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  Subjects -> SPORTS AND GAMES (Total: 199 journals)
Showing 1 - 3 of 3 Journals sorted alphabetically
Acta Facultatis Educationis Physicae Universitatis Comenianae     Open Access   (Followers: 3)
Acta Kinesiologiae Universitatis Tartuensis     Open Access   (Followers: 1)
ACTIVE : Journal of Physical Education, Sport, Health and Recreation     Open Access   (Followers: 23)
Advances in Physical Education     Open Access   (Followers: 10)
African Journal of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 5)
Ágora para la Educación Física y el Deporte     Open Access  
Al-Rafidain Journal For Sport Sciences     Open Access  
Al.Qadisiya journal for the Sciences of Physical Education     Open Access  
American Journal of Sports Science and Medicine     Open Access   (Followers: 38)
Annals of Applied Sport Science     Open Access   (Followers: 8)
Arena-Journal of Physical Activities     Open Access   (Followers: 2)
Arquivos em Movimento     Open Access   (Followers: 1)
Arrancada     Open Access  
Asia Pacific Journal of Sport and Social Science     Hybrid Journal   (Followers: 4)
Asian Journal of Sport and Exercise Psychology     Open Access   (Followers: 1)
Australian and New Zealand Sports Law Journal     Full-text available via subscription   (Followers: 7)
Baltic Journal of Sport and Health Sciences     Open Access   (Followers: 2)
Berkeley Journal of Entertainment and Sports Law     Open Access   (Followers: 5)
Biomedical Human Kinetics     Open Access   (Followers: 8)
BMC Sports Science, Medicine and Rehabilitation     Open Access   (Followers: 34)
Cerdas Sifa Pendidikan : Sport Education     Open Access  
Ciencia y Deporte     Open Access   (Followers: 1)
Citius, Altius, Fortius     Open Access  
Clinical Journal of Sport Medicine     Hybrid Journal   (Followers: 34)
Coaching Psykologi : The Danish Journal of Coaching Psychology     Open Access   (Followers: 3)
College Athletics and The Law     Hybrid Journal   (Followers: 1)
Communication & Sport     Hybrid Journal   (Followers: 7)
Comparative Exercise Physiology     Hybrid Journal   (Followers: 21)
Conexões     Open Access  
Corpoconsciência     Open Access  
Cuadernos de Psicologia del Deporte     Open Access  
Cultura, Ciencia y Deporte     Open Access   (Followers: 1)
Curriculum Studies in Health and Physical Education     Hybrid Journal   (Followers: 9)
Educación Física y Ciencia     Open Access  
Educación física y deporte     Open Access   (Followers: 1)
eJRIEPS : Ejournal de la recherche sur l'intervention en éducation physique et sport     Open Access  
European Journal for Sport and Society     Hybrid Journal   (Followers: 1)
European Journal of Sport Science     Hybrid Journal   (Followers: 65)
Facta Universitatis, Series : Physical Education and Sport     Open Access   (Followers: 4)
FairPlay, Revista de Filosofia, Ética y Derecho del Deporte     Open Access  
Footwear Science     Hybrid Journal   (Followers: 3)
Forum for Idræt, Historie og Samfund     Open Access  
Forum Kinder- und Jugendsport : Zeitschrift für Forschung, Transfer und Praxisdialog     Hybrid Journal  
Frontiers in Sports and Active Living     Open Access   (Followers: 2)
Gelanggang Pendidikan Jasmani Indonesia     Open Access  
German Journal of Exercise and Sport Research : Sportwissenschaft     Hybrid Journal   (Followers: 2)
Indonesian Journal of Sport Management     Open Access   (Followers: 4)
International Journal of Applied Exercise Physiology     Open Access   (Followers: 52)
International Journal of Computer Science in Sport     Open Access   (Followers: 5)
International Journal of Exercise Science     Open Access   (Followers: 24)
International Journal of Golf Science     Open Access   (Followers: 1)
International Journal of Kinesiology and Sports Science     Open Access   (Followers: 16)
International Journal of Performance Analysis in Sport     Full-text available via subscription   (Followers: 22)
International Journal of Recreation and Sports Science     Open Access   (Followers: 4)
International Journal of Science Culture and Sport     Open Access  
International Journal of Sport and Exercise Psychology     Hybrid Journal   (Followers: 36)
International Journal of Sport Communication     Hybrid Journal   (Followers: 6)
International Journal of Sport Policy     Hybrid Journal   (Followers: 11)
International Journal of Sport, Exercise & Training Sciences     Open Access   (Followers: 1)
International Journal of Sports Marketing and Sponsorship     Hybrid Journal  
International Journal of Sports Science     Open Access   (Followers: 24)
International Journal of Sports Science & Coaching     Hybrid Journal   (Followers: 32)
International Journal of the History of Sport     Hybrid Journal   (Followers: 18)
