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Sports Medicine and Arthroscopy Review

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https://www.readbyqxmd.com/read/29722770/complications-of-tibial-tuberosity-osteotomy-erratum
#1
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722769/alternatives-to-biologics-in-management-of-knee-osteoarthritis-a-systematic-review
#2
Fadi Hassan, William D Murrell, Andrew Refalo, Nicola Maffulli
BACKGROUND: Knee osteoarthritis (KOA) is a common condition encountered by physicians. KOA is addressed by a wide array of modalities including a number of nonbiological treatments. METHODS: PubMed, ISI Web of Science, and SPORTDiscus were searched for level 1 to 4 studies published from inception to August 2017. RESULTS: A total of 18 studies were evaluated and results demonstrated moderate supporting evidence for prolotherapy and limited evidence for botulinum toxin type A, sodium bicarbonate and calcium gluconate, and low-molecular weight fraction of 5% human serum albumin...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722768/acl-allograft-advantages-and-when-to-use
#3
Matthew J Brown, Thomas Carter
It is commonly recommended to reconstruct a torn anterior cruciate ligament in active patients; however, there is no consensus concerning the tissue source to use for the reconstruction. Bone-patellar tendon-bone and hamstring (semitendinosis +/- gracilis) autografts are most commonly used, with allografts being another option. Each tissue has its pros and cons, with allografts often cited as having higher failure rates. However, review of the literature comparing autografts and allografts have showed similar outcomes in age-matched adult populations...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722767/amniotic-epithelial-stem-cells-salient-features-and-possible-therapeutic-role
#4
Aurelio Muttini, Barbara Barboni, Luca Valbonetti, Valentina Russo, Nicola Maffulli
This is a study of amniotic epithelial cells, which form the innermost layer of the amniotic membrane. These cells can be easily isolated and display peculiar and unique properties, such as plasticity and differentiation potential toward the 3 germinal layers, that may aid regeneration and/or repair of damaged or diseased tissues and organs. A robust literature based on in vitro, experimental, and clinical studies in large animals demonstrates that these cells can enhance the regeneration of tendons, bone, and articular cartilage...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722766/microcapsule-technology-for-controlled-growth-factor-release-in-musculoskeletal-tissue-engineering
#5
Giovanna Della Porta, Maria C Ciardulli, Nicola Maffulli
Tissue engineering strategies have relied on engineered 3-dimensional (3D) scaffolds to provide architectural templates that can mimic the native cell environment. Among the several technologies proposed for the fabrication of 3D scaffold, that can be attractive for stem cell cultivation and differentiation, moulding or bioplotting of hydrogels allow the stratification of layers loaded with cells and with specific additives to obtain a predefined microstructural organization. Particularly with bioplotting technology, living cells, named bio-ink, and additives, such as biopolymer microdevices/nanodevices for the controlled delivery of growth factors or biosignals, can be organized spatially into a predesigned 3D pattern by automated fabrication with computer-aided digital files...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722765/making-them-commit-strategies-to-influence-phenotypic-differentiation-in-mesenchymal-stem-cells
#6
Alessio Giai Via, Mary B McCarthy, Laura de Girolamo, Enrico Ragni, Francesco Oliva, Nicola Maffulli
Tendon injuries, bone defects, and cartilage defects are complex clinical conditions leading to pain and dysfunctions. Tendon, bone, and cartilage are highly specialized and organized tissues, and the self-healing may be limited by their histologic features, or impaired by the local conditions. Furthermore, the resultant tissue often shows inferior properties compared with native tissue, leading to high rates of reruptures and revision surgeries. A growing field of research has explored tendon, bone, and cartilage regeneration using mesenchymal stem cells (MSCs), because of their multipotency, and because they are relatively easy to harvest...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722764/platelet-rich-plasma-and-mesenchymal-stem-cells-exciting-but-%C3%A2-are-we-there-yet
#7
Isabel Andia, Jose I Martin, Nicola Maffulli
