Background: The COVID-19 pandemic disrupted routine osteoporosis care due to clinic closures and limited in-person consultations. Telehealth emerged as an alternative model enabling remote care delivery and monitoring. However, previous reviews on telehealth either did not include the pandemic period or had a limited focus in scope. Evidence synthesized specifically for osteoporosis care during the pandemic is needed but lacking. Methods: We systematically searched PubMed, MEDLINE, EMBASE, PsycINFO, Web of Science, and CINAHL for studies on telehealth for osteoporosis published between January 2021 and March 2023. Five studies met the inclusion criteria of: osteoporosis population, telehealth intervention, and COVID-19 pandemic timeframe. Data was extracted on study characteristics, COVID-19 outcomes, osteoporosis status, telehealth purpose, patient satisfaction, and clinical outcomes. Result: The five studies showed telehealth was used for monitoring data, delivering test results, adjusting medications, and assessments. Osteoporosis prevalence among telehealth users ranged 30-100%. High patient satisfaction was reported with telehealth versus in-person care. No major differences occurred in medication delays or fractures between telehealth and in-person groups. Conclusion: This review found telehealth enables effective osteoporosis care and monitoring during the pandemic, with high patient and provider satisfaction. However, more robust randomized controlled trials are needed to establish stronger evidence around telehealth's impacts on clinical osteoporosis outcomes. Implications: Though promising, further high-quality studies will help clarify telehealth's role in improving osteoporosis care and outcomes. Findings inform guidelines on integrating telehealth into routine management. Evidence on user perspectives optimizes telehealth implementation policies.

We present a case of untreated type II odontoid fracture, which evolved in severe dislocation 18 months later. Delayed dislocations in untreated type II odontoid fractures are already reported in literature. The singularity of our case is that CT-scan showed signs of fusion in the right C1-C2 articulation, which could have required a more complex surgical procedure to realign the upper cervical spine. Surprisingly, a CT scan performed in the extension position showed complete mobility of C1 and allowed us to perform a one stage posterior fixation. We want to highline both the importance of treating an Anderson type II fracture to prevent dislocation (acute or delayed), and the possibility to perform a flexion-extension CT scan to project a better surgical plan.

For the adequate treatment of bone fractures, it is necessary to have knowledge about mechanical concepts as the interaction of implants and bone. The understanding of the concept of stress riser must be clear for surgeon for adequate surgical planning, thus preventing refracture due to incorrect application of implants. This article presents the concept of stress riser applied to orthopedics and briefly discussion.

Sports injuries among student-athletes in high schools have become prevalent in most developing countries such as Ghana. In identifying the prevailing injuries among senior high student-athletes in the Akuapem municipality, a descriptive cross-sectional survey design was used. A total of 610 student-athletes were purposely selected for the study to respond to the DEMASS inventory questionnaire regarding their opinion on the prevailing sports injuries. The results indicated that wounds (67.8%), knee injury (65.1%), muscle cramps (56.1%), and thigh injury (55.1%) were prevailing in S.H.S tournament than sprain (37.8%), strain (32.0%), dislocation (30.0%), fracture (31.3%), nose bleeding (31.3%) and groin injuries (23.1%). Participants who played more games professed that the number of games played contributed to sustaining sprain, strain, dislocation, and nose bleeding. Further studies should be carried out at other places and districts to uncover more about injuries sustained during high school sports competitions to minimize their occurrence.

Kaybarkuh (Mount Kaybar) consists of intrusive igneous bodies with two age periods, located in North of Dasht-e-Bayaz left-lateral fault terminal. The spatial and structural analysis of fractures and dike networks may allow for the accurate identification of mineralization zones in the area. This study aims to characterize lineament network in the study area by automatic method using multispectral satellite images from Landsat 8 Operational Land Imager (OLI), visual extraction of lineaments from Landsat-8 and SENTINEL-2 images, and extraction of drainage network as lineament based on digital elevation models (DEMs) and their validation, compared with fault network of the area. The results showed that there is a significant relationship between the trend of studied lines in the region by the three methods mentioned and the overall trend is about N330⁰. This can indicate a tensile regime with a trend perpendicular to the mentioned orientation, which results from the activity of the Dasht-e-Bayaz fault. Finding more evidences requires further studies.