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The Current Role of Biologics for Meniscus Injury and Treatment
AbstractPurpose of ReviewThere is little doubt that the consensus has changed to favor preservation of meniscal function where possible. Accordingly, the indications for meniscal repair strategies have been refocused on the long-term interest of knee joint health. The development and refinements in surgical technique have been complemented by biological augmentation strategies to address intrinsic challenges in healing capacity of meniscal tissue, with variable effects.Recent FindingsA contemporary approach to meniscal healing includes adequate surgical fixation, meniscal and synovial tissue stimulation, and management of ...
Source: Current Reviews in Musculoskeletal Medicine - July 26, 2022 Category: Orthopaedics Source Type: research

Returning Athletes to Sports Following Anterior Cruciate Ligament Tears
AbstractPurpose of ReviewThe purpose of this review is to discuss treatment options, rehabilitation protocols, return-to-play criteria, and expected outcomes after non-operative and operative treatment of anterior cruciate ligament (ACL) tears among an athletic population.Recent FindingsNon-operative treatment may be a viable option for some athletes with an ACL tears but can be difficult to predict “copers,” and those that resume to sports return at lower performance level and/or less intense activities. Most studies assessing function after ACL reconstruction demonstrate favorable outcomes using patient-reported outc...
Source: Current Reviews in Musculoskeletal Medicine - July 26, 2022 Category: Orthopaedics Source Type: research

Correction to: Treatment, Return to Play, and Performance Following Meniscus Surgery
(Source: Current Reviews in Musculoskeletal Medicine)
Source: Current Reviews in Musculoskeletal Medicine - July 26, 2022 Category: Orthopaedics Source Type: research

Malunion of Pediatric Forearm Shaft Fractures: Management Principles and Techniques
We present the preoperative evaluation, including imaging, and discuss surgical indications and contemporary approaches to manage such patients, including an illustrative case.Recent FindingsWhile advances in three-dimensional (3D) simulation, modeling, and patient-specific instrumentation have expanded the surgical armamentarium, their impact on long-term outcomes compared to traditional methods remains unknown.SummarySuccessful outcome following surgical correction of malunion following a both-bone forearm fracture can be achieved with careful patient selection, appropriate indications, and a well-planned surgical execut...
Source: Current Reviews in Musculoskeletal Medicine - July 25, 2022 Category: Orthopaedics Source Type: research

Upper Extremity Injuries in CrossFit Athletes —a Review of the Current Literature
AbstractPurpose of ReviewCross-discipline fitness, or CrossFit, has exploded in popularity during the last two decades. During this time, there have been a high volume of patients presenting to clinicians with a wide range of associated injuries. Given the high intensity, high repetition, and competitive nature of CrossFit training and competition, athletes are vulnerable to injury, particularly upper extremity injury. The rate of injury to the shoulder, elbow, and wrist in CrossFit is higher when compared to traditional weight-training and more comparable to elite-level gymnastics and Olympic-style lifting. Due to the gro...
Source: Current Reviews in Musculoskeletal Medicine - July 22, 2022 Category: Orthopaedics Source Type: research

Etiology of Failed Anterior Cruciate Ligament Reconstruction: a Scoping Review
AbstractPurpose of ReviewRecent literature was reviewed to identify and summarize the etiology of primary anterior cruciate ligament (ACL) reconstruction (ACLR) failure reported.MethodsThe databases Embase, PubMed, and Medline were searched on March 10, 2022, for English-language, clinical studies that reported on the etiology of failure of primary ACLR. The studies were systematically screened in duplicate and data abstracted.Recent FindingsForty-three studies were identified that reported mode of failure in primary ACLR. Trauma (43 studies), technical error (11 studies), and biology (9 studies) remain the most reported e...
Source: Current Reviews in Musculoskeletal Medicine - July 19, 2022 Category: Orthopaedics Source Type: research

Anterolateral Tibial Bowing and Congenital Pseudoarthrosis of the Tibia: Current Concept Review and Future Directions
AbstractPurpose of ReviewCongenital pseudarthrosis of the tibia (CPT) is a rare condition closely associated with neurofibromatosis type I. Affected children are born with anterolateral bowing of the tibia which progresses to pathologic fracture, pseudarthrosis, and high risk of refracture even after initial union has been attained. There is currently no consensus on the classification of this disease or consensus on its treatment. The purpose of this review is to (1) review the clinical presentation, etiology, epidemiology, classification, and natural history of congenital pseudarthrosis of the tibia and (2) review the ex...
Source: Current Reviews in Musculoskeletal Medicine - July 16, 2022 Category: Orthopaedics Source Type: research

Intraoperative Assessment of Reduction of the Ankle Syndesmosis
AbstractPurpose of ReviewPostoperative malreduction of the ankle syndesmosis is common, poorly defined, and its assessment is controversial. In the absence of a gold standard method to evaluate the ankle syndesmosis, a variety of techniques have been described. As the knowledgebase expands, data illustrating caveats for such techniques has become available. The purpose of this review is to highlight literature-sourced technical pearls and their related caveats for the intraoperative assessment of the ankle syndesmosis.Recent FindingsAlthough numerical criteria are commonly used to assess syndesmotic reduction, anatomical v...
Source: Current Reviews in Musculoskeletal Medicine - July 13, 2022 Category: Orthopaedics Source Type: research