International Review for the Sociology of Sport     Hybrid Journal   (Followers: 21)
International Review of Sport and Exercise Psychology     Hybrid Journal   (Followers: 22)
International Sport Coaching Journal     Hybrid Journal   (Followers: 7)
International Sports Law Journal     Hybrid Journal   (Followers: 3)
International Turfgrass Society Research Journal     Free   (Followers: 1)
Isokinetics and Exercise Science     Hybrid Journal   (Followers: 10)
Jeffrey S. Moorad Sports Law Journal     Open Access   (Followers: 1)
Jendela Olahraga     Open Access  
Journal for the Measurement of Physical Behaviour     Hybrid Journal   (Followers: 1)
Journal of Amateur Sport     Open Access   (Followers: 1)
Journal of Applied Sport Management: Research that Matters     Full-text available via subscription   (Followers: 5)
Journal of Athlete Development and Experience     Open Access  
Journal of Athletic Enhancement     Hybrid Journal   (Followers: 6)
Journal of Exercise Science & Fitness     Open Access   (Followers: 24)
Journal of Global Sport Management     Hybrid Journal   (Followers: 1)
Journal of Hospitality, Leisure, Sport & Tourism Education     Full-text available via subscription   (Followers: 3)
Journal of Human Kinetics     Open Access   (Followers: 15)
Journal of Human Sport and Exercise     Open Access   (Followers: 13)
Journal of Intercollegiate Sport     Open Access   (Followers: 5)
Journal of Motor Learning and Development     Hybrid Journal  
Journal of Orthopaedic & Sports Physical Therapy     Full-text available via subscription   (Followers: 68)
Journal of Physical Activity Research     Open Access   (Followers: 3)
Journal of Physical Education and Human Movement     Open Access  
Journal of Physical Education and Sport Sciences     Open Access   (Followers: 2)
Journal of Physical Education and Sports     Open Access   (Followers: 4)
Journal of Physical Education and Sports Science     Open Access  
Journal of Physical Education Health and Sport     Open Access   (Followers: 1)
Journal of Physical Education, Recreation & Dance     Full-text available via subscription   (Followers: 12)
Journal of Policy Research in Tourism, Leisure and Events     Hybrid Journal   (Followers: 7)
Journal of Science and Cycling     Open Access   (Followers: 9)
Journal of Science and Medicine in Sport     Hybrid Journal   (Followers: 36)
Journal of Science in Sport and Exercise     Hybrid Journal   (Followers: 4)
Journal of Sport & Tourism     Hybrid Journal   (Followers: 7)
Journal of Sport and Health Science     Open Access   (Followers: 23)
Journal of Sport History     Full-text available via subscription   (Followers: 12)
Journal of Sport Psychology in Action     Hybrid Journal   (Followers: 13)
Journal of Sport Sciences and Fitness     Open Access   (Followers: 13)
Journal of Sports Economics     Hybrid Journal   (Followers: 6)
Journal of Sports Media     Full-text available via subscription   (Followers: 4)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of Sports Medicine and Therapy     Open Access  
Journal of Sports Science and Medicine     Open Access   (Followers: 22)
Journal of the Philosophy of Sport     Hybrid Journal   (Followers: 6)
Journal of Tourism, Hospitality and Sports     Open Access   (Followers: 3)
Juara : Jurnal Olahraga     Open Access  
Jurnal Abdimas     Open Access  
Jurnal Keolahragaan     Open Access  
Jurnal Sport Science     Open Access   (Followers: 1)
Kinesiology : International Journal of Fundamental and Applied Kinesiology     Open Access  
Kinesiology Review     Hybrid Journal   (Followers: 3)
Laisvalaikio Tyrimai     Open Access   (Followers: 2)
Managing Sport and Leisure     Hybrid Journal   (Followers: 1)
Marquette Sports Law Review     Open Access   (Followers: 1)
Martial Arts Studies     Open Access  
Materiales para la historia del deporte     Open Access  
mensch & pferd international     Full-text available via subscription  
MHSalud : Movimiento Humano y Salud     Open Access  
Movement & Sport Sciences : Science & Motricité     Full-text available via subscription   (Followers: 1)
New Approaches in Sport Sciences     Open Access  
NINE : A Journal of Baseball History and Culture     Full-text available via subscription   (Followers: 4)
Open Access Journal of Sports Medicine     Open Access   (Followers: 14)
Open Sports Sciences Journal     Open Access  
Orthopaedic Journal of Sports Medicine     Open Access   (Followers: 14)
Pace Intellectual Property, Sports & Entertainment Law Forum     Open Access   (Followers: 4)
PALAESTRA : Adapted Sport, Physical Education, and Recreational Therapy     Full-text available via subscription   (Followers: 3)
Perceptual and Motor Skills     Full-text available via subscription   (Followers: 8)
Physical Culture and Sport. Studies and Research     Open Access   (Followers: 8)
