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Clinics in Sports Medicine

journal
https://www.readbyqxmd.com/read/29903388/to-moon-and-back-lessons-learned-and-experience-gained-along-the-way
#1
REVIEW
José F Vega, Kurt P Spindler
This article highlights the Multicenter Orthopedic Outcomes Network (MOON) study of anterior cruciate ligament reconstruction, from its inception in 1991 to the follow-on studies in progress currently. Lessons learned throughout the process are emphasized.
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903387/administrative-databases-in-sports-medicine-research
#2
REVIEW
David Wasserstein, Ujash Sheth
There has been a dramatic rise in the use of large-scale health administrative databases to investigate clinical outcomes within sports medicine over the past few years. Although these data sets identify large numbers of patients, allowing for the investigation of regional trends, health care utilization, and outcomes of surgical intervention, they were not designed with the intention of answering clinical questions. Recognizing the methodological limitations associated with these databases is prudent to avoid propagating spurious conclusions...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903386/measuring-quality-and-outcomes-in-sports-medicine
#3
REVIEW
Joseph J Ruzbarsky, Niv Marom, Robert G Marx
Patient-reported outcome measures (PROMs) are objective metrics critical to evaluating outcomes throughout orthopedic surgery. New instruments continue to emerge, increasing the breadth of information required for those intending to use these measures for research or clinical care. Although earlier metrics were developed using the principles of classic test theory, newer instruments constructed using item response theory are amenable to computer-adaptive testing and may change the way these instruments are administered...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903385/a-picture-tells-1000-words-but-most-results-graphs-do-not-21-alternatives-to-simple-bar-and-line-graphs
#4
REVIEW
Jay Hertel
Graphical representation of results are a central component of original research articles in sports medicine. There has been recent criticism in the scientific community of a heavy reliance on simple bar graphs and line graphs to illustrate results because they often fail to clearly represent the measures and changes to interventions of individual participants. This article aims to suggest alternatives to bar and line graphs, including those that emphasize the illustration of (1) individual subject measures and data set distribution, (2) magnitude of group differences, (3) the relationships between multiple variables, and (4) unique ways of displaying time series data...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903384/considerations-for-assessment-and-applicability-of-studies-of-intervention
#5
REVIEW
Alexandra B Gil, Sara R Piva, James J Irrgang
Evidence-based practice changed how health care professionals are taught medical practice. Despite all best intentions, many health care professionals have limited knowledge to assess the validity and usefulness of the medical literature. The goal of this article is to review the following basic considerations while appraising studies of intervention: (1) the hierarchy of evidence and the strengths and weaknesses of clinical studies, (2) the relevant elements of study design that impact validity of study results, and (3) the spectrum of efficacy and effectiveness of clinical studies and how these influence the applicability of study results to individual patients...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903383/considerations-and-interpretation-of-sports-injury-prevention-studies
#6
REVIEW
Saulo Delfino Barboza, Roland Rössler, Evert Verhagen
Promoting sports participation for health is part of the public health agenda worldwide. The same holds true for preventing sports injury, an unfavorable consequence of sports. In order to transfer research findings to practice, however, clinicians should consider the particulars of design, outcome measures, and data analyses of sports injury prevention studies. This article provides a summary of approaches used to assess the effect of injury prevention strategy in sports. This summary is intended to support clinicians on the decision-making process to apply research findings in the area of sports injury prevention in their practice...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903382/mixed-methods-designs-for-sports-medicine-research
#7
REVIEW
Melissa C Kay, Kristen L Kucera
Mixed methods research is a relatively new approach in the field of sports medicine, where the benefits of qualitative and quantitative research are combined while offsetting the other's flaws. Despite its known and successful use in other populations, it has been used minimally in sports medicine, including studies of the clinician perspective, concussion, and patient outcomes. Therefore, there is a need for this approach to be applied in other topic areas not easily addressed by one type of research approach in isolation, such as the retirement from sport, effects of and return from injury, and catastrophic injury...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903381/fundamentals-of-sports-analytics
#8
REVIEW
Erin B Wasserman, Mackenzie M Herzog, Christy L Collins, Sarah N Morris, Stephen W Marshall
Recently, the importance of statistics and analytics in sports has increased. This review describes measures of sports injury and fundamentals of sports injury research with a brief overview of some of the emerging measures of sports performance. We describe research study designs that can be used to identify risk factors for injury, injury surveillance programs, and common measures of injury risk and association. Finally, we describe measures of physical performance and training and considerations for using these measures...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903380/principles-of-statistics-what-the-sports-medicine-professional-needs-to-know
#9
REVIEW
Bryan L Riemann, Monica R Lininger
Understanding the results and statistics reported in original research remains a large challenge for many sports medicine practitioners and, in turn, may be among one of the biggest barriers to integrating research into sports medicine practice. The purpose of this article is to provide minimal essentials a sports medicine practitioner needs to know about interpreting statistics and research results to facilitate the incorporation of the latest evidence into practice. Topics covered include the difference between statistical significance and clinical meaningfulness; effect sizes and confidence intervals; reliability statistics, including the minimal detectable difference and minimal important difference; and statistical power...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525034/common-procedures-common-problems-it-s-complicated
#10
EDITORIAL
Mark D Miller
No abstract text is available yet for this article.
