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Plast Reconstr Surg Glob Open 2022 Jun 14;10(6):e4385. Epub 2022 Jun 14.

Dermatology and Plastic Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Traumatic thumb amputation can have devastating effects on residual hand function. When replantation is not possible, thumb reconstruction is often performed in a delayed manner and may require multiple stages. Furthermore, reconstruction techniques often require microsurgical skills and equipment, which are not readily available at all institutions. Read More

Ann Emerg Med 2022 Jul;80(1):e9-e10

Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, National Defense Medical center, Taoyuan, Taiwan.

Ann Emerg Med 2022 Jul;80(1):87-94

Department of Emergency Medicine, Maine Medical Center, Portland, ME; Tufts University School of Medicine, Portland, ME.

J Forensic Sci 2022 Jun 14. Epub 2022 Jun 14.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, Belgrade, Serbia.

Intravenous drug users (IDUs) eventually encounter a common problem- a need to turn to a new vessel to inject drugs. Whether it is because no other spot is available due to scarring or convenience, the groin is the preferred spot for some. Chronic puncture of femoral vessels can lead to a rare but significant complication- femoral artery pseudoaneurysm (FAP). Read More

Sci Rep 2022 Jun 13;12(1):9789. Epub 2022 Jun 13.

Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

Groin pain is common in athletes, but remains a challenge to diagnose. Self-reported pain quality distribution may facilitate differential diagnoses. We included 167 athletes with groin pain (≥ 4 weeks). Read More

Int J Sports Phys Ther 2022 1;17(4):605-612. Epub 2022 Jun 1.

Department of Sports Medicine, University of North Dakota.

Background: Adductor strains are the most common non-contact musculoskeletal injury sustained in ice hockey. Systematic reviews have determined higher level of play and lower hip adduction to abduction strength ratios to be associated with an increased risk of adductor strain across multiple sports. Limited research exists regarding hip adduction and abduction strength profiles across various levels of ice hockey players. Read More

Infez Med 2022 1;30(2):285-292. Epub 2022 Jun 1.

Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.

is a genus of aerobic actinomycetes that are usually responsible for opportunistic infection in immunocompromised patients. Less frequently nocardiosis can interest immunocompetent population, causing especially primary cutaneous infections. Cutaneous involvement by spp. Read More

Injury 2022 Jun 7. Epub 2022 Jun 7.

Department of Orthopedic Hand Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, No.16 Chunhui Avenue, Longma Tan District, Luzhou, Sichuan 646,000, China. Electronic address:

Background: Extensive soft-tissue defects around the ankle and foot pose a difficult challenge to surgeons. Considering that natural contour, the ideal solution should match a thin and pliable skin flap to allow shoe fitting and provide a functional move. As the conjoined flaps were increasingly utilized in covering various defects, we present our experience using the bipedicle conjoined flap on the lower abdomen and groin site. Read More

J Stroke Cerebrovasc Dis 2022 Jun 8;31(8):106553. Epub 2022 Jun 8.

Goodman Campbell Brain and Spine, Ascension St. Vincent Medical Center, Division of Interventional Neuroradiology, Indianapolis, IN, United States. Electronic address:

Objectives: Nearly all data on mechanical thrombectomy for acute ischemic stroke is based on procedures performed on biplane angiography systems. However, thrombectomy may be performed on single-plane systems in situations of triage or limited resources. We present the first US study comparing the safety and effectiveness of mechanical thrombectomy performed on single-plane vs. Read More

Int J Environ Res Public Health 2022 May 27;19(11). Epub 2022 May 27.

Department of Special Didactics, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain.

Groin injuries are one of the most prevalent in sports, especially due to the hip adductor muscles' weakness, which is considered as a risk factor. The Copenhagen adduction exercise (CAE) has been demonstrated to increase the strength of adductor muscles, but its effects on the architectural characteristics and flexibility of the adductors has been little studied. The aim of the present study was to analyse the impact on the muscular architecture and flexibility of the adductor musculature after 8 weeks of CAE-based training and after 4 weeks of subsequent detraining. Read More

Cureus 2022 May 2;14(5):e24674. Epub 2022 May 2.

