Video journal of sports medicine最新文献

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Arthroscopic Superior Capsular Reconstruction With Knotless Double-Row Dermal Allograft and Margin Convergence Augmentation. 关节镜下无结双排异体真皮移植及边缘收敛增强的上囊重建。
Video journal of sports medicine Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1177/26350254241299461
Jonathan D Groothoff, Thomas W Mason, Anthony P Fiegen, Jelle P van der List, Brian R Waterman
{"title":"Arthroscopic Superior Capsular Reconstruction With Knotless Double-Row Dermal Allograft and Margin Convergence Augmentation.","authors":"Jonathan D Groothoff, Thomas W Mason, Anthony P Fiegen, Jelle P van der List, Brian R Waterman","doi":"10.1177/26350254241299461","DOIUrl":"10.1177/26350254241299461","url":null,"abstract":"<p><strong>Background: </strong>Superior capsular reconstruction (SCR) is an effective treatment option for rotator cuff injury. A variety of techniques and grafts can be used, and no clear method of graft fixation has been established.</p><p><strong>Indications: </strong>SCR is indicated for the treatment of irreparable rotator cuff tears refractory to conservative measures, as was observed in this 58-year-old male patient. This procedure reduces superior translation of the humeral head and strengthens the superior capsule of the shoulder.</p><p><strong>Technique description: </strong>The patient was positioned in the beach-chair position. Three knotless anchors were placed onto the superior glenoid neck. Anchors were placed into the greater tuberosity adjacent to the articular margin to serve as medial row anchors for final double-row fixation. A dermal allograft was then shuttled into the subacromial space and secured to the glenoid neck. After completion of the SCR, margin convergence-style repair was performed to pull the biceps tendon and infraspinatus tendon over the top of the allograft for additional support.</p><p><strong>Results: </strong>Complication rates following SCR vary. The most common complication is graft retear, which typically occurs at the medial anchor. Thus, many surgeons prefer a double-row technique for fixation. Graft augmentation to strengthen the overall construct reduces this risk. Dermal allografts less than 3 mm thick are associated with greater failure rates. At 6 months postoperatively, this patient reported 0 out of 10 pain, possessed full range of motion, and continued to gain strength through an at-home physical therapy program.</p><p><strong>Discussion/conclusion: </strong>Knotless double-row dermal allograft SCR with additional incorporation of the infraspinatus and biceps tendons is a viable option for patients experiencing rotator cuff injuries unresponsive to conservative management. Literature indicates that patient outcomes following this procedure are positive, with high patient satisfaction rates and improved anatomic and functional scores.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241299461"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096746","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}
引用次数: 0
Arthroscopic Suprascapular Nerve Decompression: A Technique Video. 关节镜下肩胛上神经减压技术视频。
Video journal of sports medicine Pub Date : 2025-05-13 eCollection Date: 2025-05-01 DOI: 10.1177/26350254241299841
Eric J Cotter, Joshua H Chang, Daanish Khazi-Syed, Catherine M Hand, Camden J Bohn, Chase Gornbein, Brian Forsythe
{"title":"Arthroscopic Suprascapular Nerve Decompression: A Technique Video.","authors":"Eric J Cotter, Joshua H Chang, Daanish Khazi-Syed, Catherine M Hand, Camden J Bohn, Chase Gornbein, Brian Forsythe","doi":"10.1177/26350254241299841","DOIUrl":"https://doi.org/10.1177/26350254241299841","url":null,"abstract":"<p><strong>Background: </strong>Suprascapular neuropathy is an uncommon but treatable cause of shoulder pain and dysfunction. The tortuous course of the suprascapular nerve puts it at risk for entrapment, particularly at the suprascapular and spinoglenoid notches. This video presents a reproducible method for suprascapular nerve decompression at the suprascapular notch.</p><p><strong>Indications: </strong>Massive rotator cuff tears, compressive masses, or ligament hypertrophy warrants prompt intervention to prevent subsequent denervation in the face of suprascapular neuropathy. In the absence of these pathologies, a trial of conservative management is advised. Patients who have unsuccessful conservative management and evidence of worsening weakness, atrophy, and denervation by electromyography are indicated for surgical intervention.</p><p><strong>Technique description: </strong>Standard posterior, anterior, lateral, and anterolateral portals are established. The subdeltoid space is dissected following the coracoacromial (CA) ligament to the base of the coracoid to identify the transverse scapular ligament. In the presented case, the CA ligament has been debrided from a previous surgery, so an intra-articular approach was employed, opening the rotator interval to reach the base of the coracoid. A Neviaser portal is made for blunt dissection around the suprascapular notch, with care taken to protect the neurovasculature. A second medial Neviaser portal is used to pass a Kerrison to release the transverse scapular ligament. Nerve adhesions are then gently released with a probe.