Hamstring strain injuries (HSIs) are common in NFL players, particularly affecting positions like wide receivers and defensive backs, with the biceps femoris being the most frequently injured muscle.
A study analyzed 180 acute HSIs from the 2018-2019 NFL season to explore the relationship between player characteristics, clinical exams, and MRI findings regarding injury severity and time missed from games.
Findings indicated that nearly half of the injuries were moderate (BAMIC grade 2), with specific locations on the biceps femoris and semimembranosus being the most affected, and MRI detected abnormalities in the sciatic nerve in some cases.
Isolated hip arthroscopic surgery for patients with borderline dysplasia (BD) shows promising long-term outcomes, especially compared to patients without dysplasia, who may experience more complications.
A study analyzed 33 BD patients and a control group of 83 non-dysplastic patients over an average of 9.6 years, finding significant improvements in patient-reported pain and function scores for both groups.
Although there were some cases of revision surgery (5.3% in BD vs. 10.4% in controls), the rates were similar, indicating that borderline dysplasia patients do not face significantly worse outcomes than their non-dysplastic counterparts.
The study aimed to evaluate the impact of injecting bone marrow aspirate concentrate (BMAC) into the hip joint during arthroscopy for patients with symptomatic labral tears and early degenerative changes.
A comparison was made between 35 patients who received BMAC injections and 35 control patients, with similar demographics, to assess various patient-reported outcomes (PROs) over two years post-surgery.
Results showed significant improvements in PROs for both groups, although the BMAC group had a higher failure rate leading to total hip arthroplasty, and no significant difference was found in outcomes between the two groups.
The study aimed to assess the effectiveness of hip arthroscopy for patients with global acetabular retroversion, focusing on how factors like sex, athlete status, and imaging measurements relate to patient-reported outcomes (PROs).
Researchers conducted a retrospective analysis on 149 patients who had surgery for femoroacetabular impingement (FAI), measuring various angles and radiographic signs to confirm acetabular retroversion.
Results showed that while all PROs improved post-surgery, females reported lower scores and higher pain levels compared to males; additionally, athletic status impacted pain levels and outcome scores.
The study evaluated the outcomes of open surgical repair for gluteus medius tendon tears using a bioinductive collagen patch augmentation.
Nine patients with confirmed tendon tears underwent surgery, and follow-up MRIs showed that 77.8% of the tendons were completely healed after 6 months.
Postoperative results indicated significant increases in tendon thickness and improvements in patient-reported outcome scores, suggesting that this surgical approach is safe and effective, warranting further evaluation after full rehabilitation.
The study aimed to assess the reliability and validity of a specific measure called PROMIS Mobility (MO) in patients who had hip surgery for femoroacetabular impingement, using several other measures to gauge its effectiveness.
A total of 660 patients participated, and results showed PROMIS MO had strong correlations with other related health measures, indicating it accurately reflects patient mobility.
The measures used demonstrated significant responsiveness over a 6-month period, and none of the assessments showed extreme scoring issues, suggesting the tools are inclusive and not overly burdensome for patients.
Forearm tourniquets in hand surgery can lead to less anesthetic use, shorter procedure times, and reduced pain compared to upper arm tourniquets, but there's limited data on their effectiveness.
In a study with 66 patients undergoing specific hand procedures, patients were divided into three groups: one with upper arm tourniquets for 25 minutes, another with forearm tourniquets for the same time, and a third with immediate deflation of forearm tourniquets.
Results showed no significant differences in pain or patient satisfaction between groups, but the immediate deflation group had shorter tourniquet times and lower costs, suggesting forearm Bier blocks are a safe and efficient option for regional anesthesia in hand surgery.
- The study aimed to assess the PROMIS Item Bank v2.0-Mobility in ACL tear patients pre-surgery, focusing on its construct validity, test burden, and floor/ceiling effects, as well as reevaluating inclusiveness standards in modern testing methods.
- Researchers evaluated 1126 patients using various outcome measures including PROMIS Mobility and legacy PROs, finding that PROMIS Mobility had a high correlation with other measures, confirming its effectiveness and reducing patient burden with a low average question count.
- The study concluded that PROMIS Mobility is a valid tool for assessing mobility in ACL tear patients, as it exhibited strong correlations with established measures and did not present significant floor or ceiling effects.
* This review examines the use of telehealth for sideline evaluations and highlights the growth of telemedicine in sports medicine.
* Future research is necessary to develop improved examination techniques and technology for more effective remote assessments of sports-related injuries.
The authors discuss three cases of high-level athletes who successfully returned to collegiate competition after undergoing distal femoral osteotomy (DFO) due to knee issues.
DFO is a surgical procedure aimed at correcting valgus knee malalignment and relieving pressure on the lateral compartment of the knee, particularly when there are problems with cartilage or the meniscus.
