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Operative Techniques in Sports Medicine最新文献

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Addressing Extra-Articular Impingement in the Athlete 解决运动员的关节外撞击问题
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151109
Michael K. Ryan
{"title":"Addressing Extra-Articular Impingement in the Athlete","authors":"Michael K. Ryan","doi":"10.1016/j.otsm.2024.151109","DOIUrl":"10.1016/j.otsm.2024.151109","url":null,"abstract":"<div><p>Extra-articular impingement (EAI) is an atypical, infrequent source of hip pain. Unlike femoroacetabular impingement (FAI) and acetabular dysplasia (AD), EAI results from abnormal contact of the proximal femur and trochanteric region, and the ischium or subspine areas. Hip pain and potential instability are reported. Causes of EAI include a narrowed ischiofemoral space, coxa valga, femoral torsion abnormalities, avulsion malunions, and more complex deformities resulting from pediatric hip diseases. Unique history and examination findings not commonly seen with standard FAI are noted, including pain with standing and hip extension and imbalanced hip motion with excessive internal rotation and limited external rotation (or vice versa). Surgical indications are yet to be definitively defined, but surgical treatment options include lesser trochanter resection, femoral osteotomy, and surgical hip dislocation. Proper workup and surgical planning have demonstrated good outcomes for treatment of EAI with these techniques, but information to optimally define which patients benefit most from which surgeries is pending.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151109"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163987","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
Revision Hip Arthroscopy: Getting It Right the Second Time 髋关节镜翻修术：第二次正确操作
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151108
Roger Quesada-Jimenez , Elizabeth G. Walsh , Benjamin G. Domb
{"title":"Revision Hip Arthroscopy: Getting It Right the Second Time","authors":"Roger Quesada-Jimenez ,&nbsp;Elizabeth G. Walsh ,&nbsp;Benjamin G. Domb","doi":"10.1016/j.otsm.2024.151108","DOIUrl":"10.1016/j.otsm.2024.151108","url":null,"abstract":"<div><p>Hip arthroscopy procedures have become increasingly common in the last few decades for treating both intra and extra-articular hip pathologies. Despite advancements in the field, some patients may not experience improvement and may eventually require revision hip arthroscopy. The multifactorial causes for failure, unknown impacts of the primary procedure and previous iatrogenic considerations can create added complexity for the revision. Given that revision hip arthroscopy has had more variation in patient outcomes and higher rates of subsequent conversion to hip arthroplasty, compared with primary hip arthroscopy, it is imperative to have a good algorithm for patient selection and to understand the various surgical options available to address different pathologies. In this review, we explore the current diagnostic algorithms, etiologies, surgical procedures, outcomes, and provide insights into future directions in the field of revision hip arthroscopy.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151108"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164074","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
Managing the Hip in Supraphysiologic Motion Athletes 管理超生理运动运动员的髋关节
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151107
Robert M. Putko, Marc R. Safran
{"title":"Managing the Hip in Supraphysiologic Motion Athletes","authors":"Robert M. Putko,&nbsp;Marc R. Safran","doi":"10.1016/j.otsm.2024.151107","DOIUrl":"10.1016/j.otsm.2024.151107","url":null,"abstract":"<div><p>The supraphysiologic hip in artistic athletes poses a unique challenge to the discerning sports medicine practitioner. Through stretching and repetitive microtraumatic motions, a cascade of soft tissue laxity, increased strain on surrounding soft tissue structures, and microinstability can develop, resulting in both soft tissue and bony injury. In addition, extra-articular pathology can predominantly affect the artistic athlete. Thus, a thorough understanding of the anatomy and pathophysiology as the hip is ranged to the extremes is paramount to establishing an adequate diagnosis and developing a treatment plan. Through a careful history along with a targeted and thorough physical exam in addition to diagnostic imaging, one can accurately identify the sources of pain and dysfunction. Treatment can range from conservative and interventional nonoperative modalities to open and/or arthroscopic hip surgery. Surgical techniques should not only address the identified pathology but also take care to not limit the extremes of hip motion required by the artistic athlete's sport. Despite the high demands of hip motion and function (supraphysiologic motion and function) the artistic athlete can return to high levels of performance if one pays attention to these factors.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151107"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164075","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
Editorial Board (pick up from previous issue) 编辑委员会（接上一期）
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1053/S1060-1872(24)00058-3
{"title":"Editorial Board (pick up from previous issue)","authors":"","doi":"10.1053/S1060-1872(24)00058-3","DOIUrl":"10.1053/S1060-1872(24)00058-3","url":null,"abstract":"","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151117"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1060187224000583/pdfft?md5=0a2de1a189e89644b75bdc6982db0ac2&pid=1-s2.0-S1060187224000583-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164142","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: 0
Arthroscopic Labral Management: Ignore, Debride, Repair or Reconstruct 关节镜下唇囊处理：忽略、剥离、修复或重建
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151106
Ali S. Noorzad, Marc J. Philippon
{"title":"Arthroscopic Labral Management: Ignore, Debride, Repair or Reconstruct","authors":"Ali S. Noorzad,&nbsp;Marc J. Philippon","doi":"10.1016/j.otsm.2024.151106","DOIUrl":"10.1016/j.otsm.2024.151106","url":null,"abstract":"<div><p>Since its inception, there has been considerable advancement made in the field of hip arthroscopy in not only the technological and technical capabilities but our overall understanding of hip biomechanics and pathology. At the center of much of this progress is the surgeon's approach to the acetabular labrum. In this section, we will discuss the treatment considerations regarding the acetabular labrum and the various treatment modalities that have been tried and tested over time. To refer to the various techniques as treatment <em>options</em> would erroneously imply that all treatment modalities are considered equally in the management of each form of labral pathology. We will discuss the variety of techniques as it is presented in the literature, their respective outcomes, as well as our preferred method for each type of acetabular labral pathology.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151106"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164076","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
