The American journal of sports medicine
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Randomized Controlled Trial
The FIFA 11+ program is effective in preventing injuries in elite male basketball players: a cluster randomized controlled trial.
Recently, structured training programs for sports injury prevention ("The 11" and "The 11+") have been validated in soccer. The FIFA 11+ program has not been evaluated in basketball. ⋯ The FIFA 11+ warm-up program is effective in reducing the rates of injuries in elite male basketball players.
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Prognostic factors of arthroscopic pull-out repair for a posterior root tear of the medial meniscus.
Repair of a posterior root tear of the medial meniscus (MRT) decreases peak contact pressure by restoring hoop tension and is expected to prevent progression to osteoarthritis. ⋯ At a mean follow-up of 33 months after pull-out repair, extrusion of the meniscus was found to have progressed. Nevertheless, this technique provided patients with a clinical benefit. Outerbridge grade 3 or 4 chondral lesions and varus alignment of >5° were found to independently predict an inferior clinical outcome.
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Meniscus allograft transplantation (MAT) has shown efficacy in relieving pain and improving knee joint function, but objective evaluation in a large number of patients is necessary to verify this effect. ⋯ Meniscus allograft transplantation using bone fixation resulted in significant symptomatic and functional improvements. Magnetic resonance imaging or second-look arthroscopy was necessary to assess allograft status even after favorable clinical outcome. Meniscus allograft transplantation with bone fixation is considered effective for symptomatic, totally meniscectomized knees.
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Fresh-stored osteochondral allografts have been used successfully to resurface large chondral and osteochondral defects of the knee. However, there are limited data available for the return to athletic activity. ⋯ Osteochondral allograft transplantation in an athletic population for chondral and osteochondral defects in the knee allows for a high rate of return to sport. Risk factors for not returning to sport included age ≥25 years and preoperative duration of symptoms ≥12 months.
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Review Comparative Study
Does double-row rotator cuff repair improve functional outcome of patients compared with single-row technique? A systematic review.
The advantage of single-row versus double-row arthroscopic rotator cuff repair techniques has been a controversial issue in sports medicine and shoulder surgery. There is biomechanical evidence that double-row techniques are superior to single-row techniques; however, there is no clinical evidence that the double-row technique provides an improved functional outcome. ⋯ Through a comprehensive literature search and meta-analysis of current arthroscopic rotator cuff repairs, we found that the single-row repairs did not differ from the double-row repairs in functional outcome scores. The double-row repairs revealed a trend toward a lower radiographic proven retear rate, although the data did not reach statistical significance. There may be a concerning trend toward higher retear rates in patients undergoing a single-row repair, but further studies are required.