November 2018 Primary Care Sports Medicine Journal Roundup
The American Journal of Sports Medicine (Nov 2018)
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)
122 patients with hip arthroscopy for FAI had significant improvements, mostly at 3 months but continued to improve for up to 2 years
PRP added to standard supraspinatus repair did not improve clinical or structural results at 60 months post op
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.
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.
MLB players experienced a high rate of return to play and previous level of play after UCLR..
Pitching performance initially decreased the first year after returning and then improved or reverted to previous levels after the first year from UCLR.
The health benefits of golf reviewed
Reviewing the significance of the Sports Biostatistician
For gluteal tendinopathy: education + exercise > corticosteroids > wait and see approach at 8 weeks.
No real surprise here but this is the kind of thing you can print and show patients
Sports Medicine (Nov 2018)
Biomarkers which decrease following intensive training: hemoglobin, hematocrit, RBC, lymphocytes, CD20+, CD4+, CD8+, glutamine and norepinephrine
Reduced performance associated with lower neutrophils, glutamine; increased urea
Increased performance associated with an increased testosterone: cortisol ratio
Advantage: Prolonged shared time between players is beneficial when it is spread evenly among all players of the team
Disadvantage: having few focal players who have been on a team together for many years
Sports Health Journal (Nov/ Dec 2018)
Not a surprise: RTP rate for athletes with multiligament knee injuries is significantly less than the RTP rate for athletes with isolated ACL tears
ACL/MCL does better than ACL/PCL or ACL/LCL
Helps with pain compared to neutral brace, neoprene sleeve
Variable results for functional outcomes, stiffness
Ankle sprain #1, patellar tendinitis #2
Singles skating: more overuse injuries
Acute injuries are more common in pairs skating, ice dancing, and synchronized skating
Lower > upper
Risk factors: age, BMI, history of back pain
Clinical Journal of Sports Medicine (Nov 2018)
Cooled saline lowers core body temp faster than room temperature saline
This effect was modified smaller, leaner athletes who cooled more quickly
TRest = recovery time between max ICP and return to baseline
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%)
External rotation active power is significant predictor of LE and could be included in LE injury screening protocols