November 2018 Journal Review Roundup

November 2018 Primary Care Sports Medicine Journal Roundup

The American Journal of Sports Medicine (Nov 2018)

Begly, J. P., Buckley, P. S., et al. (2018). Femoroacetabular Impingement in Professional Basketball Players: Return to Play, Career Length, and Performance After Hip Arthroscopy. The American Journal of Sports Medicine, 46(13), 3090–3096.

  • 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)

Flores, S. E., Sheridan, J. R., et al. (2018). When Do Patients Improve After Hip Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis. The American Journal of Sports Medicine, 46(13), 3111–3118.

  • 122 patients with hip arthroscopy for FAI had significant improvements, mostly at 3 months but continued to improve for up to 2 years

Malavolta, E. A., Conforto Gracitelli, M. E., et al (2018). Clinical and Structural Evaluations of Rotator Cuff Repair With and Without Added Platelet-Rich Plasma at 5-Year Follow-up: A Prospective Randomized Study. The American Journal of Sports Medicine, 46(13), 3134–3141.

  • PRP added to standard supraspinatus repair did not improve clinical or structural results at 60 months post op

Zarkadis, N. J., Belmont, P. J., et al (2018). Autologous Chondrocyte Implantation and Tibial Tubercle Osteotomy for Patellofemoral Chondral Defects: Improved Pain Relief and Occupational Outcomes Among US Army Servicemembers. The American Journal of Sports Medicine, 46(13), 3198–3208.

  • 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.

Marshall, N. E., Keller, R. A., et al. (2018). Pitching Performance After Ulnar Collateral Ligament Reconstruction at a Single Institution in Major League Baseball Pitchers. The American Journal of Sports Medicine, 46(13), 3245–3253.

  • 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)

Murray AD, Archibald D, Murray IR, et al 2018 International Consensus Statement on Golf and Health to guide action by people, policymakers and the golf industry Br J Sports Med 2018;52:1426-14361.

  • The health benefits of golf reviewed

Casals M, Finch CF Sports Biostatistician: a critical member of all sports science and medicine teams for injury prevention Br J Sports Med 2018;52:1457-1461.

  • Reviewing the significance of the Sports Biostatistician

Mellor R, Bennell K, Grimaldi A, et al Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial Br J Sports Med 2018;52:1464-1472.

  • 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)

Greenham G, Buckley JD, et al. Biomarkers of Physiological Responses to Periods of Intensified, Non-Resistance-Based Exercise  Training in Well-Trained Male Athletes: A Systematic Review and Meta-Analysis. Sports Med. 2018 Nov;48(11):2517-2548.

  • 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

Jarvie D. Do Long-time Team-mates Lead to Better Team Performance? A Social Network Analysis of Data from Major League Baseball. Sports Med. 2018 Nov;48(11):2659-2669.

  • 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)

Bakshi NK, Khan M, et al. Return to Play After Multiligament Knee Injuries in National Football League Athletes. Sports Health. 2018 Nov/Dec;10(6):495-499.

  • 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

Gohal C, Shanmugaraj A, et al. Effectiveness of Valgus Offloading Knee Braces in the Treatment of Medial Compartment Knee Osteoarthritis: A Systematic Review. Sports Health. 2018 Nov/Dec;10(6):500-514.

  • Helps with pain compared to neutral brace, neoprene sleeve

  • Variable results for functional outcomes, stiffness

Han JS, Geminiani ET, Micheli LJ. Epidemiology of Figure Skating Injuries: A Review of the Literature. Sports Health. 2018 Nov/Dec;10(6):532-537.

  • 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

Smith, J. A., Hawkins, A., et al. Risk Factors Associated With Low Back Pain in Golfers: A Systematic Review and Meta-analysis. Sports Health, 2018 Nov/Dec; 10(6), 538–546.

  • Risk factors: age, BMI, history of back pain

Clinical Journal of Sports Medicine (Nov 2018)

Morrison KE, Desai N, et al. Effects of Intravenous Cold Saline on Hyperthermic Athletes Representative of Large Football Players and Small Endurance Runners. Clin J Sport Med. 2018 Nov;28(6):493-499.

  • Cooled saline lowers core body temp faster than room temperature saline

  • This effect was modified smaller, leaner athletes who cooled more quickly

Barrera-Ochoa S, Correa-Vazquez E, et al. TRest as a New Diagnostic Variable for  Chronic Exertional Compartment Syndrome of the Forearm: A Prospective Cohort Analysis of 124 Athletes. Clin J Sport Med. 2018 Nov;28(6):516-523.

  • 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%)

Verrelst R, Van Tiggelen D, et al. Decreased Average Power of the Hip External Muscles as a Predictive Parameter for Lower Extremity Injury  in Women: A Prospective Study. Clin J Sport Med. 2018 Nov;28(6):533-537.

  • External rotation active power is significant predictor of LE and could be included in LE injury screening protocols