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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":"32 2","pages":"75-86"},"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":"32 2","pages":"68-74"},"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":"32 2","pages":"87-94"},"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
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":"9 1","pages":""},"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
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":"57 1","pages":""},"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
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":"17 1","pages":""},"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
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":"17 1","pages":""},"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":"9 1","pages":""},"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
When is a Reverse Shoulder Arthroplasty Indicated for a Rotator Cuff Tear? 肩袖撕裂何时适合反向肩关节置换术？
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000382
Patrick St Pierre
{"title":"When is a Reverse Shoulder Arthroplasty Indicated for a Rotator Cuff Tear?","authors":"Patrick St Pierre","doi":"10.1097/jsa.0000000000000382","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000382","url":null,"abstract":"Rotator cuff tears are the most frequent shoulder injury in patients over 50 years old. Treatment of rotator cuff tears is individualized based on the age, demands, and symptoms of the patient. Nonoperative treatment may often be effective, especially in lower-demand or elderly patients. Surgical repair is indicated after failure of nonoperative treatment or in patients whose high-demand lifestyle requires full strength and function of the shoulder. In older patients, larger tears are less likely to heal and rotator cuff repair may not reliable. In cases of failed previous rotator cuff repair, there may not be enough viable tissue for complete repair. If there is underlying arthritis, a rotator cuff repair is unlikely to resolve all symptoms, and treatment to care for the arthritis and rotator cuff tear is indicated. Reverse shoulder arthroplasty provides the surgical answer for these scenarios and is now being used for numerous indications of shoulder pathology.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"174 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828719","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
The Fate of the Shoulder Post Rotator Cuff Repair: Biomechanical Properties of the Supraspinatus Tendon and Surrounding Structures. 肩袖修复术后肩部的命运：冈上肌腱及其周围结构的生物力学特性。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2024-05-02 DOI: 10.1097/jsa.0000000000000386
Hannah E Solari, Lisa M Hackett, Patrick Lam, George A C Murrell
{"title":"The Fate of the Shoulder Post Rotator Cuff Repair: Biomechanical Properties of the Supraspinatus Tendon and Surrounding Structures.","authors":"Hannah E Solari, Lisa M Hackett, Patrick Lam, George A C Murrell","doi":"10.1097/jsa.0000000000000386","DOIUrl":"https://doi.org/10.1097/jsa.0000000000000386","url":null,"abstract":"The study aimed to describe the changes in biomechanical properties of the supraspinatus tendon, deltoid muscle, and humeral head post arthroscopic rotator cuff repair using shear wave elastography. Shear wave velocity of the tendon, deltoid, and humeral head of 48 patients was measured at predetermined sites at 1 week, 6 weeks, 12 weeks, 6 months, and 12 months post repair. One-way ANOVA with Tukey's correction and Spearman's correlation were performed. Mean±SEM healing tendon stiffness, adjacent to tendon footprint, increased from 1 week (6.2±0.2 m/s) to 6 months (7.5±0.3 m/s) and 12 months (7.8±0.3 m/s) (P&lt;0.001). Mean±SEM deltoid muscle stiffness was higher at 12 months (4.1±0.2 m/s) compared to 1 week (3.4±0.1 m/s) and 12 weeks (3.5±0.1 m/s) (P&lt;0.05). Humeral head stiffness did not change. Following arthroscopic rotator cuff repair, supraspinatus tendon stiffness increased in a curvilinear fashion over 6 months. From 6 months, deltoid muscle stiffness increased, corresponding to when patients were instructed to return to normal activities.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"2020 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828470","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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