Recent prospective randomized trials support primary plate fixation of displaced midshaft clavicle fractures. However, the safety and efficacy of this practice have not been well documented in athletes, nor has the time to return-to-sport. The Latarjet procedure can provide satisfactory outcomes, including a low recurrence rate and reliable functional recovery. Defects at the anteroinferior glenoid were restored to nearly normal after coracoid transfer by use of the Latarjet procedure, which is an anatomically matched reconstruction.

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Five articles from the March 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “MRI Volume and Signal Intensity of ACL Graft Predict Clinical, Functional, and Patient-Oriented Outcome Measures After ACL Reconstruction,” “Surgical Management of Osteochondritis Dissecans Lesions of the Patella and Trochlea in the Pediatric and Adolescent Population,” “Structural Properties of the Intact Proximal Hamstring Origin and Evaluation of Varying Avulsion Repair Techniques: An In Vitro Biomechanical Analysis,” “Anterior Cruciate Ligament Reconstruction With Contralateral Autogenous Patellar Tendon Graft: Evaluation of Donor Site Strength and Subjective Results,” and “Revision Versus Primary Arthroscopic Rotator Cuff Repair: A 2-Year Analysis of Outcomes in 360 Patients." 

Five articles from the February 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "The Impact of Previous Hamstring Strain Injury on the Change in Eccentric Hamstring Strength During Pre-Season Training in Elite Australian Footballers," "The Effect of Donor Age on the Structural and Mechanical Properties of Allograft Tendons," Femoral Nerve Blockade is Associated with Persistent Strength Deficits at Six Months Post ACL Reconstuction in Pediatric and Adolescent Patients," "Factors Affecting Capsular Volume Changes and Association with Outcomes after Bankart Repair and Capsular Shift," and "Correlation of Meniscal and Articular Cartilage Injuries in Children and Adolescents with Timing of ACL Reconstruction."

Rotator cuff tears are common, and rotator cuff repair represents a major health care expense. While patients often benefit from rotator cuff repair, anatomic failure of the repair is not unusual. In spite of a dramatic increase in the number of publications per year, there is little evidence that the results of rotator cuff repair are improving. The information needed to guide the management of this commonly treated and costly condition is seriously deficient. To accumulate the evidence necessary to inform practice, future clinical studies on the outcome of rotator cuff repair must report important data relating to each patient’s condition, the surgical technique, the outcome in terms of integrity, and the change in patient self-assessed comfort and function.

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There has been an increase in minimally invasive surgery for chronic exertional compartment syndrome (CECS), despite the potential for incomplete compartment release and iatrogenic injuries. To our knowledge, no study has examined the effect of the length of fascial release on compartment pressures. This study demonstrates a strong correlation between fasciotomy length and a reduction in intracompartmental pressures in a swine model. Our study suggests that 90% fascial release may represent a possible watershed zone, returning the intracompartmental pressure to a value at or near baseline values. 

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Five articles from the January 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Epidemiology of Stress Fracture Injuries Among US High School Athletes, 2005-2006 Through 2012-2013,” “Consequences of Tibial Tunnel Reaming on the Meniscal Roots During Cruciate Ligament Reconstruction in a Cadaveric Model, Part 1 The Anterior Cruciate Ligament,” “Arm Pain in Youth Baseball Players A Survey of Healthy Players,” “Analysis of ‘‘Hidden Lesions’’ of the Extra-articular Biceps After Subpectoral Biceps Tenodesis: The Subpectoral Portion as the Optimal Tenodesis Site,” and “Suture Placement Near the Musculotendinous Junction in the Supraspinatus Implications for Rotator Cuff Repair.”

Ankle sprains are the most common sports-related injury, associated with a high rate of recurrence and societal costs. Recent studies have emphasized the effectiveness of both neuromuscular training and bracing for the secondary prevention of ankle sprains. Bracing was found to be the dominant secondary preventive intervention over both neuromuscular training and the combination of both measures.

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A Hill-Sachs lesion is a common injury associated with anterior glenohumeral instability, and a Hill-Sachs lesion that engages with the anterior glenoid rim is 1 factor related to recurrent instability. In a cadaveric study in 2007, a new concept, the glenoid track, was proposed to evaluate the risk of engagement of Hill-Sachs lesions with the glenoid. The existence and widths of the glenoid track were confirmed in vivo.

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The effect of platelet-rich plasma (PRP) on chondrocytes has been studied in cell and tissue culture, but considerably less attention has been given to the effect of PRP on synoviocytes. Fibroblast-like synoviocytes (FLS) compose 80% of the normal human synovium and produce cytokines and matrix metalloproteinases that can mediate cartilage catabolism. Treatment of synovial cells with LR-PRP and RBCs resulted in significant cell death and proinflammatory mediator production.

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The presence of a cam deformity represents a significant risk factor for the development of hip pain. An elevated alpha angle at the 1:30 clock position and decreased internal rotation are associated with an increased risk of developing hip pain. However, not all patients with a cam deformity develop hip pain, and further research is needed to better define those at greater risk of developing degenerative symptoms.

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