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Current Reviews in Musculoskeletal Medicine

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https://read.qxmd.com/read/30758705/review-of-the-management-of-pediatric-post-concussion-syndrome-a-multi-disciplinary-individualized-approach
#1
REVIEW
Mitul Kapadia, Alison Scheid, Eric Fine, Rachel Zoffness
PURPOSE OF REVIEW: Post-concussion syndrome (PCS), when the patient's concussion symptoms last longer than 4-6 weeks, affects 10-30% of concussion patients. PCS presents a significant source of morbidity to patients and a management challenge to providers. In this review, we present the current evidence and best management approaches for pediatric PCS. RECENT FINDINGS: There is limited high-quality evidence in pediatric PCS. There is some evidence supporting pharmaceutical management of post-traumatic headaches, cognitive symptoms, and emotional symptoms...
February 13, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30739248/approach-to-medial-elbow-pain-in-the-throwing-athlete
#2
REVIEW
L Pearce McCarty
PURPOSE OF REVIEW: Injury to the ulnar collateral ligament is the most common, significant injury affecting the medial elbow of the overhead athlete. However, there are many other significant sources of pathology that should be considered. This review seeks to present a broad range of conditions that providers should consider when evaluating the overhead athlete with medial elbow pain. RECENT FINDINGS: Recent biomechanical studies have deepened understanding of the anatomy and function of the anterior bundle of the ulnar collateral ligament germane to the overhead athlete...
February 9, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30707407/approach-to-latissimus-dorsi-and-teres-minor-injuries-in-the-baseball-pitcher
#3
REVIEW
Brandon J Erickson, Nina Petronico, Anthony A Romeo
PURPOSE OF REVIEW: Tears of the latissimus dorsi and teres major are uncommon but significant injuries, most frequently seen in high-level, overhead throwing athletes. Diagnosis can be challenging, as there are no pathognomonic signs, symptoms, or physical exam findings associated with latissimus dorsi/teres major tears, and the clinician must have a high suspicion for this injury. While many of these tears can be treated non-operatively, a subset of these benefits from surgical intervention...
February 1, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30706285/shoulder-and-elbow-fractures-in-athletes
#4
REVIEW
M Burnier, J D Barlow, J Sanchez-Sotelo
PURPOSE OF REVIEW: The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play. RECENT FINDINGS: Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Arthroscopy presents a strong interest for the treatment of intra-articular fracture, and minimally invasive approach as developed in humeral shaft fracture can be considered to avoid soft tissue damage...
January 31, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30706284/considerations-in-the-treatment-of-osteoporotic-distal-radius-fractures-in-elderly-patients
#5
REVIEW
Peter J Ostergaard, Matthew J Hall, Tamara D Rozental
PURPOSE OF REVIEW: With the incidence of distal radius fractures increasing in the elderly population, we sought to summarize the current orthopedic and medical management of these fractures in the elderly osteoporotic population. RECENT FINDINGS: The number of osteoporotic patients undergoing surgical fixation for distal radius fractures has increased in recent years. This is likely due to the improved outcomes seen with volar locking plates, as well as an increase in the number of fellowship-trained hand surgeons...
January 31, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30706283/the-pivot-shift-current-experimental-methodology-and-clinical-utility-for-anterior-cruciate-ligament-rupture-and-associated-injury
#6
REVIEW
Nicholas J Vaudreuil, Benjamin B Rothrauff, Darren de Sa, Volker Musahl
PURPOSE OF REVIEW: The purpose of this manuscript is to (1) examine the history, techniques, and methodology behind quantitative pivot shift investigations to date and (2) review the current status of pivot shift research for its clinical utility for management of anterior cruciate ligament (ACL) rupture with associated injuries including the anterolateral complex (ALC). RECENT FINDINGS: The pivot shift is a useful physical exam maneuver for diagnosis of rotatory instability related to ACL tear...
January 31, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30645727/osteochondritis-dissecans-lesions-of-the-capitellum-in-overhead-athletes-a-review-of-current-evidence-and-proposed-treatment-algorithm
#7
REVIEW
Anthony L Logli, Christopher D Bernard, Shawn W O'Driscoll, Joaquin Sanchez-Sotelo, Mark E Morrey, Aaron J Krych, Christopher L Camp
PURPOSE OF THE REVIEW: To review the most recent literature on osteochondritis dissecans (OCD) lesions of the capitellum in overhead athletes and describe a treatment algorithm based on current best evidence and surgeon experience. RECENT FINDINGS: Recent research has included larger cohort studies with longer follow-up as well as quality systematic reviews and meta-analyses. These studies have focused on understanding how lesion characteristics such as size, location, and appearance on advanced imaging can predict treatment success...
