Operative Techniques in Sports Medicine最新文献_第3页

Operative Techniques in Sports Medicine focusing on the Aging Athlete Management of Meniscus Pathology-Repair and centralize or Resect? 运动医学的手术技术，关注老年运动员半月板病变的处理--修复和集中还是切除？

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.otsm.2024.151088

Yuta Nakanishi, Kanto Nagai, Yuichi Hoshino, Takehiko Matsushita, Ryosuke Kuroda

引用次数: 0

Considerations in the Aging Female Athlete 老年女运动员的注意事项

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.otsm.2024.151091

Filip Vuletić , Berte Bøe

{"title":"Considerations in the Aging Female Athlete","authors":"Filip Vuletić , Berte Bøe","doi":"10.1016/j.otsm.2024.151091","DOIUrl":"10.1016/j.otsm.2024.151091","url":null,"abstract":"<div><p>As female athletes age, their risk of musculoskeletal injuries increases. These injuries can have a negative impact on their health and athletic abilities. This article explores the most common conditions that aging female athletes may face, such as osteoarthritis, meniscal injuries, joint instability, rotator cuff injuries, and stress fractures. Hormonal and physiological changes, anatomical differences, and changes in bone mineral density can cause these injuries. To prevent such injuries, it is crucial to incorporate comprehensive injury prevention programs that include strength training, flexibility exercises, balance training, and appropriate warm-up and cool-down routines. These programs should be tailored to the individual's fitness level and musculoskeletal issues. Additionally, the article offers valuable insights into various techniques for managing and treating these injuries, such as non-surgical interventions, surgical options, and rehabilitation programs. Healthcare professionals, coaches, and athletes themselves must recognize and address these issues to improve performance, prevent injuries, and support the overall health and well-being of aging female athletes. In conclusion, maintaining physical fitness and engaging in structured exercise programs are crucial for aging female athletes to slow the decline in musculoskeletal strength and integrity. Proper first aid measures, appropriate medications, and a comprehensive exercise regimen can aid in recovery and regain strength, function, and mobility, enabling a return to competitive sports or other athletic pursuits.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1060187224000327/pdfft?md5=e6641e8e9012dff799babe2a49725c9a&pid=1-s2.0-S1060187224000327-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131549","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

Meniscal Allograft Transplant—Should We Perform in the Aging Athlete? 半月板同种异体移植--是否应在老龄运动员中进行？

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.otsm.2024.151089

Nicola D. Mackay, Alan MJ Getgood

引用次数: 0

ACL and Graft Choices in the Aging Athlete 老年运动员的前交叉韧带和移植选择

IF 0.4 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.otsm.2024.151086

Zoe W. Hinton , Alison P. Toth

{"title":"ACL and Graft Choices in the Aging Athlete","authors":"Zoe W. Hinton , Alison P. Toth","doi":"10.1016/j.otsm.2024.151086","DOIUrl":"10.1016/j.otsm.2024.151086","url":null,"abstract":"<div><p>Anterior cruciate ligament reconstruction (ACLR) is a well-established procedure utilized in the setting of ACL injuries in patients under age 40. The management of ACL injuries in older populations is controversial as best practices are not clear with regard to candidacy for surgery, graft choice, fixation, and rehabilitation. In this review, we examined the body of literature surrounding controversies in management of ACL tears in older patients. Specific foci include nonoperative management, clinical course of osteoarthritis with ACLR, graft choice, graft fixation, complications, and alternative surgical options. The aging athlete with ACL-deficiency may benefit from non-operative management with rehabilitation if they are low demand, have minimal instability, and do not have moderate to severe or multi-compartmental osteoarthritis. Prehabilitation may also be beneficial to patients in the to determine if they can recover from injury to achieve an acceptable state of function before deciding upon surgery. ACLR is a viable option in older patient populations with minimal osteoarthritis and instability who have failed conservative management. Patients undergoing ACLR are likely to develop worsening radiographic OA. Despite this radiographic OA, majority of patients have improvements in PROMs and return to function. Given the risks of TKA after ACLR, shared clinical decision making should be prioritized with each patient regarding pursuit of ACLR versus conservative management.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144389","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 Tendon Injuries in the Elite Athlete: Gluteal Tears and Proximal Hamstring Tears 精英运动员的髋部肌腱损伤：臀肌撕裂和腘绳肌近端撕裂

