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https://www.readbyqxmd.com/read/27811513/patellofemoral-pain-and-instability-in-adolescent-athletes
#1
Matthew Bessette, Paul Saluan
Injuries and disorders of the patellofemoral joint in the adolescent athlete can encompass a wide spectrum of symptomatology and pathology. Anterior knee pain is a common presenting symptom in sports medicine clinics, and can have numerous underlying etiologies. This activity-related pain may be the manifestation of enthesopathy, tendinopathy, fat pad impingement, or numerous other conditions, but is more commonly related to more subtle skeletal and muscular imbalances. Treatment is typically nonoperative in nature, and excellent results are reported with physical therapy...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27771171/inter-and-intrarater-reliability-of-the-femoral-tunnel-clock-face-grading-system-during-anterior-cruciate-ligament-reconstruction
#2
Vishal Mehta, Timothy Petsche, Ashish M Rawal
PURPOSE: To determine the inter- and intrarater reliability of the clock-face grading system as used by 3 fellowship-trained sports medicine surgeons. METHODS: Arthroscopic video was taken of the femoral tunnel placement during 20 consecutive anterior cruciate ligament (ACL) reconstructions performed by 2 surgeons. All femoral tunnels were created using a medial portal technique. The video was taken using a 30° arthroscope placed in the lateral portal and showed the femoral tunnel as well as the remainder of the femoral notch, the posterior cruciate ligament, and the menisci for orientation...
October 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27660799/comparisons-of-patient-demographics-in-prospective-sports-shoulder-and-national-database-initiatives
#3
Bryan M Saltzman, Gregory L Cvetanovich, Daniel D Bohl, Brian J Cole, Bernard R Bach, Anthony A Romeo
BACKGROUND: There has been increased emphasis in orthopaedics on high-quality prospective research to provide evidence-based treatment guidelines, particularly in sports medicine/shoulder surgery. The external validity of these studies has not been established, and the generalizability of the results to clinical practice in the United States is unknown. HYPOTHESIS: Comparison of patient demographics in major prospective studies of arthroscopic sports and shoulder surgeries to patients undergoing the same procedures in the National Surgical Quality Improvement Program (NSQIP) database will show substantial differences to question the generalizability and external validity of those studies...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27562342/international-meniscus-reconstruction-experts-forum-imref-2015-consensus-statement-on-the-practice-of-meniscal-allograft-transplantation
#4
Alan Getgood, Robert F LaPrade, Peter Verdonk, Wayne Gersoff, Brian Cole, Tim Spalding
Meniscal allograft transplantation (MAT) has become relatively commonplace in specialized sport medicine practice for the treatment of patients with a symptomatic knee after the loss of a functional meniscus. The technique has evolved since the 1980s, and long-term results continue to improve. However, there still remains significant variation in how MAT is performed, and as such, there remains opportunity for outcome and graft survivorship to be optimized. The purpose of this article was to develop a consensus statement on the practice of MAT from key opinion leaders who are members of the International Meniscus Reconstruction Experts Forum so that a more standardized approach to the indications, surgical technique, and postoperative care could be outlined with the goal of ultimately improving patient outcomes...
August 25, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27519705/the-evolution-of-the-surgical-treatment-of-sports-injuries-in-the-20th-century-a-historical-perspective
#5
Markatos Konstantinos, Karaoglanis Georgios, Saropoulos Konstantinos, Tzagkarakis Georgios
Sports injuries have been a major issue in medicine, surgery, and especially in orthopedics since the classical antiquity era. The 20th century, with its progress and innovations, changed the general concept of treating these injuries forever. The purpose of this review is to show how innovations in surgery in the 20th century changed the rationale of treating sports injuries. In this historical review, we present innovations concerning fracture treatment, spine injury treatment, and anterior cruciate ligament reconstruction related to sports injuries...
October 2016: Surgical Innovation
https://www.readbyqxmd.com/read/27428535/dry-needling-effects-on-activation-and-passive-mechanical-properties-of-the-quadriceps-pain-and-range-during-late-stage-rehabilitation-of-acl-reconstructed-patients
#6
Silvia Ortega-Cebrian, Nicolleta Luchini, Rodney Whiteley
BACKGROUND: Dry needling (DN) is reported to decrease pain and improve functional movements yet the mechanisms remain unclear. Changes in muscle tone and other mechanical properties after DN could contribute to these findings but have not been investigated. OBJECTIVES: Examine EMG and passive mechanical properties of the quadriceps muscle before and after DN. DESIGN: EMG, MyotonPro and clinical measurements were taken pre and post DN. SETTING: Rehabilitation department at Aspetar Sports Medicine Hospital, Qatar...
September 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27385681/surgical-technique-trends-in-primary-acl-reconstruction-from-2007-to-2014
#7
Lisa Tibor, Priscilla H Chan, Tadashi T Funahashi, Ronald Wyatt, Gregory B Maletis, Maria C S Inacio
BACKGROUND: The surgical technique for anterior cruciate ligament (ACL) reconstruction has evolved as a result of improved understanding of ligament biomechanics, anatomy, device development, and failed reconstructions. Studies on surgical technique preferences have been limited to surgeon surveys, which are subject to selection and recall bias. The purpose of this study was to evaluate ACL reconstruction surgical technique and yearly revision rate trends in a community-based setting...
