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Muscles

Muscles is an international, peer-reviewed, open access journal on muscle biology and physiology published quarterly online by MDPI. 
The Korean Society of Physical Medicine (KSPM) is affiliated with Muscles and its members receive discounts on the article processing charges.

All Articles (152)

  • Systematic Review
  • Open Access

Background: The global increase in orthopedic implant use—both for trauma fixation and arthroplasty—has profoundly transformed musculoskeletal surgery. As a consequence, fractures occurring in the presence of implants have become more frequent and clinically relevant. Yet, these injuries are currently described using highly heterogeneous terminology, including periprosthetic (fracture occurring in the presence of a prosthetic joint replacement) peri-implant (fracture occurring around an osteosynthesis or fixation device), implant-related, and hardware-related fractures (umbrella terms encompassing both prosthetic and fixation devices, used descriptively rather than classificatorily). This coexistence of multiple, context-specific terminologies hinders clinical communication, complicates registry documentation, and limits research comparability across orthopedic subspecialties. Because fractures occurring in the presence of orthopedic implants significantly alter load transfer, muscle force distribution, and musculoskeletal biomechanics, a clear and unified terminology is also relevant for muscle-focused research addressing implant–tissue interaction and functional recovery. Objective: This systematic review aimed to critically analyze the terminology used to describe fractures influenced by orthopedic implants, quantify the heterogeneity of current usage across anatomical regions and publication periods, and explore the rationale for adopting a unified umbrella term—“artificial fracture.” Methods: A systematic search was performed in PubMed, Scopus, and Web of Science from January 2000 to December 2024, following PRISMA guidelines. Eligible studies included clinical investigations, reviews, registry analyses, and consensus statements explicitly employing or discussing terminology related to implant-associated fractures. Data were extracted on publication characteristics, anatomical site, terminology employed, and classification systems used. Quantitative bibliometric and qualitative thematic analyses were conducted to assess frequency patterns and conceptual trends. Results: Of 1142 records identified, 184 studies met the inclusion criteria. The most frequent descriptor in the literature was periprosthetic fracture (68%), reflecting its predominance in arthroplasty-focused studies, whereas broader and more practical terms such as implant-related and peri-implant fracture were more commonly used in musculoskeletal and fixation-related research. Terminological preferences varied according to anatomical site and implant type, and no universally accepted, cross-anatomical terminology was identified despite multiple consensus efforts. Discussion and Conclusions: The findings highlight persistent heterogeneity in terminology describing fractures influenced by orthopedic implants. A transversal, descriptive framework may facilitate communication across subspecialties and support registry-level harmonization. Beyond orthopedic traumatology, this approach may also benefit muscle and musculoskeletal research by enabling more consistent interpretation of data related to muscle–bone–implant interactions, rehabilitation strategies, and biomechanical adaptation.

15 January 2026

PRISMA flow diagram illustrating the systematic search and study selection process. This diagram summarizes the sequential filtering process used in accordance with the PRISMA 2020 guidelines, demonstrating the transparency and reproducibility of the literature search and selection workflow. The complete PRISMA checklist is provided in the Supplementary Material Table S1.

(1) Background: The naked mole-rat (Heterocephalus glaber) survives hypoxia–reoxygenation stresses by utilizing metabolic rate depression, achieved in part by downregulating nonessential genes and processes to conserve endogenous cellular resources and prevent buildup of toxic waste byproducts. Tight molecular control of protein degradation (specifically the ubiquitin–proteasome system) is a potent regulatory tool for maintaining muscle integrity during hypoxia, but how this system is regulated in the heart of hypoxia-tolerant species is poorly understood. (2) Methods: The protein expression levels of cullin-RING E3 ligases (specifically CRL4 architecture), deubiquitinating enzymes, and proteasomal activity were assayed in cardiac tissues from H. glaber exposed to 24 h of normoxia or hypoxia in vivo. (3) Results: Overall, the protein expression of E3 ligases decreased, whereas expression of deubiquitinating enzymes increased during hypoxia, all of which play roles in themes of oxidative stress, heightened DNA damage repair, and the HIF-1-VHL-NFκB axis. Proteasomal activity was elevated during hypoxia, which conceivably links to the oxidative stress theory of aging and longevity of H. glaber. (4) Conclusions: Taken together, our results expand current research into protein degradation and extreme environmental stress responses, with a specific focus on cardiac mechanisms related to oxidative stress resistance along the hypoxia-longevity axis.

14 January 2026

Muscular strength plays a crucial role in sports performance and is often evaluated using vertical jump tests such as the Squat Jump (SJ) and Countermovement Jump (CMJ). Measurements based on flight time (FT) assume that takeoff and landing postures are identical, yet differences in ankle position can introduce systematic errors. This study examined whether dorsiflexion (DF) or plantarflexion (PF) of the ankle during the flight phase affects jump height. Forty-three active university students completed four repetitions each of SJ and CMJ under DF and PF across two sessions. Jump heights were recorded using a Chronojump-Boscosystem platform. No significant difference was observed in SJ between DF and PF, while CMJ heights were consistently higher under DF (DF: 28.29 cm ± 7.7 cm vs. PF: 27.08 cm ± 7.03 cm, p = 0.001; d = 0.16). Notably, the effect of DF appeared more pronounced in CMJ, suggesting that higher jumps are more sensitive to postural variations. These findings could suggest that DF can artificially increase jump heights as measured on a jump platform, without reflecting true improvements in force production. Coaches and practitioners should interpret FT-derived data with caution, particularly for higher jumps. Future research combining precise motion capture with force platforms could directly track center-of-mass changes and validate this mechanism.

12 January 2026

Background: The study examined sex differences in countermovement jump (CMJ) force plate metrics and neuromuscular responses to a standardized dynamic warm-up in physically active college students. Methods: Forty-one participants (21 males, 20 females) completed pre- and post-warm-up assessments of CMJ performance using a dual force plate system. Body composition was measured via bioelectrical impedance analysis, and performance metrics included force, velocity, power, and other jump metrics. Percent change scores were calculated for all metrics. Results: Males demonstrated significantly greater improvements in braking force metrics compared to females, including force at minimum displacement (11.4% Δ male vs. 5.7% Δ female, p = 0.043), average braking force (10.6% Δ male vs. 5.0% Δ female, p = 0.043), and peak braking force (11.5% Δ male vs. 5.7% Δ female, p = 0.043). No significant sex differences were found in velocity, power, propulsive force, or other general CMJ performance variables. Hierarchical regression analyses revealed that sex was a significant (p ≤ 0.043 for all) predictor of changes in braking force metrics, while lean body mass did not enhance model fit or independently predict force changes. The addition of lean body mass slightly attenuated the sex effect but did not contribute meaningfully to the models. Conclusions: Findings suggest males may experience greater braking force adaptation to a dynamic warm-up, while other performance outcomes appear similar between sexes. These results may inform sex-specific warm-up strategies targeting neuromuscular readiness and braking force development.

9 January 2026

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Muscles - ISSN 2813-0413