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702 articles

July 202624

Case ReportNeurosurgeryOpen access

The "crumble disc sign": preoperative MRI predictor of intradural lumbar disc extrusion.

A 64-year-old woman with a history of lumbar surgery presented with recurrent L4-5 disc extrusion. Preoperative MRI revealed a unique 'crumble disc sign,' characterized by irregular and fragmented disc material within…

Skeletal RadiolJul 24, 2026Read case
Clinical ResearchOrthopedic Surgery

Artificial intelligence in the evaluation and treatment of osteoporotic and fragility fractures: A systematic review.

This PRISMA-compliant systematic review examined original studies of artificial intelligence, machine learning, and deep learning for evaluating and managing osteoporotic and fragility fractures in adults.

InjuryJul 24, 2026Read summary
Clinical ResearchGeneral Surgery

Measuring patient disability in the peri-operative period using the WHODAS 2.0 questionnaire: a systematic review.

This systematic review examined how disability measured with the WHODAS 2.0 changes after different types of surgery and how peri-operative disability outcomes are reported.

AnaesthesiaJul 24, 2026Read summary
Clinical ResearchOrthopedic Surgery

Comparable Midterm Outcomes for Ultrasound-Guided Needling Versus High-Energy Shockwave Therapy for Rotator Cuff Calcific Tendinitis: A Randomized Controlled Trial.

This follow-up of a Level II randomized controlled trial compared 4 sessions of high-energy extracorporeal shockwave therapy (ESWT) with a single ultrasound-guided needling procedure (UGN) for symptomatic rotator cuff…

ArthroscopyJul 24, 2026Read summary
Clinical ResearchNeurosurgeryOpen access

The vertebral artery loops: a systematic review and meta-analysis.

This systematic review and meta-analysis assessed the prevalence of vertebral artery loops (VALs) in cervical spine surgery, analyzing 10 studies with 7,475 vertebral arteries.

Eur Spine JJul 23, 2026Read summary
Case ReportOrthopedic Surgery

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Case Studies on Treatment of Mid-shaft Clavicle Fractures.

Mid-shaft clavicle fractures in the adult and postpubescent adolescent population are a common injury treated by orthopaedic surgeons.

J Am Acad Orthop SurgJul 23, 2026Read case
Case ReportOncology (Medical)

Primary Osteosarcoma of the First Metatarsal With Multiple Metastases on 18F-FDG PET/CT.

A patient presented with primary osteosarcoma located in the first metatarsal, an uncommon site for this type of tumor. Imaging with 18F-FDG PET/CT revealed multiple metastases, which were later confirmed through…

Clin Nucl MedJul 22, 2026Read case
Case ReportOrthopedic Surgery

Creative Solution for Recurrent Failure of Flexor Tendon Repair.

A young manual laborer experienced recurrent failures following flexor tendon repair in zone 2 of the hand. After initial repair and subsequent ruptures, a secondary reconstruction was performed.

Hand ClinJul 22, 2026Read case
Clinical ResearchOrthopedic Surgery

The Hidden Injury: Behavioral Health's Role in Pediatric Orthopaedic Outcomes-A Systematic Review.

This Level III systematic review examined research on psychological and psychiatric factors in orthopaedic conditions and recovery, including pediatric and adolescent athletes undergoing orthopaedic care.

J Pediatr OrthopJul 22, 2026Read summary
Clinical ResearchOrthopedic Surgery

Primary and secondary stabilizers of the scapholunate joint: a systematic review of cadaveric ligament sectioning studies.

This systematic review synthesized cadaveric wrist-biomechanics studies examining changes after carpal ligament sectioning.

J Hand Surg Eur VolJul 22, 2026Read summary
Clinical ResearchOrthopedic SurgeryOpen access

Comparative efficacy of percutaneous vertebroplasty combined with minimally invasive pedicle screw fixation versus percutaneous vertebroplasty alone in the treatment of elderly osteoporotic vertebral compression fractures.

This randomized controlled trial evaluated the efficacy of percutaneous vertebroplasty (PVP) combined with minimally invasive pedicle screw fixation versus PVP alone in 94 elderly patients with osteoporotic vertebral…

Libyan J MedJul 21, 2026Read summary
Clinical ResearchOrthopedic Surgery

Lateral Extra-articular Procedures Decrease Rates of Graft Failure and Positive Pivot Shift in Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.

This systematic review and meta-analysis evaluated the impact of lateral extra-articular procedures (LEAP) on clinical outcomes following primary anterior cruciate ligament reconstruction (ACLR) in skeletally mature…

ArthroscopyJul 21, 2026Read summary
Clinical ResearchOrthopedic Surgery

NSAID Use and Bone Healing: An Umbrella Review with a Reconstructed Meta-Analysis.

