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Physician and Sportsmedicine

Ryan C Rauck, Benedict U Nwachukwu, Answorth A Allen, Russell F Warren, David W Altchek, Riley J Williams
OBJECTIVES: There is a paucity of reporting on surgical outcomes of isolated posterior cruciate ligament reconstruction (PCLR). We hypothesize that isolated PCL injuries failing nonoperative treatment achieve good outcomes and are able to return to sport following PCLR. METHODS: A retrospective analysis was performed to identify patients with isolated PCL injuries that underwent reconstruction between 2001 and 2014. Patients with multi-ligamentous injury or another concomitant knee pathology were excluded...
September 13, 2018: Physician and Sportsmedicine
Pascal Bauer, Samir Henni, Oliver Dörr, Timm Bauer, Christian W Hamm, Astrid Most
OBJECTIVES: Vitamin D affects multiple body functions through the regulation of gene expression. In sports medicine, its influence on musculoskeletal health and performance is of particular interest. Vitamin D insufficiency might decrease athletic performance and increase the risk of musculoskeletal injuries. Several studies have demonstrated vitamin D deficiency in professional athletes; however, the prevalence of vitamin D insufficiency in professional handball players is yet unknown...
September 10, 2018: Physician and Sportsmedicine
Nicholas J Lemme, Lauren Ready, Meghan Faria, Steven F DeFroda, Joseph A Gil, Brett D Owens
OBJECTIVE: The incidence of boxing-related upper-extremity (UE) injuries in the United States has not been well characterized. Recent rule changes have been made to make participation safer for athletes, although the consequences of such rule changes on injury rates is unclear. Therefore, we sought to determine the incidence, characteristics, and trends of boxing-related UE injuries. METHODS: The National Electronic Injury Surveillance System (NEISS) was queried for the years 2012-2016...
September 8, 2018: Physician and Sportsmedicine
Carlee Cater, Mackenzie MacDonald, Daniel Lithwick, Kamal Sidhu, Saul Isserow, James McKinney
OBJECTIVES: To investigate the pre-participation cardiovascular screening (PPS) protocols currently implemented at U SPORTS (the governing body of university sport in Canada) sanctioned schools as well as the attitudes toward PPS as reported by Canadian University medical and athletic personnel. METHODS: A 15-question survey was sent to the U SPORTS athletic directors in both French and English. The survey focused on the current practices of PPS within the respondents' universities as well as attitudes regarding PPS...
September 8, 2018: Physician and Sportsmedicine
Paula F Aschendorf, Christoph Zinner, Anne Delextrat, Eva Engelmeyer, Joachim Mester
OBJECTIVE: The goal of this study was to investigate the effects of a 5-week, basketball-specific high-intensity interval training (HIIT) on aerobic performance in youth female basketball players. METHODS: Twenty-four athletes (age 15.1 ± 1.1 years; height: 170 ± 5.2 cm; body mass: 60.9 ± 6.0 kg) took part in the investigation. The training group (TG, n = 11) integrated 10 basketball-specific HIIT sessions in their normal team training, the other group (n = 13) continued their team training routine and served as controls (CG)...
September 7, 2018: Physician and Sportsmedicine
Matthew L Fazekas, Dai Sugimoto, Andrea Cianci, Jonathan L Minor, Gianmichel D Corrado, Pierre A d'Hemecourt
OBJECTIVE: To investigate the prevalence of hypoechoic areas by US and its' association with VISA-P scores among asymptomatic jumpers while highlighting sex comparisons. DESIGN: Cross-sectional study. SETTING: Pre-participation exam at a National Collegiate Athletic Association (NCAA) division I college. PARTICIPANTS: Thirty-one college athletes who engage in jumping sports. MAIN OUTCOME MEASURES: Hypoechoic images of patellar tendon captured by ultrasound examination were compared to a self-reported knee functional survey, the Victorian Institute of Sport Assessment for patellar tendinopathy (VISA-P) scale (0-100)...
