Woodland Sports Medicine Center

Articles

Prolonged opioid use before knee or hip replacement surgery increases risk of poor outcomes

Source: Wolters Kluwer

Patients who take prescription opioids for more than 60 days before total knee or hip replacement surgery are at significantly higher risk of being readmitted to the hospital and of undergoing repeat joint-replacement surgery.

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What you need to know about shoulder pain – and shoulder surgery

Source: Chicago Tribune

The part of the body we call the shoulder consists of several joints that work with tendons and muscles to allow the arm to move in many directions.

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Following pitch count guidelines may help young baseball players prevent injuries

Source: Science Daily

Young pitchers who exceed pitch count limits are more prone to elbow injuries. Season statistics of players were compared relative to pitch count limits.

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Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Source:
Healio
Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

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Imaging identifies cartilage regeneration in long-distance runners
Source:
RSNA News
Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

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Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
Healio
Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

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Innovative tissue engineering strategies to repair spinal disc herniation
Source:
Medical xpress
New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments. Though these emerging biological repair methods still face challenges as they advance to and through clinical testing in patients, they may be able to offer significant pain reduction and restore flexibility and motion of the spine, according to a Review article published in BioResearch Open Access.

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Femoral Component Revision of Total Hip Arthroplasty
Source:
Healio
This article highlights the most common indications for revision after THA and offers recommendations for how to approach revision of the femoral component.

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Study finds predictors for ACL injury are dissimilar between male and female athletes
Source:
Healio
Except for increased anterior-posterior knee laxity, results from this study indicated female athletes and male athletes were not similar with regard to predictors for first-time

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Two biomarkers that contribute to spine osteoarthritis
Source:
Science Daily
A research team has discovered a pair of tissue biomarkers that directly contribute to the harmful joint degeneration associated with spine osteoarthritis.

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Mind over matter could reduce back pain anguish
Source:
Medical Xpress
The University of Queensland School of Psychology’s Dr Melissa Day is conducting a project that will test that possibility and could even save lives.

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Hamstring injuries in baseball may be preventable
Source:
Medical Xpress
Creating a program to prevent hamstring injuries in minor league and major league baseball players might be a possibility say researchers presenting their work today at the American Orthopaedic Society of Sports Medicine’s (AOSSM) Annual Meeting in Colorado Springs, CO.

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Better fix for torn ACLs
Source:
Science Daily

Researchers at the University of Missouri School of Medicine have developed a model to show that a newer surgical technique results in a stronger, more natural ACL repair.

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Patients showed improved pain, functional outcome after total ankle replacement
Source:
Healio

Since its launch in 2014, a low-profile fixed-bearing prosthesis that is implanted under fluoroscopic guidance has produced positive outcome data. According to results of a recent clinical study of the implant led by Ian Sharpe, FRCS (Tr&Orth), in Exeter, United Kingdom, patients who underwent the procedure have required no revision procedures to date.

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Recommendations for patient activity after knee replacement vary among surgeons
Source:
Healio

During recovery after knee replacement surgery, exercise is critical. After initial recovery, patients will want to resume more strenuous activities. In addition to exercise prescribed by a physical therapist, several studies have shown patients who participated in athletic activities prior to surgery will want to continue this practice after surgery. However, how much activity and how strenuous this activity should be remains unclear.

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Most patients return to activity without pain after surgery for tarsal coalitions
Source:
Healio

A survey of patients who underwent surgical excision of tarsal coalitions at age 18 years or younger showed 73% reported their activity was not inhibited by foot pain at midterm follow-up, and investigators found no significant differences in patient-reported outcomes between those treated for calcaneonavicular and talocalcaneal conditions.

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Stresses on elbow during pitching may alter multiple structures
Source:
Healio

In a pre- and post-season ultrasound evaluation of high school pitchers’ elbows, adaptive changes occurred to multiple structures about the elbow from stresses placed on the elbow during one season of pitching, based on results of a recently published study.

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Greater strength, endurance found in quadriceps after PCL tear vs ACL tear
Source:
Healio

Compared with ACL tears, the quadriceps muscle of the injured limb had greater strength and endurance after PCL tears, according to study results.

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Canal-to-Diaphysis Ratio as an Osteoporosis-Related Risk Factor for Hip Fractures
Source:
Healio

Prevention of osteoporosis is essential to health, quality of life, and independence in the elderly. The accepted diagnostic method for evaluation of fracture risk after osteopenia and osteoporosis is the measurement of bone mineral density with dual-energy x-ray absorptiometry (DEXA). This method is limited because of its low accessibility, high capital costs, and low sensitivity. This study evaluated whether canal diameter is a reliable indicator as a major risk factor for hip fracture in the elderly.

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