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
British Journal of Sports Medicine (Jan 2019)
Davenport MH, Marchand A, Mottola MF, et al Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis Br J Sports Med 2019;53:90-98.
Sports Medicine (Jan 2019)
Doses in the range of 3–9 mg·kg−1 seem to be adequate for eliciting an ergogenic effect when administered 60 min pre-exercise
Not enough evidence to draw conclusions
Centner C, Wiegel P, Gollhofer A, König D. Effects of Blood Flow Restriction Training on Muscular Strength and Hypertrophy in Older Individuals: A Systematic Review and Meta-Analysis. Sports Med. 2019 Jan;49(1):95-108.
Blood Flow Restriction training is effective interventional approach to stimulate muscle hypertrophy and strength gains in older populations
Sports Health Journal (Jan/Feb 2019)
Good review of infections in athletes
BFR works! Use it!
Jastifer, J. R., McNitt, A. S., Mack, C. D., Kent, R. W., McCullough, K. A., Coughlin, M. J., & Anderson, R. B. (2019). Synthetic Turf: History, Design, Maintenance, and Athlete Safety. Sports Health, 11(1), 84–90.
Good review of synthetic turf
Clinical Journal of Sports Medicine (Jan 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.
Good review of a rare, likely underdiagnosed cause of chest wall pain
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.
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.