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Postoperative Rehabilitation of Ulnar Collateral Ligament Reconstruction: A Systematic Review
The incidence of ulnar collateral ligament injuries has increased over the past few decades with greater participation in overhead throwing sports; however, optimal postoperative management following surgery remains unclear. This systematic review summarizes the latest evidence, on postoperative rehabilitation protocols for patients undergoing ulnar collateral ligament reconstruction (UCLR). Studies published in the English language from the year 2000 to 2019 with a level 1 to 4 grade of evidence and examined rehabilitation protocols following UCLR were eligible for inclusion. A multidatabase search was conducted. Two blin...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review
Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Two blinded reviewers screened, graded, and extracted data from articles and recommendations on various aspects of rehabilitation were summarized. A total of 4067 articles were retrieved from ...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation of Posterior Glenohumeral Joint Instability Surgery: A Systematic Review
The objective of this review was to define, evaluate and compare the postsurgical rehabilitation protocols for patients treated surgically for posterior GH instability. The review contains articles that outline a rehabilitation protocol following a surgical repair of posterior GH instability. A multidatabase search was conducted. Two independent, blinded reviewers decided on inclusion and exclusion of each study, with a second round to resolve conflicts. Data was extracted from the pertinent studies after the grading of evidence was conducted by 2 reviewers. Sixteen studies of the original 859 were included. Most studies i...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation of Multiligament Knee Reconstruction: A Systematic Review
Conclusion: The rare nature of MLKI hinders the ability to create a standardized rehabilitation protocol. However, early postoperative physical therapy and range of motion consistently lead to improved outcomes. Randomized studies are needed to determine optimal postoperative rehabilitation following MLKR. (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 of Multidirectional Instability Surgery: A Systematic Review
Multidirectional instability (MDI) of the shoulder is managed with surgery when conservative rehabilitation fails. The optimal postsurgical management of MDI is not well understood. The purpose of this study is to create a systematic review evaluating postsurgical rehabilitation protocols treating MDI. Articles were included if a postsurgical rehabilitation protocol was described following surgical treatment for MDI. Identified articles underwent 2 phases of screening by blinded team members. Remaining articles had their level of evidence determined by a predefined grading system, ranging from levels I to V. Articles with ...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation of Posterior Cruciate Ligament Surgery: A Systematic Review
Posterior cruciate ligament (PCL) injuries can be debilitating knee injuries, having involvement in up to 44% of traumatic knee injuries. However, isolated PCL injuries are relatively infrequent. Therefore, effective evidence-based rehabilitation protocols have proven to be elusive. This systematic review aims to summarize the latest evidence on postoperative rehabilitation protocols for patients undergoing PCL reconstruction. Studies included in this paper included those published from 1991 to 2019 with a grade 1 to 5 level of evidence discussing the postoperative PCL rehabilitation. A multidatabase search using largely P...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction: A Systematic Review
The objective of this article was to access and summarize the latest evidence for postoperative rehabilitation protocols following ACLR to evaluate common timeframes, number of phases, exercises, as well as the length of rehabilitation protocol. Common interventions include vibration training, open-chain and closed-chain exercises, electrical stimulation, postoperative bracing, and aquatic therapy. The eligibility criteria included English-language articles published from 2000 to 2019 pertaining to rehabilitation following ACLR, excluding addresses, commentaries, and editorials. Two blinded reviewers screened, graded, and ...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Postoperative Rehabilitation of Anterior Glenohumeral Joint Instability Surgery: A Systematic Review
Anterior glenohumeral instability is the most common form of shoulder instability. The systematic review summarizes the latest research on rehabilitation after Bankart repair. Inclusion criteria included postoperative rehabilitation and published in English between 2000 and 2019. Studies were excluded if they were addresses, comments, or editorials, or included other shoulder injuries or cadaver models. Two rounds of review using Rayyan QCRI software were performed for screening and full text search, and the articles were graded for levels of evidence. Of the 1982 articles, 14 articles were included with levels of evidence...
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Systematic Reviews of Postoperative Rehabilitation to Optimize Patient Outcomes Following Common Sports Medicine Procedures
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - May 20, 2021 Category: Sports Medicine Tags: Editorial Source Type: research

Why Does Hip Arthroscopy Fail? Indications and PEARLS for Revision Success
The surgical treatment of femoroacetabular impingement has been shown to have successful early and mid-term clinical outcomes. Despite these favorable clinical outcomes that have been published in the literature, there is a subgroup of patients that present with continued or recurrent symptoms after surgical treatment. Not only has there been an increase in the number of hip arthroscopy procedures, but also there has been a corresponding increase in the number of revision hip arthroscopy and hip preservation surgeries. Previous studies have reported residual deformity to be the most common reason for revision hip arthrosco...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Acetabular Rim Disorders/Pincer-type Femoroacetabular Impingement and Hip Arthroscopy
Femoroacetabular impingement (FAI) can lead to acetabular impaction, chondral injury, and labral pathology secondary to deformities of the proximal femur (CAM-type FAI), acetabulum (pincer-type FAI), or with combined FAI. While the majority of cases are of the combined type, this paper focuses on acetabular overcoverage/pincer-type deformities. Various pincer subtypes include focal anterior overcoverage, global retroversion, global overcoverage/profunda, protrusio, subspine impingement, and os acetabuli/rim fracture variants. A thorough history and physical examination, plain radiographs, magnetic resonance imaging, 3-dime...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Femoral Version in Hip Arthroscopy: Does it Matter?
Femoral version is extremely variable between patients presenting with femoroacetabular impingement (FAI). Careful and routine measurement of femoral anteversion is essential in comprehensive preoperative planning. In general, low degrees of femoral version can lead to anterior impingement (especially on the subspine and distal medial femoral neck). High degrees of anteversion can be seen in the setting of acetabular dysplasia and can lead to anterior hip instability and or posterior impingement. In this article, the authors will discuss the role of routine femoral version management for optimal outcomes after hip arthrosc...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Surgical Treatment of Labral Tears: Debridement, Repair, and Reconstruction
Advances in hip preservation surgery have to lead to increased utilization of hip arthroscopy. With this, there has also been a growth in the understanding of various hip conditions, therefore, leading to an increase in hip conditions amenable to arthroscopic intervention. The acetabular hip labrum has been at the forefront of arthroscopic advances in the hip. The labrum is important for hip stability, provision of the suction seal, and joint proprioception. Given the labrum’s central role in hip biomechanics, there is increasing emphasis on labral preservation in the form of debridement and repair. In revision settings,...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Article: Digital Exclusive Source Type: research

Capsular Management Techniques and Hip Arthroscopy
There has been an increased emphasis on capsular management during hip arthroscopy in the literature in recent years. The capsule plays a significant role in the hip joint stability and studies have demonstrated that capsular closure can restore the biomechanics of the hip back to the native state. Capsular management also affects functional outcomes with capsular repair resulting in better clinical outcomes in some studies. Management of the capsule has evolved in recent years with more surgeons performing routine capsular closure. Management techniques and degree of capsular closure, however, can be quite variable betwee...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Decision-making in the Borderline Hip
Borderline acetabular dysplasia represents a “transitional acetabular coverage” pattern between more classic acetabular dysplasia and normal acetabular coverage. Borderline dysplasia is typically defined as a lateral center-edge angle of 20 to 25 degrees. This definition of borderline dysplasia identifies a relatively narrow range of lateral acetabular coverage patterns, but anterior and posterior coverage patterns are highly variable and require careful assessment radiographically, in addition to other patient factors. Treatment decisions between isolated hip arthroscopy (addressing labral pathology, femoroacetabular ...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research