The OJSM Hot Corner

Proper treatment of Type III AC Joint Separations has been a topic of ongoing debate. In OJSM's August edition, Drs. Mark Tauber, Phillipp Moroder and their team from the German Shoulder Center in Munich, Germany, published, " Prospective Multicenter Randomized Controlled Trial of Surgical Versus Nonsurgical Treatment of Acute Rockwood Type 3 Acromioclavicular Injury ," a high-level study that sho...

Once an exotic procedure, hip arthroscopy is now a commonplace surgery with an expanding footprint in Sports Medicine. One of the basic steps of hip arthroscopy is a capsulotomy to allow adequate access to the hip joint. Closure of the capsule, however, has been a point of controversy. While expert opinion has long touted the benefits of capsular closure, the technical difficulty of this step and...

Meniscal root tears are a problem. They can occur without trauma, they can only be diagnosed on MRI but occur commonly in a patient population where MRI is not routinely utilized, they don't respond reliably to partial menisectomy, and they result in rapid degeneration of the knee joint. What we don't know is how rapid is that arthritic progression. Dr. Caitlin Chambers from the University of Minn...

Platelet-Rich Plasma (PRP) remains a topic of controversy in Sports Medicine. One of the limitations surrounding this therapy is the paucity of high-quality data to support or refute its efficacy. We welcome Dr. Dean Wang, MD from UC Irvine to discuss  his study looking at the fragility of the highest quality data we have on PRP. A fragile study is one in which the study's conclusion would change...

The correct surgical approach for a skeletally immature athlete with an ACL tear remains controversial. Transphyseal ACL reconstruction with a soft tissue autograft is a popular choice that most resembles the technique performed in adults. However, crossing an open growth plate comes with risk of growth arrest, though the frequency and magnitude of that risk is not well known. We thank Drs. Alexan...

We welcome Drs. Adam Daniel, MD and Patrick Smith, MD from Columbia Orthopaedic Group to discuss their study " Reduced Incidence of Revision Anterior Cruciate Ligament Reconstruction with Internal Brace Augmentation ." Though a proprietary orthopaedic implant, the term "Internal Brace" has become a household name in Sports Medicine and Orthopaedic Surgery in general.  It's application in the realm...

2023 OJSM William A. Grana Award for Best Research Paper spotlight - Dr. Olufemi Ayeni from McMaster University Medical Centre in Ontario joins us to discuss his award-winning study " Effect of Osteochondroplasty on Time to Reoperation After Arthroscopic Management of Femoroacetabular Impingement: Analysis of a Randomized Controlled Trial ." As hip arthroscopy continues to grow as a beneficial tre...

We welcome Dr. Gregory Maletis, MD sports medicine surgeon at Kaiser Permanante Baldwin Park and head of the Kaiser Permanente ACL Registry.  The KP ACL Registry has generated 55 high-quality, peer-reviewed publications, with huge sample sizes.  Dr. Maletis discusses the registry's inception, history, inner workings, strengths, and weaknesses.  We close by looking at this current study , selected...

We welcome Dr. Daniel Whelan, Head of University of Toronto Sports Medicine, to discuss his team's recent publication " Assessment of 30 Years of Randomized Controlled Trials in The American Journal of Sports Medicine: 1990-2020 ." This critical look at how our very best clinical studies have changed over a 30-year period is a fascinating reflection of our own evolution as orthopaedic sports medic...

We welcome Dr. Patrick McCulloch, co-program director of The Houston Methodist Sports Medicine Fellowship, and his current fellow, Dr. Matthew Kraeutler to discuss their study " Effects of Running on the Development of Knee Osteoarthritis: An Updated Systematic Review at Short-Term Follow-up " published in OJSM in March. The connection between running and osteoarthritic progression in the knee has...

We welcome back Foot & Ankle Specialist and Residency Director of Loyola University Medical Center, Dr. Adam Schiff, MD to discuss surgical versus nonsurgical management of Achilles tendon ruptures.  We review the study " Operative versus nonoperative treatment of acute Achilles tendon rupture: a propensity score-matched analysis of a large national dataset " published in OJSM in February coming t...

We welcome Foot & Ankle Specialist and Residency Director of Loyola University Medical Center, Dr. Adam Schiff, MD to discuss suture button versus screw fixation for ankle syndesmotic injuries.  We review the study " Comparison of Suture Button and Syndesmotic Screw for Ankle Syndesmotic Injuries: A Meta-Analysis of Randomized Controlled Trials " published in OJSM in January coming to us from Sout...

