ACL Reconstruction

ACL knee injuries are among the most common injuries for athletes. The ACL (anterior cruciate ligament) is one of four ligaments that make up the knee joint and is responsible
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Rehabilitation Protocol: Superior Labral (SLAP) Repair Protocol with Biceps Tenodesis

Superior Labrum from Anterior to Posterior (SLAP) Tears: At times athletes collect minor injuries to the rotator cuff and/or labrum that progress to unstable structures. Labral tears that do not
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Rehabilitation Protocol: Superior Labral (SLAP) Repair Protocol

Background & General Considerations Superior Labrum from Anterior to Posterior (SLAP) Tears: At times athletes collect minor injuries to the rotator cuff and/or labrum that progress to unstable structures. Labral

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Rehabilitation Protocol: Labral/Rotator Cuff Debridement

Background & General Considerations Low-Grade Labral/Rotator Cuff Tears: At times athletes collect minor injuries to the rotator cuff and/or labrum. Fraying of these tissues are also called “low-grade” tears. Smoothing

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Rehabilitation Protocol: Small Rotator Cuff Repair/Debridement

Background & General Considerations Low-Grade/Small Rotator Cuff Tears: At times rotator cuff tissue collects minor injuries or small tears. Fraying of these tissues are also called “low-grade” tears and small

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Rehabilitation Protocol: 360 Degree Tears – Arthroscopic Anterior, Posterior, and Superior Labral Repair

Background & General Considerations Anterior-Inferior and Posterior-Inferior Labral Tears: With a first-time severe dislocation of the shoulder or chronic shoulder instability in multiple directions can create “360 degree” complete tears

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Rehabilitation Protocol: 270 Degree Tears Arthroscopic Anterior-Inferior and Complete Posterior Labral Repair

Background & General Considerations Anterior-Inferior and Posterior-Inferior Labral Tears: With a first-time dislocation of the shoulder, the anterior inferior labrum is torn, often called a “Bankart Lesion”. If this shoulder

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Rehabilitation Protocol: Massive Rotator Cuff Repair

General Considerations Background and General Considerations: Massive Rotator Cuff Tears/Maturation Time: Massive rotator cuff tears are defined as rotator cuff tears with over two of the four rotator cuff tendons

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Rehabilitation Protocol: Large Rotator Cuff Repair

Background & General Considerations Large Rotator Cuff Tears/Maturation Time: Large rotator cuff repairs require a significant amount of protection. Tendon-to-bone healing starts to get competent at 6 weeks but likely

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rehab-protocol-minor-meniscus-repair

Rehabilitation Protocol Overview: Minor Meniscus Repair

General Considerations Meniscus Repair Considerations: Flexion over 90 degrees loads the back of the meniscus, which is the area where tears most often occur. For this reason, flexion is controlled

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Major Meniscus Repair.

Rehabilitation Protocol Overview: Major Meniscus Repair

General Considerations Meniscus Repair Considerations: Flexion over 90 degrees loads the back of themeniscus, which is the area where tears most often occur. For this reason, flexion is controlled after

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Running Athlete

Rehabilitation Protocol Overview: Isolated ACL Reconstruction with No Meniscus Repair

General Considerations BRACE: The brace should be worn at all times for the first week, except to bathe and during physical therapy. After the first week, the brace should be

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ACL KNEE

Rehabilitation Protocol Overview: ACL Reconstruction with Major Meniscus Repair

General Considerations Meniscus Repair Considerations: Flexion over 90 degrees loads the back of the meniscus, which is the area where tears occur during ACL injury events. For this reason, flexion

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Ski ACL Pain

Rehabilitation Protocol Overview: ACL Reconstruction with Minor Meniscus Repair

General Considerations: Meniscus Repair Considerations:Flexion over 90 degrees loads the back of the meniscus, which is the area where tears occur during ACL injury events. For this reason, flexion is

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Isolated ACL Reconstruction: Bone-Tendon-Bone AutoGraft // Post Op Procedure

General Guidelines // Precautions-Wear brace / immobilizer at all times except during bathing and physical therapy for the first 2 weeks. Keep brace locked in extension while the block is

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Biking Knee Pain

When Is An Athlete Ready For Contact Sports After ACL Surgery?

Returning to Sport Following ACL Reconstruction After ACL reconstruction1, the most common question is also the most difficult to answer: “When will I be ready to go back to ___?”

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Rope exercise.

Biologics in Rotator Cuff, Meniscus, Cartilage and Osteoarthritis Article

The article entitled “Application of biologics in the treatment of the rotator cuff, meniscus, cartilage, and osteoarthritis” reviewed the current status of the use of platelet-rich plasma, bone marrow aspirate,

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Family Hiking.

