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Osseous Medial Patellofemoral Ligament Reconstruction 骨内侧髌股韧带重建
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151035
William E Harkin, Erik Haneberg, Andrew Phillips, Beth Shubin Stein, Adam Yanke
{"title":"Osseous Medial Patellofemoral Ligament Reconstruction","authors":"William E Harkin, Erik Haneberg, Andrew Phillips, Beth Shubin Stein, Adam Yanke","doi":"10.1016/j.otsm.2023.151035","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151035","url":null,"abstract":"<p>Medial patellofemoral ligament (MPFL) reconstruction is the most commonly performed surgery for treatment of lateral patellar instability. It may be used in isolation or in conjunction with a variety of different procedures depending on the individual patient's specific risk factors for instability. Indicating the correct patient involves a thorough history, physical examination, and proper imaging. Careful surgical technique and a detailed understanding of both topographic and radiographic anatomy is critical to successful reconstruction. MPFL reconstruction has been shown to be a safe and effective technique for treatment for lateral patellar instability.</p>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529502","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
Pediatric Medial Patellofemoral Ligament Reconstruction and Concomitant Procedures 小儿内侧髌股韧带重建及相关手术
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151034
Danielle E. Chipman, Rajul Gupta, Daniel W. Green, Shital N. Parikh
{"title":"Pediatric Medial Patellofemoral Ligament Reconstruction and Concomitant Procedures","authors":"Danielle E. Chipman, Rajul Gupta, Daniel W. Green, Shital N. Parikh","doi":"10.1016/j.otsm.2023.151034","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151034","url":null,"abstract":"Abstract not available","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529530","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
Update on Patellofemoral Anatomy and Biomechanics 髌骨解剖与生物力学最新进展
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151029
Evan T. Zheng, Chris M. Powers, Miho J. Tanaka
{"title":"Update on Patellofemoral Anatomy and Biomechanics","authors":"Evan T. Zheng, Chris M. Powers, Miho J. Tanaka","doi":"10.1016/j.otsm.2023.151029","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151029","url":null,"abstract":"<p>The patellofemoral joint experiences substantial physiologic loads with normal daily activity. Anatomic risk factors can place certain patients at risk for patellofemoral pathology including patellar instability. Stability and load capacity of the joint are a result of numerous factors including the unique configuration of osseous and cartilaginous structures, static and dynamic soft tissue stabilizers, and global lower limb alignment. A thorough understanding of the anatomy and biomechanics of the patellofemoral joint is required to identify patient-specific sources of dysfunction and to tailor individualized treatment specific to a given patient's anatomy. Identification and correction of patient specific risk factors must form the basis for successful treatment strategies. Using novel imaging techniques, dissection methods, and technology for biomechanical evaluation, our understanding of the patellofemoral joint has continued to evolve and in turn help improve patient specific treatment and outcomes for patellar instability.</p>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529531","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
Medial Patellofemoral Ligament Repair – Still a Relevant Treatment for Patellar Instability? 髌股内侧韧带修复-仍然是髌骨不稳的相关治疗方法?
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151033
Natalie K. Kucirek, Drew A. Lansdown
{"title":"Medial Patellofemoral Ligament Repair – Still a Relevant Treatment for Patellar Instability?","authors":"Natalie K. Kucirek, Drew A. Lansdown","doi":"10.1016/j.otsm.2023.151033","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151033","url":null,"abstract":"<p>Medial patellofemoral ligament (MPFL) repair is a historically relevant treatment option for patellar instability, though it has been increasingly supplanted by MPFL reconstruction. Although several comparative studies report superior functional outcomes and a lower risk of recurrent patellar dislocation after MPFL reconstruction, MPFL repair may still be a viable treatment for a select group of patients. Patients with normal trochlear morphology, a normal TT-TG distance, lack of patella alta, and older age may be the best candidates for MPFL repair. MPFL repair also appears to be most effective when performed in the acute setting for avulsion-type tears. In an effort to improve repair outcomes, suture tape augmentation of MPFL repair has emerged recently and has shown promising early results. While our practice is typically to perform MPFL reconstruction for patellar instability, MPFL repair in appropriately selected patients may provide good clinical outcomes while avoiding some of the risks associated with reconstruction.</p>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529512","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
Lateral Patellofemoral Ligament Reconstruction: Anatomy, Biomechanics, Indications, and Surgical Techniques 外侧髌股韧带重建:解剖，生物力学，适应症和手术技术
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151036
Benjamin Kerzner, Daniel J Kaplan, Luc M Fortier, Zeeshan A Khan, Johnathon R McCormick, Betina B Hinckel, Jorge Chahla
{"title":"Lateral Patellofemoral Ligament Reconstruction: Anatomy, Biomechanics, Indications, and Surgical Techniques","authors":"Benjamin Kerzner, Daniel J Kaplan, Luc M Fortier, Zeeshan A Khan, Johnathon R McCormick, Betina B Hinckel, Jorge Chahla","doi":"10.1016/j.otsm.2023.151036","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151036","url":null,"abstract":"<p>Medial patellar instability is less common than lateral instability and is almost always iatrogenic in nature. The lateral patellofemoral complex, and in particular the lateral patellofemoral ligament, is a major restraint to medial displacement of the patella. When considering surgical intervention, a comprehensive evaluation including understanding of previous procedures and presence of additional risk factors for instability, such as trochlear dysplasia, malalignment, or patella alta must be ruled out. This paper highlights recent anatomic and biomechanical evidence for the treatment of medial patellar instability as well as the pearls and pitfalls for a successful lateral patellofemoral ligament reconstruction.</p>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529544","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
