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Sports Medicine and Arthroscopy Review最新文献

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Osteoarthritis of the Knee in Middle-age Athletes: Many Measures are Practiced, but Lack Sound Scientific Evidence. 中年运动员膝关节骨性关节炎：许多措施已经实施，但缺乏可靠的科学证据。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-06-01 Epub Date: 2022-05-04 DOI: 10.1097/JSA.0000000000000341
Marco Quaranta, Ivano Riccio, Francesco Oliva, Nicola Maffulli
{"title":"Osteoarthritis of the Knee in Middle-age Athletes: Many Measures are Practiced, but Lack Sound Scientific Evidence.","authors":"Marco Quaranta,&nbsp;Ivano Riccio,&nbsp;Francesco Oliva,&nbsp;Nicola Maffulli","doi":"10.1097/JSA.0000000000000341","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000341","url":null,"abstract":"<p><p>Osteoarthritis of the knee generally affects individuals from the fifth decade, the typical age of middle-age athletes. In the early stages, management is conservative and multidisciplinary. It is advisable to avoid sports with high risk of trauma, but it is important that patients continue to be physically active. Conservative management offers several options; however, it is unclear which ones are really useful. This narrative review briefly reports the conservative options for which there is no evidence of effectiveness, or there is only evidence of short-term effectiveness.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173424","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
Osteoarthritis in Athletes Versus Nonathletes: A Systematic Review. 运动员与非运动员的骨关节炎：系统综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-06-01 Epub Date: 2022-05-04 DOI: 10.1097/JSA.0000000000000339
Filippo Migliorini, Emanuela Marsilio, Ernesto Torsiello, Andrea Pintore, Francesco Oliva, Nicola Maffulli
{"title":"Osteoarthritis in Athletes Versus Nonathletes: A Systematic Review.","authors":"Filippo Migliorini,&nbsp;Emanuela Marsilio,&nbsp;Ernesto Torsiello,&nbsp;Andrea Pintore,&nbsp;Francesco Oliva,&nbsp;Nicola Maffulli","doi":"10.1097/JSA.0000000000000339","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000339","url":null,"abstract":"<p><strong>Introduction: </strong>Joint overload and sport-related injuries may accelerate the development of osteoarthritis (OA). A systematic review of the literature was performed to establish the risk of athletes to develop premature OA compared with nonathletes.</p><p><strong>Materials and methods: </strong>This systematic review was conducted according to the PRISMA guidelines. PubMed, Google scholar, Embase, and Web of Science databases were accessed in June 2021. All the published clinical studies investigating OA onset in athletes versus nonathletes were considered. Studies reporting data on secondary and/or post-traumatic OA were excluded.</p><p><strong>Results: </strong>Data from 32 articles (20,288 patients) were retrieved. The mean age was 67.8±10.0 years and the mean body mass index was 25.0±2.5 kg/m2. 74% (6859 patients) of the athletes suffered from premature OA. Of them, 21% were active in soccer, 11% in handball, 11% in ice-hockey, 3% in football, and 0.3% in rugby. 26% of the athletes reported no significant differences in OA progression compared with healthy controls. Of these athletes, 47% were runners, 5% dancers, and 1% triathletes.</p><p><strong>Conclusion: </strong>Certain sports, such as soccer, handball, ice-hockey, and rugby are more likely to be associated with premature knee and hip OA. Conversely, runners and ballet dancers do not evidence significant increase in OA. Moderate and recreational exposure to aerobic sports does not accelerate the development of OA.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174020","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
Intensive Physical Activity Increases the Risk of Knee and Hip Arthroplasty: A Systematic Review. 高强度的体育活动增加膝关节和髋关节置换术的风险：一项系统综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-06-01 Epub Date: 2022-05-04 DOI: 10.1097/JSA.0000000000000340
Filippo Migliorini, Andrea Pintore, Ernesto Torsiello, Francesco Oliva, Filippo Spiezia, Nicola Maffulli
{"title":"Intensive Physical Activity Increases the Risk of Knee and Hip Arthroplasty: A Systematic Review.","authors":"Filippo Migliorini,&nbsp;Andrea Pintore,&nbsp;Ernesto Torsiello,&nbsp;Francesco Oliva,&nbsp;Filippo Spiezia,&nbsp;Nicola Maffulli","doi":"10.1097/JSA.0000000000000340","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000340","url":null,"abstract":"<p><strong>Purpose: </strong>The present study investigated the type of sport and activity level of athletes before they underwent knee and/or hip arthroplasty for osteoarthritis (OA), and compared them with a control group of subjects who did not undergo knee and hip arthroplasty. We hypothesed athletes exposed to high physical loads during sports had the highest risk of developing OA requiring arthroplasty.</p><p><strong>Materials and methods: </strong>This systematic review was conducted according to the PRISMA guidelines. All the comparative clinical trials to August 2021 investigating the sport activity level between subjects who underwent arthroplasty versus those who did not undergo arthroplasty for OA were considered.</p><p><strong>Results: </strong>Data from 5 studies and 3638 patients were collected. The mean age for both groups was 47.61±15.5 years, and the mean body mass index was 24.6±2.1 kg/m2 17.6% were women. The Newcastle-Ottawa scale attested good quality of the methodology of the investigations included in the present study.</p><p><strong>Conclusion: </strong>Intense physical exercise, implying a high cumulative number of hours of exercise which can lead to excessive joint overload, in both sexes is associated with greater likelihood of early knee and hip OA which may lead to prosthetic surgery. Moderate and recreational exposure to sport has minor degenerative effects, and is not associated with early onset OA requiring arthroplasty.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160658","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: 4
