https://www.organscigroup.us/journals/annals-of-musculoskeletal-medicine A Peertechz Open Access Journal en-us 17 Oct, 2025 https://www.organscigroup.us/articles/AMM-9-137.php Patients with achondroplasia often experience knee osteoarthritis, which is marked by varus deviation of the tibia, as well as recurvatum, internal tibial torsion, and mediolateral instability of the knee. This presents a challenge for surgeons, as it necessitates meticulous planning of intricate procedures that may need to be carried out in one or multiple surgical stages. There are few descriptions in the literature of a single-stage complex knee treatment for patients with achondroplasia. Additionally, there is a lack of information on the method used for precisely calculating the dimensions of the bone wedge to be resected during the lateral tibial closure osteotomy procedure. We present the case of a 52-year-old man with achondroplasia (height 122 cm) and deforming osteoarthritis of the knees. The right knee showed severe malalignment with a 36.4° extra-articular varus deformity and multidirectional instability. A single-stage surgery was necessary, involving meticulous planning for a tibial osteotomy and a total knee arthroplasty with a rotating hinge. The clinical and radiological outcomes at 2 years postoperative follow-up were satisfactory. This study outlines the methodology used for single-stage surgical planning with a lateral closing wedge technique, followed by a non-customized total knee arthroplasty in a case of deforming osteoarthritis of the knee with very small anatomical dimensions in a young patient with achondroplasia. 09 Jul, 2025 https://www.organscigroup.us/articles/AMM-9-136.php Introduction: Previous literature has shown a high revision rate after a SLAP repair operation, which led to a decreased number of SLAP repairs being performed and an increased emphasis on patient selection. The transition to the ICD-10 coding system has allowed for more descriptive coding, enhancing the validity of the data mined from large databases. This study aims to assess the surgical revision rate, risk factors for revision, and subsequent procedures after a superior labrum anterior and posterior (SLAP) repair surgery. Materials & methods: Data for the study were obtained from the national private insurance database Pearl Diver (years 2007 - 2020). All included patients underwent their first SLAP repair surgery with at least two years of follow-up. Patients were queried using Current Procedural Terminology (CPT) code 29807 and concurrent ICD-10 shoulder pathology diagnosis codes. The database was used to determine the revision rate of Subsequent Shoulder Procedures (SSP). The time between index surgery and subsequent procedures was noted. Finally, a logistic regression analysis with a significance cut-off of p ≤ 0.05 was conducted to determine the risk factors for a subsequent procedure after a SLAP repair. Results: Out of 91 million patients, 15,958 patients (16,611 shoulders) met the criteria for the study. 1,389 (8.36%) repaired shoulders underwent a subsequent shoulder procedure on average 1.13 years after their initial SLAP repair. Younger age (OR = 1.01), elevated CCI (OR = 1.07), female gender (OR = 1.3), tobacco use (OR = 1.37), and obesity (OR = 1.21) significantly increased the risk of a subsequent shoulder procedure. Subacromial decompression, debridement, rotator cuff repair, manipulation under anesthesia, and revision SLAP repair were the most common subsequent procedures. Discussion: An additional procedure may be necessary for approximately 1 in 12 patients a year after SLAP repair surgery. Patients who are younger, female, obese, have an increased CCI, and use tobacco are at increased risk of undergoing a revision procedure. Overall, the rate of revision procedures patients experience after a SLAP repair is less than initially reported. 05 Jul, 2025 https://www.organscigroup.us/articles/AMM-9-135.php Fibromyalgia (FM) is a syndrome currently considered idiopathic and multifactorial rheumatic syndrome that causes increased muscle tension, especially during the use of the same muscles. It is characterized by muscle and fibrous tissue (tendons and ligaments) pain of a chronic type associated with stiffness, asthenia (decline in strength with fatigability), cognitive impairment, insomnia or sleep disturbances, and altered sensitivity to stimuli. The etiology is currently unknown. It is under discussion whether to retain it in the definition of the atypical rheumatic syndrome. The hypotheses are oriented according to a multifactorial logic, immunoreumatological in nature with neurological, psychiatric, muscular and metabolic symptoms, although (being a diagnosis by exclusion) it tends to include known phenomena (such as psychiatric symptoms) in a spectrum of heterogeneous symptoms, thus risking diagnostic error, even to accommodate the patient’s needs and wants. This review provides the reader with a comprehensive overview of the disorder, highlighting some aspects that could redefine its clinical framing, thus facilitating a better diagnostic approach to the health problem, from an etiological perspective. 