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Clinical Advances of Musculoskeletal Disorders
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Clinical Advances of Musculoskeletal Disorders

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 August 2024 | Viewed by 5284

Special Issue Editors

Dr. Konstantin Horas

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, König Ludwig Haus, Julius-Maximilians University Würzburg, Würzburg, Germany
Interests: vitamin D; osteoporosis; bone metabolism
Special Issues, Collections and Topics in MDPI journals
Dr. Manuel Weißenberger

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, König Ludwig Haus, Julius-Maximilians University Würzburg, Würzburg, Germany
Interests: experimental orthopaedics; knee arthroplasty; tibial osteotomy; joint arthroplasty; cartilage tissue engineering;

Special Issue Information

Dear Colleagues,

In recent years, there have been truly remarkable advances in our knowledge of musculoskeletal disorders. These have not only transformed our understanding of many diseases but also led to novel diagnostic and therapeutic strategies. As such, clinical advances can be observed in almost all fields of orthopedic and trauma surgery. Now, thanks to the availability of sophisticated imaging modalities and new biochemical markers, the quality of diagnostics and the clinical monitoring of disease progression has improved substantially. Likewise, treatment strategies for musculoskeletal disorders have seen considerable improvement. For example, medical robotics has been the subject of rapid development and is now been increasingly applied in orthopedic surgery. As a result, robotics, automation and smart-instrumented tools can certainly be considered as prime candidates for the improvement of surgery and rehabilitation. In addition, advances in pharmacological therapy, medical implants and devices as well as novel surgical approaches have led to recent clinical advances in the treatment of musculoskeletal disorders.

The current Special Issue aims to assemble recent advances in the treatment of musculoskeletal disorders and promote a breadth of topics relevant to clinical application. These include all aspects of diagnostics, disease treatment and monitoring. Original articles, reviews and communications are welcomed. We look forward to receiving your submissions.

Dr. Konstantin Horas
Dr. Manuel Weißenberger
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • musculoskeletal disorders
  • orthopedic and trauma surgery
  • pharmacologic therapy
  • diagnostics
  • imaging
  • monitoring
  • biochemical markers
  • medical robotics
  • rehabilitation

Published Papers (3 papers)

