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Meniscus Repair Techniques. 半月板修复技术。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000320
William D Mcclain, Mikalyn T DeFoor, Jeanne C Patzkowski
{"title":"Meniscus Repair Techniques.","authors":"William D Mcclain,&nbsp;Mikalyn T DeFoor,&nbsp;Jeanne C Patzkowski","doi":"10.1097/JSA.0000000000000320","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000320","url":null,"abstract":"<p><p>The menisci play a vital role in maintaining knee function and protecting the chondral surfaces. Acute and chronic tears are common injuries among both young athletes and older patients with early degenerative changes. The progression of physiological derangement and chondral injury after meniscus injury and meniscectomy have prompted interest in expanding meniscus repair techniques. Recent literature encourages an attempt at repair in tear patterns previously declared irreparable if the tissue quality allows. The orthopedic surgeon should understand the multitude of techniques available to them and be prepared to combine techniques to optimize the quality of their repair construct. While biological augmentation may show some promising early results, the quality of the current data precludes strong recommendations in their favor.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Meniscal Injuries: Mechanism and Classification. 半月板损伤:机制和分类。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000311
Matthew E Wells, John P Scanaliato, John C Dunn, E'Stephan J Garcia
{"title":"Meniscal Injuries: Mechanism and Classification.","authors":"Matthew E Wells,&nbsp;John P Scanaliato,&nbsp;John C Dunn,&nbsp;E'Stephan J Garcia","doi":"10.1097/JSA.0000000000000311","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000311","url":null,"abstract":"<p><p>Meniscal tears may be managed through conservative physical therapy and nonsteroidal anti-inflammatory medications or operative intervention. Meniscal repair is superior to partial meniscectomy with better functional outcomes and less severe degenerative changes over time. Surgical advances in operative techniques, modern instrumentation and biological enhancements collectively improve healing rates of meniscal repair. However, failed repair is not without consequences and can negative impact patient outcomes. Therefore, it is imperative for surgeons to have a thorough understanding of the vascular zones and biomechanical classifications of meniscal tears in order to best determine the most appropriate treatment.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Degenerative Joint Disease After Meniscectomy. 半月板切除术后的退行性关节疾病。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000301
Michael D Bedrin, Katina Kartalias, Bobby G Yow, Jonathan F Dickens
{"title":"Degenerative Joint Disease After Meniscectomy.","authors":"Michael D Bedrin,&nbsp;Katina Kartalias,&nbsp;Bobby G Yow,&nbsp;Jonathan F Dickens","doi":"10.1097/JSA.0000000000000301","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000301","url":null,"abstract":"<p><p>The meniscus has an important role in stabilizing the knee joint and protecting the articular cartilage from shear forces. Meniscus tears are common injuries and can disrupt these protective properties, leading to an increased risk of articular cartilage damage and eventual osteoarthritis. Certain tear patterns are often treated with arthroscopic partial meniscectomy, which can effectively relieve symptoms. However, removal of meniscal tissue can also diminish the ability of the meniscus to dissipate hoop stresses, resulting in altered biomechanics of the knee joint including increased contact pressures. This makes meniscal repair an important treatment consideration whenever possible. Understanding the incidence and mechanism of osteoarthritis development after arthroscopic partial meniscectomy as it relates to different tear morphologies and other treatment alternatives (ie, meniscus repair) is important to appropriately treat meniscus tears.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Meniscus Anatomy and Basic Science. 半月板解剖与基础科学。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000327
Shawn M Gee, Matthew Posner
{"title":"Meniscus Anatomy and Basic Science.","authors":"Shawn M Gee,&nbsp;Matthew Posner","doi":"10.1097/JSA.0000000000000327","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000327","url":null,"abstract":"A basic understanding of meniscal anatomy and biomechanics is important for physicians evaluating knee injuries and surgeons treating meniscal injuries. This chapter provides a concise review of meniscal anatomy and biomechanics relevant for the evaluation and treatment of meniscus injuries. Anatomic landmarks relevant for meniscal root repair and transplant are discussed, along with the gross, microscopic, vascular, and neuroanatomy of the menisci.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 22
Meniscal Ramp Lesions and Root Tears: A Review of the Current Literature. 半月板斜坡病变和半月板根部撕裂:当前文献综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000321