11 May, 2024 https://www.organscigroup.us/articles/AMM-8-134.php Purpose: This study aimed to develop a prototype Personal Mobility (PM) system with human-robot synchronous motion measurement and sensory feedback as an attention reminder to ensure the safe performance of sustained, step-by-step rehabilitation tailored to the daily living conditions of elderly individuals. Methods: Five healthy adults were fitted with a simulation tool to experience the elderly, and inertial measurement unit sensors were placed on the subjects and the PM device to measure joint movements during two postural movements (sitting to supine and supine to standing). In addition, vibration stimulation and voice guidance were implemented as alerts at a certain set threshold of the joint motion angle. We analyzed the deviation of each joint motion between the subject and the PM device regarding the angle measurements of the trunk, hip, knee, and ankle joints. Results: Trunk angle misalignment was high in the sitting-to-supine position. Hip angle misalignment was greater in the supine to standing position. As an alert system, vibration and voice guidance could be presented to the subject with a 0.3-second delay after the set threshold was reached. Conclusion: The misalignment between a human and a motorized wheelchair in contact with the human is more than several tens of degrees when expressed as the angle change value of the joint motion. We believe that a system that can constantly sense and alert the user regarding whether the user and the PM device are in sync is necessary for PM devices being used in rehabilitation or as daily life support. 23 Nov, 2023 https://www.organscigroup.us/articles/AMM-7-133.php Objective: The objective of this study is to know if the method of calculating full training load session eTRIMP using pulse monitors would be able to demonstrate a monotony like the total internal load model through the session-RPE using workload method in a resistance athlete. Methods: This is a one-week observational study that evaluated time, heart rate, and session RPE in a 32-year-old adult during prescribed resistance training to compare Internal Training Load (ITL) using the eTRIMP method with traditional assessment methods that use session RPE multiplied by training session duration, known as session workload calculation. Results: The total load for the week varied between models due to the method of obtaining the result being different, 417 au for the weekly summation based on eTRIMP versus 3321 au using the workload method. However, the monotony of the weekly training prescription was similar, observationally evaluated, between the groups (2.4 for the workload method versus 2.9 for the eTRIMP method). Conclusion: The internal load evaluated by the eTRIMP model seems to show a monotony value like the value calculated by the weekly load using session-RPE and workload. Therefore, evaluating resistance training using the eTRIMP by pulse monitoring model seems to be a useful tool in analyzing training week monotony to maintain high loads favoring the hypertrophy and fat-burning process. 21 Nov, 2023 https://www.organscigroup.us/articles/AMM-7-132.php Background: A hip fracture usually presents significant blood loss in the perioperative period, with a transfusion rate of 20-60%. In order to reduce the complications associated with this procedure, the administration of Tranexamic Acid (TXA) has been implemented in the treatment of perioperative anemia. The objectives were to evaluate the effectiveness and safety of a single dose of intravenous Tranexamic Acid (TXA) in reducing perioperative blood loss and the requirement for transfusion in elderly patients undergoing hip fracture surgery within one postoperative year. Methods: A double-blind randomized controlled trial was conducted on 129 patients with hip fractures. After randomization, at the start of the surgery, 65 patients received a single dose of 1 gram of intravenous TXA (TXA group), and 64 received a placebo (placebo group). The primary effectiveness outcomes were the total blood loss and transfusion rate. The primary safety outcome was the rate of thromboembolic events. Data on surgical or medical infection, readmission and death were also collected. Results: The TXA group had a significant decrease in blood loss (p = 0.006) and requirement for transfusion (p < 0.001) compared with the placebo