7,113 results match your criteria: "Sports Traumatology & Minimally Invasive Articular Surgery Center[Affiliation]"

Objective: There is growing evidence that simultaneous bilateral open wedge high tibial osteotomy(SBOWHTO) and simultaneous bilateral unicompartmental knee arthroplasty(SBUKA) is an effective surgical treatment for bilateral medial knee osteoarthritis (MKOA). However, which intervention is more beneficial for bilateral MKOA patients remains unknown. Therefore, the aim of this study was to compare the effectiveness of these two strategies through early clinical outcomes, complication rates, and prosthetic survival.

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  • The study investigates the relationship between femoroacetabular morphology and the mechanisms of traumatic posterior hip dislocations in adults, focusing on differentiating between high-energy, sports-related, and low-energy trauma.
  • A total of 141 patients with dislocations were compared to a control group, utilizing CT scans to measure various anatomical angles related to hip structure and injury.
  • Findings revealed that most dislocations were due to high-energy events, with specific morphologies (like acetabular retroversion) linked to different trauma mechanisms, while low-energy impacts showed similar anatomy to the control group.
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Investigating Painkiller Use in Amateur Football: A Coach's Perspective.

J Pers Med

September 2024

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauss Allee 11, 93053 Regensburg, Germany.

Background/objectives: Painkiller use in amateur sports and, especially, in football is increasingly being discussed, but the scientific data on this field are very limited. Therefore, the aim of this study was to investigate the prevalence of painkiller use in amateur football from the perspective of coaches, as well as to determine how and to which extent coaches can influence their teams in terms of painkiller use and prevention.

Methods: Using an online questionnaire, a cross-sectional analysis of painkiller use in German amateur football from the 4th league to the lowest amateur classes was carried out from the perspective of team coaches.

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Background: Proximal humerus fractures are common fractures of the elderly population which can lead to long-term compromise of a patient's shoulder function. Closed reduction and internal fixation with intramedullary nailing is a well-established surgical technique yielding good outcomes, as perceived by patients, obtained via Patient-Reported Outcome Measures, and objectified by clinical shoulder testing. Apart from conventional range-of-motion testing and clinical shoulder tests, strength testing of the shoulder is a yet-neglected but meaningful and standardizable outcome parameter.

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This retrospective study aims to evaluate the safety and functional outcomes of simultaneous bilateral total knee arthroplasty (TKA) compared to two-stage bilateral TKA procedures. Osteoarthritis is the leading cause of knee joint replacement globally, so we sought to determine whether the one-stage approach could be deemed non-inferior to the two-stage method in terms of perioperative complications and postoperative recovery. We analyzed two cohorts: 43 patients underwent one-stage bilateral TKA, while 66 patients received two-stage TKA.

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Bone age assessments measure the growth and development of children and adolescents by evaluating their skeletal maturity, which is influenced by various factors like heredity, ethnicity, culture, and nutrition. The clinical standards for this assessment should be up to date and appropriate for the specific population being studied. This study validates the GP-Canary Atlas for accurately predicting bone age by analyzing posteroanterior left hand and wrist radiographs of healthy children (80 females and 134 males) from the Canary Islands across various developmental stages and genders.

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The relationship between training load and injury risk in basketball is an important area in sports injury prevention and performance enhancement; however, there is limited conclusive evidence of their associations. The aim of this systematic review was to examine the evidence of the relationship between training load and injury risk in basketball, which is one of the most common sports worldwide. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

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Despite the growing popularity of training with a controlled form of vascular occlusion, known as blood flow restriction (BFR) training, in the rehabilitation of orthopedic patients and sports medicine, there remains ample space for understanding the basis of its mechanism. The pilot study assessed the effect of BFR during a low-load resistance training unit on knee flexor muscle fatigue, intending to decide whether a larger trial is needed and feasible. : The study used a prospective, randomized, parallel, double-blind, placebo-controlled design.