Joint conditions incapacitate free movement driving to a sedentary lifestyle, a major risk factor for chronic diseases. Regenerative procedures, involving the use of mesenchymal stem/stromal cells along with platelet-rich plasma (PRP), can help patients with these conditions. We describe the main characteristics of cellular products (bone marrow concentrate, stromal vascular fraction of adipose tissue, and mesenchymal stem/stromal cells derived from these tissues), and the potential benefits of combination with PRP in 3 scenarios: PRP lysates used during laboratory cell expansion; PRP to prime cellular products or the host tissue before cell implantation; PRP used as a vehicle for cell transplantation and to provide trophic signals...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722763/cell-therapies-in-tendon-ligament-and-musculoskeletal-system-repair
#8
Pilar M de Albornoz, Rocco Aicale, Francisco Forriol, Nicola Maffulli
In the last few decades, several techniques have been used to optimize tendon, ligament, and musculoskeletal healing. The evidence in favor of these techniques is still not proven, and level I studies are lacking. We performed an analysis of the therapeutic strategies and tissue engineering projects recently published in this field. Here, we try to give an insight into the current status of cell therapies and the latest techniques of bioengineering applied to the field of orthopedic surgery. The future areas for research in the management of musculoskeletal injuries are outlined...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722762/prp-as-an-adjunct-to-rotator-cuff-tendon-repair
#9
F Alan Barber
Arthroscopic rotator cuff repair is a commonly performed repair. Technical developments provide surgeons the tools to create biomechanically robust repairs. How can the biological response mirror the strong and stable surgery? Platelet-rich plasma (PRP) is a supraphysiological platelet concentration which may positively augment rotator cuff healing. Not all PRPs are the same. High leukocyte levels and thrombin activation may be detrimental to tendon healing. Thrombin activation triggers an immediate release of growth factors and may actually inhibit some parts of the healing response...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29722761/biological-therapies-in-orthopedic-sports-medicine
#10
EDITORIAL
Nicola Maffulli, F Alan Barber
No abstract text is available yet for this article.
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29300225/articular-cartilage-injury-pathways-and-treatment-options
#11
Timothy M Simon, Douglas W Jackson
Articular cartilage injury and degeneration is a frequent occurrence in synovial joints. Treatment of these articular cartilage lesions are a challenge because this tissue is incapable of quality repair and/or regeneration to its native state. Nonoperative treatments endeavor to control symptoms, and include anti-inflammatory medication, viscosupplementation, bracing, orthotics, and activity modification. Techniques to stimulate the intrinsic repair (fibrocartilage) process include drilling, abrasion, and microfracture of the subchondral bone...
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29300224/achilles-tendinopathy
#12
Umile Giuseppe Longo, Mario Ronga, Nicola Maffulli
Achilles tendinopathy is a common cause of disability. Despite the economic and social relevance of the problem, the causes and mechanisms of Achilles tendinopathy remain unclear. Tendon vascularity, gastrocnemius-soleus dysfunction, age, sex, body weight and height, pes cavus, and lateral ankle instability are considered common intrinsic factors. The essence of Achilles tendinopathy is a failed healing response, with haphazard proliferation of tenocytes, some evidence of degeneration in tendon cells and disruption of collagen fibers, and subsequent increase in noncollagenous matrix...
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29300223/osteotomies-in-patello-femoral-instabilities
#13
David Dejour, Bertrand Le Coultre
Patellar instability is defined by clinical and radiologic criteria. The surgical treatment is aimed at restoring the congruence of the patellofemoral articulation and correcting extensor mechanism malalignment, to prevent recurrence of dislocation. The standard soft-tissue procedures are lateral release and vastus medialis advancement and medial patello femoral ligament plasty. Bony procedures are frequently performed in addition to soft-tissue surgery, to realign the extensor mechanism by means of tibial tubercle medialization, or to correct the patellar index in patella alta...
