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Orthopaedic Journal of Sports Medicine

Matthew V Smith, Michelle Gosselin, Karen Steger-May, Matthew J Matava, Rick W Wright, Robert H Brophy
Background: Patient preference information has become increasingly more important in clinical decision making. Purpose: To assess patient preferences when making treatment decisions in the shoulder to determine which features are more important according to patient age, race, activity level, and sex. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants aged ≥18 years were surveyed as to their preferences regarding surgical treatment for shoulder and proximal biceps abnormalities...
October 2018: Orthopaedic Journal of Sports Medicine
Shelby R Smith, Nirav K Patel, Alex E White, Christopher J Hadley, Christopher C Dodson
Background: Stress fractures of the elbow are rare in throwing athletes and present a challenge from both a management and rehabilitation perspective. Although the incidence of stress fractures of the elbow is increasing, there is a lack of data in the literature focused on throwers. Purpose: To evaluate studies regarding the management and outcomes of stress fractures of the elbow in throwing athletes. Study Design: Systematic review; Level of evidence, 4...
October 2018: Orthopaedic Journal of Sports Medicine
Michael Khazzam, Stephen T Gates, Breann K Tisano, Nathan Kukowski
Background: Currently, clinical physical examination maneuvers alone provide variable reliability in diagnosing full-thickness rotator cuff tears (RCTs). Purpose: To assess the diagnostic accuracy of the scapular retraction test (SRT) to predict full-thickness RCTs. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A total of 331 patients were prospectively evaluated in this cohort study. SRT was performed to assess the status of the rotator cuff...
October 2018: Orthopaedic Journal of Sports Medicine
Mario Hevesi, David E Hartigan, Isabella T Wu, Cody C Wyles, Vishal S Desai, Andre J van Wijnen, Daniel B F Saris, Bruce A Levy, Aaron J Krych
Background: The preoperative assessment of cartilage lesions is critical to surgical planning and decision making. The accurate radiographic determination of acetabular cartilage damage has remained elusive for modern imaging modalities, including magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA). While risk factors have been individually described, no multivariable system exists for predicting high-grade cartilage damage. Purpose: To determine the preoperative predictors of grade 3 to 4 acetabular labrum articular disruption (ALAD) lesions...
October 2018: Orthopaedic Journal of Sports Medicine
Colin P Murphy, Salvatore J Frangiamore, Sandeep Mannava, Anthony Sanchez, Evan Beiter, James M Whalen, Mark D Price, James P Bradley, Robert F LaPrade, Matthew T Provencher
Background: Posterior labral injuries have been recognized as a particularly significant clinical problem in collision and contact athletes. Purpose: To evaluate the effect that posterior labral tears have on early National Football League (NFL) performance based on position, associated injuries, and operative versus nonoperative management. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of all participants in the NFL Combine from 2009 to 2015 was performed using medical and imaging reports documented at the combine...
October 2018: Orthopaedic Journal of Sports Medicine
David E Kantrowitz, David P Trofa, Denzel R Woode, Christopher S Ahmad, T Sean Lynch
Background: Ulnar collateral ligament (UCL) reconstruction is a reliable treatment for elite overhand throwers with UCL tears. In recent years, this procedure has become increasingly common among Major League Baseball (MLB) pitchers. Predisposing factors and associated comorbidities, however, have not been fully elucidated. Purpose/Hypothesis: The purpose of this study was to determine whether professional baseball pitchers who underwent UCL reconstruction had an increased incidence of hip or groin injuries 4 years before or after surgery...
October 2018: Orthopaedic Journal of Sports Medicine
Lasse Lempainen, Jussi Kosola, Ricard Pruna, Jordi Puigdellivol, Juha Ranne, Sakari Orava
Background: Proximal rectus femoris (PRF) tears are relatively rare injuries among top-level athletes. PRF injuries can be avulsions of both tendon heads (direct and reflected heads) or of a single head, and some have a tendency to progress to recurrent injuries. Purpose: To describe a series of operatively treated PRF ruptures in professional soccer players. Study Design: Case series; Level of evidence, 4. Methods: Nineteen cases of PRF injuries (18 patients, 1 bilateral) in professional soccer players who were treated surgically were retrospectively reviewed...
October 2018: Orthopaedic Journal of Sports Medicine
Jeffrey Jancuska, John Matthews, Tyler Miller, Melissa A Kluczynski, Leslie J Bisson
Background: The number of systematic reviews and meta-analyses published on the rotator cuff (RC) has increased markedly. Purpose: To quantify the number of systematic reviews and meta-analyses published on the RC and to provide a qualitative summary of the literature. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search for all systematic reviews and meta-analyses pertaining to the RC published between January 2007 and September 2017 was performed with PubMed, MEDLINE, and the Cochrane Database of Systematic Reviews...
September 2018: Orthopaedic Journal of Sports Medicine
Dominic S Carreira, Matthew C Kruchten, Brendan R Emmons, Ashley N Startzman, RobRoy L Martin
Background: There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis: The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement...
September 2018: Orthopaedic Journal of Sports Medicine
Darren de Sa, Jayson Lian, Andrew J Sheean, Kathleen Inman, Nicholas Drain, Olufemi Ayeni, Craig Mauro
Background: There is a rapidly growing body of literature on the topic of hip arthroscopic surgery. Purpose: To provide an overall summary of systematic reviews published on the indications, complications, techniques, outcomes, and information related to hip arthroscopic surgery. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of all hip arthroscopic surgery-related systematic reviews published between January 2000 and May 2018 was performed using PubMed, MEDLINE, and the Cochrane Library...
