Journal of Orthopaedic Surgery and Research Editorial

Journal of Orthopaedic Surgery and Research is an open access, online journal that aims to expeditiously publish clinical and basic research studies related to musculoskeletal issues in different cultural communities. It provides a platform for exchanges of new clinical and scientific information in the most precise and expeditious way to achieve dissemination of information and cross-fertilization of ideas. The open access nature of this journal allows articles to be universally and freely accessible via the Internet. This ensures a rapid and efficient communication of research findings. The journal welcomes all types of articles related to musculoskeletal issues. Its timely publication and high visibility are the two most important features that make this journal different from other traditional journals in the orthopaedic field

LANDING WITH A SUPINATED ANKLE JOINT COULD INCITE AN INVERSION SPRAIN INJURY

Ankle sprain injury mechanism has been recently analysed quantitatively. This study further investigated if a supinated ankle joint at landing is an aetiology of the injury. One inversion ankle sprain case from a previous study was selected, and the video sequences of two similar play movements performed by the same athlete without injury were collected and analysed by a model-based image-matching motion analysis method. The ankle joint orientations at the moment of landing in these three cases were compared. Results showed that the ankle joint was in a supination orientation with a combined 14 degrees inversion and 16 degrees plantarflexion at landing, while it was neutral in the inversion/eversion plane and dorsiflexed to 10-21 degrees in the non-injury cases. The supination ankle joint at landing was suggested to be the inciting event of the injury

The role of social media data in operations and production management

Social media data contain rich information in posts or comments written by customers. If those data can be extracted and analysed properly, companies can fully utilise this rich source of information. They can then convert the data to useful information or knowledge, which can help to formulate their business strategy. This cannot only facilitate marketing research in view of customer behaviour, but can also aid other management disciplines. Operations management (OM) research and practice with the objective to make decisions on product and process design is a fine example. Nevertheless, this line of thought is under-researched. In this connection, this paper explores the role of social media data in OM research. A structured approach is proposed, which involves the analysis of social media comments and a statistical cluster analysis to identify the interrelationships amongst important factors. A real-life example is employed to demonstrate the concept

KINEMATICS ANALYSIS OF ANKLE EVERSION SPRAIN IN SPORTS ONE CASE DURINGTHE 2010 FIFA WORLD CUP

The purpose of this study was to present the 3-dimensional ankle joint kinematics of an eversion ankle sprain case with MBIM motion analysis technique. The results showed that the maximum eversion angle occurred 0.20 seconds after trampled. At that time, the ankle joint was 25° everted, 42° externally rotated, and 15° plantarflexed. The Maximum eversion velocity was 210deg/s. The results from the MBIM technique could contribute to the understanding of the injury mechanism of ankle sprain injury

Kinematics analysis of ankle inversion ligamentous sprain injuries in sports: five cases from televised tennis competitions

Background: Ankle ligamentous sprain is common in sports. The most direct way to study the mechanism quantitatively is to study real injury cases; however, it is unethical and impractical to produce an injury in the laboratory. A recently developed, model-based image-matching motion analysis technique allows quantitative analysis of real injury incidents captured in televised events and gives important knowledge for the development of injury prevention protocols and equipment. To date, there have been only 4 reported cases, and there is a need to conduct more studies for a better understanding of the mechanism of ankle ligamentous sprain injury. Purpose: This study presents 5 cases in tennis and a comparison with 4 previous cases for a better understanding of the mechanism of ankle ligamentous sprain injury. Study Design: Case series; level of evidence, 4. Methods: Five sets of videos showing ankle sprain injuries in televised tennis competition with 2 camera views were collected. The videos were transformed, synchronized, and rendered to a 3-dimensional animation software. The dimensions of the tennis court in each case were obtained to build a virtual environment, and a skeleton model scaled to the injured athletes height was used for the skeleton matching. Foot strike was determined visually, and the profiles of the ankle joint kinematics were individually presented. Results: There was a pattern of sudden inversion and internal rotation at the ankle joint, with the peak values ranging from 48°- 126° and 35°-99°, respectively. In the sagittal plane, the ankle joint fluctuated between plantar flexion and dorsiflexion within the first 0.50 seconds after foot strike. The peak inversion velocity ranged from 509 to 1488 deg/sec. Conclusion: Internal rotation at the ankle joint could be one of the causes of ankle inversion sprain injury, with a slightly inverted ankle joint orientation at landing as the inciting event. To prevent the foot from rolling over the edge to cause a sprain injury, tennis players who do lots of sideward cutting motions should try to land with a neutral ankle orientation and keep the center of pressure from shifting laterally

SLIP PREVENTION IN WALKING -LOWER EXTREMITY BIOMECHANICS

This study investigated the human slip prevention strategies when walking on slippery surfaces. Fifteen male subjects performed, level walking without slips under sixteen simulated construction site environments. Kinematics, kinetics and electromyography parameters were collected. The slipperiness of the walkway conditions were quantified by the dynamic coefficient of friction (DCOF). Gait changes in slippery condition included prolonged force and pressure exertion in hallux and lateral toes. more ankle plantarflexion moment during 30-50% stance, less knee extension moment during 1030% stance, higher muscle activity at rectus femoris in late stance, and in gastrocnemius in swing phase. These strategies helped achieving walking without slips by reducing the RCOF from 0.188 to 0.092, which was just lower to the dropped available friction (DCOF=0.107)

