November 2018 Journal Review Roundup

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.

British Journal of Sports Medicine (Nov 2018)

  • 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