Physical Education of Students     Open Access  
Physician and Sportsmedicine     Open Access   (Followers: 6)
Podium Sport, Leisure and Tourism Review     Open Access   (Followers: 2)
Polish Journal of Sport and Tourism     Open Access  
Proceedings of the Institution of Mechanical Engineers Part P: Journal of Sports Engineering and Technology     Hybrid Journal   (Followers: 4)
Qualitative Research in Sport and Exercise     Hybrid Journal   (Followers: 20)
Qualitative Research in Sport, Exercise and Health     Hybrid Journal   (Followers: 18)
Quality in Sport     Open Access  
Quest     Hybrid Journal   (Followers: 3)
RBFF - Revista Brasileira de Futsal e Futebol     Open Access  
RBNE - Revista Brasileira de Nutrição Esportiva     Open Access   (Followers: 1)
Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija     Open Access   (Followers: 3)
Research on ٍEducational Sport     Open Access  
Research Quarterly for Exercise and Sport     Hybrid Journal   (Followers: 2)
Retos : Nuevas Tendencias en Educación Física, Deportes y Recreación     Open Access  
Revista Andaluza de Medicina del Deporte     Open Access   (Followers: 2)
Revista Brasileira do Esporte Coletivo     Open Access  
Revista de Artes Marciales Asiáticas     Open Access  
Revista de Psicología del Deporte     Open Access  
Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte     Open Access  
Revista Intercontinental de Gestão Desportiva     Open Access  
Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte : International Journal of Medicine and Science of Physical Activity and Sport     Open Access   (Followers: 1)
RICYDE. Revista Internacional de Ciencias del Deporte     Open Access  
Scandinavian Journal of Sport and Exercise Psychology     Open Access   (Followers: 3)
Science and Medicine in Football     Hybrid Journal   (Followers: 1)
Seton Hall Journal of Sports and Entertainment Law     Open Access   (Followers: 3)
SIPATAHOENAN : South-East Asian Journal for Youth, Sports & Health Education     Open Access  
Soccer & Society     Hybrid Journal   (Followers: 10)
Sociology of Sport Journal     Hybrid Journal   (Followers: 12)
Spor Bilimleri Araştırmaları Dergisi     Open Access  
Spor Bilimleri Dergisi / Hacettepe Journal of Sport Sciences     Open Access  
Spor Eğitim Dergisi     Open Access  
Spor ve Performans Araştırmaları Dergisi / Ondokuz Mayıs University Journal of Sports and Performance Researches     Open Access  
Sport and Art     Open Access   (Followers: 1)
Sport and Fitness Journal     Open Access   (Followers: 4)
Sport History Review     Hybrid Journal   (Followers: 10)
Sport i Turystyka : Środkowoeuropejskie Czasopismo Naukowe     Open Access  
Sport in History     Hybrid Journal   (Followers: 10)
Sport Journal     Open Access   (Followers: 12)
Sport Management Education Journal     Hybrid Journal   (Followers: 5)
Sport Science and Health     Open Access   (Followers: 1)
Sport Science Review     Open Access   (Followers: 13)
SPORT TK-Revista EuroAmericana de Ciencias del Deporte     Open Access  
Sport, Business and Management : An International Journal     Hybrid Journal   (Followers: 8)
Sport, Exercise, and Performance Psychology     Full-text available via subscription   (Followers: 11)
Sporting Traditions     Full-text available via subscription   (Followers: 2)
Sportis. Scientific Journal of School Sport, Physical Education and Psychomotricity     Open Access   (Followers: 1)
SPORTIVE : Journal Of Physical Education, Sport and Recreation     Open Access  
Sportphysio     Hybrid Journal  
Sports     Open Access   (Followers: 3)
Sports Coaching Review     Hybrid Journal   (Followers: 3)
Sports Law and Governance Journal     Open Access   (Followers: 1)
Sports Medicine International Open     Open Access   (Followers: 2)
Sports Technology     Hybrid Journal   (Followers: 3)
Sportverletzung · Sportschaden     Hybrid Journal   (Followers: 2)
Sri Lankan Journal of Sports and Exercise Medicine     Open Access  
Strategies : A Journal for Physical and Sport Educators     Hybrid Journal   (Followers: 3)
The Sport Psychologist     Hybrid Journal   (Followers: 7)
Therapeutic Recreation Journal     Full-text available via subscription  
Timisoara Physical Education and Rehabilitation Journal     Open Access   (Followers: 1)
Translational Journal of the American College of Sports Medicine     Hybrid Journal  
Turkish Journal of Sport and Exercise     Open Access  
Türkiye Spor Bilimleri Dergisi / Turkish Journal of Sports Science     Open Access  
Ulusal Spor Bilimleri Dergisi / Journal of National Sport Sciences     Open Access  
UNLV Gaming Research & Review Journal     Open Access   (Followers: 2)
Video Journal of Sports Medicine     Open Access  
Zeitschrift für Sportpsychologie     Hybrid Journal  
Слобожанський науково-спортивний вісник     Open Access  