January 15, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30353479/current-clinical-recommendations-for-use-of-platelet-rich-plasma
#8
REVIEW
Adrian D K Le, Lawrence Enweze, Malcolm R DeBaun, Jason L Dragoo
PURPOSE OF REVIEW: This review evaluates current clinical literature on the use of platelet-rich plasma (PRP), including leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP), in order to develop evidence-based recommendations for various musculoskeletal indications. RECENT FINDINGS: Abundant high-quality evidence supports the use of LR-PRP injection for lateral epicondylitis and LP-PRP for osteoarthritis of the knee. Moderate high-quality evidence supports the use of LR-PRP injection for patellar tendinopathy and of PRP injection for plantar fasciitis and donor site pain in patellar tendon graft BTB ACL reconstruction...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30350299/clinical-update-why-prp-should-be-your-first-choice-for-injection-therapy-in-treating-osteoarthritis-of-the-knee
#9
REVIEW
Corey S Cook, Patrick A Smith
PURPOSE OF REVIEW: The purpose of this review is to update the reader on the current applications of platelet-rich plasma (PRP) in the treatment of knee osteoarthritis (KOA). This review will focus on PRP's effect on the osteoarthritic joint, how PRP compares to traditional treatments of KOA, and provide clinical feedback on the use of PRP in an orthopedic and sports medicine practice. RECENT FINDINGS: Recent research into the applications of PRP for KOA has further indicated both the efficacy and safety of PRP treatment...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30343400/treatment-of-muscle-injuries-with-platelet-rich-plasma-a-review-of-the-literature
#10
REVIEW
Kian Setayesh, Arturo Villarreal, Andrew Gottschalk, John M Tokish, W Stephen Choate
PURPOSE OF REVIEW: This review discusses the current literature regarding the use of platelet-rich plasma (PRP) in the treatment of muscle strain injuries. Case series as well as experimental trials for both human and animal models are covered. RECENT FINDINGS: Multiple studies have examined outcomes for the use of PRP in the treatment of muscle strain injuries. PRP has been shown to promote muscle recovery via anabolic growth factors released from activated platelets, and in doing so, potentially reduces pain, swelling, and time for return to play...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30343399/evolution-in-management-of-tibial-pilon-fractures
#11
REVIEW
Jessica Bear, Natalie Rollick, David Helfet
PURPOSE OF REVIEW: Tibial plafond, or pilon, fractures can be some of the most difficult fractures to manage. As they are often associated with high-energy trauma, both the soft tissue involvement and the comminuted fracture pattern pose challenges to fixation. Furthermore, the complex anatomy and trauma to the cartilage at the time of injury predispose pilon fractures to poor functional outcomes and high rates of posttraumatic arthritis. This review will discuss the recent developments in the treatment of tibial pilon fractures...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30327933/management-of-posttraumatic-ankle-arthritis-literature-review
#12
REVIEW
Samuel O Ewalefo, Malcolm Dombrowski, Takashi Hirase, Jorge L Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney, MaCalus V Hogan
PURPOSE OF REVIEW: Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. RECENT FINDINGS: Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30280287/evaluation-and-management-of-pyogenic-and-tubercular-spine-infections
#13
REVIEW
Barrett S Boody, Daniel A Tarazona, Alexander R Vaccaro
PURPOSE OF REVIEW: To review the most current diagnostic tools and treatment options for pyogenic and tubercular spine infection. RECENT FINDINGS: Recent studies have focused on risk factors for failed nonoperative management in order to improve patient selection. Also, spine instrumentation and different grafting options have been safely utilized in the setting of an active infection without increasing the incidence of reoccurrence. However, the optimal surgical technique has yet to be established and instead should be patient specific...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30259330/platelet-rich-plasma-in-the-foot-and-ankle
#14
REVIEW
Peter R Henning, Benjamin J Grear
PURPOSE OF REVIEW: Platelet-rich plasma has become an increasingly popular treatment option within the orthopedic community to biologically enhance and stimulate difficult-to-heal musculoskeletal tissues. This review evaluates the recent literature on platelet-rich plasma use in the treatment of foot and ankle pathologies. RECENT FINDINGS: Recent literature has demonstrated platelet-rich plasma to have a possible benefit in the treatment of Achilles pathology, chronic plantar fasciitis, osteochondral lesions of the talus, ankle osteoarthritis, and diabetic foot ulcers...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30255288/platelet-rich-plasma-for-elbow-pathologies-a-descriptive-review-of-current-literature
