Advancements in the Diagnostics and Management of Musculoskeletal Diseases

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Clinical Diagnosis and Prognosis".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 560

Special Issue Editor

Special Issue Information

Dear Colleagues,

Pathologies of the musculoskeletal system can and must be addressed by many professionals, such as orthopedists, traumatologists, physiatrists, physiotherapists, rheumatologists, geriatricians, radiologists, biologists, biotechnologists, bioengineers and other doctors, health professionals, and basic scientists. Their interaction in a multi- and transdisciplinary approach is very important. The aims of this Special Issue are as follows: (1) to summarize through literature reviews, or systematic or meta-analyses, the state of the art of the most interesting and current problems of the musculoskeletal system; (2) to offer the most current and innovative research through original articles. Both basic science and clinical papers are welcome to be submitted as long as they concern diagnostics of the musculoskeletal system even with therapeutic aspects.

Dr. Alessandro de Sire
Guest Editor

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Keywords

  • musculoskeletal system
  • joint
  • orthopedics
  • traumatology
  • rehabilitation
  • radiology
  • fracture
  • muscle
  • connective tissues
  • regenerative medicine
  • tissue engineering

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Published Papers (2 papers)

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Review

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15 pages, 285 KiB  
Review
Neurophysiological Examination for the Diagnosis of Orofacial Pain and Temporomandibular Disorders: A Literature Review
by Loredana Raciti, Martina Ferrillo, Antonio Ammendolia, Gianfranco Raciti, Claudio Curci, Dario Calafiore, Maria Pia Onesta, Rocco Salvatore Calabrò, Umile Giuseppe Longo and Alessandro de Sire
Diagnostics 2025, 15(8), 1035; https://doi.org/10.3390/diagnostics15081035 - 18 Apr 2025
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Abstract
Temporomandibular disorders (TMD) are a cluster of musculoskeletal conditions that involve the overall structures of jaw movements, including the temporomandibular joint, the masticatory muscles, and the surrounding structures. The etiology of TMD-related pain may be either central or peripheral, and differential diagnoses with [...] Read more.
Temporomandibular disorders (TMD) are a cluster of musculoskeletal conditions that involve the overall structures of jaw movements, including the temporomandibular joint, the masticatory muscles, and the surrounding structures. The etiology of TMD-related pain may be either central or peripheral, and differential diagnoses with other orofacial conditions are commonly required. Central pain etiology is associated with altered brain function linked to sensitization of pain-producing centers, whereas peripheral etiology of TMD is considered multifactorial, with some predisposing factors. Differentiating between neurological conditions and TMD requires a comprehensive clinical evaluation, as overlapping symptoms can complicate the diagnostic process. The aim of this review was to summarize the current literature about the role of neurophysiological examination in the management of orofacial pain and temporomandibular disorders to provide clear data that could be useful for clinical practice and for future clinical studies in this field. Full article

Other

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16 pages, 5302 KiB  
Case Report
Identification of a Musculus Levator Claviculae on Physical Exam: A Case Report and Literature Review
by Eric Smith, Erik Vanstrum and Ashley Kita
Diagnostics 2025, 15(8), 1008; https://doi.org/10.3390/diagnostics15081008 - 16 Apr 2025
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Abstract
Background and Clinical Significance: The levator claviculae muscle (also known as cleidocervicalis) is a vestigial muscle located in the posterior triangle of the neck, extending from the upper cervical transverse processus to the clavicle. It has been detected in ~2% of humans, [...] Read more.
Background and Clinical Significance: The levator claviculae muscle (also known as cleidocervicalis) is a vestigial muscle located in the posterior triangle of the neck, extending from the upper cervical transverse processus to the clavicle. It has been detected in ~2% of humans, but is rarely documented in the radiologic or anatomic literature. When found on physical exam, it is usually mis-identified as lymphadenopathy, metastasis, cysts, an aneurysm, or other masses. It has been implicated in a few cases of thoracic outlet syndrome. Case Presentation: Herein, we describe a 25-year-old man with a weightlifting history, who was found to have a right levator claviculae muscle in the setting of unilateral mixed neurovascular thoracic outlet syndrome. The patient presented with right-sided extremity paresthesias, pain in the neck, shoulder, and arm, and symptom exacerbation with overhead activities. He also described intermittent unilateral pulsatile tinnitus during strenuous exercise. On physical exam, he was found to have a right carotid bruit, unequal systolic blood pressures, and positive Roos and Adson’s testing. The variant muscle was identified with a modified exam maneuver, and was further characterized with sonography and MRI. Symptoms were managed with activity restriction and NSAIDs. We reviewed 17 cases of levator claviculae variant muscles in patients. Conclusions: The presence of levator claviculae muscles has been detected in patients with thoracic outlet syndrome, but never in a patient with an audible bruit and pulsatile tinnitus. This physical exam maneuver, used in conjunction with multimodal imaging, successfully aided diagnosis and direct medical management in this case. Full article
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