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29300222/sports-medicine-and-arthroscopy-review-issue-1-editorial
#14
W Dilworth Cannon, Kenneth E DeHaven
No abstract text is available yet for this article.
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29300221/historical-perspectives-twenty-five-years-in-review
#15
W Dilworth Cannon, Kenneth E DeHaven, Gregory C Fanelli
No abstract text is available yet for this article.
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095403/ankle-mri-and-arthroscopy-correlation-with-cartilaginous-defects-and-symptomatic-os-trigonum
#16
REVIEW
Brian D Powell, Minton T Cooper
Arthroscopic intervention of the foot and ankle is used for a growing number of procedures. Magnetic resonance imaging (MRI) can be a helpful technique while detecting pathology before surgical intervention. A common use of MRI is detecting osteochondral lesion of the talus; however, other pathology can be detected including but not limited to symptomatic Os trigonum and subtalar osteochondral defects. An MRI sensitivity and specificity for detecting these pathologies vary. Correlating findings on MRI with arthroscopy is helpful in determining its accuracy and will be discussed in the following case examples...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095402/mri-and-arthroscopy-correlation-in-the-patellofemoral-joint
#17
REVIEW
Lisa G M Friedman, Melissa S White, Patrick F Carroll, Jeffrey A Macalena, Elizabeth A Arendt, Jutta M Ellermann, Marc Tompkins
The patellofemoral joint is an articulation between the patella and the femoral trochlea, which serves to increase the lever arm of the extensor mechanism. The stability of the patella within the trochlear groove is supported statically by the bony confines of the groove itself, as well as the medial patellofemoral ligament, and dynamically by the vastus musculature. Pathologic changes seen on magnetic resonance imaging (MRI) are frequently well correlated with findings found by arthroscopy at the time of surgery...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095401/mri-and-arthroscopic-evaluation-of-meniscal-injuries
#18
REVIEW
Matthew H Blake, Christian Lattermann, Darren L Johnson
There has been an increasing awareness of the importance of the meniscus in maintaining the health and function of the knee. When injured, magnetic resonance imaging (MRI) has become the gold standard to diagnose meniscal tears. The information obtained from the MRI helps determine the need for surgical intervention. To achieve the best patient outcome a surgeon must be able to diagnose a meniscal injury by MRI as well as identify the injury at time of arthroscopy. This article aims to illustrate meniscal pathology utilizing side by side comparison of MRI identified meniscal injuries to its arthroscopic correlate as well as describe treatment options for the injury...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095400/mri-arthroscopy-correlations-ligaments-of-the-knee
#19
REVIEW
Joseph J Ruzbarsky, Gabrielle Konin, Naaman Mehta, Robert G Marx
Magnetic resonance imaging and a thorough understanding of its interpretation in the diagnosis and management of injuries to the ligaments about the knee is an essential skill for orthopedists. The goal of this review is to provide a description of the native and injured anatomy through magnetic resonance imaging and its correlations, when appropriate, as seen through the arthroscope at the time of surgery. The ligaments of focus include the anterior cruciate ligament, the posterior cruciate ligament, the medial collateral ligament, the posterolateral corner, the anterolateral ligament, and the medial patellofemoral ligament...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095399/magnetic-resonance-imaging-mri-and-hip-arthroscopy-correlations
#20
REVIEW
Samuel E Carstensen, Erin C McCrum, Jennifer L Pierce, Frank W Gwathmey
The hip is a complex joint which commonly generates referrals to orthoaedic surgeons. Hip arthroscopy continues to expand its indications for addressing hip pathology. Before operative intervention, the appropriate information must be obtained with magnetic resonance imaging playing a significant role in the workup given its outstanding characterization of soft tissue anatomy. We attempt to highlight multiple hip findings to correlate intraoperative arthroscopic findings with specific magnetic resonance imaging images and sequences...
December 2017: Sports Medicine and Arthroscopy Review
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