Sage Orthopaedics

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Five articles from the January 2014 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 "The Anti-inflammatory and Matrix Restorative Mechanisms of Platelet-Rich Plasma in Osteoarthritis," "Effect of Diet-Induced Vitamin D Deficiency on Rotator Cuff Healing in a Rat Model," "Exertional Heat Stroke Management Strategies in United States High School Football," "Graft Selection in Anterior Cruciate Ligament Reconstruction for Smoking Patients," and "Arthroscopic Labral Reconstruction Is Superior to Segmental Resection for Irreparable Labral Tears in the Hip: A Matched-Pair Controlled Study With Minimum 2-Year Follow-up."

Early recognition of the clinical signs of ruptures of the pectoralis major muscle (PMM) in athletes by orthopaedic surgeons, physical therapists, and physical trainers may prove to be critical for patient access to surgical treatment while the injury is still in the acute phase.  Total ruptures of the PMM exhibit better outcomes with surgical treatment than with nonoperative treatment based on the Bak criteria in athletes.   Click here to read the article.

Five articles from the June 2014 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 "Tendon Contraction After Cyclic Elongation is an Age Dependent Phenomenon: In-vitro and in-vivo comparisons," "Major and Minor League Baseball Hamstring Injuries: Epidemiologic Findings from the Major League Baseball Injury Surveillance System," "Long-term Outcomes After Ulnar Collateral Ligament Reconstruction in Competitive Baseball Players Minimum 10-Year Follow-up," "Arthroscopic Repair of Full Thickness Rotator Cuff Tears With and Without Acromioplasty: Randomized Prospective Trial with Two Year Follow-up," and "Risk-Prone Pitching Activities and Injuries in Youth Baseball: Findin

Five articles from the May 2014 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 "Survival and Reoperation Rates After Meniscal Allograft Transplantation: Analysis of Failures for 172 Consecutive Transplants at a Minimum 2-Year Follow-up," "Intraobserver and Interobserver Agreement in the Classification and Treatment of Midshaft Clavicle Fractures," "The Effect of Coach Education on Reporting of Concussions Among High School Athletes After Passage of a Concussion Law," "Adverse Event Rates and Classifications in Medial Opening Wedge High Tibial Osteotomy," and "Increased Slope of the Lateral Tibial Plateau Subchondral Bone Is Associated With Greater Risk of Noncontac

Five articles from the April 2014 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 "Survival and Reoperation Rates After Meniscal Allograft Transplantation: Analysis of Failures for 172 Consecutive Transplants at a Minimum 2-Year Follow-up," "The Role of Immunologic Response in Fresh Osteochondral Allografting of the Knee," "Higher incidence of bone stress injury with increasing female athlete triad risk factors: A prospective multisite study of exercising girls and women," "Increase in Humeral Retrotorsion Accounts for Age-related Increase in Glenohumeral Internal Rotation Deficit in Youth and Adolescent Baseball Players," and "Anatomic Variance of the Iliopsoas Ten

Multiple concussions have been associated with prolonged symptoms, recovery time, and risk for future concussions. However, very few studies have examined the effect of multiple concussions on neurocognitive performance and the recently revised symptom clusters using a large database. Concussed athletes with a history of ≥3 concussions take longer to recover than athletes with 1 or no previous concussion. Future research should concentrate on validating the new symptom clusters on multiple concussed athletes, examining longer recovery times (ie, >8 days) among athletes with multiple concussions.   Click here to read the article.

Five articles from the December 2013 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 "Intercondylar Roof Impingement After Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction in Patients With Knee Hyperextension," "Posterior Tibial Slope and Further Anterior Cruciate Ligament Injuries in the Anterior Cruciate Ligament?Reconstructed Patient," "Superficial Medial Collateral Ligament Anatomic Augmented Repair versus Anatomic Reconstruction: An In Vitro Biomechanical Analysis," "Complications After Anatomic Fixation and Reconstruction of the Coracoclavicular Ligaments," and "Anatomic and Radiographic Comparison of Arthroscopic Suprapectoral and Open Subpect

It is commonly accepted that the anterolateral (AL) bundle of the posterior cruciate ligament (PCL) is tight in flexion and that the posteromedial (PM) bundle is tight in extension. However, a recent in vivo study showed that both bundles were tight in extension. Both bundles of the PCL may serve a greater functional role in flexion than in extension. The PM bundle might be more important for the control of rotation than the AL bundle. Posterior translation at 90° of knee flexion could be the most stressful condition for both bundles of the PCL, which may have implications for an injury mechanism.   Click here to read the article.

