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Musculoskeletal Considerations for Exercise and Sport: Before, During, and After Pregnancy

Borowski, Lauren E; Barchi, Elizabeth I; Han, Julie S; Friedman, David A; Carter, Cordelia W
There is little written in the orthopaedic literature regarding common musculoskeletal problems that women encounter in relation to pregnancy and their clinical and surgical management. Exercise and other physical activity are generally recommended for most women before, during, and after pregnancy. Unfortunately, a variety of musculoskeletal issues may keep women from starting, continuing, or resuming a healthy exercise regimen throughout a notable portion of their reproductive years. Untreated and undertreated orthopaedic conditions in female athletes may therefore have further unintended negative effects on maternal and fetal health. This article reviews the existing literature on musculoskeletal health considerations before, during, and after pregnancy to provide practical information to orthopaedic surgeons who treat women of all ages and athletic abilities.
PMID: 34043597
ISSN: 1940-5480
CID: 4888242

Short-term Effect of Ultrasound-Guided Iliopsoas Peritendinous Corticosteroid Injection

Han, Julie S; Sugimoto, Dai; McKee-Proctor, Maxwell H; Stracciolini, Andrea; d'Hemecourt, Pierre A
OBJECTIVES/OBJECTIVE:Treatment for iliopsoas tendinopathy includes ultrasound (US)-guided iliopsoas peritendinous corticosteroid injection. Evidence is lacking regarding US-guided iliopsoas injection efficacy in patients with iliopsoas tendinopathy and intra-articular (IA) hip abnormalities. The purpose of this study was to examine the efficacy of US-guided iliopsoas corticosteroid injection for iliopsoas tendinopathy in patients with and without IA hip abnormalities. METHODS:) was used to determine injection effects on HOOS scores before and 6 weeks after injection. RESULTS: = 0.135). CONCLUSIONS:In patients with iliopsoas tendinopathy, US-guided iliopsoas corticosteroid injection improved outcomes regardless of coexisting IA hip abnormalities. Patients without IA hip abnormalities showed greater improvement in sports and recreation and QOL scores compared to patients with IA hip abnormalities. Ultrasound-guided iliopsoas injection for iliopsoas tendinopathy may advance short-term care and help continue with nonsurgical treatment regimens.
PMID: 30380165
ISSN: 1550-9613
CID: 3386912

Epidemiology of Figure Skating Injuries: A Review of the Literature

Han, Julie S; Geminiani, Ellen T; Micheli, Lyle J
CONTEXT/BACKGROUND:As the popularity and technical demands of figure skating increase, so will the number of athletes presenting with sport-related problems. EVIDENCE ACQUISITION/METHODS:Searches were performed across PubMed from 1980 to 2017. The keywords searched were skating, skaters, incidence, and injuries. The search was limited to English-language articles and human participants. Relevant articles were cross-referenced. STUDY DESIGN/METHODS:Clinical review. LEVEL OF EVIDENCE/METHODS:Level 5. RESULTS:Previous studies suggest an increase in incidence of figure skating injuries from 1982 to 2003. When combining all disciplines of figure skating, there is a similar proportion of acute and overuse injuries. Within disciplines, overuse injuries appear to be more common in singles skating, while acute injuries are more common in pairs skating, ice dancing, and synchronized skating. Lower extremity injuries are more common than upper extremity injuries in all disciplines, and pairs skating accounts for the majority of upper extremity injuries. Ankle sprains are the most common skating injury, and patellar tendinitis is the most common overuse injury across all disciplines. Stress fractures are the most common overuse injury in female singles skaters. CONCLUSION/CONCLUSIONS:The predominance of overuse injuries in singles disciplines reflects their increasing technical difficulty, with more difficult jumps and longer training hours. Partner disciplines are more likely to involve acute injuries and upper extremity injuries due to high-risk throws and lifts. Emphasis should be placed on properly fitting skating boots, intrinsic foot and ankle strengthening, and lower extremity flexibility, which may prevent many of the common lower extremity and back injuries in figure skating.
PMID: 29738281
ISSN: 1941-0921
CID: 3245522