</p><p><strong>Results: </strong>A systematic review of 276 suprascapular nerve decompressions demonstrated good outcomes in terms of pain relief and function, and all athletes in the review returned to sport. A case series of 112 arthroscopic decompressions at the suprascapular notch found that patients achieved significant improvement in pain and strength, and none resulted in serious complications. These outcome studies support a level 4 video publication level of evidence.</p><p><strong>Discussion/conclusion: </strong>The presented arthroscopic decompression technique treats suprascapular nerve entrapment at the suprascapular notch. Patients can expect to achieve a satisfactory outcome.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241299841"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083144","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}
引用次数: 0
Acetabular Rim Variants. 髋臼边缘变异。
Video journal of sports medicine Pub Date : 2025-05-08 eCollection Date: 2025-05-01 DOI: 10.1177/26350254241302099
Richard F Nauert, Robert B Browning, Bryce N Clinger, F Winston Gwathmey
{"title":"Acetabular Rim Variants.","authors":"Richard F Nauert, Robert B Browning, Bryce N Clinger, F Winston Gwathmey","doi":"10.1177/26350254241302099","DOIUrl":"https://doi.org/10.1177/26350254241302099","url":null,"abstract":"<p><strong>Background and indications: </strong>Acetabular rim ossification variants have a reported incidence of 17%. These variants include labral calcifications, os acetabuli or acetabular rim fractures, and labral ossification. Labral calcifications are small soft calcification deposits within the labrum in patients with femoroacetabular impingement (FAI). The overall cause is unknown. For acetabular rim fractures/os acetabuli, there are several proposed causes, including unfused secondary ossification center (true os acetabuli) and repetitive microtrauma leading to a stress fracture of the acetabulum (acetabular rim fractures). Surgical intervention can include excision versus fixation. Labral ossification involves circumferential ossification of the labrum that is contiguous with the lateral edge of the acetabular rim. Surgical intervention can include labral debridement, repair, or reconstruction.</p><p><strong>Technique description: </strong>In labral calcification debridement, the superior aspect of the labrum is incised with a radiofrequency device or a beaver blade, and a shaver is reintroduced to remove the calcifications. For acetabular rim fractures/os acetabuli, if excision would lead to iatrogenic dysplasia, then the decision to fix the os back to the acetabulum is made. Several techniques for fixation have been described, including the suture-on-screw technique and the all-suture anchor suture-staple configuration. For labral ossification, surgical decision-making depends on the degree of ossification and the quality of the remaining labrum. If adequate labrum is available, then acetabuloplasty and labral repair are indicated. If inadequate, then acetabuloplasty and labral reconstruction are often chosen.</p><p><strong>Results: </strong>One study reported superior results with excision of the os acetabuli and correction of bony impingement with labral repair compared to FAI alone. A second study demonstrated that patients with labral ossification had significantly lower patient-reported outcomes (PROs) preoperatively but similar improvement postoperatively to patients without labral ossification. Another study showed that patients with symptomatic FAI and labral calcifications can be effectively treated with hip arthroscopy at a 2-year follow-up.</p><p><strong>Discussion/conclusion: </strong>Acetabular rim ossification variants are common among patients with FAI. The accurate diagnosis and management of these patients are paramount. With appropriate treatment, patients achieve similar improvement in PROs as compared to those with FAI alone.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241302099"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050815","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}
引用次数: 0
Evolution of Tensionless Repair of Lateral Radial Meniscus Tear With the Use of the Traction Stitch. 牵引针无张力修复桡骨外侧半月板撕裂的进展。
Video journal of sports medicine Pub Date : 2025-05-06 eCollection Date: 2025-05-01 DOI: 10.1177/26350254241304791
Noah T Mallory, Zachary Burnett, Emma Flanigan, Eric Milliron, Parker Cavendish, David C Flanigan
