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https://www.readbyqxmd.com/read/28622486/the-physiological-basis-of-cervical-facet-mediated-persistent-pain-basic-science-and-clinical-challenges
#1
Meagan E Ita, Sijia Zhang, Timothy P Holsgrove, Sonia Kartha, Beth A Winkelstein
Synopsis Chronic neck pain is common and a primary clinical symptom of whiplash and other spinal injuries. Loading-induced neck injuries produce abnormal kinematics between the vertebrae, with the potential to injure facet joints and the afferent fibers that innervate the specific joint tissues, including the capsular ligament. Mechanoreceptive and nociceptive afferents that innervate the facet have their peripheral terminals in the capsule, cell bodies in the dorsal root ganglia, and terminal processes in the spinal cord...
June 16, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28622485/the-nature-of-whiplash-in-a-compensable-environment-injury-disability-rehabilitation-and-compensation-systems
#2
Luke B Connelly
Synopsis Whiplash is a compensable injury in many jurisdictions, but there is considerable heterogeneity in the compensation arrangements that apply across jurisdictions, even within some countries. These schemes have, however, been subject to a common set of inter-related concerns, chiefly concerning the incentives, behaviours, and outcomes that may arise when financial compensation for injuries is available to injured parties. This article provides a non-technical overview of some of those concerns through the lens of economics: principally, insurance economics and health economics, including related subsets such as information economics and agency theory, as well as economics and the law...
June 16, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28608009/clinical-outcomes-of-extra-articular-tenodesis-anterolateral-reconstruction-in-the-acl-injured-knee
#3
REVIEW
Bertrand Sonnery-Cottet, Nuno Camelo Barbosa, Thais Dutra Vieira, Adnan Saithna
PURPOSE: The role of concomitant extra-articular procedures in improving the outcome of ACL reconstruction has experienced a recent resurgence in interest. The aim of this article is to highlight the differences in philosophies and outcomes of historical lateral extra-articular tenodesis (LET) and contemporary, anterolateral reconstruction. METHODS: A narrative review was performed using PubMed/MEDLINE using the keywords "lateral extra-articular tenodesis" and "anterolateral ligament reconstruction"...
June 12, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28597618/effects-of-resistance-training-overtraining-and-early-specialization-on-youth-athletes
#4
Benjamin K Walters, Connor R Read, A Reed Estes
INTRODUCTION: In 2014, 60 million youth ages 6-18 participated in some form of generalized athletics. 3.5 million children are injured annually participating in organized sport or recreational activities. While sound physical education can decrease the burden of youth sports injuries, the median annual physical education budget of $764 for United States elementary, middle and high schools may not allow enough flexibility to apply evidenced-based guidelines. EVIDENCE ACQUISITION: The topics were selected after a careful review of the 2016 National Strength and Conditioning Association Position Statement on Long-Term Athletic Development...
June 8, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28594515/cervical-spine-injuries-in-the-athlete
#5
Gregory D Schroeder, Alexander R Vaccaro
Cervical spine injuries are common and range from relatively minor injuries, such as cervical muscle strains, to severe, life-threatening cervical fractures with spinal cord injuries. Although cervical spine injuries are most common in athletes who participate in contact and collision sports, such as rugby and American football, they also have been reported in athletes who participate in noncontact sports, such as baseball, gymnastics, and diving. Cervical spine injuries in athletes are not necessarily the result of substantial spine trauma; some athletes have chronic conditions, such as congenital stenosis, that increase their risk for a serious cervical spine injury after even minor trauma...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28593072/recovery-and-return-to-work-after-a-pelvic-fracture
#6
Antonios N Papasotiriou, Nikolaos Prevezas, Konstantinos Krikonis, Evangelos C Alexopoulos
BACKGROUND: Pelvic ring fractures (PRFs) may influence the daily activities and quality of life of the injured. The aim of this retrospective study was to explore the functional outcomes and factors related to return to work (RTW) after PRF. METHODS: During the years 2003-2012, 282 injured individuals aged 20-55 years on the date of the accident, were hospitalized and treated for PRFs in a large tertiary hospital in Athens, Greece. One hundred and three patients were traced and contacted; 77 who were on paid employment prior to the accident gave their informed consent to participate in the survey, which was conducted in early 2015 through telephone interviews...
June 2017: Safety and Health At Work
https://www.readbyqxmd.com/read/28577782/orthobiologics-in-pediatric-sports-medicine
#7
REVIEW
Christopher C Bray, Clark M Walker, David D Spence
Orthobiologics are biological substances that allow injured muscles, tendons, ligaments, and bone to heal more quickly. They are found naturally in the body; at higher concentrations they can aid in the healing process. These substances include autograft bone, allograft bone, demineralized bone matrix, bone morphogenic proteins, growth factors, stem cells, plasma-rich protein, and ceramic grafts. Their use in sports medicine has exploded in efforts to increase graft incorporation, stimulate healing, and get athletes back to sport with problems including anterior cruciate ligament ruptures, tendon ruptures, cartilage injuries, and fractures...
