Newsroom Hospital for Special Surgery

Why Women Are More Likely To Experience Knee Injuries, and What You Can Do To Protect Yours

Sat, 19 Aug 2023 13:59:00 -0400

Well +Good reports that knee pain and knee injuries can affect anyone of any age, regardless of whether they are physically active or not. In fact, according to the American Academy of Family Physicians (AAFP), approximately 25 percent of U.S. adults suffer from chronic knee pain as a result of injury, osteoarthritis, or other causes.

“Studies have shown that women have an increased risk of knee injuries compared to men,” said Struan Coleman, MD, orthopedic surgeon at HSS . "Specifically, female athletes tear their ACLs at a much higher rate than men—as much as five times more often, especially when participating in sports like soccer and basketball.”

Dr. Coleman explained that although there has yet to be conclusive evidence pointing to a specific reason, there are several factors that likely contribute to the disparity. “Men's and women’s bodies have unique differences when it comes to muscles, ligaments, and bone structure," he says. "Females tend to have wider hips than males, which affects the forces across the knee joint. In addition, studies have shown that women have more laxity in their knee ligaments, as well as other parts of the body, and changes in both hormone concentrations and menstruation can play a role in ligament laxity.”

Read the full article at wellandgood.com.

A medical professional speaks to St. Louis Game Time regarding torn hip labrums

Thu, 29 Sep 2022 14:52:00 -0400

St. Louis Game Time discusses torn hip labrums, a common hip ailments for hockey players, with HSS sports medicine surgeon Struan H. Coleman, MD, PhD, in wake of St. Louis Blues defenseman Marco Scandella’s injury.

According to Dr. Coleman, who did not treat Scandella, “The most common hip injury that we see in athletes and particularly in hockey players is a torn hip labrum as a result of a condition called hip impingement or FAI. Hip impingement is defined as abnormal contact between the ball and socket of the hip joint. Young hockey players stress their growth plate at the top of the femur which causes a bony bump to form. This bony bump or CAM hits into the socket and damages both the labrum and eventually the cartilage of the socket.”

He continued, “Many NHL players have hip impingement that is asymptomatic. Hockey players with symptomatic hip impingement often try conservative management to avoid surgery and continue to play. Once conservative management of hip impingement fails and the player can no longer perform at a desired level then surgery is indicated. Arthroscopic surgery for hip impingement is successful 90% of the time in returning the player back to a desired level of play at an average of six months.”

Read the full article at Stlouisgametime.com.

What could Cavaliers star Collin Sexton's recovery window look like? An orthopedic expert weighs in

Thu, 11 Nov 2021 18:15:00 -0500

Right Down Euclid reports on Cleveland Cavaliers point guard Collin Sexton's torn meniscus in his left knee and HSS sports medicine surgeon Struan H. Coleman, MD, PhD, who did not treat Sexton, weighs in on a potential recovery window for the injury.

Dr. Coleman explained, “It's likely that he has a small bone bruise and a small meniscus tear, and they're seeing if they can get him back without surgery. That's a good sign that he was on the court shooting baskets. That suggests to me that they're going to try to treat this non-operatively or they're testing him to see if they can. So he might be back in about four weeks.”

He continued, “We obviously don't have a crystal ball, but here's what I would say about that medical team, which I know. They're a great team, and they are not going to do anything to jeopardize his ability to play in the short term or the long term. So, they're going to do the right thing for him so that it gets him back, in the short term, if possible, and certainly protect his knee and allow him to have his full career in the long term.”

Read the full article at Rightdowneuclid.bulletin.com.

What Everyone Should Know About ACL Surgery

Mon, 05 Aug 2019 11:04:21 -0400

Choosing the right treatment option for an ACL tear upfront can have lifelong implications. On behalf of Hospital for Special Surgery, the world’s largest academic medical center specializing in musculoskeletal health, we the surgeons of the HSS Sports Medicine Institute have drafted the following guidelines for people who are considering ACL treatment.

Reconstruction is the current standard of care surgical treatment for tears of the anterior cruciate ligament (ACL). This procedure typically uses a graft, or a piece of tissue, placed in the knee minimally invasively, using small incisions. About 300,000 ACL reconstructions are performed annually in the United States with well documented rates of success.

ACL repair is an older technique that involved suturing (sewing) torn ACL tissue, not rebuilding it with a graft. ACL repair was performed in the 1970s at select institutions, including Hospital for Special Surgery, but was abandoned due to unacceptably high failure rates of up to 50%.

Today, ACL repair has been modernized and can be performed through a minimally invasive approach. Proponents suggest that modern ACL repair techniques may be performed safely and may lead to a quicker recovery than ACL reconstruction. However, the limited studies to date raise questions that must be discussed in detail with your surgeon.

