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Current Reviews in Musculoskeletal Medicine

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https://www.readbyqxmd.com/read/29777422/patellofemoral-cartilage-repair
#1
REVIEW
Alexandre Barbieri Mestriner, Jakob Ackermann, Andreas H Gomoll
PURPOSE OF REVIEW: This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and trochlear articular surfaces. RECENT FINDINGS: Recent studies on cartilage repair in the PFJ have demonstrated improved outcomes in an attempt to delay or obviate the need for arthroplasty, and improve symptoms in young patients...
May 18, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29752638/avoiding-complications-with-mpfl-reconstruction
#2
REVIEW
Marvin K Smith, Brian C Werner, David R Diduch
PURPOSE OF REVIEW: To discuss the potentially significant complications associated with medial patellofemoral ligament (MPFL) reconstruction. Additionally, to review the most current and relevant literature with an emphasis on avoiding these potential complications. RECENT FINDINGS: Multiple cadaveric studies have characterized the anatomy of the MPFL and the related morphologic abnormalities that contribute to recurrent lateral patellar instability. Such abnormalities include patella alta, excessive tibial tubercle to trochlear grove (TT-TG) distance, trochlear dysplasia, and malalignment...
May 12, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29750318/return-to-play-after-patellar-stabilization
#3
REVIEW
Seth L Sherman, Daniel P Deasis, Andrew J Garrone, Elliott E Voss, Harvey A Oliver
PURPOSE OF REVIEW: The purpose of this review is to evaluate the existing literature regarding return to play (RTP) and return to prior performance (RPP) following patellar stabilization surgery. It will also discuss suggested guidelines regarding RTP, and finally, to encourage future patellofemoral instability research to report and publish results of RTP rates using standardized RTP guidelines. RECENT FINDINGS: There is a lack of validation and universal adoption of standardized RTP guidelines...
May 10, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29744697/trochleoplasty-indications-and-technique
#4
EDITORIAL
John E Nolan, Patrick C Schottel, Nathan K Endres
PURPOSE OF REVIEW: Trochlear dysplasia is a well-described risk factor for patellar instability. Trochleoplasty has emerged as a procedure within the surgical armamentarium for patellar instability, yet its role is unclear. A variety of trochleoplasty procedures have emerged. The purpose of this review is to clarify indications for trochleoplasty, outline the technical steps involved in performing common trochleoplasties and report the published outcomes and potential complications of these procedures...
May 9, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29736872/use-of-tt-pcl-versus-tt-tg
#5
REVIEW
Jacqueline M Brady, Adam S Rosencrans, Beth E Shubin Stein
PURPOSE OF REVIEW: The tibial tubercle-to-trochlear groove (TT-TG) distance and tibial tubercle-to-posterior cruciate ligament (TT-PCL) distance have both been proposed for use in the evaluation of patients with patellofemoral instability. RECENT FINDINGS: While the TT-TG value may be confounded by several factors, including age, gender, body mass index, and varying degrees of knee flexion on cross-sectional imaging, recent literature supports its utility for differentiation of patients with and without patellofemoral instability, and stratification of patients with and without coronal malalignment...
May 8, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29736871/predicting-risk-of-recurrent-patellar-dislocation
#6
REVIEW
Shital N Parikh, Marios G Lykissas, Ioannis Gkiatas
PURPOSE OF REVIEW: Lateral patellar dislocation (LPD) is one of the most common injuries of the knee, especially in a young patient. It is multifactorial with several underlying risk factors. The purpose of this review is to present the most recent data concerning risk factors and their predictive value to estimate recurrent LPD risk. RECENT FINDINGS: Several demographic risk factors (age, skeletal immaturity, sex, bilaterality), mechanism of injury, and anatomic risk factors (trochlear dysplasia, patella alta, excessive tibial tubercle lateralization, increased patellar tilt) have been recognized...