September 5, 2018: Physician and Sportsmedicine
Robert Guthrie
The management of concussion in pediatric patients has always been guided by treatment guidelines that have been drawn from consensus statements rather than clinical research projects. Grool and colleagues conducted a clinical research project on an early return to physical activity and its effect on post-concussion symptoms. The study enrolled 3063 pediatric patients, age 5.0 to 17.99 years of age who presented to one of nine Pediatric Emergency Research Centers in Canada. 2413 patients completed the primary outcome for exposure...
September 3, 2018: Physician and Sportsmedicine
Steven F DeFroda, John D Milner, Steven L Bokshan, Brett D Owens
BACKGROUND: The Internet is an easily accessible resource for both providers and patients. Despite this, the Internet is not peer reviewed, leaving Internet searches subject to inaccuracies, especially with regards to medical information. The purpose of this study was to review Internet images of meniscus tears using three popular search engines: Google, Bing, and Yahoo. METHODS: A search query was performed on the aforementioned search engines for the term: 'meniscus tear'...
August 31, 2018: Physician and Sportsmedicine
David R Hooper, Adam S Tenforde, Anthony C Hackney
The Exercise-Hypogonadal Male Condition (EHMC) has been described to occur in athletes who experience low serum testosterone and associated symptoms. While high volumes of endurance exercise can lead to reduced testosterone concentrations in men, similar changes may occur in other sports including anerobic and power sports such as American football, and weight class sports such as wrestling. A reduced testosterone concentration alone does not necessarily warrant treatment, but when it is accompanied by symptoms of hypogonadism, such as fatigue, sexual dysfunction, and/or low bone mineral density (BMD), an athlete's performance and/or health may suffer...
August 27, 2018: Physician and Sportsmedicine
Karen Schwabe, Martin Schwellnus, Sonja Swanevelder, Esme Jordaan, Wayne Derman, Andrew Bosch
OBJECTIVE: International guidelines for pre-participation screening of masters/leisure athletes to identify those that require medical assessment exist, but have not been implemented in mass-community based sports events. We determined the prevalence of runners who, according to these guidelines, would require a medical assessment before participating in a distance running event. METHODS: Participants of the 2012 Two Oceans races (21.1 and 56 km) in South Africa (n = 15,778) completed an online pre-race medical screening questionnaire using European pre-participation screening guidelines...
August 23, 2018: Physician and Sportsmedicine
Ellen Kemler, Donna Blokland, Frank Backx, Bionka Huisstede
OBJECTIVES: Running is increasingly popular, but also carries a high injury risk, especially in novice runners. This study investigates differences in incidence and characteristics of running-related injuries (RRIs) between novice and experienced runners in the open population, in order to adapt to more specific needs for future prevention programs. METHODS: Data were obtained from Injuries and Physical Activity in the Netherlands (IPAN), a Dutch questionnaire on injuries, physical activity, and sports...
August 21, 2018: Physician and Sportsmedicine
Avi D Goodman, Joseph P Johnson, Justin E Kleiner, Joseph A Gil, Alan H Daniels
OBJECTIVES: Distal humerus fractures are challenging to treat, with significant morbidity. Precontoured distal humerus locking plates and total elbow arthroplasty implants have become available in the past 15 years, potentially offering the promise of improved outcomes. However, national data regarding the usage of and in-hospital complications associated with these implants is scarce. Therefore, we aimed to determine if the incidence of inpatients with distal humerus fractures treated with arthroplasty or open reduction and internal fixation (ORIF) changed over time...
August 9, 2018: Physician and Sportsmedicine
Harris S Slone, Jeannie F Buckner, Kirstie Hewson, Michael J Barr, Thomas Crawford, Shane K Woolf
OBJECTIVES: There are numerous benefits of organized athletics, but there is an inherent risk with competitive participation. The need for proper care for high school and community athletes can be met with comprehensive community sports medicine programs, and the employment of certified athletic trainers (AT-Cs). The benefit of clinic-based AT-C has been clearly demonstrated, but there has been little published on the economics of outreach AT-C serving directly in the community. Our hypothesis was that outreach AT-Cs are economically sustainable to an academic health system...
