Sports Medicine & Arthroscopy Journal Scan

Surgical options for patellar stabilization in the skeletally immature patient.

Sports Med Arthrosc. 2012 Sep;20(3):194-202

Authors: Weeks KD, Fabricant PD, Ladenhauf HN, Green DW

Abstract
Patella dislocation is a common injury in children and adolescents and occurs at a rate of 29 to 43 per 100,000 among the 10- to 17-year-olds. The variety and types of patellar instability seen in a pediatric orthopedic population may differ slightly from those seen in an adult clinic. Four main types of pediatric patellar instability exist and include: posttraumatic, syndromic, obligatory,and fixed. Over 100 surgical techniques have been proposed to treat the various types of patellar instability. This review intends to discuss the techniques and outcomes of surgical reconstructions accepted and utilized in the skeletally immature patients.

PMID: 23882722 [PubMed - indexed for MEDLINE]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23882722?dopt=Abstract

Development and Validation of a Pediatric Sports Activity Rating Scale: The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS).

Am J Sports Med. 2013 Jul 26;

Authors: Fabricant PD, Robles A, Downey-Zayas T, Do HT, Marx RG, Widmann RF, Green DW

Abstract
BACKGROUND:Having simple and reliable validated outcome measures is vital to conducting high-quality outcomes research in the field of orthopaedic surgery. Activity level is a key prognostic variable for patients with sports injuries. There is a paucity of such activity scales for children and adolescents who are otherwise healthy and athletically active. In addition to frequency and intensity of athletic activity, level of play and coach/trainer supervision are important variables unique to children and adolescents that are not captured in available adult scoring systems. PURPOSE:To create and validate a concise and comprehensive activity rating scale for athletically active children and adolescents 10 to 18 years of age. STUDY DESIGN:Cohort study (diagnosis); Level of evidence, 2. METHODS:Item generation was performed with a panel of orthopaedic surgeons and adolescent athletes. Item reduction, pilot testing and scale refinement resulted in a final 8-item instrument, the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS). Existing methods were used to determine reliability and validation. The Flesch-Kincaid score was calculated at a 6.6th-grade reading level (approximately 13 years old); therefore, although all subjects provided their own answers, parents were allowed to assist children younger than 13 years with reading the questionnaire.

The IOC Diploma programme in sports medicine.

Br J Sports Med. 2013 Jul 23;

Authors: Maughan RJ, Engebretsen L, Soligard T, Budgett R

PMID: 23881897 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23881897?dopt=Abstract

Anatomic and Morphological Evaluation of the Quadriceps Tendon Using 3-Dimensional Magnetic Resonance Imaging Reconstruction: Applications for Anterior Cruciate Ligament Autograft Choice and Procurement.

Am J Sports Med. 2013 Jul 26;

Authors: Xerogeanes JW, Mitchell PM, Karasev PA, Kolesov IA, Romine SE

Abstract

Imaging at London 2012 summer Olympic Games: analysis of demand and distribution of workload.

Br J Sports Med. 2013 Jul 23;

Authors: Bethapudi S, Budgett R, Engebretsen L, O'Connor P

Abstract
BACKGROUND: Very little data on the provision of imaging services at the summer Olympic Games have been published before. With 7.9 million Euros (£6.6 million, US$11 million) invested into setting up the imaging equipment at the purpose-built polyclinics for London 2012 summer Olympics, an ideal opportunity was presented to study the demand and distribution of workload on imaging services at the games.
SETTING: Imaging services within polyclinics, London 2012 summer Olympic Games.
AIMS: To analyse the demand and distribution of workload on radiology services at the London 2012 summer Olympic Games.
METHODS: Data on radiological investigations performed at London 2012 summer Olympic Games were retrieved from Radiology Information System-picture archiving communication system, ATOS medical encounter database and analysed.
RESULTS: 1711 diagnostic and interventional procedures were performed at the Stratford Polyclinic within the main games village. Of these 48.8% were MRI scans, 20.2% were diagnostic ultrasound examinations, 23.6% were plain radiographs, 2.9% were CT scans and interventional procedures accounted for 4.3%. Nearly 75% of imaging was performed on athletes while less than 5% of the services were utilised by the workforce. Demand on radiology services peaked during week 2 of the games.

Platelet-Rich Plasma Injections in the Treatment of Chronic Rotator Cuff Tendinopathy: A Randomized Controlled Trial With 1-Year Follow-up.

