1
|
Nozdrenko D, Motuziuk O, Prylutska S, Matviienko T, Bogutska K, Franskevych D, Nurishchenko N, Abramchuk O, Prylutskyy Y. С 60 fullerene protective effect against the rat muscle soleus trauma. Heliyon 2024; 10:e32677. [PMID: 38961948 PMCID: PMC11219981 DOI: 10.1016/j.heliyon.2024.e32677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 06/06/2024] [Accepted: 06/06/2024] [Indexed: 07/05/2024] Open
Abstract
Muscle trauma is one of the most common body injuries. Severe consequences of muscle trauma are ischemic injuries of the extremities. It is known that the intensification of free radical processes takes place in almost most acute diseases and conditions, including muscle trauma. C60 fullerene (C60) with powerful antioxidant properties can be considered a potential nanoagent for developing an effective therapy for skeletal muscle trauma. Here the water-soluble C60 was prepared and its structural organization has been studied by the atomic force microscopy and dynamic light scattering techniques. The selective biomechanical parameters of muscle soleus contraction and biochemical indicators of blood in rats were evaluated after intramuscular injection of C60 1 h before the muscle trauma initiation. Analysis of the force muscle response after C60 injection (1 mg kg-1 dose) showed its protective effect against ischemia and mechanical injury at the level of 30 ± 2 % and 17 ± 1 %, accordingly, relative to the pathology group. Analysis of biomechanical parameters that are responsible for correcting precise positioning confirmed the effectiveness of C60 at a level of more than 50 ± 3 % relative to the pathology group. Moreover, a decrease in the biochemical indicators of blood by about 33 ± 2 % and 10 ± 1 % in ischemia and mechanical injury, correspondingly, relative to the pathology group occurs. The results obtained demonstrate the ability of C60 to correct the functional activity of damaged skeletal muscle.
Collapse
Affiliation(s)
- Dmytro Nozdrenko
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| | - Olexandr Motuziuk
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
- Faculty of Biology and Forestry, Lesya Ukrainka Volyn National University, Lutsk, 43025, Ukraine
| | - Svitlana Prylutska
- Faculty of Plant Protection, Biotechnology and Ecology, National University of Life and Environmental Science of Ukraine, Kyiv, 03041, Ukraine
| | - Tetiana Matviienko
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| | - Kateryna Bogutska
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| | - Daria Franskevych
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| | - Nataliya Nurishchenko
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| | - Olga Abramchuk
- Faculty of Biology and Forestry, Lesya Ukrainka Volyn National University, Lutsk, 43025, Ukraine
| | - Yuriy Prylutskyy
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 01601, Ukraine
| |
Collapse
|
2
|
Bosnina F, Padhiar N, Miller S, Girotra K, Massoura C, Morrissey D. Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review. J Foot Ankle Res 2023; 16:82. [PMID: 37990284 PMCID: PMC10662794 DOI: 10.1186/s13047-023-00680-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 10/31/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. METHODS Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. RESULTS One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle's syndrome (n = 2). CONCLUSION Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.
Collapse
Affiliation(s)
- Fatma Bosnina
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK
| | - Nat Padhiar
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK.
- London Sportswise, London, UK.
| | - Stuart Miller
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK
| | - Krishna Girotra
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK
| | - Chrysovalanto Massoura
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK
| | - Dylan Morrissey
- Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK
- Barts Health NHS Trust Physiotherapy Department, London, UK
| |
Collapse
|
3
|
Wei X, Liu R, Nian L, Wang Y. The formation of the "Hand as Foot" teaching methodology. Asian J Surg 2023; 46:3912-3913. [PMID: 37061381 DOI: 10.1016/j.asjsur.2023.03.173] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 03/30/2023] [Indexed: 04/17/2023] Open
Affiliation(s)
- Xiaobo Wei
- Inner Mongolia Medical University, Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China
| | - Rui Liu
- Inner Mongolia Medical University, Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China.