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Open vs. Percutaneous Achilles Tendon Repair: Experience of Single Orthopedic Institute with Long-Term Follow-Up.

Medicina (Kaunas)

August 2024

Department of Translational Medicine and for Romagna, University of Ferrara, c/o "S. Anna", via Aldo Moro 8, 44124 Ferrara, Italy.

Article Synopsis
  • * Out of 155 patients treated between April 2014 and December 2021, 103 underwent percutaneous repair while 52 had open surgery, with the percutaneous group showing a higher average Achilles tendon recovery score (ATRS) of 92.5 compared to 82 for the open surgery group.
  • * The findings suggest that the Tenolig percutaneous repair method offers better long-term recovery outcomes similar to the complication rates of open surgery, despite
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  • Insertional Achilles tendinopathy (IAT) is primarily caused by mechanical overload, with running and obesity as key risk factors; while surgery may be necessary, the best surgical approach remains debated.
  • The study hypothesizes that endoscopic surgery will lead to quicker functional recovery and faster return to sports compared to traditional open surgery methods.
  • Results show that patients who underwent endoscopic surgery returned to sports significantly faster than those who had open surgery, but long-term outcomes appear similar for both methods, suggesting endoscopic calcaneoplasty is effective yet requiring further research for long-term validation.
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Purpose: To provide a detailed examination of the arterial blood supply to the middle third of the nasal skin through cadaveric dissections, identifying the primary arterial sources and their precise locations.

Methods: Cadaveric dissections were performed on 14 hemifaces from fresh specimens. The main feeding arteries and their branches were carefully dissected under magnification.

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  • Diagnosing proximal hamstring tendinopathy (PHT) can be tough, as patients often have clinical symptoms but normal MRI results.
  • The study tested a new hip flexion (HF) MRI position, which mimics the sitting position that usually triggers pain, to see if it could better reveal PHT pathology compared to the standard scanning position.
  • Results showed that in 71% of cases, the HF position identified more severe injuries and significant differences in tendon diagnoses, suggesting this new position has better diagnostic value for PHT.
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  • The study evaluated the reliability of the AO Spine-DGOU Osteoporotic Fracture classification system using a cross-sectional survey with 23 trauma experts rating 33 cases at two different times.
  • The calculated kappa statistics indicated moderate inter-rater agreement and substantial intra-rater reproducibility, suggesting that while raters differed slightly, individual consistency was high.
  • The findings highlight the importance of training in improving the reliability of the classification system for identifying fracture patterns and guiding treatment.
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  • The Kocher-Langenbeck approach is a common surgical method for treating acetabular fractures, with various modified techniques available for different needs.
  • The modified Gibson approach may improve visibility of the acetabulum, but recent studies have not clearly supported this claim.
  • The Ganz approach is effective for complex fractures, offering a comprehensive view during surgery, while overall, posterior approaches tend to have low complication rates, emphasizing the importance of surgeon preference and patient specifics in choosing a technique.
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  • Contact and collision athletes are at a higher risk for shoulder instability after surgery, with the Latarjet procedure being commonly used to address these issues, despite concerns about complications and the potential for additional surgeries.
  • This study evaluated the success of a modified arthroscopic Latarjet procedure using suture buttons, showing that 98% of patients achieved shoulder stability, and 82% were able to return to their sports.
  • The study involved 136 athletes with a follow-up of around 60 months, revealing a high satisfaction rate and no significant complications related to the surgical technique used.
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Background: Excessive glenoid retroversion is a known risk factor for posterior shoulder instability and failure after soft tissue stabilization procedures. Whether excessive glenoid retroversion is a risk factor for failure after posterior glenoid bone grafting is unknown.

Purpose: To evaluate the biomechanical effectiveness of posterior iliac crest bone grafting (ICBG) for posterior shoulder instability with increasing glenoid retroversion.

