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Comparison of the Modified Broström Procedure for Chronic Lateral Ankle Instability With and Without Subfibular Ossicle
Conclusion: The modified Broström procedure with subfibular ossicle excision provided similarly good clinical and radiographic outcomes compared with the same procedure without subfibular ossicle excision. Accordingly, the study results suggest that these procedures appear to be effective and reliable method for the treatment of CLAI with subfibular ossicle. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Ahn, H.-w., Lee, K.-B. Tags: Ankle, Ankle, ligaments, General sports trauma Foot, Ankle, and Leg Source Type: research

Modified Broström Procedure for Chronic Lateral Ankle Instability in Patients With Generalized Joint Laxity
Conclusion: Patients with GJL showed inferior outcomes and a higher failure rate compared with patients without GJL. Therefore, GJL appears to be a risk factor associated with recurrent instability after the modified Broström procedure. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Xu, H.-X., Lee, K.-B. Tags: Biology of ligament, Ankle, ligaments, General sports trauma Foot, Ankle, and Leg Source Type: research

Utilization of ACL Injury Biomechanical and Neuromuscular Risk Profile Analysis to Determine the Effectiveness of Neuromuscular Training
Conclusion: This is the first study to use LPA of biomechanical landing data to create ACL injury risk profiles. Three distinct risk groups were identified based on differences in the peak KAM. Clinical Relevance: These findings demonstrate the existence of discernable groups of athletes that may benefit from injury prevention interventions. Study Registration: ClinicalTrials.gov NCT identifier: NCT01034527. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Hewett, T. E., Ford, K. R., Xu, Y. Y., Khoury, J., Myer, G. D. Tags: Biomechanics, general, Epidemiology, Knee ligaments, ACL, Female athlete Source Type: research

Predictors of Revision Surgery After Anterior Cruciate Ligament Reconstruction
Conclusion: In this large cohort study, the rate of revision ACL reconstruction was 3.6%, which is consistent with the existing literature. Increased odds of revision surgery among active-duty personnel were associated with the perioperative use of NSAIDs and COX-2 inhibitors. Age ≥35 years and concomitant meniscal repair were found to be protective against ACL revision. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Pullen, W. M., Bryant, B., Gaskill, T., Sicignano, N., Evans, A. M., DeMaio, M. Tags: Epidemiology, Knee ligaments, ACL Source Type: research

Anterior Cruciate Ligament Injuries Alter the Kinematics of Knees With or Without Meniscal Deficiency
Conclusion: The results indicate that meniscal injuries alter the kinematics of the ACLD knee when compared with knees with an isolated ACL injury. The location of the meniscal tear also affects knee kinematics. Clinical Relevance: Considering the varying effects of meniscal injuries on knee joint kinematics, these data provide insight into the pathological function of the ACL-injured knee joint during walking. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Zhang, Y., Huang, W., Yao, Z., Ma, L., Lin, Z., Wang, S., Huang, H. Tags: Gait analysis, Knee ligaments, ACL, Knee, meniscus, General sports trauma, Medical aspects of sports Source Type: research

The Influence of Meniscal and Anterolateral Capsular Injury on Knee Laxity in Patients With Anterior Cruciate Ligament Injuries
Conclusion: MRI evidence of a concomitant injury to the ALC, medial meniscus, or lateral meniscus is associated with increased knee rotatory laxity in patients with an ACL injury. These structures may function as important secondary stabilizers in an ACL-injured knee. Careful assessment and proper treatment of injuries to these secondary stabilizers should be considered, especially in knees with a high level of the pivot shift. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Musahl, V., Rahnemai-Azar, A. A., Costello, J., Arner, J. W., Fu, F. H., Hoshino, Y., Lopomo, N., Samuelsson, K., Irrgang, J. J. Tags: Clinical assessment/Grading scales, Knee ligaments, ACL, Knee, meniscus, Imaging, magnetic resonance Source Type: research

No Effects of Early Viscosupplementation After Arthroscopic Partial Meniscectomy: A Randomized Controlled Trial
Conclusion: Early postoperative viscosupplementation did not provide significant clinical benefits after arthroscopic meniscectomy. Despite the lack of major adverse events, the administration of a single HA injection at the end of the surgical procedure is not a successful strategy to provide either faster functional recovery or symptomatic improvement after meniscectomy. Trial Registration: ClinicalTrials.gov identifier: NCT02629380. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Filardo, G., Di Matteo, B., Tentoni, F., Cavicchioli, A., Di Martino, A., Lo Presti, M., Iacono, F., Kon, E., Marcacci, M. Tags: Knee, meniscus Source Type: research

