UCSF Ortho Sports Core

UCSF Orthosurgery Sports
Overview

About This Course

The UCSF Ortho Sports Core provides educational content related to orthopaedic surgery for sports specialty.

Requirements

The UCSF Ortho Sports Core is meant to be an educational resource for orthopaedic trainees. Learners should be practicing surgeons or surgeons in training.

Course Staff

Faculty Contributor

Dr. Drew Lansdown

Image
Drew Lansdown
Knee

Surgical Skills

Recorded Lecture

Diagnostic Knee Scope - Dr. Feeley


Meniscus Tear

Recorded Lecture

Meniscus Tear - Dr. Feeley


Multi-Ligament Knee Injuries

Recorded Lecture

Multi-Ligament Knee Injuries - Dr. Lansdown


Patellofemoral Joint

Recorded Lecture

Evaluation and Treatment of the Patellofemoral Joint - Dr. Lansdown


Cuff

Natural History

 

Additional Reading

Additional Readings

Articles

1. Keener JD, Galatz LM, Teefey SA, Middleton WD, Stege-May K, Stobbs-Cucchi G, Patton R, Yamaguchi K. A prospective evaluation of survivorship of asymptomatic degenerative rotator cuff tears. J Bone Joint Surg Am. 2015;97(2):89-98. 

Full-Text Link

2. Davies et a. Progression of fatty muscle degeneration in RC tears. J Bone Joint Surg Am. 2017.

Full-Text Link

 

Operative vs. Non Operative

 

Additional Reading

Additional Readings

Articles

1. Moosmayer et al. At a 10-year follow up tendon repair is superior to PT in the treatment of small and medium sized rotator cuff tears. Journal of Bone and Joint Surg Am. 2019.

Full-Text Link

2. Jain NB, et al. Comparative effectiveness of operative versus non-operative treatment for rotator cuff tears: A propensity score analysis from the ROW cohort. The American Journal of Sports Medicine. 2019.

Full-Text Link

 

Revision Options

 

Additional Reading

Additional Readings

Articles

1. Thor et al. Evaluation of healing rates and safety with with a bioinductive collagen patch for large and massive tears. The American Journal of Sports Medicine. 2019.

Full-Text Link

2. Atlintas et al. SCR for irreparable massive RC tears: Does it make sense? A systematic review of early clinical evidence. The American Journals of Sports Medicine. 2020.

Full-Text Link

3. Lacheta et al. Clinical and imaging outcomes after SCR with human dermal allograft. Arthroscopy. 2020.

Full-Text Link

 

Arthroscopy

Link to arthroscopic technique video

 

Additional Reading

Additional Readings

Article

1. You JS, Monroe EJ, Friedman JM, Feeley BT, Lansdown DA, Zhang AL, Ma CB. Arthroscopic Single-Portal Subscapularis Tendon Repair. Arthrosc Tech. 2020 Sep 15;9(10):e1447-e1452. doi: 10.1016/j.eats.2020.06.005. PMID: 33134045; PMCID: PMC7587017.

Full-Text Link

 

Meniscus

Biomechanics

Recorded Lecture

Biomechanics of the Foot and Ankle

 

Additional Reading

Additional Readings

Articles

1. Feeley BT and Lau BC. Biomechanics and clinical outcomes of partial menisectomy. JAAOS. 2018.

Full-Text Link

2. Krych et al. Meniscal root injuries. JAAOS. 2019.

Full-Text Link

3. Katz et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. The New England Journal of Medicine. 2013;368(18): 1675-1683.

Full-Text Link

 

Repair Strategies

 

Additional Reading

Additional Readings

Articles

1. Feeley BT and Lau BC. Biomechanics and clinical outcomes of partial menisectomy. JAAOS. 2018.

Full-Text Link

2. Krych et al. Meniscal root injuries. JAAOS. 2019.

Full-Text Link

3. Katz et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. The New England Journal of Medicine. 2013;368(18): 1675-1683.

Full-Text Link

 

Meniscus Transplant - RTS

 

Additional Reading

Additional Readings

Articles

1. Lee YS et al. Return to sports after athletes undergo meniscal surgery: Systematic Review. Clin J Sport Med. 2019.

Full-Text Link

2. Liu JN et al. HTO and MMT. Clin Sports Med. 2019.

Full-Text Link

 

Labrum

Natural History

 

Additional Reading

Additional Readings

Articles

1. Knesek et al. Diagnosis and management of Superior Labrum Anterior and Posterior tears in throwing athletes. The American Journals of Sports Medicine. 2013. 

Full-Text Link

2. Dickens JF et al. Return to play and recurrent instability after in-season anterior shoulder instability: A prospective multicenter study. The American Journals of Sports Medicine. 2014;42(12):2842-2850.

Full-Text Link

3. Provencher MT al a. A prospective analysis of 179 Type 2 Superior Labrum Anterior and Posterior repairs: Outcomes and factors associated with success and failure. The American Journals of Sports Medicine. 2013; 41:880-886.