Department of Orthopedic Surgery, Northwell Health Plainview Hospital, Plainview, USA.

Introduction The purpose of this study is to evaluate the rates of regular season soft tissue injuries in National Football League (NFL) players during the 2020 season, which had a canceled preseason due to the COVID-19 pandemic. Methods This study retrospectively reviewed the injury rates of the 2020-2021 NFL regular season in comparison to the 2018-2019 NFL regular season using publicly available injury data. The focus of our analysis was comparing the following soft tissue injuries: hamstring, groin, calf, quadriceps, thigh, knee - anterior cruciate ligament (ACL), pectoral, and Achilles. Read More

Medicina (Kaunas) 2022 May 1;58(5). Epub 2022 May 1.

Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

: Lower extremity lymphedema (LEL) is one of the most relevant chronic and disabling sequelae after gynecological cancer therapy involving pelvic lymphadenectomy (PL). Supermicrosurgical lymphaticovenular anastomosis (LVA) is a safe and effective procedure to treat LEL, particularly indicated in early-stage cases when conservative therapies are insufficient to control the swelling. Usually, preoperative assessment of these patients shows patent and peristaltic lymphatic vessels that can be mapped throughout the limb to plan the sites of skin incision to perform LVA. Read More

Injury 2022 Jul 19;53(7):2588-2594. Epub 2022 May 19.

Department of Orthopedic Hand Surgery, the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Chunhui Avenue, Longma Tan District, Luzhou 646000, People's Republic of China. Electronic address:

Background: Historically, the degloved finger with the total loss of nail and skin had been resurfaced with an expanded great toe wrap-around flap transfer for better outcomes. The purpose of this study aims to present our experience with a related modified design, with total preservation of a weight-bearing plantar skin.

Method: From April 2016 to September 2019, nine fingers (5 index and 4 middle fingers) in nine cases, with skin loss to the base of the proximal phalangeal or metacarpophalangeal (MCP) joint level, were reconstructed with combined great toe dorsal nail-skin flap and medial plantar artery perforator (MPAP) flap. Read More

Addict Sci Clin Pract 2022 05 13;17(1):27. Epub 2022 May 13.

Hatanpää Health Center, Tampere, Finland.

Background: Subcutaneously retained needle fragments in people who inject drugs (PWIDs) are a possible cause of local symptoms, most commonly pain and infections. It remains unknown how common retained needle fragments are among PWIDs.

Case Presentation: A young PWID consulted a primary care physician due to chronic left-sided groin pain. Read More

World J Urol 2022 Jul 9;40(7):1793-1797. Epub 2022 May 9.

Division of Pelvic Medicine and Reconstructive Surgery, Department of Urology, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.

Purpose: To assess preoperative and perioperative characteristics associated with increased length of stay and major complications after mid-urethral sling mesh removal.

Methods: We performed an IRB-approved retrospective analysis of patients who underwent mid-urethral sling mesh removal. Demographic data and baseline surgical characteristics were collected. Read More

Int J Sports Physiol Perform 2022 May 9:1-8. Epub 2022 May 9.

Sports Orthopedic Research Center-Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre,Denmark.

Purpose: To investigate the differences in hip adductor and abductor muscle strength in elite male footballers from youth to senior level.

Methods: We tested 125 players from the under-13-years (U'13) to senior squads of a Danish male professional football club in this cross-sectional design study. Hip adductor and abductor force (in newtons), torque (in newton meters), normalized torque (in newton meters per body mass), and adduction-to-abduction ratio were measured using handheld dynamometry. Read More

Ir Med J 2022 03 16;115(3):559. Epub 2022 Mar 16.

Sports Medicine Research Department, Sports Surgery Clinic, Santry Demesne, Dublin, Ireland.

