September 2018 Primary Care Sports Medicine Journal Roundup
American Journal of Sports Medicine (Sept 2018)
108/189 (57%) of athletes returned to playing preinjury sport at preinjury level after arthroscopy for FAI
Lower than previously thought rate of 87%
In contrast to the above study, 95% of professional baseball players returned to sport after hip arthroscopy for FAI
Compared to controls, iliopsoas fractional lengthening in patients with painful internal snapping hip syndrome along with arthroscopy and labral repair had improvements in patient reported outcomes at 2 years.
Full thickness radial meniscus tears have historically been treated with partial meniscectomy
This study compared radial meniscus repairs to bucket handle meniscal repairs which performed similarly at 3.5 years for VAS and IKDC scores
“The group that received an mesenchymal stem cell injection scored better on the IKDC and Lysholm scales at final follow-up than the group that did not, although these differences were relatively small.”
Revision of primary rotator cuff reconstruction after retear improved clinical outcomes and shoulder function, including VAS, CS, ASES, DASH scores at 50 months of follow up.
Neuromuscular training program targeting hip biomechanics showed improved ACL injury risk in athletes who had undergone a primary ACL reconstruction.
Proximal hamstring avulsion repair resulted in superior outcomes as compared with nonoperative treatment, although the complication rate was 23.17%.
Overall incidence rate 3.7 injuries/ 1000 player hours
Most injuries affected the lower limb (thigh, knee and ankle) and occurred without contact (58.3%).
Severe injuries (n=34; 31.5%) were predominantly located at the knee and hand/finger.
Muscle injury rates during matches were lower when players were given at least 6 days between their match exposures
Collins NJ, Barton CJ, van Middelkoop M, et al 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017 Br J Sports Med 2018;52:1170-1178.
Sports Health Journal (Sept/Oct 2018)
“The evidence is equivocal as to whether iron supplementation in iron-deficiency nonanemic athletics improves athletic performance”
“Patients participating in yoga return to yoga 93% of the time and at a mean 5.3 ± 2.2 months after hip arthroscopy for FAIS.”=
Sports Medicine (September 2018)
Summary of evidence for using hand grip strength as a health marker
Achilles tendon-aponeurosis are altered in tendinopathy
Patellar tendinopathy does not appear to alter the tensile behaviour of the patellar tendon
Clinical Journal of Sports Medicine (Sept 2018)
Insufficient evidence to guide decision making, need consensus strategy
Continue NSAID use
“This study affirmed the long-term safety of injections in most cases.”