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Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT

Nicholas D Clement, Yuan X Nie, Julie M McBirnie
The aim of this review was to present an over view of degenerative rotator cuff tears and a suggested management protocol based upon current evidence. Degenerative rotator cuff tears are common and are a major cause of pain and shoulder dysfunction. The management of these tears is controversial, as to whether they should be managed non-operatively or operatively. In addition when operative intervention is undertaken, there is question as to what technique of repair should be used. This review describes the epidemiology and natural history of degenerative rotator cuff tears...
December 14, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Thomas P Goss, Xinning Li
The clavicle connects the shoulder girdle to the axial skeleton, providing support and mobility for optimal upper extremity function. Fractures of the clavicle account for up to 4% of all fractures and comprise up to 44% of all injuries to the shoulder girdle. We present a 63-year-old female patient who suffered what appeared to be a minimally displaced Type V lateral clavicle fracture after a fall as evidenced by an anteroposterior shoulder radiograph. However, an axillary projection demonstrated the proximal segment to be posteriorly displaced and buttonholed through the trapezius musculature with tenting of the skin...
December 12, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Junsuke Nakase, Hiroyuki Tsuchiya, Katsuhiko Kitaoka
UNLABELLED: HASH(0x52160f0) PURPOSE: The purpose of this present study was to examine contralateral ACL injury cases after ACL reconstruction, to determine the characteristics of such injuries. METHODS: We performed a retrospective analysis of 24 patients with contralateral ACL injury after ACL reconstruction. The control group consisted of 200 cases with unilateral ACL injury. The following were examined in the contralateral group: timing of the contralateral ACL injury, and the situations of the initial and contralateral ACL injuries...
December 10, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Joseph Hamill, Christopher Palmer, Richard E A Van Emmerik
Overuse injuries are generally defined as a repetitive micro-trauma to tissue. Many researchers have associated particular biomechanical parameters as an indicator of such injuries. However, while these parameters have been reported in single studies, in many instances, it has been difficult to verify these parameters as causative to the injury. We have investigated overuse injuries, such as patella-femoral pain syndrome, using a dynamical systems approach. Using such methods, the importance of the structure of coordinative variability (i...
November 27, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Franz Christanell, Christian Hoser, Reinhard Huber, Christian Fink, Hannu Luomajoki
UNLABELLED: HASH(0x43bed20) BACKGROUND: Loss of knee extension and a deficit in quadriceps strength are frequently found following anterior cruciate ligament (ACL) reconstruction. The aim of this study was to investigate whether the addition of Eletromyographic Biofeedback (EMG BFB) therapy for the vastus medialis muscle to the in the early phase of the standard rehabilitation programme could improve the range of knee extension and strength after ACL reconstruction more than a standard rehabilitation programme...
November 6, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Hamish R Osborne, John F Quinlan, Garry T Allison
UNLABELLED: HASH(0x51fd1c0) BACKGROUND: Hip abduction weakness has never been documented on a population basis as a common finding in a healthy group of athletes and would not normally be found in an elite adolescent athlete. This study aimed to show that hip abduction weakness not only occurs in this group but also is common and easy to correct with an unsupervised home based program. METHODS: A prospective sports team cohort based study was performed with thirty elite adolescent under-17 Australian Rules Footballers in the Australian Institute of Sport/Australian Football League Under-17 training academy...
October 2, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Shweta Shenoy, Bhupinder S Tyagi, Jaspal S Sandhu
UNLABELLED: HASH(0x44a48b8) BACKGROUND: Aerobic capacity (VO2max) is highly dependent upon body composition of an individual and body composition varies with ethnicity. The purpose of this study was to check the concurrent validity of the non-exercise prediction equation developed by Jackson and colleagues (1990) using percentage body fat as a variable in Asian Indian adults. METHODS: One hundred twenty college-aged participants (60 male, 60 female, mean age 22...