Introduction Gaelic football and hurling are the most commonly played amateur sports in Ireland with elite level athletes participating at inter-county level. Over time, the intensity and frequency of inter-county training has approached levels of professional sports. Previous studies have not assessed differences in hip and groin injury between eras. Read More

World Neurosurg 2022 May 2. Epub 2022 May 2.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. Electronic address:

Objective: To characterize lateral lumbar interbody fusion surgical learning curve and investigate changes in perioperative and postoperative clinical parameters associated with increased operative experience.

Methods: In a case series, surgical learning curve was defined using 3-parameter asymptotic regression and piecewise linear regression, yielding learning phase (patients 1-53) and proficient phase (patients 54-179) cohorts. Using a 5-point grading scale, ipsilateral iliopsoas (hip-flexion) and quadriceps (knee-extension) muscle strength and thigh and groin sensory disturbances were compared for differences preoperatively versus postoperatively using χ test. Read More

J Hip Preserv Surg 2021 Dec 10;8(4):337-342. Epub 2021 Dec 10.

Department of Orthopaedic Surgery, St. Joseph's University Medical Center, 973 Main St, Paterson, NJ 07503, USA.

In recent years, there has been increased awareness and treatment of groin injuries in athletes. These injuries have been associated with various terminologies including sports hernia, core muscle injury (CMI), athletic pubalgia and inguinal disruption, among others. Treatment of these injuries has been performed by both orthopaedic and general surgeons and may include a variety of procedures such as rectus abdominis repair, adductor lengthening, abdominal wall repair with or without mesh, and hip arthroscopy for the treatment of concomitant femoroacetabular impingement. Read More

Ned Tijdschr Geneeskd 2022 03 17;166. Epub 2022 Mar 17.

Noordwest Ziekenhuisgroep, locatie Alkmaar, afd. Spoedeisende Hulp, Alkmaar.

We describe an 11-year-old boy with sudden onset of right groin pain which occurred during soccer. He was diagnosed with an avulsion fracture of the lesser trochanter, a hyperextension and rotation trauma due to traction on the iliopsoas tendon. The treatment was conservative and full function returned. Read More

Sci Med Footb 2022 05 22;6(2):141-147. Epub 2021 May 22.

Tampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland.

Ojective: To investigate the injury characteristics in Finnish male football players.

Design: One-season prospective epidemiological study. Data were collected via injury reports from the medical staff and directly from the players using the Olso Sports Trauma Research Center Health Questionnaire. Read More

Cureus 2022 Mar 10;14(3):e23045. Epub 2022 Mar 10.

Department of Surgery, Detroit Medical Center (DMC) Sinai-Grace Hospital, Detroit, USA.

Femoral artery pseudoaneurysms have an increased incidence over the past few years due to the rise in percutaneous catheterization and so have the potential treatment options. Ultrasound-guided thrombin injection has been strongly studied, and data have shown its efficacy, safety, and superiority to ultrasound-guided compression therapy as well as open surgical repair; however, a less well-studied approach that appears to be burgeoning is endovascular stent repair. Many small studies and case reports have shown this option to be not only effective but also safe and might be the treatment option of choice in patients who are deemed high risk for surgical intervention or with complicated anatomical considerations at the site of injury. Read More

PLoS One 2022 15;17(4):e0266881. Epub 2022 Apr 15.

University of Coimbra, Research Unit for Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, Coimbra, Portugal.

The purpose of this study was to evaluate the strength of the knee flexors and extensors and hip abductor and adductor muscles in young soccer players. Twenty-three male under-19 soccer players participated in this study (age: 17.7 ± 0. Read More

BMC Musculoskelet Disord 2022 Apr 11;23(1):345. Epub 2022 Apr 11.

Department of Orthopaedics, Tianjin Hospital, 406 Jiefangnan Road, Tianjin, 300211, China.

