the underlying mechanism was investigated by tissue immunological analyses and qRT-PCR. At last, six patients with hypertrophic scar were treated by SVF gel combined with fractional CO2 laser. Therapeutic effects were assessed using the Vancouver Scar Scale (VSS).

Results:
Following the treatments, hypertrophic scars became less apparent and softer, the dermis became thinner, and collagen fibers appeared looser and arranged in a more organized pattern. SVF gel plus fractional CO2 laser group showed the most obvious improvement. Besides, SVF gel combined with fractional CO2 laser increased adipogenesis in scar tissue, and adipose tissue regeneration was observed. Hypertrophic scars in patients were alleviated after the treatment of SVF gel combined with fractional CO2 laser.

Conclusions:
SVF gel transplantation combined with fractional CO2 laser showed encouraging therapeutic effects on hypertrophic scars. Although further investigation is necessary, this technique has great potential for clinical application to treat hypertrophic scars.
Dupuytren’s disease: Prevalence, incidence, and lifetime risk of surgical intervention A population-based cohort analysis
Authors: Broekstra Dieuwke C. , Kuo Rachel Y.L. , Burn Edward , Prieto-Alhambra Daniel , Furniss Dominic 
Published: February 2023

BACKGROUND:
Healthcare burden due to Dupuytren’s disease (DD) is largely unknown. We determined 1) the prevalence and incidence of DD, 2) incidence of first surgical intervention, and 3) lifetime risk of surgical intervention in the UK National Healthcare Service (NHS).

METHODS:
In this population-based dynamic cohort analysis, data of the Clinical Practice Research Datalink (CPRD) was linked to Hospital Episode Statistics (HES), to characterize the diagnosis and surgical treatment of DD. Secular trends of incidence of DD diagnosis and first surgical treatment were calculated for 2000-2013. A multi-state Markov model was designed to estimate the lifetime risk of first surgical intervention.

RESULTS:
A total of 10,553,454 subjects were included in the analyses, 5,502,879 (52%) females. 38,707 DD patients were identified. Point prevalence in 2013 was 0.67% (99%CI: 0.66-0.68). Incidence of DD almost doubled from 0.30 (99%CI: 0.28-0.33)/ 1000 person-years in 2000, to 0.59 (99%CI: 0.56-0.62) in 2013. Incidence of first surgical intervention similarly increased from 0.29 (99%CI: 0.23-0.37) to 0.88 (99%CI: 0.77-1.00) in the same period. A man or woman newly diagnosed with DD at age 65 has a lifetime risk of surgical intervention of 23% and 13% respectively, showing only a very subtle decrease when diagnosed later in life.

CONCLUSIONS:
DD is an important health condition in the elderly population, since prevalence and incidence rates have almost doubled in the last decade. Estimated lifetime risk of surgical treatment is relatively low, but almost twice in males compared with females.
Long-term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip Nose Deformity: Avoiding Intermediate Rhinoplastyrinisha
Authors: Murali P. , Denadai Rafael , Sato Nobuhiro , Lin Hsiu-Hsia , Hsiao Jonathan , Pai Betty CJ , Chou Pang-Yun , Lo Lun-Jou 
Published: February 2023

Background:
No consensus exists regarding the timing or technique of rhinoplasty for correction of the unilateral cleft lip nose deformity, with few studies examining the long-term effects of a single technique. This study appraised the long-term outcomes of primary rhinoplasty using the Tajima technique for overcorrection in a cohort of patients with unilateral cleft lip nose deformity after attaining skeletal maturity.

Methods:
Consecutive non-syndromic patients with unilateral cleft lip nose deformity (n=103) who underwent primary rhinoplasty with overcorrection by a single surgeon between 2000 and 2005 were reviewed. Patients with unilateral cleft lip and nasal deformity who underwent primary rhinoplasty, but with no overcorrection (n=30), and non-cleft individuals (n=27) were recruited for comparison. Outcomes were assessed through FACE-Q scales evaluating satisfaction with appearance of nose and nostrils (2 scales) and computer-based objective photogrammetric analysis of nasal symmetry (nostril height, nostril width, nostril area, alar height and alar width parameters).

