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State of the Art: Joint Disease and Sport Medicine
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State of the Art: Joint Disease and Sport Medicine

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

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 4632

Special Issue Editor

Dr. Junyi Liao

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Interests: osteoarthritis; sports medicine; bone and cartilage engineering; MSCs

Special Issue Information

Dear Colleagues,

Recent developments in joint disease treatment and sport medicine have aimed to improve outcomes and reduce complications. Our Special Issue focuses on some of the most interesting trends and developments in this significant and fast-moving field. We are especially interested in recent advancements in joint disease treatment, such as artificial joint replacement; joint arthroplasty; biological materials etc. Additionally, sports medicine deals with the diagnosis, management and treatment of injuries related to exercise or recreational activity. We also focus on the role of sports medicine in joint treatment, and how they go hand-in-hand. 

The aim of this Special Issue is therefore to effectively combine and coordinate research and results in order to understand and improve joint treatment and sport medicine.

Dr. Junyi Liao
Guest Editor

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

  • joint disease
  • joint arthroplasty
  • sport medicine
  • joint treatment
  • Orthopedics

Published Papers (4 papers)

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Editorial

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3 pages, 171 KiB  
Editorial
Osteoarthritis: The Most Common Joint Disease and Outcome of Sports Injury
by Bowen Chen, Wei Huang and Junyi Liao
J. Clin. Med. 2023, 12(15), 5103; https://doi.org/10.3390/jcm12155103 - 3 Aug 2023
Viewed by 1008
Abstract
Osteoarthritis (OA) is the most common joint disease and affects an estimated 240 million people worldwide [...] Full article
(This article belongs to the Special Issue State of the Art: Joint Disease and Sport Medicine)

Research

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10 pages, 1343 KiB  
Article
Articular Cartilage Reconstruction with Hyaluronate-Based Scaffold Significantly Decreases Pain and Improves Patient’s Functioning
by Jarosław Gryglewicz, Monika Chaszczewska-Markowska, Mateusz Dorochowicz, Jerzy Drożdż and Szymon Łukasz Dragan
J. Clin. Med. 2023, 12(23), 7342; https://doi.org/10.3390/jcm12237342 - 27 Nov 2023
Cited by 1 | Viewed by 646
Abstract
Articular cartilage lesions negatively affect patients’ well-being, causing severe pain and significantly limiting functioning. The purpose of this study was to evaluate the effectiveness of a one-stage reconstruction, performed arthroscopically using a hyaluronate-based scaffold. Pain reduction and functional improvement were assessed. The study [...] Read more.
Articular cartilage lesions negatively affect patients’ well-being, causing severe pain and significantly limiting functioning. The purpose of this study was to evaluate the effectiveness of a one-stage reconstruction, performed arthroscopically using a hyaluronate-based scaffold. Pain reduction and functional improvement were assessed. The study also evaluated if postoperative vitamin D supplementation and rehabilitation protocol impact obtained outcomes. A group of 29 patients was included in a retrospective study. All the participants underwent arthroscopic reconstruction of osteochondral lesions using hyaluronate-based scaffolds. The study group used standard questionnaires to self-assess their condition before surgery and at the time of completion. Despite the aforementioned, all the participants fulfilled two original questionnaires on postoperative rehabilitation and vitamin D supplementation. Significant pain reduction (mean NRS 1.83 vs. 7.21, p < 0.0001) and functional improvement (mean Lysholm score 82.38 vs. 40.38, p < 0.0001; mean OKS 40.2 vs. 23.1, p < 0.0001) were found. No differences in pain reduction and functional improvement were seen between genders. The impact of post-operative rehabilitation and vitamin D supplementation on clinical outcomes was found to be statistically nonsignificant. The results obtained in this study clearly confirm the effectiveness of osteochondral reconstruction using hyaluronate-based scaffolds. The outcomes were equally favorable, regardless of postoperative rehabilitation and vitamin D supplementation. Full article
(This article belongs to the Special Issue State of the Art: Joint Disease and Sport Medicine)
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15 pages, 2561 KiB  
Article
How Does Age Affect Injury Characteristics in Young Elite Footballers?—A Prospective Cohort Study of a German Youth Academy
by Johannes Weishorn, Ayham Jaber, Raphael Trefzer, Severin Zietzschmann, Ralph Kern, Jan Spielmann, Tobias Renkawitz and Yannic Bangert
J. Clin. Med. 2023, 12(21), 6938; https://doi.org/10.3390/jcm12216938 - 5 Nov 2023
Cited by 1 | Viewed by 1052
Abstract
Background: Little is known about age-related changes in injury characteristics and burden, and existing data are inconsistent, highlighting the need for new studies on this topic. This study aimed to describe age-related injury risk, severity and burden in a German elite youth football [...] Read more.
Background: Little is known about age-related changes in injury characteristics and burden, and existing data are inconsistent, highlighting the need for new studies on this topic. This study aimed to describe age-related injury risk, severity and burden in a German elite youth football academy. Methods: A prospective cohort study was conducted in the 2012/2013 season, reporting 109 time-loss injuries among 138 young athletes playing at an elite football academy in Germany. For the most severe injuries, the injury burden in the different age groups was considered separately. Results: Athletes missed a total of 2536 days of exposure, resulting in an overall incidence of 2.6 per 1000 h (1.7–3.0; 95% CI) and a burden of 60.6 days lost per 1000 h (40.8–80.3; 95% CI). The incidence and burden of joint sprains and muscle injuries were higher in the older age groups. Physeal injuries peaked in the U14 age group during the pubertal growth spurt. Bone injuries and contusions showed no age trend. Conclusion: Injury characteristics vary with age. The overall incidence, severity and burden of injuries increased with the age of the athletes. To ensure the optimal development of young athletes, it is important to be aware of the differences in injury susceptibility between age groups in order to implement tailored prevention programmes. Full article
(This article belongs to the Special Issue State of the Art: Joint Disease and Sport Medicine)
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Other