{"title":"Evolution of Tensionless Repair of Lateral Radial Meniscus Tear With the Use of the Traction Stitch.","authors":"Noah T Mallory, Zachary Burnett, Emma Flanigan, Eric Milliron, Parker Cavendish, David C Flanigan","doi":"10.1177/26350254241304791","DOIUrl":"https://doi.org/10.1177/26350254241304791","url":null,"abstract":"<p><strong>Background: </strong>Meniscus surgery remains one of the most common orthopaedic surgeries performed in the United States each year, with radial tear patterns being a common subset. In young, active patients with mechanical symptoms, surgery is often indicated. While management via partial meniscectomy predominates historically in tears of this type, recent success has been found in surgical repair. As repair techniques continue to evolve, this case demonstrates the use of the traction suture to maintain anatomic reduction throughout repair, ultimately resulting in a low-tension construct.</p><p><strong>Indications: </strong>Meniscal repair is indicated for traumatic tears in individuals with minimal to no underlying osteoarthritis in the knee. The authors believe utilization of the traction suture is indicated for any repair of radial tears of the lateral meniscus where maintaining reduction might be difficult to aid in an ultimately low-tension construct.</p><p><strong>Technique description: </strong>The patient is placed in a supine position. Standard anteromedial and anterolateral portals are made, and standard diagnostic arthroscopy is performed. The meniscus tear is inspected and classified. A traction suture is placed in the posterior aspect of the body of the meniscus, bolstered by capsular fixation in an inside-out method to aid in the reduction of central tears. Care is taken to maintain reduction by pulling traction on this suture throughout the repair. In the case presented here, we proceeded with repair utilizing a hashtag configuration, with a combination of vertical and horizontal mattress sutures through an inside-out technique and a posterolateral approach. Following repair, the remaining white-white tissue is debrided, and the knee is ranged through a complete arch of motion to ensure the tear remains reduced throughout this range.</p><p><strong>Results: </strong>Results specific to the use of the traction suture on outcomes of repair are forthcoming. The authors of this study have performed several studies on radial meniscus tear repairs and outcomes previously, demonstrating improvements in patient-reported outcomes as well as favorable biomechanical outcomes.</p><p><strong>Discussion/conclusion: </strong>Surgical intervention should be considered for symptomatic radial meniscus tears extending to the capsule of the lateral meniscus, especially in young athletes. The use of the traction suture can be helpful to maintain reduction throughout repair, ultimately allowing for a repair under minimal tension.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 3","pages":"26350254241304791"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059743","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}
引用次数: 0
Sideline Management of Sudden Cardiac Arrest. 心脏骤停的副业管理。
Video journal of sports medicine Pub Date : 2025-04-23 eCollection Date: 2025-03-01 DOI: 10.1177/26350254251329104
Jaineet Chhabra, Tony Voong, Glenn Barnes, Wade Gaal, Anthony Bratton
{"title":"Sideline Management of Sudden Cardiac Arrest.","authors":"Jaineet Chhabra, Tony Voong, Glenn Barnes, Wade Gaal, Anthony Bratton","doi":"10.1177/26350254251329104","DOIUrl":"https://doi.org/10.1177/26350254251329104","url":null,"abstract":"<p><strong>Background: </strong>Sudden cardiac arrest (SCA) is the leading cause of student-athlete mortality, often described interchangeably as sudden cardiac death (SCD). For persons aged ≤35 years, structural heart disease, such as hypertrophic cardiomyopathy, is historically the most common etiology. Regarding individuals aged >35 years, coronary artery disease is the main contributor to SCD during exercise.</p><p><strong>Indications: </strong>Though some athletes may endure prodromal symptoms prior to a SCA, approximately 25% to 50% do not. Up to 23,000 people aged <18 years die from SCA annually. SCA athlete deaths are reported to be the most common medical cause of death and the second most common overall behind motor vehicle accidents in this population. Therefore, it is important to acknowledge SCA prevalence and identify at-risk competitors.</p><p><strong>Technique description: </strong>If a SCA is suspected, first assess surroundings for safety and athlete response to commands. Should there be no pulse, activate code. If necessary, an athlete's shirt may be removed or cut to better access the bare chest for the automated external defibrillator (AED) pads. Apply pads and commence compressions. Refer to the AED for a shockable rhythm between compression cycles. Establish intravenous access as appropriate and if feasible. After 1 cycle of compressions, a shock is administered when a shockable rhythm is detected. Resume compressions if a pulse is not reestablished. If a pulse is reestablished, the athlete should then be immediately transported to the hospital.