Rehabilitation After Anterior Cruciate Ligament Injury: Review of Current Literature and Recommendations
AbstractPurpose of ReviewAnterior cruciate ligament reconstruction (ACLR) is a common surgical procedure with an estimated 120,000 cases performed in the USA each year. Physical therapy plays a critical role in the successful recovery of both surgically and non-surgically managed patients. Interestingly, ACL rehabilitation protocols vary greatly with little consensus among practitioners. Nonetheless, there has been agreement over the last decade to shift from conservative, standardized length protocols to more accelerated, individualized protocols that vary in length and modalities based on patient-specific findings and pr...
Source: Current Reviews in Musculoskeletal Medicine - April 6, 2022 Category: Orthopaedics Source Type: research

Diagnosing Periprosthetic Joint Infection: a Scoping Review
AbstractPurpose of ReviewThe goal of this review is to provide an up to date understanding of the utility and limitations of the current tests utilized in the diagnosis of periprosthetic joint infection (PJI) in total knee and hip arthroplasty.Recent FindingsDespite the growth in literature surrounding PJI diagnosis, there remains challenges in establishing a diagnosis of PJI. A combination of clinical, serum, and synovial tests and microbiologic and histologic examinations can yield a diagnosis in the majority of cases. Novel molecular and imaging studies may be beneficial for indeterminant cases. A number of emerging dia...
Source: Current Reviews in Musculoskeletal Medicine - April 4, 2022 Category: Orthopaedics Source Type: research

Correction to: Current Concepts in Anterior Tibial Closing Wedge Osteotomies for Anterior Cruciate Ligament Deficient Knees
(Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - April 4, 2022 Category: Orthopaedics Source Type: research

Innovation in Orthopedics: Part 1 —Design Thinking
AbstractPurpose of ReviewThis narrative will focus on the adoption of design thinking to improve patient-centered care innovation in Orthopedics.Recent FindingsThe literature reveals a complete set of applications of the design thinking approach in the different stages of the patient experience throughout the health context; however, the papers identified focus on specific parts of the process, and there is no systemic analysis about the different aspects involved in each stage of the complete experience. This review presents a holistic analysis concerning the application of design thinking to the distinct phases of innova...
Source: Current Reviews in Musculoskeletal Medicine - March 14, 2022 Category: Orthopaedics Source Type: research

Innovation in Orthopaedics: Part 2 —How to Translate Ideas and Research into Clinical Practice
AbstractPurpose of ReviewThis paper presents some approaches and techniques for translating an idea or research into clinical practice, considering the innovation development process.Recent FindingsInnovative tools have been a key solution for healthcare problems, such as musculoskeletal disorders, which represent a great economic burden and are among the leading causes of disability. There has been an increase in publications on this topic, but there has been no analysis of the process of innovation development. This review describes the innovation phases for translating an idea or research into clinical practice, conside...
Source: Current Reviews in Musculoskeletal Medicine - March 4, 2022 Category: Orthopaedics Source Type: research

Return to Play After Distal Biceps Tendon Repair
AbstractPurpose of ReviewDistal biceps tendon ruptures (DBTR) are uncommon injuries in 40- to 50-year-old men but occur at a younger age in the athlete population. The distal biceps tendon is an important supinator of the forearm and flexor of the elbow. A complete injury results in limiting function in the upper extremity. The current review evaluates the different options in management and the current literature on return to play in athletes.Recent FindingsThe distal biceps tendon inserts on the posterior aspect of the radial tuberosity as two independent heads. The long head footprint is more proximal and posterior givi...
Source: Current Reviews in Musculoskeletal Medicine - February 23, 2022 Category: Orthopaedics Source Type: research

Physical Examination of the Hip: Assessment of Femoroacetabular Impingement, Labral Pathology, and Microinstability
AbstractPurpose of ReviewDetermining the correct diagnosis can be challenging in patients presenting with hip pain. The physical examination is an essential tool that can aid in diagnosis of hip pathology. The purpose of this review is to provide an updated summary of recent literature on the physical exam of the hip, particularly as it relates to diagnosis of femoroacetabular impingement (FAI) syndrome, labral injury, and hip microinstability.Recent FindingsPhysical exam findings consistent with the diagnosis of FAI include reduced supine hip internal rotation and positive flexion-adduction-internal rotation maneuvers. La...
Source: Current Reviews in Musculoskeletal Medicine - February 16, 2022 Category: Orthopaedics Source Type: research

Surgical Soft Tissue Management for Glenohumeral Deformity and Contractures in Brachial Plexus Birth Injury
AbstractPurpose of the ReviewConsensus on the effects of soft tissue surgical intervention in the management of brachial plexus birth injury (BPBI) sequalae is lacking. The purpose of this review is to examine the available literature on the functional and structural outcomes following soft tissue surgical management of BPBI sequalae.Recent FindingsEMBASE, PubMed, and MEDLINE were searched for related literature from the point of database inception until April 2021. Relevant papers were screened by two reviewers independently and in duplicate. A meta-analysis was performed using a random effects model. A total of 25 studie...
Source: Current Reviews in Musculoskeletal Medicine - February 14, 2022 Category: Orthopaedics Source Type: research

