Marcelino Torrontegui-Duarte

Background/Objectives: Pain may persist in rheumatoid arthritis (RA) even when low disease activity or remission is recorded by DAS28-CRP. We examined whether neuropathic-like features, assessed using the complete Douleur Neuropathique 4 Questions (DN4), were associated with pain interference after accounting for DAS28-CRP disease activity and pain severity. Methods: This multicenter cross-sectional secondary analysis included 107 adults with RA and chronic pain. Pain severity and interference were calculated from the Brief Pain Inventory (BPI), and DN4 was analyzed as a continuous 0–10 score. Hierarchical linear regression with HC3 robust standard errors was fitted; 95% confidence intervals for ΔR² were estimated from 5000 bootstrap resamples, and optimism-corrected R² was calculated. Results: Adding BPI severity increased R² from 0.126 to 0.529 (ΔR² = 0.403; 95% CI 0.233–0.524), and adding DN4 increased it to 0.630 (ΔR² = 0.101; 95% CI 0.036–0.177). In the final model, BPI severity (B = 0.548; 95% CI 0.373–0.723) and DN4 total (B = 0.366; 95% CI 0.223–0.509) were associated with greater pain interference (both p < 0.001); optimism-corrected R² was 0.570. Conclusions: Neuropathic-like features provided additional information on pain interference beyond pain severity and RA disease activity. These cross-sectional findings quantify an adjusted within-sample association; they do not establish causality, prospective clinical utility, or a neuropathic mechanism.

Approximately 90% of patients with arthritis exhibit forefoot deformities, including deformities within the metatarsophalangeal and proximal interphalangeal joints. Current pharmacological treatment with Disease Modifying Antirheumatic Drugs (DMARDs) consists of two groups: synthetic drugs (sDMARDs) and biological drugs (bDMARDs). The objective of our study was to investigate foot anthropometry changes in RA patients based on the administered treatment over a five-year period Method: A longitudinal analysis was conducted with RA patients who were grouped based on their pharmacological treatment. The pharmacological treatment groups were categorized into (I) methotrexate (MTX), (II) MTX plus biological treatments (including all variables), (III) biological treatment alone, and (IV) a miscellaneous group comprising patients with diverse treatments, including patients for whom various drugs had failed or who had not achieved remission with pharmacological treatment. For the anthropometric measurements, a foot measurement platform validated by McPoil et al. was used. Post hoc analyses with Bonferroni correction were performed to identify pairwise differences between the treatment groups while controlling for Type I errors due to multiple comparisons. Results: In the period from 2018 to 2023, significant changes were observed in several foot measurements. For instance, the MTX group showed a statistically significant increase in left heel width (p = 0.026). The MTX group experienced a slight increase in left foot length, while the Biologics and MTX + Bio groups exhibited more substantial increases in both maximum medial arch height and midfoot width. Conclusions: Different RA treatments can have a significant impact on foot structure over a five-year period, showing notable changes in heel width and overall foot morphology. Combined treatments with MTX and biologics potentially offer better management of RA.

Dentro de las especialidades de la podología, la cirugía podológica es la rama de la medicina encargada del tratamiento no conservador de enfermedades y afecciones que afectan a los pies y tobillos.Esta disciplina es esencial para mantener la salud y el bienestar de nuestros pies, ya que estos son una parte vital de nuestro cuerpo y nos permiten desplazarnos y realizar las actividades cotidianas. Debido a la actuación mediante procedimientos invasivos, es imprescindible un perfecto conocimiento de la anatomía, histología, cicatrización de los tejidos implicados, para reducir los malos resultados operatorios.En este libro, se abordarán los conceptos básicos de la cirugía podológica, incluyendo los conocimientos y las técnicas quirúrgicas básicas que serán utilizadas para tratar afecciones como hallux abductus valgus, dedos en garra, neuromas, quistes, onicocriptosis… Estas conocimientos básicos abordan, la historia clínica, consentimiento informado, analítica preoperatoira, instrumental quirúrgico, la incisión quirúrgica, suturas y anestesia, así como los conocimientos sobre cicatrización de la piel y la cicatrización ósea.También se discutirán los cuidados postoperatorios y la rehabilitación necesaria para garantizar una recuperación exitosa y una buena calidad de vida del paciente intervenido.Este libro es una guía valiosa para estudiantes del grado de podología que deseen comenzar el camino del aprendizaje de cirugía, y que interesados en conocer más sobre las técnicas básicas utilizadas en cirugía podológica y cómo tratar las diferentes afecciones de los pies y tobillos de manera efectiva. Con la información contenida en estas páginas, el estudiante podrá iniciarse en el conocimiento de la cirugía del pie.

