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Femoral Nerve Block Is Associated With Persistent Strength Deficits at 6 Months After Anterior Cruciate Ligament Reconstruction in Pediatric and Adolescent Patients
Conclusion: Pediatric and adolescent patients treated with FNB for postoperative analgesia after ACL reconstruction had significant isokinetic deficits in knee extension and flexion strength at 6 months when compared with patients who did not receive a nerve block. Patients without a block were 4 times more likely to meet criteria for clearance to return to sports at 6 months.
Source: The American Journal of Sports Medicine - January 29, 2015 Category: Sports Medicine Authors: Luo, T. D., Ashraf, A., Dahm, D. L., Stuart, M. J., McIntosh, A. L. Tags: Knee ligaments, ACL, Anesthesia/pain management, Pediatric sports medicine Source Type: research

Sports Anesthesia
CLINICS IN SPORTS MEDICINE
Source: Clinics in Sports Medicine - March 15, 2022 Category: Sports Medicine Authors: Ashley M. Shilling Source Type: research

After 9 surgeries, Emily walks down the aisle
Emily (Lagor) Monteiro, 25, wasn’t sure she’d be walking or dancing at her June 13 wedding. However, she achieved both—an accomplishment she credits to Drs. Pierre d’Hemecourt and Lyle Micheli, both from Boston Children’s Hospital Sports Medicine. “They’re my superheros.” It’s a bold statement for a young woman who admits to being terrified of anesthesia. But that fear helped solidify her relationship with Micheli. Prior to one of her surgeries, nurses couldn’t get Emily’s IV started. “I cried the whole way to the operating room. I was creating a scene. They finally got the IV in. The last thing I r...
Source: Thrive, Children's Hospital Boston - September 14, 2015 Category: Pediatrics Authors: Lisa Fratt Tags: All posts Our patients’ stories ankle surgery Dr. Lyle Micheli Dr. Pierre d'Hemecourt sports medicine ultrasound Source Type: news

Complications After Arthroscopic Knee Surgery
Conclusion: The overall self-reported complication rate for arthroscopic knee procedures was 4.7%. Knee arthroscopy is not a benign procedure, and patients should be aware of the risk of complications.
Source: The American Journal of Sports Medicine - January 31, 2014 Category: Sports Medicine Authors: Salzler, M. J., Lin, A., Miller, C. D., Herold, S., Irrgang, J. J., Harner, C. D. Tags: Epidemiology, Knee, general Source Type: research

Anesthesia for Athletes
This issue of Clinics in Sports Medicine is not a pain, reaches well beyond a regional focus, and it won ’t put you to sleep! Although we often like to kid each other, Surgeons and Anesthesiologist are co-captains of the surgical team—we can’t do our jobs without each other. Because athletes often present unique challenges to our anesthesia colleagues, I thought it was important to dedicate an is sue of Clinics in Sports Medicine to this important topic. Therefore, I asked my “go-to” anesthesiologist (who I have also gone to for more than one surgery), Dr Ashley Shilling, to put together this issue that focuses o...
Source: Clinics in Sports Medicine - March 15, 2022 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research

How Much Will My Child’s ACL Reconstruction Cost? Availability and Variability of Price Estimates for Anterior Cruciate Ligament Reconstruction in the United States
Conclusion: Price estimates for pediatric sports medicine procedures can be challenging to obtain, even for the educated consumer. Top-ranked hospitals and hospitals in the Northeast region may charge more than their counterparts. In all areas, self-pay discounts can be substantial if they can be identified but they potentially create an information disadvantage for unaware patients needing to pay out-of-pocket. Study Design: Economic; Level of Evidence II What is Known about the Subject: Previous studies have highlighted the importance of value-based health care decisions and deficits of price transparen...
Source: Journal of Pediatric Orthopaedics - October 20, 2022 Category: Orthopaedics Tags: Sports Medicine Source Type: research

Exuberant inflammatory reaction after an infiltration of platelet-rich plasma (prp).
CONCLUSIONS: This case report calls attention to potential side effects that are linked to this new therapy by infiltration of platelet rich plasma in case of tendinopathy, in particular when used in patients with type 1 diabetes. Thus, the balance between benefits and risks must be carefully evaluated before using this treatment in patients with type 1 diabetes. PMID: 23757720 [PubMed - in process]
Source: British Journal of Sports Medicine - June 14, 2013 Category: Sports Medicine Authors: Kaux JF, Croisier JL, Léonard P, Goff CL, Crielaard JM Tags: Br J Sports Med Source Type: research

