Sports Medicine Research: In the Lab & In the Field (Sports Med Res)
Wednesday, December 13, 2017

Guidelines for the Management of Traumatic Dental Injuries

Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth.

Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M. Pediatr Dent. 2017 Sep 15;39(6):401-411. doi: 10.1111/j.1600-9657.2011.01103.x.

Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth.

Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M. Pediatr Dent. 2017 Sep 15;39(6):412-419. doi: 10.1111/j.1600-9657.2012.01125.x.

Guidelines for the Management of Traumatic Dental Injuries: 3. Injuries in the Primary Dentition.

Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks ML, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M. Pediatr Dent. 2017 Sep 15;39(6):420-428. doi: 10.1111/j.1600-9657.2012.01146.x.

The International Association of Dental Traumatology (IADT) updated a set of consensus statements related to dental trauma. These guidelines provide recommendations for diagnosis and treatment of specific injuries in an easy to read table format.

Friday, December 8, 2017

Spanish Consensus Statement: Clinical Management and Treatment of Tendinopathies in Sport

Spanish Consensus Statement: Clinical Management and Treatment of Tendinopathies in Sport.

Spanish Group for Tendon Consensus, Fernandez-Jaén T, Rey GÁ, Angulo F, Cuesta JA, Loureda RA, España FÁ, Ayala J, Matas RB, Pazos FB, de Dios Beas Jiménez J, Rosell JC, Fernandez CC, Del Pilar Doñoro Cuevas M, Ros FE, Colmenero JE, de Prado JF, García Cota JJ, Garrido González JI, de Vega CG, Santander MG, Herrador Munilla MÁ, Ruiz FI, Díaz FJ, Fernandez AM, Marqueta PM, Muñoz Benito JJ, Vilás RO, Pedret C, Teres XP, Amaro JP, Grifell JP, San Roque JP, Parenteu CR, Serna JR, Font GR, Álvarez MS, Marchori CS, Perez LT, Durán RU, Del Valle Soto M, Villalón Alonso JM, García PG. Orthop J Sports Med. 2017 Oct 31;5(10):2325967117734127. doi: 10.1177/2325967117734127. eCollection 2017 Oct.

In October 2016, an expert panel met with support from the Spanish Society for Sports
Traumatology (SETRADE), the Spanish Society of Sports Medicine (SEMED), the Spanish Association of Medical Services for Football Clubs (AEMEF), the Spanish Association of Medical Services for Basketball Clubs (AEMB), F.C. Barcelona, and Clinica CEMTRO. The purpose of the meeting was “to consider the most appropriate clinical management and treatment of tendinopathies in sports, based on proven scientific data described in the medical literature as well as on each expert’s experience.”

Wednesday, December 6, 2017

Sports Med Res’ 1000th Post – Where are We Going? Football or Soccer…No Matter How You Say It, Former Professional Athletes Have Long-Term Knee Problems

Prevalence of knee pain, radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general populations: a cross-sectional study

Fernandes GS, Parekh SM, Moses J, Fuller C, Scammell B, Batt ME, Zhang W, & Doherty M. Br J Sports Med. 2017; Online Ahead of Print November 3, 2017.  

Take Home Message: Elite level soccer participation is associated with a two-fold increase in knee pain, radiographic changes, and knee replacement. 

https://commons.wikimedia.org/wiki/File%3AFootball-Soccer-Brazil-v-Argentina-World-Cup-2018-Qualifiers.jpg
Soccer (or football everywhere other than the United States J) is a popular sport, which requires high-intensity activity, physical fitness, and has a relatively high knee injury risk.  After an athlete suffers an injury – they often return to their sport, and may be exposed to repetitive overloading on the previously injured joint, which ultimately leaves them susceptible to osteoarthritis.  These researchers conducted a cross-sectional study to compare ~1200 former professional soccer athletes to ~4000 males from the general population in the United Kingdom to see if previous participation in professional soccer was associated with increased knee pain, radiographic knee osteoarthritis, and total knee replacement surgery.
Monday, December 4, 2017

Elite Athletes Demonstrate a Small Decline in Performance Following an ACL Reconstruction

Return to sport specific performance after primary anterior cruciate ligament reconstruction: a systematic review

Mohtadi N and Chan D. Am J Sports Med. [Epub Ahead of Print]. 2017

Take Home Message: Elite level athletes who undergo anterior cruciate ligament (ACL) reconstruction return to sport with little or no decrease in performance.

https://pixabay.com/en/basketball-professional-nba-action-1544366/
Anterior cruciate ligament surgery is often performed with the aim of restoring joint biomechanics and allowing an athlete to return to participation with no limitations. Return to pre-injury levels of sports participation varies among groups. A better understanding of how different groups of athletes cope with the injury and subsequent ACL reconstruction would allow clinicians to tailor their education and stratify treatment protocols to provide the greatest benefit to an athlete. Therefore, Mohtadi and Chan completed a systematic review to identify sport-specific performance outcomes after ACL reconstruction. Secondarily, the researchers sought to identify any risk of bias in the published literature.
Wednesday, November 29, 2017

Are Early Markers For Neurodegeneration In Sight using Multimodal Imaging?

Effects of career duration, concussion history, and playing position on white matter microstructure and functional neural recruitment in former college and professional football athletes.  

Clark MD, Varangis EML, Champagne AA, Giovanello KS, Shi F, Kerr ZY, Smith JK, Guskiewicz KM. 2017. Radiology: ahead of print.

Take Home Message: White matter transformations were found in athletes without any clinical or outward behavioral or cognitive abnormalities.

https://upload.wikimedia.org/wikipedia/commons/8/87/Functional_magnetic_resonance_imaging.jpgAn increased number of concussive and subconcussive impacts over several years may be a risk factor for the development of neurodegenerative disease. Neuroimaging could be used to determine changes later in life. However, there is little research conducted to determine the effects impact exposure on white matter. Therefore, the authors collected information from healthy (no cognitive or mood impairments), former professional (30 athletes) and collegiate (31 athletes) football players.
Monday, November 27, 2017

Evidence-based concepts for prevention of knee and ACL injuries. 2017 guidelines of the ligament committee of the German Knee Society (DKG).

Evidence-based concepts for prevention of knee and ACL injuries. 2017 guidelines of the ligament committee of the German Knee Society (DKG).

Mehl J, Diermeier T, Herbst E, Imhoff AB, Stoffels T, Zantop T, Petersen W, Achtnich A. Arch Orthop Trauma Surg. 2017 Oct 5. doi: 10.1007/s00402-017-2809-5. [Epub ahead of print]

The German Knee Society (DKG) offered guidelines to reduce the incidence of knee injuries, especially anterior cruciate ligament injuries, in athletes. The recommendations were for clinicians, physical therapists, athletes’ coaches, and to athletes. The document covers injury mechanisms, assessment of risk factors, and prevention programs.



Friday, November 24, 2017

Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making

Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making.

van der Horst N, Backx F, Goedhart EA, Huisstede BM; HIPS-Delphi Group. Br J Sports Med. 2017 Nov;51(22):1583-1591. doi: 10.1136/bjsports-2016-097206. Epub 2017 Mar 30.

A Delphia procedure was used to provide a clear return-to-play definition and medical criteria for return to play and to clarify return-to-play consultation and responsibilities after hamstring injury. The document also covers who should be consulted about return to play and take ultimate responsibility for the decision. The authors started with the results of a systematic review and 58 experts helped reach a consensus.