Five articles from the December 2014 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 "Knee Contact Force Asymmetries in Patients Who Failed Return-to-Sport Readiness Criteria 6 Months After Anterior Cruciate Ligament Reconstruction,” "Return to Play and Recurrent Instability After In-Season Anterior Shoulder Instability: A Prospective Multicenter Study," "Cytotoxic Effects of Ropivacaine, Bupivacaine, and Lidocaine on Rotator Cuff Tenofibroblasts," "Is the Use of Oral Contraceptives Associated With Operatively Treated Anterior Cruciate Ligament Injury?: A Case-Control Study From the Danish Registry of Knee Ligament Reconstruction," "Deficiencies in Pitching Biomecha

While a vast body of literature exists describing biceps tenodesis techniques and evaluating the biomechanical aspects of tenodesis locations or various implants, little literature presents useful clinical outcomes to guide surgeons in their decision to perform a particular method of tenodesis. Both ASPBT and OSPBT yield excellent clinical and functional results for the management of isolated superior labrum or long head of the bicepslesions. No significant differences in clinical outcomes as determined by several validated outcome measures were found between the 2 tenodesis methods, nor were any significant range of motion or strength deficits noted at a minimum 2years postoperatively.   Click here to read the article.

Five articles from the November 2014 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 "Energy Flow Analysis During the Tennis Serve Comparison Between Injured and Noninjured Tennis Players," "Hip Range of Motion and Association With Injury in Female Professional Tennis Players," "Improved Outcomes After Hip Arthroscopic Surgery in Patients Undergoing T-Capsulotomy With Complete Repair Versus Partial Repair for Femoroacetabular Impingement: A Comparative Matched-Pair Analysis," "Anterior Cruciate Ligament Tears in Children and Adolescents: A Meta-analysis of Nonoperative Versus Operative Treatment," and "Is Arthroscopic Distal Clavicle Resection Necessary for Patients

Five articles from the October 2014 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 “Posterior Cruciate Ligament Graft Fixation Angles, Part 1: Biomechanical Evaluation for Anatomic Single-Bundle Reconstruction," “Posterior Cruciate Ligament Graft Fixation Angles, Part 2: Biomechanical Evaluation for Anatomic Double-Bundle Reconstruction,” "Comparison of Allograft Versus Autograft Anterior Cruciate Ligament Reconstruction Graft Survival in an Active Adolescent Cohort," "Radiographic Landmarks for Locating the Femoral Origin and Tibial Insertion of the Knee Anterolateral Ligament," and "Platelet-Rich Plasma Injections for the Treatment of Hamstring Injuries: A Random

Most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome; however, graft choice for revision may be limited due to previously used grafts. Improved sports function and patient-reported outcome measures are obtained when an autograft is used. Additionally, use of an autograft shows a decreased risk in graft rerupture at 2-year follow-up. No differences were noted in rerupture or patient-reported outcomes between soft tissue and bone–patellar tendon–bone grafts. Surgeon education regarding the findings of this study has the potential to improve the results of revision ACL reconstruction.   Click here to read the article.

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5 articles in 5 minutes from the AJSM September 2014 issue.

5 articles in 5 minutes from the AJSM August 2014 issue.

An anterior cruciate ligament (ACL) injury greatly increases the risk for premature knee osteoarthritis (OA). Improved diagnosis and staging of early disease are needed to develop strategies to delay or prevent disabling OA.  This study shows that novel UTE-T2* mapping demonstrates changes in cartilage deep tissue health according to joint injury status as well as a potential for articular cartilage and menisci to heal deep tissue injuries. Further clinical studies of UTE-T2* mapping are needed to determine if it can be used to identify joints at risk for rapid degeneration and to monitor effects of new treatments to delay or prevent the development of OA.   Click here to read the article.

5 articles in 5 minutes from the AJSM July 2014 issue.

5 articles in 5 minutes from the AJSM November 2013 issue.