Maj Liang Zhou, Col Chad Haley
{"title":"Meniscal Ramp Lesions and Root Tears: A Review of the Current Literature.","authors":"Maj Liang Zhou,&nbsp;Col Chad Haley","doi":"10.1097/JSA.0000000000000321","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000321","url":null,"abstract":"<p><p>The importance of the menisci in providing joint stability and their role in load transmission within the knee are well understood. A growing body of literature has emerged on 2 distinct injury patterns to these crucial anatomic structures, ramp lesions and root tears. Ramp lesions may be characterized as tears at the posterior meniscocapsular junction, while root tears involve bony or soft tissue avulsion of the meniscal insertions at the anterior or posterior intercondylar regions. In this 2-part review, we present an overview of the current available literature on ramp lesions and meniscal root tears, summarizing the unique anatomic considerations, etiology, biomechanics, management decisions, clinical outcomes pertinent to these very distinct injuries.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Meniscal Allograft Transplantation. 半月板同种异体移植。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-09-01 DOI: 10.1097/JSA.0000000000000302
Bobby G Yow, Michael Donohue, David J Tennent
{"title":"Meniscal Allograft Transplantation.","authors":"Bobby G Yow,&nbsp;Michael Donohue,&nbsp;David J Tennent","doi":"10.1097/JSA.0000000000000302","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000302","url":null,"abstract":"<p><p>Meniscal allograft transplantation provides treatment options for patients with a meniscus-deficient knee with lifestyle-limiting symptoms in the absence of advanced degenerative changes. Meniscal transplantation helps to restore the native biomechanics of the involved knee, which may provide chondroprotective effects and restoring additional knee stability. Improvements in pain, function, and activity level have been seen in appropriately selected patients undergoing transplantation. Although various surgical implantation options exist, the majority focus on reproducing native attachments of the meniscal roots to allow near normal mechanics. Although meniscal transplantation may serve as a salvage procedure for symptomatic patients with a meniscus-deficient knee, it may prevent or delay the necessity of a more invasive arthroplasty procedure.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Subject Index. 主题索引。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-08-19 DOI: 10.1097/01.jsa.0000527205.87306.43
{"title":"Subject Index.","authors":"","doi":"10.1097/01.jsa.0000527205.87306.43","DOIUrl":"https://doi.org/10.1097/01.jsa.0000527205.87306.43","url":null,"abstract":"ACL. See Anterior cruciate ligament (ACL) ACL failure, 19–20 ACL reconstruction, 24–26 Additional technical ideas, 33–34 Advanced strengthening phase, 120–121 Alignment, 79 ALL. SeeAnterolateral ligament (ALL) ALPSA. See Anterior labroligamentous periosteal sleeve avulsion (ALPSA) Anatomy, 92 Anatomy and pathoanatomy, 136 Ankle arthroscopy with tibial and talar kissing lesions, 239–240 Ankle MRI and arthroscopy correlation with cartilaginous defects and symptomatic Os trigonum osteochondral lesion of the talus (OLT), 237–240 ankle arthroscopy with tibial and talar kissing lesions, 239–240 osteochondral lesions, 237 subtalar osteochondral lesion, 240–241 treatment, 237–239 Os trigonum and posterior ankle impingement, 241–244 Os trigonum, 241–242 posterior ankle arthroscopy with removal of Os trigonum, 244 treatment, 242–244 Anterior cruciate ligament (ACL), 19–20 injured, 210 MRI, 210 Anterior glenohumeral instability engaging Hill-Sachs, 159 glenoid bone loss, 157–159 glenoid track, 159–160 natural history, 156–157 nonoperative management, 157 operative management, 157 pathoanatomy, 156 Anterior glenohumeral ligament (HAGL), 174–175 Anterior instability, 152–153 Anterior labroligamentous periosteal sleeve avulsion (ALPSA), 173–174 Anterolateral ligament (ALL), 211 MRI, 211 Anteromedialization, 79, 82 Arthroscopic loose bodies, 195 OCD of capitellum, 195 olecranon osteophytes, 194–195 posteromedial impingement, 194 UCL injuries, 194 Arthroscopy, 212–214, 214–215, 217 Articular-sided partial rotator cuff tear, 165 Athletes undergoing microfracture, 4–5 Autologous chondrocyte implantation, 10–11","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49417742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative Rehabilitation of Multiligament Knee Reconstruction: A Systematic Review. 膝关节多韧带重建术后康复:系统综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-06-01 DOI: 10.1097/JSA.0000000000000308
Laura E Keeling, Sarah N Powell, Evan Purvis, Thomas J Willauer, William F Postma