</p><p><strong>Results: </strong>A literature review yields illustration of the multifactorial criteria that comprise return-to-sports guidelines, including activity intensity, extent of cardiac disease, and psychological/physical benefit from sport. SCD incidence is higher in competitive versus recreational athletes. In general, consolidation of these investigations makes it apparent that utilizing a shared decision-making process and a progressive exercise program is warranted prior to play resumption in most cases. The greatest SCA/SCD survival determinant is collapse to defibrillation time.</p><p><strong>Discussion/conclusion: </strong>The American Heart Association/American College of Cardiology and the European Society of Cardiology recommend preparticipation cardiac screening to identify cardiac conditions that predispose to SCA/SCD risk. SCD prevention in athletes hinges on the prompt availability of quality cardiopulmonary resuscitation and AEDs.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254251329104"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050884","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}
引用次数: 0
Nonoperative Management of Ulnar Collateral Ligament Injuries in the Throwing Athlete: A Framework for Return to Throwing. 投掷运动员尺侧副韧带损伤的非手术治疗:恢复投掷的框架。
Video journal of sports medicine Pub Date : 2025-04-16 eCollection Date: 2025-03-01 DOI: 10.1177/26350254251326953
Phillip B Wyatt, Benjamin Vanderkwaak, Ryan Brown, J Brett Goodloe
{"title":"Nonoperative Management of Ulnar Collateral Ligament Injuries in the Throwing Athlete: A Framework for Return to Throwing.","authors":"Phillip B Wyatt, Benjamin Vanderkwaak, Ryan Brown, J Brett Goodloe","doi":"10.1177/26350254251326953","DOIUrl":"https://doi.org/10.1177/26350254251326953","url":null,"abstract":"<p><strong>Background: </strong>Ulnar collateral ligament (UCL) injuries in throwing athletes result from repetitive valgus stress to the elbow in a flexed position. Muscular dysfunction of the forearm and shoulder musculature is commonly associated with UCL injuries. Nonoperative rehabilitation should generally start with a rest period, followed by progressive strengthening of the upper extremity, and eventually, a systematic throwing program.</p><p><strong>Indications: </strong>Nonoperative management is first line for UCL injuries. Trained rehabilitation professionals, including physical therapists or athletic trainers, should be involved early and guide the progression of exercise throughout the recovery process.</p><p><strong>Technique description: </strong>In the first 1 to 2 weeks, the goals include strengthening rotator cuff, scapulothoracic, and forearm musculature while protecting the damaged UCL by avoiding valgus stress. Weeks 3 to 4 progress strengthening to more demanding movements, utilizing larger muscle groups while introducing shoulder internal rotation strengthening. The goals of weeks 5 to 6 are to increase the speed of movement as the athlete prepares to return to more throwing-like activity. The athlete can begin a progressive, monitored throwing program as early as 7 weeks.</p><p><strong>Results: </strong>The purpose of this video is to provide a suggested framework for the progression of rehabilitative exercises in athletes with UCL injuries.</p><p><strong>Discussion/conclusion: </strong>A well-designed return to throwing program respects tissue load tolerance. It is important that the athlete remain pain-free throughout the rehabilitation process. This highlights the need for well-trained professionals to guide the return to throwing process, so that modifications can be made when needed.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254251326953"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004193","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}
引用次数: 0
On-Field Management: Cardiac Event. 现场管理:心脏事件。
Video journal of sports medicine Pub Date : 2025-04-11 eCollection Date: 2025-03-01 DOI: 10.1177/26350254251326950
Carl C Edge, Jeff M Collins, Michael H Avey, Mary K Petrizzi, Alex Williams, Seth A Cheatham, J Brett Goodloe
{"title":"On-Field Management: Cardiac Event.","authors":"Carl C Edge, Jeff M Collins, Michael H Avey, Mary K Petrizzi, Alex Williams, Seth A Cheatham, J Brett Goodloe","doi":"10.1177/26350254251326950","DOIUrl":"https://doi.org/10.1177/26350254251326950","url":null,"abstract":"<p><strong>Background: </strong>Sudden cardiac arrest (SCA) is the leading cause of sport-related death in athletes during competition despite their healthy physiological status. Sudden cardiac death is defined as an unexpected death from cardiac causes that occurs within 1 hour (or within 24 hours in unwitnessed cases) from the onset of an acute change in cardiovascular status in the absence of external causal factors. Medical personnel should be prepared to care for athletes who experience SCA and understand the factors that increase the chance of survival in athletes who experience SCA.