ACL Knee Injuries

Injury Overview ACL knee injuries are among the most common injuries for athletes. The ACL (anterior cruciate ligament) is one of four ligaments that make up the knee joint and

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ACL Injury Healing

The Biology of ACL Healing: The Wild Card of Recovery

Ligamentization – The Wild Card After an ACL injury1, reconstruction of the ligament is often a recommended treatment. One of the most critical steps in ACL reconstruction2 is grafting a

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Save the Menisci: Meniscal Root Tears

Background & General Considerations The menisci are c-shaped, rubber-like cartilage discs that reside inside the knee joint. There are two menisci in every knee, one on the inner side (medial

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Stem Cells

Five Things to Know About Stem Cell Use for Cartilage Regeneration

Thanks to Angie Stewart of Becker’s Spine Review for promoting “5 things to know about stem cell use for cartilage regeneration!” Click here to see the article

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Orthopedic Surgeon Pensacola Florida

Orthopedic Surgeon Pensacola, Florida

ACL Reconstruction for Pensacola, Florida Patients Anatomic Knee Stability Restoration for High-Demand Work, Training, and Sport. A torn ACL compromises the knee’s ability to handle rotational forces, sudden deceleration, and

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Relationship of Glove Arm Kinematics With Established Pitching Kinematic and Kinetic Variables Among Youth Baseball Pitchers

Abstract Background: While the kinematics of the pitching arm, trunk, and pelvis have been described and studied, glove arm kinematics remain an understudied portion of the pitching motion. Baseball pitchers

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Biomechanical Comparison of Arthroscopic Repair Constructs for Radial Tears of the Meniscus

Biomechanical Comparison of Arthroscopic Repair Constructs for Radial Tears of the Meniscus

As biologic augmentation methods emerge, objective measures of soft tissues are necessary for developmental study. The purpose of this study was to develop a quantitative MRI mapping protocol for the
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Epidemiology of Shoulder and Elbow Injuries Among US High School Softball Players, 2005-2006 Through 2016-2017

Epidemiology of Shoulder and Elbow Injuries Among US High School Softball Players, 2005-2006 Through 2016-2017

As biologic augmentation methods emerge, objective measures of soft tissues are necessary for developmental study. The purpose of this study was to develop a quantitative MRI mapping protocol for the
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3-T MRI mapping is a valid in vivo method of quantitatively evaluating the anterior cruciate ligament: rater reliability and comparison across age

3-T MRI mapping is a valid in vivo method of quantitatively evaluating the anterior cruciate ligament: rater reliability and comparison across age

As biologic augmentation methods emerge, objective measures of soft tissues are necessary for developmental study. The purpose of this study was to develop a quantitative MRI mapping protocol for the
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Articular Cartilage Regeneration With Autologous Peripheral Blood Progenitor Cells and Hyaluronic Acid After Arthroscopic Subchondral Drilling: A Report of 5 Cases With Histology

The purpose of this study was to evaluate the quality of articular cartilage regeneration after arthroscopic subchondral drilling followed by postoperative intraarticular injections of autologous peripheral blood progenitor cells (PBPCs)
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A Tensionable and Retensionable Knotless Anchor Repair Construct for Compression After Reduction of Tibial Avulsion Fracture of Anterior Cruciate Ligament

Anterior cruciate ligament (ACL) injuries are on the rise in the pediatric and adolescent patient populations, with incidence rates peaking at age 16 years for female patients and at age
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A Biomechanical Assessment of Biceps Femoris Repair Techniques

With the lack of pitch count regulation, youth softball pitchers are experiencing unremitting high stresses on the anterior shoulder. The purpose of this study was to examine the association of
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Biceps Tendon Changes And Pitching Mechanics In Youth Softball Pitchers

With the lack of pitch count regulation, youth softball pitchers are experiencing unremitting high stresses on the anterior shoulder. The purpose of this study was to examine the association of
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Blood Flow Restriction Using a Pneumatic Tourniquet Is Not Associated With a Cellular Systemic Response

The purpose of this study was to determine the effects of blood flow restriction (BFR) using a pneumatic tourniquet on CD34þ cells, platelets, white blood cells, neutrophils, lymphocytes, lactate, and
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Using The Single Leg Squat As An Assessment Of Stride Leg knee Mechanics In Adolescent Baseball Pitchers☆

Advancements in musculoskeletal biologic therapies, including viscosupplementation, platelet-rich plasma (PRP), and cellular therapies, or “stem cells,” have exhibited overwhelming growth in the past decade.2 At first, biologics were envisioned to
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Association of Upper Extremity Pain With Softball Pitching Kinematics and Kinetics

Advancements in musculoskeletal biologic therapies, including viscosupplementation, platelet-rich plasma (PRP), and cellular therapies, or “stem cells,” have exhibited overwhelming growth in the past decade.2 At first, biologics were envisioned to
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The Effects of Body Mass Index on Softball Pitchers’ Hip and Shoulder Range of Motion

Advancements in musculoskeletal biologic therapies, including viscosupplementation, platelet-rich plasma (PRP), and cellular therapies, or “stem cells,” have exhibited overwhelming growth in the past decade.2 At first, biologics were envisioned to
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Biologic Association Annual Summit: 2020 Report

