Contributors
MARK D. MILLER, MD (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 15, 2023 Category: Sports Medicine Source Type: research
Contents
Mark D. Miller (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 15, 2023 Category: Sports Medicine Source Type: research
Forthcoming Issues
Mental Health Considerations in the Athlete (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 15, 2023 Category: Sports Medicine Source Type: research
Gender Equity Efforts in Sports Medicine
Great progress has been made toward gender equality in athletics, whereas true equality has not yet been realized. Concurrently, women orthopedists along with advocate men have paved the way toward gender equity in orthopedics as a whole and more specifically in sports medicine. The barriers that contribute to gender disparities include lack of exposure, lack of mentorship, stunted career development, childbearing considerations and implicit gender bias and overt gender discrimination. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 15, 2023 Category: Sports Medicine Authors: Emma E. Johnson, Gabriella E. Ode, Mary L. Ireland, Kellie Middleton, Sommer Hammoud Source Type: research
Timing of Anterior Cruciate Ligament Surgery
This narrative review examines the current literature for the influence of the surgical timing in the setting of anterior cruciate ligament (ACL) reconstruction on various outcomes. Although the exact definition of early and delayed ACL reconstruction (ACLR) is a subject of controversy, surgical timing influences arthrofibrosis and postoperative stiffness, quadriceps strength, postoperative knee function, and the incidence of intra-articular injuries to the menisci and cartilage. Additionally, there is a shortage of evidence regarding the role of ACLR timing in the setting of multiligament knee injury and when concurrent p...
Source: Clinics in Sports Medicine - September 15, 2023 Category: Sports Medicine Authors: B álint Zsidai, Janina Kaarre, Eric Narup, Kristian Samuelsson Source Type: research
Value-Based, Environmentally Sustainable Anterior Cruciate Ligament Surgery
Orthopedic surgeons are increasingly recognizing the broader societal impact of their clinical decisions, which includes value-based and environmentally sustainable care. Within anterior cruciate ligament reconstruction, value-based care —or most cost-effective care—includes an outpatient surgical setting with regional anesthesia, use of autograft, meniscus repair when indicated, and use of traditional metal implants such as interference screws and staples. Environmentally sustainable care includes slimming down surgical packs a nd trays to avoid opening unnecessary equipment, avoiding desflurane as an inhaled anesthet...
Source: Clinics in Sports Medicine - September 14, 2023 Category: Sports Medicine Authors: Ian D. Engler, Frances L. Koback, Andrew J. Curley Source Type: research
Value-Based, Environmentally Sustainable Anterior Crucial Ligament Surgery
Orthopedic surgeons are increasingly recognizing the broader societal impact of their clinical decisions, which includes value-based and environmentally sustainable care. Within anterior cruciate ligament reconstruction, value-based care —or most cost-effective care—includes an outpatient surgical setting with regional anesthesia, use of autograft, meniscus repair when indicated, and use of traditional metal implants such as interference screws and staples. Environmentally sustainable care includes slimming down surgical packs a nd trays to avoid opening unnecessary equipment, avoiding desflurane as an inhaled anesthet...
Source: Clinics in Sports Medicine - September 14, 2023 Category: Sports Medicine Authors: Ian D. Engler, Frances L. Koback, Andrew J. Curley Source Type: research
The Epidemiology of Mental Health Symptoms and Disorders Among Elite Athletes and the Evolution of Mental Health Literacy
Within elite sport, epidemiological evidence is needed concerning the incidence and prevalence of mental health symptoms and disorders in relation to athlete demographic factors such as (dis)ability, race, ethnicity, sexual orientations, and different genders. Mental health promotion campaigns are often based on mental health literacy strategies. Such strategies aim to increase knowledge of mental health symptoms and disorders, address aspects of self- and public stigma, and promote help-seeking behaviors. Sporting organizations need to take responsibility to ensure that policies, practices, and services reflect organizati...
