Monday, October 29, 2018

Role of Visco-Supplementation Following MicroFracture in Focal Chondral Lesions (OSMOAJ) - Lupine Publishers


 


Introduction: Cartilage lesions pose a significant problem to surgeons, at best being replaced by poorer quality fibrocartilage post micro-fracture. Hyaluronic acid has shown to inhibit joint degeneration and reduce joint inflammation. This study wishes to evaluate the outcome of visco-supplementation following micro-fracture.
Material & Method: Twenty one consecutive patients with chondral lesion less than 2 sq cm were treated with micro-fracture and post operatively randomly divide into two groups. One group was supplemented with intra-articular hyaluronic acid at 3 weeks post surgery. The patients were followed up at 3, 6 & 12 months for WOMAC score and IKDC score.
Results: The WOMAC score and IKDC score in the visco-supplementation group were significantly better than those of the non visco-supplementation group at 6 months (p=0.0001). At 12 months although the scores were significantly better than at 6 months, there was no significant difference between the two groups (WOMAC p=0.86, IKDC p=0.347).
Conclusion: Hyaluronic supplementations following micro-fracture ensure an early improvement in functional scores following micro-fracture. A longer follow up is necessary to evaluate its role in preventing further joint degeneration.

http://lupinepublishers.com/orthopedics-sportsmedicine-journal/abstracts/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/pdf/OSMOAJ.MS.ID.000102.pdf
http://lupinepublishers.com/orthopedics-sportsmedicine-journal/fulltext/role-of-visco-supplementation-following-microfracture-in-focal-chondral-lesions.ID.000102.php

 

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Friday, October 26, 2018

Injury Profile and Risk Factors in a Young High Competitive Population of Judo Athletes (OSMOAJ)-Lupine Publishers





 

Background:
High competitive level judo practice from a very young age, may lead to an increasing risk of injury. The aim of this study is to identify injury risk factors in a young high-level judo population to develop future specific strategies for injury prevention.
Methods: An individual questionnaire was applied by physicians to cadet and junior athletes that competed in international judo tournaments in 2014. Statistical inferential analysis was performed to identify the major injury risk factors and injury patterns in these ages.
Results: 212 athletes from 13 different countries (53% portuguese) answered the questionnaire. Male predominance was found, and a mean age of 16,8 ±1,5 years with 9,7±3,1years of judo practice. We found 347 injuries, with 83% of the athletes reporting at least one  injury.  The  majority  of  injuries  occurred  to  the  limbs  (85%)  during  training  period  (71%),  in  the  throwing  phase  (87,6%),  as  a  consequence of direct contact (72%) and with articular involvement (62%). Sprain was the most common type (36%) and shoulder the most specific segment affected (25%) with an occurrence twice as high during defense movements [p=0,018]. Injury occurrence was  associated with training load (p=0,001), whilst the number of injuries with the age [p=0,005], need to lose weight (p=0,007) and training load (0,001).
Conclusions: Increasing age, need to lose weight and training load were identified as injury risk factors for these ages. We also verified that shoulder injuries are significantly more frequent during defense movements, being these ones that led to more severe injuries.


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