July 6, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27359295/return-to-sport-after-anterior-cruciate-ligament-reconstruction-in-the-skeletally-immature-athlete
#8
Anne M Chicorelli, Lyle J Micheli, Michael Kelly, David Zurakowski, Robert MacDougall
OBJECTIVE: Determine the percentage of skeletally immature athletes returning to sports after anterior cruciate ligament (ACL) injury and reconstruction. DESIGN: Retrospective case series. SETTING: Boston Children's Hospital Division of Sports Medicine. PATIENTS: Eligible participants were identified by chart review. Males and females aged ≤14 year old who were greater than 2 years after ACL reconstruction surgery seen between January 2001 and May 2009...
July 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27316698/validation-of-electronic-administration-of-knee-surveys-among-acl-injured-patients
#9
Joseph Nguyen, Robert Marx, Chisa Hidaka, Sean Wilson, Stephen Lyman
PURPOSE: Knee-specific patient reported outcome measures (PROMs) are important tools in evaluating the effectiveness of sports medicine interventions. The PROMs were originally developed for paper administration, but electronic data capture technologies offer potential benefits such as increased efficiency and accuracy. The aim of this study was to assess the validity of touch screen versus paper administration using several common knee-specific and general health surveys. METHODS: Agreement between scores was compared for knee-specific PROMs administered on paper versus computer; paper versus tablet; computer versus tablet in 60 patients per group undergoing ACL reconstruction...
June 17, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27045087/surgical-trends-in-the-treatment-of-meniscal-tears-analysis-of-data-from-the-american-board-of-orthopaedic-surgery-certification-examination-database
#10
Benjamin R Parker, Shepard Hurwitz, Jeffrey Spang, Robert Creighton, Ganesh Kamath
BACKGROUND: The indications and criteria for meniscal repair are expanding in parallel with new understanding in biomechanics, joint pathophysiology, and increased physician education. PURPOSE: To describe the practice patterns of arthroscopic meniscal treatment in recent years, compare the trends of arthroscopic meniscal repair versus arthroscopic meniscectomy, and compare sports fellowship-trained versus non-sports fellowship-trained surgeons in terms of arthroscopic meniscal treatment techniques among American Board of Orthopaedic Surgery (ABOS) candidates from 2004 to 2012...
July 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27018510/emerging-trends-in-anterior-cruciate-ligament-reconstruction
#11
Jacob Budny, Joseph Fox, Michael Rauh, Marc Fineberg
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed and researched orthopedic procedures. As technology and comparative research have advanced, surgical practices have changed to achieve a superior outcome. Our group performed a survey of orthopedic surgeons to evaluate current practice trends and techniques as a follow-up to similar surveys performed in 1999 and 2006. In a survey between 2013 and 2014 consisting of 35 questions regarding the surgical technique, graft choice, fixation method, and perioperative care in ACL reconstruction was sent electronically to the members of the American Orthopaedic Society of Sports Medicine and the Arthroscopy Association of North America...
March 28, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/26813278/-comparison-of-clinical-results-between-middle-aged-patients-and-young-patients-after-anterior-cruciate-ligament-reconstruction
#12
COMPARATIVE STUDY
Haijun Wang, Yingfang Ao, Xi Gong, Yongjian Wang, Jian Wang, Yong Ma, Yang Liu, Yanfang Jiang, Jiying Zhang, Jihong Cheng, Jiakuo Yu
OBJECTIVE: To compare the outcomes of anterior cruciate ligament (ACL) reconstruction in patients aged over 40 years and under 25 years at least 24 months follow-up after operation. METHODS: Fifty-seven patients who underwent ACL reconstruction for ACL rupture in Institute of Sports Medicine, Peking University Third Hospital, from October 2010 to December 2012 were selected for this retrospective study.The patients aged over 40 years consisted of 13 men and 15 women with an average age of 46...
November 17, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26743422/arthroscopy-up-to-date-anterior-cruciate-ligament-anatomy
#13
REVIEW
Carl K Schillhammer, John B Reid, Jamie Rister, Sunil S Jani, Sean C Marvil, Austin W Chen, Chris G Anderson, Sophia D'Agostino, James H Lubowitz
PURPOSE: To categorize and summarize up-to-date anterior cruciate ligament (ACL) research published in Arthroscopy and The American Journal of Sports Medicine and systematically review each subcategory, beginning with ACL anatomy. METHODS: After searching for "anterior cruciate ligament" OR "ACL" in Arthroscopy and The American Journal of Sports Medicine from January 2012 through December 2014, we excluded articles more pertinent to ACL augmentation; open growth plates; and meniscal, chondral, or multiligamentous pathology...
