The Sports Medicine Research Rundown

In this month's "Sports Medicine Research Rundown," we welcome Dr. Kristin Hopkins, Team Physician for Stony Brook University athletics. Dr. Hopkins, an acclaimed orthopedic surgeon, shares insights on cutting-edge ACL reconstruction techniques, specifically the Lateral Extra-Articular Tenodesis (LET) procedures. Learn why these "LEAPs" are becoming crucial for preventing re-tears in high-risk patients, especially adolescent athletes. We break down the science, discuss surgical considerations, and explore rehabilitation expectations.

Topics Covered:

• 0:03 – Welcoming Dr. Kristin Hopkins
• 1:08 – Introduction to ALL (Anterior Lateral Ligament) and LET (Lateral Extra-Articular Tenodesis) procedures
• 2:05 – The concept of LEAPs (Lateral Extra-Articular Procedures) and Segond Fracture
• 3:05 – LET technique using the IT band and its benefits over ALL
• 3:56 – Increasing commonality of LET procedures and differing surgeon approaches
• 6:21 – Indications for LET High-grade pivot shift, high-risk patients (re-tears, contralateral tears, hyperlaxity, adolescent athletes)
• 8:16 – Risks and considerations: Increased stiffness and initial pain
• 9:16 – Over-constraining and potential for arthritis (long-term unknown)
• 11:42 – ACL injury and arthritis predisposition
• 13:22 – Graft choices: Quad and BTB vs. Hamstring
• 13:34 – Evidence supporting LEAP effectiveness in preventing re-rupture
• 15:02 – Discussion of the article: "Impact of lateral extraarticular procedure augmentation on rerupture risk and tegner activity scale outcomes in adolescent ACL patients" by Muhammad Musa (AGSM, 2024)
• 17:53 – Rehabilitation protocols: Full extension, early weight-bearing, and prehab importance
• 20:54 – Study results: Significant decrease in re-ruptures with LEAP (18 vs. 3)
• 21:40 – No increased re-operations or arthrofibrosis with LEAP
• 22:02 – No difference in return to sport timelines or outcome scores
• 24:02 – Typical return to play around 8-9 months
• 24:25 – Bracing for the first season back
• 25:25 – Bracing for offensive linemen in football
• 26:59 – Study limitations: Omission of pre-operative rotational instability and lack of randomization
• 27:28 – Why LEAP isn't for everyone
• 28:00 – Hardware irritation: Use of all-suture anchors
• 28:26 – Will LEAP become standard for all comers?
• 28:59 – Case selection for LEAP: Young, high-level athletes in pivot/plant sports
• 30:16 – Anecdotal return to play outcomes with LEAP patients

Guest Bio:

Dr. Kristin Hopkins is a Team Physician for Stony Brook University athletics, specializing in contact sports like lacrosse and football. She is a sports medicine fellow graduate of the Nicholas Institute of Sports Medicine and Athletic Trauma.

Disclaimer:This podcast is for educational purposes only and is not a substitute for professional medical advice. Always consult with a qualified healthcare provider for any health concerns or before making any decisions related to your health or treatment.

Join us on The Sports Medicine Research Rundown for a deep dive into the world of complex patellofemoral pain and instability. Host Tim and Rob are joined by Dr. Alexander Golant, an NYU orthopedic sports medicine surgeon, who shares his expert approach to diagnosing and treating these challenging anterior knee conditions. This episode explores key topics including:

• Identifying patellofemoral maltracking and using special tests like the J sign and lateral tilt.

• The role of specific imaging views (like lateral X-rays) in assessing trochlear dysplasia.

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Understanding the rationale behind combined surgical procedures (Tibial Tubercle Osteotomy (TTO), MPFL reconstruction, Trochleoplasty, lateral release) using an "a la carte" philosophy.

• Navigating post-operative expectations, including managing arthrofibrosis and achieving full range of motion.

• Expert guidance on return to sport protocols after complex patellofemoral surgery.
  Whether you're a physical therapist, athletic trainer, or orthopedic professional, this episode provides invaluable insights into optimizing care for complex patellofemoral patients.




