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https://www.readbyqxmd.com/read/29035980/incidence-of-symptomatic-pulmonary-embolus-and-deep-vein-thrombosis-after-knee-arthroscopy-in-the-pediatric-and-adolescent-population
#1
Brian C Lau, Jason Jagodzinski, Nirav K Pandya
OBJECTIVE: The incidence of deep venous thrombosis (DVT) and pulmonary embolism (PE) after pediatric knee arthroscopy is unknown. The purpose of this study was to determine the incidence of venous thromboembolism (VTE) after knee arthroscopy in the pediatric and adolescent population in a high-volume center. DESIGN: Retrospective cohort study. SETTING: Tertiary care children's hospital. PATIENTS: All patients who underwent arthroscopy of the knee for a sports-related injury by 2 surgeons were reviewed...
October 10, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29025528/-evaluation-of-the-function-and-quality-of-life-after-total-hip-arthroplasty-by-different-approaches
#2
Paulo Araújo, Luís Machado, Duarte Cadavez, Lisete Mónaco, Filipa Januário, Lisete Luís, Mafalda Bártolo
INTRODUCTION: To assess the function and quality of life in patients undergoing total hip arthroplasty distinguishing two surgical approaches (posterior / anterolateral) used by the Orthopedics department of Centro Hospitalar de Leiria. MATERIAL AND METHODS: Retrospective study of 94 patients subject to unilateral hip replacement surgery, using the 'Hip Osteoarthritis Outcome Score' (HOOS LK 2.0) questionnaire, the Trendelenburg test and evaluation of muscle strength of the hip abductor muscles with dynamometer...
September 29, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29023273/return-to-sports-after-athletes-undergo-meniscal-surgery-a-systematic-review
#3
Yong Seuk Lee, O-Sung Lee, Seung Hoon Lee
OBJECTIVE: The aim of this systematic review was to determine the time to and rate of the return to sports (RTS) after meniscal surgery and to compare these values among the different types of meniscal surgeries. STUDY DESIGN: Systematic review. METHODS: The MEDLINE, EMBASE, and Cochrane databases were searched. Studies that met the following criteria were included: (1) English article, (2) full-text available, (3) study on athletes, and (4) primary outcome is RTS after meniscal surgery, such as meniscectomy, meniscal repair, and meniscal allograft transplantation (MAT)...
October 5, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29019579/epidemiological-study-of-facial-fractures-at-the-oral-and-maxillofacial-surgery-service-santa-casa-de-misericordia-hospital-complex-porto-alegre-rs-brazil
#4
Rodrigo Andrighetti Zamboni, João Carlos Birnfeld Wagner, Maurício Roth Volkweis, Eduardo Luis Gerhardt, Elissa Muller Buchmann, Caren Serra Bavaresco
OBJECTIVES: to investigate the incidence and etiology of face trauma with diagnosis of facial fracture treated at the Buccomaxillofacial Surgery and Traumatology Service of the Santa Casa de Misericórdia Hospital Complex in Porto Alegre. METHODS: we conducted a cross-sectional, retrospective epidemiological study of 134 trauma victims with 153 facial fractures. RESULTS: the male gender was the most affected (86.6%) and the incidence was higher in the age group from 21 to 30 years...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28992770/influence-of-demographic-and-utilization-of-physical-therapy-interventions-on-clinical-outcomes-and-revision-rates-following-anterior-cruciate-ligament-reconstruction
#5
Caitlin J Miller, Jesse C Christensen, Ryan D Burns
Study Design Retrospective cohort from Intermountain Healthcare system Jan 2007-Dec 2014. Background Recent evolutions in healthcare delivery are putting physical therapists in the forefront to be more responsible for providing high-quality rehabilitation care within a more cost-effective manner. Studies investigating the association between physical therapy (PT) visit utilization and outcomes in vulnerable patient populations following anterior cruciate ligament reconstruction (ACLR) may provide useful insights...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992769/knee-extensor-rate-of-torque-development-before-and-after-arthroscopic-partial-meniscectomy-with-analysis-of-neuromuscular-mechanisms
#6
Daniel G Cobian, Cameron M Koch, Annunziato Amendola, Glenn N Williams
Study Design Descriptive, prospective single-cohort longitudinal study. Background Rapid torque development is essential in activities of daily living and sports, but isn't specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Little evidence is available on quadriceps rate of torque development capacity before and after arthroscopic knee surgery. Objectives To study knee extensor rate of torque development, contributing mechanisms, and associations with strength and patient-reported outcomes, before and during the first six weeks after arthroscopic partial meniscectomy...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992742/the-effect-of-peroneal-muscle-strength-on-functional-outcomes-after-the-modified-brostr%C3%A3-m-procedure-for-chronic-ankle-instability
#7
Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi, Nelson F SooHoo
BACKGROUND: Although the peroneal muscles are known to be the major dynamic lateral stabilizers of the ankle, little information is available regarding the change in muscle strength and relation with the outcomes after lateral ligament repair surgery. The purpose of this study was to identify the effects of peroneal strength on the validated functional outcome measures after the modified Broström procedure (MBP) for chronic ankle instability. METHODS: Forty-one patients (41 ankles) who underwent MBP using suture anchors were eligible and followed up to 2 years postoperatively...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28990148/athletes-and-the-aorta-normal-adaptations-and-the-diagnosis-and-management-of-pathology
#8
REVIEW
J Stephen Hedley, Dermot Phelan
Over a hundred years ago, physicians first recognized that participation in regular, vigorous training resulted in enlargement of the heart. Since that time, the term "athlete's heart" has entered the medical lexicon as a global expression encompassing the electrical, functional, and morphological adaptations that develop in response to physical training. Exercise-induced adaptations of the aorta, which is also exposed to large hemodynamic stresses during prolonged endurance exercise or resistance training, are less well recognized...