group. Likewise, there were no thromboembolic events in the TXA group and seven in the placebo group (p = 0.006). Mortality within 1-year postoperatively was not significantly different (p = 0.115). Conclusion: Using a single dose of intravenous TXA at the start of the surgery significantly reduces blood loss and the requirement for transfusion without increasing the risk of thromboembolic events or mortality within 1-year postoperatively in patients with hip fracture undergoing surgery. Registration number: NCT03211286. https://clinicaltrials.gov/ct2/show/NCT03211286. Level of evidence: I. 15 Sep, 2023 https://www.organscigroup.us/articles/AMM-7-131.php This study shows a rare association between the anomalous position of the shoulder girdle, due to scoliosis, with altered shoulder kinematics, injury of joint capsule ligaments and rotator cuff tendons, and shoulder dislocation due to a traumatic event. The subject has developed adolescent idiopathic scoliosis, with convex curvatures to the right side in the lower region of the thorax (with the Cobb angle of 13 degrees) and to the left side of the upper region of the thorax (with the Cobb angle of 24-degrees), both of them with the axial rotation of vertebra and with visible gibbosities. The upper axial rotation has a 6.5-degree, which causes an unbalance between the two shoulder girdles. In normal situations, the shoulder joint is turned 30 degrees anterior to the coronal plane, but in his case, the right shoulder girdle is pulled 28 degrees anterior by the groove, and the left one is pushed 34.5 degrees anterior by the gibbosity. The major effect of shoulder girdle unbalance appears to be the maximum extension of the upper limbs when the hands can’t be aligned to the coronal plane and this is an important risk factor for the injuries of the left shoulder joint, while some weight training exercises are performed. 18 Apr, 2023 https://www.organscigroup.us/articles/AMM-7-130.php Skeletal disorders are common entities that we encounter in our daily practice. Their early diagnosis is key to proper management and genetic counselling. Spondyloepiphyseal dysplasia is one such disorder. It is a genetic bone deformity that affects the spine, proximal epiphysis and pelvis. The disease is either manifested at birth or during adolescence therefore given the terms SED congenita or SED tarda. Patients with SED present with variable features including short height, short neck, club foot, cleft palate, kyphoscoliosis or lordotic abnormalities. We also present a case of an 11-year-old boy who presented to us with complaints of stunted growth and abnormal posture and underwent radiological imaging. 28 Dec, 2022 https://www.organscigroup.us/articles/AMM-6-129.php Carisoprodol is a medication commonly prescribed for musculoskeletal pain, but recent studies have raised concerns about its potential negative effects on bone development and health, particularly in relation to endochondral ossification. Endochondral ossification is a critical process that involves the transformation of cartilage into bone, which is essential for the formation of long bones in the body. Carisoprodol has been shown to reduce the activity of osteoblasts while increasing the activity of osteoclasts, leading to an imbalance in bone formation and resorption. Studies also suggest that carisoprodol may inhibit osteoblast differentiation, decrease bone density, strength, and microarchitecture, and affect the expression of genes involved in endochondral ossification. These negative effects may be due, in part, to its inhibition of the Wnt signaling pathway. Healthcare providers should carefully consider the potential risks of carisoprodol on bone development and health when prescribing this medication. Alternative treatments may be considered for patients at high risk of bone-related complications. 27 Oct, 2021 https://www.organscigroup.us/articles/AMM-5-128.php Work Related Musculoskeletal Disorders (WRMSD) are the sort of disorders which involves soft tissues. The involvement of soft tissues can be due to the over use, restlessness and improper use. The main target of WRMSD are working indicuduals.it may cause muscle strain, ligament strain, tendon strain, tendinitis and bursitis. The cross section survey was conducted and data was collected from July to October 2018 from Jinnah Post graduate medical Centre Karachi, Pakistan. A self-constructed proforma was used among the 194 patients who meet the inclusion and exclusion criteria and Spss version 23 was used. The majority (n=98, 50.5%) were belongs to age group of 21 to 35 and were (n=102, 52.6%) were male. In marital status majority (n=128, 66%) were married. In involvement of part majority (n=56, 28.9%) were suffering from lower back problem. After checking the type of injury (n=56, 49.5%) were suffering from muscular strain. In the context of onset of injury majority (n=82, 42.3%) were experienced their problem suddenly. The study finalized that WRMSD is most common in working individuals especially in older and females. The WRMDS puts heavy burden on the society, annually. As the participants who belongs to low socio economic status are more vulnerable for WRMDS. 