Biologic Impact of Anterior Cruciate Ligament Injury and Reconstruction
Surgical intervention after anterior cruciate ligament (ACL) tears is typically required because of the limited healing capacity of the ACL. However, mechanical factors and the inflammatory response triggered by the injury and surgery can impact patient outcomes. This review explores key aspects of ACL injury and reconstruction biology, including the inflammatory response, limited spontaneous healing, secondary inflammation after reconstruction, and graft healing processes. Understanding these biologic mechanisms is crucial for developing new treatment strategies and enhancing patient well-being. By shedding light on these...
Source: Clinics in Sports Medicine - August 23, 2023 Category: Sports Medicine Authors: Chilan B.G. Leite, Richard Smith, Ophelie Z. Lavoie-Gagne, Simon G örtz, Christian Lattermann Source Type: research
Rehabilitation and Return to Sport After Anterior Cruciate Ligament Reconstruction
Rehabilitation after an anterior cruciate ligament (ACL) reconstruction requires patience, devotion, and discipline. Rehabilitation should be individualized to each patient ’s specific need and sport. Return to sport is a continuum throughout the rehabilitation, and patients should not return to performance before passing a battery of muscle function tests and patient-reported outcomes, as well as change of direction-specific tests. Return to full participation shoul d be an agreement between the patient, physical therapist, surgeon, and coach. For minimal risk for second ACL injury, patients should continue with mainten...
Source: Clinics in Sports Medicine - August 23, 2023 Category: Sports Medicine Authors: Rebecca Simonsson, Ramana Piussi, Johan H ögberg, Axel Sundberg, Eric Hamrin Senorski Source Type: research
Athletic Mental Health: It's not all in Their Heads!
Thank you once again to Dr Siobh án M. Statuta for putting together another excellent issue of Clinics in Sports Medicine. With all of the recent media attention to this topic (or, in some ways, because of it), and in light of the recent tragedies at our institution and others, we felt that this topic needed to be addressed. Dr St atuta gathered an all-star panel of mental health experts to put together a comprehensive look at how mental health affects athletes, coaches, and even me when I'm staring over that must-make putt at my golf course! (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - August 23, 2023 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
Diversity in Orthopaedic Surgery: What Is Next? What is Needed Collectively? How Do You Go About Effecting Positive Change?
Orthopedic surgery as a field is the least diverse medical specialty. Multiple factors contribute to the lack of diversity, including lack of diversity in medical school, lack of role models and mentors, and discrimination and bias. Addressing the lack of diversity includes use of data, implementation of targeted pipeline programs, individual physician advocacy, institutional recruitment and DEI initiatives, and leadership from professional organizations. Targeted pipeline programs and role models and mentors are very effective in increasing diversity. Cultural change is occurring, and the future orthopaedic workforce will...
Source: Clinics in Sports Medicine - August 12, 2023 Category: Sports Medicine Authors: Jason L. Koh Source Type: research
Sports Medicine Patient Experience: Implicit Bias Mitigation and Communication Strategies
Unconscious bias, also known as implicit bias, is the principal contributor to the perpetuation of discrimination and is a robust determinant of people's decision-making. Unconscious bias occurs despite conscious nonprejudiced intentions and interferes with the actions of the reflective and conscious side. Education and self-awareness about implicit bias and its potentially harmful effects on judgment and behavior may lead individuals to pursue corrective action and follow implicit bias mitigation communication strategies. Team physicians must follow existing communication strategies and guidelines to mitigate unconscious ...
Source: Clinics in Sports Medicine - August 12, 2023 Category: Sports Medicine Authors: Pedro J. Tort Saad é, Augustus A. White Source Type: research
Athlete Maltreatment in Sport
The celebrated side of sports is the high-intensity display of athleticism and competition that draws spectators to the stands, televisions, and streaming services. That version of sports is presented as the hotly contested, highly sought-after glory that the competitors sacrifice their time and bodies to pursue. The competitive passion for sport can be observed at every level of sport: from youth sports leagues to elite and professional sports competitions. This chapter will peel back the layers of sports to expose the elements that are not glamorous or celebrated. It will explore the staggering costs under the surface: t...
Source: Clinics in Sports Medicine - August 9, 2023 Category: Sports Medicine Authors: Carla D. Edwards Source Type: research
Acromioclavicular, Clavicle, and Sternoclavicular Injuries in Athletes
As the guest editor for this issue on acromioclavicular, clavicle, and sternoclavicular injuries in athletes, I am thrilled to present a comprehensive guide on the diagnosis, management, and treatment of these complex injuries. As an orthopedic sports surgeon with experience treating athletes at all levels of competition, I have seen firsthand the impact that these types of injuries can have on an athlete's performance, career, and quality of life. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - August 9, 2023 Category: Sports Medicine Authors: Katherine J. Coyner Tags: Preface Source Type: research
Operative Management for Displaced Distal Clavicle Fractures
This article reviews techniques and outcomes of surgical fixation for distal clavicle fractures. Near 100% union has been reported for several techniques. The most common are locked plating, coracoclavicular fixation and a combination of plating with CC fixation. Hook plates are useful for particular fracture patterns, but there can be complications specific to this implant. Low-profile constructs are favored due to the high rates of symptomatic hardware. Fixation of subacute and chronic injuries can provide reliable functional improvements, but is inferior to acute fixation. Surgery is generally the treatment of choice fo...
