November 2017 - Volume 27 - Issue 6

  • Christopher Hughes, MBBS, MSc
  • 1050-642X
  • 1536-3724
  • 6 issues / year
  • Orthopedics 24/76
    Sport Sciences 23/81
    Physiology 44/84
  • 2.189
​​Welcome everyone to our November issue of the Clinical Journal of Sport Medicine, the final issue of the Journal for this year. 

We kick off this month with a Systematic Review article on the treatment of primary patellar dislocation from Longo and colleagues. A total of 2086 patients were included in the study with 2134 knees studied, with the authors finding that the surgical treatment of primary acute patellar dislocation leads to a significantly lower rate of redislocation and provides better short-medium term clinical outcomes. 

Despite the better short-term outcomes, the findings also suggested that the results of patients treated conservatively are as good as those treated surgically in the long term. 

In an interesting cross-sectional epidemiological study of elite rugby league players based in Australasia by DuPreez and colleagues, the prevalence of symptoms of depression and generalized anxiety disorder (GAD), and rates of alcohol misuse were examined. The authors found that there were high rates of alcohol misuse and GAD symptoms amongst players. The news was not all bad, however, as rates of depressive symptoms amongst players were lower than those found in the general population. Clearly, there is still much to do in order to help to optimize the psychological well-being of elite athletes in rugby league and, as we already know, in many other elite sports as well. The authors suggest that there may be a role for regular screening for these symptoms. 

Murray and colleagues conducted a cohort study involving both boys' football and soccer players and girls' volleyball and soccer players in Minnesota high schools, looking at neuromuscular training (NMT) programme availability for the prevention of ACL injuries. They found that the majority of teams incorporated some form of NMT, and that this appeared to be effective at reducing levels of ACL injuries amongst boys, but not amongst girls (apart from girl soccer players in rural settings). 



As ever, a reminder to keep up to date with our latest information and research published online-first​, and with our CJSM Blog and Twitter feed at @CJSMonline

 

Best wishes for Christmas and the New Year, and looking forward to 2018, 

Chris



Christopher Hughes MBBS MSc

Editor-in-Chief

 

Treatment of Primary Acute Patellar Dislocation: Systematic Review and Quantitative Synthesis of the Literature

Longo, Umile Giuseppe; Ciuffreda, Mauro; Locher, Joel; More

Clinical Journal of Sport Medicine. 27(6):511-523, November 2017.

Treatment of Primary Acute Patellar Dislocation: Systematic Review and Quantitative Synthesis of the Literature

Neuromuscular Training Availability and Efficacy in Preventing Anterior Cruciate Ligament Injury in High School Sports: A Retrospective Cohort Study

Murray, Jared J.; Renier, Colleen M.; Ahern, Jenny J.; More

Clinical Journal of Sport Medicine. 27(6):524-529, November 2017.

Neuromuscular Training Availability and Efficacy in Preventing Anterior Cruciate Ligament Injury in High School Sports: A Retrospective Cohort Study