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Current Reviews in Musculoskeletal Medicine

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https://www.readbyqxmd.com/read/28324328/interspinous-implants-to-treat-spinal-stenosis
#1
REVIEW
Raj J Gala, Glenn S Russo, Peter G Whang
PURPOSE OF REVIEW: Lumbar spinal stenosis has historically been treated with open decompressive surgery which is associated with significant morbidity and may give rise to various complications. Interspinous spacers (ISS) have been developed as a less invasive strategy which may serve to avoid many of these risks. The two current spacers that are FDA approved and commercially available are the Coflex and Superion devices. The goal is to review these two implants, their indications, and patient selection...
March 21, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28324327/lumbar-disc-replacement-surgery-successes-and-obstacles-to-widespread-adoption
#2
REVIEW
Stephan N Salzmann, Nicolas Plais, Jennifer Shue, Federico P Girardi
PURPOSE OF REVIEW: Lumbar disc replacement has been a surgical alternative to fusion surgery for the treatment of lumbar degenerative disc disease (DDD) for many years. Despite enthusiasm after the approval of the first devices, implantation rates have remained low, especially in the USA. The goal of this review is to provide a general overview of lumbar disc replacement in order to comprehend the successes and obstacles to widespread adoption. RECENT FINDINGS: Although a large amount of evidence-based data including satisfactory long-term results is available, implantation rates in the USA have not increased in the last decade...
March 21, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28316056/temporary-stabilization-of-unstable-spine-fractures
#3
REVIEW
Aaron P Danison, Darrin J Lee, Ripul R Panchal
PURPOSE OF REVIEW: We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion...
March 18, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28251560/scaphoid-fractures-in-the-athlete
#4
REVIEW
Mark J Winston, Andrew J Weiland
Scaphoid fractures are a common wrist injury, especially in athletes. Clinicians should have a high index of suspicion for a scaphoid fracture in any patient complaining of radial-sided wrist pain after a fall on an outstretched hand. Advanced imaging, including CT and MRI scans, may be useful in diagnosis and classification of fracture patterns. Treatment varies based on the fracture location, stability of the fracture, and predictability of the fracture to heal. Treatment involves either non-operative management with a thumb spica cast or brace, or operative fixation with a headless compression screw, k-wires, or scaphoid-specific plates...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28220354/zone-ii-and-iii-fifth-metatarsal-fractures-in-athletes
#5
REVIEW
Michael Le, Robert Anderson
PURPOSE OF REVIEW: This study aimed to review indications, complications, and outcomes of zone II and III fifth metatarsal fractures based on recent literature. RECENT FINDINGS: High rates of nonunion, delayed union, and refracture in athletes treated non-operatively. The standard of care is operative treatment in athletes with intramedullary fixation. Operative treatment of zone II and III fractures in athletes will decrease the risk of nonunion and refracture while leading to an earlier return to play...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28194638/achilles-tendon-injuries
#6
REVIEW
Anthony C Egger, Mark J Berkowitz
PURPOSE OF REVIEW: The purpose of this study is to review the current literature of Achilles tendon injuries, specifically chronic tendinopathy and acute ruptures in regard to etiology, diagnosis, treatment options, and outcomes. RECENT FINDINGS: The incidence of Achilles tendon injuries is increasing, but the necessity for surgical intervention is decreasing due to improved conservative therapies, which may provide comparable outcomes without the implied surgical risk...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28188546/osteochondral-lesions-of-the-talus-in-the-athlete-up-to-date-review
#7
REVIEW
Yoshiharu Shimozono, Youichi Yasui, Andrew W Ross, John G Kennedy
PURPOSE OF REVIEW: Osteochondral lesions of the talus (OLT) are common injuries in athletes. The purpose of this study is to comprehensively review the clinical results and return to sport capacity in athletes following treatment for OLT. RECENT FINDINGS: Reparative procedures, such as bone marrow stimulation, and replacement procedures, such as autologous osteochondral transplantation, provide good clinical outcomes in short- and mid-term follow-up in the athlete...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28188545/a-review-of-mallet-finger-and-jersey-finger-injuries-in-the-athlete
#8
REVIEW
Abdo Bachoura, Alex J Ferikes, John D Lubahn
PURPOSE OF REVIEW: The purposes of this review are to discuss the diagnosis and management of mallet and jersey finger injuries in athletes and to highlight how treatment impacts return to play. RECENT FINDINGS: Mallet finger: although numerous non-operative and operative techniques have been described, there continues to be little consensus regarding the optimal procedure. Jersey finger: ultrasound appears to be a cost-effective imaging modality that may be useful for preoperative planning...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28188544/lisfranc-injuries
#9
REVIEW
Michael P Clare
PURPOSE OF REVIEW: The purpose of this review is to discuss key anatomic and pathoanatomic factors, treatment principles, and patient outcomes of Lisfranc injuries. RECENT FINDINGS: Although open reduction and internal fixation (ORIF) remains the current gold standard of treatment, ORIF with primary arthrodesis has become increasingly popular in recent years, both for pure ligamentous and for bony-ligamentous injuries. Return to activity and competitive sports as well as overall patient outcomes have been further defined, suggesting that most patients are able to return to near pre-injury level if properly diagnosed and appropriately treated...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28185125/ulnar-sided-wrist-pain-in-the-athlete-tfcc-druj-ecu
#10
REVIEW
Eric Quan Pang, Jeffrey Yao
