Common Hand Injuries in the Baseball Player
AbstractPurpose of the ReviewThe list of potential hand and wrist injuries among baseball players is numerous and includes fractures, dislocations, strains, and sprains. The purpose of this review, however, is to highlight injuries to the hand and wrist which are either particularly common or unique to professional baseball players with an emphasis on diagnostic pearls and treatment principles.Recent FindingsFor many baseball-related hand and wrist injuries, descriptions of the pathophysiology, diagnosis, and treatment options are based on single institution case series. With the implementation of Major League Baseball ’...
Source: Current Reviews in Musculoskeletal Medicine - December 12, 2022 Category: Orthopaedics Source Type: research

Hypothyroidism and Spine Surgery: a Review of Current Findings
AbstractPurpose of ReviewHypothyroidism is a common medical comorbidity and has been linked to adverse surgical outcomes. However, its effect on spine surgery outcomes is less clear. The aim of this review is to compile current literature to serve as a guide for spine surgeons when treating patients with hypothyroidism.Recent FindingsIn both the cervical and lumbar spine, patients with hypothyroidism are at increased risk of postoperative medical complications. Consequently, patients with hypothyroidism experience increased healthcare costs and readmission rates. However, there are some contradictory findings with some stu...
Source: Current Reviews in Musculoskeletal Medicine - December 10, 2022 Category: Orthopaedics Source Type: research

Effective Management Options for Treatment of Microinstability of the Hip: a Scoping Review
AbstractPurpose of ReviewTo review the recent literature identifying and summarizing the research involving management of microinstability of the hip and highlight new and evolving techniques in its treatment.Recent FindingsRecent updates in the understanding of capsular management hip arthroscopy will likely lead to less revision surgery and a decreased incidence of persistent post-operative pain. Repair of residual capsular defects has shown good outcomes with high patient satisfaction. Capsular plication remains the gold standard for hips with increased pain that show signs of capsular laxity/deficiency on exam or imagi...
Source: Current Reviews in Musculoskeletal Medicine - December 6, 2022 Category: Orthopaedics Source Type: research

Sports-Related Shoulder Injuries Among Female Athletes
The objectives of this review are to explore the recent literature evaluating sports-related shoulder injuries among female athletes.Recent FindingsRecent literature has highlighted sex-related differences in injury trends and patterns among athletes. Increased participation of women in both recreational and professional sports has resulted in increased exposure to injury. While men experience greater rates of shoulder injury overall, women tend to experience more overuse-related injuries. Evidence also suggests women are more susceptible to shoulder laxity and rotator cuff tears. In comparison to their male counterparts, ...
Source: Current Reviews in Musculoskeletal Medicine - December 5, 2022 Category: Orthopaedics Source Type: research

Return to Play after Posterior Cruciate Ligament Injuries
This article provides a review of the current treatments for posterior cruciate ligament injuries and the respective rehabilitation protocols, outcomes after each treatment option, and specific return to play criteria.Recent FindingsCurrent research shows excellent outcomes and return to play with conservative treatment of isolated posterior cruciate ligament injuries. Return to play algorithms stress the importance of quadriceps strengthening throughout the recovery process and emphasize inclusion of plyometrics and sport-specific training.SummaryRehabilitation plays a critical role in the outcome after posterior cruciate...
Source: Current Reviews in Musculoskeletal Medicine - November 30, 2022 Category: Orthopaedics Source Type: research

Surgical Treatment of Iatrogenic Patella Baja
AbstractPurpose of ReviewPatella baja is characterized by a loss of patellar height and can develop as either an acute or chronic complication following a knee injury or surgical procedure. The purpose of this review is to describe the diagnosis and management of patella baja and highlight the senior author ’s surgical technique.Recent FindingsThe pathogenesis of patella baja involves a complex interaction between quadriceps dysfunction, immobilization, and inflammation leading to infrapatellar scarring and adhesions. It is associated with fractures about the knee and can result as a complication of surgical procedures s...
Source: Current Reviews in Musculoskeletal Medicine - November 29, 2022 Category: Orthopaedics Source Type: research

Impaction Syndromes About the Wrist
AbstractPurpose of ReviewImpaction syndromes are frequently a source of ulnar-sided wrist pain and patient disability. Differentiating between these entities can be difficult due to significant overlap in their clinical presentations. This manuscript reviews the diagnosis and treatment of three different impaction syndromes: (1) ulnar impaction syndrome, (2) hamate arthrosis lunotriquetral ligament syndrome, and (3) triquetrohamate impaction syndrome.Recent FindingsWhile non-operative treatment is always recommended upon initial presentation, the duration and extent of treatment are poorly defined. Diagnostic wrist arthros...
Source: Current Reviews in Musculoskeletal Medicine - November 26, 2022 Category: Orthopaedics Source Type: research

