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Drie tot zes minuten muisstil liggen in de benauwde, kleine, indrukwekkende, lawaaierige ruimte van de MRI-scanner. Dat is moeilijk voor de meeste kinderen onder de acht jaar. En dat meerdere keren minstens 30 minuten lang, want zo lang duurt een MRI-scan. Daarom gaan jonge kinderen vaak onder narcose als zij een MRI-scan krijgen. Rutger Jan Nievelstein, […]
Valproïnezuur (VPA) is teratogeen; bij gebruik tijdens de zwangerschap kan blootstelling aan het ontwikkelde embryo leiden tot aangeboren afwijkingen...
We read with great interest the article titled “Periprosthetic Fractures: A Rising Tide of Hip Arthroplasty Failure Noted in the American Joint Replacement Registry and the Preventative Role of Cemented Stems” by Sassoon et al. [1] This study reports outlining outcomes of a very impressive 367,227 total hip arthroplasty (THA) procedures, included in the American Joint Replacement Registry over a nine-year period, of which 93% of included THA cases were performed using uncemented femoral stems (UFSs).
We appreciate the insights provided by Davey et al. on this intriguing topic. As noted, our analysis did demonstrate significantly higher overall revision rates with the use of cemented femoral stems (CFSs) compared to uncemented femoral stems on univariate analysis. However, this should not be interpreted as CFS being a driver of revisions secondary to non-periprosthetic fractures. Rather, it should be understood in the context of patient selection, as CFS is often indicated for older individuals, many of whom present with more comorbidities than their younger counterparts, and for those with compromised bone quality [1].
An upright trunk compensation (i.e. knee dominant squat) may be utilized by adolescent hip dysplasia patients. When incorporating squats for targeted hip strengthening in this population, it may be advisable for clinicians to encourage greater trunk flexion to effectively engage the hip musculature.
An upright trunk compensation (i.e. knee dominant squat) may be utilized by adolescent hip dysplasia patients. When incorporating squats for targeted hip strengthening in this population, it may be advisable for clinicians to encourage greater trunk flexion to effectively engage the hip musculature.
This study aimed to investigate the ultrastructural anatomy of the developing ACL tibial enthesis. We hypothesized that enthesis architecture would pr...
Extracellular vesicles (EVs) derived from endometrial-derived mesenchymal stem/stromal cells (eMSC) play a crucial role in tissue repair due to their ...
This article will provide a clinical case demonstrating the implementation of early identification and review the tools and findings and the diagnosti...
Globally, there has been no improvement in rates of extremely preterm birth before 28 weeks’ gestation (1). With advances in neonatal care, survival rates of infants born extremely preterm are also increasing (2,3), and intensive care is currently being offered to infants born as early as 22 weeks’ gestation in some centers (4-6). Compared with their term-born counterparts, children born extremely preterm have higher rates of cerebral palsy, cognitive impairment, visual and hearing impairment, and behavioral and learning difficulties (7-14), with the incidences being inversely proportional to gestation. Importantly, rates of these outcomes in the most preterm infants, defined as those born before 25 weeks’ gestation, vary considerably, reflecting different philosophies, practices and experience in providing active care to these infants (4, 15-17).
Globally, there has been no improvement in rates of extremely preterm birth before 28 weeks’ gestation (1). With advances in neonatal care, survival rates of infants born extremely preterm are also increasing (2,3), and intensive care is currently being offered to infants born as early as 22 weeks’ gestation in some centers (4-6). Compared with their term-born counterparts, children born extremely preterm have higher rates of cerebral palsy, cognitive impairment, visual and hearing impairment, and behavioral and learning difficulties (7-14), with the incidences being inversely proportional to gestation. Importantly, rates of these outcomes in the most preterm infants, defined as those born before 25 weeks’ gestation, vary considerably, reflecting different philosophies, practices and experience in providing active care to these infants (4, 15-17).
Knee crepitus, the audible crackling or grinding noise during knee movement, can be experienced across the lifespan and create concern for underlying ...
Bone stress injuries, commonly referred to as stress reactions and stress fractures, represent overuse injuries to bone. These injuries result in phys...
When thinking about elite sport, most conjure up an image of victory. However, athletes are at risk of experiencing indirect trauma after witnessing a...
Multiligament knee injuries (MLKIs) represent a broad spectrum of pathology with potentially devastating consequences. Currently, disagreement in the ...
Maniar N, Carmichael DS, Hickey JT, et al. Incidence and prevalence of hamstring injuries in field-based team sports: a systematic review and meta-ana...
A paucity of studies assesses the intersection of physical health (injury and illness), mental health and experiences of interpersonal violence (IV, a...
Compression neuropathy is a prevalent medical condition, including common types such as carpal tunnel syndrome, cubital tunnel syndrome, sciatica, and...
Enthesitis, or inflammation specific to sites in the body where tendon inserts into bone, can arise in isolated joints from overuse or in multiple joi...
Axial spondyloarthritis manifests as a chronic inflammatory disease primarily affecting the sacroiliac joints and spine. Although chronic back pain and spinal stiffness are typical initial symptoms, peripheral (ie, enthesitis, arthritis, and dactylitis) and extra-musculoskeletal (ie, uveitis, inflammatory bowel disease, and psoriasis) manifestations are also common. Timely and accurate diagnosis is challenging and relies on identifying a clinical pattern with a combination of clinical, laboratory (HLA-B27 positivity), and imaging findings (eg, structural damage on pelvic radiographs and bone marrow oedema on MRI of the sacroiliac joints).
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