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https://www.readbyqxmd.com/read/29903387/administrative-databases-in-sports-medicine-research
#1
REVIEW
David Wasserstein, Ujash Sheth
There has been a dramatic rise in the use of large-scale health administrative databases to investigate clinical outcomes within sports medicine over the past few years. Although these data sets identify large numbers of patients, allowing for the investigation of regional trends, health care utilization, and outcomes of surgical intervention, they were not designed with the intention of answering clinical questions. Recognizing the methodological limitations associated with these databases is prudent to avoid propagating spurious conclusions...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29903386/measuring-quality-and-outcomes-in-sports-medicine
#2
REVIEW
Joseph J Ruzbarsky, Niv Marom, Robert G Marx
Patient-reported outcome measures (PROMs) are objective metrics critical to evaluating outcomes throughout orthopedic surgery. New instruments continue to emerge, increasing the breadth of information required for those intending to use these measures for research or clinical care. Although earlier metrics were developed using the principles of classic test theory, newer instruments constructed using item response theory are amenable to computer-adaptive testing and may change the way these instruments are administered...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29898469/artificial-intelligence-bayesian-versus-heuristic-method-for-diagnostic-decision-support
#3
Peter L Elkin, Daniel R Schlegel, Michael Anderson, Jordan Komm, Gregoire Ficheur, Leslie Bisson
Evoking strength is one of the important contributions of the field of Biomedical Informatics to the discipline of Artificial Intelligence. The University at Buffalo's Orthopedics Department wanted to create an expert system to assist patients with self-diagnosis of knee problems and to thereby facilitate referral to the right orthopedic subspecialist. They had two independent sports medicine physicians review 469 cases. A board-certified orthopedic sports medicine practitioner, L.B., reviewed any disagreements until a gold standard diagnosis was reached...
April 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29860601/italian-consensus-statement-for-the-use-of-allografts-in-acl-reconstructive-surgery
#4
Corrado Bait, Pietro Randelli, Riccardo Compagnoni, Paolo Ferrua, Rocco Papalia, Filippo Familiari, Andrea Tecame, Paolo Adravanti, Ezio Adriani, Enrico Arnaldi, Franco Benazzo, Massimo Berruto, Giovanni Bonaspetti, Gian Luigi Canata, Pier Paolo Canè, Araldo Causero, Giancarlo Coari, Matteo Denti, Maristella Farè, Andrea Ferretti, Marco Fravisini, Francesco Giron, Alberto Gobbi, Vincenzo Madonna, Andrea Manunta, Pier Paolo Mariani, Claudio Mazzola, Giuseppe Milano, Luigi Pederzini, Flavio Quaglia, Mario Ronga, Herbert Schönhuber, Giacomo Stefani, Piero Volpi, Giacomo Zanon, Raul Zini, Claudio Zorzi, Stefano Zaffagnini
PURPOSE: Graft choice for primary anterior cruciate ligament reconstruction (ACL-R) is debated, with considerable controversy and variability among surgeons. Autograft tendons are actually the most used grafts for primary surgery; however, allografts have been used in greater frequency for both primary and revision ACL surgery over the past decade. Given the great debate on the use of allografts in ACL-R, the "Allografts for Anterior Cruciate Ligament Reconstruction" consensus statement was developed among orthopedic surgeons and members of SIGASCOT (Società Italiana del Ginocchio, Artroscopia, Sport, Cartilagine, Tecnologie Ortopediche), with extensive experience in ACL-R, to investigate their habits in the use of allograft in different clinical situations...
June 2, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29813170/return-to-play-among-golfers-undergoing-hip-arthroscopy-short-to-mid-term-follow-up
#5
Victor Ortiz-Declet, Leslie C Yuen, David R Maldonado, Garrett Schwarzman, Joseph R Laseter, Benjamin G Domb
There are approximately 25 million amateur golfers in the United States, making up almost 10% of the entire US population. The purpose of this study was to evaluate short-term outcomes and rates of return to sport among recreational golfers who underwent hip arthroscopy for the treatment of labral tears. Data were prospectively collected and retrospectively reviewed for patients who underwent hip arthroscopy by one surgeon between August 2008 and February 2015. Exclusion criteria were previous ipsilateral hip surgeries or conditions, preoperative Tönnis osteoarthritis grade greater than 1, or workers' compensation status...