October 9, 2017: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/28985783/-fencing-for-promoting-health-after-breast-cancer
#9
REVIEW
Marie-France Leroy
Physical activity is recommended after breast cancer surgery. Fencing is a sport that is well suited to combatting fatigue, pain and reduced arm mobility. A healthcare executive, herself a fencer, puts the benefits of this sport into perspective, both physically and psychologically.
October 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28985692/comprehensive-blood-conservation-program-in-a-new-congenital-cardiac-surgical-program-allows-bloodless-surgery-for-the-jehovah-witness-and-a-reduction-for-all-patients
#10
Vincent Olshove, Nicole Berndsen, Veena Sivarajan, Pooja Nawathe, Alistair Phillips
BACKGROUND: Cardiac surgery on Jehovah's Witnesses (JW) can be challenging, given the desire to avoid blood products. Establishment of a blood conservation program involving the pre-, intra- and post-operative stages for all patients may lead to a minimized need for blood transfusion in all patients. METHODS: Pre-operatively, all JW patients were treated with high dose erythropoietin 500 IU/kg twice a week. JW patients were compared to matching non-JW patients from the congenital cardiac database, two per JW to serve as control...
October 1, 2017: Perfusion
https://www.readbyqxmd.com/read/28979919/arthroscopic-stabilization-after-a-first-time-dislocation-collision-versus-contact-athletes
#11
Maximiliano Ranalletta, Luciano A Rossi, Ignacio Alonso Hidalgo, Adrian Sirio, Julieta Puig Dubois, Gastón D Maignon, Santiago L Bongiovanni
BACKGROUND: There is no universally accepted definition of "contact" or "collision" sports in the literature. The few available studies evaluating contact and collision sports consider them to be synonymous. However, athletes in collision sports purposely hit or collide with each other or with inanimate objects with greater force and frequency than in contact sports, which could jeopardize functional outcomes. PURPOSE: To compare the functional outcomes, return to sports, and recurrences in a series of contact and collision athletes with a first-time anterior shoulder dislocation treated using arthroscopic stabilization with suture anchors...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28979598/evaluation-and-management-of-failed-shoulder-instability-surgery
#12
António Cartucho, Nuno Moura, Marco Sarmento
BACKGROUND: Failed shoulder instability surgery is mostly considered to be the recurrence of shoulder dislocation but subluxation, painful or non-reliable shoulder are also reasons for patient dissatisfaction and should be considered in the notion. METHODS: The authors performed a revision of the literature and online contents on evaluation and management of failed shoulder instability surgery. RESULTS: When we look at the reasons for failure of shoulder instability surgery we point the finger at poor patient selection, technical error and an additional traumatic event...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28975134/early-sport-specialization-effectiveness-and-risk-of-injury-in-professional-baseball-players
#13
Andrew Wilhelm, Changryol Choi, John Deitch
BACKGROUND: The rate of early sport specialization in professional baseball players is unknown. PURPOSE: To report the incidence and age of sport specialization in current professional baseball players and the impact of early specialization on the frequency of serious injuries sustained during the players' careers. We also queried participants about when serious injuries occurred, the players' current position on the field, and their opinions regarding the need for young athletes to specialize early to play at the professional level...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28972789/a-prospective-evaluation-of-femoral-tunnel-placement-for-anatomic-anterior-cruciate-ligament-reconstruction-using-3-dimensional-magnetic-resonance-imaging
#14
Adam Hart, Thiru Sivakumaran, Mark Burman, Tom Powell, Paul A Martineau
BACKGROUND: The recent emphasis on anatomic reconstruction of the anterior cruciate ligament (ACL) is well supported by clinical and biomechanical research. Unfortunately, the location of the native femoral footprint can be difficult to see at the time of surgery, and the accuracy of current techniques to perform anatomic reconstruction is unclear. PURPOSE: To use 3-dimensional magnetic resonance imaging (3D MRI) to prospectively evaluate patients with torn ACLs before and after reconstruction and thereby assess the accuracy of graft position on the femoral condyle...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28969952/outcome-of-hamstring-autograft-with-preserved-insertions-compared-with-free-hamstring-autograft-in-anterior-cruciate-ligament-surgery-at-2-year-follow-up
#15
Ravi Gupta, Raj Bahadur, Anubhav Malhotra, Gladson David Masih, Munish Sood, Parmanand Gupta, Vivek Kumar Mathur
PURPOSE: To compare mechanical stability, functional outcome, and level of return to sports activity in patients undergoing anterior cruciate ligament (ACL) reconstruction with a free hamstring graft versus a graft with preserved insertions at 2-year follow-up. METHODS: This study was a prospective, single-blind (the evaluator was blinded), randomized trial of 110 adult professional athletes who were randomly allocated into 2 groups. Group 1 consisted of 55 patients who underwent ACL reconstruction with hamstring tendon autograft with preserved insertions (technique 1), and group 2 consisted of 55 patients who underwent ACL reconstruction with free hamstring tendon autograft (technique 2)...