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525033/rehabilitation-common-problems-and-solutions
#11
REVIEW
Kevin E Wilk, Christopher A Arrigo
There are numerous complications that can occur following a musculoskeletal injury or surgery in the sporting population. Prevention of the most frequent complications is the key in any successful rehabilitation program, but occasionally problems do occur. A thorough well-designed postoperative or postinjury rehabilitation program may prevent these problems. However, if complications do arise, a team approach among the parties involved in the process to develop an evidenced-based treatment program designed for the underlying complication can successfully treat these issues...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525032/pediatric-sports-medicine-injuries-common-problems-and-solutions
#12
REVIEW
Joel B Huleatt, Carl W Nissen, Matthew D Milewski
The treatment of sports injuries in the skeletally immature has a unique set of complications. Growth deformity may occur after anterior cruciate ligament reconstruction; therefore, skeletal age is used to help guide the choice between physeal sparing and transphyseal techniques. Arthrofibrosis after tibial spine fracture fixation can be reduced by initiating immediate range of motion, and should be treated early and cautiously to avoid iatrogenic fracture. Nonunions of medial epicondyle elbow fractures are more common with nonoperative treatment, but seldom lead to clinical problems outside of certain athletes...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525031/foot-and-ankle-surgery-common-problems-and-solutions
#13
REVIEW
Lorena Bejarano-Pineda, Annunziato Amendola
Participation in sports activity has increased significantly during the last several decades. This phenomenon has exposed orthopedic sports medicine surgeons to new challenges regarding the diagnosis and management of common sport-related injuries. Arthroscopy is becoming more commonly used in many of the surgical procedures for these injuries and carries the risk of complications. Wound and nerve complications make up the bulk of complications in most procedures. This article describes these complications associated with the common surgical procedures related to foot and ankle sport-related injuries and how to address and prevent them...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525030/knee-cartilage-repair-and-restoration-common-problems-and-solutions
#14
REVIEW
Kristina Linnea Welton, Stephanie Logterman, Justin H Bartley, Armando F Vidal, Eric C McCarty
Focal cartilage defects in the knee are commonly found on MRI and arthroscopically. When these lesions are symptomatic and fail nonoperative management several surgical strategies are available. Common surgical techniques include reparative (ie, microfracture) and restorative procedures (ie, autologous chondrocyte implantation, particulated juvenile allograft cartilage, osteochondral autograft transfer, and osteochondral allograft). Each of these surgical procedures have shared and novel complications associated with their use...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525029/knee-meniscus-injuries-common-problems-and-solutions
#15
REVIEW
Matthew H Blake, Darren L Johnson
The rates of arthroscopic meniscus repair continue to increase with excellent reported outcomes. Complications, sometimes catastrophic, following meniscus repair may occur. The rate of postoperative complications may be reduced by adequate diagnosis, appropriate patient selection, meniscus repair selection, surgical techniques, and postoperative management. When complications occur, the provider must identify and take steps to rectify as well as prevent further complications from occurring. The purpose of this article is to detail the common diagnostic, technical, and postoperative pitfalls that may result in poor patient outcomes...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525028/knee-mli-injuries-common-problems-and-solutions
#16
REVIEW
Niv Marom, Joseph J Ruzbarsky, Naomi Roselaar, Robert G Marx
The multiple ligament injured knee presents a challenge with regard to management and treatment. Immediate management of the acute injury requires special attention and thorough examination because knee dislocations have been associated with significant complications. Treatment options range from closed reduction and immobilization to surgical repair and/or reconstruction of the injured ligaments. This article focuses on complications that may result from surgical treatments of the multiple ligament injured knee and ways of prevention...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525027/knee-anterior-cruciate-ligament-injuries-common-problems-and-solutions
#17
REVIEW
James E Christensen, Mark D Miller
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed procedures in the United States. Although complications are rare in ACL surgery, failure to appreciate them can lead to significant patient morbidity in the short and long terms. More common complications in ACL reconstruction include tunnel malposition, infection, tunnel osteolysis, fixation failure, fracture, arthrofibrosis, graft site morbidity, and deep vein thrombosis or pulmonary embolism. Tunnel malposition is the most common technical error in ACL reconstruction leading to failure...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525026/hip-arthroscopy-common-problems-and-solutions
#18
REVIEW
Aaron Casp, Frank Winston Gwathmey
The use of hip arthroscopy continues to expand. Understanding potential pitfalls and complications associated with hip arthroscopy is paramount to optimizing clinical outcomes and minimizing unfavorable results. Potential pitfalls and complications are associated with preoperative factors such as patient selection, intraoperative factors such as iatrogenic damage, traction-related complications, inadequate correction of deformity, and nerve injury, or postoperative factors such as poor rehabilitation. This article outlines common factors that contribute to less-than-favorable outcomes...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525025/hand-and-wrist-injuries-common-problems-and-solutions
#19
REVIEW
Nicholas Pulos, Sanjeev Kakar
Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. This article highlights common sports injuries of the hand and wrist and their complications, and includes tips for successful management...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525024/elbow-injuries-common-problems-and-solutions
#20
REVIEW
Felix H Savoie
The elbow is one of the more difficult joints in which to obtain good results. Common issues include placement of correct portals, neuropraxia, ankylosis, heterotopic bone formation, and simple failure of the procedure. Common solutions include portal placement safeguards, nerve protection, early motion and cryocompression, oral or injectable steroids, radiation therapy, secure stabilization, and postoperative protection and rehabilitation based on available evidence and imaging.
April 2018: Clinics in Sports Medicine
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