Sports Medicine & Arthroscopy Journal Scan

Related Articles

Fear of reinjury (kinesiophobia) and persistent knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction.

Arthroscopy. 2013 Aug;29(8):1322-9

Authors: Flanigan DC, Everhart JS, Pedroza A, Smith T, Kaeding CC

Abstract
PURPOSE: Our purpose was to determine patient-cited reasons for lack of return to sport after anterior cruciate ligament reconstruction.
METHODS: All patients who underwent primary or revision anterior cruciate ligament reconstruction by 2 surgeons from 2007 to 2008 (N = 171) were contacted for a telephone interview. Patients who did not return to preinjury levels by self-assessment were then asked to cite contributing factors from a predetermined list. These included non-knee-related life events, persistent knee symptoms, fear of reinjury (kinesiophobia), and choice-related options (such as lack of interest or time).

Related Articles

Regrowth of the psoas tendon after arthroscopic tenotomy: a magnetic resonance imaging study.

Arthroscopy. 2013 Aug;29(8):1308-13

Authors: Márquez Arabia WH, Gómez-Hoyos J, Llano Serna JF, Aguilera Bohorquez B, Nossa Barrera JM, Márquez Arabia JJ, Clavijo Rodríguez MP, Gallo Villegas JA

Abstract
PURPOSE: The purpose of this study was to evaluate whether the psoas tendon regenerates after arthroscopic tenotomy through the central compartment of the hip in patients with internal snapping hip.
METHODS: Twenty-seven patients with a snapping hip, aged 18 to 54 years (mean, 37.47 years), underwent arthroscopic tenotomy through the central compartment of the hip; all patients had symptomatic femoroacetabular impingement as well. The degree of regeneration was evaluated by preoperative and postoperative measurements of the tendon perimeter with a magnetic resonance imaging protocol in patients with more than 6 months' follow-up. In addition, function was assessed preoperatively and postoperatively with the Western Ontario and McMaster Universities Osteoarthritis Index score. Postoperative active flexion force was graded clinically between 1 and 5 with the Medical Research Council score.

Related Articles

Access to the hip joint from standard arthroscopic portals: a cadaveric study.

Arthroscopy. 2013 Aug;29(8):1297-307

Authors: Thorey F, Ezechieli M, Ettinger M, Albrecht UV, Budde S

Abstract
PURPOSE: Our purpose was to study and describe the areas of the hip joint that can be safely visualized and operated on using a variety of portals for the central and peripheral compartments.
METHODS: Twelve hip joints in 6 human cadavers were examined through 9 different central and peripheral arthroscopic portals. Markings of the accessible areas within the joint were made through an arthroscope. Dissection of the cadavers was carried out for final evaluation of the visible areas and those accessible for instruments. During dissection, anatomic proximity of the portals to relevant neurovascular structures was measured.

Related Articles

Effect of anterior acetabular rim recession on radiographic parameters: an in vivo study.

Arthroscopy. 2013 Aug;29(8):1292-6

Authors: Gross CE, Hellman M, Freedman R, Hart M, Reddy A, Salata M, Bush-Joseph C, Nho SJ

Abstract
PURPOSE: The purpose of this study was to validate additional radiographic parameters that detect changes within the acetabular cavity during acetabular rim trimming for pincer-type femoroacetabular impingement in an in vivo setting.
METHODS: Patients who met the inclusion criteria and underwent arthroscopic acetabular rim trimming had their preoperative and postoperative anteroposterior radiographs measured. Intraoperatively, these patients had their labrums detached, acetabular walls trimmed by roughly 3 to 5 mm, and then labrums reattached. Radiographic measurements were subsequently obtained by use of the anterior rim angle (ARA), anterior wall angle (AWA), and anterior margin ratio (AMR).
RESULTS: Statistically significant changes were seen in the postoperative ARA, AWA, and AMR. Mean pre- and post-trimming changes were 83.8° and 87.9°, respectively, for the ARA; 38.8° and 35.8°, respectively, for the AWA; and 0.57 and 0.53, respectively, for the AMR. There were no postoperative complications. No patients had any instability events.

Related Articles

One-stage arthroscopic repair of rotator cuff tears with shoulder stiffness.