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Video Journal of Sports Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2635-0254
Published by Sage Publications Homepage  [1174 journals]
  • Superior Labrum Anterior Posterior Clinical Exam Techniques

    • Authors: J. Mattison Pike, Suvleen K. Singh, W. Ben Kibler, Josef K. Eichinger
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Superior labrum anterior posterior (SLAP) lesions are prevalent in athletes and the elderly. Therefore, acquiring accurate diagnoses is beneficial for improvement in return to play for athletes and quality of life. A well-done clinical examination can help detect these lesions leading to an early and accurate diagnosis.Indications:Being able to perform a clinical examination for diagnosing SLAP lesions is an important tool for a doctor to know. Currently, there is not a centralized location with published videos that show how to perform these examinations and describe their attributes. This video helps clinicians quickly ascertain how to perform these examinations and learn about the statistical measures associated with them.Technique Description:The 7 exams shown are as follows: modified dynamic labral shear (DLS) test, speed’s test, active compression test (O’Brien test), anterior slide test, crank test, Kim test, and the Jerk test.Results:These tests have a wide variety of statistical measures making different ones useful for specific results such as ruling in or ruling out labral lesions. The tests with the highest sensitivity are the modified dynamic labral shear test (72%) and Kim test (61%-92%). The tests with the highest specificity are the modified dynamic labral shear test (98%), anterior slide test (81%-89%), Kim test (88%-99%), and the Jerk test (94%-99%). All of these have a 95% confidence interval except DLS test.Discussion/Conclusions:Some of these tests are more reliable than others when diagnosing labral lesions. Since the dynamic labral shear test and Kim test have the highest sensitivity, they are the most useful tests at ruling out labral lesions. These tests along with the anterior slide test and the Jerk test are the most useful for ruling in labral lesions due to their high specificity. Even though these tests have been proven to be more reliable than others, it still matters which tests the doctors feel comfortable performing accurately for them to use in the clinical setting.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-06-14T11:00:00Z
      DOI: 10.1177/26350254221083317
      Issue No: Vol. 2, No. 3 (2022)
       
