Operative Techniques in Sports Medicine最新文献_第4页

Acetabular Impingement Management Including Focal and Global Retroversion and the Subspine 髋臼撞击管理，包括病灶和整体后翻以及脊柱下部

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151063

Stephanie A. Boden, Salvador G. Ayala, Jose R. Garcia, Rodrigo Saad Berreta, Felicitas Allende, Jorge Chahla

{"title":"Acetabular Impingement Management Including Focal and Global Retroversion and the Subspine","authors":"Stephanie A. Boden, Salvador G. Ayala, Jose R. Garcia, Rodrigo Saad Berreta, Felicitas Allende, Jorge Chahla","doi":"10.1016/j.otsm.2024.151063","DOIUrl":"10.1016/j.otsm.2024.151063","url":null,"abstract":"<div>Symptomatic acetabular impingement represents a distinct subgroup of patients with femoroacetabular impingement syndrome (FAIS). Acetabular-based impingement, or pincer-type FAIS, is characterized by anterior acetabular over-coverage. Pincer subtypes include focal anterior over-coverage, global anterior over-coverage, relative anterior over-coverage (acetabular retroversion), and anterior inferior iliac spine (AIIS) or subspine impingement. These morphological variants can cause abnormal contact between the acetabulum and the femoral head-neck junction during functional hip motion, leading to a variety of labral and chondral injuries. Diagnosis of pincer-type FAIS requires a thorough history and physical exam as well dedicated imaging, and these aspects should all corroborate the symptoms and diagnosis. When symptoms are refractory to conservative management, surgery should be considered with the approach tailored to the individual patient's specific morphology and pathology. Both open and arthroscopic techniques have been shown to be safe and effective in patients with pincer-type FAIS when patients are appropriately indicated and with careful preoperative planning and surgical execution.</div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 1","pages":"Article 151063"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139561583","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

Cam-Type Impingement: Ensuring an Ideal Femoroplasty 凸轮型撞击：确保理想的股骨成形术

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151064

Hansel E. Ihn, Ameen Z. Khalil, Elaine Z. Shing, Travis G. Maak, Stephen K. Aoki

{"title":"Cam-Type Impingement: Ensuring an Ideal Femoroplasty","authors":"Hansel E. Ihn, Ameen Z. Khalil, Elaine Z. Shing, Travis G. Maak, Stephen K. Aoki","doi":"10.1016/j.otsm.2024.151064","DOIUrl":"10.1016/j.otsm.2024.151064","url":null,"abstract":"<div>When conservative measures have failed, arthroscopic femoroplasty has proven highly efficacious in treating femoroacetabular impingement (FAI) and improving hip joint mechanics. It is best to approach this in a systematic manner with preoperative planning and intraoperative confirmation. Plain radiographs, MRI and/or CT are helpful in the preoperative assessment in identifying the location and shape of the cam deformity. Understanding the extent of the cam lesion prior to surgical intervention will aid in the resection process. The resection can then be confirmed by an intra-operative fluoroscopic exam and arthroscopic dynamic motion evaluation under direct visualization. Using the trough technique, the resection can be marked using the cortical-cancellous border as a depth landmark. When performing the resection, a smooth contour should be performed, with an understanding that both over and under-resection can be problematic. Adequate resection should be ensured by testing range of motion, with fluoroscopic imaging, to obtain a circumferential view of the resected area. It is essential to understand how to position the lower extremity to obtain different fluoroscopic views of the femoral head-neck junction clock-face. Once complete, a thorough irrigation of the joint should be performed to remove bony debris. An ensuing capsular closure should be performed to minimize the risk of iatrogenic hip instability.</div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 1","pages":"Article 151064"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139516294","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

Athletic Pubalgia: A Diagnostic and Management Algorithm 运动性阴部疼痛：诊断和处理算法

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2024-03-01 DOI: 10.1016/j.otsm.2024.151065

Nicholas Walla, Guy Ball, Brian Busconi

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 : 2024-01-05 DOI: 10.1053/s1060-1872(23)00080-1

