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Neuro-Orthopaedics: Orthopaedic Managements of Musculoskeletal Problems Caused by Neuromuscular Disorders
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Neuro-Orthopaedics: Orthopaedic Managements of Musculoskeletal Problems Caused by Neuromuscular Disorders

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

Deadline for manuscript submissions: closed (31 August 2021) | Viewed by 6292

Special Issue Editor

Prof. Dr. Hyun Woo Kim

E-Mail Website
Guest Editor
1. Division of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Seoul, Korea
2. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea
Interests: neuromuscular diseases; cerebral palsy; spina bifida; gait analysis; deformity correction and limb lengthening; pediatric trauma

Special Issue Information

Dear Colleagues,

The wide array of neuromuscular disorders of congenital, hereditary, and acquired origins affect the growth of the spine and extremities in children and adolescents, and produce varying degrees of mobility issues. Management is challenging in adults as well, and losing the ability to properly move any parts of the body can de-grade the rest of their life. Although the multidisciplinary team approach is essential for the patients with neurological impairments, the orthopaedic surgeon should be attuned to important surgical strategies for each neurological condition and for specific changes in motor function peculiar to the site and extent of involvement.

For this Special Issue titled “Neuro-Orthopaedics,” we would like to invite authors to submit their original papers or review articles on orthopaedic approaches to the problems of the spine and extremities of all ages based on the etiology, the location of involvement, and the degrees of deformities produced; these include but are not limited to studies on the results of reconstructive and salvage operations on the disorders of the brain, spinal cord, peripheral nervous system, and muscle diseases. Staying out of trouble by knowing the intermediate and long-term results of a specific procedure in these life-long conditions may help us identify appropriate indications and techniques of any surgeries for the specific conditions of the spine and the extremities.

Prof. Dr. Hyun Woo Kim
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.

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Keywords

  • Cerebral palsy and hereditary spastic paraparesis
  • Spina bifida (myelomeningocele), other forms of spinal dysraphism, and spinal muscular atrophy
  • Arthrogryposis multiplex congenita (Multiple congenital contractures)
  • Hereditary motor and sensory neuropathies (Charcot-Marie-tooth disease) and other disorders of peripheral nervous system
  • Muscular dystrophies
  • Brachial plexus injury

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Published Papers (2 papers)

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Research

13 pages, 3488 KiB  
Article
Smaller Intervertebral Disc Volume and More Disc Degeneration after Spinal Distraction in Scoliotic Children
by Sebastian Lippross, Paul Girmond, Katja A. Lüders, Friederike Austein, Lena Braunschweig, Stefan Lüders, Konstantinos Tsaknakis, Heiko M. Lorenz and Anna K. Hell
J. Clin. Med. 2021, 10(10), 2124; https://doi.org/10.3390/jcm10102124 - 14 May 2021
Cited by 7 | Viewed by 2517
Abstract
In recent decades, magnetically controlled growing rods (MCGR) were established to treat progressive early-onset scoliosis. The aim of this investigation was to assess the effect of long-term MCGR with continuous distraction on intervertebral discs in scoliotic children. Magnetic resonance imaging (MRI) of 33 [...] Read more.
In recent decades, magnetically controlled growing rods (MCGR) were established to treat progressive early-onset scoliosis. The aim of this investigation was to assess the effect of long-term MCGR with continuous distraction on intervertebral discs in scoliotic children. Magnetic resonance imaging (MRI) of 33 children with spinal muscular atrophy was analyzed by grading intervertebral disc degeneration (IDD) and measuring intervertebral disc volume. Cohort I (n = 17) were children who had continuous spinal distraction with MCGRs for 5.1 years and MRI before (av. age 8.1) and after (av. age 13.4) MCGR treatment. Cohort II (n = 16, av. age 13.7) were patients without prior surgical treatment. Lumbar intervertebral disc volume of cohort I did not change during 5.1 years of MCGR treatment, whereas disc volumes were significantly larger in age- and disease-matched children without prior treatment (cohort II). Cohort I showed more IDD after MCGR treatment in comparison to early MRI studies of the same patients and children without surgical treatment. MRI data showed a volume reduction and disc degeneration of lower thoracic and lumbar intervertebral discs in scoliotic children after continuous spinal distraction with MCGRs. These effects were confirmed in the same subjects before and after treatment as well as in surgically untreated controls. Full article
(This article belongs to the Special Issue Neuro-Orthopaedics: Orthopaedic Managements of Musculoskeletal Problems Caused by Neuromuscular Disorders)
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9 pages, 1265 KiB  
Article
One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly
by Byoung Kyu Park, Hyun Woo Kim, Hoon Park, Min Jung Park, Kee-Bum Hong and Kun Bo Park
J. Clin. Med. 2020, 9(11), 3731; https://doi.org/10.3390/jcm9113731 - 20 Nov 2020
Cited by 5 | Viewed by 2770
Abstract
Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery. Forty-nine cases of [...] Read more.
Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery. Forty-nine cases of syndromic camptodactyly were included. Forty fingers (81.6%) were associated with arthrogryposis multiplex congenita, and nine (18.4%) with other syndromes. Six fingers presented with a moderate form (30° to 60°) of camptodactyly, whereas 43 fingers manifested the severe form (>60°). The mean age at the time of surgery was 8.5 years, and the patients were followed for a mean of 3.9 years. The mean length of the shortening of the proximal phalanx was 4.9 mm, which averaged 17.8% of the proximal phalanx’s original preoperative length. The mean operative time was 25.8 min, and the PIP joint was fixed using Kirschner wires with an average flexion position of 7.6°. The mean flexion contracture improved from 76° preoperatively to 41° postoperatively. The mean preoperative active arc of motion was 23°, which improved to 49° postoperatively. A one-stage extension shortening osteotomy is a straightforward and effective technique for the improvement of finger function through the indirect lengthening of volar structures without the flexor tendon lengthening. The osteotomy could simultaneously correct bony abnormalities. This simple procedure is especially suitable for surgery on multiple fingers in patients with syndromic camptodactyly. Full article
(This article belongs to the Special Issue Neuro-Orthopaedics: Orthopaedic Managements of Musculoskeletal Problems Caused by Neuromuscular Disorders)
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