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Overview of Sport-Specific Injuries
Athletes are at risk for a variety of injuries not typically sustained in everyday life. The team physician must be capable of not only identifying and treating injuries as they occur, but he or she must be armed with the knowledge to minimize the risk of injuries before they occur. This review serves to provide an overview of the various sport-specific injuries typically encountered by team physicians. Injuries are grouped by body part and/or organ system, when possible. We do not aim to cover in detail the various treatments for these injuries; rather, we hope that this article provides a comprehensive overview of sport-...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

On-field Emergencies and Emergency Action Plans
Sideline coverage can be an enjoyable experience and provide the opportunity to witness and evaluate an athlete’s pathology at the time of injury. While the majority of on-field injury will likely be of low acuity, it is essential to develop an Emergency Action Plan (EAP) to deliver excellent medical care efficiently. The EAP should provide a written, standardized multidisciplinary approach involving key personnel. The EAP should be rehearsed on at least an annual basis and should highlight the initial assessment of the patient while also accounting for the various types of trauma that may occur on the field and appropri...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Team Medical Coverage
In recent years, the National Collegiate Athletic Association (NCAA) and professional organizations have endorsed independent medical teams to promote athletes’ wellbeing. In this independent arrangement, the team physician is the head of the medical team and with the assistance from the health care administrator, the team physician provides oversight of team medical personnel, who are delivering health care under the direction of the team physician. The purpose of this chapter is to review the role of the modern-day team physician, highlighting areas of controversy surrounding team medical coverage. (Source: Sports Medi...
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Tribute to Kenneth E. DeHaven, MD
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 5, 2021 Category: Sports Medicine Tags: Obituary Source Type: research

Rehabilitation and Return to Play Following Meniscus Repair
Injuries to the meniscus, particularly tears, can have significant negative impacts on pain, function, and quality of life. Preservation of the meniscus is favorable, especially in the athletic and active populations. While first line treatment is often nonoperative in nature, recalcitrant, and more complex tears, typically require surgery. Meniscus repair rates have increased significantly during the last 2 decades as surgical techniques and postoperative outcomes have improved. Longer postoperative timeframes are to be expected when compared with menisectomy, however, accelerated programs have demonstrated favorable outc...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Degenerative Joint Disease After Meniscectomy
The meniscus has an important role in stabilizing the knee joint and protecting the articular cartilage from shear forces. Meniscus tears are common injuries and can disrupt these protective properties, leading to an increased risk of articular cartilage damage and eventual osteoarthritis. Certain tear patterns are often treated with arthroscopic partial meniscectomy, which can effectively relieve symptoms. However, removal of meniscal tissue can also diminish the ability of the meniscus to dissipate hoop stresses, resulting in altered biomechanics of the knee joint including increased contact pressures. This makes menisca...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Meniscal Allograft Transplantation
Meniscal allograft transplantation provides treatment options for patients with a meniscus-deficient knee with lifestyle-limiting symptoms in the absence of advanced degenerative changes. Meniscal transplantation helps to restore the native biomechanics of the involved knee, which may provide chondroprotective effects and restoring additional knee stability. Improvements in pain, function, and activity level have been seen in appropriately selected patients undergoing transplantation. Although various surgical implantation options exist, the majority focus on reproducing native attachments of the meniscal roots to allow ne...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Meniscal Ramp Lesions and Root Tears: A Review of the Current Literature
The importance of the menisci in providing joint stability and their role in load transmission within the knee are well understood. A growing body of literature has emerged on 2 distinct injury patterns to these crucial anatomic structures, ramp lesions and root tears. Ramp lesions may be characterized as tears at the posterior meniscocapsular junction, while root tears involve bony or soft tissue avulsion of the meniscal insertions at the anterior or posterior intercondylar regions. In this 2-part review, we present an overview of the current available literature on ramp lesions and meniscal root tears, summarizing the un...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Meniscus Repair Techniques
The menisci play a vital role in maintaining knee function and protecting the chondral surfaces. Acute and chronic tears are common injuries among both young athletes and older patients with early degenerative changes. The progression of physiological derangement and chondral injury after meniscus injury and meniscectomy have prompted interest in expanding meniscus repair techniques. Recent literature encourages an attempt at repair in tear patterns previously declared irreparable if the tissue quality allows. The orthopedic surgeon should understand the multitude of techniques available to them and be prepared to combine ...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

The Epidemiology of Meniscus Injury
Meniscus surgery is one of the most commonly performed orthopedic procedures worldwide. Modifiable risk factors for meniscus injury include body mass index, participation in athletics and occupation. Nonmodifiable risk factors include age, sex, lower extremity alignment, discoid meniscus, ligamentous laxity, and biconcave tibial plateau. Conditions commonly associated with meniscal injury are osteoarthritis, anterior cruciate ligament injury, and tibial plateau fractures. Tear type and location vary by patient age and functional status. Surgical management of meniscus injury is typically cost-effective in terms of quality-...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Meniscal Injuries: Mechanism and Classification
Meniscal tears may be managed through conservative physical therapy and nonsteroidal anti-inflammatory medications or operative intervention. Meniscal repair is superior to partial meniscectomy with better functional outcomes and less severe degenerative changes over time. Surgical advances in operative techniques, modern instrumentation and biological enhancements collectively improve healing rates of meniscal repair. However, failed repair is not without consequences and can negative impact patient outcomes. Therefore, it is imperative for surgeons to have a thorough understanding of the vascular zones and biomechanical ...
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Review Article Source Type: research

Meniscus Anatomy and Basic Science
A basic understanding of meniscal anatomy and biomechanics is important for physicians evaluating knee injuries and surgeons treating meniscal injuries. This chapter provides a concise review of meniscal anatomy and biomechanics relevant for the evaluation and treatment of meniscus injuries. Anatomic landmarks relevant for meniscal root repair and transplant are discussed, along with the gross, microscopic, vascular, and neuroanatomy of the menisci. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Meniscus Review
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - August 6, 2021 Category: Sports Medicine Tags: Editorial Source Type: research

Postoperative Rehabilitation of Chronic Lateral Ankle Instability: A Systematic Review
This study found implementation of a rehabilitation protocol after surgical intervention could improve balance and subjective functional outcomes. It also determined that early weight-bearing may allow for early strengthening as range of motion returns faster. Further research is required utilizing larger randomized studies to better evaluate the outcomes of specific rehabilitation protocols in this patient population. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation Following Achilles Tendon Repair: A Systematic Review
The objective of this study was to identify all high-quality studies pertaining to rehabilitation after AT repair and characterize the various rehabilitation protocols that have been described. A systematic review of the English-language literature was performed according to PRISMA guidelines. All included studies represented level 1, 2, or 3 evidence and examined postoperative rehabilitation protocols following the repair of an acute AT rupture. A total of 1187 subjects were included. Surgical technique, rehabilitation protocol, and outcome assessment varied widely between studies. Early postoperative weightbearing with l...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research