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Sports Medicine and Arthroscopy Review最新文献

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Athlete-Specific Considerations of Cartilage Injuries. 运动员软骨损伤的特定考虑因素。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.1097/JSA.0000000000000379
Fabien Meta, Sean C Clark, Adam J Tagliero, Mario Hevesi, Daniel B F Saris, Aaron J Krych
{"title":"Athlete-Specific Considerations of Cartilage Injuries.","authors":"Fabien Meta, Sean C Clark, Adam J Tagliero, Mario Hevesi, Daniel B F Saris, Aaron J Krych","doi":"10.1097/JSA.0000000000000379","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000379","url":null,"abstract":"<p><p>Cartilage injuries can present in a diverse setting of anatomic locations, with varying severity, and can impact athletes of all ages and competition levels. Moreover, the timing of when an injury presents introduces an additional dimension to treatment decision-making. Frequently, the level of competition, in conjunction with career trajectory and short-term and long-term athlete goals, will dictate whether a temporary or definitive treatment strategy is ideal. Although indicating the correct therapeutic regimen may prove challenging, understanding the athlete-specific considerations can be essential to meeting the goals of the athlete and other stakeholders involved in the athlete's career. The purpose of this review is to comprehensively present the deliberations a treating physician must consider in managing cartilage injuries within a spectrum of athletic levels ranging from youth to professional levels, with a secondary focus on the presentation of temporizing treatment strategies and associated outcomes.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560164","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
Novel Treatment Options for Knee Cartilage Defects in 2023. 2023 年膝关节软骨缺损的新型治疗方案。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.1097/JSA.0000000000000398
Claudia Ghisa, Kenneth R Zaslav
{"title":"Novel Treatment Options for Knee Cartilage Defects in 2023.","authors":"Claudia Ghisa, Kenneth R Zaslav","doi":"10.1097/JSA.0000000000000398","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000398","url":null,"abstract":"<p><p>Articular cartilage lesions are a common injury that have become increasingly treatable with joint preservation procedures. Well-documented allograft and cellular treatments for these lesions are detailed elsewhere in this volume. This article discusses three new unique options for addressing these defects taking three different paths to address these complex injuries. Agili-C is an existing FDA- and EMEA-approved option using an acellular aragonite-based scaffold to treat both chondral and osteochondral lesions, with or without concurrent arthritis. Cartistem is a stem-cell-based product composed of culture-expanded allogeneic human umbilical cord blood-derived mesenchymal stem cells and hyaluronic acid hydrogel, which is in its final clinical trial stages in the United States, but already has regulatory approval in Korea. IMPACT and RECLAIM studies have shown the safety and efficacy of a new one-stage procedure utilizing autologous chondrons combined with allogeneic mesenchymal stem cells (MSCs) that can provide another effective single-stage treatment option.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560198","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
Treatment of Knee Chondral Defects in Athletes. 运动员膝关节软骨缺损的治疗。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.1097/JSA.0000000000000405
Ryan R Thacher, Nico Pascual-Leone, Scott A Rodeo
{"title":"Treatment of Knee Chondral Defects in Athletes.","authors":"Ryan R Thacher, Nico Pascual-Leone, Scott A Rodeo","doi":"10.1097/JSA.0000000000000405","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000405","url":null,"abstract":"<p><p>Cartilage lesions of the knee are a challenging problem, especially for active individuals and athletes who desire a return to high-load activities. They occur both through chronic repetitive loading of the knee joint or through acute traumatic injury and represent a major cause of pain and time lost from sport. They can arise as isolated lesions or in association with concomitant knee pathology. Management of these defects ultimately requires a sound understanding of their pathophysiologic underpinnings to help guide treatment. Team physicians should maintain a high index of suspicion for underlying cartilage lesions in any patient presenting with a knee effusion, whether painful or not. A thorough workup should include a complete history and physical examination. MRI is the most sensitive and specific imaging modality to assess these lesions and can provide intricate detail not only of the structure and composition of cartilage, but also of the surrounding physiological environment in the joint. Treatment of these lesions consists of both conservative or supportive measures, as well as surgical interventions designed to restore or regenerate healthy cartilage. Because of the poor inherent capacity for healing associated with hyaline cartilage, the vast majority of symptomatic lesions will ultimately require surgery. Surgical treatment options range from simple arthroscopic debridement to large osteochondral reconstructions. Operative decision-making is based on numerous patient- and defect-related factors and requires open lines of communication between the athlete, the surgeon, and the rest of the treatment team. Ultimately, a positive outcome is based on the creation of a durable, resistant repair that allows the athlete to return to pain-free sporting activities.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560202","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
