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.

Primary Care Considerations for the Pediatric Endurance Athlete
This study aimed to provide an overview of some of the medical concerns surrounding the care of the pediatric endurance athletes and add to the limited literature specific to the pediatric endurance athlete.Recent FindingsEndurance athletes are at risk for overtraining, relative energy deficiency in sport (RED-S), overuse injuries, nutritional deficiencies, and sleep dysfunction. Youth runners and female endurance athletes are particularly high-risk populations for RED-S; nutritional deficiencies and their care should involve thoughtful mitigation of modifiable risk factors. The growing endurance athlete may experience sli...
Source: Current Reviews in Musculoskeletal Medicine - January 30, 2024 Category: Orthopaedics Source Type: research

Correction to: Racial and Ethnic Disparities in the Management of Diabetic Feet
(Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - January 25, 2024 Category: Orthopaedics Source Type: research

Subacromial Balloon Spacer for the Massive Irreparable Cuff Tear
AbstractPurpose of ReviewThe purpose of the review is to provide an updated overview of a relatively novel but controversial surgical device (InSpace subacromial balloon, Stryker, Kalamazoo, MI) that can be readily incorporated into the armamentarium of the shoulder surgeon. The authors review the critical clinical and surgical decision-making aspects of InSpace. A recommended surgical technique and rehabilitation protocol are outlined. The authors present a nuanced view of the balloon spacer in the continuum of care of the irreparable rotator cuff tear.Recent FindingsWithin the last year, two Level I clinical trials have ...
Source: Current Reviews in Musculoskeletal Medicine - January 9, 2024 Category: Orthopaedics Source Type: research

Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome
AbstractPurpose of ReviewArthroscopic treatment of femoroacetabular impingement syndrome (FAIS) continues to rise in incidence, and thus there is an increased focus on factors that predict patient outcomes. The factors that impact the outcomes of arthroscopic FAIS treatment are complex. The purpose of this review is to outline the current literature concerning predictors of patient outcomes for arthroscopic treatment of FAIS.Recent FindingsMultiple studies have shown that various patient demographics, joint parameters, and surgical techniques are all correlated with postoperative outcomes after arthroscopic FAIS surgery, a...
Source: Current Reviews in Musculoskeletal Medicine - January 6, 2024 Category: Orthopaedics Source Type: research

Irreparable Subscapularis Tears: Current Tendon Transfer Options
AbstractPurpose of ReviewIrreparable subscapularis tears, especially in younger patients with higher functional demands, present a challenging entity. Pectoralis major and latissimus dorsi tendon transfers are commonly considered for surgical management of this pathology, yet no consensus exists regarding the superior option. The purpose of this article is to review the most current tendon transfer techniques for irreparable subscapularis tears.Recent FindingsFor decades, transfer of the pectoralis major has been considered the gold standard technique for irreparable subscapularis tears. This transfer was found to reduce p...
Source: Current Reviews in Musculoskeletal Medicine - January 6, 2024 Category: Orthopaedics Source Type: research

The Role of the Gut Microbiome in Orthopedic Surgery —a Narrative Review
AbstractPurpose of ReviewThe importance of the gut microbiome has received increasing attention in recent years. New literature has revealed significant associations between gut health and various orthopedic disorders, as well as the potential for interventions targeting the gut microbiome to prevent disease and improve musculoskeletal outcomes. We provide a broad overview of available literature discussing the links between the gut microbiome and pathogenesis and management of orthopedic disorders.Recent FindingsHuman and animal models have characterized the associations between gut microbiome dysregulation and diseases o...
Source: Current Reviews in Musculoskeletal Medicine - December 22, 2023 Category: Orthopaedics Source Type: research

The Evolution of Neuroimaging Technologies to Evaluate Neural Activity Related to Knee Pain and Injury Risk
AbstractPurpose of ReviewIn this review, we present recent findings and advancements in the use of neuroimaging to evaluate neural activity relative to ACL injury risk and patellofemoral pain. In particular, we describe prior work using fMRI and EEG that demonstrate the value of these techniques as well as the necessity of continued development in this area. Our goal is to support future work by providing guidance for the successful application of neuroimaging techniques that most effectively expose pain and injury mechanisms.Recent FindingsRecent studies that utilized both fMRI and EEG indicate that athletes who are at ri...
Source: Current Reviews in Musculoskeletal Medicine - December 18, 2023 Category: Orthopaedics Source Type: research

Selection of Fusion Levels in Adolescent Idiopathic Scoliosis
AbstractPurpose  of ReviewPosterior spinal fusion (PSF) is the preferred treatment for adolescent idiopathic scoliosis (AIS) patients with surgical range curves. Selection of the proper upper and lower instrumented vertebrae (UIV and LIV) is essential in curve correction and achieving a successful outcome, while preventing short and long-term complications.Recent FindingsThe literature lacks high-level evidence, especially on outcomes of modern surgical techniques. However, evidence seems to show that a great majority of AIS patients have excellent clinical and functional long-term outcomes after PSF.SummaryWe have review...
Source: Current Reviews in Musculoskeletal Medicine - December 14, 2023 Category: Orthopaedics Source Type: research

