10 New Studies Impacting Sports Medicine

Orthopedic Sports Medicine

Here are 10 new studies that have an impact on sports medicine.

1. Shoulder Stabilization Shortens NFL Players' Careers. Researchers examined 42 athletes with a history of shoulder stabilization and matched them with controls. The players with a history of shoulder stabilization were found to have a reduced career span and fewer games played on average than the control group. Linemen and linebackers were the most significantly effected players, while a less significant correlation was found among players in other positions.

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2. Double Bundle PCL Reconstruction Using a Single Sling an Effective Procedure. Twenty-one patients who underwent the double-bundle transtibial isolated posterior cruciate ligament reconstruction using a single-sling method were evaluated using various stability and pain management tests. At the two-year follow-up, researchers found that the mean Lysholm score and International Knee Documentation Committee scales improved.

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3. Study Shows Little Difference Between PRP Processing Systems.
Five patients donated blood to be processed in the MFT Cascade, Arteriocyte Magellan and Biomet GPS III concentration systems. The Cascade and Magellan systems captured the highest efficiency. The Cascade system also generated more concentrated leukocyte-poor PRP when compared with the other two leukocyte-rich PRP produced in the other systems.

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4. Study Shows Little Difference Between Surgical and Non Surgical Treatment for Achilles Tendon Rupture. Researchers studied 97 patients with acute Achilles tendon rupture who were treated for one year using the Achilles tendon Total Rupture Score, functional tests and clinical examinations. The 12-month follow-up the gap had closed, and there was no statistical difference between the groups, except for the heel-rise test, which favored the surgical group.

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5. Surgery an Effective Treatment for Clavicle Injuries in NFL Players.
Researchers examined NFL players who sustained a middle-third clavicle fracture with varying treatment options. Of the players who were treated surgically, 50 percent were treated successfully without sequela and healed at an average of 8.8 weeks. Four of the seven players who were initially treated non-operatively re-fractured their clavicle within a one-year period from the initial injury and missed an average of 1.5 seasons because of the injury.

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6. How Baseball Players' Posture Affects Shoulder Tightness. Researchers studied the bilateral forward scapular posture, the glenohumeral horizontal adduction and the rotational range of 40 professional baseball players, including pitchers and position players. They found a good negative relationship between the glenohumeral horizontal adduction range of motion and the forward scapular posture, which means the dominant shoulders should have significantly more forward scapular posture.

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7. High Tibial Osteotomy Effective Treatment for Degenerative Arthritis of the Knee. Researchers examined 455 consecutive patients who received a lateral closing wedge HTO for medial compartment osteoarthritis over a period of 11 years. Researchers found that 85 percent of the patients were satisfied with the procedure after an average of 12 years. However, younger patients and patients with lower body mass index were found to have a higher rate of satisfaction and a decreased rate of revision.

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8. Shockwave Therapy Safe for Treating Hamstring Injuries. Researchers studied 40 professional athletes with chronic proximal hamstring tendinopathy who received either shockwave therapy of 2,500 impulses per session for four weeks, or received traditional treatment including non-steroidal anti-inflammatory drugs, physiotherapy and an exercise program. Researchers found there were no serious complications with the shockwave therapy group during the 12 month follow-up period.

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9. Double-Bundle ACL Reconstruction Could be Most Cost Effective.
Research showed that 64 percent of DB knees, compared with 54 percent of SB knees, resulted in an IKDC score of A. The incremental cost-effectiveness ratio of DB reconstruction was $6,416 per quality adjusted life year. Further research on revision data and longer term outcomes after reconstruction should be conducted.

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10. ER Visits for Young Athletes With Concussions Increase.
Emergency room visits for young athletes with concussions nearly doubled from 3,800 in 1997 to 8,000 in 2007. Tootball has the highest rate of concussions and girls have higher concussion rates than boys do in similar sports.

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