Sport-specific Differences in Cartilage Treatment. 软骨治疗中的运动特异性差异。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.1097/JSA.0000000000000393
Sachin Allahabadi, Allen A Yazdi, Alexander C Weissman, Zachary D Meeker, Adam B Yanke, Brian J Cole
{"title":"Sport-specific Differences in Cartilage Treatment.","authors":"Sachin Allahabadi, Allen A Yazdi, Alexander C Weissman, Zachary D Meeker, Adam B Yanke, Brian J Cole","doi":"10.1097/JSA.0000000000000393","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000393","url":null,"abstract":"<p><p>Articular cartilage defects in the knee are common in athletes who have a variety of loading demands across the knee. Athletes of different sports may have different baseline risk of injury. The most studied sports in terms of prevalence and treatment of cartilage injuries include soccer (football), American football, and basketball. At this time, the authors do not specifically treat patients by their sport; however, return to sports timing may be earlier in sports with fewer demands on the knee based on the rehabilitation protocol. If conservative management is unsuccessful, the authors typically perform a staging arthroscopy with chondroplasty, followed by osteochondral allograft transplantation with possible additional concomitant procedures, such as osteotomies or meniscal transplants. Athletes in a variety of sports and at high levels of competition can successfully return to sports with the appropriate considerations and treatment.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560199","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
Treatment of Shoulder Cartilage Defects in Athletes. 运动员肩部软骨缺损的治疗。
IF 2.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-06-01 Epub Date: 2024-06-03 DOI: 10.1097/JSA.0000000000000404
Phob Ganokroj, Marco Adriani, Ryan J Whalen, Matthew T Provencher
{"title":"Treatment of Shoulder Cartilage Defects in Athletes.","authors":"Phob Ganokroj, Marco Adriani, Ryan J Whalen, Matthew T Provencher","doi":"10.1097/JSA.0000000000000404","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000404","url":null,"abstract":"<p><p>Articular cartilage defects in the glenohumeral joint may be found in laborers, the elderly, and young athletes, among others. Various factors can contribute to cartilage damage, including prior surgery, trauma, avascular necrosis, inflammatory arthritis, joint instability, and osteoarthritis. There is a wide variety of treatment options, from conservative treatment, injections, and surgical options, including arthroscopic debridement, microfracture, osteochondral autograft transfer, osteochondral graft transplantation, autologous chondrocyte implantation, and the newly emerging techniques such as biologic augmentation. There is a challenge to determine the optimal treatment options, especially for young athletes, due to limited outcomes in the literature. However, there are many options which are viable to address osteochondral defects of the glenohumeral joint.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560203","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
Regenerative Medicine Solutions for Rotator Cuff Injuries in Athletes: Indications and Outcomes. 运动员肩袖损伤的再生医学解决方案：适应症和结果。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000399
Calogero Foti, Claudia Vellucci, Antonio Santoro
{"title":"Regenerative Medicine Solutions for Rotator Cuff Injuries in Athletes: Indications and Outcomes.","authors":"Calogero Foti, Claudia Vellucci, Antonio Santoro","doi":"10.1097/jsa.0000000000000399","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000399","url":null,"abstract":"Rotator cuff (RC) injuries include a wide range of pathologic states. Athletes are perhaps the most susceptible to RC injuries ranging from tendinopathy to partial or full-thickness tears, due to functional overload and repetitive movements, causing abstention from sports for long periods. Regenerative medicine keeps giving us multiple choices to fight the disability caused by these pathologies. A literature search was performed, and findings related to the structure-function of rotator cuff units, pathophysiology of injuries, regenerative medicine treatments, and future strategies were outlined. Platelet-rich plasma (PRP) has a greater number of articles and clinical trials, accompanied by stem cells progenitor, prolotherapy, and new approaches such as microfragmented adipose tissue and exosomes. RC injuries in athletes can cause pain, functional impotence, and the risk of recurrence, and can lead them to stop playing sports. Regenerative medicine offers a range of treatments, but some of them need further studies to underline their actual validity.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828473","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