14 Sep, 2021 https://www.organscigroup.us/articles/AMM-5-126.php Objectives: The objective of this research is to discover the trends of work-related musculoskeletal disorders that are prevalent in the linemen population, as well as the occupational activities that put linemen at risk of developing WRMDs. Methodology: The study included 50 male linemen employed in FASCO, who performed various field tasks in a Faisalabad city Pakistan. Age group included in the study between 20 to 40 years. Chi square test was applied to check association between daily life and incidence of symptoms. Results: There is no significance associations were founded between age and tasks of linemen with p-value 0.431. There is significance association was founded between comfort and their tasks with p-value 0.002. There is significance association was founded between body region and their tasks with p-value 0.001. Conclusion: MSDs in body areas other than the back were found in our investigation, particularly in the shoulders and knees. We also identified high-risk tasks that would require more investigation and management. 03 Mar, 2021 https://www.organscigroup.us/articles/AMM-5-125.php Introduction: Gait disorder is a common clinical problem for stroke survivors that impacts performance of activities of daily living. Objective: This study was conducted to compare between the efficacy of underwater Treadmill Training Program (TTP) and over-ground (TTP) in improving knee joint Range of Motion (ROM) during the gait cycle of stroke patients. Study design: Randomized control trial. Methods: Forty male patients suffering from post-stroke gait deficits were assigned randomly into two equal groups: study group (A): Received underwater treadmill training program. Control group (B) received over-ground treadmill training program. Patients of both groups were assessed for knee Range of Motion (ROM) during gait cycle using slow motion video and goniometer iPad application. Assessment was done before and after four weeks of treatment for both groups. Results: The comparison between groups post treatment showed a significant increase in knee flexion ROM in initial contact and pre-swing phase and increase in knee extension ROM in mid stance phase of the study group (A) compared with that of control group (B). Conclusion: Under water TTP is more effective than over-ground TTP on improving knee joint ROM during the gait cycle of stroke patients. 06 Jan, 2021 https://www.organscigroup.us/articles/AMM-5-124.php Most patients with advanced cancer develop skeletal muscle atrophy called sarcopenia, which reduces treatment tolerance and social activity and worsens the prognosis. Glucose suppresses skeletal muscle atrophy in cancer-bearing mice, while promoting cancer growth. In contrast, medium-chain fatty acids reduce skeletal muscle atrophy and suppress cancer growth. Simultaneous administration of glucose and medium-chain fatty acids suppresses skeletal muscle atrophy and eliminates the tumor growth seen in glucose. Based on these findings, dietary intervention using a combination of glucose and medium-chain fatty acids is expected to be effective in suppressing sarcopenia in cancer patients. 09 Sep, 2020 https://www.organscigroup.us/articles/AMM-4-123.php Takayasu Arteritis (TA) is a chronic idiopathic inflammatory vasculitis of unknown etiology that mainly involves the aorta and its major branches. In this study, we reported the case of a female patient with unilateral hand weakness that was initially misdiagnosed as TOS. However, at her most recent admission, the absence of radial pulse was noted which eventually led to the diagnosis of TA. Rarity of the disease, non-specific presentation and the absence of specific biochemical marker for TA made its early diagnosis difficult. We have tried to highlight the importance of conducting a thorough the physical examination when visiting patients with weakness, as well as the importance of considering rare differential diagnoses including TA in patients with unilateral limb paresis. TA might not manifest its typical constitutional symptoms preceding vessel involvement. Therefore a thorough clinical examination is pivotal in differentiating TA and TOS. 12 Aug, 2020 https://www.organscigroup.us/articles/AMM-4-122.php Adsorption has been widely used for arsenic-contaminated drinking water treatment. The mechanism of As(V) removal