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 : 2024-01-05 DOI: 10.1053/s1060-1872(23)00081-3

引用次数: 0

Patellofemoral Imaging and Analysis 髌骨成像与分析

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2023-12-02 DOI: 10.1016/j.otsm.2023.151030

Galvin J Loughran, Nicholas G Rhodes, Seth L Sherman

引用次数: 0

Lower Limb Rotational Malalignment: Derotational Osteotomies of the Femur and Tibia in the Setting of Recurrent Patellar Instability 下肢旋转错位:复发性髌骨不稳患者行股骨和胫骨旋转截骨术

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2023-11-30 DOI: 10.1016/j.otsm.2023.151038

Matthew Stiebel, Jack Farr

引用次数: 0

Cartilage Restoration of the Patellofemoral Joint: Techniques and Outcomes 髌股关节软骨修复:技术和结果

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2023-11-30 DOI: 10.1016/j.otsm.2023.151039

Chilan B.G. Leite, Logan W. Huff, Giovanna I.S. Medina, Brian J. Cole, Christian Lattermann

{"title":"Cartilage Restoration of the Patellofemoral Joint: Techniques and Outcomes","authors":"Chilan B.G. Leite, Logan W. Huff, Giovanna I.S. Medina, Brian J. Cole, Christian Lattermann","doi":"10.1016/j.otsm.2023.151039","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151039","url":null,"abstract":"Patellofemoral cartilage injuries present a complex challenge due to the unique anatomy and biomechanics of the joint. The daily activities involving the knee, such as weight-bearing, stair ambulation, and squatting, impose high loads on the joint, increasing the risk of cartilage overload and subsequent cartilage injury. Additionally, several anatomical abnormalities, including patellar malalignment, patella alta, and trochlear dysplasia, can influence the behavior of the patellofemoral joint, leading to instability and further elevating the risk of cartilage injuries. Surgical management of patellofemoral cartilage injuries remains a topic of modern debate. The effectiveness and suitability of different techniques depend on individual indications and the characteristics of the cartilage defect. This chapter explores the use of cartilage repair and restoration techniques for patellofemoral cartilage defects. Here, we discuss aspects of the surgical techniques, their outcomes, and provide insights into when staging arthroscopy or concomitant stability surgery should be considered.","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"129 22 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529505","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

Trochleoplasty: Groove-Deepening, Recession Wedge, and Entrance Grooveplasty 滑车成形术:凹槽加深，凹楔和入口凹槽成形术

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151037

Andrew Phillips, Erik Haneberg, William Harkin, Richard Danilkowicz, Aaron J. Krych, Mario Hevesi, Adam Yanke

引用次数: 0

Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections 胫骨结节截骨术:前、中、远端矫正

IF 0.3 4区医学

Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151032

Christopher A. Schneble, Bradford S. Tucker, John P. Fulkerson

{"title":"Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections","authors":"Christopher A. Schneble, Bradford S. Tucker, John P. Fulkerson","doi":"10.1016/j.otsm.2023.151032","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151032","url":null,"abstract":"Tibial tubercle osteotomies (TTOs) are a versatile procedure that can be used to treat several conditions due to its ability to manipulate both extensor mechanism tracking and patellofemoral joint contact forces. This permits a wide array cut geometries that can be titrated to the individualized needs of each patient. Most common is the anteromedializing (AMZ) TTO, which has been a workhorse procedure for realigning extensor mechanism tracking. The patella can also be distalized, which becomes indicated when pathological patella alta is present.When treating patellar instability, a successful outcome depends on the clinician's understanding of the destabilizing factors. These risk factors are often additive, and if significant enough they can collectively breach a given stability threshold. Three-dimensional models provide a useful perspective of the joint morphology, curvature, and congruency which can be particularly helpful for developing an optimal plan for restoring balanced tracking.To decide when to perform a TTO, the decision centers on how well a TTO provides a solution to a tracking or articular loading problem, compared with the added morbidity that accompanies an osteotomy. Details regarding tubercle anteriorization, medialization and distalization are discussed, along with technical considerations and surgical technique.","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"09 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529529","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