Objective: Transverse-oriented acetabular fractures (TOAFs), including transverse, transverse with posterior wall and T-shaped fractures, are always challenging for double-column reduction and fixation with minimally invasive method. The purpose of this study is to compare the therapeutic effects of robot-aided percutaneous anterior column screw fixation versus minimally invasive anterior plate fixation for TOAFs based on the Kocher-Langenbeck (K-L) approach.

Methods: Patients suffering TOAFs that were fixed by robot-aided percutaneous anterior column screw fixation or minimally invasive anterior plate fixation associated with posterior fixation via the K-L approach were divided into two groups: group A (screw fixation) and group B (plate fixation). Read More

J Orthop Surg (Hong Kong) 2022 Jan-Apr;30(1):10225536221094258

Department of Foot and Ankle, 74735Wuxi NO.9 People's Hospital Affiliated to Soochow University, Wuxi, P. R. China.

Purpose: To evaluate the clinical efficacy of using free tissue flap combined with contralateral instep thick plantar skin in reconstructing complex plantar forefoot defects.

Methods: During the past 8 years, 15 patients, aged 25-60 years, with defects in the soft-tissue and composite bone of the forefoot were treated. Their defects were caused by trauma. Read More

J Surg Res 2022 08 5;276:251-255. Epub 2022 Apr 5.

Division of Pediatric Surgery, University of Utah, Primary Children's Hospital, Salt Lake City, Utah.

Introduction: Electronic cigarettes (e-cigarettes) are handheld, battery-powered vaporizing devices. It is estimated that more than 25% of youth have used these devices recreationally. While vaping-associated lung injury is an increasingly recognized risk, little is known about the risk of traumatic injuries associated with e-cigarette malfunction. Read More

Radiat Res 2022 06;197(6):638-649

Graduate Collaborative Training of Hunan Cancer Hospital, Hengyang Medical School, University of South China, Department of Head and Neck Surgery, Central laboratory, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan Province, China.

Radiation-induced muscle fibrosis is a long-term side effect of radiotherapy that significantly affects the quality of life and even reduces the survival of cancer patients. We have demonstrated that radiation induces satellite cell (SC) activation at the molecular level; however, cellular evidence in a rat model of radiation-induced muscle fibrosis was lacking. In this study, we evaluated SC activation in vivo and investigated whether radiation affects the proliferation and differentiation potential of SCs in vitro. Read More

J Arthroplasty 2022 Jul 11;37(7S):S577-S581. Epub 2022 Mar 11.

NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY.

Background: Although increased femoral head size reduces the risk of instability in total hip arthroplasty (THA), it may lead to iliopsoas irritation and increased anterior groin pain. The purpose of this study is to compare outcomes between non-modular dual-mobility (NDM) implants and small (≤32 mm) and large (≥36 mm) fixed-bearing (FB) constructs.

Methods: A retrospective review of all primary total hip arthroplasties from 2011 to 2021 was conducted at a single, urban academic institution. Read More

Ann Transl Med 2022 Jan;10(2):66

Department of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Reducing cutaneous scar formation is important for assessing the success of skin wound healing. Although it is generally accepted that adipose-derived mesenchymal stem cells (AMSCs) have substantial therapeutic potential, efforts are continuously made to improve the outcome of AMSC therapy. Post-transcriptional suppression of procollagen-lysine 1, 2-oxoglutarate 5-dioxygenase 1 (PLOD1) in AMSCs has been shown to greatly reduce scar formation during skin wound healing, likely through modulating macrophage polarization. Read More

J Orthop 2022 Mar-Apr;30:108-114. Epub 2022 Mar 1.

Sports Medicine Institute Hospital for Special Surgery, New York, NY, USA.

Background: Core injuries in professional baseball pitchers have been linked to both diminished performance and time missed during the season injury was sustained. It is currently unclear how a history of a core injury may affect the future pitching performance and mechanics of professional baseball pitchers.

Purpose: To compare kinetic and kinematic variables between professional baseball pitchers with prior core/groin injuries and those without prior injury. Read More