Sports Medicine and Arthroscopy Review
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Ligamentous sports injuries of the hand and wrist.
Athletic injuries of the hand and wrist continue to increase as athletes get bigger, faster, and the weekend warrior continues to be active throughout his or her lifespan. The management of hand and wrist injuries in these athletes depends on the sport, position, timing during the season the injury...
Meniscal repair using the inside-out suture technique.
Operations to treat meniscal injuries rank among the most frequent procedures performed by orthopedic surgeons. Ongoing research into the natural history, basic science, and biomechanics of meniscal injury has highlighted the importance of preserving the meniscus to maintain normal knee biomechanics...
Role of metalloproteinases in rotator cuff tear.
The role of matrix metalloproteinases (MMPs) and their inhibitors (TIMPS) in the pathophysiology of rotator cuff tears has not been established yet. Recent advances empathize about the role of MMPs and TIMPS in extracellular matrix (ECM) remodeling and degradation in rotator cuff tears pathogenesis...
Multiple ligament-injured (dislocated) knee.
Juvenile osteochondritis dissecans.
Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Despite our long recognition of OCD, the natural history and most effective therapies are poorly understood. Although conclusive evidence of an exact cause is lacking, there is widespread agreement that J...
Rehabilitation and return to play after foot and ankle injuries in athletes.
Rehabilitation after acute ankle injury can be categorized in to early, middle, and late phases. This paper aims to cover some of the key concepts from initial management to end stage rehabilitation that could be applied to many musculoskeletal injuries around the foot and ankle. Pathology specific...
Magnetic resonance imaging of cartilage repair.
Magnetic resonance imaging is an important noninvasive modality in characterizing cartilage morphology, biochemistry, and function. It serves as a valuable objective outcome measure in diagnosing pathology at the time of initial injury, guiding surgical planning, and evaluating postsurgical repair....
The epidemiology of catastrophic spine injuries in high school and college football.
Athletic events have long been identified as a source of catastrophic spinal injuries. One of the most notorious sports has been American football. At both the amateur and professional level, this collision sport is associated with the highest number of direct catastrophic injuries including cervica...
Surgical options for patellar stabilization in the skeletally immature patient.
Patellar dislocations in children and youth are estimated to occur in 29 of 100,000 individuals. Recurrent patellar dislocations in the skeletally immature patient are often associated with distinct pathoanatomies, which include patella alta, trochlear dysplasia, and contractures of the central and/...
Rehabilitation and nonoperative treatment of patellar instability.
Patellofemoral instability can be a difficult condition for clinicians to manage. Differentiation needs to be made as to whether the problem is an acute injury where a traumatic incident has usually precipitated the dislocation or whether the problem is a recurrent instability where the patellofemor...