The Effect of Limited Perioperative Nonsteroidal Anti-inflammatory Drugs on Patients Undergoing Anterior Cruciate Ligament Reconstruction
Conclusion: Administration of NSAIDs to patients after ACLR does not have a negative effect on graft survival, risk of revision, or risk of a KOOS-QOL score <44 at 2-year follow-up. We emphasize using caution when administering NSAIDs by keeping the duration and dosage of NSAIDs as short and low as possible to ensure sufficient pain relief while limiting unwanted exposure to any known and unknown adverse effects of these drugs. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Soreide, E., Granan, L.-P., Hjorthaug, G. A., Espehaug, B., Dimmen, S., Nordsletten, L. Tags: Knee ligaments, ACL, NSAIDS Source Type: research

Comparison of Lateral Closing-Wedge Versus Medial Opening-Wedge High Tibial Osteotomy on Knee Joint Alignment and Kinematics in the ACL-Deficient Knee
Conclusion/Clinical Relevance: LCW shows more reproducible posterior tibial slope neutralization and decreased anterior tibial translation in ACL deficiency compared with MOW; however, LCW is associated with increased external tibial axial rotation and lateral patellar tilt, which may adversely affect the patellofemoral joint. More work is needed to understand the clinical and functional outcome of these biomechanical findings in the ACL-deficient knee. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Ranawat, A. S., Nwachukwu, B. U., Pearle, A. D., Zuiderbaan, H. A., Weeks, K. D., Khamaisy, S. Tags: Knee, general, Knee ligaments, ACL, Aging athlete Source Type: research

Lower Limb Length Discrepancy After High Tibial Osteotomy: Prospective Randomized Controlled Trial of Lateral Closing Versus Medial Opening Wedge Osteotomy
Conclusion: The lower limb length change and discrepancy were significant after unilateral OWHTO, whereas they were negligible after unilateral CWHTO. CWHTO was more beneficial in cases of unilateral HTO to minimize the discrepancy of lower limb length rather than OWHTO, particularly in knees requiring a large correction. Registration: Clinical Trials Registry Platform (protocol number KCT00001684). (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Kim, J. I., Kim, B. H., Lee, K. W., Lee, O., Han, H. S., Lee, S., Lee, M. C. Tags: Knee, osteotomy, Osteotomy Source Type: research

Twenty-Year Outcome of a Longitudinal Prospective Evaluation of Isolated Endoscopic Anterior Cruciate Ligament Reconstruction With Patellar Tendon or Hamstring Autograft
Conclusion: Compared with patients who received the HT graft, patients who received the PT graft had significantly worse outcomes with regard to radiologically detectable osteoarthritis, kneeling pain, and contralateral ACL injury. At 20-year follow-up, both HT and PT autografts continued to provide good subjective outcomes and objective stability. However, further ACL injury is common, particularly in male individuals, younger patients, and those with tunnel malposition. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Thompson, S. M., Salmon, L. J., Waller, A., Linklater, J., Roe, J. P., Pinczewski, L. A. Tags: Knee ligaments, ACL Source Type: research

Effect of High-Grade Preoperative Knee Laxity on Anterior Cruciate Ligament Reconstruction Outcomes
Conclusion: The presence of high-grade pre-reconstruction knee laxity as assessed by manual physical examination under anesthesia is associated with significantly increased odds of revision ACL surgery but has no association with patient-reported outcome scores at 2 years after ACL reconstruction. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Magnussen, R. A., Reinke, E. K., Huston, L. J., MOON Group, Hewett, T. E., Spindler, K. P., Andrish, Jones, Parker, McCarty, Marx, Amendola, Wolf, Flanigan, Kaeding, Brophy, Matava, Wright, Dunn Tags: Knee ligaments, ACL Source Type: research

Analysis of the Current Indications for Microfracture of Chondral Lesions in the Hip Joint
Conclusion: Microfracture in the hip should not be limited to the criteria of knee lesions (<400 mm2) or to younger patients (age <50 years). However, the results also indicate that patients with full-thickness cartilage defects can anticipate a high rate of conversion to total hip arthroplasty within 2 years of their microfracture surgery and that only 60% of them will have good/excellent results over that time period. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Trask, D. J., Keene, J. S. Tags: Hip, femoroactabular impingement, Hip arthroscopy Hip and Thigh Source Type: research

Outcomes After Revision Hip Arthroscopic Surgery in Adolescent Patients Compared With a Matched Cohort Undergoing Primary Arthroscopic Surgery
Conclusion: In conclusion, young patients who required revision hip arthroscopic surgery showed significant improvement in patient-reported outcome scores; however, final outcome scores in the revision group for sport activity, general health, and satisfaction were lower than those in the primary group. Patients who underwent 1 revision surgical procedure had higher outcome scores than patients who underwent more than 1 revision surgical procedure. (Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Authors: Newman, J. T., Briggs, K. K., McNamara, S. C., Philippon, M. J. Tags: Hip, femoroactabular impingement, Hip arthroscopy, Pediatric sports medicine Hip and Thigh Source Type: research

Thank You, Reviewers!
(Source: The American Journal of Sports Medicine)
Source: The American Journal of Sports Medicine - November 29, 2016 Category: Sports Medicine Tags: other Source Type: research