| | - Liwei Nian
- Inner Mongolia Medical University, Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China
| | - Yuhang Wang
- Inner Mongolia Medical University, Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot North Street, Inner Mongolia, 010050, China
| |
Collapse
|
4
|
Protective Effect of Water-Soluble C 60 Fullerene Nanoparticles on the Ischemia-Reperfusion Injury of the Muscle Soleus in Rats. Int J Mol Sci 2021; 22:ijms22136812. [PMID: 34202899 PMCID: PMC8268338 DOI: 10.3390/ijms22136812] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/17/2021] [Accepted: 06/21/2021] [Indexed: 12/14/2022] Open
Abstract
The biomechanical parameters of muscle soleus contraction in rats and their blood biochemical indicators after the intramuscular administration of water-soluble C60 fullerene at doses of 0.5, 1, and 2 mg/kg 1 h before the onset of muscle ischemia were investigated. In particular, changes in the contraction force of the ischemic muscle soleus, the integrated power of the muscle, the time to achieve the maximum force response, the dynamics of fatigue processes, and the parameters of the transition from dentate to smooth tetanus, levels of creatinine, creatine kinase, lactate and lactate dehydrogenase, and parameters of prooxidant–antioxidant balance (thiobarbituric acid reactive substances, hydrogen peroxide, and reduced glutathione and catalase) were analyzed. The positive therapeutic changes in the studied biomechanical and biochemical markers were revealed, which indicate the possibility of using water-soluble C60 fullerenes as effective prophylactic nanoagents to reduce the severity of pathological conditions of the muscular system caused by ischemic damage to skeletal muscles.
Collapse
|
5
|
MR diagnosed chronic exertional compartment syndrome successfully treated by endoscopically-assisted fasciotomy. Radiol Case Rep 2021; 16:1378-1383. [PMID: 33897933 PMCID: PMC8055527 DOI: 10.1016/j.radcr.2021.03.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 03/06/2021] [Accepted: 03/08/2021] [Indexed: 11/24/2022] Open
Abstract
Chronic exertional compartment syndrome is a subset of compartment syndrome that most frequently affects the lower extremities, often in athletic persons. It is most often characterized by calf pain shortly after the initiation of exercise and resolution of the pain soon after rest. While the pathophysiology is not completely understood, it is believed that compartment a lack of fascial compliance and increased compartment fluid leads to increased pressure, ultimately leading to a reversible ischemic state. Chronic exertional compartment syndrome was once considered a diagnosis of exclusion; however, needle manometry is an invasive way to measure intracompartmental pressure. Similarly, fasciotomy is the treatment of choice but is not without complications. We describe a case of chronic exertional compartment syndrome diagnosed by two-stage MRI and successfully treated by endoscopically-assisted fasciotomy.
Collapse
|
6
|
Du W, Hu X, Shen Y, Teng X. Surgical management of acute compartment syndrome and sequential complications. BMC Musculoskelet Disord 2019; 20:98. [PMID: 30832634 PMCID: PMC6399970 DOI: 10.1186/s12891-019-2476-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 10/12/2018] [Indexed: 02/07/2023] Open
Abstract
Background Acute compartment syndrome occurs when pressure within a compartment increases and affects the function of the muscle and tissues after an injury. Compartment syndrome is most common in lower leg and may lead to permanent injury to the muscle and nerves if left untreated. Methods 46 patients with acute compartment syndrome were enrolled, including 8 cases with serious complications, between January 2008 and December 2012. The protocols combining early management and the correction of deformities were adjusted in order to attempt to enable full recovery of all patients. Results All patients had necrotic muscles and nerves, damaged vascular, and severe foot deformities. In the early stage, each patient received systemic support and wound debridement to promote wound healing. For patients with serious complications, a number of medical measures, including installation of Ilizarov external frames, arthrodesis, osteotomy fusion, arthroplasty, or tendon lengthening surgery, were performed to achieve satisfactory clinical outcomes. All the patients resumed weight-bearing walking and daily exercises. Conclusion Acute compartment syndrome and sequential complications could be managed using a number of medical procedures.