May 7, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29730857/the-role-of-osteotomy-for-the-treatment-of-pcl-injuries
#7
REVIEW
João V Novaretti, Andrew J Sheean, Jayson Lian, Joseph De Groot, Volker Musahl
PURPOSE OF REVIEW: The purposes of this review are to (1) describe the anatomic and biomechanical rationale for high tibial osteotomy (HTO) in the setting of posterior cruciate ligament (PCL) deficiency, (2) review the indications for concomitant HTO and PCL reconstruction, (3) provide guidance for the clinical assessment of the patient with suspected PCL deficiency, and (4) summarize the key surgical steps necessary to attain the appropriate sagittal and coronal plane corrections. RECENT FINDINGS: The preponderance of available biomechanical data pertaining to the PCL-deficient knee suggests that an increased proximal tibial slope limits posterior tibial translation under axial compressive loads...
May 5, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29728862/the-medial-patellofemoral-complex
#8
REVIEW
Alexander E Loeb, Miho J Tanaka
PURPOSE OF REVIEW: The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques. RECENT FINDINGS: Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name "medial patellofemoral complex" to allow for the variability in its anatomy...
May 4, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29721692/tibial-tubercle-osteotomies-a-review-of-a-treatment-for-recurrent-patellar-instability
#9
REVIEW
Nathan L Grimm, Alexander L Lazarides, Annunziato Amendola
PURPOSE OF REVIEW: The goal of this review is to provide an overview of current surgical treatment options for tibial tubercle osteotomies as a treatment for recurrent patellofemoral instability. As such we sought to provide the reader with the most current answers to why treatment practices have changed and how this has affected the outcome of surgical treatment for patellar instability. RECENT FINDINGS: As our understanding of patellofemoral biomechanics have grown, appropriate surgical and non-surgical treatment options have followed suit to address these findings...
May 2, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29721691/nonoperative-treatment-of-pcl-injuries-goals-of-rehabilitation-and-the-natural-history-of-conservative-care
#10
REVIEW
Dean Wang, Jessica Graziano, Riley J Williams, Kristofer J Jones
PURPOSE OF REVIEW: To review the current practices of nonoperative management of posterior cruciate ligament (PCL) injuries, the natural history of conservative care, and the latest PCL rehabilitation strategies. RECENT FINDINGS: PCL injuries often occur as part of a multiligamentous knee injury and occasionally occur in isolation. Although patients may be able to tolerate or compensate for a PCL-deficient knee, long-term outcomes after conservative care demonstrate a high rate of arthrosis in the medial and patellofemoral compartments resulting from altered knee kinematics and loads...
May 2, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29721690/advances-in-patellofemoral-arthroplasty
#11
REVIEW
Sabrina M Strickland, Mackenzie L Bird, Alexander B Christ
PURPOSE OF REVIEW: To describe current indications, implants, economic benefits, comparison to TKA, and functional and patient-reported outcomes of patellofemoral arthroplasty. RECENT FINDINGS: Modern onlay implants and improved patient selection have allowed for recent improvements in short- and long-term outcomes after patellofemoral joint replacement surgery. Patellofemoral arthroplasty has become an increasingly utilized technique for the successful treatment of isolated patellofemoral arthritis...
May 2, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29696606/femoral-derotational-osteotomies
#12
REVIEW
Manfred Nelitz
PURPOSE OF REVIEW: Femoral derotational osteotomies are performed to correct residual symptomatic increased femoral torsion in adolescents and adults. Typical indications are anterior knee pain caused by patellar maltracking and patellofemoral instability. There is still no consensus as to what the correct indication is and which surgical techniques lead to the best outcomes in performing a femoral derotational osteotomy. RECENT FINDINGS: Good early clinical outcomes have been reported...
April 25, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29691761/open-tibial-inlay-pcl-reconstruction-surgical-technique-and-clinical-outcomes
#13
REVIEW
Evan E Vellios, Kristofer J Jones, David R McAllister
PURPOSE OF REVIEW: To review the current literature on clinical outcomes following open tibial inlay posterior cruciate ligament (PCL) reconstruction and provide the reader with a detailed description of the author's preferred surgical technique. RECENT FINDINGS: Despite earlier biomechanical studies which demonstrated superiority of the PCL inlay technique when compared to transtibial techniques, recent longitudinal cohort studies have shown no significant differences in clinical or functional outcomes at 10-year follow-up...