  • Lipoaspiration and Processing to Create Microfragmented Adipose Tissue

    • Authors: Cally McGee, Michael R. Baria, Corey Gatewood, Maneesh Tiwari, W. Kelton Vasileff, Chad Lavender
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Orthobiologics are increasingly used to treat musculoskeletal (MSK) conditions. Adipose may be a useful source of autologous cells for orthobiologic interventions. The lipoaspiration and processing techniques necessary to obtain these cells are not traditionally taught in most orthopedic training programs. Therefore, the goal of this video is to review the technique for adipose harvest and preparation to create microfragmented adipose tissue (MFAT).Indications:Currently, all MFAT applications are off-label. In practice, this is most commonly used for osteoarthritis and tendon disease.Technique Description:After local anesthesia is administered, a 17-gauge trochar is inserted into the subcutaneous adipose, and tumescent solution is injected. After a 5-minute waiting period, a separate 17-gauge harvest trochar is attached to the Autopose double-syringe (Arthrex; Naples, Florida) and is inserted into the subcutaneous adipose. Lipoaspiration is performed by moving the harvest device back and forth in a fan-like pattern. After 20 mL of lipoaspirate has been harvested from the first site, the lipoaspiration process is repeated on the contralateral side. After 40 mL of lipoaspirate has been harvested, the device is removed and decanted for 3 to 5 minutes. Then, 10 mL of sterile saline solution is injected into the device using the Luer lock attachment. This rinse process is repeated a second time. Once the excess fluid has been removed, the device is capped, and the outer syringe is slowly pushed down to move the tissue through the resizing filter. The inner syringe is removed and contains the final MFAT product.Discussion/Conclusion:Lipoaspirate is a simple technique that can be performed in the clinic or operating room to create MFAT. This provides a unique population of autologous cells that may be beneficial for treating MSK pathology.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-06-09T11:00:00Z
      DOI: 10.1177/26350254221076855
      Issue No: Vol. 2, No. 3 (2022)
       
  • Corrigendum to Arthroscopic Reverse Bankart Surgical Repair

    • Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.

      Citation: Video Journal of Sports Medicine
      PubDate: 2022-06-07T11:00:01Z
      DOI: 10.1177/26350254221078057
      Issue No: Vol. 2, No. 3 (2022)
       