PURPOSE OF REVIEW: The goal of this manuscript is to review key historic and recent literature regarding extensor carpi ulnaris (ECU), triangular fibrocartilage complex (TFCC) and distal radioulnar joint (DRUJ) injuries, particularly in athletes. RECENT FINDINGS: Many recent studies examining the ECU focus on clinical and radiographic diagnosis. Several physical exam findings are described in addition to the use of MRI and US. Imaging studies must be clinically correlated due to high incidence of findings in asymptomatic patients...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28185124/metacarpal-fractures-in-the-athlete
#11
REVIEW
Maximillian Soong, Samantha Chase, N George Kasparyan
To describe current evaluation and treatment of metacarpal fractures in athletes RECENT FINDINGS: Biomechanical and clinical studies involving lower-profile, locking, shorter length, and double-row or separate-dual plate configurations, as well as intramedullary screw fixation, have demonstrated the potential benefits of internal fixation with promising results. Treatment should be customized to the specific athlete and injury, and is often successful without surgery, or with percutaneous pin fixation. Internal fixation of metacarpal fractures has improved with new hardware and new techniques, and may expedite return to play, although further clinical studies are needed...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28185123/phalanx-fractures-and-dislocations-in-athletes
#12
REVIEW
Franklin Chen, David M Kalainov
PURPOSE OF REVIEW: Phalangeal fractures, dislocations, and fracture-dislocations in the hand are common injuries. We review the current literature on the diagnosis and treatment of these injuries in the athlete. An understanding of the anatomy and its relationship to the mechanism of injury may help to direct appropriate management. Return to play remains an important concern to the patient-athlete. RECENT FINDINGS: Findings from recently published articles reinforce previously established treatment methods in the management of finger phalangeal fractures, dislocations, and fracture-dislocations...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28133709/thumb-collateral-ligament-injuries-in-the-athlete
#13
REVIEW
Daniel M Avery, Elizabeth R Inkellis, Michelle G Carlson
PURPOSE OF REVIEW: The purpose of this review is to identify current principles in the diagnosis and treatment of collateral ligament injuries of the thumb in the athlete. RECENT FINDINGS: Cadaver studies have clearly identified the ulnar and radial collateral ligaments origin and insertion footprints for repair or reconstruction. Ulnar and radial collateral ligament injuries are common in athletics. History and physical examination are paramount in determining partial versus complete tear...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28127676/distal-radius-fractures-in-the-athlete
#14
REVIEW
Casey Beleckas, Ryan Calfee
PURPOSE OF REVIEW: Distal radius fractures are one of the most common upper extremity fractures. Athletes with distal radius fractures are treated according to the same principles as non-athletes but present several unique considerations. At all levels of sport, injured athletes desire to return to play as rapidly as possible. RECENT FINDINGS: Earlier operative fixation may allow an athlete to return to play more quickly. Volar locking plates are most commonly used for operative treatment of distal radius fractures due to their stability and low incidence of complications...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28124292/injuries-to-the-great-toe
#15
REVIEW
Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28110392/tarsal-navicular-stress-fractures
#16
REVIEW
Rachel J Shakked, Emily E Walters, Martin J O'Malley
PURPOSE OF REVIEW: Navicular stress fractures are common in athletes and management is debated. This article will review the evaluation and management of navicular stress fractures. RECENT FINDINGS: Various operative and non-operative adjunctive treatment modalities are reviewed including the relevance of vitamin D levels, use of shock wave therapy and bone marrow aspirate concentrate (BMAC), and administration of teriparatide. Surgical treatment may be associated with earlier return to sports...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28110391/social-media-for-patients-benefits-and-drawbacks
#17
REVIEW
Ivan De Martino, Rocco D'Apolito, Alexander S McLawhorn, Keith A Fehring, Peter K Sculco, Giorgio Gasparini
PURPOSE OF REVIEW: Social media is increasingly utilized by patients to educate themselves on a disease process and to find hospital, physicians, and physician networks most capable of treating their condition. However, little is known about quality of the content of the multiple online platforms patients have to communicate with other potential patients and their potential benefits and drawbacks. RECENT FINDINGS: Patients are not passive consumers of health information anymore but are playing an active role in the delivery of health services through an online environment...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28110390/operative-treatment-of-lateral-ligament-instability
#18
REVIEW
Rachel J Shakked, Sydney Karnovsky, Mark C Drakos
PURPOSE OF REVIEW: Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28101828/current-trends-in-the-diagnosis-and-management-of-syndesmotic-injury
#19
REVIEW
Matthew L Vopat, Bryan G Vopat, Bart Lubberts, Christopher W DiGiovanni
Ideal management of the various presentations of syndesmotic injury remains controversial to this day. High quality evidentiary science on this topic is rare, and numerous existing studies continue to contradict one another. The primary reasons for these discrepancies are that previous studies have failed to (1) properly distinguish between isolated (non-fractured) and non-isolated injuries, (2) accurately define stable from unstable injuries, and (3) sufficiently differentiate between acute and chronic injuries...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28101827/scapholunate-and-perilunate-injuries-in-the-athlete
#20
REVIEW
Nathan T Morrell, Amanda Moyer, Noah Quinlan, Adam B Shafritz
PURPOSE OF THE REVIEW: Scapholunate and perilunate injuries can be difficult to diagnose and treat in the athlete. In this review article, we present the mechanism of injury, evaluation, management, and outcomes of treatment for these injuries. RECENT FINDINGS: Acute repair of dynamic scapholunate ligament injuries remains the gold standard, but judicious use of a wrist splint can be considered for the elite athlete who is in season. The treatment of static scapholunate ligament injury remains controversial...
March 2017: Current Reviews in Musculoskeletal Medicine
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