Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology最新文献

{"title":"Comparison between the effect of immersive virtual reality training versus conventional rehabilitation on limb loading and functional outcomes in patients after anterior cruciate ligament reconstruction: A prospective randomized controlled trial","authors":"Muhindra Rao Gsangaya ,&nbsp;Ohnmar Htwe ,&nbsp;Amaramalar Selvi Naicker ,&nbsp;Badrul Akmal Hisham Md Yusoff ,&nbsp;Norlelawati Mohammad ,&nbsp;Elaine Zi Fan Soh ,&nbsp;Murugeaswaran Silvaraju","doi":"10.1016/j.asmart.2023.09.002","DOIUrl":"10.1016/j.asmart.2023.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Anterior cruciate ligament injury (ACL) commonly occurs during sporting events. It causes pain, instability and reduction in range of movement of the knee which results in altered balance, reduced strength as well as loading to the involved knee. The challenge to get the patient back to competitive sports level much depends on the rehabilitation process. Post ACLR rehabilitation is challenging due to the long rehabilitation time as well as boring repetitive exercises. The aim of this study is to compare between the effectiveness of using immersive virtual reality (PlayStation VR) in addition to the conventional rehabilitation as an aid in rehabilitation of patients after ACLR in terms of objective functional assessment and pain and subjective knee function scoring.</p></div><div><h3>Methods</h3><p>This randomised controlled trial was undertaken in a tertiary hospital in Malaysia from July 2019 until July 2020. Thirty patients were randomised into a group undergoing purely conventional rehabilitation (Group 1) and a group undergoing both conventional rehabilitation and immersive virtual reality assisted rehabilitation (Group 2). The immersive virtual reality assisted rehabilitation was started at 3 months post operatively for 3 months duration. Limb loading, balance, range of motion, functional hop tests of the knee, pain and subjective scoring of the knee with the International Knee Documentation Committee (IKDC) Scores were measured preoperatively and at 6 months.</p></div><div><h3>Results</h3><p>There were significant differences in terms of improvement of pain scores (p = 0.012) as well as IKDC Scores (p = 0.024) in Group 2 as compared to Group 1. However, there were no significant differences with regards to limb loading, balance, range of motion and functional hop tests of the knee (p &gt; 0.05). No adverse events were observed during the study period.</p></div><div><h3>Conclusion</h3><p>Immersive virtual reality can be used as an adjunct in rehabilitation of patients after ACL reconstruction in terms of improving their pain as well as their subjective knee evaluation. Large randomised control trial is recommended to further investigate the efficacy.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"34 ","pages":"Pages 28-37"},"PeriodicalIF":2.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/bf/main.PMC10570631.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes after repair of an isolated radial tear in the middle segment of the lateral meniscus - All-inside suture repair vs trans-capsular suture repair –","authors":"Ryohei Uchida ,&nbsp;Shuji Horibe ,&nbsp;Yoshinari Tanaka ,&nbsp;Akira Tsujii ,&nbsp;Yuta Tachibana ,&nbsp;Kazutaka Kinugasa ,&nbsp;Konsei Shino","doi":"10.1016/j.asmart.2023.08.002","DOIUrl":"10.1016/j.asmart.2023.08.002","url":null,"abstract":"<div><h3><strong>Background/objective</strong></h3><p>For radial tears, all-inside suture (AIS) repair was clearly biomechanically superior, compared to conventional trans-capsular suture (TCS) repairs. However, clinical comparative studies of these two repairs techniques have not to be performed. Therefore, the aim of this study was to compare the clinical outcomes after AIS repair and TCS repairs for isolated radial tear at middle segment of lateral meniscus (RTMLM) in stable knees of young athletes.</p></div><div><h3><strong>Methods</strong></h3><p>Twenty-six athletes (mean age, 19.1 years) underwent AIS repair with the double horizontal suture technique, using SutureLasso™ (Arthrex, Naples, FL) for isolated RTMLM (AIS group), and 20 athletes (mean age, 19.0 years) underwent inside-out repair, one of TCS repairs, with tie-grip suture technique (TCS group). All athletes were assessed for preoperative and two-year postoperative Knee injury and Osteoarthritis Outcome Score (KOOS). At six-month after repair, the lateral meniscal extrusion on mid-coronal plane on MRI and healing status on second-look arthroscopy were also evaluated in all patients.