July 31, 2018: Physician and Sportsmedicine
Lindsay R Kosinski, Joseph A Gil, Wesley M Durand, Steven F DeFroda, Brett D Owens, Alan H Daniels
OBJECTIVES: The purpose of this study is to identify patient characteristics that increase risk for unplanned readmission within 30 days of an initial hospital stay after outpatient rotator cuff repair (RCR). METHODS: A retrospective cohort study was performed utilizing the National Surgical Quality Improvement Program (ACS NSQIP) datasets from 2012 to 2015. Patients were preliminarily included in the study based on the presence of a primary Common Procedural Terminology code for RCR (23410, 23412, 23420, and 29827)...
July 27, 2018: Physician and Sportsmedicine
Piotr Lesiakowski, Wojciech Lubiński, Teresa Zwierko
OBJECTIVE: Injuries with varying degrees of temporary or permanent visual dysfunction are common in boxing. This study presents clinical diagnostic information regarding the functional integrity of the visual system in elite amateur boxers. The objective of this study was to assess the presence of normal or abnormal pattern visual evoked potentials (VEP). VEP in boxers were analyzed in relation to the nonathletic group and years of boxing activity. METHODS: Clinical examination involved 31 boxers (21 male and 10 female) and 31 controls homogeneous in terms of age and gender...
July 18, 2018: Physician and Sportsmedicine
Thilo Hotfiel, Rafael Heiss, Rolf Janka, Raimund Forst, Martin Raithel, Christoph Lutter, Kolja Gelse, Milena Pachowsky, Tobias Golditz
OBJECTIVES: The anterior talofibular ligament (ATFL) is the most frequently injured ligament during inversion strains of the ankle. The purpose of this study was to evaluate the feasibility of acoustic radiation force impulse (ARFI) elastography and to determine the in vivo mechanical properties of the ATFL in healthy athletes. METHODS: Sixty healthy athletes (32 female, 28 male; 28.9 ± 2.1 years) were recruited from the medical and sports faculty. ARFI values, represented as shear wave velocities (SWVs) as well as conventional ultrasound were obtained for the ATFL in neutral ankle position...
July 4, 2018: Physician and Sportsmedicine
Harry M Lightsey, Margaret L Wright, David P Trofa, Charles A Popkin, Christopher S Ahmad, Lauren H Redler
BACKGROUND: Medial patellofemoral ligament (MPFL) reconstruction is an increasingly utilized surgical option for recurrent patellar instability. Recent studies have highlighted the potential benefits of accelerated functional rehabilitation; however, no validated MPFL rehabilitation guidelines currently exist. OBJECTIVE: To assess the variability of MPFL reconstruction rehabilitation protocols published online by academic orthopaedic programs. METHODS: Online MPFL rehabilitation protocols from U...
July 2, 2018: Physician and Sportsmedicine
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Physician and Sportsmedicine
Kalynda Romeijn, Ellen Kemler, Ingrid Vriend, Bionka Huisstede
No abstract text is available yet for this article.
September 2018: Physician and Sportsmedicine
Michael K Krill, Joshua Hoffman, JaeWon Yang, Johnathan D Hodax, Brett D Owens, Timothy E Hewett
OBJECTIVES: The purpose of this study was to build on current understanding of Achilles tendon (AT) ruptures in football through the examination of lower extremity injury rates (IR) in the season prior to AT rupture. METHODS: An online review was conducted to document AT ruptures in the National Football League (NFL) from the 2010-11 through 2016-17 seasons. Player-specific information was gathered through the online search, injury reports, or video analysis. Injury incidence was recorded for each season...
September 2018: Physician and Sportsmedicine
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