April 24, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29682681/patellar-instability-in-the-skeletally-immature
#14
REVIEW
Charles A Popkin, Ahmad F Bayomy, Evan P Trupia, Charles M Chan, Lauren H Redler
PURPOSE OF REVIEW: This review will focus on the evaluation and management of patellar instability in the developing patient. RECENT FINDINGS: A large number of surgical techniques have been described to prevent recurrent patellofemoral instability in the pediatric population, including both proximal and distal realignment procedures. The wide variety of treatment options highlights the lack of agreement as to the best surgical approach. However, when a comprehensive exam and workup are paired with a surgical plan to address each of the identified abnormalities, outcomes are predictably good...
April 23, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29682680/mpfl-in-first-time-dislocators
#15
REVIEW
Beth E Shubin Stein, Simone Gruber, Jacqueline M Brady
PURPOSE OF REVIEW: Historically, the standard of care for patients with an acute patella dislocation has been non-operative with the exception being those with a loose body or osteochondral fracture requiring fixation or removal. RECENT FINDINGS: Recent literature has brought into question this standard of care approach and defined a higher risk subset of first-time dislocators who may benefit from early operative treatment. In addition, these studies suggest that operative treatment not only reduces the risk of recurrence but may improve outcomes overall and specifically in the pediatric population...
April 23, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29679209/quadriceps-tendon-autograft-medial-patellofemoral-ligament-reconstruction
#16
REVIEW
Christian Fink, Robert Steensen, Peter Gföller, Robert Lawton
PURPOSE: Critically evaluate the published literature related to quadriceps tendon (QT) medial patellofemoral ligament (MPFL) reconstruction. RECENT FINDINGS: Hamstring tendon (HT) MPFL reconstruction techniques have been shown to successfully restore patella stability, but complications including patella fracture are reported. Quadriceps tendon (QT) reconstruction techniques with an intact graft pedicle on the patella side have the advantage that patella bone tunnel drilling and fixation are no longer needed, reducing risk of patella fracture...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29679208/revision-pcl-reconstruction-review-update
#17
REVIEW
G Keith Gill, F Winston Gwathmey
PURPOSE OF REVIEW: The primary goal of this review is to update recent literature on revision PCL reconstruction and to discuss factors relevant to surgical failure, surgical indications and goals, patient evaluation, surgical decision-making, graft selection, surgical technique, associated surgical procedures, postoperative rehabilitation, and revision PCL reconstruction results. RECENT FINDINGS: Specifically, it is paramount to consider and treat posteromedial and posterolateral instability...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#18
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29675743/single-versus-double-bundle-pcl-reconstruction-scientific-rationale-and-clinical-evidence
#19
REVIEW
Christopher J Tucker, Patrick W Joyner, Nathan K Endres
PURPOSE OF REVIEW: The goal of this paper is to review the biomechanical and clinical rationale for single-bundle versus double-bundle posterior cruciate ligament (PCL) reconstruction. The primary question is whether there has been demonstrated any clear biomechanical or clinical superiority of a double-bundle reconstruction over a single-bundle reconstruction. RECENT FINDINGS: There is some recent evidence demonstrating biomechanical superiority of double-bundle versus single-bundle reconstruction; however, this is not definitive...
April 19, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29663125/arthroscopic-transtibial-pcl-reconstruction-surgical-technique-and-clinical-outcomes
#20
REVIEW
Jessica Shin, Travis G Maak
PURPOSE OF REVIEW: Posterior cruciate ligament (PCL) injuries are relatively uncommon injuries. As such, there is a dearth of high-quality studies in the literature examining the operative management of PCL injuries and a lack of clear consensus on what the optimal method should be. The goal of this review was to conduct a comprehensive evaluation of recent literature and provide an evidence-based algorithm to optimize surgical decision-making and outcomes for PCL reconstruction. RECENT FINDINGS: Recent literature confirms that transtibial PCL reconstruction is a reliable and reproducible method to manage PCL injuries and results in satisfactory patient outcomes...
April 16, 2018: Current Reviews in Musculoskeletal Medicine
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