Sage Orthopaedics

Five articles from the April 2016 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Recurrent Anterior Shoulder Instability With Combined Bone Loss: Treatment and Results With the Modified Latarjet Procedure”, “Biomechanical Effects of a Horizontal Medial Meniscal Tear and Subsequent Leaflet Resection”,  “Does Superficial Medial Collateral Ligament Release in Open-Wedge High Tibial Osteotomy for Varus Osteoarthritic Knees Increase Valgus Laxity”, “Recovery of Muscle Strength After Intact Arthroscopic Rotator Cuff Repair According to Preoperative Rotator Cuff Tear Size”, and “Physical Activity Level and Symptom Duration Are Not Associated After Concussion”.   Click he

Impairments in motor control may predicate the paradigm of chronic ankle instability (CAI) that can develop in the year after an acute lateral ankle sprain (LAS) injury. No prospective analysis is currently available identifying the mechanisms by which these impairments develop and contribute to long-term outcome after LAS.  This study found that an inability to complete jumping and landing tasks within 2 weeks of a first-time LAS and poorer dynamic postural control and lower self-reported function 6 months after a first-time LAS were predictive of eventual CAI outcome.   Click here to read the article.  

Five articles from the March 2016 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study”, “Depression Symptomatology and Anterior Cruciate Ligament Injury Incidence and Effect on Functional Outcome— A Prospective Cohort Study”,  “Midterm Outcomes of Reverse (Anteverting) Periacetabular Osteotomy in Patients With Hip Impingement Secondary to Acetabular Retroversion”, “Individual Responses to a Barefoot Running Program: Insight Into Risk of Injury”, and “Is Sport Activity Possible After Arthroscopic Meniscal Allograft

There are limited and inconsistent data regarding return-to-sport outcomes after revision anterior cruciate ligament reconstruction (ACLR). This study hypothesized that return-to-sport rates will be lower after revision ACLR when compared with primary ACLR. After evaluating a study cohort of 136 eligible patients, this study concluded that return-to-sport rates of patients after revision ACLR were similar to those after their primary surgery but were still lower than the reported rates of ACLR patients who did not need revision surgery. Greater chondral pathologic abnormalities at revision surgery were associated with reduced function at follow-up.   Click here to read the article. 

Five articles from the February 2016 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Arthroscopic Stabilization of Chronic Acromioclavicular Joint Dislocations: Triple- Versus Single-Bundle Reconstruction”, “Immobilization in External Rotation Versus Internal Rotation After Primary Anterior Shoulder Dislocation: A Meta-analysis of Randomized Controlled Trials”,  “Effect on Patient-Reported Outcomes of Debridement or Microfracture of Concomitant Full-Thickness Cartilage Lesions in Anterior Cruciate Ligament–Reconstructed Knees: A Nationwide Cohort Study From Norway and Sweden of 357 Patients With 2-Year Follow-up”, “Anterior Cruciate Ligament Injuries in Professiona

With an active aging population, more patients expect to return to previous activities and work after surgery.  This was a retrospective review of consecutive patients who underwent shoulder hemiarthroplasty from 2007 to 2013, to determine the rate and timing to return of sports and employment after shoulder hemiarthroplasty. In this hemiarthroplasty cohort, there was a 67.2% rate of return to 1 or more sports at an average of 6.5 months postoperatively. Patients older than 65 years experienced similar improvements in ASES scores compared with patients younger than 65 years, although absolute scores were lower on average. Those who returned to higher demand sports were younger on average. Of patients working preoperatively, 69.4% returned to their previous employment at an average of 1.4 months. Patients who did not return to employment had significantly higher body mass index on average. These findings will help surgeons manage expectations of shoulder hemiarthroplasty candidates preoperatively.   Click here

Microfracture is the most commonly applied arthroscopic marrow stimulation procedure. This controlled laboratory study found that small-diameter microfracture awls improve articular cartilage repair in the translational sheep model more effectively than do larger awls. These data support the use of small microfracture instruments for the surgical treatment of cartilage defects and warrant prolonged clinical investigations.   Click here to read the article. 

Five articles from the January 2016 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Arthroscopic Capsular Repair for Symptomatic Hip Instability After Previous Hip Arthroscopic Surgery”, “Return to Training and Playing After Acute Lisfranc Injuries in Elite Professional Soccer and Rugby Players”,  “Motivations Associated With Nondisclosure of Self-Reported Concussions in Former Collegiate Athletes”, “Articular Cartilage Degenerates After Subtotal/Total Lateral Meniscectomy but Radiographic Arthrosis Progression Is Reduced After Meniscal Transplantation”, and “Is Hip Abduction Strength Asymmetry Present in Female Runners in the Early Stages of Patellofemoral Pain Sy

Five articles from the December 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Does Medial Meniscal Allograft Transplantation With the Bone-Plug Technique Restore the Anatomic Location of the Native Medial Meniscus?,” “Posterior Humeral Avulsion of the Glenohumeral Ligament and Associated Injuries Assessment Using Magnetic Resonance Imaging,” “Male-Female Differences in Knee Laxity and Stiffness: A Cadaveric Study,” and “Micheli Anterior Cruciate Ligament Reconstruction in Skeletally Immature Youths A Retrospective Case Series With a Mean 3-Year Follow-up.”   Click here to read the articles.

