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
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
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
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?
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