</p><p><strong>Indications: </strong>Being prepared for these events is essential for increasing the chance of survival in athletes who experience SCA. In addition to in-game management of a SCA, we review the causes of SCA, the role of screening and workup, implementation of an action plan, and the transition of care following an event.</p><p><strong>Technique description: </strong>Emergency action plans (EAPs) are necessary to streamline and standardize efficient care for athletes who experience SCA. The EAP discussed in this article comprises 12 items that guide the management of SCA from appropriate setup and planning for each sporting venue to the postresuscitation transition of care.</p><p><strong>Results: </strong>Athletes who experience SCA are more likely to survive if an automated external defibrillator (AED) is available and measures are taken to prepare the sideline medical team with an EAP that addresses conditions before and after the SCA event.</p><p><strong>Discussion/conclusion: </strong>SCA is a serious event that all sideline personnel should be prepared for. With the presence of an AED and preparation of medical and training staff with an EAP, the likelihood of an athlete surviving a cardiac arrest increases substantially. Thus, medical and training staff should familiarize themselves with EAPs and rehearse them annually.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254251326950"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065461","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}
引用次数: 0
Physical Therapy Management of the First-Time Patellar Instability Event. 首次髌骨不稳事件的物理治疗管理。
Video journal of sports medicine Pub Date : 2025-04-03 eCollection Date: 2025-03-01 DOI: 10.1177/26350254241299459
Aashish Batheja, Rafael Robles, Jonathan Mack, Mathew S Smith, J Brett Goodloe
{"title":"Physical Therapy Management of the First-Time Patellar Instability Event.","authors":"Aashish Batheja, Rafael Robles, Jonathan Mack, Mathew S Smith, J Brett Goodloe","doi":"10.1177/26350254241299459","DOIUrl":"https://doi.org/10.1177/26350254241299459","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patellar instability, the subluxation or dislocation of the patella within the patellofemoral joint, is common in adolescents and can significantly affect their function. This study evaluates conservative management for first-time patellar instability events, discussing rehabilitation strategies and criteria for return to activity/sport.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Indications: &lt;/strong&gt;Conservative management is typically indicated for patients experiencing a first-time patellar dislocation, particularly when there are no osteochondral injuries or significant anatomic abnormalities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Technique description: &lt;/strong&gt;Physical therapy management begins with an initial evaluation assessing swelling, core and lower extremity strength, range of motion (ROM), and special tests. This management is divided into 3 phases: acute, intermediate, and late. In the acute phase (0-4 weeks), cryotherapy and compression manage effusion, while early ROM exercises prevent stiffness. The intermediate phase (4-6 weeks) focuses on strengthening dynamic knee stabilizers and incorporating progressive open- and closed-chain exercises. The late phase (6-8 weeks) aims to restore full strength and prepare the patient for return to activity through sports-specific drills and higher-intensity exercises.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Conservative management for first-time patellar dislocations shows promising outcomes. Early active ROM and strength training are associated with improved knee function, increased ROM, and higher patient satisfaction. Interventions such as patellar taping and nonrigid bracing provide immediate stability and relief, promoting muscle preservation and improved ROM at subsequent follow-ups. Systematic reviews indicate no significant difference in redislocation rates between partial and full weightbearing protocols, supporting the recommendation to avoid immobilization. Key International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) guidelines emphasize complete healing, neuromuscular training, core strength, and psychological readiness for a safe return to sport. Functional assessments like the Y-balance and triple-hop tests help evaluate limb symmetry and functional readiness before resuming activities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion/conclusion: &lt;/strong&gt;Conservative management is a suitable plan for most first-time patellar dislocations. While there is no single best rehabilitation plan, important principles for management include early ROM and strengthening exercises to promote knee function. Patient evaluation and criteria can help establish a safe timeline for returning to sport, ensuring optimal recovery, and minimizing recurrence risk.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient consent disclosure statement: &lt;/strong&gt;The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254241299459"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049441","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}