Hip Injuries in the Pediatric Athlete—Pelvic Apophyseal Avulsions 小儿运动员的髋关节损伤-骨盆顶骨撕脱伤
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151110
Rishi Sinha , Ben Johnson , William Z. Morris , Philip L. Wilson , Henry B. Ellis
{"title":"Hip Injuries in the Pediatric Athlete—Pelvic Apophyseal Avulsions","authors":"Rishi Sinha ,&nbsp;Ben Johnson ,&nbsp;William Z. Morris ,&nbsp;Philip L. Wilson ,&nbsp;Henry B. Ellis","doi":"10.1016/j.otsm.2024.151110","DOIUrl":"10.1016/j.otsm.2024.151110","url":null,"abstract":"<div><p>Pelvic apophyseal avulsion fractures have been occurring more commonly in young athletes in the context of increased intensive year-round training and early specialization in youth sports, and this diagnosis must be considered in the pediatric patient presenting with hip pain. An understanding of the relevant anatomy can guide the history and physical exam to arrive at the diagnosis, which is usually confirmed with plain radiographs. Although nonoperative management remains the mainstay of treatment for these patients, surgery may be warranted for ischial tuberosity fractures displaced &gt; 2 cm and for symptomatic nonunions. The objective of this review is to provide a comprehensive overview of pelvic apophyseal avulsion injuries.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151110"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163986","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
Imaging and Preoperative Planning of Athletic Hip Pathology 运动髋关节病变的成像和术前规划
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151105
Cody Lee , Asheesh Bedi
{"title":"Imaging and Preoperative Planning of Athletic Hip Pathology","authors":"Cody Lee ,&nbsp;Asheesh Bedi","doi":"10.1016/j.otsm.2024.151105","DOIUrl":"10.1016/j.otsm.2024.151105","url":null,"abstract":"<div><p>Proper imaging is essential for treatment planning of athletic hip pathology. Plain radiographs are a valuable imaging modality, as they can provide useful information regarding patient native anatomy and hip pathoanatomy. Both acetabular- and femoral-sided pathology can be examined using a variety of radiographic views including the AP pelvis, cross table lateral, modified Dunn, and false profile views. Computed tomography can be utilized to further characterize the hip in the coronal and sagittal planes with the added information of axial imaging. This can aid in assessment of hip dysplasia and femoroacetabular impingement. Magnetic resonance imaging can be useful in evaluation soft tissue pathology of the hip, as well as in assessment of the cartilage. Ultrasound offers a noninvasive method of imaging the hip and can be useful in dynamic studies.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151105"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164077","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
Diagnosis and Treatment of Young Adult Hip Injuries (Part II) 青壮年髋关节损伤的诊断和治疗（第二部分）
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151129
Travis G. Maak MD
{"title":"Diagnosis and Treatment of Young Adult Hip Injuries (Part II)","authors":"Travis G. Maak MD","doi":"10.1016/j.otsm.2024.151129","DOIUrl":"10.1016/j.otsm.2024.151129","url":null,"abstract":"","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151129"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164078","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
Physical Therapy Paradigms in Athletic Return to Play After Hip Surgery 髋关节手术后运动员重返赛场的物理治疗范例
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.otsm.2024.151111
Ashley M. Campbell , Michael Voight , JW Thomas Byrd
{"title":"Physical Therapy Paradigms in Athletic Return to Play After Hip Surgery","authors":"Ashley M. Campbell ,&nbsp;Michael Voight ,&nbsp;JW Thomas Byrd","doi":"10.1016/j.otsm.2024.151111","DOIUrl":"10.1016/j.otsm.2024.151111","url":null,"abstract":"<div><p>Hip arthroscopy has become the predominant surgical approach for managing femoroacetabular impingement (FAI) and associated intra-articular pathologies, particularly in athletes. Despite advancements in surgical techniques, rehabilitation protocols, especially those governing return to play (RTP), have not kept pace in terms of specificity and objectivity. This article reviews current practices and introduces a comprehensive, multi-factorial continuum for RTP that extends beyond mere time-based criteria to include an athlete's overall readiness, encompassing both physical and psychological aspects. Through a phased rehabilitation strategy beginning in the preoperative phase and extending through to full return to competition, this paper aims to present a more nuanced continuum for RTP that accounts for an athlete's readiness beyond temporal benchmarks. The phases outlined include preoperative preparation, immediate postoperative care, early rehabilitation, reconditioning, performance enhancement, and final return to play, each phase tailored to integrate clinical milestones with biomechanical and psychosocial factors. This approach advocates for a shift towards personalized rehabilitation protocols that align with the biological healing processes and functional milestones essential for a successful return to sports.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151111"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164079","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
Table of Contents (pick up from previous issue w/updates) 目录（接上一期/更新内容）
IF 0.4 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2024-09-01 DOI: 10.1053/S1060-1872(24)00057-1
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1060-1872(24)00057-1","DOIUrl":"10.1053/S1060-1872(24)00057-1","url":null,"abstract":"","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 3","pages":"Article 151116"},"PeriodicalIF":0.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1060187224000571/pdfft?md5=b24a4c838951a971f83034ee88ea4f5b&pid=1-s2.0-S1060187224000571-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164143","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: 0
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