May 29, 2018: Orthopedics
https://www.readbyqxmd.com/read/29785225/bipolar-dislocation-of-the-arm-shoulder-and-elbow-about-one-case-in-an-african-teaching-hospital
#6
D A Songahir Christophe, Korsaga Alexandre, Tinto Sayouba, Sawadogo Mamoudou, Kafando Hamado, Ouedraogo Anatole Jean Innocent, Zeida Charles, Keita Namori, Tall Mohamed
We report an exceptional clinical case of an ipsilateral dislocation fracture of the shoulder and right elbow, realizing a "swinging arm". Following a violent road accident, patient S.I, a 43-year-old left-handed sports educator, presented with an antero-medial shoulder dislocation fracture and a posterolateral ipsilateral elbow fracture-dislocation. The reduction in urgency, followed by the orthopedic compression by Mayo Clinic and functional rehabilitation, allowed obtaining a good result after seven months...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29784586/ultrasound-mediated-gene-delivery-enhances-tendon-allograft-integration-in-mini-pig-ligament-reconstruction
#7
Maxim Bez, Thomas J Kremen, Wafa Tawackoli, Pablo Avalos, Dmitriy Sheyn, Galina Shapiro, Joseph C Giaconi, Shiran Ben David, Jess G Snedeker, Zulma Gazit, Katherine W Ferrara, Dan Gazit, Gadi Pelled
Ligament injuries occur frequently, substantially hindering routine daily activities and sports participation in patients. Surgical reconstruction using autogenous or allogeneic tissues is the gold standard treatment for ligament injuries. Although surgeons routinely perform ligament reconstructions, the integrity of these reconstructions largely depends on adequate biological healing of the interface between the ligament graft and the bone. We hypothesized that localized ultrasound-mediated, microbubble-enhanced therapeutic gene delivery to endogenous stem cells would lead to significantly improved ligament graft integration...
April 26, 2018: Molecular Therapy: the Journal of the American Society of Gene Therapy
https://www.readbyqxmd.com/read/29767809/pediatric-anterior-cruciate-ligament-reconstruction
#8
Alexia G Gagliardi, Jay C Albright
The rate of anterior cruciate ligament (ACL) ruptures diagnosed among the pediatric and adolescent population is increasing. The rise in ACL injuries may be attributed to earlier sports specialization, year-round sports participation, increased awareness, and improved ability to diagnose the injury. Treatment options for pediatric or adolescent ACL injuries include nonoperative conservative treatment, ACL repair, or various techniques for ACL reconstruction. The best course of treatment for ACL rupture in young patients continues to be debated...
May 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29740783/anxiety-in-the-orthopedic-patient-using-promis-to-assess-mental-health
#9
Casey M Beleckas, Heidi Prather, Jason Guattery, Melissa Wright, Michael Kelly, Ryan P Calfee
PURPOSE: This study explored the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety assessment relative to the Depression assessment in orthopedic patients, the relationship between Anxiety with self-reported Physical Function and Pain Interference, and to determine if Anxiety levels varied according to the location of orthopedic conditions. METHODS: This cross-sectional evaluation analyzed 14,962 consecutive adult new-patient visits to a tertiary orthopedic practice between 4/1/2016 and 12/31/2016...
May 8, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29722761/biological-therapies-in-orthopedic-sports-medicine
#10
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/29701560/high-prevalence-of-prior-contact-sports-play-and-concussion-among-orthopedic-and-neurosurgical-department-chairs
#11
Je Yeong Sone, S Courtney-Kay Lamb, Kristina Techar, Vikalpa Dammavalam, Mohit Uppal, Cedric Williams, Thomas Bergman, David Tupper, Paul Ort, Uzma Samadani
OBJECTIVE Increased understanding of the consequences of traumatic brain injury has heightened concerns about youth participation in contact sports. This study investigated the prevalence of high school and collegiate contact sports play and concussion history among surgical department chairs. METHODS A cross-sectional survey was administered to 107 orthopedic and 74 neurosurgery chairs. Responses were compared to published historical population norms for contact sports (high school 27.74%, collegiate 1.44%), football (high school 10...
April 27, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29625732/healthcare-use-patterns-and-economic-burden-of-chronic-musculoskeletal-pain-in-children-before-diagnosis
#12
Frances Tian, Patsy Guittar, Melissa Moore-Clingenpeel, Gloria Higgins, Stacy P Ardoin, Charles H Spencer, Karla Jones, Bethanne Thomas, Shoghik Akoghlanian, Sharon Bout-Tabaku
OBJECTIVES: To evaluate the healthcare use and costs of amplified musculoskeletal pain syndrome (AMPS) in children before diagnosis. STUDY DESIGN: We performed a retrospective study in children with AMPS at a pediatric rheumatology clinic between 2010 and 2014. Data were abstracted on 80 patients after primary rheumatic diseases were excluded. Healthcare visits, medications and diagnostic testing that occurred in the years before diagnosis were collected. The Medical Expenditure Panel Survey was used to estimate visit costs...
June 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29600266/clinical-outcome-of-anatomical-transportal-arthroscopic-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-autograft
#13
Omid Shahpari, Moslem FallahKezabi, Hamid Hejrati Kalati, Farshid Bagheri, Mohammad H Ebrahimzadeh
Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anterior cruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challenging issues between orthopedic surgeons regarding graft selection and surgical techniques. Methods: We retrospectively reviewed the patients who underwent anatomical arthroscopic one bundle ACL reconstruction with quadruple hamstring tendon autograft from 2010 to 2016 in our orthopedic sport medicine center...
