The Science and Biomechanics of Long-Toss
AbstractPurpose of ReviewOverhead throwing is a particularly violent motion that requires a complex sequence of timed muscle activations to efficiently transfer energy up the kinetic chain to throw a ball. Long-toss has long been utilized as a means of increasing shoulder range of motion, strength, and endurance, as well as an important component of rehabilitation in interval throwing programs. The purpose of this review is to assess the current literature on the science and biomechanics of long-toss.Recent FindingsWhile long-toss is ubiquitously utilized in throwing programs for pitchers of all ages, the definition of lon...
Source: Current Reviews in Musculoskeletal Medicine - April 8, 2021 Category: Orthopaedics Source Type: research

Scapulothoracic Dyskinesis: A Concept Review
We present a concise review of clinical exams and treatment modalities available for orthopedic surgeons in the management of SD. (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - April 6, 2021 Category: Orthopaedics Source Type: research

Narrative: Review of Anterior Knee Pain Differential Diagnosis (Other than Patellofemoral Pain)
AbstractPurpose of ReviewThis review presents a framework for constructing a differential diagnosis for chronic anterior knee pain associated with overuse other than patellofemoral pain. Traumatic, systemic, and pediatric injuries will not be covered.Recent FindingsFrom superficial to deep, the anterior knee can be conceptually organized into four layers: (1) soft tissue, (2) extensor mechanism, (3) intracapsular/extrasynovial, and (4) intra-articular.SummaryFrom superficial to deep, diagnoses to consider include bursitis, patellar and quadriceps tendinosis, fat pad impingement, and plica syndromes. (Source: Current Review...
Source: Current Reviews in Musculoskeletal Medicine - April 5, 2021 Category: Orthopaedics Source Type: research

Narrative Review — Knee Pain in the Pediatric Athlete
AbstractPurpose of reviewThis review article seeks to highlight common youth athlete knee conditions due to overuse or trauma and elucidate differences from the adult populations.Recent findingsOveruse conditions presented include apophysitis, osteochondritis dissecans plica syndrome, and discoid meniscus. Traumatic conditions presented include patellar instability, patellar sleeve fracture, and patellofemoral osteochondral fractures.SummaryKnee injuries affect a significant proportion of youth athletes. These injuries place athletes at higher risk of chronic pain and potentially osteoarthritis. We have reviewed common ove...
Source: Current Reviews in Musculoskeletal Medicine - April 5, 2021 Category: Orthopaedics Source Type: research

The Benefits and Harms of Early Mobilization and Supervised Exercise Therapy after Non-surgically Treated Proximal Humerus or Distal Radius fracture: A systematic Review and Meta-analysis
AbstractPurpose of ReviewFractures of the proximal humerus (PHF) and distal radius (DRF) are among the most common upper extremity fractures in the elderly. Recent randomized controlled trials support non-surgical treatment. Evidence behind the best non-surgical treatment strategy has been sparse and raises questions as to when and how to initiate exercises. The purpose of this systematic review and meta-analysis was to assess the benefits and harms of early mobilization versus late mobilization and supervised versus non-supervised exercises therapy after PHF and DRF.Recent Findings15 published and 5 unpublished trials wer...
Source: Current Reviews in Musculoskeletal Medicine - March 10, 2021 Category: Orthopaedics Source Type: research

Offseason Workout Recommendations for Baseball Players
AbstractPurpose of ReviewOffseason training programs are crucial for the baseball athlete. Preparation for the competitive season should be carefully planned to allow long-term athletic success. The two goals of the offseason training program are to optimize performance and reduce injury risk. These goals can only be accomplished with an understanding of the unique physical demands of the sport, and how these demands relate to performance and injury. The purpose of this article is to review the unique demands of baseball training along with current strength and conditioning principles to optimize offseason training for the...
Source: Current Reviews in Musculoskeletal Medicine - February 26, 2021 Category: Orthopaedics Source Type: research

Surgical Management of Osteochondral Defects of the Knee: An Educational Review
AbstractPurpose of ReviewNumerous surgical techniques are available to treat osteochondral defects of the knee. The aim of this review is to analyse these procedures, including their methodology, outcomes and limitations, to create a treatment algorithm for optimal management.Recent FindingsOsteochondral defects of the knee significantly alter the biomechanics of the joint. This can cause symptomatic and functional impairment as well as considerable risk of progressive joint degeneration. Surgical interventions aim to restore a congruent, durable joint surface providing symptomatic relief and reducing the risk of early art...
Source: Current Reviews in Musculoskeletal Medicine - February 15, 2021 Category: Orthopaedics Source Type: research