</p></div><div><h3><strong>Results</strong></h3><p>In both groups, KOOS improved to either good or excellent postoperatively, while complete healing was found in only 23 and 25% at second-look arthroscopy. We identified no group-dependent differences in KOOS or healing status on arthroscopy. However, a close examination of failure rates revealed significant lower rates in AIS group relative to that of TCS group (p = 0.048). Moreover, the change from preoperative to postoperative lateral meniscal extrusion in AIS group was significantly smaller than that in TCS group (p = 0.038).</p></div><div><h3><strong>Conclusions</strong></h3><p>AIS and TCS repairs for RTMLM were comparable in providing satisfactory clinical results with low rates of complete healing on arthroscopy. However, AIS repair could have lower failure rate of healing on arthroscopy and minimize postoperative lateral meniscal extrusion more effectively than TCS repair on MRI.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 25-31"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/bf/main.PMC10480070.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior circumflex humeral artery pathological lesions with digital ischemia in an elite volleyball player: A case report and literature review","authors":"Tomofumi Nishino ,&nbsp;Daigo Hiraya ,&nbsp;Yuki Yamamoto ,&nbsp;Tomomi Suzu ,&nbsp;Yusuke Nishida ,&nbsp;Masashi Yamazaki","doi":"10.1016/j.asmart.2023.08.005","DOIUrl":"10.1016/j.asmart.2023.08.005","url":null,"abstract":"<div><p>The posterior circumflex humeral artery, a branch of the axillary artery, is compressed by the humeral head during repeated abduction and external rotation of the shoulder joint owing to its anatomical structure. This damages the vascular endothelium, resulting in thrombi, arterial dissection, and aneurysms, a condition known as posterior, circumflex humeral artery pathological lesions. A thrombus may form at the site and becomes a peripheral embolus, resulting in peripheral arterial occlusion.A 21-year-old right-handed elite man college volleyball player noticed coldness and pain in his right hand during a game. Cyanosis was present except in the middle finger, and the beating radial artery was palpable; however, the ulnar artery was not. Doppler ultrasound examination revealed thrombus occlusion of the ulnar artery and common palmar artery of the index finger. Peripheral arterial occlusion was diagnosed due to embolization of a thrombus from this site. The patient stopped practicing volleyball immediately after the onset of symptoms and was started on cilostazol 200 mg and rivaroxaban 15 mg. Subjective coldness of the fingers improved one week after the start of treatment. The patient resumed practice four weeks after the start of treatment and participated in a game by the seventh week.Posterior circumflex humeral artery pathological lesions are caused by overhead motions such as pitching. They are most commonly reported in athletes playing volleyball, although rare, and many cases of aneurysm formation have been reported.Observing a cold sensation in the periphery after practice is necessary for screening.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 1-5"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/8c/main.PMC10458282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10107394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships of cross-sectional area of the thigh muscles before or after total knee arthroplasty with postoperative pain or patient satisfaction: A retrospective, exploratory study","authors":"Yoshihiro Akatsuka ,&nbsp;Atsushi Teramoto ,&nbsp;Hiroyuki Takashima ,&nbsp;Yohei Okada ,&nbsp;Kota Watanabe ,&nbsp;Toshihiko Yamashita","doi":"10.1016/j.asmart.2023.08.006","DOIUrl":"10.1016/j.asmart.2023.08.006","url":null,"abstract":"<div><h3>Background</h3><p>It has been suggested that lower limb strength related to persistent postsurgical pain. The aim of the present study was to investigate the relationships of pre-operative or postoperative cross-sectional area (CSA) of the thigh muscles with knee pain or patient satisfaction after total knee arthroplasty (TKA).</p></div><div><h3>Methods</h3><p>Twenty patients who had undergone TKA (3 men and 17 women; mean age 75.2 ± 8.7 years) were included. CSAs of the thigh muscle (THIGH) and quadriceps muscle (QUAD) were retrospectively measured at the CT slice 10-cm superior to the quadriceps tendon insertion at the proximal pole of the patella. THIGH CSA and QUAD CSA to body weight ratios (mm²/kg), THIGH/W and QUAD/W ratios, respectively, were calculated. Knee pain and patient satisfaction postoperatively were also quantified by patient-reported measurements based on the 2011 Knee Society Score (KSS). The correlations between the THIGH/W and QUAD/W ratios and the KSS were evaluated using Spearman's rank correlation coefficient.