Current Reviews in Musculoskeletal Medicine 
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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.Technology Used in the Prevention and Treatment of Shoulder and Elbow Injuries in the Overhead Athlete
AbstractPurpose of ReviewTo review the current technology available for the prevention and treatment of shoulder and elbow injuries in the overhead athlete.Recent FindingsShoulder and elbow injuries are common in recreational and high-level overhead athletes. Injury prevention in these athletes include identifying modifiable risk factors, offering effective preventative training programs, and establishing safe return-to-sport criteria. The advent and use of technologies and wearable devices with concomitant development of software and data analytic programs has significantly changed the role of sports technology in injury ...
Source: Current Reviews in Musculoskeletal Medicine - May 29, 2020 Category: Orthopaedics Source Type: research
Contralateral Anterior Cruciate Ligament Injuries Following Index Reconstruction in the Pediatric Athlete
AbstractPurpose of ReviewThe purpose of this review is to discuss relevant anatomy and pathoanatomy in the knee following anterior cruciate ligament reconstruction, risk factors for contralateral ACL tear, and mechanisms of contralateral injuries in the pediatric population.Recent FindingsContralateral ACL rupture rates following ACL reconstruction (ACLR) range from 4% to 42%. Pediatric patients show increased risk compared with adults, likely due to inherent anatomical differences along with biomechanical and neuromuscular changes that occur in both the operative and contralateral knees following index ACLR. Pediatric ath...
Source: Current Reviews in Musculoskeletal Medicine - May 29, 2020 Category: Orthopaedics Source Type: research
Evaluation and Management of Preaxial Polydactyly
AbstractPurpose of ReviewTo provide a current review of the embryology, classification, evaluation, surgical management, and clinical outcomes related to preaxial polydactyly.Recent FindingsRecent studies include a proposed embryologic link between preaxial polydactyly and other congenital abnormalities, an evaluation of long-term postsurgical outcomes, and an examination of important predictors for postsurgical outcomes.SummaryPreaxial polydactyly, while relatively uncommon, is a complex congenital hand abnormality that requires careful preoperative classification and proper surgical intervention timing to yield optimal o...
Source: Current Reviews in Musculoskeletal Medicine - May 28, 2020 Category: Orthopaedics Source Type: research
Ethical and Practical Considerations for Integrating Cellular ( “Stem Cell”) Therapy into Clinical Practice
AbstractPurpose of ReviewCellular therapies, also known as “stem cell” interventions (SCI), have undergone a rapid popularization in the USA and worldwide. The current review aimed at outlining (1) the ethical challenges facing the implementation of SCI; (2) the applicability of the currently available SCI; and (3) recommendations to achieve ethical, we ll-regulated incorporation of SCI in the clinical setting.Recent FindingsConcerns regarding the inadequate characterization, poor adverse effects disclosure, and unorthodox, often inappropriate, market practices have engendered a genuine concern regarding the SCI compli...
Source: Current Reviews in Musculoskeletal Medicine - May 27, 2020 Category: Orthopaedics Source Type: research
A Comprehensive Review of Radiohumeral Synovial Plicae for a Correct Clinical Interpretation in Intractable Lateral Epicondylitis
AbstractPurpose of ReviewRadiohumeral synovial plicae (RHSP) have been studied by different authors in different ways; in spite of this, the evidence is poor and the results are controversial and inconclusive even when it comes to referring to this elbow structure. The aim of this article is to review the embryologic development, anatomy and histology, pathophysiologic features, clinical manifestations, physical examination, imaging findings, and treatment of radiohumeral synovial plicae, for their correct clinical interpretation in patients with intractable lateral epicondylitis.Recent FindingsRadiohumeral synovial plicae...
Source: Current Reviews in Musculoskeletal Medicine - May 26, 2020 Category: Orthopaedics Source Type: research
Triaging Total Hip Arthroplasty During the COVID-19 Pandemic
AbstractPurpose of ReviewThe purpose of this review was to evaluate the available literature to determine what may be considered urgent indications for total hip arthroplasty, in the unprecedented setting of the worldwide COVID-19 pandemic.Recent FindingsSARS-CoV-2 is a novel coronavirus currently presenting in the form of a global pandemic, referred to as COVID-19. In this setting, multiple states have issued executive orders prohibiting “elective” surgery, including arthroplasty, in order to preserve healthcare resources. However, during this unprecedented reduction in elective surgery, there is likely to be some con...
Source: Current Reviews in Musculoskeletal Medicine - May 21, 2020 Category: Orthopaedics Source Type: research
Analysis and Review of Automated Risk Calculators Used to Predict Postoperative Complications After Orthopedic Surgery
AbstractPurpose of ReviewTo discuss the automated risk calculators that have been developed and evaluated in orthopedic surgery.Recent FindingsIdentifying predictors of adverse outcomes following orthopedic surgery is vital in the decision-making process for surgeons and patients. Recently, automated risk calculators have been developed to quantify patient-specific preoperative risk associated with certain orthopedic procedures. Automated risk calculators may provide the orthopedic surgeon with a valuable tool for clinical decision-making, informed consent, and the shared decision-making process with the patient. Understan...
Source: Current Reviews in Musculoskeletal Medicine - May 15, 2020 Category: Orthopaedics Source Type: research
Management of the Ulnar Nerve in Throwing Athletes
AbstractPurpose of ReviewDuring overhead throwing, there are tremendous forces placed on the medial elbow that can result in injury to the ulnar nerve. The purpose of this article is to review the anatomy, biomechanics, and appropriate clinical care of an overhead throwing athlete suffering from injury to their ulnar nerve. The authors preferred clinical work-up; non-operative and operative care are included in this review.Recent FindingsMore recent findings support the use of subcutaneous transposition instead of the submuscular transpositions and only to perform a transposition in the setting of specific pre-operative fi...
