January 2, 2019
December 2018 Journal Review Roundup

December 2018 Primary Care Sports Medicine Journal Roundup

The American Journal of Sports Medicine (Dec 2018)

  • 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

  • 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

  • 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

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

  • 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.

British Journal of Sports Medicine (Dec 2018)

  • Can GLA:D change how we manage nonoperative OA?

Top social media tips for sports and exercise medicine practioners
  • Increasing strength training volume and intensity were associated with sports injury risk reduction.

  • 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

  • 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)

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

  • 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

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

  • 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