Historically, results of direct ACL repair are poor. As such, it has been viewed as a substandard surgical option in comparison to ACL reconstruction, the modern gold-standard approach. However, ACL reconstruction is not without its flaws, and as technology and techniques have advanced, the idea of ACL repair has reemerged. Coming to us from Tripler Army Medical Center, Drs. Christian Cruz and Cra...

The correct graft choice for ACL reconstruction remains a topic of debate.  Dr. Shelbourne and his group have published extensively on the merits of the contralateral patellar tendon autograft.  They presented their impressive results in this large-scale study published in OJSM in November and join us in this podcast to discuss their rationale, protocol, experience, and keys for success.

The right surgery for an unstable shoulder remains a topic of controversy. What is the right approach? If performing a soft tissue stabilization, is Bankart repair alone sufficient? What is the amount of critical bone loss that would tip the scales towards a Laterjet? World-renowned shoulder specialist Dr. Patrick Denard of the Oregon Shoulder Institute joins us to discuss his recent study, " Arth...

Sports Specialization is the focus on a single sport year-round oftentimes at the exclusion of other sports.  It is a practice seen increasingly in our youth athlete population that aims to improve an athlete's competitive advantage but sacrifices rest and has been associated with physical and psychological stress that can lead to attritional musculoskeletal injuries and burnout.  We welcome Dr. N...

Technological advances have made virtual healthcare a reality.  The COVID-19 pandemic has accelerated the evolution and adoption of this telehealth option, and virtual care has become part of the sports medicine world.  Published in OJSM in October, the study " Telehealth Physical Therapy for Sports Medicine Rehabilitation: What is its Role in the Postpandemic Era? " out of Duke University examine...

Meniscus repair and patient age over 60 are not commonly associated in orthopaedic sports medicine surgery.  However, in the right patient, meniscus repair is the right choice.  Dr. Daniel Saris, MD of the Mayo Clinic joins us to discuss his study " Benefits of Meniscal Repair in Selected Patients Aged 60 Years and Older ," published in OJSM in September.  He discusses individualization of care, a...

We welcome in another NBA season with an analysis of how COVID-19 impacted the health of NBA players during the shortened 2020-21 season.  Dr. Anikar Chhabra, MD from Mayo Clinic Arizona and his colleagues published " Effect of a Condensed NBA Season on Injury Risk - An Analysis of the 2020 Season and Player Safety " in OJSM in September.  Dr. Chhabra joins us to discuss his findings that the inju...

In Part 2 of our 2-part discussion on biceps tenodesis, we welcome back Dr. Eric McCarty, MD from the University of Colorado School of Medicine and Dr. Adnan Saithna, MD from AZBSC Orthopedics in Scottsdale-Phoenix, AZ to discuss " Outcomes of biceps tenotomy versus tenodesis during arthroscopic rotator cuff repair ," published in OJSM in July coming to us from the University of Florida.  Our expe...

This week, Dr. Anthony Yu (@Anthony_YuMD) welcomes Dr. Eric McCarty from the University of Colorado School of Medicine and head team doc for the 2022 NHL champion Colorado Avalanche and Dr. Adnan Saithna (@phx_ortho) from AZBSC Orthopedics in Scottsdale-Phoenix, AZ for a 2-part discussion on biceps tenodesis, looking at this procedure in different situations.  In Part 1, we discuss " SLAP Repair V...

This week, host Anthony Yu (@Anthony_YuMD) welcomes Dr. Bert Mandelbaum from the Cedars-Sinai Kerlan-Jobe Institute (@MandelbaumMD) and Dr. Timothy McAdams from Stanford to discuss the risk of ACL rupture in soccer & football on turf versus grass. Published in May's OJSM (@OJSM_SportsMed) courtesy of the Abigail Wexner Research Institute at Nationwide Children's Hospital in Columbus, Ohio, the stu...

In today's episode, host Anthony Yu (@Anthony_YuMD) welcomes Dr. Grant Garrigues (@Grant_Garrigues) from Midwest Ortho at Rush & Dr. Anshu Singh from Kaiser Permanente to discuss the study " Benefits of patch augmentation on rotator cuff repair: a systematic review and Meta-analysis " out of Campinas State University School of Medical Sciences in São Paulo, Brazil. Our experts weight the merits of...

Welcome to The OJSM Hot Corner, the show where orthopaedic surgeons discuss and debate the hottest topics in Sports Medicine as brought to you by The Orthopaedic Journal of Sports Medicine (@OJSM_SportsMed). In our pilot episode, host Anthony Yu (@Anthony_YuMD) welcomes Pediatric Sports Medicine Specialist from Children's Healthcare of Atlanta, Dr. Crystal Perkins (@crystal_perkins), and knee guru...