The American Journal of Sports Medicine (AJSM) is a vital resource for the sports medicine community, offering the latest orthopaedic sports medicine research.
A new study shows a majority (82%) of adolescent patients presenting with FAI syndrome can be managed nonoperatively, with significant improvements in outcome scores at a mean follow-up of two years:
New robotic study on ankle microinstability. Rupture of only the superior fascicle of the ATFL may lead to microinstability of the ankle joint, without objective clinical findings of gross clinical laxity!
@dr
.mikidalmau
#universitatdebarcelona
Deltoid repair with augmentation may reduce or avoid the need for prolonged postoperative immobilization and encourage accelerated rehabilitation, preventing stiffness and promoting earlier return to preinjury activity.
#ankleinstability
@SPRIVail
Surgery demonstrated no benefit in patient quality of life, satisfaction, function, or prevention of complications following completely displaced
#claviclefractures
in adolescents at 2 years after injury.
@BostonChildrens
ACL reconstruction may not prevent against post-traumatic knee OA. But does it paradoxically increase the rate of OA? A new meta-analysis finds that the prevalence of OA after an ACL reconstruction significantly increased with time! More from the research:
Injury prevention helps keep our young throwers in the game! A nearly 50% reduction in throwing-related injuries as well as improved performance were seen in young
#baseball
players with the implementation of a 10-mnute prevention program
#injuryprevention
Patellofemoral joint loading varies across 35 common rehab exercises.
@BaxterLabHQ
provide clinicians with a modifiable Loading Index rank system to choose exercises that promote therapeutic loading.
A two week gait retraining program was found to reduce the risk of running-related injuries by more than 50% in novice runners: ttp://ow.ly/P5Zu30iFB9e
Clinical study emphasizes the association between
#vitaminD
serum and tissue levels as well as serum levels and rotator cuff muscle power in relation to
#rotatorcuff
repairs.
That age-old question! Is a hamstring graft better than a patellar tendon graft for ACLR? New research shows similar functional outcomes/complications at 17-year follow-up of an RCT, but differences in AP laxity and prevalence of knee OA between the two:
Effects of shoulder dominance in open
#Latarjet
procedure: Surgery in the dominant shoulder was associated with deficits in both shoulders, indicating healthy-side functional performance cannot be the only reference for a return-to-sport program
AJSM is proud to announce we received the
#1
Impact Factor in the orthopaedics category for the 2nd year in a row. Thank you to our authors, reviewers, and subscribers for this great honor!
A new study defines posterior horn medial meniscus anatomy, showing common attachment of meniscocapsular and meniscotibial ligament as critical structure in meniscal ramp lesions:
A new systematic review shows ACL injury prevention programs have a significant protective effect and reduced injury rates by 53% in the literature.
#ACL
#ACLprevention
#ACLinjury
Young athletes show a better response to an ACL injury prevention program in new research - showing such programs may benefit athletes early in their careers:
COX-2 inhibitors may be a bad choice for postoperative pain control due to their negative effects on tendon to bone healing following rotator cuff repair:
Addition of
#LET
when performing a
#ACL
reconstruction is safe and should be considered for adolescent patients with non-modifiable risk factors who are at high risk of re-tear.
@HSpecialSurgery
#EducateThePatient
#ACL
injury mechanism in professional women soccer players: - 3 main patterns; - Non-contact (55%) > indirect contact (34%); - 88% Dynamic Knee Valgus; - 64% in the first 45β of game play
The critical shoulder angle (CSA) plays an important role in incidence of retear rates after rotator cuff repair - larger CSA is associated with an increased risk of rotator cuff tendon retear after repair:
OβDonoghue Awardβwinning paper by
@FKSMC_Getgood
and STABILITY Study Group shows reduced
#ACLR
failure rate with addition of lateral extra-articular tenodesis (LET) in young, high-risk patients
Do quadriceps tendon grafts incorporate quicker than hamstring tendon grafts after ACLR in adolescent athletes? Review what these authors found
#SportsMedicine
#ACLR
Make it a double!- This meta-analysis dives into SL vs. DL graft MPFL reconstructions for recurrent
#PatellarDislocation
. Albeit limited high quality evidence, the results favor DL with less instability, pain, and lateral shift
Harvesting only gracilis with ACL repair and augmentation with anterolateral ligament reconstruction was associated with better early ability to return to sport than ACL reconstruction with anterolateral ligament technique harvesting both gracilis and ST
A new study shows female soccer players with ACL injuries have a higher risk of repeat knee injuries (up to 5-fold) and quit their sport to a larger degree than healthy controls:
An epidemiological study of NFL athletes supports the hypothesis that a higher rate of lower extremity injuries occur on artificial turf compared to natural surfaces:
How can you minimize risk of nerve injury during lateral meniscus repair? What is the βSafe Zone?β Take a look at what these authors found in the latest issue of AJSM.
