April 4, 2019
March 2019 Journal Review Roundup

March 2019 Primary Care Sports Medicine Journal Roundup

The American Journal of Sports Medicine (March 2019)

  • 84% of patients expected to be able to return to their preinjury level of sport.

  • At 12 months after surgery, 24% of patients who expected to return to their preinjury level of sport had actually returned, and 15% of all patients had already decided to give up sport.

  • Arthroscopy in patients with OA remains controversial

  • This small study suggests those with less intra-articular damage on MRI may have greater improvement in pain with arthroscopic partial meniscectomy and PT than with PT alone

  • Among physically active patients with chronic lateral ligament instability, primary repair combined with ligament augmentation reconstruction system (LARS) results in better total FAOS at 5-year follow-up and higher Tegner activity scores as compared with the modified Broström-Gould (MBG) procedure.

  • Some simvastatin with your PRP?

  • The combination of simvastatin with PRP may be a good clinical treatment for wounded tendon/ligament junction healing, especially for acute sports-related tendon/ligament injuries

  • The current evidence indicates that the use of PRP in rotator cuff repair results in improved healing rates, pain levels, and functional outcomes.

  • In contrast, PRF has been shown to have no benefit in improving tendon healing rates or functional outcomes.

British Journal of Sports Medicine (March Volume 5, March Volume 6)

  • Strong to moderate evidence indicated that age, height, weight, body mass index (BMI), body fat and Q angle were not risk factors for future PFP

  • Quadriceps weakness in military recruits and higher hip strength in adolescents were risk factors for PFP

  • Lower extremity injury prevention programmes in team sports are effective in preventing lower extremity, knee, ACL and ankle injuries.

Sports Medicine (March 2019)

  • Patients following coronary interventions can start an exercise training programme between 2 and 4 weeks post-percutaneous transluminal coronary angiography (PTCA) and/or percutaneous coronary intervention (PCI; angioplasty)

  • Bone bruise location patterns indicate that tibial anterior translation relative to the femur was a primary injury mechanism in the majority of ACL injuries selected in this review

  • Recommendations provided by institutional guidelines appear to be insufficient to support adequate resistance training prescription in the context of cardiovascular disease.

  • Need more research

Sports Health Journal (March/ April 2019)

  • This systematic review found a high rate of return to any as well as preinjury level of sport after ankle syndesmotic injury in both operative and nonoperative treatment groups.

  • Physical activity after MAT appears possible, especially for low-impact sports.

  • However, because of the limited number of studies, their low quality, and the short-term follow-up, the participation recommendation for high-impact and strenuous activities should be considered with caution until high-quality evidence of long-term safety becomes available

  • Pectoralis major tendon repair is an effective treatment that results in a high rate of return to sport and work, pain relief, and improved cosmetic appearance, albeit with a significant rate of complication

  • Low-load BFR training led to a greater increase in muscle strength and limb circumference. BFR training had similar strengthening effects on both proximal and distal muscle groups.