Current Reviews in Musculoskeletal Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Considerations of the Posterior Tibial Slope in Anterior Cruciate Ligament Reconstruction: a Scoping Review
AbstractPurpose of ReviewThe significance of posterior tibial slope (PTS) in the setting of anterior cruciate ligament (ACL) injury and reconstruction has been increasingly recognized in recent years. The purpose of this article is to review the biomechanical and clinical studies of PTS in conjunction with ACL injuries, providing an evidence-based approach for the evaluation and management of this patient population.Recent FindingsSeveral biomechanical and clinical studies suggest that PTS> 12 ° may be considered with increased strain on the native ACL fibers (or reconstructed graft) and greater anterior tibial transla...
Source: Current Reviews in Musculoskeletal Medicine - June 2, 2022 Category: Orthopaedics Source Type: research

Obesity and Reverse Total Shoulder Arthroplasty
AbstractPurpose of ReviewRates of obesity and reverse total shoulder arthroplasty (rTSA) in the USA have both escalated with time. Obese patients experience arthritis at higher rates than normal weight patients; therefore, these numbers go hand in hand. Obesity has been correlated with health comorbidities such as anxiety, cardiovascular disease, diabetes, and metabolic syndrome as well as poorer outcomes and higher complication rates following lower extremity arthroplasty. The current review investigates these comorbidities as they relate to obese patients undergoing rTSA.Recent FindingsFunctional outcomes are similar to ...
Source: Current Reviews in Musculoskeletal Medicine - May 5, 2022 Category: Orthopaedics Source Type: research

Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty: a Detailed Review and Guide to Management
AbstractPurpose of Review8.5 to 50% of total joint arthroplasty (TJA) patients are reported to have preoperative malnutrition. The narrative review identifies the relationship between preoperative malnutrition for TJA patients and postoperative outcomes as well as the use of perioperative nutritional intervention to improve postoperative complications.Recent FindingsBiochemical/laboratory, anthropometric, and clinical measures have been widely used to identify preoperative nutritional deficiency. Specifically, serum albumin is the most prevalent used marker in TJA because it has been proven to be correlated with protein-en...
Source: Current Reviews in Musculoskeletal Medicine - May 3, 2022 Category: Orthopaedics Source Type: research

A Review of Treatment for Acute and Chronic Pars Fractures in the Lumbar Spine
AbstractPurpose of ReviewSpondylolysis remains one of the most common causes of lower back pain in the pediatric and adolescent populations and is particularly prevalent in young sporting individuals. Despite this, approaches to diagnostic imaging and both conservative and surgical treatment vary widely among surgeons. The current review investigates recent literature on the etiology, clinical presentation, diagnosis, and treatment of spondylolysis. In particular, it interrogates the use of various advanced imaging modalities (CT, MRI, SPECT) in diagnosis as well as common surgical approaches to the condition.Recent Findin...
Source: Current Reviews in Musculoskeletal Medicine - May 2, 2022 Category: Orthopaedics Source Type: research

Inside-Out Approach to Meniscus Repair: Still the Gold Standard?
AbstractPurpose of ReviewThe purpose of this review is to provide an up-to-date summary on the current literature and trends regarding use of the inside-out approach to meniscus repair. Additionally, the paper describes the authors preferred techniques for inside-out meniscus repair utilizing posteromedial and posterolateral exposures.Recent FindingsThere has been a substantial increase in recent publications regarding meniscus repair. However, comparisons regarding the optimal repair technique have not been conclusive. Despite the recent increase in use of all-inside devices, multiple investigations with short-to-mid-term...
Source: Current Reviews in Musculoskeletal Medicine - April 30, 2022 Category: Orthopaedics Source Type: research

Developmental Dysplasia of the Hip: Controversies in Management
AbstractPurpose of ReviewMany aspects of developmental hip dysplasia (DDH) care and evaluation are still active areas of debate. Recent studies have provided more insight into these topics such as strategies for reducing osteonecrosis, assessing hip reduction after closed and open reduction, and the management of residual acetabular dysplasia.Recent FindingsThe presence of the ossific nucleus at the time of reduction does not alter the risk of osteonecrosis. The risk of osteonecrosis may be higher when hips are immobilized in excessive abduction. Limited sequence MRI may be the best choice for assessing hip reduction after...
Source: Current Reviews in Musculoskeletal Medicine - April 30, 2022 Category: Orthopaedics Source Type: research

Current State of Data and Analytics Research in Baseball
AbstractPurpose of ReviewBaseball has become one of the largest data-driven sports. In this review, we highlight the historical context of how big data and sabermetrics began to transform baseball, the current methods for data collection and analysis in baseball, and a look to the future including emerging technologies.Recent FindingsMachine learning (ML), artificial intelligence (AI), and modern motion-analysis techniques have shown promise in predicting player performance and preventing injury. With the advent of the Health Injury Tracking System (HITS), numerous studies have been published which highlight the epidemiolo...
Source: Current Reviews in Musculoskeletal Medicine - April 29, 2022 Category: Orthopaedics Source Type: research