Full-Text Link

 

Bone Loss - Repair

 

Additional Reading

Additional Readings

Articles

1. Lemmex et al. Arthroscopic management of anterior glenoid bone loss. Journal of Bone and Joint Surgery. 2019

Full-Text Link 

2. MOON Shoulder. Clinical outcomes after anterior shoulder stabilization in Overhead athletes. The American Journal of Sports Medicine. 2019. 

Full-Text Link

 

Complex Case Strategy

 

Additional Reading

Additional Readings

Articles

1. Magnuson JA, Wolf BR, Cronin KJ, Jacobs CA, Ortiz SF, Kuhn JE, MOON Shoulder Group, Hettrich CM. Surgical outcomes in the Frequency, Etiology, Direction, and Severity (FEDS) classification system for shoulder instability. J Shoulder Elbow Surg. 2020;29(4):784-793. doi:10.1016/j.jse.2019.12.002.

Full-Text Link 

2. Di Giacomo and Burkart. Evolving concept of bipolar bone loss and the hills-sach lesion: From "engaging/non-engaging" lesion to "on-track/off-track" lesion. Arthroscopy. 2015.

Full-Text Link

 

ACL

Graft Type

Recorded Lecture #1

ACL Ligament Core - Dr. Colyvas

 

Additional Reading

Additional Readings

Articles

1. Kaeding et al. Allograft Versus Autograft Anterior Cruciate Ligament Reconstruction: Predictors of Failure From a MOON Prospective Longitudinal Cohort. Sports Health 2011.

Full-Text Link

2. Sajovic et al. Long-term Comparison of Semitendinosus and Gracilis Tendon Versus Patellar Tendon Autografts for ACL Reconstruction, A 17-Year Follow-up of a RC trial. AJSM 2018

Full-Text Link

3. MOON Group. ACL Reconstruction in High School and College Aged Athletes. Does Autograft Choice Influence ACL revision rates? AJSM 2020

Full-Text Link

 

Outcomes

 

Additional Reading

Additional Readings

Articles

1. Westermann et al. Meniscus repair with concurrent ACL reconstruction: Operative Success and Patient Outcomes at 6-Year Follow-up (Moon) AJSM 2014

Full-Text Link

2. Ajuid, et al. ACL injury and Radiologic Progression of Knee OA: A Systematic Review and Meta-Analysis. AJSM 2014

 

Full-Text Link

(3?) MARS Group. Relationship Between Sports Participation After Revision ACL Reconstruction and 2-Year Patient-Reported Outcome Measures. AJSM 2019.

Full-Text Link

 

Cartilage

Return to sports - outcomes

Recorded Lecture

Articular Cartilage Injuries and Treatment - Dr. LaRoque

Hip

Basics

 

Additional reading

Additional Reading

Articles

1. Beck et al. Hip Morphology Influences damage to acetabular cartilage, BJJ. 2005

Full-Text Link

2. Sankar et al. FAI: Defining the condition and its role in OA. JAAOS. 2013.

Full-Text Link

3. Nepple et al. Clinical Diagnosis of FAI. JAAOS. 2013

Full-Text Link

4. Clohisy et al. Systematic approach to X-rays of the Hip. JBJS. 2008. 

Full-Text Link

 

FAI

 

Additional Reading

Additional Readings

Articles

1. Byrd et al. FAI in athletes. The American Journal of Sports Medicine. 2014.

Full-Text link

2. Bogunovic, L., Gottlieb, M., Pashos, G., Baca, G. & Clohisy, J. C. Why Do Hip Arthroscopy Procedures Fail? Clin Orthop Relat Res. 2013.

Full-Text link

3. Register et al. Asymptomatic Findings in Hips. The American Journal of Sports Medicine. 2012

Full-Text Link

4. Cancienne et al. Two-Year Patient-Reported Outcomes for Patients Undergoing Revision Hip Arthroscopy with Capsular Incompetency. Arthroscopy. 2020

Full-Text Link

5. Dwyer et al. Operative Versus Nonoperative Treatment of Femoroacetabular Impingement Syndrome: A Meta-analysis of Short-Term Outcomes. Arthroscopy. 2020

Full-Text link 

6. Register B., Pennock A.T., Ho, C.P., et al. Prevalence of Abnormal Hip Findings in Asymptomatic Participants: A Prospective, Blinded Study. The American Journal of Sports Medicine. 2012.

Full-Text link 

 

Other Hip Conditions

 

Additional Reading

Additional Readings

Articles

1. de Sa et al. Extra-Articular Hip Impingement: A Systematic Review Examining Operative Treatment of Psoas, Subspine, Ischiofemoral, and Greater Trochanteric/Pelvic Impingement. Arthroscopy 2014.