Non-operative Management of Acute Knee Injuries
This article describes an evidence-based approach to non-operative acute knee injury. This includes history, physical exam, imaging, and initial management. In addition, the non-operative management of three such injuries —ligament injury, meniscus injury, and patellar dislocation injury—will be discussed via a case-based practical approach.Recent FindingsAside from grade III ACL tears, most acute knee ligament injuries, especially in the absence of other concurrent injuries, can be treated non-operatively. There is new evidence that acute traumatic meniscus tears in those younger than 40 can be successfully treated no...
Source: Current Reviews in Musculoskeletal Medicine - December 14, 2023 Category: Orthopaedics Source Type: research

Physeal Sparing Approaches for MPFL Reconstruction
AbstractPurpose of ReviewTo update and concepts for pediatric physeal-sparing patellofemoral stabilization surgery.Recent FindingsRecent studies have demonstrated positive results in patellofemoral stabilization in pediatric populations with physeal-sparing techniques that limit the potential for physeal damage. Comprehensive analysis remains limited by population and technique heterogeneity.SummaryPhyseal-sparing patellofemoral stabilization, most significantly through physeal-sparing reconstruction of the medial patellofemoral ligament complex remains a viable option for pediatric patients with recurrent patellofemoral i...
Source: Current Reviews in Musculoskeletal Medicine - December 11, 2023 Category: Orthopaedics Source Type: research

S.P.O.R.R.T. —A Comprehensive Approach to the Assessment and Non-Operative Management of Overuse Knee Conditions in Youth Athletes
AbstractPurpose of ReviewThe evaluation of a young athlete with an overuse injury to the knee involves a comprehensive approach. There are a number of elements to consider including assessments of skeletal maturity (biologic maturation), workload (training load  + competition load), sport specialization status, and biomechanics. The type of injury and treatment, as well as future prognosis, may be influenced by these and other factors.Recent FindingsCalculating the percentage of predicted adult height (PPAH) is a valuable tool in assessing overuse injury patterns and diagnoses in youth athletes. Modifiable and non-modi...
Source: Current Reviews in Musculoskeletal Medicine - November 24, 2023 Category: Orthopaedics Source Type: research

The Impact of Spine Pathology on Posterior Ligamentous Complex Structure and Function
This article provides a comprehensive review of the implications of spinal pathology on the structure, function, and biomechanical properties of the posterior ligamentous complex.Recent FindingsCurrent research characterizing biomechanical properties of the posterior ligamentous complex is primarily composed of cadaveric studies and finite element modeling, and more recently incorporating patient-specific anatomy into finite element models. The ultimate goal of current research is to understand the relative contributions of these ligamentous structures in healthy and pathological spine, and whether preserving ligaments may...
Source: Current Reviews in Musculoskeletal Medicine - October 23, 2023 Category: Orthopaedics Source Type: research

Return to Play After Femoroacetabular Impingement
AbstractPurpose of ReviewFemoroacetabular impingement (FAI) is a pathomechanical process whereby abnormal contact between proximal femur and acetabulum at end range of hip motion induces chondrolabral lesions within the hip joint. Surgery followed by a rehabilitation program or physical therapy with possible addition of an intra-articular corticosteroid injection are the two predominant treatments. The majority of authors recognize that a well-designed rehabilitation protocol is essential to achieve good outcomes with both nonoperative and surgical treatment. However, there is little evidence about what is the best rehabil...
Source: Current Reviews in Musculoskeletal Medicine - October 10, 2023 Category: Orthopaedics Source Type: research

Return to Play After Knee Articular Cartilage Restoration: Surgical Options, Rehabilitation Protocols, and Performance Outcomes
AbstractPurpose of ReviewNumerous cartilage restoration techniques have proven to be effective in the treatment of articular cartilage defects. The ultimate goal of these procedures is to improve pain and function, thereby increasing the likelihood of a patient ’s return to physical activity. Postoperative rehabilitation is a key component for a successful and expedient return to activities. The purpose of this article is to review the current literature regarding common surgical options, rehabilitation protocols, and performance outcomes after operative treatment of articular cartilage defects.Recent FindingsStudies hav...
Source: Current Reviews in Musculoskeletal Medicine - October 7, 2023 Category: Orthopaedics Source Type: research

Turf Toe Injuries in the Athlete: an Updated Review of Treatment Options, Rehabilitation Protocols, and Return-to-Play Outcomes
AbstractPurpose of ReviewFirst metatarsophalangeal joint sprains or turf toe (TT) injuries occur secondary to forceful hyperextension of the great toe. TT injuries are common among athletes, especially those participating in football, soccer, basketball, dancing, and wrestling. This review summarizes the current treatment modalities, rehabilitation protocols, and return-to-play criteria, as well as performance outcomes of patients who have sustained TT injuries.Recent FindingsLess than 2% of TT injuries require surgery, but those that do are typically grade III injuries with damage to the MTP joint, evidence of bony injury...
Source: Current Reviews in Musculoskeletal Medicine - October 3, 2023 Category: Orthopaedics Source Type: research