Current Reviews in Musculoskeletal Medicine: Current Controversies for Treatment of Meniscus Root Tears
AbstractPurpose of ReviewThe role of the meniscus in preserving the biomechanical function of the knee joint has been clearly defined. The hypothesis that meniscus root integrity is a prerequisite for meniscus function is supported by the development of progressive knee osteoarthritis (OA) following meniscus root tears (MRTs) treated either non-operatively or with meniscectomy. Consequently, there has been a resurgence of interest in the diagnosis and treatment of MRTs. This review examines the contemporary literature surrounding the natural history, clinical presentation, evaluation, preferred surgical repair technique an...
Source: Current Reviews in Musculoskeletal Medicine - April 27, 2022 Category: Orthopaedics Source Type: research

Future Directions in Patellofemoral Imaging and 3D Modeling
AbstractPurpose of ReviewPatellofemoral instability involves complex, three-dimensional pathological anatomy. However, current clinical evaluation and diagnosis relies on attempting to capture the pathology through numerous two-dimensional measurements. This current review focuses on recent advancements in patellofemoral imaging and three-dimensional modeling.Recent FindingsSeveral studies have demonstrated the utility of dynamic imaging modalities. Specifically, radiographic patellar tracking correlates with symptomatic instability, and quadriceps activation and weightbearing alter patellar kinematics. Further advancement...
Source: Current Reviews in Musculoskeletal Medicine - April 26, 2022 Category: Orthopaedics Source Type: research

Treatment, Return to Play, and Performance Following Meniscus Surgery
This article provides a review of the current treatment modalities of meniscus tears, the rehabilitation protocols following each modality, and the return to play criteria that must be met before releasing the player to competition. In addition, it overvi ews articles that describe performance outcomes of patients that have undergone meniscus surgery.Recent FindingsCurrent research shows high return to play rates for athletes that undergo meniscus surgery and describes effective rehabilitation protocols to facilitate recovery. There is an increased emphasis on meniscus preservation in recent literature. In addition, menisc...
Source: Current Reviews in Musculoskeletal Medicine - April 25, 2022 Category: Orthopaedics Source Type: research

Liquid Phase 3D Printing: How This New Technology Can Help Bring 3D Printing to the Operating Room
AbstractPurpose of ReviewThe purpose of this review is to discuss the state of technology in liquid phase three-dimensional (3D) metal printing, how this has affected the field of orthopedic surgery, and changes that we can expect in the future with the rise of this printing technology. We will also discuss how liquid phase metal printing can possibly bring three-dimensional printing to the operating room.Recent FindingsThe use of liquid phase 3D metal printing may become commonplace for manufacturing orthopedic implants and devices. Traditional metal printing involved powder-based metals and high-energy beam technologies ...
Source: Current Reviews in Musculoskeletal Medicine - April 22, 2022 Category: Orthopaedics Source Type: research

Novel Approaches Guiding the Future of Spinal Biologics for Bone Regeneration
AbstractPurpose of ReviewDespite the continued growth of spine fusion procedures, the ideal material for bone regeneration remains unclear. Current bone graft substitutes and extenders in use such as exogenous BMP-2 or demineralized bone matrix and hydroxyapatite either have serious complications associated with use or lead to clinically significant rates of non-union. The introduction of nanotechnology and 3D printing to regenerative medicine facilitates the development of safer and more efficacious bone regenerative scaffolds that present solutions to these problems. Many researchers in orthopedics recognize the importan...
Source: Current Reviews in Musculoskeletal Medicine - April 18, 2022 Category: Orthopaedics Source Type: research

Patient-Reported Outcome Measures Following Surgical Intervention for Pediatric Sports-Related Injuries to the Knee: a Systematic Review
AbstractPurpose of ReviewIncreased sports participation and early specialization has contributed to an increase in surgically managed musculoskeletal injuries to the knee in youth athletes. Established patient-reported outcome (PRO) measures have been extensively reported in adult patients to assess outcomes following sports-related knee surgery. However, current PRO measures for pediatric patients undergoing surgery for sports-related injuries have not been well-described.Recent FindingsStrong emphasis has been placed on patient-reported outcomes in recent years, and surgeons have identified many different scoring systems...
Source: Current Reviews in Musculoskeletal Medicine - April 18, 2022 Category: Orthopaedics Source Type: research

Throwing Injury Prevention Strategies with a Whole Kinetic Chain-Focused Approach
AbstractPurpose of ReviewThis review examines the relationship between the baseball pitching motion and the kinetic chain. The goal was to determine the underlying causes of a deficiency in throwing mechanics throughout a throwing motion, and to provide an evidence-based approach on how to prevent injuries caused by a lack of proper mechanics. In doing so, we sought to provide a warm-up strategy that can be added to every baseball player ’s daily on-field routine that is tailored to each phase of the throwing motion.Recent FindingsTo help minimize the risk of injury to overhead throwing athletes, a thorough understanding...
Source: Current Reviews in Musculoskeletal Medicine - April 7, 2022 Category: Orthopaedics Source Type: research

Biomechanics and Outcomes of Modern Tibial Polyethylene Inserts
AbstractPurpose of ReviewThere have been many attempts to use variations in tibial polyethylene design to better recreate normal knee kinematics in the total knee arthroplasty. The goal of this review is to provide an overview of the various types of tibial inserts that exist and review the theoretical mechanics versus what was demonstrated in vivo.Recent FindingsMany polyethylene inserts have been attempted to re-create normal knee kinematics, but none have been able to successfully do so. Previously the only two types of inserts were posterior stabilized (PS) and cruciate retaining (CR) polyethylene inserts. Both of thes...
Source: Current Reviews in Musculoskeletal Medicine - April 6, 2022 Category: Orthopaedics Source Type: research