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  1. Article ; Online: Bone health and the masters runner.

    Raiser, Sara N / Schroeder, Allison N / Lawley, Richard J / Tenforde, Adam S

    PM & R : the journal of injury, function, and rehabilitation

    2024  Volume 16, Issue 4, Page(s) 363–373

    Abstract: Masters runners are often defined as those ages 35 years and older who train and compete in running events. These runners represent a growing population of the overall running community and experience running-related injuries including bone stress ... ...

    Abstract Masters runners are often defined as those ages 35 years and older who train and compete in running events. These runners represent a growing population of the overall running community and experience running-related injuries including bone stress injuries (BSIs). Similar to younger runners, health considerations in masters runners include the goal to optimize bone health with focus on mitigating age-associated loss of bone strength and preventing BSIs through a combination of ensuring appropriate physical activity, optimizing nutrition, and correcting faulty biomechanics. Importantly, BSIs in masters runners may include characteristics of both overuse injury from insufficient recovery and failure of bone weakened by age-related loss of bone (insufficiency fractures). This narrative review covers the limited available research on strategies to optimize bone health in masters runners. Applying knowledge on masters athletes and extrapolating from other populations, we propose strategies on treatment and prevention of BSIs. Finally, the review highlights gaps in knowledge that require further age-specific discoveries to advance treatment and prevention.
    MeSH term(s) Humans ; Bone Density ; Cumulative Trauma Disorders ; Fractures, Stress/diagnosis ; Fractures, Stress/etiology ; Fractures, Stress/therapy ; Running/injuries
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2608988-9
    ISSN 1934-1563 ; 1934-1482
    ISSN (online) 1934-1563
    ISSN 1934-1482
    DOI 10.1002/pmrj.13175
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Concurrent Diagnosis of Functional Popliteal Artery Entrapment Syndrome and Chronic Exertional Compartment Syndrome in Athletes.

    Lawley, Richard J / Kasitinon, Donald / Sisk, Daniel / Lavingia, Kedar S / Lee, Jason T / Fredericson, Michael

    Current sports medicine reports

    2022  Volume 21, Issue 10, Page(s) 366–370

    MeSH term(s) Arterial Occlusive Diseases/diagnosis ; Athletes ; Chronic Exertional Compartment Syndrome ; Humans ; Popliteal Artery/diagnostic imaging ; Popliteal Artery Entrapment Syndrome
    Language English
    Publishing date 2022-10-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2080040-X
    ISSN 1537-8918 ; 1537-890X
    ISSN (online) 1537-8918
    ISSN 1537-890X
    DOI 10.1249/JSR.0000000000000999
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Reverse Anterior Cruciate Ligament Reconstruction Fixation: A Biomechanical Comparison Study of Tibial Cross-Pin and Femoral Interference Screw Fixation.

    Lawley, Richard J / Klein, Samuel E / Chudik, Steven C

    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

    2017  Volume 33, Issue 3, Page(s) 625–632

    Abstract: Purpose: To evaluate the biomechanical performance of tibial cross-pin (TCP) fixation relative to femoral cross-pin (FCP), femoral interference screw (FIS), and tibial interference screw (TIS) fixation.: Methods: We randomized 40 porcine specimens ( ... ...

    Abstract Purpose: To evaluate the biomechanical performance of tibial cross-pin (TCP) fixation relative to femoral cross-pin (FCP), femoral interference screw (FIS), and tibial interference screw (TIS) fixation.
    Methods: We randomized 40 porcine specimens (20 tibias and 20 femurs) to TIS fixation (group 1, n = 10), FIS fixation (group 2, n = 10), TCP fixation (group 3, n = 10), or FCP fixation (group 4, n = 10) and performed biomechanical testing to compare ultimate load, stiffness, yield load, cyclic displacement, and load at 5-mm displacement. We performed cross-pin fixation of the looped end and interference screw fixation of the free ends of 9-mm-diameter bovine extensor digitorum communis tendon grafts. Graft fixation constructs were cyclically loaded and then loaded to failure in line with the tunnels.
    Results: Regarding yield load, FIS was superior to TIS (704 ± 125 N vs 504 ± 118 N, P = .002), TCP was superior to TIS (1,449 ± 265 N vs 504 ± 118 N, P < .001), and TCP was superior to FCP (1,449 ± 265 N vs 792 ± 397 N, P < .001). Cyclic displacement for FCP was superior to TCP. Cyclic displacement for TIS versus FIS showed no statistically significant difference (2.5 ± 1.0 mm vs 2.2 ± 0.6 mm, P = .298). Interference screw fixation consistently failed by graft slippage, whereas TCP fixation failed by tibial bone failure. FCP fixation failed by either femoral bone failure or failure elsewhere in the testing apparatus.
    Conclusions: Regarding yield load, TCP fixation performed biomechanically superior to the clinically proven FCP at time zero. Because TIS fixation shows the lowest yield strength, it represents the weak link, and combined TCP-FIS fixation theoretically would be biomechanically superior relative to combined FCP-TIS fixation with regard to yield load. Cyclic displacement showed a small difference in favor of FCP over TCP fixation and no difference between TIS and FIS.
    Clinical relevance: Time-zero biomechanics of TCP fixation paired with FIS fixation show that this method of fixation can be considered a potential alternative to current practice and may pose clinical benefits in different clinical scenarios of anterior cruciate ligament reconstruction.
    MeSH term(s) Animals ; Anterior Cruciate Ligament Reconstruction/methods ; Biomechanical Phenomena ; Bone Nails ; Bone Screws ; Cattle ; Femur/surgery ; Materials Testing ; Swine ; Tendons/transplantation ; Tibia/surgery
    Language English
    Publishing date 2017-03
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 632528-2
    ISSN 1526-3231 ; 0749-8063
    ISSN (online) 1526-3231
    ISSN 0749-8063
    DOI 10.1016/j.arthro.2016.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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