December 2018 Primary Care Sports Medicine Journal Roundup

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December 2018 Primary Care Sports Medicine Journal Roundup

The American Journal of Sports Medicine (Dec 2018)

Lai, C. C. H., Feller, J. A., & Webster, K. E. (2018). Fifteen-Year Audit of Anterior Cruciate Ligament Reconstructions in the Australian Football League From 1999 to 2013: Return to Play and Subsequent ACL Injury. The American Journal of Sports Medicine, 46(14), 3353–3360.

  • 77% (121/158) of athletes returned to the Australian Football League after primary ACL repair

  • 30% (48/158) had a reinjury of their primary repair, which increased to 50% in athletes under 21

Tagliero, A. J., Desai, V. S., Kennedy, N. I., Camp, C. L., Stuart, M. J., Levy, B. A., … Krych, A. J. (2018). Seventeen-Year Follow-up After Meniscal Repair With Concomitant Anterior Cruciate Ligament Reconstruction in a Pediatric and Adolescent Population. The American Journal of Sports Medicine, 46(14), 3361–3367.

  • Followed over 17 years, long-term overall clinical success rate (failure-free survival) was 72% for repair of pediatric and adolescent meniscal tears in the setting of concomitant ACL reconstruction

Pennock, A. T., Bomar, J. D., Johnson, K. P., Randich, K., & Upasani, V. V. (2018). Nonoperative Management of Femoroacetabular Impingement: A Prospective Study. The American Journal of Sports Medicine, 46(14), 3415–3422.

  • 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 2 years

Youlo, S. T., Walczak, B. E., & Keene, J. S. (2018). Does the Use of Psychotropic Medication Adversely Affect the Outcomes of Hip Arthroscopy? The American Journal of Sports Medicine, 46(14), 3423–3428

  • Patients undergoing hip arthroscopy who are taking psychotropic medications are at significantly higher risk for poor outcomes

Familiari, F., Cinque, M. E., Chahla, J., Godin, J. A., Olesen, M. L., Moatshe, G., & LaPrade, R. F. (2018). Clinical Outcomes and Failure Rates of Osteochondral Allograft Transplantation in the Knee: A Systematic Review. The American Journal of Sports Medicine, 46(14), 3541–3549.

  • Improved patient-reported outcomes can be expected after OCA transplantation, with a survival rate of 78.7% at 10 years.

  • Revision cases, patellar lesions, and bipolar lesions were associated with worse survival rates

McIntyre, J. A., Jones, I. A., Han, B., & Thomas Vangsness, C. (2018). Intra-articular Mesenchymal Stem Cell Therapy for the Human Joint: A Systematic Review. The American Journal of Sports Medicine, 46(14), 3550–3563.

  • Intra-articular MSC therapy is safe.

  • While clinical and, in some cases, radiological improvements were reported for both OA and CD trials,

  • The overall quality of the literature was poor, and heterogeneity and lack of reproducibility limit firm conclusions regarding the efficacy of these treatments.

Lauersen JB, Andersen TE, Andersen LB Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis Br J Sports Med 2018;52:1557-1563.

  • Increasing strength training volume and intensity were associated with sports injury risk reduction.

Wilson F, Walshe M, O’Dwyer T, et al Exercise, orthoses and splinting for treating Achilles tendinopathy: a systematic review with meta-analysis Br J Sports Med 2018;52:1564-1574.

  • For achilles tendinopathy, essentially: eccentric exercise is good but not superior to heavy, slow resistance exercise or stretching but could not recommend one program over another.

  • Splint, orthosis not recommended

Sprague AL, Smith AH, Knox P, et al Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis Br J Sports Med 2018;52:1575-1585.

  • There is a lack of strong evidence for any potential modifiable risk factors or associated factors.

  • There was limited or conflicting evidence that decreased ankle dorsiflexion range of motion, decreased posterior thigh and quadriceps flexibility, greater volume of jump training, more volleyball sets played per week, greater countermovement jump (CMJ) height and greater activity volume are potential modifiable risk factors

Sports Medicine (Dec 2018)

Alent J, Narducci DM, Moran B, et al. Sternal Injuries in Sport: A Review of the Literature. Sports Med. 2018 Dec;48(12):2715-2724.

  • The literature regarding sternal injury is reviewed, with emphasis on sport-specific pathology, management, and return to play

Fox JL, Stanton R, Sargent C, Wintour SA, Scanlan AT. The Association Between  Training Load and Performance in Team Sports: A Systematic Review. Sports Med. 2018 Dec;48(12):2743-2774. doi: 10.1007/s40279-018-0982-5.

  • We found no consistent associations between external training load measures and performance.

  • High-intensity interval training load appears to be the most prominent indicator of aerobic performance

Barelds I, van den Broek AG, Huisstede BMA. Ankle Bracing is Effective for Primary and Secondary Prevention of Acute Ankle Injuries in Athletes: A Systematic Review and Meta-Analyses. Sports Med. 2018 Dec;48(12):2775-2784.

  • Ankle bracing is effective for primary and secondary prevention of acute ankle injuries among athletes

Evans W, Willey Q, Hanson ED, et al. Effects of Resistance Training on Arterial Stiffness in Persons at Risk for Cardiovascular Disease: A Meta-analysis. Sports Med. 2018 Dec;48(12):2785-2795.

  • Resistance Training does not worsen arterial stiffness in patients who have or are at risk for CVD

  • These findings suggest that RT is a suitable exercise prescription in primary and secondary prevention settings