  • Transosseous Multiple Finger Flexor Tendon Pulley Reconstruction

    • Authors: Michael Simon, Christoph Lutter, Thomas Tischer, Volker Schöffl
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Closed finger flexor tendon pulley injuries occur most frequently in rock climbing but also during other heavy finger strength work or exercises. While single pulley injuries receive a conservative therapy, multiple pulley injuries often require a surgical repair, as otherwise they will lead to contracture and loss of range of motion and functionality. While established surgical techniques, which use bone encircling tendon graft techniques, were found to produce osteonecrosis of the phalanx, our new transosseous technique avoids this problem.Indications:All triple pulley injuries (A2,3,4) (grade-4b injuries) and double pulley injuries (A2,3 or A3,4) (grade-4a injuries) are indicated, if the injury is older than 10 days at the point of therapy start or the flexor tendons bowstringing is either not redressable in the ultrasound or extended. Also, grade-4a injuries are indicated, if a secondary contracture starts to build.Technique Description:Standard palmar-sided incision, followed by debridement of the tendon sheath, pulley flap, and, if applicable, scare tissue in between the flexor tendons and the bone is performed. Wire-guided 3.0-mm drill holes at the base phalanx at the level of the former distal portion of the A2 pulley are completed. Passing of the palmaris longus tendon through the drill hole and interlacing it as a “loop and a half” follows. Distal continuation through lacing the transplant through the remaining rims of the former pulleys and the flexor tendon sheath is then performed. Securing the repair after tendon gliding control to itself is completed. Postsurgically, the splint is immobilized for 2 weeks, followed by the use of a thermoplastic pulley support ring for 4 weeks with active mobilization.Results:No complications occurred during or after the surgery. In few cases, a restricted range of motion in the proximal interphalangeal (PIP) joint of the respective finger of up to 3 to 5 grade occurred. One patient, who had a presurgical PIP extension deficit of 30°, which was released during the surgery, developed over time again a 20° extension deficit. The functional outcome score ranged between good and excellent, with one case being only satisfactory. The sport-specific outcome score was either good or excellent for all patients, with one patient with contracture where it was satisfactory. No osteonecrosis of the phalanx was recorded.Discussion:For multiple pulley ruptures, various surgical techniques are described. We favored a modified “loop and a half” technique with a distal continuation to the A3 pulley. This combines the advantages of the “loop and a half” technique, as the strongest, and the Weilby repair, as the most functional repair. We recently noticed some cases with osseous necrosis of the phalanx following this repair, likely due to the high pressure of the circulation of the tendon graft onto the bone and its blood vessels. Therefore, we have modified our procedure into a transosseous repair, which is presented in this article. This approach was first evaluated in a cadaver study to exclude a potential risk of osseous failure (fracture) during stress caused by the drill hole. After ruling out this risk, the transosseous technique became our standard approach, as it combines the advantages of the “loop and a half” technique with those of the Weilby repair and decreases the pressure onto the dorsal cortex of the fingers base phalanx and thus the risk of osteonecrosis.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-05-31T11:00:00Z
      DOI: 10.1177/26350254221079624
      Issue No: Vol. 2, No. 3 (2022)
       
  • Osteochondral Allograft Transplantation for a Cartilage Defect of the
           Humeral Capitellum

    • Authors: Kyle R. Wagner, Mario Hevesi, Joshua T. Kaiser, Zachary D. Meeker, Brian J. Cole
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Cartilage defects of the humeral capitellum most frequently present as osteochondritis dissecans (OCD) in young overhead athletes, such as baseball players. Historically, surgical options have included debridement, marrow stimulation, and osteochondral autograft transplantation. Fresh osteochondral allograft (OCA) transplantation comprises an additional treatment option that can structurally restore osteochondral defects and has demonstrated satisfactory outcomes without the donor-site morbidity associated with osteochondral autograft transplantation.Indication:OCA transplantation provides structural restoration of the articular surface and can be used for large (>1 cm diameter) lesions not amenable to refixation. Additionally, OCA transplantation can address both chondral and subchondral pathology and is suited for the treatment of failed previous surgical interventions, such as debridement or marrow stimulation.Technique Description:Following diagnostic arthroscopy, an anconeus splitting mini-open approach was performed to expose the capitellar defect. The defect was measured to be 10 mm, and a central guide pin was placed. A 10-mm reamer was used to prepare the defect bed to a depth of 8 mm. An OCA plug was then cut from a fresh femoral hemicondyle to match the prepared defect. The graft was soaked in bone marrow aspirate concentrate harvested from the iliac crest, and the plug was then inserted into the defect and tamped to be concentric with the surrounding articular cartilage.Results:OCA transplantation of the capitellum allows for the restoration of the articular surface with a structural graft and can be used for large defects and revision cases. While OCA transplantation is well described in the knee with long-term efficacy, the application of this technique to the capitellum is relatively recent. Recent case series for the capitellum have displayed significant improvements in patient-reported outcome measures and predictable return to sports.Discussion/Conclusion:OCA transplantation for the humeral capitellum provides an effective treatment option for large, unstable cartilage lesions not amenable to refixation. The procedure allows for restoration of the articular surface and can provide improvements in pain and function as well as return to sport.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-05-24T11:00:04Z
      DOI: 10.1177/26350254221079621
      Issue No: Vol. 2, No. 3 (2022)
       
