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Sports Medicine and Arthroscopy Review

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https://www.readbyqxmd.com/read/30395068/surgery-in-tendinopathies
#1
REVIEW
Rocco Aicale, Domiziano Tarantino, Nicola Maffulli
Tendinopathies are challenging. The term "tendinopathy" refers to clinical condition characterized by pain, swelling, and functional limitations of tendons and nearby structures. Tendinopathies give rise to significant morbidity, and, at present, only limited scientifically proven management modalities exist. Achilles and patellar tendons are among the most vulnerable tendons, and among the most frequent lower extremity overuse injuries. Achilles and patellar tendinopathies can be managed conservatively and surgically...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395067/the-surgical-applications-of-biologics-in-sports-medicine
#2
REVIEW
F Alan Barber
Over the past 25 years an increased appreciation of the positive impact of biologic interventions has driven significant advances in the surgical treatment of shoulder and knee conditions. These biologic adjuncts to treatment promote improved outcomes and have set the stage and increased research and development in this arena.
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395066/ankle-arthroscopic-surgery
#3
REVIEW
Yoshiharu Shimozono, Dexter Seow, John G Kennedy, James W Stone
Ankle arthroscopy is a diagnostic and therapeutic surgical procedure which was first attempted on cadavers by Dr Burman in 1931 and first successfully described in patients by Dr Takagi in 1939. Two general approaches to ankle arthroscopy currently exist: (1) anterior ankle arthroscopy and (2) posterior ankle arthroscopy. The indications for ankle arthroscopy have expanded as increased experience has been obtained treating various pathologic entities and as the surgical results have been reported in the literature...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395065/hip-arthroscopy-state-of-the-art-in-2018
#4
REVIEW
Amit Nathani, Marc R Safran
The field of hip arthroscopy has undergone considerable change in the past 25 years and continues to evolve at a rapid pace. Lessons from the early complications and challenges of hip arthroscopy have led to improved safety and refinement of instrumentation and techniques. The pathophysiology of hip injuries is better understood, and advances in surgical technique have helped expand indications, particularly as a shift from pathology resection to anatomic repair and reconstructive procedures has occurred. As the field has progressed, longitudinal outcome studies are now available to help judge efficacy...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395064/elbow-surgery-in-athletes
#5
REVIEW
Edward Lyle Cain, Nathan M Moroski
Injuries and disorders of the elbow in athletes are common especially among throwing athletes. Common injuries encountered in the throwing athlete include ulnar collateral ligament injuries, ulnar neuritis, capitellar osteochondritis dissecans, valgus extension overload with posterior olecranon impingement, olecranon stress fracture, and loose bodies. A thorough knowledge of both the functional anatomy as well as throwing biomechanics are required to properly diagnosis and treat these problems. Nonoperative and surgical techniques have continued to advance over the last 25 years allowing for improved prognosis and return to play for athletes affected with elbow pathology...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395063/surgical-management-of-proximal-long-head-biceps-tendon-disorders
#6
REVIEW
Richard L Angelo
Disorders of the long head of the biceps tendon can make a significant contribution to shoulder pain and dysfunction. Historically, open biceps tenotomy or a proximal tenodesis of the tendon through a deltopectoral approach was used to manage biceps tendonitis and instability. Recent developments have added additional options. Arthroscopic techniques offer minimally invasive methods to secure the biceps in the suprapectoral region at the appropriate length. An open subpectoral tenodesis provides for simple exposure that secures the tendon just proximal to the musculotendinous junction and eliminates potentially diseased tendon and synovium from the biceps groove...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395062/rotator-cuff-repair-single-row-repair-versus-double-row-repair-and-superior-capsular-reconstruction
#7
REVIEW
Andrew J Sheean, Robert U Hartzler, Stephen S Burkhart
The surgical management of rotator cuff (RC) tears has progressed considerably in recent decades. Arthroscopic procedures now represent the mainstay of contemporary treatment approaches. The success of repair is predicated upon the achievement of a secure, durable repair that promotes tendon-to-bone healing. Both single and double row (DR) suture anchor configurations have been described to achieve stable fixation. Although consensus is lacking with regard to the clinical superiority of one configuration over another, trends in the literature suggest that DR repairs may optimize the likelihood of tendon healing and restoration of shoulder strength...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395061/shoulder-instability-anterior-posterior-multidirectional-arthroscopic-versus-open-bone-block-procedures
#8
REVIEW
Katherine J Coyner, Robert A Arciero
This article presents a retrospective comprehensive review of the history of anterior, posterior, and multidirectional shoulder instability and also reviews key concepts such as open versus arthroscopic repair and glenoid and humeral head bone loss and associated treatments. The future of shoulder instability will continue to evolve as research and clinical experience will determine the direction of the future.
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395060/preservation-of-knee-articular-cartilage
#9
REVIEW
Michael L Redondo, Neal B Naveen, Joseph N Liu, Tracy M Tauro, Taylor M Southworth, Brian J Cole
Hyaline articular cartilage is critical for the normal functioning of the knee joint. Untreated focal cartilage defects have the potential to rapidly progress to diffuse osteoarthritis. Over the last several decades, a variety of interventions aiming at preserving articular cartilage and preventing osteoarthritis have been investigated. Reparative cartilage procedures, such as microfracture, penetrate the subchondral bone plate in effort to fill focal cartilage defects with marrow elements and stimulate fibrocartilaginous repair...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395059/anterior-cruciate-ligament-reconstruction
#10
REVIEW
John C Richmond
The past 3+ decades have been a period of intense interest in the anterior cruciate ligament. Graft choices, techniques, and fixation devices have all evolved. Our understanding of the anatomy has improved. Our follow-up and criteria for success have also expanded. Over the next several years advanced repair techniques, extra-articular augmentation, and addressing elevated tibial slope will all have to have their indications defined.