</p></div><div><h3>Results</h3><p>The preoperative THIGH/W ratio was positively correlated with KSS-pain, (r = 0.58, p &lt; 0.05). The preoperative QUAD/W ratio was positively correlated with KSS-pain (r = 0.52, p &lt; 0.05) and KSS-satisfaction (r = 0.44, p &lt; 0.05). The postoperative THIGH/W ratio was positively correlated with KSS-pain (r = 0.45, p &lt; 0.05). The postoperative QUAD/W ratio was positively correlated with KSS-pain (r = 0.49, p &lt; 0.05) and KSS-satisfaction (r = 0.48, p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>There were significant correlations between quadriceps or thigh muscle CSA and pain or patient satisfaction after TKA. This research may help relieve pain and increase patient satisfaction after TKA in the future.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 20-24"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/90/main.PMC10481152.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of anterior cruciate ligament injury patterns in Japanese judo players from a nationwide insurance database","authors":"Eiji Sasaki ,&nbsp;Takeshi Kamitani ,&nbsp;Shotaro Kinouchi ,&nbsp;Nobuhiro Kamiya ,&nbsp;Akira Ikumi ,&nbsp;Tomohiko Tateishi ,&nbsp;Seiji Miyazaki ,&nbsp;Yasuyuki Ishibashi ,&nbsp;Shinji Nagahiro","doi":"10.1016/j.asmart.2023.08.011","DOIUrl":"10.1016/j.asmart.2023.08.011","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to characterize the age- and sex-specific Anterior cruciate ligament (ACL) injury rates and related injury patterns in judo players in Japan using the nationwide insurance database.</p></div><div><h3>Methods</h3><p>This was a descriptive epidemiological study. We examined a total of 2142 adolescents with anterior cruciate ligament injuries registered in the insurance system of the Japan Sports Council between January 2009 and December 2018. The age- and sex-specific incidences were estimated for the levels of 7th, 8th, and 9th grades of junior high school and 10th, 11th, and 12th grades of high school. The anterior cruciate ligament injury circumstances were classified into three patterns based on the impact to the involved knee: high-impact valgus force, low-impact trunk displacement, or no-impact knee twisting.</p></div><div><h3>Results</h3><p>The incidence of anterior cruciate ligament injury from the 7th to 12th grades were 0.5, 0.9, 0.9, 6.9, 8.6, and 6.1 per 1000 athlete-years in male players and 1.3, 3.8, 3.4, 16.8, 19.5, and 13.6 per 1000 athlete-years in female players. The most prevalent injury pattern was a low-impact contact injury (42.6%) with Osoto-gari, followed by a high-impact contact injury (29.8%). The concomitant medial collateral ligament (MCL) injury rate was 18.1%, which was correlated with a high-impact contact injury (<em>p</em> = 0.005) by multiple regression analysis.</p></div><div><h3>Conclusions</h3><p>The highest incidence of age- and sex-specific anterior cruciate ligament injury was 19.5 per 1000 athlete-years in female high school students in the 11th grade. The most frequent injury pattern was low-impact contact injury with trunk displacement, indicating that trunk stabilization training could help prevent anterior cruciate ligament injury in judo.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 6-12"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/07/main.PMC10470359.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tranexamic acid has no effect on postoperative pain control after arthroscopic rotator cuff repair: A prospective, double-blind, randomized controlled trial","authors":"Ryosuke Takahashi ,&nbsp;Yukihiro Kajita ,&nbsp;Yusuke Iwahori ,&nbsp;Yohei Harada","doi":"10.1016/j.asmart.2023.08.003","DOIUrl":"10.1016/j.asmart.2023.08.003","url":null,"abstract":"<div><h3>Background</h3><p>The purpose of this study was to compare the efficacies of tranexamic acid (TXA) versus placebo after arthroscopic rotator cuff repair (ARCR).</p></div><div><h3>Methods</h3><p>This prospective, double-blind, and randomized study was conducted in 70 patients who underwent ARCR from 2021 to 2022 at our hospital. Thirty-four shoulders were randomly assigned to the TXA group, and 36 to the control group; TXA (10 mL) and normal saline (10 mL) were administered locally after surgery and in the control group, respectively. We evaluated visual analog scale pain scores at rest, during activity, and at night and the circumference and diameter of the shoulder joint in both groups preoperatively and at 1, 2, and 3 days, and 1 week after the surgery. We compared and analyzed the results between the groups. Statistical significance was set at a p-value of &lt;0.05.</p></div><div><h3>Results</h3><p>There was no significant difference in the visual analog scale scores at rest, during activity, and at night between the groups (p &gt; 0.05). The circumference and diameter of the shoulder joint were not also significantly different between both groups (p &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>Local TXA administration in patients who undergo ARCR does not significantly impact postoperative pain levels and the circumference and diameter of the shoulder joint.