September 21, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Giampietr L Vairo, Michele L Duffey, Brett D Owens, Kenneth L Cameron
BACKGROUND: The objective of this innovative research study was to describe clinical shoulder complex range of motion (ROM) measures for a young, healthy, and physically active population. This investigation represents a cross-sectional experiment conducted at a military academy-based sports medicine center. Military cadets with no history of shoulder complex injury were assessed within two months of enrollment in the academy; 548 men (18.8 ± 1.0 yr, 75.2 ± 12.2 kg, 178...
September 10, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Yee Han Dave Lee, Ryosuke Kuroda, Jinzhong Zhao, Kai Ming Chan
The purpose of ESSKA- APOSSM Travelling fellowship is to better understand the epidemiology, management and surgical techniques for sports across continents. There has been a progressive evolution in ACL reconstruction and there is variation in technique in ACL reconstruction amongst the most experienced surgeons in different continents. During this one month fellowship, we saw various ACL reconstruction techniques using different graft sources, with a variety of graft fixation methods, with the common aim of recreating an anatomical ACL reconstruction...
July 28, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Michael D Kennedy, Robyn Fischer, Kristine Fairbanks, Lauren Lefaivre, Lauren Vickery, Janelle Molzan, Eric Parent
BACKGROUND: The ability to determine athletic performance in varsity athletes using preseason measures has been established. The ability of pre-season performance measures and athlete's exposure to predict the incidence of injuries is unclear. Thus our purpose was to determine the ability of pre-season measures of athletic performance to predict time to injury in varsity athletes. METHODS: Male and female varsity athletes competing in basketball, volleyball and ice hockey participated in this study...
July 23, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Shuya Nohmi, Yasuyuki Ishibashi, Eiichi Tsuda, Yuji Yamamoto, Harehiko Tsukada, Satoshi Toh
UNLABELLED: HASH(0x4944f68) PURPOSE: The purpose of this study was to compare the anterior tibial translation (ATT) of the anterior cruciate ligament (ACL) reconstructed-knee between single-bundle and double-bundle ACL reconstruction under cyclic loading. METHODS: Single-bundle and double-bundle reconstructions of the knee were performed sequentially in randomized order on the same side using eight human amputated knees. After each reconstruction, the reconstructed-knee was subjected to 500-cycles of 0 to 100-N anterior tibial loads using a material testing machine...
July 2, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Yasuo Niki, Hideo Matsumoto, Toshiro Otani, Hiroyuki Enomoto, Yoshiaki Toyama, Yasunori Suda
BACKGROUND: Consensus has been lacking as to how to reconstruct the posterolateral corner (PLC) of the knee in patients with posterolateral instability. We describe a new reconstructive technique for PLC based on Larson's method, which reflects the physiological load-sharing pattern of the lateral collateral ligament (LCL) and popliteofibular ligament (PFL). FINDINGS: Semitendinosus graft is harvested, and one limb of the graft comprises PFL and the other comprises LCL...
June 13, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Andrew J Beamish, Gareth L Roberts, Peter Cnudde
We present a case of near identical patellar fractures in adolescent monozygotic twins who are both high-level competitive gymnasts. These patients presented 14 months apart with almost identical history and clinical findings. Both had an intense training regime involving over 30 hours per week of load-bearing exercise. Clinical and radiological examinations suggested avulsion or sleeve fracture of the inferior pole of the patella with minimal displacement. Diagnoses of patellar stress fracture with avulsion of the distal pole and symptomatic bipartite patella could not be reliably excluded...
June 12, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Takeo Mammoto, Atsushi Hirano, Yohei Tomaru, Mamoru Kono, Yuta Tsukagoshi, Sinzo Onishi, Naotaka Mamizuka
PURPOSE: To evaluate the relative involvement of tibial stress injuries using high-resolution axial MR imaging and the correlation with MR and radiographic images. METHODS: A total of 33 patients with exercise-induced tibial pain were evaluated. All patients underwent radiograph and high-resolution axial MR imaging. Radiographs were taken at initial presentation and 4 weeks later. High-resolution MR axial images were obtained using a microscopy surface coil with 60 × 60 mm field of view on a 1...
