January 2019 Primary Care Sports Medicine Journal Roundup

Jan 2019 review roundup cover.png

January 2019 Primary Care Sports Medicine Journal Roundup

The American Journal of Sports Medicine (Jan 2019)

Bohu, Y., Klouche, S., Herman, S.,et al. (2019). Professional Athletes Are Not at a Higher Risk of Infections After Anterior Cruciate Ligament Reconstruction: Incidence of Septic Arthritis, Additional Costs, and Clinical Outcomes From the French Prospective Anterior Cruciate Ligament Study (FAST) Cohort. The American Journal of Sports Medicine, 47(1), 104–111.

  • The risk of septic arthritis is about 1% after knee injury

  • It is reported to be as high as 5.7% in pro athletes

  • In this study of professional athletes undergoing ACL reconstruction, 5 of 1632 (0.31%) who underwent primary reconstruction and 2 of 177 (1.13%) who underwent revision

Arner, J. W., Chang, E. S., Bayer, S., et al. (2019). Direct Comparison of Modified Jobe and Docking Ulnar Collateral Ligament Reconstruction at Midterm Follow-up. The American Journal of Sports Medicine, 47(1), 144–150.

  • No difference between modified jobe and docking UCL recon at 6.7 years follow up

Mack, C. D., Hershman, E. B., Anderson, R. B., et al. (2019). Higher Rates of Lower Extremity Injury on Synthetic Turf Compared With Natural Turf Among National Football League Athletes: Epidemiologic Confirmation of a Biomechanical Hypothesis. The American Journal of Sports Medicine, 47(1), 189–196.

  • These results support the biomechanical mechanism hypothesized and add confidence to the conclusion that synthetic turf surfaces have a causal impact on lower extremity injury.

Chaudhry, Z. S., Raikin, S. M., Harwood, M. I., et al. (2019). Outcomes of Surgical Treatment for Anterior Tibial Stress Fractures in Athletes: A Systematic Review. The American Journal of Sports Medicine, 47(1), 232–240.

  • Surgical treatment of anterior tibial stress fractures is associated with a high rate of symptom resolution and return to play in athletes,

  • The high complication rate and potential need for subsequent procedures are important considerations for surgeons and patients

Clinical Journal of Sports Medicine (Jan 2019)

Fehr SD, Nelson LD, Scharer KR, et al. Risk Factors for Prolonged Symptoms of Mild Traumatic Brain Injury: A  Pediatric Sports Concussion Clinic Cohort. Clin J Sport Med. 2019

  • Prolonged duration of mTBI symptoms in patients who present to a pediatric sports-based concussion clinic is related to initial symptom severity, female sex, and LOC.

Foley CM, Sugimoto D, Mooney DP, et al. Diagnosis and  Treatment of Slipping Rib Syndrome. Clin J Sport Med. 2019 Jan;29(1):18-23.

  • Good review of a rare, likely underdiagnosed cause of chest wall pain

Lee YS, Lee OS, Lee SH. Return to Sports After Athletes Undergo Meniscal Surgery: A Systematic Review. Clin J Sport Med. 2019 Jan;29(1):29-36.

  • The shortest time to RTS and the highest RTS rate were observed after partial meniscectomy.

  • The time to RTS was shorter, and the RTS rate was higher after meniscal repair than after MAT.

  • Concurrent procedures such as ACLR prolonged the time to RTS, but it had no effect on the RTS rate and the level of sports activity at the time of RTS.

Santelli J, McCambridge TM, Valasek AE, Standiford K. Proximal Radial Head Fractures in Young Gymnasts: A Case Series of Newly Described Overuse Injuries. Clin J Sport Med. 2019 Jan;29(1):e1-e3.

Yoshida M, Marumo K. An Autologous Leukocyte-Reduced Platelet-Rich Plasma Therapy for Chronic Injury of the Medial Collateral Ligament in the Knee: A Report of 3 Successful Cases. Clin J Sport Med. 2019 Jan;29(1):e4-e6.