The Association Between Sex and Osteoarthritis in the Physically Active Population: A Systematic Review. 身体活动人群中性别与骨关节炎的关系：一项系统综述。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-06-01 Epub Date: 2022-05-04 DOI: 10.1097/JSA.0000000000000346
Filippo Migliorini, Ernesto Torsiello, Gerardo La Padula, Francesco Oliva, Nicola Maffulli
{"title":"The Association Between Sex and Osteoarthritis in the Physically Active Population: A Systematic Review.","authors":"Filippo Migliorini,&nbsp;Ernesto Torsiello,&nbsp;Gerardo La Padula,&nbsp;Francesco Oliva,&nbsp;Nicola Maffulli","doi":"10.1097/JSA.0000000000000346","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000346","url":null,"abstract":"<p><strong>Purpose: </strong>Intense sporting activity and certain types of work increase the risk of early osteoarthritis (OA). OA can be idiopathic or associated to certain predisposing factors: female sex, obesity, history of joint injury, and joint overuse. The role of gender among the active population as a predisposing factor for OA is not well clear. This study investigated whether the risk of OA changes with age in both sexes in physically active individuals.</p><p><strong>Materials and methods: </strong>This systematic review was conducted according to the PRISMA guidelines 2020. PubMed, Google Scholar, Embase, and Web of Science databases were accessed in April 2021. No time constrains were used for the search. All the published clinical studies reporting data about relationship between physical activity and OA were included.</p><p><strong>Results: </strong>Data from 7 articles were retrieved including 360,053 patients (271,903 males; 88,150 females). The mean age was 48.2±16.7 years. Males, under the age of 60 had a higher risk of developing OA. People undertaking intense physical activity, such as professional athletes or heavy workers, are more prone to develop early OA.</p><p><strong>Conclusion: </strong>Physically active males demonstrated a higher risk of developing OA.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174030","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
Osteoarthritis and the Middle Aged Athlete: The Present and Future. 骨关节炎与中年运动员：现在与未来。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-05-04 DOI: 10.1097/JSA.0000000000000348
N. Maffulli
{"title":"Osteoarthritis and the Middle Aged Athlete: The Present and Future.","authors":"N. Maffulli","doi":"10.1097/JSA.0000000000000348","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000348","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48664943","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
Orthobiologics for the Management of Early Arthritis in the Middle-Aged Athlete. 骨科治疗中年运动员早期关节炎。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-05-04 DOI: 10.1097/JSA.0000000000000337
Ryan C. Rauck, Claire D. Eliasberg, S. Rodeo, S. Rodeo
{"title":"Orthobiologics for the Management of Early Arthritis in the Middle-Aged Athlete.","authors":"Ryan C. Rauck, Claire D. Eliasberg, S. Rodeo, S. Rodeo","doi":"10.1097/JSA.0000000000000337","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000337","url":null,"abstract":"This article is dedicated to the use of orthobiologic therapies in the management of early osteoarthritis in middle-aged athletes. Understanding a patient's presenting symptoms, physical examination, imaging results, and goals is of critical importance in applying orthobiologic therapies. The field of orthobiologics is expanding at a rapid pace, and the clinical studies examining the utility of each treatment lag behind the direct-to-consumer marketing that leads to these products being used. Here we provide a review of the available treatments, emerging treatments, and the current literature supporting or refuting their use. Currently studied orthobiologics include autologous and allogenic cell therapies, autologous blood products, hyaluronic acid, gene therapies, Wnt inhibitors, and a variety of systemic treatments.","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41855150","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
Arthrofibrosis Nightmares: Prevention and Management Strategies. 关节炎噩梦：预防和管理策略。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-03-01 DOI: 10.1097/JSA.0000000000000324
Dustin R Lee, Erik Therrien, Bryant M Song, Christopher L Camp, Aaron J Krych, Michael J Stuart, Matthew P Abdel, Bruce A Levy