Results:
Significant differences (all p<0.001) were observed between the Tajima and non-Tajima groups for all but one photogrammetric nasal parameter (nostril area), with the Tajima group demonstrating closer mean values to the non-cleft group. The Tajima and non-cleft groups demonstrated no significant difference (all p>0.05) for scores of FACE-Q nose and nostrils scales.

Conclusion:
This study indicated that the patients who underwent primary rhinoplasty with overcorrection had improved results with no necessity for intermediate rhinoplasty, emphasizing that the procedure is an effective approach to correct the unilateral cleft nose deformity.
The Impact of Age, BMI and Resection Weight on Post-Operative Complications in Reduction Mammaplasty”
Authors: Payton Jesse I. , Abraham Jasson T. , Novak Matthew D. , Monsivais Sharon E. , Hammonds Kendall P. , Altman Andrew M. 
Published: February 2023

BACKGROUND:
We seek to evaluate the impact of age, BMI, and resection weight, on post-operative complications in women undergoing primary bilateral reduction mammaplasty.

METHODS:
A retrospective review of all primary bilateral reduction mammaplasties between February 2014 and August 2018 was performed. Patient demographics, medical co-morbidities, tobacco use, BMI, operative technique, operative time, resection weight, and complications were reviewed.

RESULTS:
277 women were included. Mean age was 35.71 years, and BMI was 30.17 kg/m2 . An inferior pedicle (53.07%) with Wise pattern resection (53.43%) was utilized most commonly. The minor complication rate was 49.1%, with superficial wounds (42.1%) occurring most commonly. 33 women (11.9%) required greater than 2 months to heal. The major complication rate was 4.31%.
BMI was not associated with minor or major complications on univariate analysis (p=0.1003, and p=0.6163), but was associated with wound healing requiring greater than 2 months (p=0.0009), longer operative times (p=0.0002), and higher resection weights (p<0.00001). Greater age was associated with higher minor complication rates (p=0.0048). On multivariate analysis, BMI was associated with wound healing requiring greater than 2 months (p=0.0137), and age with minor complications (p=0.0180). No factors impacted major complication rates.

CONCLUSIONS:
Women with higher BMI are more likely to require larger resections, longer operative times, and are at higher risk for wound healing requiring greater than 2 months. While BMI is an important consideration for determining operative candidacy, the benefits of reduction may outweigh these risks in carefully selected patients.
Decompression with complete brachioradialis tenotomy improves pain and quality of life for patients with compression of the sensory branch of the radial nerve
Authors: Hill Elspeth J , Padovano William , Krauss Emily M , Patterson J Megan M. , Yee Andrew , Crock Lara W. , Mackinnon Susan E. 
Published: February 2023

Background:
Decompression of the sensory branch of the radial nerve (SBRN) with complete brachioradialis tenotomy may treat pain in both simple and complex cases of SBRN compression neuropathy.

Methods:
A retrospective chart review was performed of consecutive patients undergoing this procedure between 2008-2020 including post-operative outcomes within 90 days. Data were collected and analysed including patient and injury demographics, pain descriptors, and patient-reported pain questionnaire, including reported pain severity and impact on quality of life (QoL) using visual analogue scales (VAS). Within group pre- and post-surgical analyses and between group statistical analyses were performed.

Results:
Thirty-three of 58 patients met inclusion criteria. Median time of symptom onset to surgery was 300 days, and median postoperative follow-up time was 37 days. 25% of patients (n=8) underwent isolated SBRN decompression. The remainder had concomitant decompression of another radial (48%, n=16) or peripheral (36%, n=12) entrapment point. 10 of 33 patients (30%) had resolution of pain at final follow-up (p=0.004). Median change in “worst pain over the previous week” was -4 (p<0.001), and “average pain over the last month” was -2.75 (p<0.001) on the VAS scales. The impact of pain on QoL showed a median change of -3 (p<0.001) on the VAS scales.

