CAYOTSS

Morel-Lavallée lesion: kuchli siljish (shear) kuchi teri osti yog‘ qavatini chuqur fassiyadan ajratadi. Natijada qon tomirlari va limfa tomirlari shikastlanib, hosil bo‘lgan potensial bo‘shliqda qon, limfa, seroz suyuqlik va nekrotik yog‘ to‘planadi.

Patients with epilepsy have elevated risk of fracture with some antiseizure medications (ASMs). Now, a study looks at the risk with lacosamide and levetiracetam. "[This study] serves as a useful reminder that we should be monitoring bone health with all ASMs," writes Tanya J.W. McDonald, MD, PhD. ©️ NEJM

Қўлимга яхши китоб тушуп қолди. У Харри Скиннернинг Ортопедияси(5th ed.). Бўлишип тураман. Юқорида ҳавфли ва ҳавфсиз ўсмаларнинг ёшга мувофиқ тарқалиши кўрсатилган.

Адабиётлар шарҳини модели жуда чиройли тасвирланган экан: 1. Нега ушбу мавзуни ўрганишимиз керак? 2. Ушбу йўналишнинг асосий муаммолари нималардан иборат? 3. Нима шу кунгача қилинди? 4. Қилинган ишлар бўйича нималарни ўргандик? 5. Қандай илмий бўшлиқ бор ўзи?

When an academic team in 2023 claimed to have found lymphatic vessels inside mouse and human bones, other biologists were intrigued. The discovery contradicted a widely held belief that bone was one of the few places these vessels didn’t penetrate. The group’s study, published in Cell, also suggested the tubes help bone regenerate after injury—a finding with obvious medical relevance. Now, a team of scientists report in Cell that they see no evidence of lymphatic vessels in healthy bone, and poke holes in the previously published experiments. The authors of the original 2023 paper reject the criticisms in a simultaneously published rebuttal. The warring papers have had a rocky path to publication: The journal made an eleventh-hour decision to halt their posting online last month because of concerns about allegations in the rebuttal aimed at some of the critique’s authors. The rebuttal has since been heavily re-edited. Learn more: https://scim.ag/4qwDZKa

LET графт узулишини камайтириб, спортга қайтишни тезлаштиради. ©️ OJSM

"These findings emphasize the need for careful patient counseling and shared decision-making," the authors write. "Given that follow-up could not be established in 16 of 54 patients, the true 2-year mortality risk may be even higher (than 8%). Outcomes after PJI must be contextualized within the broader framework of systemic illness and excess mortality risk." "The practical implications of this study are that at least 20% of patients who have a resection arthroplasty and placement of an antibiotic-loaded spacer will not have a reimplantation and will retain this spacer," writes Curtis Wayne Hartman in a #CORRInsights commentary. "We should consider using more durable spacer designs: A well-functioning spacer in a patient at high risk may benefit from avoiding a second-stage reimplantation." Read the commentary here: https://ow.ly/jvrO50ZC3aI

Robotic vs Conventional TKR: RACER-Knee (Lancet, 2026) The largest masked RCT of robotic-arm-assisted TKR to date (339 patients, 10 UK centres, 33 surgeons). Result: No clinically meaningful difference at 12 months. Forgotten Joint Score: rTKR 49.2 vs cTKR 50.2 (adj. diff –1.5, 95% CI –7.5 to 4.5) Similar pain, function, EQ-5D, complications, and adverse events rTKR: +10.5 min operating time, more precise HKA alignment — but no functional payoff Cost: rTKR ~£1000 more per patient; only 4% probability of being cost-effective at £30,000/QALY Takeaway: Better alignment precision ≠ better patient-reported outcomes — at least within the first year. Robotic assistance remains a technology in search of its clinical benefit. 📎 Metcalfe et al., The Lancet, Aug 2026 — doi:10.1016/S0140-6736(26)00986-4

