October 2018 Primary Care Sports Medicine Journal Roundup
American Journal of Sports Medicine (Oct 2018)
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Neither graft choice (patellar tendon or hamstring tendon) superior for risk of developing OA
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High rates of degenerative changes occur in the first 5 years after ACLR, patellofemoral cartilage defects
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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
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Smoking increased rate of healing failure after arthroscopic rotator cuff repair, however the authors failed to detect a difference in functional outcomes.


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Moderate quality evidence supports the effectiveness of school-based physical activity interventions on improving CRF in children.
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Numerous clinical tests for the elbow were described in literature, seldom accompanied with data on diagnostic accuracy.
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None of the described tests can provide adequate certainty to rule in or rule out a disease based on sufficient diagnostic accuracy.
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Clinical exam is reliable!

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Helps with cardiovascular fitness, muscle strength, cancer-related fatigue, health-related quality of life and depression
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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)
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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
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When compared to prolonged sitting, regular activity breaks lowered postprandial glucose and insulin, but not triglyceride responses
Clinics in Sports Medicine (October 2018)
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HA and PRP are safe but their efficacy is unclear