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 32-35"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10571204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toe-out gait inhibits medial meniscus extrusion associated with the second peak of knee adduction moment during gait in patients with knee osteoarthritis","authors":"Takato Hashizume ,&nbsp;Yosuke Ishii ,&nbsp;Masakazu Ishikawa ,&nbsp;Yuko Nakashima ,&nbsp;Goki Kamei ,&nbsp;Yoshitaka Iwamoto ,&nbsp;Saeko Okamoto ,&nbsp;Kaoru Okada ,&nbsp;Kazuya Takagi ,&nbsp;Makoto Takahashi ,&nbsp;Nobuo Adachi","doi":"10.1016/j.asmart.2023.08.001","DOIUrl":"10.1016/j.asmart.2023.08.001","url":null,"abstract":"<div><h3>Background</h3><p>A medial meniscus extrusion (MME) gradually expands during activities of daily living according to the mechanical stress on the medial compartment of the knee. Increase in MME occurs during the stance phase of the gait cycle, which is key for its expand. The knee adduction moment (KAM) represents the mechanical stress on the medial compartment; however, the relationship between the increase in MME and KAM is still unknown. Therefore, the present study aimed to investigate the relationship between MME during gait and KAM.</p></div><div><h3>Methods</h3><p>Twenty-one patients with medial knee osteoarthritis and 11 healthy middle-aged adults were recruited. Three-dimensional motion analysis system and ultrasonography were used to measure the KAM and MME in the stance phase. The increase in MME was identified as the difference in MME between the maximum and minimum (ΔMME). Patients with knee osteoarthritis performed two conditions as normal and toe-out gait. The difference in KAM and ΔMME between conditions were evaluated.</p></div><div><h3>Results</h3><p>ΔMME was correlated with the KAM second peak in normal gait of knee osteoarthritis patients (r = 0.51, p &lt; 0.05). Toe-out gait reduced the KAM second peak and the ΔMME, and these reductions were correlated (r = 0.50, p &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Toe-out gait immediately inhibited the expansion of MME associated with the KAM second peak.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"33 ","pages":"Pages 13-19"},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/14/main.PMC10474330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of the newly developed Zimmer Biomet Root Aiming guide in tibial tunnel creation compared with that of conventional guides","authors":"Takaaki Hiranaka ,&nbsp;Takayuki Furumatsu ,&nbsp;Yuki Okazaki ,&nbsp;Keisuke Kintaka ,&nbsp;Naohiro Higashihara ,&nbsp;Masanori Tamura ,&nbsp;Eiji Nakata ,&nbsp;Toshifumi Ozaki","doi":"10.1016/j.asmart.2023.03.001","DOIUrl":"10.1016/j.asmart.2023.03.001","url":null,"abstract":"<div><h3>Background/objective</h3><p>Accurate tibial tunnel creation is crucial for successful transtibial pullout repair of medial meniscus (MM) posterior root tears (MMPRTs). This study aimed to evaluate the accuracy of the newly developed Zimmer Biomet Root Aiming (ZeBRA) guide for transtibial pullout repair of MMPRTs.</p></div><div><h3>Methods</h3><p>This study included 50 patients who underwent transtibial pullout repair using the Unicorn Meniscal Root (UMR) (n = 25) and ZeBRA (n = 25) guides. The expected anatomic centre (AC) and tibial tunnel centre (TC) were assessed using three-dimensional postoperative computed tomography (CT) images. The expected AC was defined as the centre of the circle tangent to the triangular footprint of the MM posterior root. The expected AC and TC on the tibial surface were assessed using the percentage-based posterolateral location on the tibial surface. The absolute distance between the AC and TC (mm) was evaluated.</p></div><div><h3>Results</h3><p>The mean AC location was 76.1% ± 3.1% posterior and 40.8% ± 2.1% lateral, whereas the mean TC location was 76.7% ± 5.3% posterior and 37.2% ± 3.6% lateral using the UMR guide and 75.8% ± 3.1% posterior and 36.5% ± 2.4% lateral using the ZeBRA guide. No significant difference was observed in the absolute distance between the UMR and ZeBRA guides (3.9 ± 1.4 and 3.8 ± 1.3 mm, respectively; p = 0.617).</p></div><div><h3>Conclusions</h3><p>The newly developed ZeBRA guide allows accurate tibial tunnel creation, and its accuracy is comparable to that of the conventional UMR guide. Tibial tunnels were created at optimal positions using both guides, and the choice of the guide would depend on the surgeon's preference.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"32 ","pages":"Pages 1-6"},"PeriodicalIF":2.