July 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/28550427/the-fifty-highest-cited-papers-in-anterior-cruciate-ligament-injury
#8
Ines Vielgut, Jan Dauwe, Andreas Leithner, Lukas A Holzer
INTRODUCTION: The anterior cruciate ligament (ACL) is one of the most common injured knee ligaments and at the same time, one of the most frequent injuries seen in the sport orthopaedic practice. Due to the clinical relevance of ACL injuries, numerous papers focussing on this topic including biomechanical-, basic science-, clinical- or animal studies, were published. The purpose of this study was to determine the most frequently cited scientific articles which address this subject, establish a ranking of the 50 highest cited papers and analyse them according to their characteristics...
July 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28515975/prospective-functional-performance-testing-and-relationship-to-lower-extremity-injury-incidence-in-adolescent-sports-participants
#9
Joseph Smith, Nick DePhillipo, Iris Kimura, Morgan Kocher, Ronald Hetzler
BACKGROUND: Due to the high number of adolescent athletes and subsequent lower extremity injuries, improvements of injury prevention strategies with emphasis on clinic-based and practical assessments are warranted. PURPOSE: The purpose of this study was to prospectively investigate if a battery of functional performance tests (FPT) could be used as a preseason-screening tool to identify adolescent athletes at risk for sports-related acute lower extremity injury via comparison of injured and uninjured subjects...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28514214/imaging-of-acute-capsuloligamentous-sports-injuries-in-the-ankle-and-foot-sports-imaging-series
#10
James M Linklater, Catherine L Hayter, Dzung Vu
The ankle and foot are commonly injured during sporting activities. Clinical diagnosis can at times be challenging, due to the complex anatomy and multiple sites of potential injury. In the athlete, there is a reduced threshold for imaging to clarify diagnosis, guide prognosis, and treatment. Diagnostic imaging is also helpful in evaluating ongoing symptoms in the subacute or chronic setting. (©) RSNA, 2017.
June 2017: Radiology
https://www.readbyqxmd.com/read/28513281/short-term-effects-of-kinesio-taping-on-muscle-recruitment-order-during-a-vertical-jump-a-pilot-study
#11
Guillermo Mendez-Rebolledo, Rodrigo Ramirez-Campillo, Eduardo Guzman-Muñoz, Valeska Gatica-Rojas, Alexis Dabanch-Santis, Francisco Diaz-Valenzuela
CONTEXT: Kinesio taping is commonly used in sports and rehabilitation settings with the aim of prevention and treatment of musculoskeletal injuries. However, limited evidence exists regarding the effects of 24 and 72 h of kinesio taping on trunk and lower limb neuromuscular and kinetic performance during a vertical jump. OBJECTIVE: The purpose of this study was to analyze the short-term effects of kinesio taping on the height and ground reaction force during a vertical jump, in addition to trunk and lower limb muscle latency and recruitment order...
May 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28508007/five-year-outcomes-after-treatment-for-acute-instability-of-the-tibiofibular-syndesmosis-using-a-suture-button-fixation-system
#12
Paul F Förschner, Knut Beitzel, Andreas B Imhoff, Stefan Buchmann, Georg Feuerriegel, Felix Hofmann, Dimitrios C Karampinos, Pia Jungmann, Jonas Pogorzelski
BACKGROUND: Suture-button repair is a widely accepted surgical treatment for acute and isolated ankle syndesmosis injuries. To our knowledge, midterm results have not previously been reported. PURPOSE: To evaluate the clinical, qualitative, and quantitative radiological midterm outcomes of suture-button repair after acute isolated ankle syndesmosis injuries. STUDY DESIGN: Retrospective case series; Level of evidence, 4. METHODS: Clinical outcomes were measured using the Foot and Ankle Disability Index (FADI) and the American Orthopaedic Foot and Ankle Society (AOFAS) score...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28501988/gluteus-maximus-contraction-velocity-assessed-by-tensiomyography-improves-following-arthroscopic-treatment-of-femoroacetabular-impingement
#13
Roberto Seijas, Miguel Marín, Eila Rivera, Eduard Alentorn-Geli, David Barastegui, Pedro Álvarez-Díaz, Ramón Cugat
PURPOSE: Muscular impairment, particularly for the gluteus maximus (GM), has been observed in femoroacetabular impingement (FAI). The purpose of this study was to evaluate the tensiomyographic changes of the GM, rectus femoris (RF) and adductor longus (AL) before and after arthroscopic surgery for FAI. It was hypothesized that arthroscopic treatment of FAI would improve the preoperative muscular impairment. METHODS: All patients undergoing arthroscopic treatment of FAI between January and July 2015 were approached for eligibility...
