CAM type Femoroacetabular impingement (FAI) is a condition where a boney overgrowth on the femur pinches the socket it rests in resulting pain, injury to the surrounding labrum and sometimes a loose cartilage flap. During surgery, the damaged flap...read more
This study talks about newer biologic treatments in use to potentially slow disease progression in patients with knee osteoarthritis. These include hyaluronic acid, platelet-rich plasma (PRP), bone-marrow aspirate concentrate (BMAC) and adipose-derived mesenchymal stem cells. Believed to affect tissue...read more
PMID: 31136201 Surgical treatment of lateral meniscal tears can be challenging due to the greater mobility of the lateral meniscus, thin capsule, and management of the popliteal hiatus. In such instances, having a detailed understanding of relevant anatomy is...read more
Multi-ligament knee injuries in the young and active population can be devastating. This case series sought to report outcomes following sports-related single-stage multi-ligament knee reconstructions. Over a 6-year period, 194 patients that sustained injury to least two out of...read more
Almost a quarter of a million people suffer injuries playing soccer, the most popular and increasingly growing sport in the world. One in every seven soccer injuries is due to a pathology in the hips. Particularly with femoroacetabular (hip)...read more
This study was designed to examine the relationship between previously untreated cartilage injuries in the knees of future NFL players during the NFL combine and their in-game performance when compared to players who did not have a cartilage injury....read more
This study discusses the effects of mesenchymal stem cells (MSCs) on cartilage regeneration and patient-reported pain and function. Osteoarthritis (OA) is one of the most common causes of joint pain and disability; MSCs have been extensively studied as an...read more
PMID: 32057981 Meniscal lesions occur frequently in athletes and the general population, with approximately 1 million meniscal surgical procedures in the United States each year. For patients with chronic, degenerative tears, meniscal injuries may not be able to heal...read more
Previous literature is lacking in a description of the medial stabilizing ligaments of the kneecap in relation to surrounding structures and one another. In this study, the attachments of the following ligaments were analyzed in relation to bony and...read more
Femoroacetabular (hip) impingement syndrome (FAIS) is common medical condition that particularly effects young, active patients. In many cases, hip arthroscopy is indicated and has been evidenced as a successful procedure to return athletes to sport with high satisfaction ratings....read more
Femoroacetabular impingement syndrome (FAIS) is a devastating condition that can cause pain and impact quality of life. While the biomechanics of the hip causing the impingement can be addressed, less is known about how damaged cartilage (often called chondromalacia)...read more
This study reviews the current evidence surrounding rotator cuff repairs (RCR). Rotator cuff tears are a frequent cause of shoulder pain and disability; despite resolution of pain and outcome measures following surgery, incomplete healing or re-tearing following surgery is...read more
PMID: 29517925 Most medial meniscus root tears occur in patients in their fourth or fifth decades of life, causing moderate to severe joint-line pain. Historically, surgeons have elected to treat these tears nonoperatively or by meniscectomy. Unfortunately, clinical studies have...read more
In this study, posterior cruciate ligament (PCL) injuries in players in the National Football League (NFL) Combine were analyzed to define epidemiology by player position, concurrent injury rate, and draft success with injury from 2009 – 2015. This injury...read more
Damage to the cartilage on the back side of the patella or the groove it runs in (typically called a patellofemoral osteochondral lesion by orthopedic surgeons) is seen in a little over 1/3 of patients getting an arthroscopic knee...read more
Hip preservation treatments have become increasingly investigated in the past few decades. Particularly with the advent of orthobiologics, such as platelet-rich plasma (PRP) and stem cells, common intra-articular hip pathologies are now managed with injections. However, as studies have...read more
PMID: 31054709 Meniscus root tears are a specific type of meniscal injury that have gained attention over the past several years. They are defined as lesions either directly at the attachment point between the meniscus and tibia, or within...read more
Blood flow restriction (BFR) rehabilitation is an emerging trend in sports medicine, especially in the setting of anterior cruciate ligament (ACL) reconstruction. BFR involves placing a cuff around the thigh that decreases the amount of blood in the knee...read more
Hip microinstability is an established diagnosis that involves small, extra-physiologic hip motions that causes pain with or without symptoms of hip joint instability. However, its occurrence is still debated by many physicians as no objective criteria has been proposed...read more
When possible, treatment of shoulder joint osteoarthritis usually includes non-operative interventions, but when these provide insufficient relief, the most common course of action is to proceed with a shoulder joint replacement which can greatly restrict activity in younger populations....read more
This study talks about the role of biologics in common ligament injuries. There is a significant potential with the use of biologics given it may enhance tissue healing. Biologics may provide an alternative to surgical intervention when nonoperative treatment...read more
PMID: 31205961 The loss of healthy meniscal tissue in pediatric populations has been shown to have many negative long term consequences on joint health, including higher rates of early-onset osteoarthritis pain and lower quality of overall life. Thus, meniscal...read more
When multiple knee ligaments require reconstruction, there is a possibility of the tunnels drilled for each graft crossing paths (tunnel convergence). Through use of 3D knee models, the risk of tunnel convergence for anterior cruciate ligament (ACL), posterior cruciate...read more
Patient opinions are a crucial part of understanding how physicians can improve clinical practices. One outcome of this was being able to better understand the relationship between preoperative patient expectations and patient-reported outcomes after hip arthroscopy for femoroacetabular impingement...read more
Localized cartilage damage in the knee is a common cause pain and disability in younger populations. These cartilage injuries are common on the end of the femur but are also present on the back side of the patella and...read more
This study evaluates the current literature on the safety and efficacy of intra-articular cellular therapy injections. For patients with osteoarthritis or focal cartilage defects, intra-articular cellular therapy is appealing in that it may help with cartilage regeneration. The current...read more
Chicago orthopedic surgeon Dr. Jorge Chahla was recently interviewed by Telemundo for a new segment about common snow related injuries. Watch the video below to see the interview....read more
PMID: 29468171 Reports have shown that 30% to 60% of those with ACL tears also demonstrate either meniscal or chondral injuries at the time of their ACL reconstruction surgery. Although these lesions concurrent with ACL tears have been associated with...read more
The medial meniscus is connected to the knee joint capsule at the meniscocapsular attachment (MCA) and to the tibia at the meniscotibial attachment (MTA). Tears of the MCA, historically termed “ramp” lesions” have been reported in up to 17%...read more
The use of ultrasound in current clinical practices is increasingly utilized as studies begin to show it has comparable accuracy to other imaging modalities without the need of significant additional equipment and personnel. Current standard methods of intra-operative imaging,...read more
