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Section Editors' highlights

Welcome to the BMC Musculoskeletal Disorders Section Editors' highlights page. Here, the Section Editors have chosen recent papers published in their section of the journal that are of particular importance or interest to highlight to a wider audience. 

Clinical diagnostic and imaging - chosen by Daichi Hayashi
Clinical rheumatology and osteoporosis - chosen by Jeffrey Driban
Orthopedics and biomechanics - chosen by Giuseppe Longo
Pathophysiology of musculoskeletal disorders - chosen by Ali Mobasheri
Rehabilitation, physical therapy and occupational health - chosen by Bart Staal

MRI-detected injuries in athletes at the Rio Summer Olympics 2016

Shoulder injuries constitute a small subset of all injuries at the Olympic Games, but can result in significant pain symptoms and an inability to compete. Guermazi and colleagues retrospectively analysed MRI scan from Olympic athletes and their findings revealed that there was a high prevalence of both acute and chronic shoulder injuries, likely due to to fatigue and overuse of the dynamic stabilizers.

Does kinesiotape have any clinical benefit following rotator cuff surgery?

Kinesiotape is widely used in musculoskeletal rehabilitation but there is limited evidence to support its use. In this randomized cross-over clinical trial, Reynard and colleagues have investigated the immediate and short-term effects of kinesiotape on muscular activity, mobility, strength and pain after rotator cuff surgery. Although a decrease in over-activity of the upper trapezius was observed, kinesiotape appears to have limited clinical benefits in rotator cuff injuries.

5-alpha reductase inhibitors on osteoporosis and fracture risk

Dutasteride and finasteride are used in prostate cancer treatment, but a comparison of their effects on bone health have not been examined. A large Canadian cohort of men treated with either dutasteride or finasteride has been used the risk of osteoporosis or fractures examined. Despite differential effects, dutasteride was not associated with an increased risk relative to finasteride, suggesting that dutasteride does not adversely affect bone health.

Musculoskeletal disorders among preschool teachers

Work has many beneficial effects, but can also have a detrimental effect on health. In this study, the authors investigated the occurrence and impact of musculoskeletal disorders in female preschool teachers. They found that having an MSD had a negative effect on relational demands of the job, its meaning and subsequent intention to leave compared with MSD-free teachers.

Why tibial plateau fractures are overlooked

Tibial plateau fractures (TPFs) are sometimes overlooked in the emergency room. In this study the authors have used the Pittsburgh Knee Rules, a radiographic decision rule, to determine how many of these fractures are overlooked. The results suggest that additional radiographic scans, such as oblique X-rays, MRI and CT, should be considered as part of the diagnostic workup.

Bone loss and recovery during hindlimb unloading and reloading in aging rats

Bone structure/strength are rapidly lost during decreased mechanical loading, and aged bones have a reduced ability to adapt to increased mechanical loading.  In this study, adult and aged rats were used to investigate effects on bone structure and biomechanics with age. Compared with adults, aged bone is less responsive to both increased and decreased mechanical loading, and acute periods of disuse may leave older subjects with a long-term deficit in trabecular bone mass

Long-term evaluation of outcomes and survivorship in a TKA cohort

In this paper, the authors presents the results of a prospective non-comparative study evaluating the long-term performance of a rotating platform TKA using predominantly cementless fixation and without patellar resurfacing. They found that this technique had an excellent survivorship at a minimum 10-year follow-up with the expectation that longer-term follow-up may be superior to cemented TKA.

Inter-rater reliability of ultrasound in back pain

Ultrasound is increasingly being used as a diagnostic tool for musculoskeletal disorders. Here the inter-rater reliability of measuring morphological features in thoracolumbar fascia ultrasound images by a variety of medical practitioners was determined. The authors report good agreement and highlight the potential to use of these findings in the establishment of a clinical diagnostic scale for thoracolumbar fascia.