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151066

Joshua D. Harris, Miriam Hinojosa

{"title":"Hip Tendon Injuries in the Elite Athlete: Gluteal Tears and Proximal Hamstring Tears","authors":"Joshua D. Harris, Miriam Hinojosa","doi":"10.1016/j.otsm.2024.151066","DOIUrl":"10.1016/j.otsm.2024.151066","url":null,"abstract":"<div><p><span>The proximal hamstring origin and gluteal insertion are 2 common sources of hip pain in elite athletes. Acute proximal hamstring tendon<span> injuries may occur secondary to rapid simultaneous hip flexion and knee extension. Chronic proximal hamstring tendinopathy and partial tearing typically is observed in endurance athletes and most commonly seen in runners. A frequent mechanism responsible for this is ischiofemoral impingement from the </span></span>lesser trochanter<span> with repetitive damage to the proximal hamstring origin. A weak abductor moment and narrowing of the ischiofemoral space results in the attritional injury, beginning anteriorly at the junction of the quadratus femoris and semimembranosus. Gluteal tendon pathology is a common inciting event for proximal hamstring pain. The cornerstone of nonsurgical treatment for proximal hamstring is education-driven supervised and skilled physical therapy. Endoscopic repair may be performed for partial-thickness and full-thickness tears without significant retraction. Open repair may be performed for both partial- and full-thickness tears with or without retraction. Symptomatic gluteal tendon pathology most frequently occurs in older individuals. Lateral peritrochanteric hip pain with walking is a common chief complaint. Nocturnal symptoms are also often reported. The mainstay of nonsurgical treatment is education-driven supervised physical therapy. Surgical treatment, similar to that of the proximal hamstring, can be safely and effectively performed with either endoscopic or open approaches. Endoscopic repair may be performed for partial- and small full-thickness tears without significant retraction. Open repair may be performed for all tear types and patterns.</span></p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139516318","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

Accessing the Hip Capsular Management: Outside-In and Inside-Out Including Periportal, Intraportal, T-Capsulotomy 进入髋关节和髋关节囊管理：从外向内和从内向外，包括门周、门内和 T 型髋关节囊切开术

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151067

Saranya A. Sethuraman, Brian D. Giordano

引用次数: 0

A Layered Approach to the History and Physical Exam of the Athlete's Hip 运动员髋关节病史和体格检查的分层方法

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151061

Michael J. Vogel, Alexander B. Alvero, Joshua Wright-Chisem, Shane J. Nho

{"title":"A Layered Approach to the History and Physical Exam of the Athlete's Hip","authors":"Michael J. Vogel, Alexander B. Alvero, Joshua Wright-Chisem, Shane J. Nho","doi":"10.1016/j.otsm.2024.151061","DOIUrl":"10.1016/j.otsm.2024.151061","url":null,"abstract":"<div><p><span>Hip pathology is a common source of pain and dysfunction in athletes. Taking a layered approach to the history and physical examination of the athlete's hip is imperative to deciphering the vast differential diagnoses for an athlete's hip pain. Systematic evaluation of the (1) osteochondral, (2) capsulolabral, (3) musculotendinous, (4) neurovascular, and (5) kinematic chain layers of the hip allow for the comprehensive consideration of hip pain etiologies, including femoroacetabular impingement syndrome, labral tears, </span>osteoarthritis<span>, Coxa<span> Saltans, hamstring and gluteal tendinopathy<span><span>, and sacroiliac joint dysfunction, among numerous other conditions. A thorough history, including the location, acuity, quality, radiation, and sport-specific limitations of the hip pain, followed by a methodologic physical examination, with ordered inspection, gait, palpation, range of motion, strength testing, and provocative maneuvers, allows clinicians to arrive at an early and accurate diagnosis of hip pain. Only after a thorough history and physical examination can more specific diagnostic and </span>therapeutic modalities be applied.</span></span></span></p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139506394","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 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1053/S1060-1872(24)00014-5

引用次数: 0

Open and Arthroscopic Management of Chondral and Chondrolabral Defects of the Hip 髋关节软骨和软骨板缺损的开放式和关节镜治疗

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151062

Elaine Z. Shing, Zachary W. Wade, Hansel Ihn, Ameen Khalil, Stephen K. Aoki, Travis G. Maak

引用次数: 0

Editorial Board (pick up from previous issue) 编辑委员会（接上一期）

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1053/S1060-1872(24)00015-7

引用次数: 0