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Hand injuries in sport – symposium
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Abstracts / Journal of Science and Medicine in Sport 20S (2017) e67–e105
load may contribute to illness susceptibility, other factors may be more influential (e.g., seasonal factors). http://dx.doi.org/10.1016/j.jsams.2017.01.068 221 Hand injuries in sport – symposium J. Harvey 1,2,∗ , J. Roeberts 3 , B. Cunningham 4 1
OrthoSport Victoria, Australia 2 Dandenong Hospital, Australia 3 Victoria House, Australia 4 Olympic Park Sports Medicine, Australia This symposium is designed to present up-to-date information concerning sporting injuries to the wrist and hand. The injuries will be presented from the view point of the Hand Surgeon, the MSK radiologist and the Hand therapist. This symposium will provide up-to-date information concerning injuries, the urgency of these injuries and the ideal method for assessment and management. There will be ample time for an interactive discussion with the presenters concerning issues that are relevant to individuals of all areas of training. http://dx.doi.org/10.1016/j.jsams.2017.01.069 222 Women in sport symposium (Deakin) The theme of the Seminar is ‘Aligning industry needs with research priorities: What is the current environment?’ The panel draws on expertise from industry and research to present and workshop this theme. The intention is that the symposium gives the audience an understanding of where to priorities research and suggestions to facilitate collaboration with industry. Panel members will address in their view, what is the current state of Women in Sport, followed by the role of research in their domain. The panel members are as follows: Bill Tait – Head Coach, Rowing at the Victorian Institute of Sport since 2009. During this time Bill coached the Women’s Pair and Four in 2010 and 2011, who collectively won two silvers and a bronze medal at World Championships. In 2012 he coached the Women’s Pair which won Silver at the London Olympics. Mel Jones – A former Australian Cricketer and now TV cricket commentator, athlete manager, Bowls Australia Director and holds many other roles within the sports industry including proud member of the oldest women’s cricket club in the world and Dargo Walnut Festival Egg Toss Champion. Mel is passionate about grassroots sport and how we can continue to develop the best sporting landscape for female athletes, coaches, journalists, administrators to reach their sporting heights. Andrew O’Loughlin – Having 20 years’ experience in the sporting industry, working for government, national sports bodies, major event organisations, and agencies, Andrew is now Managing Director Limelight Sports, leading a team to create a more active world. Limelight have been creating active event experiences for over 25 years, with offices in Melbourne, Sydney, London and Dubai. Andrew is a big believer in the power of participation sport. He regularly shares his thoughts, ideas and insights to inspire a more active world at www.activeworld.online and on twitter at Limelight AOL. Assoc. Prof Rochelle Eime – Federation University and ISEAL, VU. Associate Professor Rochelle Eime is a Behavioural Epidemiologist with 15 years-experience in industry-based sport and
recreation research. Rochelle is the Director of the Sport and Recreation Spatial program of research which is all about investigating sport and recreation participation and facilities, and associated health outcomes, to support evidence-based decision making. http://dx.doi.org/10.1016/j.jsams.2017.01.070 223 The effect of rotator cuff retear on early overhead shoulder function: A study in 1600 consecutive rotator cuff repairs H. Robinson ∗ , P. Lam, J. Walton, G. Murrell Orthopaedic Research Institute, University of New South Wales, Australia Introduction: Rotator cuff tears are often surgically repaired, generally with good results. However, repairs not infrequently retear and/or fail to heal, often still with good results. It remains unclear how important repair integrity is with respect to early functional outcomes following rotator cuff repair. Thus, the purpose of this study was to determine the impact of a re-tear on overhead activities in a large cohort of patients following rotator cuff repair. Methods: This was a retrospective cohort study using prospectively collected data from 1600 consecutive rotator cuff repairs. Outcomes were based on patient responses to the L’Insalata Shoulder Questionnaire and findings on examination. Repair integrity was determined at the six-month follow-up visit ultrasound. Results: The mean age of the 1600 subjects was 58 years, with 885 males and 715 females. Post-operative ultrasound found 13% (211/1600) of repairs had retorn. Significant improvements were seen irrespective of rotator cuff integrity in pain levels with overhead activity (p < 0.0001), range of motion in forward flexion (p < 0.001) and abduction (p < 0.01). Patients with intact repairs had 9.5 Newtons greater supraspinatus strength (p < 0.0001) and 6.9 Newtons greater external rotation strength (p < 0.01) than those with a re-tear. Discussion: To our knowledge, this is the largest study to evaluate the effect of rotator cuff repair integrity on shoulder function. Patients who had an arthroscopic rotator cuff repair reported significant improvements in overhead pain levels irrespective of whether the repair was intact or not at six months. Repair integrity influenced supraspinatus and external rotation power, where patients with intact repairs were stronger than those with a re-tear. http://dx.doi.org/10.1016/j.jsams.2017.01.071 224 Does stiffness impair or enhance healing post rotator cuff repair? A study in 1533 consecutive arthroscopic rotator cuff repairs W. McNamara ∗ , P. Lam, G. Murrell Introduction: Re-tear and stiffness are not uncommon outcomes of rotator cuff repair. The purpose of this study was to evaluate the relationship between rotator cuff repair healing and shoulder stiffness. Methods: 1533 consecutive patients who had an arthroscopic rotator cuff repair by a single surgeon ranked their shoulder stiffness using a Likert scale and examiners ranked passive range of motion preoperatively, 1 week, 6 weeks, 12 weeks and 6 months postoperatively. Repair integrity was determined by ultrasound at 6 months. Results: After rotator cuff repair there was an overall 17% loss of patient ranked and examiner ranked shoulder motion at 6 weeks