Source: Current Reviews in Musculoskeletal Medicine - May 13, 2020 Category: Orthopaedics Source Type: research
Patellofemoral Mechanics: a Review of Pathomechanics and Research Approaches
AbstractPurpose of ReviewThe patellofemoral joint is a complicated articulation of the patella and femur that is prone to pathologies. The purpose of this review is to report on the current methods of investigating patellofemoral mechanics, factors that affect joint function, and future directions in patellofemoral joint research with emerging technologies and techniques.Recent FindingsWhile previous hypotheses have suggested that the patella is only a moment arm extender, recent literature has suggested that the patella influences the control of knee moments and forces acting on the tibia as well as contributes to various...
Source: Current Reviews in Musculoskeletal Medicine - May 10, 2020 Category: Orthopaedics Source Type: research
Anterior Cruciate Ligament Re-tear and Revision Reconstruction in the Skeletally Immature Athlete
AbstractPurpose of ReviewWith an increase in high-demand sporting activity, the rate of pediatric and adolescent anterior cruciate ligament (ACL) reconstruction is increasing. Yet, the failure rates after reconstruction are much higher than the adult population. The purpose of this paper is to understand failure rates, reasons for graft failure, and strategies for successful revision surgery.Recent FindingsA complete understanding of the failure etiology is essential for the clinician treating this population prior to revision. This begins with an assessment of post-operative patient compliance and sporting activity. Surgi...
Source: Current Reviews in Musculoskeletal Medicine - May 8, 2020 Category: Orthopaedics Source Type: research
Using Patient Engagement Platforms in the Postoperative Management of Patients
AbstractPurpose of ReviewThe purpose of this review is to contextualize the topic of patient engagement in orthopedic surgery. There will be a specific focus on patient engagement platforms and the impact on outcomes and orthopedic clinical workflows.Recent FindingsIn an attempt to engage patients and optimize the orthopedic perioperative surgical home, patient engagement platforms have emerged in the form of portals, mobile health applications, and chatbots. Collectively, these platforms have improved patient satisfaction scores and outcomes.SummaryPatient portals, mobile health applications, and chatbots can engage ortho...
Source: Current Reviews in Musculoskeletal Medicine - May 8, 2020 Category: Orthopaedics Source Type: research
Predicting Patient-Centered Outcomes from Spine Surgery Using Risk Assessment Tools: a Systematic Review
AbstractPurpose of ReviewThe purpose of this systematic review is to evaluate the current literature in patients undergoing spine surgery in the cervical, thoracic, and lumbar spine to determine the available risk assessment tools to predict the patient-centered outcomes of pain, disability, physical function, quality of life, psychological disposition, and return to work after surgery.Recent FindingsRisk assessment tools can assist surgeons and other healthcare providers in identifying the benefit-risk ratio of surgical candidates. These tools gather demographic, medical history, and other pertinent patient-reported measu...
Source: Current Reviews in Musculoskeletal Medicine - May 8, 2020 Category: Orthopaedics Source Type: research
The Role of Biologic Agents in the Non-operative Management of Elbow Ulnar Collateral Ligament Injuries
AbstractPurpose of ReviewInjuries to the elbow ulnar collateral ligament (UCL) are especially common in the overhead throwing athlete. Despite preventative measures, these injuries are occurring at increasing rates in athletes of all levels. UCL reconstruction techniques generally require a prolonged recovery period and introduce the potential for intraoperative complications prompting investigations into more conservative treatment measures based on specific patient and injury characteristics. The purpose of this review is to describe the current literature regarding the use of biologic augmentation in the management of U...
Source: Current Reviews in Musculoskeletal Medicine - May 8, 2020 Category: Orthopaedics Source Type: research
Cost-Effectiveness of Operative Versus Non-Operative Treatment for Clavicle Fracture: a Systematic Literature Review
AbstractPurpose of ReviewOperative and non-operative treatment of midshaft clavicle fractures seems to yield comparative functional results. Furthermore, it has been suggested that surgery is more expensive compared with non-operative treatment of clavicle fracture. Cost-effectiveness seems to be more important in trends of treatment decisions. The purpose of this study is to investigate the cost-effectiveness of clavicle fracture treatment.Recent FindingsSeven publications were selected, and 5 studies showed that operative treatment is more expensive than non-operative treatment. The mean overall cost per person in discou...
Source: Current Reviews in Musculoskeletal Medicine - May 7, 2020 Category: Orthopaedics Source Type: research
Cannabinoid Use in Musculoskeletal Illness: a Review of the Current Evidence
AbstractPurpose of ReviewThe use of cannabinoids has increased since legalization of recreational and medical use in the USA. It is likely that many orthopaedic patients consume cannabinoid products during the traumatic or perioperative period. The purpose of this study was to investigate the pre-clinical data evaluating the mechanism of action of cannabidiol (CBD) and Δ9-Tetrahydrocannabinol ( Δ9-THC) and to evaluate the current clinical data on the use of cannabinoids in musculoskeletal illness.Recent FindingsRecent pre-clinical studies have demonstrated that cannabinoid use and the endocannabinoid system (ECS) has an ...
Source: Current Reviews in Musculoskeletal Medicine - May 7, 2020 Category: Orthopaedics Source Type: research