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10120359/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9446306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyses of associated factors with concomitant meniscal injury and irreparable meniscal tear at primary anterior cruciate ligament reconstruction in young patients","authors":"Tomohiro Tomihara ,&nbsp;Yusuke Hashimoto ,&nbsp;Shinji Takahashi ,&nbsp;Masatoshi Taniuchi ,&nbsp;Junsei Takigami ,&nbsp;Shuko Tsumoto ,&nbsp;Nagakazu Shimada","doi":"10.1016/j.asmart.2023.04.001","DOIUrl":"10.1016/j.asmart.2023.04.001","url":null,"abstract":"<div><h3>Purpose:</h3><p>Although several factors related to the concomitant meniscal injury at anterior cruciate ligament reconstruction (ACL-R) have been investigated in a general population, few studies have identified the risk factors of meniscal tear severity in young patients in which the majority of ACL tears occur. The purpose of this study was to analyze the associated factors with meniscal injury and irreparable meniscal tear and the timeline for medial meniscal injury at ACL-R in young patients.</p></div><div><h3>Methods:</h3><p>A retrospective analysis of young patients (13 to 29 years of age) who underwent ACL-R by a single surgeon from 2005 to 2017 was conducted. Predictor variables (age, sex,body mass index [BMI], time from injury to surgery [TS], and pre-injury Tegner activity level) for meniscal injury and irreparable meniscal tear were analyzed with multivariate logistic</p></div><div><h3>Results:</h3><p>Four hundred and seventy-three consecutive patients with an average of 31.2 months post-operative follow-up were enrolled in this study. The risk factors for medial meniscus injury were TS (&lt;= 3 months) (odds ratio [OR], 3.915; 95% CI, 2.630-5.827; P &lt; .0001) and higher BMI (OR, 1.062; 95% CI, 1.002-1.125; P = 0.0439). The presence of irreparable medial meniscal tears correlated with higher BMI (OR, 1.104; 95% CI, 1.011-1.205; P = 0.0281)</p></div><div><h3>Conclusion</h3><p>An increased time from ACL tear to surgery of 3 months was strongly associated with an increased risk of medial meniscus injury, but not related to irreparable medial meniscal tear at primary ACL reconstruction in young patients.</p></div><div><h3>Level of Evidence</h3><p>Level IV.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"32 ","pages":"Pages 12-17"},"PeriodicalIF":2.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/cf/main.PMC10189348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9496472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-use of intra-articular drain after anterior cruciate ligament reconstruction does not affect postoperative knee pain and muscle strength on early period","authors":"Kengo Shimozaki,&nbsp;Junsuke Nakase,&nbsp;Rikuto Yoshimizu,&nbsp;Tomoyuki Kanayama,&nbsp;Yusuke Yanatori,&nbsp;Takuya Sengoku,&nbsp;Hiroyuki Tsuchiya","doi":"10.1016/j.asmart.2023.04.002","DOIUrl":"10.1016/j.asmart.2023.04.002","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aimed to determine the effect of using an intra-articular drain after anterior cruciate ligament (ACL) reconstruction on early postoperative pain, range of motion (ROM), muscle strength, and complications.</p></div><div><h3>Materials and methods</h3><p>Between 2017 and 2020, of the 200 consecutive patients who underwent anatomical single-bundle ACL reconstruction, 128 patients underwent primary ACL reconstruction with hamstring tendons and were evaluated for postoperative pain and muscle strength at 3 months postoperatively. Sixty-eight patients who received intra-articular drain before April 2019 were classified as group D and 60 patients without an intra-articular drain after ACL reconstruction after May 2019 were classified as group N. Patient background, operative time, postoperative pain, number of additional analgesics used, presence of intra-articular hematoma, ROM at 2, 4, and 12 weeks postoperatively, extensor and flexor muscle strength at 12 weeks postoperatively, and perioperative complications were compared between the two groups.</p></div><div><h3>Results</h3><p>The postoperative pain at 4 h after surgery was significantly greater in group D than in group N although no significant difference was found in the pain felt in the immediate postoperative period and at 1 day and 2 days postoperatively and in the number of additional analgesics used. No significant difference in the postoperative ROM and muscle strength was noted between the two groups. Six patients with intra-articular hematomas in group D and four patients in group N needed puncture by 2 weeks postoperatively, and no significant difference was found between the two groups.</p></div><div><h3>Conclusion</h3><p>Postoperative pain was greater at 4 h postoperatively in group D. Furthermore, the intra-articular drain did not affect muscle strength, ROM, and complications on the early postoperative period. The usefulness of intra-articular drain after ACL reconstruction was considered low.</p></div><div><h3>Level of Evidence</h3><p>Level IV.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":"32 ","pages":"Pages 7-11"},"PeriodicalIF":2.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/5e/main.PMC10201551.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9509518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}