{"title":"Postoperative Rehabilitation of Multiligament Knee Reconstruction: A Systematic Review.","authors":"Laura E Keeling,&nbsp;Sarah N Powell,&nbsp;Evan Purvis,&nbsp;Thomas J Willauer,&nbsp;William F Postma","doi":"10.1097/JSA.0000000000000308","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000308","url":null,"abstract":"<p><strong>Background: </strong>Multiligamentous knee injuries (MLKIs) are rare, and heterogeneous in presentation and treatment options. Consequently, optimal postoperative rehabilitation of MLKI remains unclear.</p><p><strong>Objective: </strong>To summarize the latest evidence for postoperative rehabilitation protocols following multiligamentous knee reconstruction (MLKR).</p><p><strong>Patients and methods: </strong>A multidatabase search was conducted with the aid of a health sciences librarian. Blinded reviewers conducted multiple screenings of studies evaluating postoperative rehabilitation protocols following MLKR. All included studies were then graded based on level of evidence, and data concerning patient demographics and rehabilitation protocols were extracted.</p><p><strong>Results: </strong>MLKR rehabilitation protocols differ widely in terms of weightbearing, bracing, initiation, and types of physical therapy, yet several established protocols were referenced frequently throughout the literature. Such protocols resulted in good outcomes, with patients returning to running in 6 to 12 months and returning to sport in 8 to 12 months.</p><p><strong>Conclusion: </strong>The rare nature of MLKI hinders the ability to create a standardized rehabilitation protocol. However, early postoperative physical therapy and range of motion consistently lead to improved outcomes. Randomized studies are needed to determine optimal postoperative rehabilitation following MLKR.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38888110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Postoperative Rehabilitation of Ulnar Collateral Ligament Reconstruction: A Systematic Review. 尺骨副韧带重建术后康复：一项系统综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-06-01 DOI: 10.1097/JSA.0000000000000318
Wiemi A Douoguih, Jonathan Day, Ehab A Bahrun, Blake M Bodendorfer, Christopher Brandt, Austin Looney
{"title":"Postoperative Rehabilitation of Ulnar Collateral Ligament Reconstruction: A Systematic Review.","authors":"Wiemi A Douoguih,&nbsp;Jonathan Day,&nbsp;Ehab A Bahrun,&nbsp;Blake M Bodendorfer,&nbsp;Christopher Brandt,&nbsp;Austin Looney","doi":"10.1097/JSA.0000000000000318","DOIUrl":"10.1097/JSA.0000000000000318","url":null,"abstract":"<p><p>The incidence of ulnar collateral ligament injuries has increased over the past few decades with greater participation in overhead throwing sports; however, optimal postoperative management following surgery remains unclear. This systematic review summarizes the latest evidence, on postoperative rehabilitation protocols for patients undergoing ulnar collateral ligament reconstruction (UCLR). Studies published in the English language from the year 2000 to 2019 with a level 1 to 4 grade of evidence and examined rehabilitation protocols following UCLR were eligible for inclusion. A multidatabase search was conducted. Two blinded reviewers screened and graded articles for inclusion and a third independent reviewer resolved any conflicts. Ten of the original 139 studies identified were used for analysis. Surgical techniques as well as rehabilitation protocols varied across studies. Analysis gave strong evidence that a 4-phase postoperative rehabilitation protocol utilizing milestone-based goals is effective in returning athletes back to preinjury levels of activity and sport within 1 year following UCLR.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38888113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review. 肩袖修复术后康复:系统回顾。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2021-06-01 DOI: 10.1097/JSA.0000000000000310
Steven Matlak, Albert Andrews, Austin Looney, Kenneth B Tepper
{"title":"Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review.","authors":"Steven Matlak,&nbsp;Albert Andrews,&nbsp;Austin Looney,&nbsp;Kenneth B Tepper","doi":"10.1097/JSA.0000000000000310","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000310","url":null,"abstract":"<p><p>Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Two blinded reviewers screened, graded, and extracted data from articles and recommendations on various aspects of rehabilitation were summarized. A total of 4067 articles were retrieved from the database search and 22 studies were included for data extraction. We noted similar outcomes between early and delayed mobilization following surgery. Reviewed articles support the use of supervised physical therapy, bracing in 15 degrees external rotation, and adjunctive transcutaneous electrical nerve stimulation for pain management. Early isometric loading improved outcomes in 1 study. Evidence is lacking for exercise prescription parameters and postoperative rehabilitation of the subscapularis.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38888112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
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