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Purpose: To systematically review and summarize the available literature on (1) postoperative healing rates, meniscal extrusion (ME) and clinical outcomes following lateral (LMPRR) versus medial (MMPRR) root repair and (2) potential correlations between residual ME and healing outcomes.

Methods: A comprehensive literature search was conducted using the Scopus, PubMed and Embase databases. Clinical studies evaluating healing status on second-look arthroscopy and magnetic resonance imaging (MRI) after LMPRR and MMPRR were included.

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  • This study aimed to create a machine learning algorithm that would help estimate the likelihood of recurrence after an arthroscopic Bankart repair (ABR) for shoulder instability.
  • The researchers analyzed data from 14 studies involving 5,591 patients and identified risk factors for recurrence, finding that certain factors like age and type of sport increased risk, while a single dislocation reduced it.
  • However, the machine learning model struggled to accurately predict recurrence rates due to inconsistent data across studies, highlighting the need for better data standardization in future research.
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Importance of muscle strength to maintain mobility, but not to maintain postural balance in older women: Cross-sectional study.

Clinics (Sao Paulo)

September 2024

Program in Aging Science, Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicine, Universidade de São Paulo (USP), São Paulo, SP, Brazil.

Article Synopsis
  • The study explores the link between knee muscle strength, postural balance, and mobility in older women, aiming to identify fall risks and improve prevention programs.
  • Results showed that higher knee strength correlates with better functional mobility but only weakly relates to semi-static balance, indicating different coordination requirements for each activity.
  • Overall, findings suggest that improving knee strength can enhance mobility in elderly women, while maintaining balance may rely on different neuromuscular controls.
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  • The study aimed to identify intrinsic risk factors for noncontact ACL injuries specifically in young female Asian soccer players, a topic that has been under-researched compared to other populations.
  • A cohort of 145 Japanese female soccer players was evaluated for various potential risk factors during preseason assessments, and they were monitored for noncontact ACL injuries throughout the season.
  • The results showed that a lower hamstring-to-quadriceps ratio, greater knee extension muscle strength, and longer playing experience were significantly linked to new-onset noncontact ACL injuries, highlighting the need for targeted prevention strategies.
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  • The KNEES-ACL is a 41-item patient-reported outcome measure created for individuals with ACL deficiencies and post-reconstruction, proving more effective than other similar measures in clinical studies.
  • The study aimed to translate and adapt this measure from Danish to North American English to make it more accessible.
  • The translation involved a bilingual panel and focus groups to ensure wording fit everyday language, followed by cognitive interviews with ACL injury patients to refine the content to be relevant and understandable.
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Purpose: To explore the future of former anatomy tutors, their perception of the impact that the anatomy near-peer teaching (NPT) program have had on them, in terms of academic performance, professional development, personal growth, long-term anatomical knowledge, and views on body donor ethics. Additionally, we compared their academic performance with non-tutor peers in terms of ranking at the National Qualifying Examination (NQE).

Methods: A voluntary survey was emailed to all anatomy tutors from 2005 to 2024, using an online Google Forms questionnaire including closed and open-ended questions across four themes.

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Background: The association between inherent patellar anatomy and postoperative pain after trochleoplasty in patients with patellar instability is poorly understood.

Purpose/hypothesis: The study purpose was to evaluate outcomes after mini-open, thin-flap trochleoplasty. The hypothesis was that more severe patellar dysplasia would be correlated with increased postoperative pain after trochleoplasty.

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The transepicondylar distance is a reliable and easily measured parameter for estimating femoral cartilage surface area using MRI.

Knee Surg Sports Traumatol Arthrosc

September 2024

Department of Orthopedic Surgery and Traumatology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

Purpose: Different cartilage repair techniques are widely used to regenerate cartilage, such as autologous chondrocyte implantation (ACI), osteochondral autograft transfer, microfracturing and minced cartilage. Defect size is a key parameter for selecting the best procedure to repair cartilage. However, the defect's size is not related to the patient's total cartilage surface.

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