  • Open Shoulder Stabilization for Anterior Glenohumeral Instability: The
           Latarjet Procedure

    • Authors: Jesse H. Morris, Gustavo A. Barrazueta, Gregory L. Cvetanovich
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Traumatic anterior glenohumeral instability is a commonly encountered shoulder pathology among young active patients. Nonoperative management and arthroscopic techniques are associated with high rates of reoccurrence, particularly in patient populations with known major risk factors.Indications:The coracoid process transfer (Latarjet procedure) is typically reserved for cases of anterior glenohumeral instability where glenoid deficiency exceeds 20% to 25% or when soft tissue stabilization techniques have failed.Technique Description:We use a standard open deltopectoral approach. The coracoid process is exposed and released from the pectoralis minor and coracoacromial ligament. An osteotomy is performed using an oscillating saw and completed with an osteotome to harvest the bone block, leaving the conjoint tendon intact. Soft tissue is cleared from the graft, and it is predrilled/measured. We use a subscapularis splitting technique to access the joint and expose the anterior glenoid. All bony surfaces are prepared. We drill into the glenoid at the premeasured offset. The graft is provisionally fixed into place with K wires, then secured with 2 parallel cannulated screws. The capsule is repaired to make the graft extraarticular. The subscapularis split is repaired in addition to standard closure.Results:The Latarjet procedure is very successful for restoring stability. Rates of recurrent dislocation range from 0% to 10% across various studies, and revision rates are as small as 3%. This is much lower than those seen following soft tissue stabilization, particularly in high-risk patient populations. Patient reported outcomes show good function and high rates of return to sport. Complication rates are generally higher, with some studies reporting up to 25% incidence. Musculocutaneous and axillary nerve injuries may occur, and graft overhang can lead to glenohumeral arthritis. Certain complications are unique to the procedure, including graft lysis, coracoid fracture, nonunion, and hardware issues.Discussion/Conclusion:The Latarjet procedure is very useful in cases of anterior glenohumeral instability with significant glenoid bone loss or following failed soft tissue stabilization. Its utilization may continue to grow in future years as technique innovations develop and surgical indications expand.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-05-17T11:00:00Z
      DOI: 10.1177/26350254211073340
      Issue No: Vol. 2, No. 3 (2022)
       
  • Flexion Dislocation After Limb Lengthening: Correction With Distal Femoral
           Osteotomy, Quadriceps Release, and Physeal-Sparing Medial Patellofemoral
           Ligament (MPFL) Reconstruction