#15
REVIEW
Adam Kwapisz, Sharad Prabhakar, Riccardo Compagnoni, Aleksandra Sibilska, Pietro Randelli
PURPOSE OF REVIEW: Platelet-rich plasma is used in many orthopedic pathologies such as tendinopathies and ligament injuries. The clinical results reported in the scientific literature are, however, confusing. The aim of this manuscript is to provide a narrative literature review regarding the role of PRP in the most common elbow soft tissue pathologies. RECENT FINDINGS: The response to PRP seems to be favorable when compared to steroid injection for pain management and for patient-reported outcomes in lateral epicondylitis...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30215165/platelet-rich-plasma-and-the-knee-applications-in-orthopedic-surgery
#16
REVIEW
Alexander Wasserman, Graeme Matthewson, Peter MacDonald
PURPOSE OF REVIEW: To consolidate and synthesize the most recent evidence on the effects of platelet-rich plasma (PRP) in the knee with respect to osteoarthritis, meniscal injuries, ACL reconstruction, total knee arthroplasty (TKA), and high tibial osteotomy. RECENT FINDINGS: PRP has been shown to be more beneficial in the context of knee osteoarthritis compared to both placebo and hyaluronic acid. Direct comparison with corticosteroid injections has been sparsely studied...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30203334/platelet-rich-plasma-review-of-current-literature-on-its-use-for-tendon-and-ligament-pathology
#17
REVIEW
Cameron Kia, Joshua Baldino, Ryan Bell, Alim Ramji, Colin Uyeki, Augustus Mazzocca
PURPOSE OF REVIEW: Platelet-rich plasma (PRP) contains numerous growth factors and cytokines that potentially offer an alternative treatment modality to assist in the healing of multiple musculoskeletal issues. The purpose of this review was to examine the latest literature on the use of PRP for various ligament and tendon pathologies. RECENT FINDINGS: Recent literature has shown moderate- to high-quality evidence that PRP can have positive clinical effects in certain conditions such as lateral epicondylitis and rotator cuff tendinopathy...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30203333/platelet-rich-plasma-and-cartilage-repair
#18
REVIEW
Mitchell I Kennedy, Kaitlyn Whitney, Thos Evans, Robert F LaPrade
PURPOSE OF REVIEW: To assess the utilization and efficacy of platelet-rich plasma (PRP), for the treatment of articular cartilage injury, most commonly characterized by progressive pain and loss of joint function in the setting of osteoarthritis (OA). RECENT FINDINGS: PRP modulates the inflammatory and catabolic environment through a locally applied concentrate of platelets, leukocytes, and growth factors. Clinically, PRP has been shown to be possibly a viable treatment adjuvant for a variety of inflammatory and degenerative conditions...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30196386/management-of-midfoot-fractures-and-dislocations
#19
REVIEW
Atif Ahmed, Edward Westrick
PURPOSE OF REVIEW: To outline the classic and recent literature of midfoot fractures and dislocations. RECENT FINDINGS: There has been an evolution of implant technology to include mini-fragment fixation, suture fixation, and staples. Their efficacy is still being elucidated in the literature. Also, there has been a recent push for primary fusion, which we will discuss. Open reduction internal fixation of the midfoot remains to be the gold standard treatment, to which all other treatments are compared...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30196385/platelet-rich-plasma-and-the-shoulder-clinical-indications-and-outcomes
#20
REVIEW
Andrew Schneider, Rebecca Burr, Nickolas Garbis, Dane Salazar
PURPOSE OF REVIEW: The orthopedic community has seen a rapid rise in the clinical use of platelet-rich plasma (PRP) in the management of shoulder pathologies over the past decade. The purpose of this paper is to review the current literature regarding the indications and outcomes of PRP for the surgical and non-surgical management of common shoulder pathologies, including rotator cuff tears. RECENT FINDINGS: Multiple studies have been published recently regarding the use of PRP for the operative and non-operative treatment of rotator cuff tears...
December 2018: Current Reviews in Musculoskeletal Medicine
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