September 2018 Journal Review Roundup

September 2018 Primary Care Sports Medicine Journal Roundup

American Journal of Sports Medicine (Sept 2018)

Ishøi L, Thorborg K, et al. Return to Sport and Performance After Hip Arthroscopy for Femoroacetabular Impingement in 18- to 30-Year-Old Athletes: A Cross-sectional Cohort Study of 189 Athletes. Am J Sports Med. 2018 Sep;46(11):2578-2587.

  • 108/189 (57%) of athletes returned to playing preinjury sport at preinjury level after arthroscopy for FAI

  • Lower than previously thought rate of 87%

Frangiamore SJ, Mannava S, et al. Career Length  and Performance Among Professional Baseball Players Returning to Play After Hip Arthroscopy. Am J Sports Med. 2018 Sep;46(11):2588-2593.

  • In contrast to the above study, 95% of professional baseball players returned to sport after hip arthroscopy for FAI

Maldonado DR, Krych AJ, et al. Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip Arthroscopy? A Multicenter Comparative Study. Am J Sports Med. 2018 Sep;46(11):2624-2631.

  • 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.

Wu IT, Hevesi M, et al. Comparative Outcomes of Radial and Bucket-Handle Meniscal Tear Repair: A Propensity-Matched Analysis. Am J Sports Med. 2018 Sep;46(11):2653-2660.

  • 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

Kim YS, Koh YG. Comparative Matched-Pair Analysis of Open-Wedge High Tibial Osteotomy With Versus Without an Injection of Adipose-Derived Mesenchymal Stem Cells for Varus Knee Osteoarthritis: Clinical and Second-Look Arthroscopic Results. Am J Sports Med. 2018 Sep;46(11):2669-2677.

  • “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.”

Willinger L, Lacheta L, et al. Clinical Outcomes, Tendon Integrity, and Shoulder Strength After Revision Rotator Cuff Reconstruction: A Minimum 2 Years’ Follow-up. Am J Sports Med. 2018 Sep;46(11):2700-2706.

  • 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.

Nagelli C, Wordeman S, et al. Biomechanical Deficits at the Hip in Athletes With ACL Reconstruction Are Ameliorated With Neuromuscular Training. Am J Sports Med. 2018 Sep;46(11):2772-2779.

  • Neuromuscular training program targeting hip biomechanics showed improved ACL injury risk in athletes who had undergone a primary ACL reconstruction.

Bodendorfer BM, Curley AJ, et al. Outcomes After Operative and Nonoperative Treatment of Proximal Hamstring Avulsions: A Systematic Review and Meta-analysis. Am J Sports Med. 2018 Sep;46(11):2798-2808.

  • Proximal hamstring avulsion repair resulted in superior outcomes as compared with nonoperative treatment, although the complication rate was 23.17%.

British Journal of Sports Medicine (Issue 17, Issue 18)

Exercise and pregnancy in recreational and elite athletes: 2016/2017 evidence summary from the IOC expert group meeting, Lausanne. Part 5. Recommendations for health professionals and active women.

Hollander K, Wellmann K, Eulenburg CZ, et al Epidemiology of injuries in outdoor and indoor hockey players over one season: a prospective cohort study Br J Sports Med 2018;52:1091-1096

  • 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.

Bengtsson H, Ekstrand J, Waldén M, et al Muscle injury rate in professional football is higher in matches played within 5 days since the previous match: a 14-year prospective study with more than 130 000 match observations Br J Sports Med 2018;52:1116-1122.

  • Muscle injury rates during matches were lower when players were given at least 6 days between their match exposures

Infographic for physical activity

Courtesy of BMJ

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)

Rubeor A, Goojha C, et al. Does Iron Supplementation Improve Performance in Iron-Deficient Nonanemic Athletes? Sports Health. 2018 Sep/Oct;10(5):400-405.

  • “The evidence is equivocal as to whether iron supplementation in iron-deficiency nonanemic athletics improves athletic performance”

Frank RM, Ukwuani G, et al. High Rate of Return to Yoga for Athletes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Sports Health. 2018 Sep/Oct;10(5):434-440.

  • “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)

McGrath RP, Kraemer WJ, Snih SA, Peterson MD. Handgrip Strength and Health in  Aging Adults. Sports Med. 2018 Sep;48(9):1993-2000.

  • Summary of evidence for using hand grip strength as a health marker

Areta JL, Hopkins WG. Skeletal Muscle Glycogen Content at Rest and During Endurance Exercise in Humans: A Meta-Analysis. Sports Med. 2018 Jun 19. Doi: 10.1007/s40279-018-0941-1.

Obst SJ, Heales LJ, et al. Are the Mechanical or Material Properties of the Achilles and Patellar Tendons Altered in Tendinopathy? A Systematic Review with Meta-analysis. Sports Med. 2018 Sep;48(9):2179-2198.

  • 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)

Harle CA, Danielson EC, et al. Analgesic Management of Pain in Elite Athletes: A Systematic Review. Clin J Sport Med. 2018 Sep;28(5):417-426.

  • Insufficient evidence to guide decision making, need consensus strategy

  • Continue NSAID use

Sebak S, Orchard JW, et al. Long-Term Safety of Using Local Anesthetic Injections in Professional Rugby League for Modified Indications. Clin J Sport Med. 2018 Sep;28(5):435-442.

  • “This study affirmed the long-term safety of injections in most cases.”

Moseley GL, Baranoff J, et al. Nonpharmacological Management of Persistent Pain in Elite Athletes: Rationale and Recommendations. Clin J Sport Med. 2018 Sep;28(5):472-479.