A new systematic review shows ACL injury prevention programs have a significant protective effect and reduced injury rates by 53% in the literature.
#ACL
#ACLprevention
#ACLinjury
Platelet-rich plasma (
#PRP
) is commonly used autologously to assist in repairing injured tissues and treatment for pain. Check this review article for the use of PRPs in muscle healing!
New surgical technique may reduce
#ACL
reinjuries in high-risk athletes. Read about combined lateral tenodesis and added ACL graft size in skeletally immature adolescents
KEEP THE GRAFT ATTACHED! Preserving the tibial attachment of the semitendinosus improves its 1-year remodeling when compared to the standard free semitendinosus graft technique.
@CHUdeToulouse
@etiennecavaign1
@ThaisDVieira
Biomechanical variables relating to sagittal plane stiffness deficits during drop jump testing identify those at risk of contralateral injury after
#ACL
Reconstruction in this large prospective study.
@sscsportsmed
@enda_king
Lateral extra-articular tenodesis helps to decrease force carried by the
#ACL
graft in response to applied pivoting loads. Check out this brand new biomechanical study from
#HSS
!
@HSpecialSurgery
Lateral ulnar collateral ligament repair with
#InternalBrace
augmentation increases rotational stiffness relative to the intact elbow for restoring posterolateral stability to the native state. Check out the latest research in AJSM!
What are the differences in quadriceps strength, functional performance, and knee biomechanics in patients who are 9 to 24 months after ACLR? Work from
@riannps
and
@ORBLab_umich
characterized patient recovery within 24 months after ACLR.
#ACL
AJSM is proud to announce we received the
#1
Impact Factor in the orthopaedics category for the 3rd year in a row, with our highest Impact Factor to date: 6.093! Thank you to our authors, reviewers, and subscribers for this great honor.
We are closing the book on 2017 by revisiting some of the most discussed research on social media in the past year.
Biomechanical Effects of an Injury Prevention Program in Preadolescent Female Soccer Athletes:
Combined ACL and ALL reconstruction does not increase the risk of OA in the lateral TF compartment when compared to an isolated ACLR in a radiographic analysis at a minimum 8.7-years follow-up.
@Sonnerycottet
@ThaisDVieira
#Thinkoutsidethenotch
#Triamcinolone
injection was more effective than normal saline or hyaluronic acid injection in improving range of motion and reversing fibrotic and angiogenic features of
#FrozenShoulder
.
Have you torn your ACL? Be sure to ask your surgeon what your tibial slope is, this can impact the correct procedure for you. The addition of an LET can reduce the stress on your ACL graft if your slope is increased.
#educatethepatient
@SPRIVail
Medial meniscus posterior root repair reduces but does not avoid progression of osteoarthritis. Read the new randomized in vivo histological study in a rabbit model conducted by
@lika
.dz_
@dr
.emilio_calvo and
@irene_lopez_t
Dr. Freddie Fu, who passed away Friday, recently recorded a very special interview for Easy Reider: A Conversation with Bruce Reider podcast. Listen as Dr. Fu recounts stories of his days in a rock band in Hong Kong to mentoring over 1,600 fellows
This meta-analysis shows that Blood Flow Restriction (BFR) training in the postop period after knee surgery can improve quadriceps muscle bulk. An exciting start for the BFR research group at
@UTOSM
@lwengle
@jaschahal
Pediatric and adolescent patients undergoing ACLR were found to have a 4-year cumulative graft rupture rate of 19.7% and a 4-year contralateral ACL rupture rate of 12.0%.
#ACL
@ChildrensPhila
Now Online | Does Anterior Cruciate Ligament Reconstruction Improve Functional and Radiographic Outcomes Over Nonoperative Management 5 Years After Injury?
Managing the kinetic chain in throwing athletes β increased scapular internal rotation during simulated late-cocking phase of throwing increases valgus load on elbow:
Researchers provide a new measurement of patellofemoral instability by describing the amount of the patellar tendon lateral to the lateral trochlear ridge (PT-LTR). Read more β‘οΈ
The passing of our dear friend and colleague Freddie Fu, MD has left a hole in the heart of the AOSSM family. His impact and legacy are immeasurable. Our sincerest condolences to his wife, Hilda, and their family. Read about his extraordinary life
New study finds
#meniscus
root repair leads to significantly less arthritis progression and subsequent knee arthroplasty compared with nonoperative management and partial meniscectomy
@mayoclinicsport
#EducateThePatient