Abstracts / Journal of Science and Medicine in Sport 20S (2017) e67–e105
load may contribute to illness susceptibility, other factors may be more influential (e.g., seasonal factors). http://dx.doi.org/10.1016/j.jsams.2017.01.068 221 Hand injuries in sport – symposium J. Harvey 1,2,∗ , J. Roeberts 3 , B. Cunningham 4 1
OrthoSport Victoria, Australia 2 Dandenong Hospital, Australia 3 Victoria House, Australia 4 Olympic Park Sports Medicine, Australia This symposium is designed to present up-to-date information concerning sporting injuries to the wrist and hand. The injuries will be presented from the view point of the Hand Surgeon, the MSK radiologist and the Hand therapist. This symposium will provide up-to-date information concerning injuries, the urgency of these injuries and the ideal method for assessment and management. There will be ample time for an interactive discussion with the presenters concerning issues that are relevant to individuals of all areas of training. http://dx.doi.org/10.1016/j.jsams.2017.01.069 222 Women in sport symposium (Deakin) The theme of the Seminar is ‘Aligning industry needs with research priorities: What is the current environment?’ The panel draws on expertise from industry and research to present and workshop this theme. The intention is that the symposium gives the audience an understanding of where to priorities research and suggestions to facilitate collaboration with industry. Panel members will address in their view, what is the current state of Women in Sport, followed by the role of research in their domain. The panel members are as follows: Bill Tait – Head Coach, Rowing at the Victorian Institute of Sport since 2009. During this time Bill coached the Women’s Pair and Four in 2010 and 2011, who collectively won two silvers and a bronze medal at World Championships. In 2012 he coached the Women’s Pair which won Silver at the London Olympics. Mel Jones – A former Australian Cricketer and now TV cricket commentator, athlete manager, Bowls Australia Director and holds many other roles within the sports industry including proud member of the oldest women’s cricket club in the world and Dargo Walnut Festival Egg Toss Champion. Mel is passionate about grassroots sport and how we can continue to develop the best sporting landscape for female athletes, coaches, journalists, administrators to reach their sporting heights. Andrew O’Loughlin – Having 20 years’ experience in the sporting industry, working for government, national sports bodies, major event organisations, and agencies, Andrew is now Managing Director Limelight Sports, leading a team to create a more active world. Limelight have been creating active event experiences for over 25 years, with offices in Melbourne, Sydney, London and Dubai. Andrew is a big believer in the power of participation sport. He regularly shares his thoughts, ideas and insights to inspire a more active world at www.activeworld.online and on twitter at Limelight AOL. Assoc. Prof Rochelle Eime – Federation University and ISEAL, VU. Associate Professor Rochelle Eime is a Behavioural Epidemiologist with 15 years-experience in industry-based sport and
recreation research. Rochelle is the Director of the Sport and Recreation Spatial program of research which is all about investigating sport and recreation participation and facilities, and associated health outcomes, to support evidence-based decision making. http://dx.doi.org/10.1016/j.jsams.2017.01.070 223 The effect of rotator cuff retear on early overhead shoulder function: A study in 1600 consecutive rotator cuff repairs H. Robinson ∗ , P. Lam, J. Walton, G. Murrell Orthopaedic Research Institute, University of New South Wales, Australia Introduction: Rotator cuff tears are often surgically repaired, generally with good results. However, repairs not infrequently retear and/or fail to heal, often still with good results. It remains unclear how important repair integrity is with respect to early functional outcomes following rotator cuff repair. Thus, the purpose of this study was to determine the impact of a re-tear on overhead activities in a large cohort of patients following rotator cuff repair. Methods: This was a retrospective cohort study using prospectively collected data from 1600 consecutive rotator cuff repairs. Outcomes were based on patient responses to the L’Insalata Shoulder Questionnaire and findings on examination. Repair integrity was determined at the six-month follow-up visit ultrasound. Results: The mean age of the 1600 subjects was 58 years, with 885 males and 715 females. Post-operative ultrasound found 13% (211/1600) of repairs had retorn. Significant improvements were seen irrespective of rotator cuff integrity in pain levels with overhead activity (p < 0.0001), range of motion in forward flexion (p < 0.001) and abduction (p < 0.01). Patients with intact repairs had 9.5 Newtons greater supraspinatus strength (p < 0.0001) and 6.9 Newtons greater external rotation strength (p < 0.01) than those with a re-tear. Discussion: To our knowledge, this is the largest study to evaluate the effect of rotator cuff repair integrity on shoulder function. Patients who had an arthroscopic rotator cuff repair reported significant improvements in overhead pain levels irrespective of whether the repair was intact or not at six months. Repair integrity influenced supraspinatus and external rotation power, where patients with intact repairs were stronger than those with a re-tear. http://dx.doi.org/10.1016/j.jsams.2017.01.071 224 Does stiffness impair or enhance healing post rotator cuff repair? A study in 1533 consecutive arthroscopic rotator cuff repairs W. McNamara ∗ , P. Lam, G. Murrell Introduction: Re-tear and stiffness are not uncommon outcomes of rotator cuff repair. The purpose of this study was to evaluate the relationship between rotator cuff repair healing and shoulder stiffness. Methods: 1533 consecutive patients who had an arthroscopic rotator cuff repair by a single surgeon ranked their shoulder stiffness using a Likert scale and examiners ranked passive range of motion preoperatively, 1 week, 6 weeks, 12 weeks and 6 months postoperatively. Repair integrity was determined by ultrasound at 6 months. Results: After rotator cuff repair there was an overall 17% loss of patient ranked and examiner ranked shoulder motion at 6 weeks