Scoping Review on ACL Surgery and Registry Data
AbstractPurpose of ReviewTo present an overview of registry-based anterior cruciate ligament (ACL) research, as well as provide insight into the future of ACL registries.Recent FindingsDuring the past decades, the ACL registries have had an important role in increasing our understanding of patients with ACL injuries and their treatment. The registry data has deepened our understanding of factors that have been associated with an increased risk of sustaining an ACL injury and for evaluation of treatment factors and their impact on patient-related outcomes. Recently, registry-based ACL research using artificial intelligence ...
Source: Current Reviews in Musculoskeletal Medicine - July 13, 2022 Category: Orthopaedics Source Type: research

Achilles Tendon Ruptures and Repair in Athletes —a Review of Sports-Related Achilles Injuries and Return to Play
AbstractPurpose of ReviewAchilles tendon ruptures (ATR) are detrimental to sports performance, and optimal treatment strategy and guidelines on return to play (RTP) remain controversial. This current review investigates the recent literature surrounding nonoperative versus operative management of ATR, clinical outcomes, and operative techniques to allow the athlete a successful return to their respective sport.Recent FindingsThe Achilles tendon (AT) is crucial to the athlete, as it is essential for explosive activities such as running and jumping. Athletes that sustain an ATR play in fewer games and perform at a lower leve...
Source: Current Reviews in Musculoskeletal Medicine - July 9, 2022 Category: Orthopaedics Source Type: research

Assessing Bone Loss in the Unstable Shoulder: a Scoping Review
AbstractPurpose of ReviewThe aim of this scoping review is to identify and summarize findings published in the literature over the past 5 years related to methods for assessment of bone loss in anterior shoulder instability.Recent FindingsOf the 113 clinical studies included in this review, 76 reported a cutoff for glenoid bone loss when determining the patients indicated for one of the many stabilization procedures investigated. Bone loss on the glenoid side was evaluated most commonly with three-dimensional computed tomography (3D CT), and either linear or surface area –based methods were employed with the use of a bes...
Source: Current Reviews in Musculoskeletal Medicine - July 5, 2022 Category: Orthopaedics Source Type: research

Assessing the Outcomes Associated with Accessory Navicular Bone Surgery —a Systematic Review
AbstractPurpose of ReviewThe purpose of this review is to evaluate the existing literature in order to compare the clinical outcomes and complications associated with the kidner procedure and simple excision procedure. Furthermore, this review will help determine if one procedure is advantageous over the other in treating accessory navicular among patients.Recent FindingsPrevious research on this topic has seen a low success rate in treating patients with symptomatic accessory navicular using conservative treatment options such as shoe-wear modification, braces, and/or nonsteroidal anti-inflammatory. Surgical treatment suc...
Source: Current Reviews in Musculoskeletal Medicine - July 1, 2022 Category: Orthopaedics Source Type: research

Current Controversies in Arthroscopic Partial Meniscectomy
AbstractPurpose of ReviewGiven the continued controversy among orthopedic surgeons regarding the indications and benefits of arthroscopic partial meniscectomy (APM), this review summarizes the current literature, indications, and outcomes of partial meniscectomy to treat symptomatic meniscal tears.Recent FindingsIn patients with symptomatic meniscal tears, the location and tear pattern play a vital role in clinical management. Tears in the central white-white zone are less amenable to repair due to poor vascularity. Patients may be indicated for APM or non-surgical intervention depending on the tear pattern and symptoms. N...
Source: Current Reviews in Musculoskeletal Medicine - June 21, 2022 Category: Orthopaedics Source Type: research

Arthroscopic Treatment of Mild/Borderline Hip Dysplasia with Concomitant Femoroacetabular Impingement —Literature Review
AbstractPurpose of Review This literature review aims to survey the current knowledge about the management FAI in the setting of borderline hip dysplasia.Recent FindingsWith better understanding, hip arthroscopy has recently been advocated for treating mild or borderline hip dysplasia (BDH) with concomitant femoroacetabular impingement (FAI) despite early studies that condemned its use. Recent outcome data have demonstrated that hip arthroscopy is a viable option in BDH, with and without FAI, and has been gaining wider acceptance. Hip arthroscopy can address the concomitant soft tissue and bony intra-articular pathologies ...
Source: Current Reviews in Musculoskeletal Medicine - June 16, 2022 Category: Orthopaedics Source Type: research

All-Inside Meniscus Repair
AbstractPurpose of ReviewThe indications for partial meniscectomy are becoming increasingly limited, and recent evidence suggests that the meniscus should be preserved whenever possible. Because of its many proposed advantages, all-inside meniscus repairs are becoming increasingly common. This review discusses the indications, advantages, disadvantages, and biomechanical and clinical outcomes of all-inside meniscus repair.Recent FindingsAll-inside meniscus repair demonstrates equal functional outcomes, healing rates, and complications compared to inside-out repair of vertical longitudinal and bucket-handle tears with the a...
Source: Current Reviews in Musculoskeletal Medicine - June 4, 2022 Category: Orthopaedics Source Type: research