May 13, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28488619/peripheral-nerve-injuries-a-retrospective-survey-of-1124-cases
#14
João A Kouyoumdjian, Carla R Graça, Vanessa F M Ferreira
BACKGROUND: Peripheral nerve injuries (PNIs) remain an important health problem often leading to severe motor disabilities predominantly in the younger population. OBJECTIVE: To analyze our experience of clinical and electrodiagnostic evaluation (EDX) of PNIs over a 26-year period. MATERIALS AND METHODS: Between 1989 and 2014, 1124 consecutive patients with 1418 PNIs were referred for clinical as well as EDX evaluation. These PNIs involved upper and lower limbs as well as the facial nerves...
May 2017: Neurology India
https://www.readbyqxmd.com/read/28483683/the-use-of-dehydrated-human-amnion-chorion-membrane-allograft-injection-for-the-treatment-of-tendinopathy-or-arthritis-a-case-series-involving-40-patients
#15
Alfred C Gellhorn, Alex Han
BACKGROUND: Degenerative joint and tendon injuries remain difficult to treat, with few effective conservative treatment options available. Regenerative approaches aim to promote the inherent healing capacity of injured tissues. Micronized dehydrated human amnion/chorion membrane (dHACM) injection is an emerging regenerative option with promising preclinical results. OBJECTIVE: To test the clinical effectiveness of dHACM injection in patients with chronic tendinopathy and arthropathy...
May 6, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28481627/outcomes-after-percutaneous-reduction-and-fixation-of-low-energy-lisfranc-injuries
#16
Michael Vosbikian, Joseph T O'Neil, Christine Piper, Ronald Huang, Steven M Raikin
BACKGROUND: Lisfranc injuries are often missed initially or not anatomically reduced, leading to midfoot collapse, arthrosis, and pain. Operative management of these injuries is also fraught with complications, particularly with respect to the soft tissues. Wound dehiscence and infection are not uncommon. The goal of this study was to analyze the outcomes of a minimally invasive technique in reduction and percutaneous fixation of low-energy minimally displaced Lisfranc injuries and determine if it is a safe alternative to more traditional, open approaches...
May 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28467268/guidance-for-return-to-learn-after-a-concussion
#17
Lori McNeal, Janice Selekmen
Returning to school following a diagnosed concussion presents challenges to the school nurse, especially when the student's health care provider does not provide guidance. While the student may appear "normal," their brain has been injured and needs time to heal. This article presents specific suggestions that may be helpful as the school nurse promotes schoolwide policy changes and develops an individualized plan for the student's "return to learn." Successful return to the role of student with a significant decrease in symptoms must precede any plans for a return to sports activity...
May 1, 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28453295/postinjury-exercise-and-platelet-rich-plasma-therapies-improve-skeletal-muscle-healing-in-rats-but-are-not-synergistic-when-combined
#18
Paola Contreras-Muñoz, Joan Ramon Torrella, Xavier Serres, David Rizo-Roca, Meritxell De la Varga, Ginés Viscor, Vicente Martínez-Ibáñez, José Luis Peiró, Tero A H Järvinen, Gil Rodas, Mario Marotta
BACKGROUND: Skeletal muscle injuries are the most common sports-related injury and a major concern in sports medicine. The effect of platelet-rich plasma (PRP) injections on muscle healing is still poorly understood, and current data are inconclusive. PURPOSE: To evaluate the effects of an ultrasound-guided intramuscular PRP injection, administered 24 hours after injury, and/or posttraumatic daily exercise training for 2 weeks on skeletal muscle healing in a recently established rat model of skeletal muscle injury that highly mimics the muscle trauma seen in human athletes...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28451696/incidence-aetiology-and-injury-characteristics-of-traumatic-spinal-cord-injury-in-stockholm-sweden-a-prospective-population-based-update
#19
Conran Joseph, Nina Andersson, Sapko Bjelak, Kajsa Giesecke, Claes Hultling, Lena Nilsson Wikmar, Julie Phillips, Åke Seiger, Vasilios Stenimahitis, Katarzyna Trok, Elisabet Åkesson, Kerstin Wahman
OBJECTIVES: To update the incidence rate, aetiology and injury characteristics of acutely-injured adults with traumatic spinal cord injury in Stockholm, Sweden, using international standards of reporting. STUDY DESIGN: Prospective, (regional) population-based observation. SUBJECTS: Forty-nine consecutively enrolled individuals. METHODS: A surveillance system of newly-injured adults with traumatic spinal cord injury was implemented for an 18-month period...
April 26, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28451617/return-to-sport-for-skeletally-immature-athletes-after-acl-reconstruction-preventing-a-second-injury-using-a-quality-of-movement-assessment-and-quantitative-measures-to-address-modifiable-risk-factors
#20
Jessica Graziano, Theresa Chiaia, Polly de Mille, Danyal H Nawabi, Daniel W Green, Frank A Cordasco
BACKGROUND: Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low rates of return to play. Historically, quantitative measures have been used to determine readiness to return to sport; however, they do not assess modifiable risk factors related to the quality of movement. PURPOSE: To determine the effectiveness of a criteria-based rehabilitation progression and return-to-sport criteria on efficient return to activity and prevention of second injury in young athletes post-ACLR...
April 2017: Orthopaedic Journal of Sports Medicine
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