Source: Clinics in Sports Medicine - August 9, 2023 Category: Sports Medicine Authors: Mihir M. Sheth, Theodore B. Shybut Source Type: research
Media's Effect on Athletes' Mental Health
This article explores the athlete ’s relationship with both traditional and social (digital) media and describes athletes’ media obligations and the pressures of media attention. It explains the difference in the representation of diverse groups, and the potential positive and negative outcomes of the media on an athlete’s men tal health. The article will review the emergence of social media, its limitless reach, and ways in which it diverges from traditional media coverage of athletic performance. Finally, the article concludes with a discussion of ways that athletes’ multidsciplinary medical teams may become advo...
Source: Clinics in Sports Medicine - August 9, 2023 Category: Sports Medicine Authors: Tammy Ng, Howard Sanders, Sarah Merrill, Marcia Faustin Source Type: research
Acromioclavicular –Clavicle–Sternoclavicular: Strutting Horizontally
The clavicle is the only long horizontal bone in the body and plays a vital role in stabilizing the upper extremities. Because of its vulnerable location and subcutaneous nature, it is prone to injury, especially in athletes. The clavicle ’s attachments to the acromion via the acromioclavicular (AC) joint and sternum via the sternoclavicular (SC) joint are robust, but are also not uncommonly injured Treatment of these injuries is often challenging, and even the most secure fixation can fail. That makes this topic an ideal subject f or an issue in Clinics in Sports Medicine. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - August 2, 2023 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
Review of Media Representation of Sport Concussion and Implications for Youth Sports
Participation in sport can incur a risk of sport-related concussion (SRC). Media representation of SRC is frequently at odds with up-to-date scientific data. Our findings confirm a significant amount of false, confusing, or misleading terminology used in reporting on the topic, which is concerning as media is as a major source of SRC information. Individuals have a variable base of knowledge pertaining to this injury, and accurate understanding of SRC does not always correlate to appropriate action. Inaccurate portrayal of SRC media may contribute to the confusion surrounding it. Popular media presents an opportunity to co...
Source: Clinics in Sports Medicine - August 1, 2023 Category: Sports Medicine Authors: Aaron S. Jeckell, R. Shea Fontana, Rolando Gonzalez Source Type: research
Efforts to Improve Diversity, Equality, and Inclusion in Sports Medicine via Community Engagement Initiatives Within American Cities Divided by Racial, Social, and Economic Factors
Although the twenty-first century has seen major advances in evidence-based medicine to improve health, athletic performance, and injury prevention, our inability to implement these best practices across underserved American communities has limited the impact of these breakthroughs in sports medicine. Rochester, NY is stereotypical of American communities in which an economically challenged racially diverse urban center with grossly underperforming public schools is surrounded by adequately resourced predominantly Caucasian state-of-the-art education systems. As these great disparities perpetuate and further degrade our so...
Source: Clinics in Sports Medicine - July 26, 2023 Category: Sports Medicine Authors: Michael D. Maloney, Ram Haddas, Edward M. Schwarz, Shaun Nelms, Katherine Rizzone Source Type: research
Depressive Disorders in Athletes
Depressive disorders in athletes are thought to be at least as common as the general population. However, athletes have a unique set of risk factors that can affect the likelihood of developing depression. Screening tools have been developed specifically for athletes such as the Sport Mental Health Assessment Tool (SMHAT). The management of the depressed athlete should involve an individualized approach, with methods such as counseling, interpersonal therapy, or cognitive behavioral therapy being used. Some may require antidepressant medication. Depressive disorders are also linked to sucidality in athletes, and the team p...
Source: Clinics in Sports Medicine - July 25, 2023 Category: Sports Medicine Authors: Sarah E. Beable Source Type: research
Management of Mental Health Challenges in Athletes
Athletes are incredibly motivated and perpetually pursuing dominance in skill, strength, endurance, and execution –often while balancing many additional responsibilities. Despite the appearance of living fun, luxurious, care-free lifestyles, they are vulnerable to exceptional stressors and the same mental health challenges as the general population. The use of screening tools and assessment guided by a biopsy chosocial framework can assist in understanding the factors that contribute to the athlete's mental health status. This can facilitate the development of a targeted management approach to mental health challenges. (...
Source: Clinics in Sports Medicine - July 24, 2023 Category: Sports Medicine Authors: Carla D. Edwards Source Type: research
Attention-Deficit / Hyperactivity Disorder in Athletes
ADHD is common among the general population and may be slightly more common among athletes. Diagnosis requires six or more DSM-5-TR symptoms to have been present prior to age 12 and to have an effect on functioning in multiple settings. Different sporting organizations have varying requirements for documentation when making a diagnosis. Stimulant medications are the mainstay of treatment; psychosocial interventions, exercise, and non-stimulant medications can serve as adjuncts. Future directions in research on ADHD in sports include determining whether ADHD is overrepresented among the population of elite athletes and pars...
Source: Clinics in Sports Medicine - July 24, 2023 Category: Sports Medicine Authors: Collin Leibold, Racheal M. Smetana, Siobh án M. Statuta Source Type: research