Conclusions:
Decompression of the sensory branch of the radial nerve including a complete brachioradialis tenotomy improves pain and quality of life VAS scores in patients with both simple compression neuropathy and complex nerve compression syndromes.

Level of evidence:
IV, retrospective cohort study
Laryngochondroplasty: A Systematic Review of Safety, Satisfaction, and Surgical Techniques
Authors: Hamidian Jahromi Alireza , Horen Sydney R. , Bonett Andrew M. , Schechter Loren S. , Dorafshar Amir H. 
Published: February 2023

Background:
Since first performed in 1975, two main surgical techniques for laryngochondroplasty have evolved: anatomic localization and direct endoscopic visualization. The aim of this study is to evaluate which method is safest and has the highest patient reported satisfaction rates, and whether these outcomes have changed over time.

Methods:
A systematic review and meta-analysis following PRISMA guidelines was performed to find and analyze all medical publications related to laryngochondroplasty. Of these studies, patients who underwent laryngochondroplasty for gender affirmation surgery were evaluated. Surgical and patient reported outcomes were compared between different surgical techniques and between studies prior to and after the year 2010.

Results:
A total of 226 patient have been reported to have undergone laryngochondroplasty for gender affirmation surgery. Overall transient and long-term complication rates were 14% and 0%, respectively. A 97% satisfaction rate was reported overall. Endoscopic visualization techniques were associated with lower short-term complications (OR, 21.11; 95%CI, 7.56-58.93); there was no difference in long-term complications (OR, 7.81; 95%CI, 0.31-194.37) or patient satisfaction (OR, 5.73; 95%CI, 0.32-101.97). Studies performed prior to the year 2010 had a significantly greater number of short-term complications compared to studies performed after the year 2010 (OR, 10.16; 95%CI, 3.71-27.82) with no difference in long-term complications (OR, 4.56; 95%CI, 0.18-113.25) or patient satisfaction (OR, 4.99; 95%CI, 0.59-42.20).

Conclusion:
All laryngochondroplasty techniques result in high patient satisfaction. Endoscopic visualization may help facilitate safe surgery and should be used in conjunction with anatomical familiarity. Technique choice should be dictated by the surgeon’s experience and patient desires.
Free Fibula Flap for Extremity Oncologic Defects: Factors Influencing Union and Functional Outcomes
Authors: Mericli Alexander F. , Asaad Malke , Lewis Valerae O. , Lin Patrick P. , Goodenough Christopher J. , Adelman David M. , Oates Scott D. , Hanasono Matthew M. 
Published: February 2023

Background:
The goal of this study was to evaluate outcomes following vascularized bone flap (VBF) reconstruction of oncologic bony extremity defects. A secondary goal was to compare union rates based on various insetting methods, including onlay, intermedullary, and intercalary.

Methods:
We conducted a retrospective review of consecutive patients who received an extremity reconstruction with a fibula flap after oncologic resection between 2001 and 2019.

Results:
We identified a total of 60 fibular VBF in 55 patients (67% lower extremity, 33% upper extremity). The overall union rate was 91.7% (55/60). For lower extremity reconstructions, the mean time to full weightbearing was 16 months (range = 4-44 months). Fibula VBFs were onlay in 65%, intercalary in 23% of cases, and intramedullary in 12%. Forty-three percent of patients required a reoperation as a result of a surgical complication. Immediate femur reconstruction subgroup analysis demonstrated that onlay fibula flap orientation was associated with a significantly increased risk for any complication (OR=6.3, 95% CI, 1.4-28.7;p=0.03) as well as an increased risk for requiring conversion to an endoprostheses due to nonunion (OR=12.1, 90% CI 1.03-143.5;p=0.03) compared to intramedullary placement.