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Research

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14 pages, 806 KiB  
Article
High Medial Longitudinal Arch of the Foot and Latent Trigger Points in Lower Limb Muscles
by Juan Carlos Zuil-Escobar, José Antonio Martín-Urrialde, Antonia Gómez-Conesa and Carmen Belén Martínez-Cepa
J. Clin. Med. 2024, 13(14), 4049; https://doi.org/10.3390/jcm13144049 - 11 Jul 2024
Viewed by 139
Abstract
Background: The objective was to evaluate the prevalence of latent trigger points (LTrPs) in lower limb muscles in participants with a high medial longitudinal arch (MLA) of the foot compared to controls. Methods: Participants with a navicular drop test of 4–9 mm [...] Read more.
Background: The objective was to evaluate the prevalence of latent trigger points (LTrPs) in lower limb muscles in participants with a high medial longitudinal arch (MLA) of the foot compared to controls. Methods: Participants with a navicular drop test of 4–9 mm were included in the control group; the high MLA group included navicular drop test values of ≤4 mm. The presence of LTrPs was assessed by palpation techniques. The muscles evaluated were medial gastrocnemius (LTrP1), lateral gastrocnemius (LTrP2), soleus (LTrP1), peroneus longus, peroneus brevis, tibialis anterior, extensor digitorum longus, flexor digitorum longus, rectus femoris, vastus medialis (LTrP1 and LTrP2), and the vastus lateralis of the quadriceps (LTrP1 and LTrP2). Results: Thirty-seven participants with high MLA and thirty-seven controls were included in the study. Twenty-nine (78.4%) participants in the high MLA group had at least 1 LTrP, compared to twenty-three (62.2%) in the control group. No statistical difference (p < 0.05) was found in the total number of LTrPs between groups (4.46 ± 3.78 vs. 3.24 ± 3.85). There were more participants (p < 0.05) with LTrPs in the tibialis anterior, extensor digitorum longus, and vastus lateralis (LTrP1 and LTrP2) in the high MLA group than in the control group. Conclusion: Although no differences were found in the number of total LTrPs between groups, the prevalence was statistically significantly higher in the tibialis anterior, extensor digitorum longus, and vastus lateralis of the participants with high MLA of the foot. Full article
(This article belongs to the Special Issue Clinical Advances of Musculoskeletal Disorders)
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13 pages, 1937 KiB  
Article
The Direct Anterior Approach (DAA) as a Standard Approach for Total Hip Arthroplasty (THA) in Coxa Profunda and Protrusio Acetabuli? A Radiographic Analysis of 188 Cases
by Tizian Heinz, Hristo Vasilev, Philip Mark Anderson, Ioannis Stratos, Axel Jakuscheit, Konstantin Horas, Boris Michael Holzapfel, Maximilian Rudert and Manuel Weißenberger
J. Clin. Med. 2023, 12(12), 3941; https://doi.org/10.3390/jcm12123941 - 9 Jun 2023
Cited by 4 | Viewed by 1591
Abstract
Introduction: The direct anterior approach (DAA) represents a well-recognized soft tissue sparing technique for primary total hip arthroplasty (THA). The feasibility and suitability of the DAA in cases of complex acetabular deformities, namely coxa profunda (CP) and protrusio acetabuli (PA), remain to be [...] Read more.
Introduction: The direct anterior approach (DAA) represents a well-recognized soft tissue sparing technique for primary total hip arthroplasty (THA). The feasibility and suitability of the DAA in cases of complex acetabular deformities, namely coxa profunda (CP) and protrusio acetabuli (PA), remain to be determined. Methods: A total of 188 cases of CP (100 cases) and PA (88 cases) hips undergoing primary THA via the DAA were retrospectively analyzed. Surgical and radiographic parameters were evaluated and potential complications were assessed. Finally, successful implantation was defined if surgical and radiographic parameters were well within established values of non-complex primary THA. Results: In 159 hips, the medial border of the acetabular component was transferred laterally to the ilioischial line, corresponding to a fully treated acetabular protrusion. In 23 (12.23%) cases, mild, and in 5 (2.66%) cases, moderate residual acetabular protrusion remained after THA. Postoperatively, 11.40% (PA group) and 9.00% (CP group) had a leg length discrepancy (LLD) greater than 10 mm. The mean operative time was significantly less than 60 min. A linear relationship between the BMI and operative time was observed, with an additional 0.9 min of operative time per BMI unit. Overall, complications were rare and did not differ between the two groups. Conclusion: The results of this study suggest that the DAA is a suitable approach for primary THA in patients with coxa profunda and acetabular protrusion if performed by experienced surgeons familiar with the DAA. Obese patients with acetabular protrusion may pose a significant limitation to the DAA and caution should be advised in cases of obesity. Full article
(This article belongs to the Special Issue Clinical Advances of Musculoskeletal Disorders)
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Other

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34 pages, 15806 KiB  
Systematic Review
The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis
by Joel Pollet, Giorgia Ranica, Paolo Pedersini, Stefano G. Lazzarini, Simone Pancera and Riccardo Buraschi
J. Clin. Med. 2023, 12(12), 3956; https://doi.org/10.3390/jcm12123956 - 9 Jun 2023
Cited by 1 | Viewed by 2850
Abstract
OBJECTIVE: This study aims to establish the effect of electromagnetic diathermy therapies (e.g., shortwave, microwave, capacitive resistive electric transfer) on pain, function, and quality of life in treating musculoskeletal disorders. METHODS: We conducted a systematic review according to the PRISMA statement and Cochrane [...] Read more.
OBJECTIVE: This study aims to establish the effect of electromagnetic diathermy therapies (e.g., shortwave, microwave, capacitive resistive electric transfer) on pain, function, and quality of life in treating musculoskeletal disorders. METHODS: We conducted a systematic review according to the PRISMA statement and Cochrane Handbook 6.3. The protocol has been registered in PROSPERO: CRD42021239466. The search was conducted in PubMed, PEDro, CENTRAL, EMBASE, and CINAHL. RESULTS: We retrieved 13,323 records; 68 studies were included. Many pathologies were treated with diathermy against placebo, as a standalone intervention or alongside other therapies. Most of the pooled studies did not show significant improvements in the primary outcomes. While the analysis of single studies shows several significant results in favour of diathermy, all comparisons considered had a GRADE quality of evidence between low and very low. CONCLUSIONS: The included studies show controversial results. Most of the pooled studies present very low quality of evidence and no significant results, while single studies have significant results with a slightly higher quality of evidence (low), highlighting a critical lack of evidence in the field. The results did not support the adoption of diathermy in a clinical context, preferring therapies supported by evidence. Full article
(This article belongs to the Special Issue Clinical Advances of Musculoskeletal Disorders)
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