运动医学诊所是骨科医生以及物理医学和康复领域的理想选择，提供最新的患者管理趋势和该领域最新进展的最新信息。每年出版四期——1 月、4 月、7 月和 10 月——每期关注运动医学的一个主题，从脊柱、膝盖、头部和颈部受伤，到创伤、成像和康复。运动医学诊所自 1999 年以来一直由受人尊敬的整形外科医生 MARK D. MILLER 编辑。

Clinics in Sports Medicine is an ideal choice for orthopedic surgeons and professionals in physical medicine and rehabilitation, providing the latest information on patient management trends and advancements in the field. The journal publishes four issues annually—in January, April, July, and October—each focusing on a specific theme in sports medicine, ranging from injuries of the spine, knee, head, and neck to trauma, imaging, and rehabilitation. Since 1999, Clinics in Sports Medicine has been edited by the esteemed orthopedic surgeon MARK D. MILLER.

《Clinics in Sports Medicine》是骨科医生以及物理医学和康复领域的理想选择，提供最新的患者管理趋势和该领域最新进展的信息。该期刊每年出版四期——分别在1月、4月、7月和10月，每期专注于运动医学的一个主题，涵盖从脊柱、膝盖、头部和颈部受伤到创伤、成像和康复等内容。自1999年以来，《Clinics in Sports Medicine》由受人尊敬的整形外科医生MARK D. MILLER编辑。

Clinics in Sports Medicine

Rotator cuff disease accounts for more than 4.5 million annual visits to a physician, and more than 75,000 surgical repairs are performed a year. Surgical techniques have evolved from all open repairs to all arthroscopic repairs being the most commonly used. The purpose of this article is to review the current evidence regarding the outcomes of surgical techniques in rotator cuff surgery. Reported outcomes have been favorable with open, mini-open, and arthroscopic repairs. Recently, a committee sponsored by the AAOS published a clinical practice guideline summary regarding the management of rotator cuff tears. The guidelines touched aspects of both nonoperative and operative repair. In regard to operative repair, the committee could not recommend a modality of surgical repair (eg, arthroscopic vs open) as a superior method, citing a lack of comparative studies. The theoretical advantage of arthroscopic surgery lies in smaller soft tissue dissection and the ability to evaluate and treat the glenohumeral joint. However, no study using patient-based outcomes has shown superiority compared with open or mini-open repairs. With the method of surgical repair not changing outcomes, investigation has recently focused on optimizing bone-tendon healing in rotator cuff repair. Double-row fixation allows for a more anatomic reapproximation of the rotator cuff footprint on the greater tuberosity versus single-row and has been shown to be biomechanically superior. Despite this, no clinical studies have shown superiority of one type of repair versus the other. The AAOS committee citing similar evidence gave a weak recommendation for the use of achieving tendon-to-bone healing with double-row fixation. Transosseous-equivalent repair, which provides a high compressive force on the tendon-to-bone interface of repair, is the newest fixation method under investigation to optimize healing. The use of collagen and biologic augmentation has gained interest as researchers are attempting to optimize rotator cuff healing. There is moderate evidence against the use of porcine small intestine submucosa xenograft patches. Other commercially available collagen augments have yet to be proven as either beneficial or detrimental. Other than PRP, which has not shown to have any benefit augmenting repair, no biologic augment has been investigated clinically. Overall, rotator cuff surgery portends a good outcome for appropriately selected patients. However, there is not much high-quality evidence-based research that can be used to conclude what surgical treatments are superior or appropriate for a given patient. Future research should be aimed at identifying whether and in whom rotator cuff healing is appropriate to better identify surgical candidates as well as to determine the best surgical repair strategy.

Alexander W Aleem

Robert H Brophy

Clinics in sports medicine

Clin Sports Med

Outcomes of rotator cuff surgery: what does the evidence tell us?