2. Larson et al.  The Dancer’s Hip: The Hyperflexible Athlete: Anatomy and Mean 3-Year Arthroscopic Clinical Outcomes. Arthroscopy 2020.

Full-Text Link

3. Chambers, CC., Monroe, E.J., et al. Periportal Capsulotomy: Technique and outcomes for a Limited Capsulotomy During Hip Arthroscopy. 2019.

Full-Text Link 

4. Strickland, C.D., Kraeutler, M.J., Brick, M.J. et al. MRI Evaluation of Repaired Versus Unrepaired Interportal Capsulotomy in Simultaneous Bilateral Hip Arthroscopy. 2018.

Full-Text Link 

5. Menge, T.J., Briggs, K.K., et al. Survivorship and Outcomes 10 Years Following Hip Arthroscopy for Femoroacetabular Impingement. 2017.

Full-Text Link 

6. Hodax, J.D., Flores S.E., et al. Use of Air Arthrograms to Aid in Joint Distraction During Hip Arthroscopic Surgery Decreases Postoperative Pain and Opioid Requirements. The Orthopaedic Journal of Sports Medicine. 2019.

Full-Text Link 

7. Kraeutler, M.J., Goodrich, J.A., et al. The ‘‘Outside-In’’ Lesion of Hip Impingement and the ‘‘Inside-Out’’ Lesion of Hip Dysplasia Two Distinct Patterns of Acetabular Chondral Injury. The American Journal of Sports Medicine. 2019.

Full-Text Link 

8. Wyles CC., Norambuena GA., et al. Cam Deformities and Limited HipRange of Motion Are Associated With Early Osteoarthritic Changes in Adolescent Athletes A Prospective Matched Cohort Study. The American Journal of Sports Medicine. 2017.

Full-Text Link 

 

Basic Science

PRP - Stem Cells - R2

 

Additional Reading

Additional Readings

Articles

1. Cole BJ, Karas V, Hussey K, Pilz K, Fortier LA. Hyaluronic Acid Versus Platelet-Rich Plasma: A Prospective, Double-Blind Randomized Controlled Trial Comparing Clinical Outcomes and Effects on Intra-articular Biology for the Treatment of Knee Osteoarthritis. The American Journal of Sports Medicine. 2017.

 Full-Text Link

2. Southworth TM et al. The use of PRP in symptomatic knee OA. J Knee Surg. 2019

 

PRP- Stem Cells - R4

Additional Reading

Additional Reading

Articles

1. Garza et al. Clinical Efficacy of Intra-articular Mesenchymal Stromal Cells for the Treatment of Knee Osteoarthritis: A Double-Blinded Prospective Randomized Controlled Clinical Trial. 2020;48(3):588-598. doi: 10.1177/0363546519899923.

Full-Text Link

2. Altamura et al. Platelet-Rich Plasma for Sport-Active Patients with Knee Osteoarthritis: Limited Return to Sport. Biomed Res Int. 2020.

Full-Text Link

 

Misc

 

Additional Reading

Additional Reading

Articles

1. Ha et al. Intra-articular mesenchymal stem cells in OA of the knee: A systematic review of clinical outcomes and evidence of repair. Arthroscopy. 2019.

Full-Text Link

2. Bendich I et al. What is the Appropriate Price for PRP Injections for Knee Osteoarthritis? A Cost-Effectiveness Analysis Based on Evidence from Level 1 Randomized Controlled Trials. Arthroscopy. 2020.

Full-Text Link 

 

PF Problems

Basic

 

Additional Reading

Additional Reading

Arendt et al.  Risk of Re-dislocation after primary patellar dislocation.  AJSM 2018

  1.  

Advanced

 

Additional Reading

Additional Reading

Articles

1. Askenberger M et al.  Operative repair of MPFL injury vs brace in children. AJSM. 2018

2. Damasena et al. MPFL and distal realignment, 5 year RC Trial. AJSM. 2017

 

Misc

 

Additional Reading

Additional Reading

Article

1. Hevesi M, Heidenreich MJ, Camp CL, Hewett TE, Stuart MJ, Dahm DL, Krych AJ. The recurrent instability of the patella score: a statistically based model for prediction of long-term recurrence risk after first-time dislocation. Arthroscopy. 2019;35(2):537-43.

 

Other Ligament Injury

Ligament Injury

Additional Reading

Additional Readings

Article

1. Pache S., Aman Z., et al. Posterior Cruciate Ligament: Current Concepts Review. Archives of Bone and Joint Surgery. 2018

Full-Text Link 

 

Osteoarthritis

Recorded Lecture

Early Osteoarthritis Management - Dr. Wingfield


Impingement

Femoroacetabular Impingement

Femoroacetabular Impingement - Dr. Wong


Ankle

Acute and Chronic Injuries of the Ankle - Arthrscopy - Dr. Olson

Acute and Chronic Injuries of the Ankle/Arthroscopy