Platelet-rich plasma (prp) to treat chronic upper patellar tendinopathies.
CONCLUSIONS: This study demonstrates that a local infiltration of PRP associated with a submaximal eccentric protocol is efficient to improve symptoms of chronic upper patellar tendinopathies, non-responsive to classical conservative treatments. However, up to now, there is no consensus on the method to prepare the PRP. Indeed, each technique could provide a very different PRP (variations in the platelet concentrations and of the amount of red and white cells). PMID: 23757641 [PubMed - in process]
Source: British Journal of Sports Medicine - June 14, 2013 Category: Sports Medicine Authors: Kaux JF, Croisier JL, Bruyère O, Rodriguez C, Daniel C, Godon B, Simoni P, Alvarez V, Brabant G, Lapraille S, Lonneux V, Noël D, Collette J, Goff CL, Gothot A, Crielaard JM Tags: Br J Sports Med Source Type: research

Lower extremity nerve entrapments in athletes.
This article discusses the diagnosis and treatment of common lower extremity nerve entrapments in athletes. A high index of suspicion for nerve entrapments enables the clinician to identify these conditions in a timely manner and institute an appropriate management program, thus improving patient outcomes. PMID: 25211617 [PubMed - in process]
Source: Current Sports Medicine Reports - September 1, 2014 Category: Sports Medicine Authors: Meadows JR, Finnoff JT Tags: Curr Sports Med Rep Source Type: research

Perioperative pain and swelling control in anterior cruciate ligament reconstruction
Anterior cruciate ligament reconstruction (ACLR) remains one of the most common sports medicine procedures performed in the young, athletic patient population. Over the past two decades, advances in surgical technique as well as improvements in perioperative pain control modalities have enabled the vast majority of patients undergoing ACLR to have the procedure performed in the outpatient setting. Multimodal pain control is paramount to the success of outpatient ACLR and incorporates various combinations of general/epidural/regional anesthetics, perioperative peri-incisional local anesthetics, oral analgesics, electrostimu...
Source: Operative Techniques in Sports Medicine - October 18, 2015 Category: Sports Medicine Authors: David M. Levy, Rachel M. Frank, Bernard R. Bach, Nikhil N. Verma Source Type: research

Endoscopic tarsal tunnel syndrome surgery using the Universal Subcutaneous Endoscope system
Conclusion Our less invasive endoscopic management for tarsal tunnel syndrome using the USE system produces sufficient results.
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - November 4, 2015 Category: Sports Medicine Source Type: research

Ultrasound-Guided Nerve Hydrodissection: What is it? A Review of the Literature.
Abstract Nerve hydrodissection is a technique used when treating peripheral nerve entrapments. It involves using an anesthetic or solution such as saline to separate the nerve from the surrounding tissue, fascia, or adjacent structures. There are no high-level studies to determine the need or effectiveness of hydrodissection or to establish its safety. Low-level studies do demonstrate some effectiveness and safety for the technique, but further research is necessary. PMID: 26745165 [PubMed - in process]
Source: Current Sports Medicine Reports - January 1, 2016 Category: Sports Medicine Authors: Cass SP Tags: Curr Sports Med Rep Source Type: research

Characteristics of elongated and ruptured anterior cruciate ligament grafts: An analysis of 21 consecutive revision cases
Conclusion The location of the original femoral tunnel was more proximal in patients with elongated grafts than in those with ruptured grafts. Different bone tunnel position from native ACL might lead to graft elongation.
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - January 16, 2017 Category: Sports Medicine Source Type: research

Needle-use declarations at the Olympic Games Rio 2016.
CONCLUSION: The introduction of a 'Needle Policy' in the Olympic Games setting was intended to minimise the use of needles by non-physicians, promote evidence-based practice and to deter needle-based doping practices. Declarations were received from 49 of 209 NOCs suggesting either that needle use is minimal among certain teams or opportunities remain to enhance compliance with such policies at future games. PMID: 29162621 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - November 21, 2017 Category: Sports Medicine Authors: Allen M, Stuart MC, Gribble H, Budgett R, Pipe A Tags: Br J Sports Med Source Type: research

Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review.
CONCLUSION: Corticosteroid injections may have a short-term benefit (up to 8 weeks) over local anaesthetic injections alone in the management of RCRSP. Beyond 8 weeks, there was no evidence to suggest a benefit of corticosteroid over local anaesthetic injections. TRIAL REGISTRATION NUMBER: PROSPERO CRD42016033161. PMID: 29305377 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - January 5, 2018 Category: Sports Medicine Authors: Cook T, Minns Lowe C, Maybury M, Lewis JS Tags: Br J Sports Med Source Type: research