The “Not” Good, the Bad and the Ugly: Prevention and Management of Common Intraoperative and Delayed Complications in Orthopedic Sports Medicine Surgical Procedures
Despite advances in techniques designed to make arthroscopic sports medicine procedures simple, complications still arise in the operating room; even in the most trained hands. However, what marks a skilled surgeon is not just the ability to steer the ship amidst smooth seas, but a knack for getting out of trouble once things deviate from the set course. Each surgical case presents a unique challenge, and no 2 are the same. For this reason, a true expert surgeon must know how to deal with “complications” ranging from a mild swell to a raging storm. In this review we present strategies to prevent and navigate some of th...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Arthrofibrosis Nightmares: Prevention and Management Strategies
Arthrofibrosis (AF) is an exaggerated immune response to a proinflammatory insult leading to pathologic periarticular fibrosis and symptomatic joint stiffness. The knee, elbow, and shoulder are particularly susceptible to AF, often in the setting of trauma, surgery, or adhesive capsulitis. Prevention through early physiotherapeutic interventions and anti-inflammatory medications remain fundamental to avoiding motion loss. Reliable nonoperative modalities exist and outcomes are improved when etiology, joint involved, and level of dysfunction are considered in the clinical decision making process. Surgical procedures should ...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment
Arthroscopy of the shoulder, elbow, hip, and knee has become increasingly utilized due to continued advancements in technique, training, and instrumentation. In addition, arthroscopy is generally safe and effective in the utilization of joint preservation surgical techniques. The arthroscopist must utilize a thorough understanding of the surgical anatomy, detailed care with patient positioning, and safe instrumentation portals to prevent associated neurological injury. In the event of postoperative neurological complications, the physician must carefully document the patient history and physical examination while consideri...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Incidence and Prevention of Thromboembolic Complications for Sports and Arthroscopic-related Surgery: Evidence-based Recommendations
The incidence of thromboembolic events following arthroscopic surgery is relatively rare. Despite this, these are important complications to be aware of, as arthroscopic procedures are performed in high frequency each year and can lead to a substantial burden within health care. Over the past several decades, pharmacologic antithrombotic prevention strategies following knee arthroscopy have been extensively studied; however, their efficacy remains controversial, and there is a lack of consensus regarding a standard prevention protocol, with the exception of the established benefits of early mobilization. Several surgical a...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Infection: Prevention, Diagnosis, and Treatment Guidelines for the Sports Surgeon
Postoperative infection remains a potentially devastating complication facing the sports medicine surgeon. Infection prevention begins with a thorough history and physical examination to identify patient specific risk factors and aid in risk stratification. Perioperative steroid injections should be used cautiously, with increased time prior to or following surgery being associated with lower infection risk. Sterile preparation with an alcohol containing solution is typically preferred, though there is limited evidence to identify which product is superior. Diagnosis can be challenging with a high index of suspicion needed...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Failure and Complication Rates in Common Sports and Arthroscopic Procedures: Reality Check
Expectations following sports medicine and arthroscopic procedures have been elevated because of captivating modern-day media coverage of high-profile athletic injuries, surgery, and rapid return to sports. Unfortunately, this general perception may be misleading, and orthopedic sports medicine physicians must be aware of the harsh reality of the trials and tribulations associated with the subspecialty. The purpose of this review article is to provide an updated brief overview of the complications and failure rates associated with common arthroscopic procedures including rotator cuff repair, biceps tenodesis, Bankart proce...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Preoperative Optimization and Tips to Avoiding Surgical Complications Before the Incision
In preparation for surgery, it is important for surgeons to have a detailed discussion with patients about the risks, benefits, and alternatives to surgery. Patient optimization, ensuring the patient is in the best medical condition before surgery, is also an important aspect of patient care that the surgeon must consider. Although complications cannot be eliminated, there are often opportunities to optimize patients, so these risks can be minimized based on current evidence-based medicine. To minimize the risk of complications, the surgeon should take an active role in each step of the patient’s care beginning with the ...
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Review Articles Source Type: research

Complications
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - February 2, 2022 Category: Sports Medicine Tags: Editorial Source Type: research

Subject Index
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Subject Index Source Type: research

Author Index
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Author Index Source Type: research

Athlete Preparticipation Physical Evaluation
This article provides an overview of common PPE elements and current best practice recommendations. Descriptions of every possible examination are published elsewhere and are beyond the intent of this article. Additional considerations for transgender, masters athletes, and Special Olympians are also outside the scope of this review, but are well covered in The Preparticipation Physical Evaluation, fifth edition monograph. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Analgesia in Athletes: A Review of Commonly Used Oral and Injectable Modalities
Pain is common among athletes at all levels and the treatment of pain can be a challenging and frustrating task. The team physician needs a fundamental knowledge of analgesic strategies as it relates to athletes. It is important to understand the mechanism of action, side effect profile/associated complications, incidence of and indications for use, as well as the controversies associated with the most common analgesic medications used in sports medicine. Several “in vogue” treatment modalities, including cannabidiol, are also becoming more commonly used and are worth discussion. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Leadership Lessons in Concussion Management for Team Physicians
Over the last decade, with emphasis on concussion awareness and potential long-term deficits, concussions have become a public health concern. Although common, concussions are complex in nature and often require a collaborative treatment approach across multiple disciplines. In an athletic setting, the Team Physician plays a critical leadership role in the organization, management, and provision of care for concussed athletes. However, leadership strategies for the provision of concussion care utilized by the Team Physician have not been adequately described. This manuscript intends to describe advanced planning for concus...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

The Team Physician: Return to Play Considerations and Outcomes
Successful rehabilitation of sports-related orthopedic injuries remains a challenge for both orthopedic surgeons and their patients. Team physicians are tasked with the complex problem of minimizing time away from competition, while simultaneously mitigating the risk of reinjury. Varying levels of expectation and demand between recreational and competitive athletes coupled with the already complex nature of sports-related injuries present a multifactorial challenge for the even the most experienced physicians. In the realm of sports medicine, timing of return to sport has become a controversial yet ubiquitous criterion by ...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Comprehensive Rehabilitation of the Athlete: A Specific and Purposeful Approach
There is a need to improve the quality of rehabilitation in sports medicine to return athletes to optimal function safely and quickly, reducing the risk of reinjury. This paper describes a planning paradigm to guide clinical reasoning during individual treatment sessions and a model for planning the rehabilitation program from acute injury to return to play. The design of a rehabilitation program should be a collaborative, team effort, and accounting for the specific needs of the athlete. As the athlete progresses from acute injury management all the way back to full competition, the rehabilitation professional emphasizes ...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research