A Surgeon ’s Guide to Understanding Artificial Intelligence and Machine Learning Studies in Orthopaedic Surgery
AbstractPurpose of ReviewIn recent years, machine learning techniques have been increasingly utilized across medicine, impacting the practice and delivery of healthcare. The data-driven nature of orthopaedic surgery presents many targets for improvement through the use of artificial intelligence, which is reflected in the increasing number of publications in the medical literature. However, the unique methodologies utilized in AI studies can present a barrier to its widespread acceptance and use in orthopaedics. The purpose of our review is to provide a tool that can be used by practitioners to better understand and ultima...
Source: Current Reviews in Musculoskeletal Medicine - February 10, 2022 Category: Orthopaedics Source Type: research

Allograft Labral Reconstruction of the Hip: Expanding Evidence Supporting Greater Utilization in Hip Arthroscopy
AbstractPurpose of ReviewThe current review investigates outcomes and failure rates associated with arthroscopic circumferential allograft labral reconstruction of the hip, both as a revision and primary procedure in treating femoroacetabular hip impingement and labral-related pathology.Recent FindingsNumerous studies within the last decade have demonstrated excellent patient-reported outcomes, high rates of return-to-play in athletes, and low failure rates in patients having undergone arthroscopic circumferential allograft labral reconstruction of the hip. Removal of chronically diseased and injured labral tissue can elim...
Source: Current Reviews in Musculoskeletal Medicine - February 10, 2022 Category: Orthopaedics Source Type: research

Analyzing the Impact of Cannabinoids on the Treatment of Spinal Disorders
AbstractPurpose of ReviewCannabis is among the most used illicit substances globally, with medical applications, increased legalization, and shifting social attitudes leading to increased use in recent years. Cannabinoids are a group of psychoactive substances found within the cannabis plant, with the most common being Δ9-tetrahydrocannabinol and cannabidiol. Due to the high prevalence of use, it is increasingly important to evaluate the effects of cannabis and cannabinoids on spine patients, in both operative and nonoperative settings.Recent FindingsCannabis and cannabinoids may be effective in treating patients with chr...
Source: Current Reviews in Musculoskeletal Medicine - February 8, 2022 Category: Orthopaedics Source Type: research

Updates in the Surgical Management of Recurrent Clubfoot Deformity: a Scoping Review
This article focuses on the current advances in surgical management for clubfoot deformity, supported by up-to-date longitudinal studies on each approach.Recent FindingsLong-term analysis following primary and repeated soft tissue releases has demonstrated good results in young patients with low relapse rates. Tibialis anterior transfer following the Ponseti method shows no difference in long-term pedographic analysis in comparison to the Ponseti method alone. Furthermore, tibialis anterior transfer following surgical relapses provides good long-term results with improved correction in talus-first metatarsal angle. Bony os...
Source: Current Reviews in Musculoskeletal Medicine - February 4, 2022 Category: Orthopaedics Source Type: research

Treatment Options for Patellofemoral Arthritis
AbstractPurpose of ReviewTo present a synthesis of recent literature regarding the treatment of patellofemoral arthritisRecent FindingsRisk factors of PFJ OA include patella malalignment or maltracking, injury to supportive structures including the MPFL, dysfunction of hamstring and quadriceps coordination, lower limb alignment, trochlear dysplasia, patellar trauma, or ACL surgery. Special physical exam maneuvers include patellar grind test, apprehension test, and lateral patellar tilt angle. Radiographs that should be obtained first-line include weight bearing bilateral AP, lateral, and Merchant views. CT and MRI are used...
Source: Current Reviews in Musculoskeletal Medicine - February 4, 2022 Category: Orthopaedics Source Type: research

Optimizing Health and Athletic Performance for Women
AbstractPurpose of ReviewThe exponential growth of women participating in competitive sports throughout the years was made possible through several initiatives by the International Olympic Committee and the passage and implementation of Title IX as a federal law in the United States. However, this positive trend towards gender equity in sports has not transpired for women in medicine, especially in fields that care for elite athletes. This current review will discuss specific areas that can be tailored to help female athletes prevent injuries and optimize their athletic performance. We will also highlight how increased fem...
Source: Current Reviews in Musculoskeletal Medicine - January 13, 2022 Category: Orthopaedics Source Type: research

Gender Influences on Shoulder Arthroplasty
AbstractPurpose of ReviewAs the incidence of shoulder arthroplasty continues to increase, there is growing interest in patient-based factors that may predict outcomes. Based on existing literature demonstrating gender-based disparities following total hip and knee arthroplasty, gender may also influence shoulder arthroplasty. The purpose of this review is to discuss the recent literature on the influence of gender on shoulder arthroplasty, focusing on differences in preoperative parameters, perioperative complications, and postoperative outcomes.Recent FindingsWhile both female and male patients generally benefit from shou...
Source: Current Reviews in Musculoskeletal Medicine - January 4, 2022 Category: Orthopaedics Source Type: research