Am J Sports Med. 2013 Jul 26;

Authors: Kesikburun S, Tan AK, Yilmaz B, Yasar E, Yazicioglu K

Abstract
BACKGROUND:Rotator cuff tendinopathy (RCT) is a significant source of disability and loss of work. Platelet-rich plasma (PRP) has been suggested to be beneficial in the treatment of RCT. PURPOSE:To investigate the effect of PRP injections on pain and shoulder functions in patients with chronic RCT. STUDY DESIGN:Randomized controlled trial; Level of evidence, 1. METHODS:A total of 40 patients, 18 to 70 years of age, with (1) a history of shoulder pain for >3 months during overhead-throwing activities, (2) MRI findings of RCT or partial tendon ruptures, and (3) a minimum 50% reduction in shoulder pain with subacromial injections of an anesthetic were included in this placebo-controlled, double-blind randomized clinical trial. Patients were randomized into a PRP group (n = 20) or placebo group (n = 20). Patients received an ultrasound-guided injection into the subacromial space that contained either 5 mL of PRP prepared from autologous venous blood or 5 mL of saline solution. All patients underwent a 6-week standard exercise program. Outcome measures (Western Ontario Rotator Cuff Index [WORC], Shoulder Pain and Disability Index [SPADI], 100-mm visual analog scale [VAS] of shoulder pain with the Neer test, and shoulder range of motion) were assessed at baseline and at 3, 6, 12, and 24 weeks and 1 year after injection. RESULTS:Comparison of the patients revealed no significant difference between the groups in WORC, SPADI, and

Getting Scotland on the move? Reflections on a 5-year review of Scotland's national physical activity strategy.

Br J Sports Med. 2013 Jul 23;

Authors: Halliday E, Mutrie N, Bull F

Abstract
The public health risks of physical inactivity have led many national governments to develop policies that aim to increase population levels of physical activity. There is however, little evidence available about the effectiveness of such strategies and physical activity leaders may also face challenges in securing sufficient levels of political will and lasting investment for physical activity. This article reports on a review of a national physical activity strategy in Scotland after 5 years of implementation and offers lessons that may assist policymakers, practitioners and communities seeking to mobilise political commitment and leadership for physical activity in their own countries.

PMID: 23881895 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23881895?dopt=Abstract

Related Articles

The Basic Science of Continuous Passive Motion in Promoting Knee Health: A Systematic Review of Studies in a Rabbit Model.

Arthroscopy. 2013 Jul 25;

Authors: Knapik DM, Harris JD, Pangrazzi G, Griesser MJ, Siston RA, Agarwal S, Flanigan DC

Abstract
PURPOSE: To determine whether the basic science evidence supports the use of continuous passive motion (CPM) after articular cartilage injury in the knee.
METHODS: A systematic review was performed identifying and evaluating studies in animal models that focused on the basic science of CPM of the knee. Databases included in this review were PubMed, Biosis Previews, SPORTDiscus, PEDro, and EMBASE. All functional, gross anatomic, histologic, and histochemical outcomes were extracted and analyzed.

Practical responses to confidentiality dilemmas in elite sport medicine.

Br J Sports Med. 2013 Jul 23;

Authors: Malcolm D, Scott A

Abstract
AIM: To examine the ethical challenges of upholding patient confidentiality in sports medicine and the practical responses of clinicians to these challenges.
METHOD: Questionnaire survey and follow-up semi-structured interviews with the members of the British Olympic Association's Medical Committee and Physiotherapy Forum.
RESULTS: Clinicians identified three contextual factors that influenced issues related to patient confidentiality in sports medicine: the use of confidentiality waivers; the facilities available for treatment; and the cultural norms of elite sport. They further identified interpersonal strategies used to lessen or eradicate conflicts, including emphasising the benefits and avoidance of disbenefits for athletes and the potential negative consequences for others.
CONCLUSIONS: Aspects of clinicians' practice environment should be designed to enable compliance with the highest levels of ethical conduct. Professional associations should establish guidelines for clinicians' interpersonal conduct in dealing with confidentiality issues and consider their provision of ethics-based continuous professional development. They should also petition for the establishment of athletes' codes of conduct which identify a context-relevant understanding of 'serious harm' and how that might impact on information disclosure.

PMID: 23881893 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23881893?dopt=Abstract