Arthroscopy. 2013 Aug;29(8):1283-91

Authors: Ho WP, Huang CH, Chiu CC, Lee CH, Chen CH, Leu TH, Chuang TY

Abstract
PURPOSE: The purpose of this study is to describe a 1-stage treatment with concomitant arthroscopic capsular release and rotator cuff repair and present clinical outcomes with a minimum follow-up of 2 years.
METHODS: Arthroscopic rotator cuff repair was performed in 211 consecutive patients. Forty-three patients had severe concomitant shoulder stiffness at the time of the repair. In the stiffness group, 1-stage arthroscopic capsular release and rotator cuff repair were performed. Preoperative mean passive forward flexion was 124°, whereas external rotation at the side was 309°. All patients were evaluated at a minimum 2-year follow-up, which included a visual analog scale score for pain, tests of muscle power and range of motion, the Constant score, and the modified American Shoulder and Elbow Surgeons shoulder evaluation form and modified University of California, Los Angeles scores.

Related Articles

Results of arthroscopic partial repair of large retracted rotator cuff tears.

Arthroscopy. 2013 Aug;29(8):1275-82

Authors: Wellmann M, Lichtenberg S, da Silva G, Magosch P, Habermeyer P

Abstract
PURPOSE: To evaluate the midterm results of partial rotator cuff repair using the Constant score and the acromiohumeral radiographic measurement.
METHODS: Thirty-eight patients with a mean age of 65 years and a large retracted rotator cuff tear (at least 2 tendons) were included in the study. Patients underwent clinical examination, standard radiography, and isometric strength testing at a mean follow-up of 47 months. The rotator cuff tears were classified as posterosuperior, anterosuperior, or global tears (≥3 tendons), and an arthroscopic partial repair was performed.
RESULTS: The mean Constant score significantly increased from 56 points before surgery to 71 points after surgery (P = .041); the mean age- and sex-adjusted Constant score significantly improved from 63% to 90% at a mean follow-up of 47 months after arthroscopic partial rotator cuff repair (P = .003); and the subcategories pain and activity significantly improved (P = .001, P = .014, respectively). The active range of motion improved from 133° of flexion and 111° of abduction before surgery to 163° of forward flexion and 156° of abduction after surgery (P < .001). However, the active range of external rotation decreased from 44° before surgery to

Related Articles

Cutting-Edge Arthroscopic Surgeons Report Excellent Results for Complex Knee and Shoulder Conditions.

Arthroscopy. 2013 Aug;29(8):1273-4

Authors: Lubowitz JH, Provencher MT, Poehling GG

PMID: 23906266 [PubMed - in process]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23906266?dopt=Abstract

Fit and healthy Paralympians--medical care guidelines for disabled athletes: a study of the injuries and illnesses incurred by the Polish Paralympic team in Beijing 2008 and London 2012.

Br J Sports Med. 2013 Jul 31;

Authors: Gawronski W, Sobiecka J, Malesza J

Abstract
BACKGROUND: Successful performance in Paralympic Games (PGs) requires continuous monitoring of the athletes' health and optimal medical care.
OBJECTIVE: To present the health status and disability category of Polish athletes at the Beijing and London PGs, as well as to compare the injuries and illnesses incurred during both PGs in view of the more stringent healthcare guidelines implemented before London.
METHODS: The preparticipation examination (PPE) involved general medical/orthopaedic examination, ECG, blood and urine tests. The mandatory periodic health evaluation (PHE) introduced before London comprised general medical/orthopaedic/dental examination, anthropometric measurement, ECG, stress test, laryngological and ophthalmological consultations, and blood and urine tests. The incidence rate (IR) for all injuries/illnesses with 95% CI, incidence proportion and exposure data (athlete-days) were calculated.

How to treat Guyon's canal syndrome? Results from the European HANDGUIDE study: a multidisciplinary treatment guideline.

Br J Sports Med. 2013 Jul 31;

Authors: Hoogvliet P, Coert JH, Fridén J, Huisstede BM, the European HANDGUIDE group

Abstract
BACKGROUND: Although Guyon's canal syndrome is not highly prevalent, a considerable knowledge of anatomy is needed to localise and treat the pathology. Data on the effectiveness of interventions for this disorder are lacking.
OBJECTIVE: To achieve consensus on a multidisciplinary treatment guideline for this disorder based on experts' opinions.
METHODS: A European Delphi consensus strategy was initiated. In total, 35 experts (hand surgeons/hand therapists selected by the national member associations of their European federations and Physical Medicine and Rehabilitation physicians) participated in the Delphi consensus strategy. Each Delphi round consisted of a questionnaire, an analysis and a feedback report.