Femoroacetabular Impingement and Core Muscle Injury in Athletes: Diagnosis and Algorithms for Success
Athletic hip injuries account for a substantial portion of missed time from sports in high-level athletes. For both femoroacetabular impingement (FAI) and core muscles injuries, a thorough history and physical examination are paramount to guide the treatment. While advanced imaging including computed tomography and magnetic resonance imaging are frequently obtained, a wealth of information can be ascertained from standard radiographs alone. For patients with isolated or combined FAI and core muscle injuries (CMIs), the initial treatment is often nonoperative and consists of rest, activity modification, and physical therapy...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Make the Right Diagnosis: My Pearls for Working Up Hip-related Pain
The origin of pain around the hip is commonly more elusive than other joints; often obscured by compensatory disorders. Hip problems tend to be multifactorial and require a multidisciplinary approach in the evaluation. The best strategy is to team with a capable physical therapist to unveil the layers of problems. Ultrasonography and imaging/ultrasound-guided injections can be the most valuable adjunct to the history and physical examination. Plain radiographs are an essential element in the workup. Magnetic resonance imaging can underestimate damage in the joint, but positive findings can sometimes be the normal consequen...
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 Category: Sports Medicine Tags: Review Articles Source Type: research

Hip Arthroscopy, Editorial
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - January 2, 2021 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 - December 1, 2020 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 - December 1, 2020 Category: Sports Medicine Tags: Author Index Source Type: research

Rehabilitation After Shoulder Instability Surgery: Keys for Optimizing Recovery
The specific approach to rehabilitation after surgical management of the unstable shoulder is dependent on the severity and chronicity of the instability. Establishing dynamic stability throughout the athlete’s functional range of movement is critical to a successful outcome. The pace progression is guided by surgical (technique, injury pattern, and strength of repair) and patient factors (healing potential, prior health status, and psychosocial factors). The primary goal of treatment is to restore function and return the athlete to sport. The process should be guided by surpassing functional criteria for progression and...
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

Chapter 6: Attritional Glenoid Bone Loss in the Shoulder: Operative Considerations
Patients with recurrent anterior shoulder instability often have glenoid bone loss present in addition to soft tissue pathologies. It is known that patients with significant glenoid bone loss are best treated with a boney augmentation procedure as opposed to a soft tissue Bankart repair because of the high rate of recurrent instability that results from a Bankart repair. Although the Latarjet technique has been the gold-standard treatment for patients with glenoid bone loss because of the low incidence of recurrent instability, it has a high complication rate and a steep learning curve. Herein, the authors present the tech...
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

Measuring Bone Loss in the Unstable Shoulder: Understanding and Applying the Track Concept
An interesting international debate has been developed over the past 10 years (the last decade) surrounding the surgical procedure for recurrent anteroinferior instability and a definitive consensus is lacking on the factors which favor one technique over another, especially when bone loss is present (soft tissue vs. bone block). Glenoid bone loss is commonly observed in the shoulder with anterior instability, and it is difficult to evaluate the shape of the glenoid using plain radiograph, therefore, computed tomography or intraoperative observation is recommended for accurate assessment of glenoid bone loss and Hill-Sachs...
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

The Bony Bankart: Clinical and Technical Considerations
This article aims to provide an overview focusing on clinical and technical considerations in the diagnosis and treatment of bony Bankart lesions. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

The Role of Remplissage in the Setting of Shoulder Instability
Recurrent anterior shoulder instability is a multifactorial problem for which many solutions exist. Often, the bony surface area of the humeral head and the glenoid needs to be addressed surgically. For large, engaging humeral head defects associated with (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

The Arthroscopic Bankart Repair: State of the Art in 2020: Decision-making and Operative Technique
Traumatic anterior shoulder instability is prevalent among young athletes, and recurrent dislocations can result in compromised upper extremity function, increasing glenohumeral bone loss, and ultimately, posttraumatic arthritis. Although management algorithms have evolved in response to contemporary data and technical innovation, the arthroscopic Bankart repair continues to be a mainstay for the primary surgical management of first-time or recurrent anterior shoulder instability with marginal attritional glenoid bone loss (ie, (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Digital Exclusive Source Type: research

In-Season Management of Anterior Shoulder Instability
Anterior shoulder instability commonly occurs in young and active individuals, particularly those participating in contact or collision sports. At the intercollegiate level, rates of anterior instability have been reported to be 0.12 events per 1000 athlete exposures. The treatment of in-season athletes with anterior instability presents a challenge for the team physician. The desire to return to play within the same season with nonoperative management must be weighed against the increased risk of recurrence as well as athlete and team specific demands. The purpose of this chapter is to discuss the key considerations for t...
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

First-time Glenohumeral Dislocations: Current Evidence and Considerations in Clinical Decision Making
The decision to manage first-time shoulder dislocations conservatively or operatively has become increasingly complex because of conflicting literature. Although shoulder dislocations have traditionally been managed with reduction and immobilization, recent evidence has suggested high rates of subsequent recurrence. Surgical intervention is thought to better restore stability and decrease recurrence rates; however, it also has the potential for additional morbidity and financial cost. As such, recent literature has sought to better define patient risk profiles to identify optimal candidates for both conservative and operat...
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research

Shoulder Instability
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - December 1, 2020 Category: Sports Medicine Tags: Editorial Source Type: research

Results of Treatment of the Multiple Ligament Injured (Dislocated) Knee
Knee dislocations leading to multiligament knee injuries are associated with a wide variety of bony, ligamentous, soft tissue, and neurovascular injury patterns. Numerous management strategies have been proposed including nonoperative treatment and surgical repair or reconstruction. In recent years, an emphasis has been placed on anatomic repair and reconstruction principles, which have shown superior outcomes compared with older techniques. However, despite these advances, clinical outcomes continue to vary widely, with many patients experiencing chronic pain, stiffness, loss of range of motion, instability, and failure t...
Source: Sports Medicine and Arthroscopy Review - August 1, 2020 Category: Sports Medicine Tags: Review Articles Source Type: research