As the demand increases for demonstration of competence in surgical skill, the need for validated assessment tools also increases. The results of this study provide evidence that the performance of an ACLR in a dry model is a reliable method of assessing a resident’s knowledge of the steps and instrumentation required, and the method shows evidence of validity.   Click here to read the article. 

Five articles from the November 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Incidence of Stingers in Young Rugby Players,” “Effect of Arthroscopic Stabilization on In Vivo Glenohumeral Joint Motion and Clinical Outcomes in Patients With Anterior Instability,” “Relationship Between Glenoid Defects and Hill-Sachs Lesions in Shoulders With Traumatic Anterior Instability,” “Revision Risk After Allograft Anterior Cruciate Ligament Reconstruction Association With Graft Processing Techniques, Patient Characteristics, and Graft Type,” and “Efficacy of the FIFA 11+ Injury Prevention Program in the Collegiate Male Soccer Player.”   Click here to read the articles.

Accumulating case reports have described tendon rupture in men who use anabolic-androgenic steroids (AAS). However, no controlled study has assessed the history of tendon rupture in a large cohort of AAS users and comparison nonusers.  AAS abusers, compared with otherwise similar bodybuilders, showed a markedly increased risk of tendon ruptures, particularly upper-body tendon rupture.     Click here to read the article.  

Five articles from the October 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are  “Novel Application of Magnetic Resonance Imaging Demonstrates Characteristic Differences in Vasculature at Predilection Sites of Osteochondritis Dissecans,” “Why Do Osteochondral Allografts Survive?: Comparative Analysis of Cartilage Biochemical Properties Unveils a Molecular Basis for Durability,” “Autograft Versus Allograft Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Clinical Study With a Minimum 10-Year Follow-up,” “Deficits in Glenohumeral Passive Range of Motion Increase Risk of Shoulder Injury in Professional Baseball Pitchers: A Prospective Study,” an

Articular reconstruction is recommended for some unstable capitellar osteochondritis dissecans (OCD) lesions. Capitellar osteochondral autograft transplantation (OAT) through an open approach for optimal visualization and perpendicular graft implantation has been advocated. However, arthroscopic capitellar OAT may achieve the same treatment goals with decreased morbidity and ability to treat the entire joint for pathologic changes.   To read the article, click here.

Multiple techniques have been suggested for the treatment of isolated knee articular cartilage injuries. For smaller lesions (

Five articles from the September 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Factors Associated With Failure of Nonoperative Treatment in Lateral Epicondylitis,” “Select Injury-Related Variables Are Affected by Stride Length and Foot Strike Style During Running,” “The Effect of Diabetes, Hyperlipidemia, and Statins on the Development of Rotator Cuff Disease: A Nationwide, 11-Year, Longitudinal, Population-Based Follow-up Study,” “Relationship Between Quadriceps Strength and Patellofemoral Joint Chondral Lesions After Anterior Cruciate Ligament Reconstruction,” and “Effects of Acetabular Rim Trimming on Hip Joint Contact Pressures: How Much Is Too Much?”

Excessive physiological anterior and rotational knee laxity is thought to be a risk factor for noncontact anterior cruciate ligament (ACL) injuries and inferior reconstruction outcomes, but no thresholds have been established to identify patients with increased laxity. The healthy contralateral knees of patients with noncontact ACL injuries display different laxity values both for internal rotation and anterior displacement compared with healthy control knees. The identification of knee laxity profiles may be of relevance for primary and secondary prevention programs of noncontact ACL injuries.    Click here to read the article.

Five articles from the August 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "Head, Face, and Eye Injuries in Collegiate Women's Field Hockey," "Evaluation of Sexual Function Before and After Hip Arthroscopic Surgery for Symptomatic Femoroacetabular Impingement," "Comparison of Arthroscopic Microfracture for Osteochondral Lesions of the Talus With and Without Subchondral Cyst," "A Qualitative Invesitgation of Return to Sport After Arthroscopic Bankart Repair: Beyond Stability," and "High Incidence of Infrasinatus Muscle Atrophy in Elite Professional Female Tennis Players."

Recent publications have described significant variability in the femoral attachment and overall anatomy of the anterolateral ligament (ALL). Additionally, there is a paucity of data describing its structural properties. Defined ALL attachment locations can be reproducibly identified with intraoperative landmarks or radiographs. The biomechanical analysis suggests that most traditional soft tissue grafts are sufficient for ALL reconstruction.   Click here to read the article.

Five articles from the July 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Platelet-Rich Plasma Intra-articular Knee Injections Show No Superiority Versus Viscosupplementation: A Randomized Controlled Trial," "'Critical' Bone Loss in Shoulder Instability Functional Outcomes Worsen With 'Subcritical’’ Bone Loss,'" "Tension Band Plating for Chronic Anterior Tibial Stress Fractures in High-Performance Athletes," "Prevalence of Ulnar Collateral Ligament Surgery in Professional Baseball Players," and "Outcome of a Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Technique With a Minimum 2-Year Follow-up."