from water by adsorption technology was brief introduced, and the influence factors of different adsorption pathways were also illustrated. The materials used as adsorbents were classified according to physical, chemical and biological processes, and the effect on As(V) removal from water using a variety of adsorbents were overviewed in this study. The current problems of this technology were also discussed, then, the solutions and development directions were put forward. Adsorption capability provides significant reference when selecting an adsorbent. Therefore, to develop environmental friendly materials achieving efficient adsorption capabilities, optimize the synthesis and modification methods of the current adsorbents, and improve regeneration efficiency are the trends of developing adsorption technique on As(V) removal from water. Biological arsenic removal technology has the advantages due to good effect, low cost and less secondary pollution, which have bright development and application prospects. Local conditions of arsenic-contaminated water, practical feasibility of the adsorption technology and applicable conditions of each material should be comprehensively compared and evaluated, when selecting specific adsorbent for As(V) removal from water. 31 Jul, 2020 https://www.organscigroup.us/articles/AMM-4-121.php Architectural properties of the triceps surae muscles complex were determined in vivo for thirty subjects. These subjects were assigned to two groups. The first group of subjects consisted of 8 healthy men and the second group of subjects was composed of 22 patients with motor disorders. The ankle was positioned at -15 ° (dorsiflexion), and 0 ° (neutral anatomical position), and 15 °, and 30 ° (plantarflexion), with the knee set at 120 °and with an angle in the ankle joint of 90 °. At each position, longitudinal ultrasonic images of the Medial (MG) and Lateral (LG) Gastrocnemius and Soleus (SOL) muscles were obtained while the subject was relaxed (passive) and performed 50 % maximal voluntary isometric plantar flexion (active), from which fascicle Lengths (L) and angles (Θ) with respect to the aponeuroses were determined. From the ultrasonic image, it was observed that and Θ changed during an isometric contraction of the triceps surae muscle. Changes in L and were expressed as a function of relative torque. The Θ change was not identical for the three muscles. The fascicle Θ of MG demonstrated the greatest variation in three muscles. The effects of activation and relaxation positions were significant in all three muscles. The differences in MG fascicle Θ because of changes in ankle positions were significant among control and patients both in the passive and active conditions. Fascicle Θ of LG and SOL not differed among control and patient in the relaxation condition but not in the activation condition. For LG, and SOL ol fascicle Θ were changes were larger in control with the patients. The mean values fascicle Θ of MG, LG, and SOL an isometric contraction (50 % MVC) in the control groups increased by 60 %, 41 %, and 41 %, respectively; in the patient groups were a smaller increase, by 28 %, 26 %, and 36 %, respectively. Different lengths and angles of fascicles, and their changes bу contraction by patients and normal subjects, might bе related to differences in force-producing capabilities of the muscles and elastic characteristics of tendons and aponeuroses. 10 Jul, 2020 https://www.organscigroup.us/articles/AMM-4-120.php Objective: Six- minutes’ walk-test (6MWT) is a measure of physical fitness widely studied and validated in chronic pathologies with sedentary lifestyles. It is an aerobic fitness test, correlated with maximum oxygen consumption (VO2max) in some studies, but this correlation is not well established in diabetes. We assessed the extent to which it predicts VO2max and its training-induced changes in type 2 diabetics. Materials and methods: Twenty-five type 2 diabetics were randomized and divided into two groups: 13 completed a physical training program (eight hospital education sessions continued at home through two weekly 30-45-minute sessions at an intensity corresponding to the first ventilatory threshold VT1) and the remaining 12 continued their usual treatment unchanged. Results: After 1 year training maintained maximum aerobic capacity, while it decreased significantly in the untrained group (p=0.014). Voorrips’ activity score was correlated with VO2max (r= 0.44, p= 0.05) and with the distance walked at 6MWT (r=0.446, p=0.05). The distance walked during 6MWT is correlated with VO2max before (r= 0.456 p= 0.05) and after (r= 0.714 p<0.001) and on all values measured before and after (r= 0.571 p= 0.01). The change in MWT does not predict that of VO2max to which it is not correlated (r=0.318; NS), but it is weakly correlated to that of the VT1 (r= 0.435 p-0.05) while the absolute values of VT1 and 6MWT are not correlated at all. 6MWT was not correlated with HbA1c. Conclusions: as in other sedentary populations, 6MWT is an indicator (approximate but easy and economical) of aerobic fitness. However, it does not measure training-induced changes in aerobic fitness, its variations being rather a marker of those of the first ventilatory threshold. 