1 грамм тўқимани электрокоагуляторда куйдирганда чиққан тутун, 6 та сигарет чекишга тенг. - Nicholas A. ©️ JBJS

Maqola topish kerakmi ? Original post at Reddit

Bosh barmoq mushaklarining anatomiyasi — ularning joylashuvi, yo‘nalishi va harakatlardagi vazifasini tushunish qo‘l biomekanikasini o‘rganishda muhim ahamiyatga ega. Original post at https://lnkd.in/p/dpmquyKx

Peroneus Longusдан аутографт сифатида фойдаланиш* “всё таки” тўпиқ кучи, балансни ушлаш ва сакраш қобилиятига зарар етказади. - турк қардошлар, INTERNATIONAL ORTHOPAEDICS *олдинги кесишган бойлам реконструкцияси учун

Chanoq-son bo'g'imi endoprotezlash dan keyin qat'iy harakat cheklovlari haqiqatan ham kerakmi? JBJS jurnalida chop etilgan yirik ko'p markazli tadqiqot (10,357 bemor, 7 kasalxona, Niderlandiya) qat'iy va minimal harakat cheklovlarini taqqosladi. Natija: minimal cheklov guruhida dislokatsiya 1.93%, qat'iy cheklov guruhida 1.46% (p=0.093 — statistik ahamiyatli farq yo'q). Yosh, BMI, jins, bosh o'lchami va yondashuvga tuzatish kiritilgandan keyin ham farq sezilarli emas (Odds Ratio 1.25, 95% CI 0.86–1.82). Aksincha, dislokatsiya xavfiga protez bosh o'lchami, jins va jarrohlik yondashuvi ko'proq ta'sir ko'rsatdi, harakat cheklovlari emas(3-jadval). Xulosa: operatsiyadan keyingi qattiq ko'rsatmalarini yumshatish bemorlar uchun tezroq va qulayroq tiklanishga yordam berishi mumkin, dislokatsiya xavfini oshirmagan xolda. Read the original article

External rotators of the Lower limb #anatomystandard

Unispacer - тарих. Қаердадир АҚШ. Ҳозирги юни-протезларнинг аждоди ва муваффақиятсиз вакили. Маълумотлпрга кўра, 2011 йили АҚШ бозоридан тўлиқ чиқип кетган.

Rotator manjeta yirtilishi: simptomsiz kechishi mumkin Schibany va h.k. (Eur J Radiol, 2004) 212 nafar to'liq simptomsiz ortopedik bemorni (18–85 yosh) elka UTT va Constant Score bilan tekshirgan. Natijalar: 🔹 6 % (13 nafar) supraspinatus payining to'liq yirtilishi aniqlangan — barchasi 56–83 yoshda 🔹 Yosh oshgani sayin tarqalganlik ortgan: <50 yosh — 0%, 60–69 yosh — 14% 🔹 90% - MRT tashxisni tasdiqladi 🔹 Bemorlar og'riq va faollik cheklovi sezmagan, lekin kuch ko'rsatkichi sezilarli past bo'lgan (p<0,01) Xulosa: MRT yoki UTTda topilgan yirtilish alohida emas, balki bemorning klinik ko'rsatkichlari kontekstida ko'rib chiqilishi kerak— u yolg'iz o'zi jarrohlik uchun asos bo'la olmaydi. 📖 Schibany N, va boshq. Eur J Radiol 2004;51:263–268

Artroskopik rotator manjeta rekonstruksiyasini asellular dermal matriks allograft "patch" yordamida kuchaytirish: uch qatorli chok-ko‘prigi (triple-row suture bridge) texnikasiga integratsiya qilish Mualliflar: Woo-Yong Lee, M.D., Ph.D. Hyung-Jin Chung, M.D., Ph.D. Kyung-Cheon Kim, M.D., Ph.D. Jae-Young Park, M.D. Birinchi marta nashr etilgan: 7-may, 2026-yil DOI: 10.1002/atn2.70042