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: Paul Gorczynski, Cindy Miller Aron, Matt Moore, Claudia L. Reardon Source Type: research
Comprehensive Clinical Examination of ACL Injuries
A comprehensive clinical examination of the potentially anterior cruciate ligament (ACL)-deficient knee should proceed as follows: inspection; palpation; range of motion; varus and valgus stress; neurovascular status; and finally provocative maneuvers. The Lachman, anterior drawer, Lever, and pivot shift tests are all greater than 90% specific for ACL pathology. Due to the relatively high coincidence of ACL injuries and those to the posterior cruciate ligament, posterolateral corner , posteromedial corner , and menisci, it is critical that the examiner perform provocative maneuvers to evaluate the integrity of these struct...
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: David E. Kantrowitz, Alexis Colvin Source Type: research
Nonoperative Anterior Cruciate Ligament Injury Treatment
This article outlines the key points in the nonoperative treatment of an anterior cruciate ligament (ACL) injury. Initial evaluation and treatment of an acute knee injury, often performed by a physician with limited experience in the treatment of an ACL injury, follow the basic diagnostic workup that lead to the diagnosis. The principles of rehabilitation after ACL injury have changed from time based to criteria based, and the different phases based on physical criteria are described. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: Berte B øe Source Type: research
The Role of Osteotomy in Anterior Cruciate Ligament Reconstruction
Coronal and sagittal plane knee malalignments have been shown to increase the forces on anterior cruciate ligament (ACL) grafts after ACL reconstruction (ACLR). Studies have shown the benefit of high tibial osteotomy to address coronal and sagittal imbalance in revision ACLR. The purpose of this article is to further describe the use of osteotomy by reviewing preoperative planning, indications, techniques, and outcomes of high tibial opening and closing wedge as well as anterior tibial closing wedge osteotomies in the setting of ACLR. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: Zachary J. Herman, Laura E. Keeling, Michael A. Fox, Sahil Dadoo, Volker Musahl Source Type: research
Lateral Extra-Articular Tenodesis and Anterolateral Procedures
The treatment of rotational instability has been an intriguing challenge since the era of modern anterior cruciate ligament (ACL) surgery. Lateral extra-articular procedures (LEAPs) have emerged as a solution to this problem, particularly in high-risk populations. Several studies have shown significant benefits of combining LEAPs with ACL reconstruction, including reduced graft failure rates, improved knee stability, improved rotational stability, and higher return-to-play rates. These findings have led to an in-depth evaluation of LEAPs as lateral extra-articular tenodesis and anterolateral ligament reconstruction and the...
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: Bertrand Sonnery-Cottet, Alessandro Carrozzo Source Type: research
Precision Anterior Cruciate Ligament Reconstruction
Precision anterior cruciate ligament reconstruction (ACLR) refers to the individualized approach to prerehabilitation, surgery (including anatomy, bony morphology, and repair/reconstruction of concomitant injuries), postrehabilitation, and functional recovery. This individualized approach is poised to revolutionize orthopedic sports medicine, aiming to improve patient outcomes. The purpose of this article is to provide a summary of precision ACLR, from the time of diagnosis to the time of return to play, with additional insight into the future of ACLR. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 13, 2023 Category: Sports Medicine Authors: Zachary J. Herman, Janina Kaarre, Alan Getgood, Volker Musahl Source Type: research
Racial and Ethnic Disparities in Sports Medicine and the Importance of Diversity
Within orthopedics surgery as a specialty, sports medicine is one of the least diverse surgical subspecialties. Differences in minority representation between patient and provider populations are thought to contribute to disparities in care, access, and outcomes. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - September 1, 2023 Category: Sports Medicine Authors: Kellie K. Middleton, Alex Turner Source Type: research
Mental Health and Disordered Eating in Athletes
Disordered eating (DE) and eating disorders (EDs) are more prevalent in athletes than non-athletes, and can cause devastating health and performance consequences. Although they can affect any athlete, DE/EDs are more common among women and athletes in lean sports, where there is a perceived competitive advantage to being lean. The sports medicine provider plays a crucial role in screening, diagnosis, and treatment of DE/ED. Treatment should involve a multidisciplinary team with a physician, dietitian, and mental health provider. Preventative efforts should seek to educate athletes and their coaches/support staff and should...
Source: Clinics in Sports Medicine - August 26, 2023 Category: Sports Medicine Authors: Andrea Kussman, Hyunwoo June Choo Source Type: research