September 29, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28969951/endoscopic-gluteus-medius-repair-with-concomitant-arthroscopy-for-labral-tears-a-case-series-with-minimum-5-year-outcomes
#16
Itay Perets, Yosif Mansor, Leslie C Yuen, Austin W Chen, Edwin O Chaharbakhshi, Benjamin G Domb
PURPOSE: To report the minimum 5-year outcomes of endoscopic gluteus medius repair for partial- and full-thickness tears with concomitant hip arthroscopy. METHODS: Data for all patients who underwent hip arthroscopy between February 2009 and September 2011 were prospectively collected. We included patients who underwent endoscopic gluteus medius repair with concomitant arthroscopic labral treatment and for whom the following measures were obtained preoperatively and at a minimum of 5 years' follow-up: modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Sports Specific Subscale, and visual analog scale score for pain...
September 29, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28966380/management-of-anterior-cruciate-ligament-injury-what-s-in-and-what-s-out
#17
Benjamin Todd Raines, Emily Naclerio, Seth L Sherman
Sports medicine physicians have a keen clinical and research interest in the anterior cruciate ligament (ACL). The biomechanical, biologic, and clinical data researchers generate, help drive injury management and prevention practices globally. The current concepts in ACL injury and surgery are being shaped by technological advances, expansion in basic science research, resurging interest in ACL preservation, and expanding efforts regarding injury prevention. As new methods are being developed in this field, the primary goal of safely improving patient outcomes will be a unifying principle...
September 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28966375/current-concepts-in-the-management-of-shoulder-instability
#18
Suresh Srinivasan, Radhakant Pandey
Shoulder instability ranges from subtle instability to frank dislocation. Our understanding on the subject is getting better. Patient lifestyle, increased awareness/expectations, better availability of information, improved imaging modalities, and increased awareness about the previously less known concepts in instability all add to the challenges of managing the problem. History and clinical examination without over reliance on imaging remain essential. We used Embase, PubMed, Medline, CINAHL, Cochrane Library, Scottish Intercollegiate Guidelines Network and Google Scholar search for published literature in English...
September 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28964920/return-to-sports-and-quality-of-life-after-high-tibial-osteotomy-in-patients-under-60-years-of-age
#19
C Bastard, G Mirouse, D Potage, H Silbert, F Roubineau, P Hernigou, C H Flouzat-Lachaniette
INTRODUCTION: Since knee osteoarthritis is unicompartmental in most cases, a knee osteotomy is the most logical solution to limit degeneration of the arthritic compartment, thereby delaying knee arthroplasty. Younger patients have high functional demands. The purpose of this study was to evaluate the return to sports and quality of life after high tibial osteotomy (HTO) in athletic patients less than 60 years of age. The hypothesis was that patients can return to sports within 1 year of HTO...
September 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28959699/distal-fibula-fractures-in-national-football-league-athletes
#20
Brian C Werner, Christina Mack, Kristina Franke, Ronnie P Barnes, Russell F Warren, Scott A Rodeo
BACKGROUND: Despite the frequency of distal fibula fractures in elite athletes and the significant potential impact on the athletes' season and future careers, little data exist characterizing the epidemiology of these injuries or, more importantly, return to competition. PURPOSE: To (1) evaluate the incidence of acute distal fibula fractures in National Football League (NFL) athletes, including isolated distal fibula and combined ankle fracture patterns; (2) analyze distal fibula fracture rates in NFL athletes by position, type of play, and contact type; (3) determine the rates of distal fibula fracture surgery in NFL athletes; and (4) report the days missed due to distal fibula fractures in NFL athletes...
September 2017: Orthopaedic Journal of Sports Medicine
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