{"title":"Arthrofibrosis Nightmares: Prevention and Management Strategies.","authors":"Dustin R Lee,&nbsp;Erik Therrien,&nbsp;Bryant M Song,&nbsp;Christopher L Camp,&nbsp;Aaron J Krych,&nbsp;Michael J Stuart,&nbsp;Matthew P Abdel,&nbsp;Bruce A Levy","doi":"10.1097/JSA.0000000000000324","DOIUrl":"10.1097/JSA.0000000000000324","url":null,"abstract":"<p><p>Arthrofibrosis (AF) is an exaggerated immune response to a proinflammatory insult leading to pathologic periarticular fibrosis and symptomatic joint stiffness. The knee, elbow, and shoulder are particularly susceptible to AF, often in the setting of trauma, surgery, or adhesive capsulitis. Prevention through early physiotherapeutic interventions and anti-inflammatory medications remain fundamental to avoiding motion loss. Reliable nonoperative modalities exist and outcomes are improved when etiology, joint involved, and level of dysfunction are considered in the clinical decision making process. Surgical procedures should be reserved for cases recalcitrant to nonoperative measures. The purpose of this review is to provide an overview of the current understanding of AF pathophysiology, identify common risk factors, describe prevention strategies, and outline both nonoperative and surgical treatment options. This manuscript will focus specifically on sterile AF of the knee, elbow, and shoulder.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830598/pdf/nihms-1705837.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9374874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The "Not" Good, the Bad and the Ugly: Prevention and Management of Common Intraoperative and Delayed Complications in Orthopedic Sports Medicine Surgical Procedures. “不好”、“坏”和“丑”:骨科运动医学外科手术中常见术中和延迟并发症的预防和处理。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-03-01 DOI: 10.1097/JSA.0000000000000315
Steven F DeFroda, Allison K Perry, Nikhil N Verma
{"title":"The \"Not\" Good, the Bad and the Ugly: Prevention and Management of Common Intraoperative and Delayed Complications in Orthopedic Sports Medicine Surgical Procedures.","authors":"Steven F DeFroda,&nbsp;Allison K Perry,&nbsp;Nikhil N Verma","doi":"10.1097/JSA.0000000000000315","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000315","url":null,"abstract":"<p><p>Despite advances in techniques designed to make arthroscopic sports medicine procedures simple, complications still arise in the operating room; even in the most trained hands. However, what marks a skilled surgeon is not just the ability to steer the ship amidst smooth seas, but a knack for getting out of trouble once things deviate from the set course. Each surgical case presents a unique challenge, and no 2 are the same. For this reason, a true expert surgeon must know how to deal with \"complications\" ranging from a mild swell to a raging storm. In this review we present strategies to prevent and navigate some of the most common, and fearsome complications a sports medicine surgeon may face during surgery. A great surgeon is one that acknowledges that throughout their career it is not a question of \"if\" these situations will arise, but \"when\"; and preparation is the key to success.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39884759","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
Vascular Complications in Sports Surgery: Diagnosis and Management. 运动外科血管并发症的诊断和处理。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-03-01 DOI: 10.1097/JSA.0000000000000343
Scott E Dart, Greg R Anderson, Mark D Miller, Brian C Werner
{"title":"Vascular Complications in Sports Surgery: Diagnosis and Management.","authors":"Scott E Dart,&nbsp;Greg R Anderson,&nbsp;Mark D Miller,&nbsp;Brian C Werner","doi":"10.1097/JSA.0000000000000343","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000343","url":null,"abstract":"<p><p>Orthopedic sports surgery of the knee and shoulder is generally considered to be safe and effective. Vascular complications can occur during or after arthroscopy of either joint. A thorough understanding of anatomy, particularly when placing portals in non-routine locations, is extremely important. Prompt recognition of any vascular complication is of significant importance. This review will discuss the potential vascular complications for both knee and shoulder sports surgery, review the relevant anatomy, and discuss the treatment and expected outcome of each.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39884761","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
Postoperative Infection: Prevention, Diagnosis, and Treatment Guidelines for the Sports Surgeon. 术后感染：运动外科医生的预防、诊断和治疗指南。
IF 1.9 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2022-03-01 DOI: 10.1097/JSA.0000000000000335
W Michael Pullen, Adam J Money, Taylor E Ray, Michael T Freehill, Seth L Sherman
{"title":"Postoperative Infection: Prevention, Diagnosis, and Treatment Guidelines for the Sports Surgeon.","authors":"W Michael Pullen,&nbsp;Adam J Money,&nbsp;Taylor E Ray,&nbsp;Michael T Freehill,&nbsp;Seth L Sherman","doi":"10.1097/JSA.0000000000000335","DOIUrl":"10.1097/JSA.0000000000000335","url":null,"abstract":"<p><p>Postoperative infection remains a potentially devastating complication facing the sports medicine surgeon. Infection prevention begins with a thorough history and physical examination to identify patient specific risk factors and aid in risk stratification. Perioperative steroid injections should be used cautiously, with increased time prior to or following surgery being associated with lower infection risk. Sterile preparation with an alcohol containing solution is typically preferred, though there is limited evidence to identify which product is superior. Diagnosis can be challenging with a high index of suspicion needed to identify and appropriately manage patients. Treatment involves prompt irrigation and debridement with deep cultures. Antibiotic coverage should begin with empiric broad treatment and be tailored based on culture results. Early consultation with an infectious disease specialist is recommended to ensure appropriate antibiotic coverage and duration of treatment.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39884337","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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