September 2018: Orthopaedic Journal of Sports Medicine
Robert P Runner, Stephanie A Boden, William S Godfrey, Ajay Premkumar, Heather Samady, Michael B Gottschalk, John W Xerogeanes
Background: Peripheral nerve blocks, particularly femoral nerve blocks (FNBs), are commonly performed for anterior cruciate ligament (ACL) reconstruction. However, associated quadriceps muscle weakness after FNBs is well described and may occur for up to 6 months postoperatively. The adductor canal block (ACB) has emerged as a viable alternative to the FNB, theoretically causing less quadriceps weakness during the immediate postoperative period, as it bypasses the majority of the motor fibers of the femoral nerve that branch off proximal to the adductor canal...
September 2018: Orthopaedic Journal of Sports Medicine
Luiz Felipe Ambra, Amy Phan, Andreas H Gomoll
Background: Tibial tubercle osteotomy (TTO) is a treatment option for patients with patellofemoral instability and chondrosis. Occasionally, these patients also present with patella alta, and distalization of the tibial tubercle is desirable. Free distal transfer of the tubercle, however, can compromise mechanical stability of the osteotomy construct, leading to loss of fixation. Purpose: To evaluate alternative TTO proximal cut geometries to investigate whether these can result in tubercle distalization while preserving the proximal buttress...
September 2018: Orthopaedic Journal of Sports Medicine
Benton A Emblom, Taylor Mathis, Kyle Aune
Background: A rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle injury, causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management of this debilitating condition. Hypothesis: Surgical repair of RA-AL aponeurotic plate injuries will result in decreased symptoms and high rates of return to play...
September 2018: Orthopaedic Journal of Sports Medicine
Orlando D Sabbag, Mario Hevesi, Thomas L Sanders, Christopher L Camp, Diane L Dahm, Bruce A Levy, Michael J Stuart, Aaron J Krych
Background: A symptomatic discoid lateral meniscus is an uncommon orthopaedic abnormality, and the majority of information in the literature is limited to small case series. Purpose/Hypothesis: The purpose of this study was to determine the incidence of symptomatic discoid menisci in a geographically determined population and to describe treatment trends over time. The hypothesis was that the incidence of symptomatic discoid menisci would be highest among adolescent patients, and thus, the rate of surgical treatment would be high compared with nonoperative treatment...
September 2018: Orthopaedic Journal of Sports Medicine
Peter K Edwards, Jay R Ebert, Brendan Joss, Timothy Ackland, Peter Annear, Jens-Ulrich Buelow, Ben Hewitt
Background: Preventing and mitigating the risk of reinjury after anterior cruciate ligament reconstruction (ACLR) rest on variables including age, surgical restoration of knee stability, adequate physical function, and thorough and complete postoperative rehabilitation, but to what degree these factors influence return to sport is unclear. Purpose: To investigate factors predictive of return to sport 12 months after ACLR. The factors specifically evaluated were strength, hop function, self-reported knee function, patient age, and quality of postoperative rehabilitation...
September 2018: Orthopaedic Journal of Sports Medicine
Paul Kenneth Herickhoff, Marc Raymond Safran
Background: Studies comparing acetabular labral repair with debridement have generally demonstrated better clinical outcomes with repair. However, it is not clear whether hip arthroscopic surgeons agree on the indications for labral repair and debridement, bringing the generalizability of these (and future) studies into question. Purpose: To investigate surgical decision making for acetabular labral tears, with a specific focus on indications for repair or debridement, by performing an international survey of hip arthroscopic surgeons...
September 2018: Orthopaedic Journal of Sports Medicine
Scott Koenig, Vidushan Nadarajah, Michael P Smuda, Sean Meredith, Jonathan D Packer, R Frank Henn
Background: Current research is sparse regarding how patients with orthopaedic injuries perceive and use internet-based information resources. Hypothesis: The majority of patients use the internet to research their orthopaedic condition and are receptive to guidance from their provider. Study Design: Cross-sectional study. Methods: A total of 213 patients attending a sports medicine clinic on the East Coast of the United States were asked to complete a questionnaire regarding their use of internet-based information...
September 2018: Orthopaedic Journal of Sports Medicine
Tyler Marshall, Sameer R Oak, Naveen Subhas, Joshua Polster, Carl Winalski, Kurt P Spindler
Background: The anterolateral ligament (ALL) has been described as an extracapsular stabilizer of knee rotational stability. Investigators have shown a renewed interest in the ALL and further evaluated its anatomy and biomechanical role as a knee stabilizer. The appearance of the ALL on magnetic resonance imaging (MRI) remains inconsistent across the literature. Purpose: The aims of this study were 2-fold. The first objective was to further investigate the appearance of the uninjured ALL on MRI and provide data regarding interrater agreement in identifying the ligament...
September 2018: Orthopaedic Journal of Sports Medicine
Joseph Cusano, Emily J Curry, Akira M Murakami, Xinning Li
No abstract text is available yet for this article.
September 2018: Orthopaedic Journal of Sports Medicine
Mark P Zoland, Joseph C Iraci, Srino Bharam, Leah E Waldman, John P Koulotouros, Devon Klein
Background: "Athletic pubalgia," a term that has gained acceptance over "sports hernia," is more common in men than women; however, it represents a significant source of morbidity for patients of both sexes. Inconsistent terminology surrounding this entity poses a diagnostic challenge and makes studying the populations at risk difficult. Purpose: To review a case series of women with athletic pubalgia by analyzing their presentations, concomitant pathologies, and surgical outcomes...
September 2018: Orthopaedic Journal of Sports Medicine
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