Background: the main aim of this study was to analyze the relationship between sole pattern parameters of football boots with the frequency of injuries that occur in semiprofessional and amateur footballers. Methods: The study sample was composed of 77 male football players. All were at least 18 years old, played at least 10 h per week, gave signed informed consent to take part and properly completed the Visual Analogue Scale. This study analysed data from each player’s medical history, including age, injuries, years of practice, field type and surface condition information. Results: The visual analogic score in semiprofessional players was higher (2.05 ± 2.43) than in amateur players (1.00 ± 1.1). A total of 141 lesions were collected, equivalent to 1.81 injuries for each football player studied (n = 77). The result of the ROC curve indicated that the player’s years of practice could predict significantly (p < 0.05) the presence of lower limb injuries, with an area under the curve of 0.714. Conclusions: This study described the predictive capacity of sole pattern characteristics concerning lower limb injuries in amateur and semiprofessional footballers. Football boot variables associated with the number of studs were associated with foot and ankle overload injuries.

To evaluate the effectiveness of different interventions in reducing pain-related fear outcomes in people with knee osteoarthritis who have or have not had previous knee surgery, and to analyze whe...

Injuries to the knee ligaments can be particularly disabling in young patients, given the risk of long-term disability if adequate fixation is not achieved during initial repair. The TWINFIX™ titanium (Ti) suture anchor with ULTRABRAID™ Suture (Smith and Nephew, London, UK) was designed to secure tendon and ligament reconstructions with increased boney ingrowth at the anchor site with minimal invasive technique. This retrospective analysis looked at 33 patients (41 implants) operated with this device between 2015 and 2019 at a single institution. The average age of patients was 33.18 years (standard deviation [SD], 15.26), with an average body mass index of 24.88 (SD, 3.49). The indications were lateral extra-articular tenodesis during anterior cruciate ligament reconstruction, medial patellofemoral ligament reconstruction, quadriceps or patellar tendon repair and medial collateral ligament repair. After an average follow up of 24.3 + 6.53 months, there was no reports of clinical failure or radiographic evidence of implant failure or loosening. One patient experienced a complication unrelated to the study device, requiring manipulation under anesthesia with resolution of symptoms. This case series supports the safety and performance of this implants for the knee procedures in which its use is indicated. Additional follow-up will be required to determine whether these effects are sustained at medium- and long-term durations.

The main purpose of this systematic review and meta-analysis was to compare the effects of strength training (ST) and plyometric training (PT) on vertical jump, linear sprint and change of direction (COD) performance in female soccer players. A systematic search of the PubMed, Web of Science, Google Scholar and SportDiscus databases revealed 12 studies satisfying the inclusion criteria. The inverse-variance random-effects model for meta-analyses was used. Effect sizes (ES) were represented by the standardized mean difference and presented alongside 95% confidence intervals (CI). The magnitude of the main effect was small to moderate (vertical jump (ES 0.53 (95% CI—0.11, 0.95), Z = 2.47 (p = 0.01); linear sprint (ES −0.66 (95% CI—2.03, −0.21), Z = 2.20 (p = 0.03); COD (ES −0.36 (95% CI—0.68, −0.03), Z = 2.17 (p = 0.03)). Subgroup analyses were performed (i.e., ST and PT duration, frequency, session duration and total number of sessions), revealing no significant subgroup differences (p = 0.12–0.88). In conclusion, PT provides better benefits than ST to improve vertical jump, linear sprint and COD performance in female soccer players. However, significant limitations in the current literature prevent assured PT and ST prescription recommendations being made.