Collapse
Affiliation(s)
- Weili Du
- Department of Burns, Beijing Jishuitan Hospital, 31 Xinjiekou East Rd, Beijing, 100035, China.
| | - Xiaohua Hu
- Department of Burns, Beijing Jishuitan Hospital, 31 Xinjiekou East Rd, Beijing, 100035, China
| | - Yuming Shen
- Department of Burns, Beijing Jishuitan Hospital, 31 Xinjiekou East Rd, Beijing, 100035, China
| | - Xing Teng
- Department of Traumatic Orthopedics, Beijing Jishuitan Hospital, Beijing, 100035, China
| |
Collapse
|
7
|
Zavodovskyi DO, Zay SY, Matvienko TY, Prylutskyy YI, Nurishchenko NY, Paradizova SS, Bezuh LL, Ritter U, Scharff P. Influence of C(60) fullerene on the ischemia-reperfusion injury in the skeletal muscle of rat limb: mechanokinetic and biochemical analysis. UKRAINIAN BIOCHEMICAL JOURNAL 2018. [DOI: 10.15407/ubj90.06.070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
8
|
Fasciotomy for chronic exertional compartment syndrome of the leg: clinical outcome in a large retrospective cohort. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 2018; 29:479-485. [PMID: 30145669 DOI: 10.1007/s00590-018-2299-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 08/18/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Chronic exertional compartment syndrome (CECS) is an overuse disorder typically affecting an athletic population. CECS is a diagnosis based on history and intracompartmental pressure (ICP) testing. CECS patients can be treated surgically by fasciotomy; however, research on the relationship between ICP and patient symptoms and also between ICP and patient-reported outcome post-fasciotomy is limited. This study aims to (1) assess functional outcome and patient satisfaction post-fasciotomy and (2) identify any potential correlation between ICP and reported levels of pain. METHODS 138 CECS patients who had ICP measurements and subsequently underwent fasciotomy were identified from our regional service for exercise-induced lower limb extremity pain between January 2000 and March 2017. Clinical outcomes were recorded at the time of ICP testing and in the post-operative follow-up clinic. Pain was reported using a verbal rating scale (VRS) ('low', 'moderate' or 'high') or as a visual analogue score (VAS) 0-10 (0 = least painful, 10 = most painful). Spearman's ranked correlation test was used to calculate correlation between ICP and reported pain. RESULTS A total of 138 patients were eligible for inclusion in this study (mean age 29.7 ± 9.7 years, 110 M, 28 F) of which 109 patients (VRS n = 61, VAS n = 48) reported pain level at pre- and post-operative stages. Mean pre-operative VAS score was 8.52 ± 0.71, and decreased to 0.77 ± 0.69 post-operatively. An insignificant positive correlation (r = 0.046, two-tailed p = 0.76) was found between VAS pain and ICP. A significant moderate positive correlation (r = 0.497, two-tailed p = 0.01) was found between VRS pain and ICP. CONCLUSION Fasciotomy significantly reduces pain and increases activity levels in CECS patients. ICP was found to positively correlate with patient-reported pain.
Collapse
|
9
|
|
10
|
Nozdrenko DM, Zavodovskyi DO, Matvienko TY, Zay SY, Bogutska KI, Prylutskyy YI, Ritter U, Scharff P. C 60 Fullerene as Promising Therapeutic Agent for the Prevention and Correction of Skeletal Muscle Functioning at Ischemic Injury. NANOSCALE RESEARCH LETTERS 2017; 12:115. [PMID: 28228000 PMCID: PMC5309190 DOI: 10.1186/s11671-017-1876-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Accepted: 01/27/2017] [Indexed: 06/06/2023]
Abstract
The therapeutic effect of pristine C60 fullerene aqueous colloid solution (C60FAS) on the functioning of the rat soleus muscle at ischemic injury depending on the time of the general pathogenesis of muscular system and method of administration C60FAS in vivo was investigated. It was found that intravenous administration of C60FAS is the optimal for correction of speed macroparameters of contraction for ischemic muscle damage. At the same time, intramuscular administration of C60FAS shows pronounced protective effect in movements associated with the generation of maximum force responses or prolonged contractions, which increase the muscle fatigue level. Analysis of content concentration of creatine phosphokinase and lactate dehydrogenase enzymes in the blood of experimental animals indicates directly that C60FAS may be a promising therapeutic agent for the prevention and correction of ischemic-damaged skeletal muscle function.
