October 31, 2018
October 2018 Journal Review Roundup

October 2018 Primary Care Sports Medicine Journal Roundup

American Journal of Sports Medicine (Oct 2018)

  • Neither graft choice (patellar tendon or hamstring tendon) superior for risk of developing OA

  • High rates of degenerative changes occur in the first 5 years after ACLR, patellofemoral cartilage defects

  • Patients with acute achilles tendon rupture undergoing operation within 48 hours after injury had better outcomes and a lower number of adverse events compared with patients undergoing operation after 72 hours

  • Smoking increased rate of healing failure after arthroscopic rotator cuff repair, however the authors failed to detect a difference in functional outcomes.

British Journal of Sports Medicine (October 2018 Issue 19, Issue 20)

Tips to Prevent Tennis Injuries
Pediatric ACL injuries
  • Moderate quality evidence supports the effectiveness of school-based physical activity interventions on improving CRF in children.

  • Numerous clinical tests for the elbow were described in literature, seldom accompanied with data on diagnostic accuracy.

  • None of the described tests can provide adequate certainty to rule in or rule out a disease based on sufficient diagnostic accuracy.

  • Clinical exam is reliable!

Pediatric ACL injuries
  • Helps with cardiovascular fitness, muscle strength, cancer-related fatigue, health-related quality of life and depression

  • Unfortunately, not very much in the way of help. Limited evidence for modifiable risk factors, most risk factors not modifiable. Limited evidence for injury prevention.

Sports Medicine (October 2018)

  • Studies tend to recommend a short active warm-up strategy (10–15 min), gradually increasing intensity (~ 50–90% of maximum heart rate), and the use of heated garments soon after the warm-up to maintain muscle temperature

  • When compared to prolonged sitting, regular activity breaks lowered postprandial glucose and insulin, but not triglyceride responses

Clinics in Sports Medicine (October 2018)

  • HA and PRP are safe but their efficacy is unclear