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Special Features


AOSSM Annual Meeting 2018 Highlights

The American Orthopaedic Society for Sports Medicine (AOSSM) is the premier global organization representing the interests of orthopaedic surgeons and other professionals who provide comprehensive health services for the care of athletes and active people of all ages and levels. The Society cultivates evidence-based knowledge, provides extensive educational programming, and promotes emerging research that advances the science and practice of sports medicine. AOSSM is also a founding partner of the STOP Sports Injuries campaign to prevent overuse and traumatic injuries in kids.

Current ACL Return-to-Sport Criteria Fails To Identify 2nd Injury Risk

For young, active individuals, returning to sport after an anterior cruciate ligament (ACL) injury and not suffering a second injury is often difficult. Figuring out how to prevent reinjury is even more tricky, says Mark Paterno, PhD, PT, MBA, ATC from the Cincinnati Children’s Hospital Medical Center in Ohio.

Young Athletes’ ACL Injury Risk Increases with Fatigue

ACL injuries are one of the most common sports injuries affecting adolescent athletes, leading to lost playing time and high healthcare costs. Athletes who experience fatigue – tested on a standardized assessment — demonstrated increased risk of ACL injury, according to this study, which is the first to measure the direct impact of fatigue on injury risk in the adolescent population.

Results for Female ACL Graft Repair Methods Differ Among Younger Athletes

Female athletes are 2 to 8 times more likely to injure their ACL than males, however utilizing one graft repair treatment method in females may be more beneficial than another, according to new research from Hytham Salem and colleagues from the Rothman Institute in Philadelphia, PA. Their paper, “Anterior Cruciate Ligament Reconstruction in Young Females: Patella…

Older Patients with Knee Pain Benefit from Allograft Transplant Technique

Knee pain in active patients over 40 is often difficult to treat but utilizing a special kind of allograft may be a step in the right direction, according to research from Katlyn Robinson, BS and colleagues in a paper titled, “Efficacy of Osteochondral Allograft Transplantation in the Knee in Adults Forty Years and Older.”

Surgery Offers Young Patients Long-Term Benefits after Meniscus Tears

Young patients who underwent surgery for isolated meniscus tears between 1990 and 2005 showed positive long-term clinical results. The study represents one of the largest long-term follow-up cohorts describing clinical outcomes of meniscus repair in pediatric patients to date.

Guest Editorial: Youth Overuse Injuries and What Clinicians, Parents and Coaches Can Do

It’s one of the key issues in youth sports today: an epidemic of overuse and repetitive motion injuries. It affects both lower and upper extremities, across the board, in all sports at all ages. As the world of youth sports has grown dramatically, so have these injury problems. Overuse injuries cause a significant loss of time off the field, but more importantly, they threaten future sport participation which could inadvertently lead to increased obesity. This population is at increased risk because growing bones are less resilient to stress and children’s awareness of symptoms as signs of injury are limited.

Youth sports (age 6 – 18) has grown into a mega-business with traveling teams, club teams, training facilities and sports specific coaches annually serving upwards of 60 million youth, according to the National Council of Youth Sports. That’s in addition to our huge junior high, high school and college mania. Excessive pressure to play when hurt, overzealous parents, and Svengali-like coaches are part of this mix of overuse—both physical and mental. The explosive use and abuse of pain killers, both over-the-counter and prescription, is extremely alarming, especially in our “pills for everything” sports culture. The pressure from parents and coaches is on young athletes to “suck it up” and stay in the game. While this thinking has been around for years in high school and college, this pressure is starting at younger and younger ages. Adding to the burden is the parent- and coach-driven notion of specializing in a single sport which directly increases the risk of repetitive motion injuries in young growing bodies.

By Robert A. Weil, DPM

LER Perspectives: Strength Training

Editor’s note –

“LER Perspectives” is an occasional series that lends multidisciplinary voices to common and uncommon conditions seen in clinical practice by podiatrists, orthotists and prosthetists, physical therapists, and other clinicians who care for patients with a lower-extremity injury, disorder, or other problem.

The goal of “LER Perspectives”? To provide a forum for clinicians from an array of specialties to offer perspective on a clinical question or issue.

In this “LER Perspectives,” we asked 3 experts to discuss the value of strength training to reduce the rate of lower-extremity injury; lower the risk of falls; and manage and prevent toe deformities and plantar fasciitis. The superior value of strengthening over stretching is also addressed.

Please write to LER at janice@lermagazine.com with your suggestions for topics that should be covered in future installments of this series.

– Janice T. Radak, Editor

PERSPECTIVE: Chiropractic

Dr. Michaud is in chiropractic practice in Newton, Massachusetts, and is the author of Human Locomotion: The Conservative Management of Gait-Related Disorders. He discloses that he is the owner of www.humanlocomotion.org, where the Toe Strength Dynamometer discussed in this article is sold.

By Tom Michaud, DC

PERSPECTIVE: Biomechanics Research

Dr. Mickle is a postdoctoral research fellow at the Institute of Health and Sport, Victoria University, Melbourne, Victoria, Australia. She has disclosed no relevant relationships.

By Karen Mickle, BSc (Hons), PhD


Dr. Dilnot is a Consultant Podiatrist at the Melbourne Foot Clinic, Melbourne, Victoria, Australia; Clinical Supervisor at LaTrobe University, Bundoora, Victoria, Australia; and a Director at Equus Medical Products, Eltham, also in Melbourne. He discloses that he is a distributor of foot-strengthening products.

By Matthew Dilnot, DPM


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