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395058/meniscus-repair-and-replacement
#11
REVIEW
Peter R Kurzweil, W Dilworth Cannon, Kenneth E DeHaven
The importance of preserving the function of the meniscus is seen with renewed interest. There has been an evolution of arthroscopic meniscus repair from inside-out, outside-in, meniscal fixators, to all-inside suturing techniques. Tear patterns once ignored or thought to be irreparable, such as root tears and horizontal cleavage tears, have recently been undergoing repair with promising results. Newer techniques have also recently allowed surgeons to address postmeniscectomy knee pain. Replacing lost tissue with scaffolds or replacing the meniscus with an allograft helps restore function and reduce degenerative changes...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395057/the-evolution-of-patellofemoral-instability-surgery-during-the-past-25-years
#12
REVIEW
Matthew J Best, Andrew J Cosgarea
Surgical treatment of patellofemoral instability has evolved during the past 25 years as we developed a better appreciation of anatomy and a more sophisticated understanding of pathophysiology. Currently, most patellofemoral surgeons use soft tissue procedures like medial patellofemoral ligament reconstruction to treat medial soft tissue insufficiency and tibial tuberosity or femoral osteotomy to correct substantial bony malalignment. Advances in imaging technology and computational analysis have allowed for more precise preoperative planning and outcome modeling so that the optimum operation using ≥1 of these procedures can be designed to meet the unique needs of an individual patient...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395056/treatment-of-acl-tears-in-the-skeletally-immature-patient
#13
REVIEW
Sheeba M Joseph, Joel B Huleatt, Laura A Vogel-Abernathie, J Lee Pace
The understanding and treatment of anterior cruciate ligament tears in skeletally immature patients continues to evolve. While conservative management was a mainstay of treatment, poor outcomes have led to several surgical techniques aimed at stabilizing the knee, optimizing outcome, and minimizing the chance of growth disturbance. Current techniques have, in large part, accomplished these goals but challenges remain. Looking to the future, different graft options, primary repair techniques, and rigorous prospective studies will help improve outcomes for this challenging patient population...
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395055/knee-dislocation-and-multiple-ligament-injuries-of-the-knee
#14
REVIEW
Gregory C Fanelli
The purpose of this paper is to present an overview of the progress in treatment of knee dislocations and posterior cruciate ligament (PCL)-based multiple ligament knee injuries over the past 25 years. The perspectives of where we were 25 years ago, where we are today, and where we will be in the future will be explored.
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30395054/25th-year-celebration-top-procedures-in-sports-medicine-and-arthroscopy
#15
W Dilworth Cannon, Gregory C Fanelli
No abstract text is available yet for this article.
December 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30059450/allograft-use-in-shoulder-surgery-instability-and-rotator-cuff
#16
REVIEW
Raymond J Kenney, Sandeep Mannava, Michael D Maloney
Shoulder instability and rotator cuff pathology can provide a challenging problem, especially in the revision setting. Allograft use in primary or revision surgical intervention for shoulder instability and rotator cuff tear may be a valuable resource. This paper reviews allograft tissue use in shoulder surgery for instability and rotator cuff tear.
September 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30059449/long-head-of-biceps-injury-treatment-options-and-decision-making
#17
REVIEW
Raymond E Chen, Ilya Voloshin
The long head of the biceps brachii is a well-known "pain generator" in the shoulder. Biceps tendinitis, instability, and rupture encompass the majority of symptomatic lesions. Clinical diagnosis, particularly of biceps tendinitis, can be difficult, given the nonspecific physical examination findings. Treatment options are initially nonoperative, with surgical management reserved for specific presentations or refractory cases. In recent years, biceps tenodesis and tenotomy have become the mainstays of operative treatment...
September 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30059448/options-for-failed-rotator-cuff-repair
#18
REVIEW
Sandeep Mannava, Steven A Samborski, Raymond J Kenney, Michael D Maloney, Ilya Voloshin
Failed rotator cuff repairs can pose a clinical challenge to the treating orthopedic surgeon. There are many nonsurgical and surgical options available to address the failed rotator cuff repair. Surgical options include revising the primary repair, partial or nonanatomic repair, tendon transfer, biological augmentation or use of tissue-engineered grafts for reconstruction, or total joint arthroplasty (typically with a modern reverse total shoulder arthroplasty system). The treating surgeon must assess the patient's functional status, health status, and expectations in order to customize the appropriate treatment plan for addressing the failed rotator cuff repair...
September 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30059447/rotator-cuff-disease-treatment-options-and-considerations
#19
REVIEW
Alexis Dang, Michael Davies
Rotator cuff disease encompasses a broad spectrum of injury and pathology with an increasing incidence with age. Pain with overhead activity, localizing to the deltoid region, and loss of active range of motion of the shoulder are among the most common presenting symptoms. Treatment options are dependent on the extent of disease and patient symptoms, and may range from physical therapy to surgical repair using a variety of possible techniques. Tear thickness, size, and morphology frequently dictate the repair techniques that are used, such as margin convergence, anterior and posterior interval slides, and mobilization of the rotator interval and supraspinatus with a subscapularis repair...
September 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/30059446/treatment-of-articular-cartilage-injuries-in-the-glenohumeral-joint
#20
REVIEW
Meagan M McCarthy, Eric McCarty
Articular cartilage injuries in the glenohumeral joint present a unique and difficult problem for the patient and surgeon alike. Various etiologies exist for the development of these cartilage lesions; therefore, treatment options are vast and must be chosen thoughtfully, especially in the young, active patient. Across all treatment modalities, the goal is for the patient to regain lasting function and mobility while decreasing pain.
September 2018: Sports Medicine and Arthroscopy Review
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