Journal: Knee Surgery, Sports Traumatology, Arthroscopy

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Abbreviation

Knee Surg Sports Traumatol Arthrosc

Publisher

Springer

Journal Volumes

ISSN

0942-2056
1433-7347

Description

Search Results

Publications 1 - 10 of 11
  • Zumbrunn, Thomas; Duffy, Michael P.; Rubash, Harry E.; et al. (2018)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Farshad, Mazda; Gerber, Christian; Snedeker, Jess Gerrit; et al. (2011)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Fröhlich, Stefan; Helbling, Moritz; Fucentese, Sandro F.; et al. (2021)
    Knee Surgery, Sports Traumatology, Arthroscopy
    Purpose Prospective studies assessing the injuries occurring in elite competitive alpine skiers are lacking, and a full picture of all injuries, including those not requiring medical attention, is absent. Likewise, little is known about the sex-specific injury risks and patterns of elite skiers throughout an entire season (i.e. an off-season preparation period and a competition period). Accordingly, this study investigated the injuries of a national team cohort with respect to season period and sex. Methods Over an entire season, all injuries occurring in 44 Swiss National Ski Team members (25 females and 19 males) were registered, regardless of whether they required medical attention. Skiers were prospectively monitored by the Oslo Sports Trauma Research Centre (OSTRC) questionnaire and by continuously updated team medical records. Finally, these data were used as a reference for supplemental interviews, in which the correctness and completeness of the prospective data were verified. Results The risk of suffering at least one injury during an entire season was 75.0% with a 95% confidence interval (73.1%, 76.9%) for traumatic injuries, and 52.3% (50.0%, 54.5%) for overuse injuries. Traumatic injuries concerned the head, lower leg and knee, while overuse injuries affected the lumbar spine, knee and hip. During the competition period, skiers were more prone to traumatic injuries, while during the off-season preparation period, skiers’ risk was higher for overuse injuries. Over an entire season, there were no sex differences. However, females were more vulnerable to traumatic injuries during the preparation period and overuse injuries during the competition period, while males had a higher risk for overuse injuries during the preparation period. Conclusions When prospectively registering injuries among elite competitive alpine skiers over an entire season, regardless of whether the injuries required medical attention, the injury risks were alarmingly high and substantially larger than those previously reported. Moreover, since injury risks and patterns are season period and sex dependent, it is strongly recommended that (1) injury registration focuses on both the off-season preparation period and the competition period and (2) prevention efforts are specifically tailored to the sex of the athletes.
  • Farshad, Mazda; Weinert-Aplin, Robert A.; Stalder, Michael; et al. (2011)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Kramers-de Quervain, Inès A.; Biedert, Roland; Stüssi, Edgar (1997)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Fucentese, Sandro F.; Rahm, Stefan; Wieser, Karl; et al. (2015)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Zumbrunn, Thomas; Schütz, Pascal; von Knoch, Fabian; et al. (2020)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Jud, Lukas; Fürnstahl, Philipp; Vlachopoulos, Lazaros; et al. (2020)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Kramers-de Quervain, Inès A.; Engel-Bicik, Ivette; Miehlke, Wolfgang; et al. (2005)
    Knee Surgery, Sports Traumatology, Arthroscopy
  • Borbas, Paul; Cammarata, Sara; Loucas, Rafael; et al. (2022)
    Knee Surgery, Sports Traumatology, Arthroscopy
    Purpose Upper third tears of the subscapularis tendon can be repaired successfully with a single anchor according to previous literature. The aim of the present study was to compare three single anchor repair techniques regarding fixation strength, footprint coverage and contact pressure in a biomechanical test set-up on human cadaveric shoulders. Methods Eighteen human cadaveric shoulders were randomized in three groups with respect to the repair technique; group 1: knotted lasso-loop mattress, group 2: knotted mattress and group 3: knotless tape repair. Upper third tears of the subscapularis tendon (Lafosse type 2) were created and repairs were performed with additional contact pressure and area measurement using a pressure mapping system. Cyclic testing was performed by loading the subscapularis from 10 to 100 N for 300 cycles. A position-controlled ramp protocol up to 30 and 50 N was used to allow for pressure measurements. Finally, specimens were loaded to failure and failure modes were recorded. Results The three groups were not significantly different regarding age, gender, bone mineral density at the lesser tuberosity, subscapularis footprint size and defect area created at the upper subscapularis insertion. A significant difference was detected between group 1 (48.6 ± 13.8%) and group 2 (25.9 ± 5.7%) regarding pressurized footprint coverage (p = 0.028). Ultimate load to failure was 630.8 ± 145.3 N in group 1, 586.9 ± 220.7 N in group 2 and 678.2 ± 236.5 N in group 3, respectively. Cyclic displacement was similar in all three groups with an average displacement of 1.2 ± 0.6 mm. The highest stiffness was found in group 1 with 88 ± 30.3, which was not statistically significantly different to group 2 (65 ± 27 N/mm) and group 3 (83.9 ± 32.9 N/mm). The most common mode of failure was suture cut-through at the suture–tendon interface (44%). Failures in group 3 were less common associated with suture cut-through (33% vs. 50% in group 1 and 2), but no significant differences were found. Conclusions All three tested single anchor repair techniques of upper third subscapularis tears were able to provide sufficient biomechanical stability. Knotted lasso-loop mattress and knotless tape repair were superior regarding pressurized footprint coverage compared to a knotted horizontal mattress technique and are, therefore, preferable techniques for upper subscapularis repair.
Publications 1 - 10 of 11