Bone and Joint Research Team of Degeneration and Injury, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China
Search for other papers by Di Zhao in
Google Scholar
PubMed
Bone and Joint Research Team of Degeneration and Injury, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China
Search for other papers by Ling-feng Zeng in
Google Scholar
PubMed
Bone and Joint Research Team of Degeneration and Injury, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, China
Search for other papers by Gui-hong Liang in
Google Scholar
PubMed
Search for other papers by Jian-ke Pan in
Google Scholar
PubMed
Search for other papers by Ming-hui Luo in
Google Scholar
PubMed
Search for other papers by Yan-hong Han in
Google Scholar
PubMed
Guangdong Second Traditional Chinese Medicine Hospital (Guangdong Province Engineering Technology Research Institute of Traditional Chinese Medicine), Guangzhou, China
The fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China
Search for other papers by Jun Liu in
Google Scholar
PubMed
Search for other papers by Wei-yi Yang in
Google Scholar
PubMed
that included information on the Western Ontario and McMaster Universities Osteoarthritis Index (WOAMC) pain score (scale of 0–10), WOMAC physical function score (scale of 0–10), patient’s global assessment (PGA) (5-point Likert scale), number of
Search for other papers by Luca Pacchiarini in
Google Scholar
PubMed
Search for other papers by Lorenzo Massimo Oldrini in
Google Scholar
PubMed
Search for other papers by Pietro Feltri in
Google Scholar
PubMed
Surgical Department, Hand Surgery Unit EOC, Locarno’s Regional Hospital, Locarno, Switzerland
Locarno Hand Center, Locarno, Switzerland
Search for other papers by Stefano Lucchina in
Google Scholar
PubMed
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
Search for other papers by Giuseppe Filardo in
Google Scholar
PubMed
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
Search for other papers by Christian Candrian in
Google Scholar
PubMed
the mean and s.d. , and a meta-analysis was not feasible due to the heterogeneity of the included studies. Assessment of risk of bias and quality of evidence The Downs and Black’s ‘Checklist for Measuring Quality’ was used to evaluate the risk
Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
Search for other papers by Peter van Schie in
Google Scholar
PubMed
Search for other papers by Shaho Hasan in
Google Scholar
PubMed
Search for other papers by Leti van Bodegom-Vos in
Google Scholar
PubMed
Search for other papers by Jan W Schoones in
Google Scholar
PubMed
Search for other papers by Rob G H H Nelissen in
Google Scholar
PubMed
Search for other papers by Perla J Marang-van de Mheen in
Google Scholar
PubMed
). Risk of bias assessment The Integrated Quality Criteria for Review of Multiple Study Designs (ICROMS) was used to assess the risk of bias (RoB) independently by both reviewers (PvS/SH) ( 26 ). The ICROMS is a comprehensive tool to evaluate the quality
Search for other papers by Pietro Feltri in
Google Scholar
PubMed
Search for other papers by Camilla Mondini Trissino da Lodi in
Google Scholar
PubMed
Search for other papers by Alberto Grassi in
Google Scholar
PubMed
Search for other papers by Stefano Zaffagnini in
Google Scholar
PubMed
Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland
Search for other papers by Christian Candrian in
Google Scholar
PubMed
Applied and Translational Research Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland
Search for other papers by Giuseppe Filardo in
Google Scholar
PubMed
. Note . UKR, unicondylar knee replacement. Assessment of risk of bias and quality of evidence All studies were evaluated according to the level of evidence (LOE), using previously published criteria. 18 To establish potential bias in the
Search for other papers by Lukas Fraissler in
Google Scholar
PubMed
Search for other papers by Christian Konrads in
Google Scholar
PubMed
Search for other papers by Maik Hoberg in
Google Scholar
PubMed
Search for other papers by Maximilian Rudert in
Google Scholar
PubMed
Search for other papers by Matthias Walcher in
Google Scholar
PubMed
1993 ; 14 : 181 - 5 . 13 Easley ME , Trnka HJ . Current concepts review: hallux valgus part 1: pathomechanics, clinical assessment, and nonoperative management . Foot Ankle Int 2007 ; 28 : 654 - 9 . 14 Coughlin
Search for other papers by Thomas Collins in
Google Scholar
PubMed
Search for other papers by Dinesh Alexander in
Google Scholar
PubMed
Search for other papers by Bilal Barkatali in
Google Scholar
PubMed
commercial interest following PRP use in professional sport. 8 This review aims to synopsise PRP use in musculoskeletal pathologies through evidence-based assessment of the preparation, classification systems, mechanism of action and clinical
Search for other papers by Antomio Capone in
Google Scholar
PubMed
Search for other papers by Marcella Peri in
Google Scholar
PubMed
Search for other papers by Michele Mastio in
Google Scholar
PubMed
were entered onto a spreadsheet (Excel; Microsoft Corp., Redmond, Washington) as raw numbers where possible, plus any summary measures such as standard deviations ( sd ), 95% confidence intervals (CIs) and ranges. Quality assessment All studies
These authors contributed equally to this manuscript
Search for other papers by Olga Savvidou in
Google Scholar
PubMed
These authors contributed equally to this manuscript
Search for other papers by Olympia Papakonstantinou in
Google Scholar
PubMed
These authors contributed equally to this manuscript
Search for other papers by Eleftheria Lakiotaki in
Google Scholar
PubMed
Search for other papers by Dimitra Melissaridou in
Google Scholar
PubMed
Co-senior authors
Search for other papers by Pinelopi Korkolopoulou in
Google Scholar
PubMed
Co-senior authors
Search for other papers by Panayiotis J. Papagelopoulos in
Google Scholar
PubMed
-
Myositis ossificans (MO) is a benign bone formation in an extra-skeletal location. The most common subtype of MO, the post-traumatic, usually develops in young males after a traumatic event or sports injury.