Conclusion:
The free vascularized fibula flap is a reliable option for functional reconstruction of any long bone extremity defect although complications in these complex surgeries are not uncommon. In patients with immediate femur reconstructions, intramedullary fibula placement was associated with significantly lower complication and lower metallic implant conversion rates, and a trend toward a more rapid early union compared to onlay VBF.
“The Treatment of Complex Extremity Wounds Using External Tissue Expansion: A Case Series”
Authors: Chan Peter Y.W. , Michel Chris , Colon Anthony F. , Clune James , Shah Ajul 
Published: February 2023

The goal of wound reconstruction is the approximation of soft tissue and re-establishment of an acceptable appearance with minimal risk of complications. For large wound closure in the extremities, skin graft and flap reconstruction are common treatments but are associated with a variety of complications. Comparatively, tissue expansion can provide the opportunity to reconstruct large wounds with native, durable, and sensate tissue without significant donor site morbidity. Specifically, external tissue expansion is less invasive and avoids complications associated with internal expansion.
The authors treated a total of 11 patients with varying extremity wound types and sizes with an external tissue expansion device (DermaClose ®). Patient age ranged from 18 to 68 with an average age of 43.7 years (SD ± 13.1 yr). Average wound surface area was approximately 235 cm2 (SD =±135.3 cm2). Device(s) were affixed and left for 7-11 days before closure of the wounds. Outcomes were assessed at 2-36 weeks post-operative follow up. All wounds were fully closed after treatment without need for secondary reconstructive procedures. No patients experienced major complications. All patients demonstrated intact sensation within the area of reconstruction equivalent to surrounding tissues.
External tissue expansion is an excellent treatment option in the algorithm of extremity reconstruction, as it is efficacious and associated with lower complication rates compared with internal tissue expansion, skin grafts, and flap reconstruction.
“Coworker Reports About Unprofessional Behavior in Plastic Surgery.”
Authors: White-Dzuro Colin G , Glassman Gabriella E , Patrinely James R , Walker Sallie , Stratton Shannon , Domenico Henry J , Galloway Mitchell , Pichert James W , Perdikis Galen , Cooper William O 
Published: February 2023

Introduction:
Patient reports of unprofessional conduct by surgeons have been linked to outcomes of care, most notably in terms of post-procedure complications and increased risk for malpractice claims.
While patient complaints may focus on communication, accessibility, rudeness, and care outcomes, coworkers are also positioned to observe and report unprofessional behaviors, including concerns related to delivery of competent medical care, clear and respectful communication, integrity, and responsibility. When physicians act unprofessionally towards colleagues, team performance worsens, and their practices are associated with both increased rates of malpractice claims and greater rates of patient complications. Using data from the Coworker Observation Reporting System (CORS) database, our team sought to compare rates of coworker concerns between plastic surgeons and other physicians (other surgical specialists and non-surgeons), as well as characterize whether plastic surgery subspecialties differed in their rates of complaints.

Methods:
Coworker concern data from January 1, 2014 to December 31, 2019 were retrieved from the Vanderbilt Center for Patient and Professional Advocacy’s (CPPA) Coworker Observation Reporting System (CORS®). Specialty was classified as plastic surgery, non-plastic surgical, and non-surgical, and the plastic surgery cohort was further characterized by sex, medical school graduation year, predominant practice type (reconstructive only, aesthetic only, or hybrid), and post-residency training (i.e., completion of a fellowship).

Results:
The study cohort included 34,170 physicians (302 plastic surgeons, 7,593 non-plastic surgeons, and 26,275 non-surgeons). A greater proportion of plastic surgeons (13.6%) had one or more coworker concerns compared to non-surgeons (10.8%) and non-plastic surgeons (6.1%) (p<.001, Figure 1). The most prevalent concern category reported for plastic surgeons was Clear and Respectful Communication. Among plastic surgeons who had no concerns vs. those who had at least one concern, there was no significant difference when comparing sex, medical school graduation year, predominant practice type, or post-residency training.

Conclusion:
Plastic surgeons in this cohort study received more coworker reports than other surgeons and non-surgical physicians. These data may be used by institutions to identify plastic surgeons at risk for preventable post-procedure complications and intervene with peer feedback intended to promote self-regulation.