March 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29596007/outpatient-physical-therapy-cardiovascular-assessment-physical-therapist-perspective-and-experience
#14
Ali Mufraih Albarrati
BACKGROUND: Physical therapists are recognized healthcare providers who play an important role in cardiovascular disease prevention. Heart rate (HR) and blood pressure (BP) are important parameters in cardiovascular risk assessment; however, physical therapists do not usually integrate them into clinical practice. Therefore, this study aimed to examine the current practice and opinion of outpatient physical therapists toward HR and BP measurements in clinics. METHODS: A 12-item survey questionnaire was distributed to outpatient physical therapists...
March 29, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29571265/variability-of-online-available-physical-therapy-protocols-from-academic-orthopedic-surgery-programs-for-arthroscopic-meniscus-repair
#15
Steven F DeFroda, Steven L Bokshan, Alex Boulos, Brett D Owens
OBJECTIVES: To evaluate the variability of arthroscopic meniscus repair rehabilitation protocols. METHODS: Arthroscopic meniscus repair rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME) accredited orthopedic surgery programs available online were included for review. Data collection was performed to evaluate recommended weight bearing status and immobilization as well as the presence or absence of recommended therapies, goals for progression of range of motion, functional milestones, and activity initiation time points within each protocol...
March 29, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29563972/quality-of-life-after-antegrade-intramedullary-nail-fixation-of-humeral-fractures-a-survey-in-a-selected-cohort-of-brazilian-patients
#16
Luiz Fernando Cocco, Benno Ejnisman, Paulo Santoro Belangero, Moises Cohen, Fernando Baldy Dos Reis
Background: The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. The proposal of this work is to evaluate through the WORC protocol (Western Ontario Rotator Cuff Index) the consequences in the quality of life of patients submitted to osteosynthesis of the humerus with antegrade locked intramedullary nailing...
2018: Patient Safety in Surgery
https://www.readbyqxmd.com/read/29557490/anatomy-and-injuries-of-the-pediatric-wrist-beyond-the-basics
#17
REVIEW
Ezekiel Maloney, Andrew M Zbojniewicz, Jie Nguyen, Yu Luo, Mahesh M Thapa
Ligamentous injuries of the pediatric wrist, once thought to be relatively uncommon, are increasingly recognized in the context of acute high-energy mechanism trauma and chronic axial loading, including those encountered in both recreational and high-performance competitive sports. Recent advances in MR-based techniques for imaging the pediatric wrist allow for sensitive identification of these often radiographically occult injuries. Detailed knowledge of the intrinsic and supportive extrinsic ligamentous complexes, as well as normal developmental anatomy and congenital variation, are essential to accurately diagnose injuries to these structures...
June 2018: Pediatric Radiology
https://www.readbyqxmd.com/read/29525233/small-animal-massage-therapy-a-brief-review-and-relevant-observations
#18
REVIEW
Maira Rezende Formenton, Marco Aurélio Amador Pereira, Denise Tabacchi Fantoni
Massage therapy is becoming increasingly popular in human and animal physiotherapy and rehabilitation. Wider application of the technique led to research efforts aimed at providing scientific support to anecdotal beneficial effects, particularly pain relief. Recent studies have shown that massage therapy alters dopamine and serotonin levels, decreases noradrenaline levels, and modulates the immune system. Psychological effects such as reduction of stress and anxiety, with improvement of depressive patients, have been reported in humans...
December 2017: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/29525031/foot-and-ankle-surgery-common-problems-and-solutions
#19
REVIEW
Lorena Bejarano-Pineda, Annunziato Amendola
Participation in sports activity has increased significantly during the last several decades. This phenomenon has exposed orthopedic sports medicine surgeons to new challenges regarding the diagnosis and management of common sport-related injuries. Arthroscopy is becoming more commonly used in many of the surgical procedures for these injuries and carries the risk of complications. Wound and nerve complications make up the bulk of complications in most procedures. This article describes these complications associated with the common surgical procedures related to foot and ankle sport-related injuries and how to address and prevent them...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29511817/meniscus-repairs-can-be-saved-in-the-event-of-postoperative-septic-arthritis
#20
Philipp Schuster, Markus Geßlein, Michael Schlumberger, Philipp Mayer, Hermann Josef Bail, Jörg Richter
PURPOSE: No systematic studies on optimal treatment of postoperative septic arthritis following arthroscopic meniscus repair are available. The purpose of this study was to retrospectively evaluate the fate of repaired menisci in cases of postoperative septic arthritis, with treatment for infection focused on arthroscopic irrigation and debridement (I&D) and intention to maintain the meniscus. METHODS: Data of two sports orthopedics centers of the last 10 years were pooled (approximately 25,000 arthroscopic procedures of the knee)...
March 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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