引用次数: 0
ACL Graft Selection Based on Age and Sport. 基于年龄和运动的ACL移植物选择。
Video journal of sports medicine Pub Date : 2025-03-11 eCollection Date: 2025-03-01 DOI: 10.1177/26350254241308584
Mert Kahraman Marasli, Berte Bøe
{"title":"ACL Graft Selection Based on Age and Sport.","authors":"Mert Kahraman Marasli, Berte Bøe","doi":"10.1177/26350254241308584","DOIUrl":"https://doi.org/10.1177/26350254241308584","url":null,"abstract":"<p><strong>Background: </strong>The issue of graft selection in anterior cruciate ligament (ACL) reconstruction continues to be debated in the literature. It has been reported in the literature that different graft types give different results, especially in different demographic characteristics (age, sex) and different sports. In this study, we attempted to provide an overview of how graft selection should be made according to demographic characteristics (age, sex) and sport types.</p><p><strong>Indications: </strong>In this study, we tried to review the studies in the literature that compared graft types in ACL reconstruction according to age, sex, or type of sport.</p><p><strong>Technique description: </strong>A narrow review of the literature was performed to compare graft selection specific to different sports.</p><p><strong>Results: </strong>There is no perfect graft selection for everyone. Given the distinct characteristics of each sport branch, including the grade of pivoting, frequency of repeated movements, and expectations, it is evident that dedicated research is required for each sport. Comparative studies on graft selection specific to each sport may increase the accuracy of the selection.</p><p><strong>Discussion/conclusion: </strong>A review of the literature reveals a paucity of studies on the selection and outcomes of grafts in different sports. When choosing a graft for ACL reconstruction, factors such as age, sex, sport type, and expectations should be taken into consideration and a personalized decision should be made.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254241308584"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059963","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}
引用次数: 0
Applications for Biomechanical Taping and Kinesiotaping in Athletics. 生物力学胶带和运动胶带在田径运动中的应用。
Video journal of sports medicine Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1177/26350254241282695
Brigitte Lieu, Suhas Rao Velichala, Carl Edge, Leah Dunagan, J Brett Goodloe
{"title":"Applications for Biomechanical Taping and Kinesiotaping in Athletics.","authors":"Brigitte Lieu, Suhas Rao Velichala, Carl Edge, Leah Dunagan, J Brett Goodloe","doi":"10.1177/26350254241282695","DOIUrl":"https://doi.org/10.1177/26350254241282695","url":null,"abstract":"<p><strong>Background: </strong>Kinesiology taping (KT) is a popular therapeutic modality used by athletes for sports performance enhancement. The objective of this presentation is to demonstrate appropriate KT techniques for a variety of pathologies among athletes.</p><p><strong>Indications: </strong>KT can be used to enhance athletic performance by improving strength, range of motion, and proprioception. Several application sites are commonly used in athletics for various pathologies.</p><p><strong>Technique description: </strong>A variety of KT techniques are applied to specific joints to support athletic performance. For the ankle, the tape is applied beginning on the lateral surface of the leg, wrapping around the lateral ankle, and ending on the dorsal aspect of the foot. For the foot, a \"figure 8\" is applied over the metatarsal heads and along the dorsum of the foot for stability and pain control. Long Y strips are utilized to help reduce muscle fatigue and improve range of motion of the calf and shoulder, namely, the deltoid and supraspinatus muscle groups in the latter application. KT strips are used to guide the patella into a more desirable position to address patellar tracking and pain. For the biceps, an I strip of kinesiology tape is applied across its entire length from the distal insertion to the origin to enhance muscle strength and torque.</p><p><strong>Results: </strong>Evidence supports KT for short-term improvements in muscle balance, fatigue resistance, range of motion, and pain control.</p><p><strong>Discussion/conclusion: </strong>There appears to be a role for KT in meeting short-term athletic demands such as muscle balance, fatigue resistance, range of motion, and pain control across a variety of muscle groups. The use of proper KT technique maximizes its effectiveness as a therapeutic tool for athletes and minimizes the risk of undesirable side effects.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"5 2","pages":"26350254241282695"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056994","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}
引用次数: 0
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