Trends in Utilization of Image Guidance for Hip Joint Injections
Conclusions: During the study period, there was an increase in the use of image guidance and decline in landmark guidance for the treatment of OA and FAI using CS and HA. Fluoroscopic guidance demonstrated increased reimbursement compared with landmark and fluoroscopic guidance. There is an opportunity to mitigate cost and reduce radiation exposure by using ultrasound-guided injections rather than fluoroscopic guidance. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Is Arthroscopic Hip Labral Repair/Reconstruction Surgery Effective for Treating Femoroacetabular Impingement in the Presence of Osteoarthritis?
Conclusion: Patients with FAI in the presence of OA did not improve after arthroscopic labral preservation surgery and had a high conversion rate to THA. Level of Evidence: Level III. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - July 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

The Male Athlete Triad—A Consensus Statement From the Female and Male Athlete Triad Coalition Part II: Diagnosis, Treatment, and Return-To-Play
Abstract: The Male Athlete Triad is a medical syndrome most common in adolescent and young adult male athletes in sports that emphasize a lean physique, especially endurance and weight-class athletes. The 3 interrelated conditions of the Male Athlete Triad occur on spectrums of energy deficiency/low energy availability (EA), suppression of the hypothalamic–pituitary–gonadal axis, and impaired bone health, ranging from optimal health to clinically relevant outcomes of energy deficiency/low EA with or without disordered eating or eating disorder, functional hypogonadotropic hypogonadism, and osteoporosis or low bone ...
Source: Clinical Journal of Sport Medicine - July 1, 2021 Category: Sports Medicine Tags: Consensus Statement Source Type: research

The Male Athlete Triad—A Consensus Statement From the Female and Male Athlete Triad Coalition Part 1: Definition and Scientific Basis
Abstract: The Male Athlete Triad is a syndrome of 3 interrelated conditions most common in adolescent and young adult male endurance and weight-class athletes and includes the clinically relevant outcomes of (1) energy deficiency/low energy availability (EA) with or without disordered eating/eating disorders, (2) functional hypothalamic hypogonadism, and (3) osteoporosis or low bone mineral density with or without bone stress injury (BSI). The causal role of low EA in the modulation of reproductive function and skeletal health in the male athlete reinforces the notion that skeletal health and reproductive outcomes are ...
Source: Clinical Journal of Sport Medicine - July 1, 2021 Category: Sports Medicine Tags: Consensus Statement Source Type: research

Substantiating the Use of Ultrasound Tissue Characterization in the Analysis of Tendon Structure: A Systematic Review
Conclusion: More research regarding the use of UTC in predicting tendon pathology is required. Ultrasound tissue characterization seems useful as an adjunct diagnostic modality because it can be used to differentiate symptomatic from asymptomatic tendons. In addition, UTC is a promising device to be used to monitor changes in tendon structure in response to load or treatment. Moreover, we provide recommendations of a standardized protocol concerning the methods of UTC measurement and analysis. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Proceedings From the Ice Hockey Summit III: Action on Concussion
Conclusions: Expedient implementation of the Summit III prioritized action items is necessary to reduce the risk, severity, and consequences of concussion in the sport of ice hockey. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: General Review Source Type: research

What Is the Impact of Physical Effort on the Diagnosis of Concussion?
Conclusions: Physical activity altered the results of concussion diagnostic tests in athletes from a range of sports and notably in rugby players. Therefore, physical efforts before the concussion incident should be accounted for during pitch-side assessments and particularly during rugby competition and training. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

Time Out of Play Due to Illness in Major and Minor League Baseball
Conclusions: Illnesses represent a significant cause of time out of play in MLB and MiLB. Prevention efforts should focus on limiting the spread of communicable viral, respiratory, and gastrointestinal disease among players, as the majority of diagnoses fell into these categories. This work may be used to guide future research into illness treatment and prevention in professional baseball. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research

2021 CASEM Podium Presentations
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Abstracts Source Type: research

2021 CASEM Poster Presentations
No abstract available (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Abstracts Source Type: research

Recommendations to Increase Neuromuscular Electrical Stimulation Training Intensity During Quadriceps Treatments for Orthopedic Knee Conditions
This article provides recommendations that a clinician can use to increase NMES training intensity when strengthening the quadriceps with NMES for orthopedic knee conditions. These recommendations should allow forceful contractions that can be sustained over a treatment with multiple repetitions without the rapid decline in force that is typically seen when NMES is used. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Practical Management Source Type: research

Electrocardiographic and Echocardiographic Findings in Black Athletes: A General Review
Conclusions: Updated ethnic-specific guidelines are required to discriminate physiological from pathologic hypertrophy and repolarization changes. Future studies should focus on homogeneous cohorts of African athletes. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Does a Delay in Anterior Cruciate Ligament Reconstruction Increase the Incidence of Secondary Pathology in the Knee? A Systematic Review and Meta-Analysis
Conclusions: We found no evidence of benefit of early ACLR. Further studies may consider delaying surgery even further (eg,>3 months) to determine whether there are any real benefits to earlier reconstruction. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: General Review Source Type: research

Time of Season and Game Segment Is Not Related to Likelihood of Lower-Limb Injuries: A Meta-Analysis
Conclusions: Findings from this meta-analysis determined that time in season or time in game does not influence risk of the ACL, groin, or hamstring injury. Commonly, many studies did not provide sufficient detail to be included in the meta-analysis. Consequently, it is recommended that future studies report data related to the timing of the injury within the season or game. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Critical Review Source Type: research

Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review
Conclusion: Most injuries sustained by figure skaters were overuse and occurred most commonly at the foot/ankle (29.6%), knee (19.3%), and back (15.8%). Approximately 1 in 10 injuries were bone stress reactions/fractures, and nearly 1 in every 3 skaters who presented with back pain was diagnosed with a posterior column bone stress injury. Health care providers who take care of young figure skaters need to maintain a high index of suspicion for overuse injuries, especially bone stress reactions/fractures. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - May 1, 2021 Category: Sports Medicine Tags: Original Research Source Type: research