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Clinics in Sports Medicine

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https://www.readbyqxmd.com/read/29525034/common-procedures-common-problems-it-s-complicated
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
https://www.readbyqxmd.com/read/29525023/shoulder-acromioclavicular-and-coracoclavicular-ligament-injuries-common-problems-and-solutions
#12
REVIEW
James D Wylie, Jeremiah D Johnson, Jessica DiVenere, Augustus D Mazzocca
Injuries to the acromioclavicular joint and coracoclavicular ligaments are common. Many of these injuries heal with nonoperative management. However, more severe injuries may lead to continued pain and shoulder dysfunction. In these patients, surgical techniques have been described to reconstruct the function of the coracoclavicular ligaments to provide stable relationship between the clavicle and scapula. These surgeries have been fraught with high complication rates including clavicle and coracoid fractures, infection, loss of reduction and fixation, hardware migration, and osteolysis...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525022/shoulder-rotator-cuff-pathology-common-problems-and-solutions
#13
REVIEW
Harrison S Mahon, James E Christensen, Stephen F Brockmeier
Rotator cuff repair is an increasingly common orthopedic procedure. As with any surgical procedure, the complications can be potentially devastating when they do happen to occur. This review attempts to summarize the most frequently encountered complications, including retear, failure to heal, stiffness, missed concomitant pathology, and infection. Also included are several cases that outline the diagnosis and management of these complications.
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29525021/shoulder-instability-common-problems-and-solutions
#14
REVIEW
William N Levine, Julian J Sonnenfeld, Brian Shiu
Operative treatment of the unstable shoulder historically has a high success rate. However, the complication rate has risen. This article reviews the pearls and pitfalls to attempt to elucidate the etiology for these complications and failures. Preoperative assessment of the unstable shoulder ultimately is critical to avoid complications, including history, physical examination, and key radiographic features. Intraoperative techniques include appropriate soft tissue mobilization, multiple points of fixation, avoidance of hardware-related problems, and appropriate management of the capsule and bone defects...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173564/structures-of-the-anterolateral-knee-why-all-the-confusion
#15
EDITORIAL
Freddie H Fu, Marcin Kowalczuk
No abstract text is available yet for this article.
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173563/all-or-none
#16
EDITORIAL
Mark D Miller
No abstract text is available yet for this article.
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173562/erratum
#17
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173561/the-anterolateral-ligament-does-exist-an-anatomic-description
#18
REVIEW
Stefano Zaffagnini, Alberto Grassi, Giulio Maria Marcheggiani Muccioli, Federico Raggi, Matteo Romagnoli, Alice Bondi, Salvatore Calderone, Cecilia Signorelli
The debate around the existence, anatomy, and role of the so-called anterolateral ligament of the knee represents one of the main sources of recent controversy among orthopedic surgeons. In the modern era of sports medicine, several content experts have contributed to the understanding of the anatomy of the anterolateral aspect of the knee. This article analyzes the historical, phylogenetic, anatomic, arthroscopic, and radiological evidence regarding the anterolateral ligament. The existence of the anterolateral ligament as a distinct ligamentous structure and its exact anatomic features are still matters of controversy and ongoing study...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173560/extra-articular-tenodesis-in-combination-with-anterior-cruciate-ligament-reconstruction-an-overview
#19
REVIEW
Simone Cerciello, C├ęcile Batailler, Nader Darwich, Philippe Neyret
Anterior cruciate ligament (ACL) reconstruction is a successful procedure with high rates of return to sport. However, some patients experience persistent instability and graft failure. These adverse events have a significant impact, especially on high-level athletes. In an effort to improve outcomes for these patients, more attention is being paid to the anatomic structures at the anterolateral aspect of the knee. The anterolateral structures of the knee have been shown to play a major role in decreasing rotatory knee instability and forces across the ACL graft following reconstruction...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173559/anterolateral-ligament-reconstruction-or-extra-articular-tenodesis-why-and-when
#20
REVIEW
Manoj Mathew, Aad Dhollander, Alan Getgood
Residual rotational laxity following anterior cruciate ligament (ACL) reconstruction has been identified as significant concern in many patients, despite evolution of techniques. The expanding body of knowledge on the anatomy and biomechanics of the anterolateral soft tissue restraints in rotational control of the knee has reignited an interest in extra-articular reconstruction techniques for augmenting ACL reconstruction. Reconstruction techniques currently used can be broadly categorized as either lateral extra-articular tenodesis or reconstruction of the anterolateral ligament...
January 2018: Clinics in Sports Medicine
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