Criteria, Timing, and Factors Associated With Return to Competitive Sport After Rotator Cuff Surgery. 肩袖手术后重返竞技体育的标准、时间和相关因素。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000396
Emanuele Maggini, Mac Donald Tedah Djemetio, Isabella Husband, Luca Paganelli, Maristella F Saccomanno, Giuseppe Milano
{"title":"Criteria, Timing, and Factors Associated With Return to Competitive Sport After Rotator Cuff Surgery.","authors":"Emanuele Maggini, Mac Donald Tedah Djemetio, Isabella Husband, Luca Paganelli, Maristella F Saccomanno, Giuseppe Milano","doi":"10.1097/jsa.0000000000000396","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000396","url":null,"abstract":"Rotator cuff pathology in competitive athletes is common and may produce chronic symptoms and joint disability, impairing sports participation and leading to premature retirement. Athletes are a high-functioning patient population with unique characteristics. Decision-making for return to sport is a complex and multifactorial process. Literature is sparse and does not provide precise guidelines to assist physicians to make the right decision. This review aimed to highlight factors affecting outcome, timing, and criteria for return to competitive sport after rotator cuff surgery to help physicians to clearly counsel athletes and make high-quality decisions for return to sport.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828462","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
Translational Research on Orthobiologics in the Treatment of Rotator Cuff Disease: From the Laboratory to the Operating Room. 治疗肩袖疾病的骨生物学转化研究：从实验室到手术室。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000395
Claire D Eliasberg, Paula M P Trinh, Scott A Rodeo
{"title":"Translational Research on Orthobiologics in the Treatment of Rotator Cuff Disease: From the Laboratory to the Operating Room.","authors":"Claire D Eliasberg, Paula M P Trinh, Scott A Rodeo","doi":"10.1097/jsa.0000000000000395","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000395","url":null,"abstract":"Rotator cuff disease is one of the most common human tendinopathies and can lead to significant shoulder dysfunction. Despite efforts to improve symptoms in patients with rotator cuff tears and healing rates after rotator cuff repair, high rates of failed healing and persistent shoulder morbidity exist. Increasing interest has been placed on the utilization of orthobiologics-scaffolds, cell-based augmentation, platelet right plasma (platelet-rich plasma), and small molecule-based strategies-in the management of rotator cuff disease and the augmentation of rotator cuff repairs. This is a complex topic that involves novel treatment strategies, including patches/scaffolds, small molecule-based, cellular-based, and tissue-derived augmentation techniques. Ultimately, translational research, with a particular focus on preclinical models, has allowed us to gain some insights into the utility of orthobiologics in the treatment of rotator cuff disease and will continue to be critical to our further understanding of the underlying cellular mechanisms moving forward.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828395","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
Critical Shoulder Angle in Patients With Cuff Tears. 肩袖撕裂患者的临界肩角
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000397
Simone Cerciello, Fabrizio Mocini, Lorenzo Proietti, Dario Candura, Korona Corona
{"title":"Critical Shoulder Angle in Patients With Cuff Tears.","authors":"Simone Cerciello, Fabrizio Mocini, Lorenzo Proietti, Dario Candura, Korona Corona","doi":"10.1097/jsa.0000000000000397","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000397","url":null,"abstract":"The pathogenesis of rotator cuff tears (RCTs) is multifactorial. Critical shoulder angle (CSA), which represents the lateral extension of the acromion over the cuff, has been proposed as an extrinsic risk factor. The aim of the present systematic review and meta-analysis was to analyze the available literature regarding the correlation between RCT and CSA.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828582","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
Return to Sport at Preinjury Level is Common After Surgical Treatment of SLAP Lesions: A Systematic Review and a Meta-analysis. SLAP 病变手术治疗后恢复到受伤前水平是常见现象：系统回顾和元分析》。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000383
Pietro Gregori, Nicola Maffulli, Joseph Abboud, Pierangelo Za, Giancarlo Giurazza, Giuseppe Francesco Papalia, Augusto Ferrini, Edoardo Franceschetti
{"title":"Return to Sport at Preinjury Level is Common After Surgical Treatment of SLAP Lesions: A Systematic Review and a Meta-analysis.","authors":"Pietro Gregori, Nicola Maffulli, Joseph Abboud, Pierangelo Za, Giancarlo Giurazza, Giuseppe Francesco Papalia, Augusto Ferrini, Edoardo Franceschetti","doi":"10.1097/jsa.0000000000000383","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000383","url":null,"abstract":"Patients undergoing surgery for Superior-Labrum-anterior-to-posterior (SLAP) lesions are often worried about their return to sport performance. This systematic review determined the rate of return to sport and return to sport at the previous level (RTSP) after surgery for SLAP lesion.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828384","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
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