1. It is critically important to get ACL surgery right the first time.

When ACL surgery fails, surgeons must do a revision procedure to correct or revise the problems that were not fully addressed the first time. Revision requires reconstructive ACL surgery with a graft. (ACL repairs cannot be done as revisions.) Redoing ACL surgery may result in higher rates of failure, lower rates of return to sports, and increased risk of osteoarthritis.

The importance of successful initial ACL surgery holds true for people of all ages, but it is particularly critical for young athletes, for whom a failed surgery can have devastating consequences, including years lost from sport in the short term as well as chronic pain and loss of function in the long term.

2. Failure rates for ACL repair appear to be significantly higher than those for ACL reconstruction in people of all ages.

Current studies suggest that modern ACL repair techniques have a failure rate that may be five to ten times higher than that of ACL reconstruction^1,2,3. One major recent study in a prominent sports medicine journal found that arthroscopic ACL repair has unacceptable outcomes in young athletes, with short-term failure rates of close to 50%².

It has been suggested that ACL repair may be appropriate for older adults who have a type of ACL tear called a proximal avulsion and who do not participate in “cutting and pivoting” sports such as basketball, volleyball, and soccer. For these patients, failure rates in the short term appear to be much higher than ACL reconstruction in this age group^1,2,3.

3. There is still much we don’t know about ACL repair.

There has been no scientific evidence that shows a difference in postoperative pain between ACL repair and reconstruction. Rehabilitation and return-to-play protocols for ACL repair have not yet been established. Proper guidelines for rehabilitation and return to sports are essential to keep people safe from re-injury.

Andrew D. Pearle, MD

Chief, HSS Sports Medicine Institute

Bryan T. Kelly, MD

HSS Surgeon-in-Chief and Medical Director

Answorth A. Allen, MD

David W. Altchek, MD

Struan H. Coleman, MD, PhD

Frank A. Cordasco, MD, MS

David M. Dines, MD

Joshua S. Dines, MD

Stephen Fealy, MD

Andreas H. Gomoll, MD

Lawrence V. Gulotta, MD

Jo A. Hannafin, MD, PhD

Anne M. Kelly, MD

John D. MacGillivray, MD

Robert G. Marx, MD, MSc, FRCSC

Michael J. Maynard, MD

Moira M. McCarthy, MD

Danyal H. Nawabi, MD, FRCS

Stephen J. O’Brien, MD, MBA

Anil S. Ranawat, MD

Scott A. Rodeo, MD

Howard Anthony Rose, MD

Beth E. Shubin Stein, MD

Sabrina M. Strickland, MD

Karen M. Sutton, MD

Samuel A. Taylor, MD

Russell F. Warren, MD

Thomas L. Wickiewicz, MD

Riley J. Williams III, MD

References

1. Jonkergouw A, van der List J, DiFelice G. Arthroscopic primary repair of proximal ACL tears: outcomes of the first 56 consecutive patients and the role of additional internal bracing. Knee Surg Sports Traumatol Arthrosc. 2019 Jan;27(1):21-28.

2. Gagliardi AG, Carry PM, Parikh HB, Traver JL, Howell DR, Albright JC. ACL repair with suture ligament augmentation is associated with a high failure rate among adolescent patients. Am J Sports Med. 2019 Mar;47(3):560-566.

3. Wright RW et al. Risk of tearing the intact ACL in the contralateral knee and rupturing the ACL graft during the first 2 years after ACLR: A prospective MOON cohort study. Am J Sports Med. 2007 Jul;35(7):1131-4.

For more information visit https://www.hss.edu/condition-list_torn-acl.asp.

Hospital For Special Surgery llego a Peru para presentar sus mas destacados programas

Mon, 04 Jun 2018 07:00:00 -0400

Business Empresarial reported that HSS physiatrist-in-chief Joel M. Press, MD, and sports medicine surgeon Struan H. Coleman, MD, PhD, presented the latest technologies in orthopedics and sports medicine in Lima, Peru.

According to the article, there are a growing number of Peruvian patients who have traveled to HSS for care.

"I am involved in clinical research that analyzes the results after hip preservation surgery and hip arthroscopy. This research allows a better understanding of the diagnosis and treatment of athletic hip injuries. Caring for athletes and helping them return to sports after an injury is a great satisfaction," said Dr. Coleman.

Dr. Press noted that the most common injuries treated at HSS are related to the knee, shoulder and spine.

"In the last 150 years, we have established the best surgical programs and services available in the world. Our biggest challenge in our area of physiatry is to build the medical and non-surgical components of this institution at the same level as the surgical services," Dr. Press added.

This article originally appeared at businessempresarial.com.pe.