16 Mar, 2020 https://www.organscigroup.us/articles/AMM-4-119.php Guillain‐Barré syndrome and myasthenia gravis are two immune mediated neuromuscular diseases, both threaten respiratory function and may emerge as medical emergencies. Co-occurrence of the two entities though possible is a rare condition, and therefore poses special diagnostic difficulties. Herein, a report of co-presentation of Guillain‐Barré syndrome and myasthenia gravis is discussed and the literature regarding this rare combination is studied. 18 Dec, 2019 https://www.organscigroup.us/articles/AMM-3-118.php Background: Spastic Paraplegia 26 (SPG26) is a complex type of spastic paraplegia caused by B4GALNT1 gene pathogenic variants, and is characterized by childhood/adolescence onset of progressive spastic paraplegia associated with mild to moderate cognitive impairment and developmental delay, dysarthria, cerebellar ataxia, and peripheral neuropathy. 23 Aug, 2019 https://www.organscigroup.us/articles/AMM-3-117.php Background: There are limited studies differentiating between the two main treatment options for Extra-Octave fractures. The purpose of the present study is to report the outcomes when treating the Extra-Octave fracture in children. 13 Jul, 2019 https://www.organscigroup.us/articles/AMM-3-116.php Orthopaedic injuries can require a period of restricted weight-bearing which can increase inpatient hospital admissions and place the patient at risk of the complications of immobility. This study aimed to identify the functional outcomes and rehabilitation effi ciency for patients admitted to rehabilitation with restricted weight bearing. 21 Mar, 2019 https://www.organscigroup.us/articles/AMM-3-115.php Background: When conservative measures fail in the treatment of thoracic outlet syndrome (TOS), a first rib resection (FRR) is in order. Nowadays, a transaxillary or supraclavicular approach is most commonly used. However, both techniques have technical limitations. Objective: In this paper a minimal invasive, robot-assisted thoracoscopic technique tackling those shortcomings is proposed. Methods: A single-center retrospective study including 11 patients with 12 FRR’s from January 2017 until August 2018 was performed. The main focus was the feasibility of this new technique by looking at mean hospital stay, postoperative pain and complication rate. Clinical outcome was evaluated at 6 weeks. 21 Aug, 2018 https://www.organscigroup.us/articles/AMM-2-114.php Background: This investigation undertook to corroborate the alarming regions concerning the elements that impact work–family dispute among hotel employees in Isfahan, Iran. Method: Data were composed of wait staff workers of 4 or 5-star (or in some rating First Class and Luxury) hotels, and gathered from 150 people by questionnaire that had three sections: demographic, musculoskeletal disorders and work-family conflict. The statistical analysis was done by running Stata version 13. 09 Jul, 2018 https://www.organscigroup.us/articles/AMM-2-113.php Subjects with hypothyroidism substituted with levothyroxine (HS) are known to be poor responders to weight reducing strategies. Since muscle energy metabolism is regulated by thyroid hormones we compared the oxidation of fat and carbohydrates (CHO) during exercise in HS versus controls. We compared 52 patients (48 women, 4 men, age 49 t years, levothyroxine dose 25-250 micrograms / day) to a control group of 2081 patients matched for sex, age, BMI and percentage of fat during an exercise calorimetry with 4 submaximal 6 minutes steps. At the same power intensity HS on the average oxidize more fat (p = 0.009) and use more oxygen (p = 0.00019). Lipid oxidation culminates at the same power intensity(39,4±2,4 vs 38,6±0,3 watts) but its maximal oxidation rate is significantly higher in the HS group (10.32±0.47 vs. 9, 06±0.10 mg / min / kg muscle p = 0.02) and carbohydrate oxidation during the final level (1866.6 ± 77.3 vs1705.45 ± 11.5 mg / min p = 0.029 ). The maximal lipid oxidation rate is correlated with the dose of levothyroxine (r = 0.331, p <0.05).HS patients exhibit an overall increase of energy expenditure during exercise, oxidizing more lipids at mild to moderate intensities and more CHO at high intensities. This latter mechanism could result into an orexigenic effect of physical activity contributing