Sports Medicine and Arthroscopy Review
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The role of the scapula in throwing disorders.
Shoulder injuries in the thrower can prove a challenge to diagnose and treat. Overhead throwing is an intricate motion that places considerable torque on the shoulder. The complex interplay of the scapula with the glenohumeral joint and its surrounding musculature allows elite pitchers to achieve sp...
Rotator cuff tears in the throwing athlete.
Tears of the rotator cuff, both partial, and less commonly, full thickness, are relatively common in the throwing athlete. The rotator cuff is subjected to enormous stresses during repetitive overhead activity. The supraphysiological strains, especially when combined with pathology elsewhere in the...
Symptomatic internal impingement of the shoulder in overhead athletes.
The term "internal impingement" describes the normal physiological contact that occurs between the posterosuperior glenoid and the greater tuberosity in positions of hyperabduction and external rotation. This physiological contact can become symptomatic when repeated overhead motion results in parti...
Calcific tendinopathy of the rotator cuff tendons.
Calcific tendinopathy (CT) of the tendons of the rotator cuff is common in white populations, with a reported prevalence varying from 2.7% to 22%, mostly affecting women between 30 and 50 years. Although CT shows a strong tendency toward self-healing by spontaneous resorption of the deposits, it does...
Meniscus tears in children.
We review the anatomy and development of the menisci, review classification and diagnosis of meniscal tears, discuss management options and outcomes of treatment, and focus on discoid lateral meniscus and meniscal cysts....
Labrum: resection, repair and reconstruction sports medicine and arthroscopy review.
We describe techniques for labral repair with suture anchors for the torn labrum. When the labrum cannot be repaired owing to lack of adequate or quality tissue, we describe a technique for labral reconstruction using an iliotibial band autograft. Early outcomes for these procedures show patients re...
The future of computer-assisted surgery (CAS) in sports medicine.
Computer-assisted surgery (CAS) will become more common in orthopedics as the technology becomes more accessible. Over the next several years, demonstrated improvements in precision will result in improved clinical outcomes. The cost and time of CAS procedures will substantially decrease. The improv...
Meniscal repair with fibrocartilage engineering.
Injuries to the knee meniscus, particularly those in the avascular region, pose a complex problem and a possible solution is tissue engineering of a replacement tissue. Tissue engineering of the meniscus involves scaffold selection, addition of cells, and stimulation of the construct to synthesize,...
Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee.
Injuries to the medial side of the knee are not always isolated injuries of the superficial medial collateral ligament. Medial-sided injuries can also involve the deep medial collateral ligament, the posteromedial corner, or the medial meniscus. Magnetic resonance imaging is a useful adjunct to the...