The American journal of sports medicine
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Comparative Study
Arthroscopic Management of Dysplastic Hip Deformities: Predictors of Success and Failures With Comparison to an Arthroscopic FAI Cohort.
Reports regarding arthroscopy for mild hip dysplasia have conflicting results. ⋯ Arthroscopic management of mild to moderate acetabular dysplasia had inferior good/excellent results and higher failure rates when compared with an FAI cohort; therefore, isolated arthroscopic procedures in this population should be cautiously considered. These results were independent of patient sex. Labral repair and capsular plication resulted in better clinical outcomes in this mildly dysplastic cohort.
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There is little known about return to sport and performance after anterior cruciate ligament (ACL) tear in high-level alpine skiers. ⋯ The overall results showed that it is possible to return to preinjury or even higher levels of performance after an ACL rupture and that age is the main element that guides postsurgical recovery.
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Performance outcomes and return-to-play data have been reported after anterior cruciate ligament (ACL) injuries in professional football and basketball, but they have rarely been reported in professional hockey. ⋯ Most players are able to return to play in the NHL after an ACL injury. However, career length and performance may be significantly decreased compared with controls. This may represent a more severe initial injury, and more focused return-to-play pathways may identify barriers to return to play.
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Recent literature has demonstrated that involvement in pivoting sports at the time of injury, increased posterior-inferior tibial slope (PITS), anterolateral capsular ligament (ALCL) disruptions, and combined lateral meniscal lesions all contribute to a higher grade of pivot shift after acute anterior cruciate ligament (ACL) injuries. ⋯ For acute ACL injuries, the best set of predictors of grade 3 pivot shift were pivoting sports involvement at the time of injury, abnormal lateral PITS, ALCL disruptions, and combined lateral meniscal lesions. These results may provide additional information for counseling patients on residual laxity and risks for graft rerupture after ACL reconstruction.
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Osteochondral autologous transplantation surgery (OATS) has been advocated for treatment of osteochondritis dissecans (OCD) of the capitellum in adolescents. However, little information is available regarding the optimal knee harvest site to match the contour and cartilage thickness of the recipient elbow lesion. ⋯ In cases where a large single-plug OATS is considered, a 10-mm plug from the anterior nonweightbearing aspect of the distal femur is calculated to result in ≤1 mm of articular incongruity at the recipient capitellum. The inferior medial trochlear ridge should be considered as a donor site for OATS procedures for OCD given its accessibility and favorable geometry.