to resistance to weight loss. 27 Feb, 2018 https://www.organscigroup.us/articles/AMM-2-112.php Systemic sclerosis (SSc) is a chronic autoimmune progressive connective tissue disease characterized by widespread vascular, immune and fi brotic changes of the skin and internal organs. Articular cartilage thickness previously investigated in few. Lower levels of vitamin D have been demonstrated in SSc patients and may be related to more sever disease of longer duration and extensive skin involvement. Aim of this study was to compare the levels of vitamin D and femoral cartilage thickness (FCT) in SSc patients with that of controls and to analyze the associations between the (FCT), vitamin D levels and SSc-disease parameters. 09 Jan, 2018 https://www.organscigroup.us/articles/AMM-2-111.php Background: The quantitative relationship based on infection after total joint arthroplasty and perioperative blood glucose levels are not fully discussed. Hypothesis: The purpose of this study was to find the relationship between peri-operative hyperglycemia and infection after total joint arthroplasty by suggesting a cut-off value over which were the risk factor for postoperative infection. 13 Dec, 2017 https://www.organscigroup.us/articles/AMM-1-110.php Objective: evaluate the results of mini-open surgery for carpal tunnel syndrome (CTS) Patients and method: Prospective study of 56 hands (43 patients) with carpal tunnel syndrome, who underwent mini-open carpal tunnel release surgery in Hanoi Medical University Hospital 08 Nov, 2017 https://www.organscigroup.us/articles/AMM-1-109.php Objectives: evaluate the result of cementless total hip replacement with minimally invasive surgery for femoral neck fracture 10 Oct, 2017 https://www.organscigroup.us/articles/AMM-1-108.php Aim: To determine the outcomes and satisfaction of patients who presented to a primary care musculoskeletal clinic and sports medicine clinic with a clinical or magnetic resonance imaging confi rmation of knee meniscal tear and who subsequently received an injection of intra articular hyaluronic acid. 19 Aug, 2017 https://www.organscigroup.us/articles/AMM-1-107.php Background: Musculoskeletal injury (MSKI) has been identified as a threat to the effectiveness and productivity of military training organisations globally. The burden on the medical chain, occupational disposal and the loss of working days due to temporary functional restriction challenges organisational efficiency and ultimately operational capability whilst also representing a significant socioeconomic burden. 08 Aug, 2017 https://www.organscigroup.us/articles/AMM-1-106.php Background: Alternatives to opioids have been sought to control postoperative pain given the opioid epidemic. Liposomal bupivacaine has been suggested to decrease postoperative opioid use and pain scores. The purpose of this study was to discover the effect of liposomal bupivacaine on postoperative pain scores and narcotic usage in orthopedic patients. 27 Jun, 2017 https://www.organscigroup.us/articles/AMM-1-105.php Introduction: Slipped capital femoral epiphysis (SCFE) and Blount’s disease in children are associated with obesity. The purpose of this study is to evaluate the effectiveness of pediatric weight management programs in achieving weight loss in overweight children with SCFE and Blount’s disease. 27 Apr, 2017 https://www.organscigroup.us/articles/AMM-1-104.php Macrodactyly is a congenital disease characterized by an increase in the volume of one or more fingers disproportionately relative to normal fingers. It is a rare congenital, non-hereditary disease that can occur in the hands or feet. 20 Mar, 2017 https://www.organscigroup.us/articles/AMM-1-103.php Background: A tension-type headache (TTH) is the most common form of a headache. The complex interrelation among the various pathophysiological aspects of TTH might explain why this disorder is so diffi cult to treat. Manual therapy is considered one of the main treatments for TTH. 03 Mar, 2017 https://www.organscigroup.us/articles/AMM-1-102.php Non-contact anterior cruciate ligament (ACL) injuries occur with rapid decelerations and pivoting. A recent injury to a high-level National Basketball Association (NBA) player demonstrated neuromuscular control and injury-sparing mechanisms that resulted in only minor ligament injury to the medial collateral ligament. 07 Feb, 2017 https://www.organscigroup.us/articles/AMM-1-101.php Objectives: To assess the practicability of a questionnaire to routinely discriminate between urgent and non-urgent rheumatology appointments by administrative personnel. Second, to discuss the results in view of current literature on referral strategies of rheumatic patients from primary to secondary care, including those with immune-mediated rheumatic diseases.