Bruce L. Gillingham

Christopher A. Kurtz

The Highly Reliable, Patient-Centered Sports Medicine Practice

高度可靠、以患者为中心的运动医学实践

Anterior cruciate ligament (ACL) rupture occurs in hundreds of thousands of active adolescents and young adults each year. Despite current treatment, posttraumatic osteoarthritis following these injuries is common in these young patients. Thus, there is widespread clinical and scientific interest in improving patient outcomes and preventing osteoarthritis. The current emphasis on the removal of the torn ACL and subsequent replacement with a tendon graft (ACL reconstruction) stems from adherence to a long-held and widely accepted doctrine that the ACL has only a limited healing response and, therefore, cannot heal or regenerate with suture repair. Recent work has shown that, despite an active biologic response in the ACL after injury, the two ends of the torn ligament never reconnect. Additional studies have detailed findings after placement of a substitute provisional scaffold in the wound site of the ACL injury to bridge the gap and initiate healing of the ruptured ligament after primary repair. This technique, called enhanced primary repair, has significant potential advantages over current ACL reconstruction techniques, including the preservation of the complex attachment sites and innervation of these structures, thus retaining much of the biomechanical and proprioceptive function of these tissues. This manuscript summarizes the recent in vitro and in vivo studies in the area of enhancing ACL healing using biologic supplementation. Subsequent work in this area may lead to the development of a novel approach to treat this important injury. Anterior cruciate ligament (ACL) rupture occurs in hundreds of thousands of active adolescents and young adults each year. Despite current treatment, posttraumatic osteoarthritis following these injuries is common in these young patients. Thus, there is widespread clinical and scientific interest in improving patient outcomes and preventing osteoarthritis. The current emphasis on the removal of the torn ACL and subsequent replacement with a tendon graft (ACL reconstruction) stems from adherence to a long-held and widely accepted doctrine that the ACL has only a limited healing response and, therefore, cannot heal or regenerate with suture repair. Recent work has shown that, despite an active biologic response in the ACL after injury, the two ends of the torn ligament never reconnect. Additional studies have detailed findings after placement of a substitute provisional scaffold in the wound site of the ACL injury to bridge the gap and initiate healing of the ruptured ligament after primary repair. This technique, called enhanced primary repair, has significant potential advantages over current ACL reconstruction techniques, including the preservation of the complex attachment sites and innervation of these structures, thus retaining much of the biomechanical and proprioceptive function of these tissues. This manuscript summarizes the recent in vitro and in vivo studies in the area of enhancing ACL healing using biologic supplementation. Subsequent work in this area may lead to the development of a novel approach to treat this important injury.

Martha M. Murray

Current Status and Potential of Primary ACL Repair

前交叉韧带原位修复的现状与潜力

Shoulder surgery introduces important anesthesia considerations. The interscalene nerve block is considered the gold standard regional anesthetic technique and can serve as the primary anesthetic or can be used for postoperative analgesia. Phrenic nerve blockade is a limitation of the interscalene block and various phrenic-sparing strategies and techniques have been described. Patient positioning is another important anesthetic consideration and can be associated with significant hemodynamic effects and position-related injuries.

Jeffrey J. Mojica

Aaron Ocker

Jaime Barrata

Eric S. Schwenk

Anesthesia for the Patient Undergoing Shoulder Surgery

肩部手术患者的麻醉

The throwing athlete's shoulder is a unique, complex entity with challenges in diagnosis and management. The shoulders in these athletes possess unique biomechanics and pathologic conditions. Unfortunately, return to play outcomes are often poor when specifically evaluating overhead athletes, especially with regard to SLAP repair. It is imperative for the surgeon to be cautious when indicating these athletes for surgery, because although they may demonstrate improvements in pain and general function, subtle changes in accuracy or velocity as a result of surgery can significantly affect the success of an overhead throwing athlete at the competitive level.

Robert Thorsness

Jeremy A Alland

Colin B McCulloch

Anthony Romeo

Return to Play After Shoulder Surgery in Throwers.

James B. Carr II

Building a Sports Medicine Practice: Guide to Navigating the First Five Years

建立运动医学实践：前五年导航指南

Yusuf N. Mufti

Jared P. Sachs

Andrew S. Bi

Adam B. Yanke

Brian J. Cole

Orthobiologics for Cartilage Repair

关节软骨修复的生物制剂

Alexander Bumberger

Andrew J. Homere

Richard D. Smith

Christian Lattermann

Microfracture and Microfracture Plus of the Knee Joint

膝关节微骨折术与微骨折术加疗法

Ismail Hadisoebroto Dilogo

Ludwig Andribert Powantia Pontoh

Anissa Feby Canintika

Bernadus Riyan Hartanto

Role of Umbilical Cord-Derived Mesenchymal Stem Cells and Derivatives for Treating Knee Osteoarthritis and Chondral Defects

脐带间充质干细胞及其衍生物在治疗膝关节骨关节炎和软骨缺损中的作用

Berveglieri Luca

Cerasoli Tosca

Cassanelli Edoardo

Gaiani Federico

Faldini Cesare

Francesca Vannini

Evolving Trends in Return to Sport After Surgical Treatment of Osteochondral Lesions of the Talus

距骨骨软骨损伤手术治疗后重返运动的发展趋势

短名	Clin. Sports. Med.
Journal Impact	1.75
国际分区	SPORT SCIENCES(Q2)
期刊索引	SCI Q3中科院 3 区

ISSN	0278-5919, 1556-228X
h-index	93
国内分区	医学(3区)医学运动科学(3区)

涉及主题	医学生物物理疗法外科病理心理学放射科解剖物理医学与康复精神科内科学运动员物理
出版信息	出版商: W.B. Saunders，出版周期: Quarterly，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 1982，原创研究文献占比: 91.84%，自引率:0.00%， Gold OA占比: 3.55%
平均审稿周期	网友分享经验：>12周，或约稿
平均录用比例	网友分享经验：较易

Clinics in Sports Medicine

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