Understanding Batter ’s Shoulder: Diagnosis, Treatment, and Outcomes
AbstractPurpose of ReviewThough most of the attention in recent literature on baseball injuries has been paid to throwers, one often overlooked aspect of the game is the effect of the batter ’s swing on the shoulder. It is well known that the batter’s lead shoulder can experience significant translational forces during the player’s swing, and that these are increased following a missed swing. The purpose of this paper is to review the background and pathophysiology as well as clin ical presentation and treatment of players with Batter’s shoulder.Recent FindingsRecent studies demonstrate that while nonoperative trea...
Source: Current Reviews in Musculoskeletal Medicine - November 24, 2022 Category: Orthopaedics Source Type: research

Rotational Osteotomy for Femoral Version/Tibial Torsion
AbstractPurpose of ReviewThe purpose of this review is to discuss the current state of knowledge regarding axial plane deformities in patellofemoral instability, indications and techniques for treatment of those deformities, and outcomes following treatment.Recent FindingsThere is opportunity for more information in the literature on all aspects of axial plane deformities in patellofemoral instability. This includes how to assess axial plane deformities on imaging, what is normal and what is an appropriate goal for correction, what techniques are best used depending on the deformity or concomitant pathology, and larger and...
Source: Current Reviews in Musculoskeletal Medicine - November 18, 2022 Category: Orthopaedics Source Type: research

Sex-Based Difference in Bone Healing: A Review of Recent Pre-clinical Literature
AbstractPurpose of ReviewRecent literature has sought to understand differences in fusion failure, specifically considering how patient sex may play a role. Overall, there exists inconclusive data regarding any sex-based differences in bone healing.Recent FindingsIn vitro studies examining the roles of sex hormones, 5-LO, IGF-1, VEGF, osteoclasts, and OPCs seem to show sexually dimorphic actions. Additionally, donor characteristics and stem cell environment seem to also determine osteogenic potential. Building on this biomolecular basis, in vivo work investigates the aforementioned elements. Broadly, males tend to have a m...
Source: Current Reviews in Musculoskeletal Medicine - November 15, 2022 Category: Orthopaedics Source Type: research

The Role of Ultrasound in the Evaluation of Elbow Medial Ulnar Collateral Ligament Injuries in Throwing Athletes
AbstractPurpose of ReviewAlthough ultrasound (US) imaging is commonly used to evaluate the elbow medial ulnar collateral ligament (mUCL) in throwing athletes, significant technical heterogeneity exists in the published literature and in practice. This has resulted in variable and often ambiguous US diagnostic criteria for mUCL injury. This review summarizes the literature on sonographic evaluation of the mUCL and outlines recommendations for consistent descriptive terminology, as well as future clinical and research applications.Recent FindingsBoth acute and chronic throwing loads in overhead athletes cause the mUCL to bec...
Source: Current Reviews in Musculoskeletal Medicine - November 12, 2022 Category: Orthopaedics Source Type: research

Return to Play Considerations After Patellar Instability
AbstractPurpose of ReviewTo discuss the treatment options and rehabilitation protocols after non-operative and operative treatment of patellar instability, and to discuss expected return to play outcomes and functional performance with non-operative and operative treatment of patellar instability.Recent FindingsA criterion-based program assessing range of motion, joint effusion, strength, neuromuscular control, proprioception, agility, and power are critical measures to assess when rehabilitating this population. A series of functional tests including quadriceps strength testing, single-limb hop testing, lateral step-down ...
Source: Current Reviews in Musculoskeletal Medicine - November 11, 2022 Category: Orthopaedics Source Type: research

Intra-articular Soft Tissue Pathology of the Postpartum Hip: A Systematic Review
AbstractPurpose of ReviewPregnancy-related lumbopelvic and hip pain affects over half of postpartum females and has multiple aetiologies. The relative contribution of intra-articular soft tissue pathology to pregnancy-related hip pain is unknown. The current review investigates the available evidence regarding underlying intra-articular soft tissue aetiologies of hip pain in females during pregnancy and in the acute postpartum period.Recent FindingsThree online databases (Embase, PubMed and Ovid [MEDLINE]) were searched from database inception until 11 April 2021. All titles, relevant abstracts and full-text articles were ...
Source: Current Reviews in Musculoskeletal Medicine - November 9, 2022 Category: Orthopaedics Source Type: research

Primary Care Considerations for the Baseball Athlete
Discussion of COVID19-related practice changes pertaining to the prevention and screening of communicable respiratory illness, concussion protocol updates, the enhanced role of a multi-disciplinary team of mental health professionals.SummaryPrevention, appropriate screening, and early identification remain cornerstones of effective primary care both within the general population as well as for the baseball athlete. (Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - November 7, 2022 Category: Orthopaedics Source Type: research

Radial Collateral Ligament Injuries of the Thumb Metacarpophalangeal Joint
This article sets out to provide a comprehensive review of RCL injuries of the thumb MCP joint, including epidemiology, biomechanics, diagnosis, and treatment.Recent FindingsAlthough traditionally thought to respond well to conservative management, especially when compared to injuries to the ulnar collateral ligament, there is mounting evidence that chronic RCL injury leads to thumb metacarpophalangeal joint instability and can accelerate post-traumatic joint degeneration. Thus, much of the recent literature details surgical treatment options for radial collateral ligament injury, including repair and reconstruction.Summar...
Source: Current Reviews in Musculoskeletal Medicine - October 28, 2022 Category: Orthopaedics Source Type: research