Personal Exposure to Submicrometer Particles and Heart Rate Variability in Human Subjects

We conducted a study on two panels of human subjects—9 young adults and 10 elderly patients with lung function impairments—to evaluate whether submicrometer particulate air pollution was associated with heart rate variability (HRV). We measured these subjects’ electrocardiography and personal exposure to number concentrations of submicrometer particles with a size range of 0.02–1 μm (NC(0.02–1)) continuously during daytime periods. We used linear mixed-effects models to estimate the relationship between NC(0.02–1) and log(10)-transformed HRV, including standard deviation of all normal-to-normal intervals (SDNN), square root of the mean of the sum of the squares of differences between adjacent NN intervals (r-MSSD), low frequency (LF, 0.04–0.15 Hz), and high frequency (HF, 0.15–0.40 Hz), adjusted for age, sex, body mass index, tobacco exposure, and temperature. For the young panel, a 10,000-particle/cm(3) increase in NC(0.02–1) with 1–4 hr moving average exposure was associated with 0.68–1.35% decreases in SDNN, 1.85–2.58% decreases in r-MSSD, 1.32–1.61% decreases in LF, and 1.57–2.60% decreases in HF. For the elderly panel, a 10,000-particle/cm(3) increase in NC(0.02–1) with 1–3 hr moving average exposure was associated with 1.72–3.00% decreases in SDNN, 2.72–4.65% decreases in r-MSSD, 3.34–5.04% decreases in LF, and 3.61–5.61% decreases in HF. In conclusion, exposure to NC(0.02–1) was associated with decreases in both time-domain and frequency-domain HRV indices in human subjects

Alendronate (ALN) combined with Osteoprotegerin (OPG) significantly improves mechanical properties of long bone than the single use of ALN or OPG in the ovariectomized rats

<p>Abstract</p> <p>Background</p> <p>Alendronate (ALN) is the most common form of bisphosphonates used for the treatment of osteoporosis. Osteoprotegerin (OPG) has also been shown to reduce osteoporotic changes in both humans and experimental animals after systemic administration. The aim of this current study was to test if the anti-resorption effects of ALN may be enhanced when used in combination with OPG.</p> <p>Objectives</p> <p>To investigate the effects of ALN, OPG or combined on bone mass and bone mechanical properties in ovariectomized (OVX) rats.</p> <p>Methods</p> <p>OVX rats were treated with ALN, OPG-Fc, or OPG-Fc and ALN. Biochemical markers, trabecular bone mass, biomechanics, histomorphometry and RANKL expression in the bone tissues were examined following the treatments.</p> <p>Results</p> <p>The treatment of ALN, OPG-Fc and ALN+OPG-Fc all prevented bone loss in the OVX-rats, there was no statistical difference among the three treatment groups in terms of vertebrae BMD, mineralizing surfaces, mineral apposition rate, BFR/BS. The ALN+OPG-Fc treatment group had significantly increased the mechanical strength of lumber vertebral bodies and femoral shafts when compared to the ALN and OPG-Fc treatment groups. The RANKL protein expression in the vertebral bones was significantly decreased in the ALN and ALN+OPG-Fc treatment groups, suggesting the combined use of OPG-Fc and ALN might have amplified inhibition of bone resorption through inhibiting RANKL-dependent osteoclastogenesis.</p> <p>Conclusion</p> <p>The combined use of OPG-Fc and ALN may be a new treatment strategy for reversing bone loss and restoring bone quality in osteoprotic disorders.</p

Review of ankle inversion sprain simulators in the biomechanics laboratory

Ankle inversion ligamentous sprain is one of the most common sports injuries. The most direct way is to investigate real injury incidents, but it is unethical and impossible to replicate on test participants. Simulators including tilt platforms, trapdoors, and fulcrum devices were designed to mimic ankle inversion movements in laboratories. Inversion angle was the only element considered in early designs; however, an ankle sprain is composed of inversion and plantarflexion in clinical observations. Inversion velocity is another parameter that increased the reality of simulation. This review summarised the simulators, and aimed to compare and contrast their features and settings

A COMPUTATIONAL BIOMECHANICS STUDY TO INVESTIGATE THE EFFECT OF MYOELECTRIC STIMULATION ON PERONEAL MUSCLES IN PREVENTING INVERSION-TYPE ANKLE LIGAMENTOUS SPRAIN INJURY

A three-dimensional multi-body lower limb model with 16 bones and 22 ligaments was developed to study ankle ligamentous inversion sprain. A male athlete who was diagnosed with a grade I anterior talofibular ligament (ATaFL) sprain during an accidental injury in laboratory in a published report. His ankle kinematics injury data profile was computed. The effect of delivering myoelectric stimulation on peroneal muscles was simulated as torques during ankle inversion. Largest strain in the ATaFL was 8.3%, 9.0% and 11.4%, respectively, at different inversion velocity thresholds of 300 deg/s, 400 deg/s and 500 deg/s. A ligament strain/sprain more than 10-15% would lead to a ligament tear suggesting that applied muscle moments could successfully prevent ankle inversion sprain when an injury identification threshold does not reach 400 deg/s