The study concludes that DFO is an effective treatment for collegiate athletes, allowing them to regain their pre-injury performance levels in sports.
- The study investigates how low-dose weightbearing computed tomography (WBCT) can effectively measure subtalar joint space width (JSW) in patients with posttraumatic osteoarthritis (PTOA) after intra-articular calcaneal fractures (IACFs), addressing the limitations of traditional radiography.
- Data was collected from 21 patients who had IACFs and underwent WBCT scans over an average follow-up of 7.8 years post-surgery; the results showed reliable JSW measurements with high intra- and interrater reliability.
- Findings revealed that the measured 3D JSW correlated inversely with pain levels and radiographic osteoarthritis grades, with significant implications for evaluating PTOA and improving
A study investigates the sex distribution of team physicians in NCAA Division I collegiate and professional sports, focusing on the representation of women in orthopaedic surgery.
Results reveal that women make up 12.7% of all team physicians and only 6.8% of orthopaedic surgeon team physicians, highlighting a significant gender gap.
In collegiate athletics, the percentage of female team physicians is 18.1%, while in professional sports, it drops to 6.7%, though the Women's National Basketball Association shows a higher representation at 31.3%.
Diversity in orthopedic surgery has been slow to improve despite historical milestones, such as Ruth Jackson being the first female member of the AAOS in 1932.
Research indicates that having a diverse physician workforce benefits both patient care and the medical industry.
Although there are efforts underway to enhance representation of women and underrepresented minorities in orthopedics, progress is significantly slower compared to other surgical fields.
- The study systematically reviews outcomes and complications from medial patellofemoral ligament (MPFL) reconstruction in young patients, focusing on those who are skeletally immature (ages 6-17).
- A total of 132 MPFL reconstructions across 7 studies were analyzed, with the majority of patients being female (57.9%) and a mean follow-up of 4.8 years post-surgery.
- Results showed a significant improvement in Kujala scores (from 59.1 to 84.6), but also reported a complication rate of 25%, which included issues such as redislocations.
- The study investigated trends in rotator cuff repair surgeries in the USA, focusing on the shift from open to arthroscopic techniques, finding a significant rise in arthroscopic procedures from 56.9% in 2007 to 75.1% in 2015.
- A total of 54,740 patients underwent rotator cuff repairs during the study period, with the highest frequency observed in patients aged 65 to 69 years, and open repairs became more common as patients aged.
- The results highlighted that arthroscopic repairs are performed more frequently across all regions and demographics, indicating a trend towards minimally invasive approaches in orthopedic surgery.
* Three months after the injury, he underwent surgery to repair the tendon and relieve the nerve compression.
* Nine months later, he successfully returned to playing collegiate hockey, indicating that even delayed treatment can lead to positive recovery outcomes for this type of injury.
The study aimed to examine how frequently labral repairs were performed during hip arthroscopy by candidates of the American Board of Orthopaedic Surgery from 2011 to 2015.
Findings showed a 35% overall increase in labral repair cases, with repair rates rising from 47.4% to 79.2%, notably among those with sports medicine fellowship training.
The results indicate a significant shift in orthopedic practice, highlighting that candidates with sports medicine training are increasingly performing labral repairs each year.
* Many alumni from the program have significantly impacted the field of orthopedic surgery and have become influential leaders.
* Dr. Leland Greene Hawkins is a notable figure with a background at the University of Iowa, recognized for his research on talus fractures, which led to the Hawkins Classification and advanced treatment methods globally.
* Under general anesthesia, the hip was successfully corrected through closed reduction, confirmed by imaging during and after the procedure.
* Postoperative outcomes were positive, with the patient able to move with certain limitations, and initial follow-up indicated healing of the fracture.
The study aimed to evaluate the effects of automated mobile phone messaging on patient satisfaction and understanding in total joint arthroplasty (TJA) by comparing scores from two groups: those who received messages and a historical control group.
A total of 34 out of 37 patients enrolled in the study were mostly aged between 51 and 75, with 47% being male; the results showed that patients receiving messages felt more prepared and informed about their surgery.
The findings suggest that using automated messaging can enhance patient satisfaction and engagement, making it a beneficial tool for healthcare providers in managing patient communication during the TJA process.
The study investigates the effectiveness of face mask removal (FMR) compared to helmet removal (HR) in emergency scenarios involving potential cervical spine injuries in football players, focusing on motion, time, and perceived difficulty.
It involved 22 certified athletic trainers who performed various helmet removal techniques under controlled conditions, assessing factors like head motion and task completion time.
The findings aim to guide medical professionals in providing safer and more efficient airway access during emergencies by comparing two common helmet types and the impact of helmet deflation.