May 10, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Ahmad Oryan, Ali Moshiri, Abdul-Hamid Meimandi-Parizi
BACKGROUND: The incidences of tendon injuries in certain sections of human or animal populations such as athletes are high, but every human or animal, regardless of age or level of activity experiences some degree of tendon injury. In spite of the various investigations of injuries and treatment, comprehensive studies dealing with the histological, ultrastructural and biomechanical aspects of healing of load-bearing tendons are rare. This study was designed to compare the outcome of healing of the transverse sectioned superficial digital flexor tendon (SDFT) after 28 and 84 days post injury (DPI) in rabbits...
April 26, 2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Hiroyuki Fujioka, Kenjiro Tsunemi, Yohei Takagi, Juichi Tanaka
The present study is a report of retrospective case series of stress fracture of the olecranon. Six patients presented posterior elbow pain in throwing in baseball and softball, but fracture was not diagnosed in radiographs. We detected stress fracture of the olecranon using computed tomographic (CT) scan and treated the patient with internal fixation with a headless cannulated double threaded screw through a small skin incision. All patients returned to competitive level without elbow complaints after the operation...
2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Hirotaka Mutsuzaki, Kotaro Ikeda
UNLABELLED: HASH(0x43ba370) BACKGROUND: Achieving precise implant alignment is crucial for producing good outcomes after total knee arthroplasty (TKA). We introduce a simple method for confirming the accuracy of tibial osteotomy during TKA. FINDINGS: Two metallic markers were placed on the skin 20 cm apart, one on the tibial tuberosity and other on the tibial crest, points that are easily identified and palpated intraoperatively. Anteroposterior radiographs of the legs were obtained...
2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Tsutomu Oshigiri, Kota Watanabe, Hidenori Otsubo, Shintaro Takeda, Tomoyuki Suzuki, Takuma Kobayashi, Toshihiko Yamashita
A 49 year-old male visited a nearby clinic five years back with a complaint of pain in the right knee during exercise. Plain radiographs revealed absence of any anomalies. He began to feel a lumpy mass in his right knee two years back. The pain worsened, on imaging, an anomaly was identified in the infrapatellar fat pad of his right knee, and he was subsequently referred to our department where he was hospitalized. On examination, a mass extending on either side of the patellar tendon was identified along with rigid tenderness in that area...
2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Mandeep S Dhillon, Bhavuk Garg, Ritesh K Soni, Himmat Dhillon, Sharad Prabhakar
UNLABELLED: HASH(0x43db130) INTRODUCTION: Cricket is the most popular sport in India, and is gaining in importance in all south-east Asian countries. The purpose of this study was to prospectively investigate the incidence, nature, and site of acute upper limb injuries sustained by professional cricketers of north India over a period of one year. MATERIAL & METHODS: 95 cricket players (mean age 18.9 years) were prospectively evaluated for nature and incidence of upper limb injuries from 1st November 2008 to 31st October 2009...
2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
Amir M Navali, Leila Azhar Shekoufeh Bahari, Behrouz Nazari
UNLABELLED: HASH(0x43e7ba8) BACKGROUND: The purpose of this study was to assess the concurrent validity of alternative measures of frontal plane knee alignment, namely the radiographic anatomic axis and two clinical measures in patients complaining of knee malalignment as compared with the mechanical axis on full-length radiograph of lower limbs. METHODS: The knee-alignment angle was measured in 100 knees of 50 subjects with the chief complaint of frontal knee malalignment according to the following methods: lower-limb mechanical axis on radiograph, lower-limb anatomic axis on radiograph, distance between medial femoral condyles or medial malleoli using a calliper and lower-limb alignment using a goniometer...
2012: Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology: SMARTT
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