-
MO may simulate malignant bone lesions such as extra-skeletal or surface osteosarcomas, or soft tissue sarcomas such as synovial sarcoma or undifferentiated pleomorphic sarcoma. In the early phase the diagnosis of MO is challenging because imaging and histopathological findings may be non-characteristic.
-
Detailed medical history as well as clinical examination, follow-up imaging studies and histological assessment are crucial for a proper diagnosis. Early and accurate differential diagnosis between MO and malignant soft tissue and bone tumours is important to maximize.
Cite this article: EFORT Open Rev 2021;6:572-583. DOI: 10.1302/2058-5241.6.210002
Search for other papers by Johannes D Bastian in
Google Scholar
PubMed
Search for other papers by Silviya Ivanova in
Google Scholar
PubMed
Search for other papers by Ahmed Mabrouk in
Google Scholar
PubMed
Search for other papers by Peter Biberthaler in
Google Scholar
PubMed
Search for other papers by Pedro Caba-Doussoux in
Google Scholar
PubMed
Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
Search for other papers by Nikolaos K Kanakaris in
Google Scholar
PubMed
-
Segmental femoral fractures represent a rare but complex clinical challenge. They mostly result from high-energy mechanisms, dictate a careful initial assessment and are managed with various techniques. These often include an initial phase of damage control orthopaedics while the initial manoeuvres of patient and soft tissue resuscitation are employed.
-
Definitive fixation consists of either single-implant (reconstruction femoral nails) or dual-implant constructs. There is no consensus in favour of one of these two strategies.
-
At present, there is no high-quality comparative evidence between the various methods of treatment. The development of advanced design nailing and plating systems has offered fixation constructs with improved characteristics.
-
A comprehensive review of the existing evidence with a step-by-step description of these different definitive fixation strategies based on three case examples was conducted. Furthermore, the rationale for using single vs dual-implant strategy in its case is presented with supportive references.
-
The prevention of complications relies mainly on the strict adherence to basic principles of fracture fixation with an emphasis on careful preoperative planning, the quality of the reduction, and the application of soft tissue-friendly surgical methods.
Search for other papers by Morten Schultz Larsen in
Google Scholar
PubMed
Search for other papers by Hagen Schmal in
Google Scholar
PubMed
-
Atypical femoral fractures (AFF) are stress or ‘insufficiency’ fractures, often complicated by the use of bisphosphonates or other bone turnover inhibitors. While these drugs are beneficial for the intact osteoporotic bone, they probably prevent a stress fracture from healing which thus progresses to a complete fracture.
-
Key features of atypical femoral fractures, essential for the diagnosis, are: location in the subtrochanteric region and diaphysis; lack of trauma history and comminution; and a transverse or short oblique configuration.
-
The relative risk of patients developing an atypical femoral fracture when taking bisphosphonates is high; however, the absolute risk of these fractures in patients on bisphosphonates is low, ranging from 3.2 to 50 cases per 100,000 person-years.
-
Treatment strategy in patients with AFF involves: radiograph of the contralateral side (computed tomography and magnetic resonance imaging should also be considered); dietary calcium and vitamin D supplementation should be prescribed following assessment; bisphosphonates or other potent antiresorptive agents should be discontinued; prophylactic surgical treatment of incomplete AFF with cephalomedullary nail, unless pain free; cephalomedullary nailing for surgical fixation of complete fractures; avoidance of gaps in the lateral and anterior cortex; avoidance of varus malreduction.
Cite this article: EFORT Open Rev 2018;3:494-500. DOI: 10.1302/2058-5241.3.170070.
