November 2018 Primary Care Sports Medicine Journal Roundup
The American Journal of Sports Medicine (Nov 2018)
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18/18 professional basketball players with FAI repair returned to play with an average of 7 months. They all returned to competitive play with no decline in PER (player efficiency rating)
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122 patients with hip arthroscopy for FAI had significant improvements, mostly at 3 months but continued to improve for up to 2 years
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PRP added to standard supraspinatus repair did not improve clinical or structural results at 60 months post op
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For patellofemoral chondral defects without a failed primary procedure, second-generation ACI successfully returned to work 78% of patients of moderate to very heavy occupational demand with significantly decreased patient-reported knee pain.
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Risk factors after ACI for patellofemoral articular lesions for overall failure were age <30 years, female sex, and tobacco use, while surgical and overall failures were associated with periosteal patch use.
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MLB players experienced a high rate of return to play and previous level of play after UCLR..
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Pitching performance initially decreased the first year after returning and then improved or reverted to previous levels after the first year from UCLR.
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The health benefits of golf reviewed
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Reviewing the significance of the Sports Biostatistician
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For gluteal tendinopathy: education + exercise > corticosteroids > wait and see approach at 8 weeks.
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No real surprise here but this is the kind of thing you can print and show patients
Sports Medicine (Nov 2018)
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Biomarkers which decrease following intensive training: hemoglobin, hematocrit, RBC, lymphocytes, CD20+, CD4+, CD8+, glutamine and norepinephrine
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Reduced performance associated with lower neutrophils, glutamine; increased urea
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Increased performance associated with an increased testosterone: cortisol ratio
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Advantage: Prolonged shared time between players is beneficial when it is spread evenly among all players of the team
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Disadvantage: having few focal players who have been on a team together for many years
Sports Health Journal (Nov/ Dec 2018)
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Not a surprise: RTP rate for athletes with multiligament knee injuries is significantly less than the RTP rate for athletes with isolated ACL tears
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ACL/MCL does better than ACL/PCL or ACL/LCL
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Helps with pain compared to neutral brace, neoprene sleeve
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Variable results for functional outcomes, stiffness
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Ankle sprain #1, patellar tendinitis #2
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Singles skating: more overuse injuries
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Acute injuries are more common in pairs skating, ice dancing, and synchronized skating
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Lower > upper
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Risk factors: age, BMI, history of back pain
Clinical Journal of Sports Medicine (Nov 2018)
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Cooled saline lowers core body temp faster than room temperature saline
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This effect was modified smaller, leaner athletes who cooled more quickly
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TRest = recovery time between max ICP and return to baseline
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TRest was superior (SN 100%, SP 94.7%, PPV 99.3%, and NPV 100%) to standard ICP measurements (SN 73.5%, SP 84.2%, PPD 97%, and NPV 31.4%)
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External rotation active power is significant predictor of LE and could be included in LE injury screening protocols