Collapse
Affiliation(s)
- D. M. Nozdrenko
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 64 Volodymyrska St., Kyiv, 01601 Ukraine
| | - D. O. Zavodovskyi
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 64 Volodymyrska St., Kyiv, 01601 Ukraine
| | - T. Yu. Matvienko
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 64 Volodymyrska St., Kyiv, 01601 Ukraine
| | - S. Yu. Zay
- Lesya Ukrainka Eastern European National University, 13 Volya Av., 43025 Lutsk, Ukraine
| | - K. I. Bogutska
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 64 Volodymyrska St., Kyiv, 01601 Ukraine
| | - Yu. I. Prylutskyy
- ESC “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv, 64 Volodymyrska St., Kyiv, 01601 Ukraine
| | - U. Ritter
- Institute of Chemistry and Biotechnology, Technical University of Ilmenau, 25 Weimarer St., 98693 Ilmenau, Germany
| | - P. Scharff
- Institute of Chemistry and Biotechnology, Technical University of Ilmenau, 25 Weimarer St., 98693 Ilmenau, Germany
| |
Collapse
|
11
|
Abstract
Acute compartment syndrome (ACS) of the lower leg is a time-sensitive orthopedic emergency that relies heavily on precise clinical findings. Late findings of ACS can lead to limb amputation, contractures, paralysis, multiorgan failure, and death. Hallmark symptoms of ACS include the 6 P's: pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis. Suspicion of ACS is confirmed by measurement of intracompartmental pressure of the affected compartment. The definitive treatment of ACS is timely fasciotomy. We review the pathophysiology, common causes, diagnosis, and treatment of this potentially devastating condition.
Collapse
Affiliation(s)
- Joanne Pechar
- Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107
| | - M Melanie Lyons
- Center for Sleep and Circadian Neurobiology, Perelman School of Medicine and School of Nursing, University of Pennsylvania,
| |
Collapse
|
12
|
Abstract
Traumatic injuries to the extremities are common in athletic competitions. The practitioner providing coverage of sporting events must be prepared to diagnose and provide initial treatment of these injuries. A thorough history and physical examination should result in a provisional diagnosis. Many injuries will require subsequent radiographs or orthopedic consultation. Limb threatening emergencies are rare but must be promptly recognized and referred to a hospital. Early treatment can protect athletes from further injury and may hasten their return to competition. Some athletes with extremity trauma can return to the contest, but this decision must be made on an individual basis.
Collapse
Affiliation(s)
- Daniel C Wascher
- Department of Orthopaedics and Rehabilitation, University of New Mexico, MSC 10 5600, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA,
| | | |
Collapse
|
13
|
Khoma OM, Zavodovs'kyĭ DA, Nozdrenko DN, Dolhopolov OV, Miroshnychenko MS, Motuziuk OP. Dynamics of ischemic skeletal soleus muscle contraction in rats. ACTA ACUST UNITED AC 2014. [DOI: 10.15407/fz60.01.034] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
14
|
Barajas BD, Sun A, Rimoin DL, Reinstein E. Recurrent compartment syndrome in a patient with clinical features of a connective tissue disorder. Am J Med Genet A 2013; 161A:1442-6. [PMID: 23633393 DOI: 10.1002/ajmg.a.35894] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2012] [Accepted: 01/14/2013] [Indexed: 11/10/2022]
Abstract
Arterial complications are common in vascular type Ehlers-Danlos syndrome (EDS), accounting for 66% of first complications. Several cases in the literature have documented acute compartment syndrome (ACS) following vascular rupture in vascular type EDS. Other disorders of connective tissue have also demonstrated vascular fragility, leading to arterial aneurysm and rupture, but there have been no documented cases of ACS. Here, we report on a female patient with a history of recurrent compartment syndrome who exhibits some clinical findings seen in hypermobile and vascular EDS; however she does not meet clinical and molecular diagnostic criteria for either of them. We further review the literature on ACS in heritable connective tissue disorders and suggest that compartment syndrome may rarely complicate other heritable disorders of connective tissue.
Collapse
Affiliation(s)
- Brenda D Barajas
- Medical Genetics Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
| | | | | | | |
Collapse
|
15
|
Rochcongar G, Maigné G, Pineau V, Hulet C. Walking and risperidone: a rare cause of acute compartment syndrome. Joint Bone Spine 2013; 80:542-3. [PMID: 23566661 DOI: 10.1016/j.jbspin.2013.02.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2013] [Indexed: 11/17/2022]
Affiliation(s)
- Goulven Rochcongar
- Department of Orthopaedic and Traumatology, CHU de Caen, avenue Côte-de-Nacre, 14003 Caen cedex 9, France.
| | | | | | | |
Collapse
|