October 2018 Journal Review Roundup

October 2018 Primary Care Sports Medicine Journal Roundup

American Journal of Sports Medicine (Oct 2018)

Lecoq FA, Parienti JJ, et al; Société Française de Chirurgie Orthopédique et de Traumatologie (SoFCOT). Graft Choice and the Incidence of Osteoarthritis After Anterior Cruciate Ligament Reconstruction: A Causal Analysis From a Cohort of 541 Patients. Am J Sports Med. 2018 Oct;46(12):2842-2850.

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

Patterson BE, Culvenor AG, et al. Worsening Knee Osteoarthritis Features on Magnetic
Resonance Imaging 1 to 5 Years After Anterior Cruciate Ligament Reconstruction. Am J Sports Med. 2018 Oct;46(12):2873-2883.

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

Svedman S, Juthberg R, et al. Reduced Time to Surgery Improves Patient-Reported Outcome After Achilles Tendon Rupture. Am J Sports Med. 2018 Oct;46(12):2929-2934.

  • 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

Park JH, Oh KS, et al. Effect of Smoking on Healing Failure After Rotator Cuff Repair. Am J Sports Med. 2018 Oct;46(12):2960-2968.

  • 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

Pozuelo-Carrascosa DP, García-Hermoso A, Álvarez-Bueno C, et al Effectiveness of school-based physical activity programmes on cardiorespiratory fitness in children: a meta-analysis of randomised controlled trials Br J Sports Med 2018;52:1234-1240.

  • Moderate quality evidence supports the effectiveness of school-based physical activity interventions on improving CRF in children.

Zwerus EL, Somford MP, Maissan F, et al Physical examination of the elbow, what is the evidence? A systematic literature review Br J Sports Med 2018;52:1253-1260.

  • 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.

Winters M, Bakker EWP, Moen MH, et al Medial tibial stress syndrome can be diagnosed reliably using history and physical examination Br J Sports Med 2018;52:1267-1272.

  • Clinical exam is reliable!

Pediatric ACL injuries

Delahunt E, Bleakley CM, Bossard DS, et al Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium Br J Sports Med 2018;52:1304-1310.

Fuller JT, Hartland MC, Maloney LT, et al Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analyses of clinical trials Br J Sports Med 2018;52:1311.

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

Asker M, Brooke HL, Waldén M, et al Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis Br J Sports Med 2018;52:1312-1319.

  • 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)

Silva LM, Neiva HP, et al. Effects of Warm-Up, Post-Warm-Up, and Re-Warm-Up Strategies on Explosive Efforts in Team Sports: A Systematic Review. Sports Med. 2018 Oct;48(10):2285-2299.

  • 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

Saunders TJ, Atkinson HF, et al. The Acute Metabolic and Vascular Impact of Interrupting Prolonged Sitting: A Systematic Review and Meta-Analysis. Sports Med. 2018 Oct;48(10):2347-2366.

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

Clinics in Sports Medicine (October 2018)

Jong BY, Goel DP. Biologic Options for Glenohumeral Arthritis. Clin Sports Med. 2018 Oct;37(4):537-548.

  • HA and PRP are safe but their efficacy is unclear