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.
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!
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