Lateral Lengthening and Lateral Release 侧伸和侧松
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-11-24 DOI: 10.1016/j.otsm.2023.151031
Erik Haneberg, Andrew Phillips, Eric Cotter, Adam Yanke
{"title":"Lateral Lengthening and Lateral Release","authors":"Erik Haneberg, Andrew Phillips, Eric Cotter, Adam Yanke","doi":"10.1016/j.otsm.2023.151031","DOIUrl":"https://doi.org/10.1016/j.otsm.2023.151031","url":null,"abstract":"<p>The lateral retinaculum is a complex, layered structure that is the primary constraint to medial translation of the patella. Patients can develop patellar hypercompression syndrome and arthritis of the lateral patellofemoral joint from an overly tight lateral retinaculum. Conservative treatments include physical therapy and bracing but if relief is not achieved, surgical treatment in the form of lateral retinacular lengthening or release may alleviate symptoms. This chapter provides a thorough background of the risks, indications, outcomes, and techniques regarding treatment of the lateral retinaculum.</p>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138529507","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
Concussion in Female Athletes 女运动员的脑震荡
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151026
Elizabeth M. Pieroth , Alissa Wicklund
{"title":"Concussion in Female Athletes","authors":"Elizabeth M. Pieroth ,&nbsp;Alissa Wicklund","doi":"10.1016/j.otsm.2023.151026","DOIUrl":"10.1016/j.otsm.2023.151026","url":null,"abstract":"<div><p>The majority of research on sport-related concussions is conducted on male athletes. The paucity of research focused on female athletes creates a challenge in developing protocols for prevention and treatment of female athletes with concussions. This paper reviews the current epidemiology, injury mechanisms and treatment of concussions in female athletes. Theories on sex-based differences in sport-related concussions are presented. Areas for future research are also reviewed.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138509779","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
Relative Energy Deficiency in Sport (RED-S) and Bone Stress Injuries 运动中的相对能量缺乏(RED-S)和骨应激损伤
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151025
Daniel R. Kim, Kathleen Weber
{"title":"Relative Energy Deficiency in Sport (RED-S) and Bone Stress Injuries","authors":"Daniel R. Kim,&nbsp;Kathleen Weber","doi":"10.1016/j.otsm.2023.151025","DOIUrl":"10.1016/j.otsm.2023.151025","url":null,"abstract":"<div><p><span>Relative Energy Deficiency in Sport (RED-S) is a syndrome caused by low energy availability that has significant physiological consequences. Bone stress injuries (BSIs), including stress fractures<span>, are overuse injuries that occur when there is an imbalance of bone microdamage and its removal and replacement via bone remodeling. Female athletes are at particular risk of RED-S, which can manifest as bone stress injury, as well as associated pathologies including </span></span>disordered eating<span><span> and oligomenorrhea/amenorrhea. Female athletes should be screened for risk factors for RED-S so that it can be identified and treated early. BSIs can be diagnosed by patient history and physical examination, with imaging used for confirmation. Management of BSIs differ according to their location, with high-risk injuries requiring a highly nuanced treatment approach in the context of shared decision-making. These athletes should also be concurrently evaluated for low energy availability, which if identified may require addressing disordered eating, </span>hormone deficiency, and inadequate nutrition with an interdisciplinary team. Return to sport decisions should be individualized while informed by published guidelines.</span></p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138509821","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
Introduction: The Female Athlete 简介:女运动员
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151020
Caitlin A. Nicholson
{"title":"Introduction: The Female Athlete","authors":"Caitlin A. Nicholson","doi":"10.1016/j.otsm.2023.151020","DOIUrl":"10.1016/j.otsm.2023.151020","url":null,"abstract":"","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138509822","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
Knee Injuries: ACL Tears and Patellofemoral Pathology 膝关节损伤:前交叉韧带撕裂和髌骨病理学
IF 0.3 4区 医学
Operative Techniques in Sports Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.otsm.2023.151022
Ophelie Lavoie-Gagne, Miho J. Tanaka
{"title":"Knee Injuries: ACL Tears and Patellofemoral Pathology","authors":"Ophelie Lavoie-Gagne,&nbsp;Miho J. Tanaka","doi":"10.1016/j.otsm.2023.151022","DOIUrl":"10.1016/j.otsm.2023.151022","url":null,"abstract":"<div><p><span>Female athletes are at a greater risk of knee injuries than males, which has been attributed to anatomic, biologic, and kinematic risk factors. Knee conditions such as anterior cruciate ligament tears and patellofemoral disorders are more commonly reported in females. There exist sex-specific differences in </span>anatomy<span><span> that may influence assessment and surgical treatment of knee injuries, such as intercondylar width in the case of </span>ACL injuries<span> and different numerical thresholds for defining trochlear dysplasia in patellar instability. In addition, female athletes may benefit from targeted rehabilitation and injury prevention programs that focus on sex-specific kinetic training to optimize dynamic muscular control, motion pattern techniques, and fatiguability. Postoperative rehabilitation with a specific focus on minimizing kinesiophobia and addressing psychological readiness for return to sport during rehabilitation may increase rates of return to play in female athletes followinginjury. Rates of return to play at the same competitive level following knee injuries are currently reported to be generally similar between male and female athletes, however, the types of sports in which female athletes participate continue to evolve. Continued research is needed to understand sex-specific considerations in the evaluation and treatment of knee injuries in this evolving population.</span></span></p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138509820","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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