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9 pages, 8133 KiB  
Technical Note
Retrograde Autologous Talar Osteocancellous Bone Grafting for the Treatment of Osteochondral Lesions of the Talus: A Technical Note
by Takuji Yokoe, Takuya Tajima, Nami Yamaguchi, Yudai Morita and Etsuo Chosa
J. Clin. Med. 2023, 12(10), 3431; https://doi.org/10.3390/jcm12103431 - 12 May 2023
Viewed by 1204
Abstract
Osteochondral lesions of the talus (OLT) are common injuries in young athletes. Various kinds of surgical procedures are available for orthopaedic surgeons, but which surgical technique is the best remains controversial. Many surgical procedures require malleolar osteotomy to obtain appropriate surgical exposure to [...] Read more.
Osteochondral lesions of the talus (OLT) are common injuries in young athletes. Various kinds of surgical procedures are available for orthopaedic surgeons, but which surgical technique is the best remains controversial. Many surgical procedures require malleolar osteotomy to obtain appropriate surgical exposure to the OLT because of the anatomic characteristics of the ankle joint. However, malleolar osteotomy is invasive and has a potential risk of complications, such as tibial chondral damage and pseudoarthrosis. This article aims to introduce a novel surgical procedure for the treatment of OLTs: retrograde autologous talar osteocancellous bone grafting without the need for osteotomy and harvesting a graft from anywhere other than the talus. First, an arthroscopic evaluation is performed to verify the location, size, and cartilage quality of the OLT as well as concomitant lesions. After confirming the position of the guide pin using a guide device arthroscopically, a talar osteocancellous bone plug is harvested using a coring reamer. The OLT of the harvested talar bone plug is removed, and under arthroscopy, the talar osteocancellous bone plug is retrogradely inserted into the talar bone tunnel. To stabilize the implanted bone plug, one or two bioabsorbable pins are inserted from the lateral wall of the talus while applying counterforce to the articular surface of the bone plug. The present surgical technique can minimally invasively address the OLT without the need for malleolar osteotomy and harvesting a graft from the knee joint or iliac bone. Full article
(This article belongs to the Special Issue State of the Art: Joint Disease and Sport Medicine)
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