Athletic Care/Injuries

Top Story

Minimal soft tissue dissection, careful suture placement are keys to limited incision repair of acute midsubstance Achilles tendon rupture

Orthopedics Today, February 2016
Andrew R. Hsu, MD

Acute midsubstance Achilles tendon ruptures, an increasingly common athletic injury in patients 30 years to 50 years old, can result in significant functional limitation and decreased quality of life. The management of these injuries is controversial, with no consensus in the literature regarding the use of surgical treatment or optimal repair technique.

The American Academy of Orthopaedic Surgeons clinical practice guidelines report moderate evidence that nonoperative treatment of Achilles tendon ruptures has lower wound healing complications, but higher rates of re-rupture. In addition, limited incision approaches have been found to have fewer overall complications compared with traditional open repair. A recent meta-analysis comparing open and limited incision Achilles repair techniques furthered this evidence, finding less invasive approaches have a significantly reduced risk of superficial wound infection and greater patient satisfaction compared with open repair. Taken together, these findings have helped stimulate the development of less invasive surgical techniques for acute Achilles tendon repair to optimize the functional benefits of surgery while reducing postoperative complications.

In the Journals

Elbow dislocation resulted in longer removal from play among high school athletes

February 6, 2016
Compared with nondislocation-associated elbow injuries, high school athletes who had elbow dislocations experienced longer removal from play and were more likely to…
In the JournalsFrom OT Europe

No link seen between recollection of initiating traumatic event, re-tear after cuff repair

February 2, 2016
Results from this retrospective case-control study found no significant differences in function and re-tear rates after arthroscopic rotator cuff repair between patients…
In the Journals

Return to play less likely for MLB pitchers after revision Tommy John surgery

January 21, 2016
Recently published data indicated performance and return to play among Major League Baseball players after revision Tommy John surgery decreased, specifically with…
Surgical Technique

Minimal soft tissue dissection, careful suture placement are keys to limited incision repair of acute midsubstance Achilles tendon rupture

Orthopedics Today, February 2016
Andrew R. Hsu, MD
Acute midsubstance Achilles tendon ruptures, an increasingly common athletic injury in patients 30 years to 50 years old, can result in significant…
In the Journals

Elbow dislocation resulted in longer removal from play among high school athletes

February 6, 2016
Compared with nondislocation-associated elbow injuries, high school athletes who had elbow dislocations experienced longer removal from play and were…
In the JournalsFrom OT Europe

No link seen between recollection of initiating traumatic event, re-tear after cuff repair

February 2, 2016
Results from this retrospective case-control study found no significant differences in function and re-tear rates after arthroscopic rotator cuff…
In the Journals

Return to play less likely for MLB pitchers after revision Tommy John surgery

January 21, 2016
Recently published data indicated performance and return to play among Major League Baseball players after revision Tommy John surgery decreased…
Meeting News Coverage

Presenter notes open tennis elbow release simple compared with arthroscopy

January 15, 2016
WAIKOLOA, Hawaii — Compared with arthroscopic tennis elbow release, open tennis elbow release proved to be an easier and faster procedure…
Meeting News Coverage

Speaker: Small bony Bankart lesions are consequential

January 12, 2016
WAIKOLOA, Hawaii — Arthroscopic fixation can be a treatment option for patients with bony Bankart lesions, according to presenter here at…
Cover StoryPublication Exclusive

Graft choices for ACL reconstruction vary among surgeons, athletes

Orthopedics Today, January 2016
Orthopedic surgeons have several factors to take into account when choosing the appropriate graft for ACL reconstruction in athletes, including which…
Surgical TechniquePublication Exclusive

Rotator cuff tear patterns dictate repair technique

Orthopedics Today, January 2016
Maximilian Petri, MD; Peter J. Millett, MD, MSc
Rotator cuff tears represent a significant source of shoulder disability and socioeconomic burden. Outcomes after rotator cuff repair have improved…

Stresses on elbow after pitching one season alters multiple structures of the joint

Orthopedics Today, January 2016
Adaptive changes occur to multiple structures about the elbow for high school pitchers from the stresses placed on the elbow during one season of…
Blog

BLOG: Prevent injuries in wrestlers, but still maintain a competitive edge

January 6, 2016
Wrestling is one of the most ancient sports and one of the most popular sports worldwide with its different varieties, such as Greco-Roman and…
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