January 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26740956/ulnar-collateral-ligament-reconstruction-of-the-elbow-a-systematic-review-of-the-literature
#14
Brandon J Erickson, Peter N Chalmers, Charles A Bush-Joseph, Nikhil N Verma, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) is a common procedure in both professional and high-level athletes. PURPOSE: To determine the effect of technique and level of play with UCLR on return to sport (RTS). HYPOTHESIS: When comparing different surgical techniques or preoperative level of sports participation, there is no difference in rate of RTS after UCLR. STUDY DESIGN: Systematic review; Level of evidence, 4...
December 2015: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26718639/a-historical-perspective-on-ankle-ligaments-reconstructive-surgery
#15
Berardo Di Matteo, Vittorio Tarabella, Giuseppe Filardo, Patrizia Tomba, Anna Viganò, Maurilio Marcacci, Stefano Zaffagnini
Ankle sprains are by far the most common injuries treated by sport medicine physicians. Treatment is mainly conservative, but in some cases surgical intervention is required. The aim of the present manuscript is to give an insight into the origins and developments of ankle ligaments reconstructive surgery, underlining the fundamental steps that marked the transition from a mere conservative approach to surgical treatment options. In this historical note, the most illustrious figures who contributed to this particular field of orthopaedic practice are also acknowledged...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26665030/quantifying-the-economic-impact-of-provider-volume-through-adverse-events-the-case-of-sports-medicine
#16
Daniel J Scott, Seth Sherman, Aman Dhawan, Brian J Cole, Bernard R Bach, Richard C Mather
BACKGROUND: Procedures performed by surgeons with higher provider volumes offer advantages both to the individual patient and the health system, with studies documenting fewer adverse events, shorter surgical times, and decreased reoperation rates. With workforce requirements for surgeons growing, it is increasingly necessary to establish the most efficient structure of this workforce. HYPOTHESIS: Substantial economic savings are realized when procedures are performed by high-volume providers as compared with low-volume providers in the areas of readmission, prolonged admission, and subsequent surgery...
March 2015: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26637285/rates-and-determinants-of-return-to-play-after-anterior-cruciate-ligament-reconstruction-in-national-collegiate-athletic-association-division-i-soccer-athletes-a-study-of-the-southeastern-conference
#17
Jennifer S Howard, Mark L Lembach, Adam V Metzler, Darren L Johnson
BACKGROUND: Factors and details regarding return to play in elite, collegiate female soccer athletes after an anterior cruciate ligament (ACL) injury and reconstruction have not been well studied. PURPOSE: To evaluate return to play among collegiate female soccer players, specifically examining the effect of surgical and individual athlete characteristics on the return-to-play rate. STUDY DESIGN: Descriptive epidemiology study. METHODS: Sports medicine and athletic training staff at institutions from the National Collegiate Athletic Association Southeastern Conference (SEC) were contacted to request participation in the study...
February 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26539442/editorial-functional-testing-in-the-assessment-of-return-to-sports-after-anterior-cruciate-ligament-reconstruction
#18
Luning Sun, Darius E Lin, Jing Fan, Thomas J Gill
The paper entitled "Functional testing differences in anterior cruciate ligament (ACL) reconstruction patients released versus not released to return to sport" published in the American Journal of Sports Medicine (AJSM) assessed Functional Movement Screen (FMS) and the Lower Quarter Y Balance Test (YBT-LQ) as possible objective tools for evaluating a patient's readiness to return to sports after ACL reconstruction. The results suggest that many patients clinically cleared continue to have measurable function deficits and that both FMS and YBT-LQ may be used as additional tools for return to sports clearance...
September 2015: Annals of Translational Medicine
https://www.readbyqxmd.com/read/26535317/influence-of-rotator-cuff-tear-size-and-repair-technique-on-the-creation-and-management-of-dog-ear-deformities-in-a-transosseous-equivalent-rotator-cuff-repair-model
#19
Lauren H Redler, Ian R Byram, Timothy J Luchetti, Ying Lai Tsui, Todd C Moen, Thomas R Gardner, Christopher S Ahmad
BACKGROUND: Redundancies in the rotator cuff tissue, commonly referred to as "dog ear" deformities, are frequently encountered during rotator cuff repair. Knowledge of how these deformities are created and their impact on rotator cuff footprint restoration is limited. PURPOSE: The goals of this study were to assess the impact of tear size and repair method on the creation and management of dog ear deformities in a human cadaveric model. STUDY DESIGN: Controlled laboratory study...
April 2014: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26460098/simulation-of-anterior-cruciate-ligament-reconstruction-in-a-dry-model
#20
Tim Dwyer, Jesse Slade Shantz, Jaskarndip Chahal, David Wasserstein, Rachel Schachar, K Mahan Kulasegaram, John Theodoropoulos, Rachel Greben, Darrell Ogilvie-Harris
BACKGROUND: As the demand increases for demonstration of competence in surgical skill, the need for validated assessment tools also increases. HYPOTHESIS/PURPOSE: The purpose of this study was to validate a dry knee model for the assessment of performance of anterior cruciate ligament reconstruction (ACLR). The hypothesis was that the combination of a checklist and a previously validated global rating scale would be a valid and reliable means of assessing ACLR when performed by residents in a dry model...
December 2015: American Journal of Sports Medicine
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