Ulnar Collateral Ligament Repair of the Elbow —Biomechanics, Indications, and Outcomes
AbstractPurpose of ReviewTraditionally medial elbow injuries in overhead athletes have been treated with ulnar collateral ligament (UCL) reconstruction as first described by Dr. Frank Jobe. Recent literature has shown favorable outcomes in select patients treated with UCL repair. Newer techniques utilizing suture augmentation demonstrate biomechanical profiles as good or better than the native state and/or reconstruction. This review aims to evaluate these biomechanical studies and the clinical outcomes of ulnar collateral ligament repair with suture augmentation.Recent FindingsUCL repair has favorable outcomes in select p...
Source: Current Reviews in Musculoskeletal Medicine - February 9, 2021 Category: Orthopaedics Source Type: research

Augmented Reality in Orthopedic Surgery Is Emerging from Proof of Concept Towards Clinical Studies: a Literature Review Explaining the Technology and Current State of the Art
AbstractPurpose of ReviewAugmented reality (AR) is becoming increasingly popular in modern-day medicine. Computer-driven tools are progressively integrated into clinical and surgical procedures. The purpose of this review was to provide a comprehensive overview of the current technology and its challenges based on recent literature mainly focusing on clinical, cadaver, and innovative sawbone studies in the field of orthopedic surgery. The most relevant literature was selected according to clinical and innovational relevance and is summarized.Recent FindingsAugmented reality applications in orthopedic surgery are increasing...
Source: Current Reviews in Musculoskeletal Medicine - February 5, 2021 Category: Orthopaedics Source Type: research

Interval Return to Play Programs for the Tennis Athlete
AbstractPurpose of ReviewGeneral guidelines exist for return to sport after injury. The goal of these guidelines is to outline phases of recovery that will minimize the risk of reinjury and promote an optimal return to function for the athlete. This paper analyzes the current research pertaining to interval return to play programs with a special focus on the tennis athlete. The authors examine the different components of an interval tennis program and work to develop what they feel are the necessary elements of the optimal return to sport guidelines for tennis athletes. These criteria are based on the available literature,...
Source: Current Reviews in Musculoskeletal Medicine - February 3, 2021 Category: Orthopaedics Source Type: research

Acute Patellofemoral Dislocation: Controversial Decision-Making
Discussions revolve around which individuals need early surgery, identification of risk factors, and rehabilitation protocol. The purpose of this review is to discuss the current recommendations for non-operative and/or operative management of first-time dislocators.Recent FindingsRecent studies have made it clear that not all patellar dislocations are the same, not all patients do well with conservative treatment, and risk stratification can identify individuals at high risk of recurrence who would benefit from early surgical intervention. Risk factors that have been identified include younger age, skeletally immature, co...
Source: Current Reviews in Musculoskeletal Medicine - February 1, 2021 Category: Orthopaedics Source Type: research

Non-operative Management of Anterior Knee Pain: Patient Education
AbstractPurpose of ReviewAnterior knee pain is a multifactorial, often chronic condition, which can lead to long-term pain and disability. The purpose of this review is to examine the latest research on patient education for anterior knee pain. We will focus on how we might use patient education to increase the adoption of other efficacious treatment modalities and offer some suggestions for content and form of effective patient education.Recent FindingsNew research suggests that patient education, alone, or in combination with targeted exercise therapy, can be effective in reducing pain and improving function in patients ...
Source: Current Reviews in Musculoskeletal Medicine - February 1, 2021 Category: Orthopaedics Source Type: research

Validity and Reliability of Interactive Virtual Reality in Assessing the Musculoskeletal System: a Systematic Review
AbstractPurpose of ReviewAssessment of the musculoskeletal system requires consideration of its integrated function with the nervous system. This may be assisted by using valid and reliable methods that simulate real-life situations. Interactive virtual reality (VR) technology may introduce various auditory and visual inputs that mimic real-life scenarios. However, evidence supporting the quality and strength of evidence regarding the adequacy of its psychometric properties in assessing the musculoskeletal function has not been evaluated yet. Therefore, this study reviewed the validity and reliability of VR games and real-...
Source: Current Reviews in Musculoskeletal Medicine - January 29, 2021 Category: Orthopaedics Source Type: research

Graft Options in Hip Labral Reconstruction
AbstractPurpose of ReviewThe last decade has seen a boom in hip arthroscopy with refined indications. Improved understanding of pathoanatomy and disease progression has allowed for the development of advanced techniques. Labral reconstruction has been developed to substitute a non-functional or absent labrum. It has become an important technique in the armamentarium of high-volume arthroscopic hip surgeons.Recent FindingsBasic science studies have improved understanding of hip biomechanics in the presence and absence of a labrum with a labral reconstruction allowing for reconstitution of normalcy. Current techniques have s...
Source: Current Reviews in Musculoskeletal Medicine - January 27, 2021 Category: Orthopaedics Source Type: research

The Use of Biologics for Hip Preservation
We present a concise review of platelet rich plasma, hyaluronic acid, stem cells, and matrix metalloprotease inhibitors and their applicability to hip preservation surgery. (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - January 23, 2021 Category: Orthopaedics Source Type: research