This umbrella review and reconstructed meta-analysis examined whether NSAID exposure is associated with impaired bone healing and whether risk varies by patient group, procedure, dose, and duration.

J Am Acad Orthop SurgJul 21, 2026Read summary
Clinical ResearchOrthopedic SurgeryOpen access

Patient-Specific Instrumentation Improves Technical Execution Accuracy After Artificial Intelligence-Assisted Preoperative Planning in Medial Unicompartmental Knee Arthroplasty.

This prospective randomized clinical study evaluated whether patient-specific instrumentation (PSI) adds technical benefit to AI-assisted planning for medial unicompartmental knee arthroplasty.

Int OrthopJul 21, 2026Read summary
Case ReportOrthopedic Surgery

Musculoskeletal Phenotypes of 19 Patients With X-Linked HNRNPH2-Related Neurodevelopmental Disorder: A Prospective Case Series.

This prospective case series describes standardized musculoskeletal and orthopedic assessments in 19 individuals with X-linked HNRNPH2-related neurodevelopmental disorder.

Am J Med Genet AJul 21, 2026Read case
Clinical ResearchOrthopedic Surgery

Cost-effectiveness of biportal endoscopic spine surgery compared with microscopic surgery for lumbar degenerative diseases: a pooled analysis of 2 randomized controlled trials.

This economic evaluation pooled data from two multicentre, prospective, blinded randomised trials comparing biportal endoscopic spine surgery (BESS) with microscopic spine surgery (MSS) for single-level lumbar disc…

Spine JJul 21, 2026Read summary
Clinical ResearchOrthopedic Surgery

Outcomes of Saucerization With or Without Repair for Symptomatic Discoid Lateral Meniscus in Pediatric Patients: A Systematic Review.

This systematic review evaluated surgical outcomes for symptomatic discoid lateral meniscus in pediatric patients, analyzing 24 studies with 1225 patients.

ArthroscopyJul 20, 2026Read summary
Clinical ResearchOrthopedic Surgery

Sex Mismatch Does Not Affect Outcomes or Graft Survival After Osteochondral Allograft Transplantation of the Knee: A Systematic Review.

This systematic review evaluated the impact of donor-recipient sex mismatch on outcomes after osteochondral allograft transplantation (OCAT) of the knee, analyzing 973 patients across four studies.

ArthroscopyJul 19, 2026Read summary
Clinical ResearchOrthopedic Surgery

Concomitant Procedures Around Cartilage Restoration Surgery Is Associated With Improved Outcomes and Decreased Failure Rates: A Systematic Review.

This systematic review assessed whether concomitant osteotomy or meniscal allograft transplantation affects outcomes of cartilage restoration surgery.

ArthroscopyJul 19, 2026Read summary
Clinical ResearchOrthopedic Surgery

Transverse Tibial Transport for Limb Salvage in Ischemic Lower Extremity Disease: Technique, Mechanisms, and Clinical Outcomes-A Systematic Review.

This systematic review examines transverse tibial transport (TTT) for limb salvage in patients with ischemic lower extremity disease.

Orthop Clin North AmJul 17, 2026Read summary
Clinical ResearchInfectious Diseases

Diagnostic yield of 8G versus 11G transpedicular vertebral biopsy needles in suspected tuberculous spondylitis: a prospective randomized controlled study.

This randomized controlled trial compared the diagnostic yield of 8G versus 11G transpedicular biopsy needles in 50 patients suspected of tuberculous spondylitis.

Clin RadiolJul 17, 2026Read summary
Case ReportOrthopedic Surgery

Primary Extensor Hallucis Longus Repair With TeKBrace Augmentation in a Professional Athlete: A Case Report.

A professional athlete experienced an acute laceration of the extensor hallucis longus (EHL) tendon. The surgical intervention involved primary repair of the tendon, augmented with a synthetic scaffold (TeKBrace) to…

Foot Ankle SpecJul 16, 2026Read case
Clinical ResearchPhysical Medicine & Rehabilitation

Restorative neurostimulation outcomes for mechanical chronic low back pain: delayed-start crossover from optimal medical management and 2-year treatment longitudinal analyses from the RESTORE randomized controlled trial.

This postmarket, multicentre, open-label randomised controlled trial extension evaluated restorative neurostimulation for mechanical chronic low back pain associated with lumbar multifidus dysfunction.

Spine JJul 16, 2026Read summary
Case ReportOrthopedic SurgeryOpen access

Pelvic apophysitis and avulsion fracture treated with a regenerative combination of extracorporeal shockwave therapy and extracorporeal magnetotransduction therapy in an adolescent soccer player.

A 15-year-old soccer player had an anterior inferior iliac spine avulsion fracture with marked associated inflammation, demonstrated by MRI and superb microvascular imaging Doppler ultrasonography.

Wien Med WochenschrJul 16, 2026Read case

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