#SportsMedicine #Orthopedics #KneePain #Patellofemoral #KneeInstability #PatellarTracking #KneeSurgery #TTO #MPFL #Trochleoplasty #PhysicalTherapy #Rehab #SportsRehab #AthleticTraining #ReturnToSport #Arthrofibrosis #MedicalPodcast #SportsMedResearch

In this episode of the Sports Medicine Research Rundown, join hosts Tim Tyler and Rob Shapiro as they delve into the complexities of meniscus and meniscus root tears with renowned orthopedic surgeon, Dr. Nick Sgaglione from Northwell Health.

Dr. Sgaglione, a leading expert with 36 years of experience, provides invaluable insights into:

• Meniscus Anatomy & Function: Understand the crucial role of the meniscus and the differences between medial and lateral aspects.
• Meniscus Root Tears: Learn about the unique challenges of root tears, their impact on knee biomechanics, and the urgency of repair.
• Diagnosis & Treatment: Discover the latest diagnostic techniques and surgical repair methods for meniscus injuries in 2025.
• Factors Influencing Repair: Explore the key considerations in deciding whether to repair a meniscus tear, including tissue quality and tear type.

This episode is a must-listen for anyone interested in sports medicine, knee injuries, and the latest advancements in orthopedic care. Tune in to gain expert knowledge and practical insights on managing meniscus and root tears.

Key Topics: Meniscus Tear, Root Tear, Knee Injury, Orthopedic Surgery, Sports Medicine, Dr. Nick Sgaglione, MD

#sportsmedicine #kneepain #meniscustear #roottear #orthopedics #podcast #healthcare #orthopedicsurgery

Is joint pain holding your patients back? Dive into the world of sports medicine research with Dr. Kenneth Zaslav, Director of the Center for Regenerative Orthopedic Medicine at Lenox Hill Hospital, in this essential episode of the "Sports Medicine research rundown podcast." We break down cartilage damage, from basic cartilage defect classifications and common causes like sports injuries and overuse, to symptoms and diagnosis using MRI. Explore non-operative treatments and surgical options before we spotlight the innovative Agili-C implant: a cutting-edge solution for cartilage restoration. Dr. Zaslav, a pioneer in the field, explains how this affordable implant works, its rehab process, and promising future applications. Learn about knee pain relief, joint preservation, and the latest advancements in regenerative orthopedic medicine to get you back in the game.

#SportsMedicine, #Orthopedics, #CartilageRepair, #KneePain, #AgiliC, #RegenerativeMedicine, #Podcast #professionalseminars

Welcome to Episode 8 of The Sports Medicine Research Rundown! In this episode, we explore the tightrope procedure for syndesmotic ankle sprains. Our expert team delves into the latest research, discusses the surgical approach, and provides insights into recovery and rehabilitation. Whether you're an athlete, a coach, or just interested in sports medicine, this episode is packed with valuable information.

Key Points:

#podcast #podcasts #sportsmedicine #AnkleSprain #InjuryPrevention #AthleteHealth #Surgery #PhysicalTherapy #SportsInjury #ResearchRundown #ProfessionalSeminars #HealthTips #thesportsmedicineresearchrundown

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*These Videos are provided for informational and educational purposes only and should not be used as a replacement for appropriate medical treatment. Please consult your doctor or licensed physical therapist for an appropriate course of treatment*

In this episode, we dive into the world of clavicle fractures, a common injury among athletes, especially those in contact sports like hockey, football, and wrestling. Our guest, Dr. Kier Ross, a renowned orthopedic surgeon, shares his expertise on the causes, diagnosis, treatment options, and rehabilitation of clavicle fractures.

We discuss:

#claviclefracture #orthopedicsurgery #sportsmedicine #injuryrecovery #hockey #football #wrestling #health #fitness #podcast #healthcaremarketing

Join us for an insightful discussion with Dr. Kenneth Montgomery, Chairman of the Medical Department and Head Team Physician for the New York Jets, as he explores the evolution and comparison of ACL graft choices. Dr. Montgomery shares his extensive experience with quad tendon grafts versus bone-patellar tendon-bone (BTB) grafts, offering valuable insights for both surgeons and physical therapists. From his international work with Ortho Nations to his perspective on emerging techniques like the Bridge-Enhanced ACL Repair (BEAR), this episode delivers essential knowledge for sports medicine professionals.

