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Clinics in Sports Medicine

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https://www.readbyqxmd.com/read/30201176/shoulder-arthritis-in-the-young-and-active-patient
#1
EDITORIAL
Stephen F Brockmeier, Brian C Werner
No abstract text is available yet for this article.
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201175/foreword
#2
EDITORIAL
Mark D Miller
No abstract text is available yet for this article.
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201174/future-frontiers-in-shoulder-arthroplasty-and-the-management-of-shoulder-osteoarthritis
#3
REVIEW
Robert Z Tashjian, Peter N Chalmers
Shoulder arthroplasty has advanced considerably in recent decades, but the most recently published long-term outcomes continue to have unacceptably high failure rates, especially in young patients. However, there are several future frontiers that offer the promise of improved implant longevity and function including advances in surgical approach, such as subscapularis-sparing approaches and computer-assisted surgical planning; advances in humeral component fixation, such as stemless, short-stem, and convertible implants; advances in bearing surfaces, such as pyrocarbon, ceramic, and metal-on-metal; and advances in glenoid component geometry and fixation, such as augmented components, in-growth pegs, and inlay glenoid components...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201173/outcomes-after-shoulder-replacement-surgery-in-the-young-patient-how-do-they-do-and-how-long-can-we-expect-them-to-last
#4
REVIEW
Tyler J Brolin, Ocean V Thakar, Joseph A Abboud
Glenohumeral arthritis in the young, active patient remains a challenging problem shoulder surgeons face. Anatomic total shoulder arthroplasty has been proven to be a successful operation for patients with end-stage shoulder arthritis; however, concerns over long-term implant survival remain. These concerns are amplified in young patients and largely revolve around the placement of a glenoid component, which is seen as the "weak link" in shoulder arthroplasty. Here we discuss the reported outcomes and survivorship of the different shoulder arthroplasty options in young patients...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201172/return-to-play-after-shoulder-replacement-surgery-what-is-realistic-and-what-does-the-evidence-tell-us
#5
REVIEW
Daniel J Johnson, Christine C Johnson, Lawrence V Gulotta
This article analyzes the available literature regarding return to sport following total shoulder arthroplasty (TSA), hemiarthroplasty (HA), and reverse shoulder arthroplasty (RTSA). It examines the quality of the available evidence and areas of future research. Most patients are able to return to preoperative sport activities following TSA, RTSA, and HA. The rates of return for TSA are slightly higher than those reported for HA and RTSA. Patients may be counseled that noncontact, low-demand activities have higher return rates...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201171/rehabilitation-strategies-after-shoulder-arthroplasty-in-young-and-active-patients
#6
REVIEW
Devon T Brameier, Alicia Hirscht, Marc S Kowalsky, Paul M Sethi
A well-designed and sensibly progressed rehabilitation program is vital to successful shoulder arthroplasty outcomes. This article describes the protocol suggested by ONS clinicians to treat the growing young, active patient population undergoing anatomic shoulder arthroplasty. This protocol includes an immediate postoperative phase, early strengthening phase, resistance strengthening and proprioception phase, and advanced sport-specific and goal-specific strengthening and proprioception phase. These patients may progress more quickly than older patients and require more challenging exercises aimed at regaining strength and mobility for activity, thus this protocol emphasizes incorporating full-body training to prevent undue stress on the repair on return to activity...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201170/subscapularis-sparing-approaches-to-total-shoulder-arthroplasty-ready-for-prime-time
#7
REVIEW
Howard D Routman, Felix H Buddy Savoie
To minimize the risk of subscapularis failure after shoulder replacement, a method of preserving the subscapularis while allowing access to the glenohumeral joint was developed. Only the inferior 30% to 50% of the subscapularis tendon is detached from the humerus, leaving the superior aspect attached to the lesser tuberosity. This subscapularis-sparing, minimally invasive approach to the glenohumeral joint was evaluated in 43 subjects with a minimum 2-year follow-up and subscapularis strength equal to the opposite side...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201169/total-shoulder-arthroplasty-in-the-athlete-and-active-individual
#8
REVIEW
James Christensen, Stephen Brockmeier
Shoulder arthroplasty is becoming more commonly performed in the United States. As it increases, the population also becomes younger, and their demands are different from the older population. Earlier studies have suggested that although young patients have functional outcomes similar to older patients, their satisfaction scores were not as high. Recent literature has demonstrated that young or active individuals with a total shoulder arthroplasty (TSA) have good return rates to sports. Hemiarthroplasty and reverse shoulder arthroplasty, when compared with TSA, have lower but also reasonable return rates to sports...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201168/biologic-options-for-glenohumeral-arthritis
#9
REVIEW
Benjamin Y Jong, Danny P Goel
Biologic options for glenohumeral arthritis include intra-articular injections as well as allograft interposition arthroplasty. The objectives of these treatments are reduction of pain and maintenance/improvement in function, while delaying the need for arthroplasty. This article reviews the current evidence for hyaluronic acid injection, platelet-rich plasma injection, and allograft interposition arthroplasty in the young patient with glenohumeral arthritis.
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201167/the-role-for-shoulder-hemiarthroplasty-in-the-young-active-patient
#10
REVIEW
Anthony A Essilfie, Seth C Gamradt
Younger patients with severe glenohumeral (GH) arthritis are a challenge to treat, as they have high physical demands, high expectations, a long lifespan, and often altered anatomy from prior surgery or congenital deformity. Nonoperative management is the cornerstone of treatment; however, when it fails, shoulder arthroplasty can be indicated. Although the literature suggests that total shoulder arthroplasty is the most appropriate for severe GH arthritis, there are a subset of patients in which a hemiarthroplasty can still be successful...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201166/nonarthroplasty-options-for-the-athlete-or-active-individual-with-shoulder-osteoarthritis
#11
REVIEW
Karren M Takamura, James B Chen, Frank A Petrigliano
The management of glenohumeral osteoarthritis is difficult in young, active individuals. After nonoperative management fails, arthroscopic debridement with concomitant procedures (eg, loose body removal, capsular release, labral debridement, synovectomy, osteophyte resection, bursectomy, subacromial decompression, microfracture, and biceps tenotomy or tenodesis) to address potential pain generators may be an option in small, contained, unipolar lesions.
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/30201165/etiology-of-shoulder-arthritis-in-young-patients
#12
REVIEW
Michael S Laidlaw, Harrison S Mahon, Brian C Werner
The manifestation of glenohumeral arthritis in the young adult is a devastating occurrence that can be difficult to manage. This review details the many underlying etiologies including genetic causes, congenital abnormalities, glenohumeral instability, posttraumatic lesions, postcapsulorraphy arthropathy, osteonecrosis, intraarticular pain pump postoperative use, radiofrequency/thermal capsulorraphy treatments, septic arthritis/infection, and inflammatory arthropathies. Although each of these potential causes have been well-studied, their contributions to the development of glenohumeral arthritis in the young person has not been described extensively...
October 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903388/to-moon-and-back-lessons-learned-and-experience-gained-along-the-way
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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