September 2018 Primary Care Sports Medicine Journal Roundup
American Journal of Sports Medicine (Sept 2018)
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108/189 (57%) of athletes returned to playing preinjury sport at preinjury level after arthroscopy for FAI
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Lower than previously thought rate of 87%
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In contrast to the above study, 95% of professional baseball players returned to sport after hip arthroscopy for FAI
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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.
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Full thickness radial meniscus tears have historically been treated with partial meniscectomy
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This study compared radial meniscus repairs to bucket handle meniscal repairs which performed similarly at 3.5 years for VAS and IKDC scores
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“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.”
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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.
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Neuromuscular training program targeting hip biomechanics showed improved ACL injury risk in athletes who had undergone a primary ACL reconstruction.
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Proximal hamstring avulsion repair resulted in superior outcomes as compared with nonoperative treatment, although the complication rate was 23.17%.
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Overall incidence rate 3.7 injuries/ 1000 player hours
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Most injuries affected the lower limb (thigh, knee and ankle) and occurred without contact (58.3%).
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Severe injuries (n=34; 31.5%) were predominantly located at the knee and hand/finger.
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Muscle injury rates during matches were lower when players were given at least 6 days between their match exposures

Sports Health Journal (Sept/Oct 2018)
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“The evidence is equivocal as to whether iron supplementation in iron-deficiency nonanemic athletics improves athletic performance”
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“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)
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Summary of evidence for using hand grip strength as a health marker
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Achilles tendon-aponeurosis are altered in tendinopathy
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Patellar tendinopathy does not appear to alter the tensile behaviour of the patellar tendon
Clinical Journal of Sports Medicine (Sept 2018)
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Insufficient evidence to guide decision making, need consensus strategy
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Continue NSAID use
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“This study affirmed the long-term safety of injections in most cases.”