Advancements in musculoskeletal biologic therapies, including viscosupplementation, platelet-rich plasma (PRP), and cellular therapies, or “stem cells,” have exhibited overwhelming growth in the past decade.2 At first, biologics were envisioned to
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Concentrated Bone Marrow Aspirate Is More Cellular and Proliferative When Harvested From the Posterior Superior Iliac Spine Than the Proximal Humerus

The purpose of this study is to determine whether concentrated bone marrow aspirate (cBMA) from the posterior superior iliac spine (PSIS) or proximal humerus (PH) produces a more productive cellular
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Functional differences in softball pitchers with and without upper extremity pain☆

The sport of fastpitch softball is continuing to gain popularity. From the 2014–15 to the 2016–17 school year, high school participation increased from 365,528 to 368,734 athletes, respectively.1 As the
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The safety and efficacy of 2 anterior-inferior portals for arthroscopic repair of anterior humeral avulsion of the glenohumeral ligament: cadaveric comparison

Humeral avulsion of the glenohumeral ligament (HAGL) lesions are associated with shoulder instability. Arthroscopic repair of anterior HAGL lesions typically requires the placement of an anterior-inferior (5-o’clock) portal, with different
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A Behavior Analytic Approach to Increase Efficiency in a Cadaveric Skills Lab

The main objective of this study is to determine what level of prompt salience is needed to decrease the duration of time spent and errors in surgical tools placement while
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Distal Insertions of the Biceps Femoris: A Quantitative Analysis

Avulsion of the biceps femoris from the fibula and proximal tibia is encountered in clinical practice. While the anatomy of the primary posterolateral corner structures has been qualitatively and quantitatively
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MRI T2 mapping of the asymptomatic supraspinatus tendon by age and imaging plane using clinically relevant subregions 

Diagnosis of partial rotator cuff tears and tendonopathy using conventional MRI has provenvariable. Quantitative T2 mapping may have application for assessing rotator cuff health. In order toevaluate the usefulness of
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Biomechanical Comparison of Parallel and Crossed Suture Repair for Longitudinal Meniscus Tears

Longitudinal meniscus tears are commonly encountered in clinical practice. Meniscus repair devices have been previously tested and presented; however, prior studies have not evaluated repair construct designs head to head.
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Chondrogenesis with Autologous Peripheral Blood Stem Cells for End-Stage Ankle Arthritis: Report of Three Cases

End-stage ankle arthritis represents an “unmet medical need”, awaiting an appropriate time for joint arthroplasty or arthrodesis. We report three cases of end-stage ankle arthritis treated along the principles developed
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New Findings in Sports Medicine Described from Auburn University (Biceps Tendon Changes and Pitching Mechanics In Youth Softball Pitchers).

The purpose of this study was to examine the association of acute changes in the long head of the biceps tendon with pitching kinematics and kinetics in youth softball pitchers
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Reports from Auburn University Provide New Insights into Sports Medicine (Functional differences in softball pitchers with and without upper extremity pain).

New research on Health and Medicine – Sports Medicine is the subject of a report. According to news reporting from Auburn, Alabama, by VerticalNews journalists, research stated, “Though pitchers often
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EFFECTS OF A SIMULATED GAME ON PITCHING KINEMATICS IN YOUTH FEMALE SOFTBALL PITCHERS

Background: Despite evidence that overuse is the most common mechanism of injury, softball pitchers currently have no pitch count regulations. Pain has been associated with certain pitching pathomechanics, and some
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Platelet-Rich Plasma: Fundamentals and Clinical Applications

Platelet-rich plasma (PRP) is perhaps the most widely studied of the biologic therapies, with an ever-growing body of evidence supporting its safety and efficacy in decreasing inflammation and pain and
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Biological Enhancement of Meniscus Repair and Replacement

When a meniscus injury occurs, it is generally accepted that preserving the meniscus is important for life-long joint preservation. Traditional suture repair of the meniscus has good results; however, the
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Editorial Commentary: Food and Drug Administration Regulation of Biologics in Orthopaedics: Am I the Only One Around Here Who Gives a Flip About the Rules?!?!

As orthobiologics have appeared and stayed a part of our clinical practices, at times it seems that we (orthopaedic surgeons) have not focused appropriate attention and/or interest on regulation.
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Reports from Auburn University Provide New Insights into Sports Medicine (Functional differences in softball pitchers with and without upper extremity pain).

According to news reporting from Auburn, Alabama, by VerticalNews journalists, research stated, “Though pitchers often throw during multiple games in a day, there are currently no pitch count restrictions in
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Editorial Commentary: Elbow Injury Results When Pediatric and Adolescent Throwing Athletes Throw as Hard as Possible, and Weighted Baseball Training Should Be Banned for Youth Athletes

We are in the middle of an epidemic involving pediatric and adolescent throwing athletes. Too many young athletes have elbow injuries, and it is unnerving how young surgical indications can
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