Orthopedics This Week | February 16, 2016

ORTHOPEDICS THIS WEEK VOLUME 12, ISSUE 6 | FEBRUARY 16, 2016 a specific fraction of bone marrow is the bare minimum needed to yield anything close to the traditional definition of bone marrow derived mesenchymal stem cells. When using autologous blood or tissues, if the patient is older, unhealthy, or obese there may be higher levels of potentially negative factors such as inflammation and fewer anabolic agents such as growth factors and stem cells. To help advance the use of biologics in orthopedics, my group is currently working to determine the biologic repair potential of people as individuals.” Athletes: Posterior Instability & RC Tears Do Better Than SLAP Tears and RC Issues James P. Bradley, M.D., M.S. is a sports medicine specialist with Burke & Bradley Orthopedics at the University of Pittsburgh Medical Center. Dr. Bradley also is head orthopedic surgeon for the Pittsburgh Steelers and a past president of the National Football League Physicians Society. Commenting on his recent work, Dr. Bradley told OTW, “There is evidence that elite throwing athletes with SLAP (superior labrum anterior to posterior) tears and concomitant partial thickness rotator cuff [RC] tears have poor return to play results. We therefore conducted our own investigation, which included 25 of my elite throwing athletes with unidirectional posterior instability, some of whom had rotator cuff tears. Only those with significant partial thickness rotator cuff tears were included. Each of these throwing athletes had undergone arthroscopic capsulolabral repair, as well as pre-and postop patient evaluations, including return to play.” “When we postoperatively compared patients with and without rotator cuff 19 tears, those with rotator cuff pathology had poorer American Shoulder and Elbow Society (ASES) scores and more pain. Postoperative ASES scores in throwers without rotator cuff pathology were an average of 10 points higher than those without such pathology. Postoperative pain scores were higher in those with rotator cuff tears (1.1 versus 2.4). In addition, we noted that patients with concomitant rotator cuff tears had a feeling of instability preoperatively (8.3 versus 6.2) that disappeared after surgery. This allowed us to conclude that athletes with rotator cuff tears complained more about pain than about instability.” “Return to play was the same for athletes in both groups (an average followup of three years), thus indicating that arthroscopic capsulolabral repair for posterior shoulder instability is success- RESTORING MOVEMENT cartilage restoration matrix An easy-to-use, single-stage biologic solution designed to relieve pain and improve function. prochondrix.org allosource.org AAOS Annual Meeting - Booth 2835 - March 2-4, 2016 Advertisement ryortho.com | 1-888-749-2153

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