==========================

*SHOW NOTES:*

==========================

Guest: Dr. Kenneth Montgomery

Chairman of Medical Department and Head Team Physician, New York Jets

Previously at Nicholas Institute of Sports Medicine and Athletic Trauma

Currently at Tri-County Orthopedics

*Key Topics Discussed:*

Comparison of ACL graft choices

-Quad tendon vs. Bone-Patellar Tendon-Bone (BTB)

-Discussion of outcomes and complications

International work with Ortho Nations

-Experiences in Vietnam and Nepal

-Differences in graft availability and choices globally

Research Review

-Analysis of study comparing outcomes in female soccer players

-Discussion of limitations and significance

Clinical Pearls:

Timing of surgery post-injury

-Considerations for graft choice in female athletes

-Management of combined ACL/MCL injuries

Bridge-Enhanced ACL Repair (BEAR) Procedure

-Current perspective and limitations

-Comparison to traditional reconstruction techniques

*Time Stamps:*

0:04 - Introduction of Dr. Montgomery

1:41 - Discussion of international work

27:57 - Analysis of research article

42:50 - Discussion of study results

50:52 - Q&A session

*Notable Quotes:*

"I want the therapist to be able to work on getting that full extension. That's how people feel normal." - Dr. Montgomery

*Resources Mentioned:*

2019 AJSM article comparing quad tendon and BTB outcomes

Meta-analyses from 2015-2022 comparing graft choices

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THE SPORTS MEDICINE RESEARCH RUNDOWN

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*These Videos are provided for informational and educational purposes only and should not be used as a replacement for appropriate medical treatment. Please consult your doctor or licensed physical therapist for an appropriate course of treatment*

In this episode of the The Sports Medicine Research Rundown, host Tim Tyler welcomes special guest Dr. Greg Galano from Lenox Hill Hospital and Northwell Health. Dr. Galano, a distinguished Sports Medicine fellow from the Hospital for Special Surgery, shares his expertise on hip arthroscopy and the treatment of athletic hip injuries.

In this episode of The Sports Medicine Research Rundown, hosts Tim Tyler and Robert Shapiro welcome orthopedic surgeon Dr. Benjamin Bedford to provide an in-depth look at the evolving treatment and rehabilitation of Achilles tendon ruptures. They explore the historical management approaches, the emergence of minimally invasive "pars repair" techniques, and the considerations around operative versus non-operative care. The conversation delves into critical rehabilitation principles, potential complications, and return to play timelines, particularly for elite athletes. This comprehensive discussion offers valuable insights for physical therapists and clinicians managing this common, yet challenging, sports medicine injury.

Show Notes:

• Overview of Achilles tendon ruptures, including risk factors, demographics, and common injury mechanisms
• Comparison of traditional open surgical repair versus newer minimally invasive "pars repair" techniques
• Detailed rehabilitation protocols and key considerations around early weight-bearing, range of motion, and progressive strengthening
• Potential complications like re-rupture rates and strategies to mitigate risk
• Return to play timelines and expectations for elite athletes recovering from Achilles tendon injuries
• The role of modalities like blood flow restriction, ultrasound, and electrical stimulation in Achilles rehabilitation- Insights on educating patients throughout the recovery process and managing their expectations

This in-depth discussion provides physical therapists and clinicians essential knowledge to optimize outcomes for patients suffering from Achilles tendon ruptures.

#AchillesTendonRupture #AchillesRepair #SportsRehabilitation #OrthopedicSurgery #MinimallyInvasiveSurgery #PhysicalTherapy #SportsInjuries #AthleteRecovery #ReturnToPlay #RehabProtocols #ComplicationsManagement #PatientEducation

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*THE SPORTS MEDICINE RESEARCH RUNDOWN*

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Dr. Zoland's Book - Deciphering Groin and Pelvic Pain: https://amzn.to/3KE3CnX