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  • Study: UCL reconstruction surgery likely to put major league pitchers back on the field

    Source: Healio

    Major League Baseball pitchers who undergo ulnar collateral ligament reconstruction have a strong likelihood of resuming their professional baseball careers after surgery, according to results of a recently published study.

    “When compared with demographic-matched controls, patients who underwent [ulnar collateral ligament] UCL reconstruction had better results in multiple performance measures,” Brandon J. Erickson, MD, and colleagues stated in the study. “Reconstruction of the UCL allows for a predictable and successful return to the [Major League Baseball] MLB.”

    The study analyzed 179 MLB pitchers who underwent UCL reconstruction. Overall, 174 (97.2%) resumed pitching in professional organized baseball and 148 (83%) returned to the MLB level. Mean time to return to MLB was 20.5 months and the average career after surgery was 3.9 years, however, 56 pitchers were still pitching at the start of the 2013 MLB season.

    Pitchers had fewer losses, lower earned run average, losing percentage, hits per inning and fewer walks, hits and home runs allowed after UCL reconstruction than before surgery.

    “There is a high rate of [return to pitching] RTP in professional baseball after UCL reconstruction,” Erickson and colleagues concluded. “Performance declined before surgery and improved after surgery.” -by Christian Ingram

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  • High-demand patients returned to work quickly after arthroscopic treatment of a dislocated elbow

    Source: Healio

    Investigators found patients returned to work 2.7 weeks after acute arthroscopic repair of the radial ulnohumeral ligament for elbow dislocation.

    Michael J. O’Brien, MD, and colleagues retrospectively reviewed the results of surgeries they performed in 14 consecutive high-demand patients. The investigators defined high-demand patients as those who needed both hands to work or play a competitive sport. One patient in the series was a surgeon.

    Few guidelines exist about return to work after elbow dislocation, according to O’Brien, who presented the results at the American Academy of Orthopaedics Surgeons Annual Meeting, here.

    In this series, “All patients returned to their pre-injury level of function,” he said.

    The investigators followed the patients for an average of 30 months after either acute or subacute treatment of the radial ulnohumeral ligament (RUHL).

    O’Brien said all patients achieved a Mayo Elbow Performance Score that was excellent and ranged from 95 points to 100 points.

    According to the paper abstract, results using a goniometer showed a final range of motion from -3 º in full extension to full flexion that exceeded 130 º.

    O’Brien said the return to work was longer — at about 4.6 weeks — in the patients who underwent arthroscopic stabilization subacutely.

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  • Ask a Sports Medicine Doc: Hip injuries among youth

    Source: VailDaily

    Q: My 14 year old daughter is a competitive ski racer and has been having hip pain. Could she have a labral tear?

    A: Hip injuries are on the rise in adolescent athletes. This is due to the increasing number of young athletes participating in organized sports as well as advances in technology that have improved clinician’s diagnostic ability.

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  • Smith & Nephew DYONICS(TM) PLAN brings first-of-its-kind, individualized surgical planning to hip arthroscopy

    Source: The Wall Street Journal

    Smith & Nephew (NYSE:SNN;LSE:SN), the global medical technology business, will launch its DYONICS PLAN Hip Impingement Planning System at this week’s American Academy of Orthopaedic Surgeons (AAOS) annual meeting in New Orleans. Unlike standard imaging tools, DYONICS PLAN is a revolutionary 3D software system that allows surgeons to visualize, assess and generate a comprehensive surgical report for each patient’s unique Femoroacetabular impingement (FAI) surgery before that patient ever enters the operating room.

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  • Genetics may explain high-functioning senior athletes with hip abnormalities

    Source: Science Daily

    Genetics may explain why some senior athletes are high functioning despite having one or both hip abnormalities typically associated with early onset osteoarthritis: developmental dislocation of the hip (dysplasia), a loose hip joint; or femoroacetabular impingement (FAI), a condition in which the hip bones are abnormally shaped.

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  • Silk-based surgical implants could offer a better way to repair broken bones

    Source: Science Daily

    Using pure silk protein derived from silkworm cocoons, investigators have developed surgical plates and screws that offer improved remodeling following injury and can be absorbed by the body over time. When a person suffers a broken bone, current treatment calls for the surgeon to insert screws and plates to help bond the broken sections and enable the fracture to heal. These “fixation devices” are usually made of metal alloys. But metal devices may have disadvantages: Because they are stiff and unyielding, they can cause stress to underlying bone, among other problems.

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  • Trials to begin on new degradable surgical implant

    Source: BBC News Health

    Researchers in Oxford have developed a degradable implant which they say has huge potential to improve surgical success rates.

    The protective patch, which wraps round soft tissue repairs, will be trialled in patients with shoulder injuries.

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  • 82% of college football players return to field after ACL surgery, shows study

    Source: News Medical

    High-level college football players frequently return to the field after an ACL reconstruction, according to research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day. The study added to earlier research by exploring specific factors that affected return to play, including player standing on rosters and year in school.

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  • Houston Methodist sports medicine experts discuss important facts about mouthguards

    Source: News Medical

    After every play, we all see the athletes adjusting their mouthguards, but what do they actually protect? Houston Methodist sports medicine experts discuss important facts about mouthguards.

    Can wearing a mouthguard prevent a concussion?

    “No, mouthguards cannot prevent a concussion,” said Dr. Vijay Jotwani, a sports medicine-focused primary care physician with Houston Methodist Orthopedics & Sports Medicine. “Mouthguards do not affect the movement of the brain within the skull and cerebrospinal fluid, so they are ineffective at reducing the forces on the brain that cause concussions.”

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  • How to Prevent Winter Sports Injuries

    Source: US News

    Get out and enjoy winter but take steps to protect yourself from common ski- and snowboard-related injuries such as sprains, strains, dislocations and fractures, an orthopedist says.

    “No matter your skill level, everyone is susceptible to injury on the slopes,” said Dr. Allston Stubbs, an associate professor of orthopedics at Wake Forest Baptist Medical Center, said in a center news release. “Most of these injuries happen at the end of the day, so you may want to think twice before going for ‘one last run,’ especially when you’re tired.”

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