    • Authors: Navya Dandu, Michael P. Fice, Edward Hur, Monica Kogan, Adam B. Yanke
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Patellar instability is a common clinical condition in skeletally immature individuals. Surgical treatment is considered when risk of recurrence is high.Indications:Distal femoral osteotomy is indicated in the setting of obligate flexion dislocation where femoral valgus contributes to a shortened lateral column, with concurrent quadriceps procedures considered for chronic contracture and medial patellofemoral ligament (MPFL) reconstruction for added stabilization.Technique Description:This procedure is performed in a stepwise manner as some components may not be necessary based on the patient’s specific anatomy. The procedure begins with a lateral iliotibial (IT) band soft tissue release or lengthening if possible. The distal femoral osteotomy is then performed utilizing a lateral opening wedge technique. Bone graft is placed in a structural fashion to maintain the correction while a locking plate is inserted. In patients with chronic lateral patellar dislocation, correction of bony alignment may not completely restore tracking. If lateral maltracking persists after further distal soft tissue release, a VY-lengthening quadricepsplasty can be considered. To perform this, the vastus lateralis (VL) is first released. In this patient, the patella was able to be stabilized centrally after VL release, and therefore, the VY-plasty was not performed. The soft tissue attachments for the final MPFL reconstruction are then prepared, including two at the superomedial and midbody of the patella and one at the adductor tendon. The whip-stitched graft is then passed through the adductor sling followed by the patellar periosteal tunnels with the knee in slight flexion to ensure centralization within the trochlear groove. Examination under anesthesia before final fixation of the reconstruction should demonstrate 1A lateral translation.Results:Correction of distal femoral valgus with osteotomy, in isolation or in combination with other patellar stabilizing procedures, has demonstrated significant improvement in patient-reported outcomes and reduced redislocation rates. However, large cohort studies are limited.Discussion/Conclusion:Both osseous and soft tissue abnormalities are important to consider in since they can contribute in varying degrees to patellar maltracking. Therefore, assessment of patellar tracking should be performed frequently to guide extent of surgical correction necessary.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-05-10T11:00:14Z
      DOI: 10.1177/26350254211062904
      Issue No: Vol. 2, No. 3 (2022)
       
  • Superior Capsular Reconstruction for Irreparable Rotator Cuff Tears:
           Technique and Associated Considerations

    • Authors: Benjamin Kerzner, Hasani W. Swindell, Suhas P. Dasari, Zeeshan A. Khan, Jorge Chahla, Nikhil N. Verma
      Abstract: Video Journal of Sports Medicine, Volume 2, Issue 3, May-June 2022.
      Background:Massive rotator cuff tears lead to superior humeral head translation and may prevent successful repair. Superior capsular reconstruction (SCR) can overcome this by improving the compression and depressor effects of the rotator cuff and joint capsule simultaneously.Indications:SCR is indicated in young, active patients with massive rotator cuff tears or a functional cuff deficiency from a failed previous rotator cuff repair without significant arthritis, articulation of the humeral head with the acromion, or dysfunctional deltoid.Technique Description:During the procedure, repair of the subscapularis is performed using a polydioxanone (PDS) suture shuttling device to pass suture through the subscapularis in an inverted mattress knotless configuration. Posterior infraspinatus tendon fibers are reduced and the tuberosity is abraded and decorticated followed by completion of the partial repair of the posterior cuff. Anchors are placed on the glenoid and articular margins followed by preparation of the dermal allograft with luggage tags medially and perforation laterally. The graft is passed and secured in a double row configuration laterally with apposition of the graft to the remnant, repaired rotator cuff posteriorly.Results:Passive range of motion (ROM) is begun at week 4, followed by progressive active ROM at weeks 6 to 12, and advancement of full ROM and advanced strengthening begun at 3 months. With SCR, a patient can expect maximal strength and function to be regained at 1 year postoperatively. Significant clinical improvement following SCR has been seen in visual analog scale (VAS) and American Shoulder and Elbow Surgeons Shoulder Score (ASES) scores for most patients, although there is a varied degree of return to sport following this procedure.Discussion/Conclusion:Clinical evidence suggests that SCR is a beneficial therapeutic intervention for short to medium term outcomes in younger patients with massive, irreparable rotator cuff tears. More studies are needed to identify the optimal thickness of the graft.
      Citation: Video Journal of Sports Medicine
      PubDate: 2022-05-03T11:00:03Z
      DOI: 10.1177/26350254211073143
      Issue No: Vol. 2, No. 3 (2022)
       
 
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