First Aggregation in Physiotherapy at the University of Porto

21/07/2021

Link to the video Prof. Dr Jan CABRI is part of the jury for the aggregation exam in Physiotherapy at the FADEUP (Faculty of Sport of the University of Porto). The curricular unit report is entitled “Clinical Exercise: Emerging Trends and Research Approaches” and the theme of the lesson/seminar is “Physical Exercise as a Non-Pharmacological Treatment of Arterial Hypertension”.”
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Functional Cortical Connectivity Related to Postural Control in Patients Six Weeks After Anterior Cruciate Ligament Reconstruction

21/07/2021

Link to the article Lehmann T., Büchel D., Mouton C., Gokeler A., Seil R. and Baumeister J. (2021) Functional Cortical Connectivity Related to Postural Control in Patients Six Weeks After Anterior Cruciate Ligament Reconstruction. Front. Hum. Neurosci.15:655116. doi: 10.3389/fnhum.2021.655116 Introduction Injuries to the anterior cruciate ligament (ACL) substantially affect knee joint laxity and cause long-term consequences for injured athletes. The accompanying functional impairments of an ACL tear thereby appear to extend beyond biomechanical alterations, comprising a loss of mechanoreceptors which consequently lead to diminished afferent input to higher levels of the sensorimotor system (Courtney et al., 2005; Kapreli et al., 2009). Although ACL injuries have repeatedly been shown to cause deficits in knee function even after surgical anterior cruciate ligament reconstruction (ACLR), knowledge about associated mechanisms of the sensorimotor system for compensating these functional impairments is still lacking (Ageberg, 2002). A growing amount of evidence has begun identifying clinically meaningful neuroplastic changes in the sensorimotor system following ACL injury. Investigations utilizing transcranial magnetic stimulation, for instance, have detected enhanced motor thresholds in the ACL injured limb, whereas functional magnetic resonance imaging or electroencephalography (EEG) studies observed increased activations of the motor areas and lower activations of somatosensory areas in these patients (Neto et al., 2019). Along with altered somatosensory information from the ACL, decreased innervation to the primary sensory cortex (Valeriani et al., 1999), as well as different corticospinal and motor cortex excitability (Pietrosimone et al., 2015; Grooms et al., 2017; Lepley et al., 2020) have been observed in patients after ACL reconstruction. As a consequence of increased motor thresholds of the injured limb and decreased responsiveness of motor areas, greater cortico-cortical stimulation is required to evoke efferent neural signaling in the motor cortex for properly controlling motion and stability of the knee joint (Lepley et al., 2020). Thus, patients with ACL injury have been shown to recruit motor areas to a larger extent than healthy individuals, indicating that cortical adaptations may facilitate the restoration of lower limb motor functions by driving compensatory synergistic muscle patterns (Courtney et al., 2005). Whereas initial findings have identified compensatory cortical patterns in patients after ACLR during proprioceptive tasks (Baumeister et al., 2008, 2011), little is known about the cortical mechanisms behind the postural deficiencies in this population. After ACLR and the following rehabilitation, many patients exhibit significantly decreased static postural stability as implied by increased center of pressure (CoP) excursions and velocities while standing on their injured limb (Lehmann et al., 2017). Although comprehensive evidence in the early postsurgical period is missing, postural stability in patients after ACLR was reported to deviate from both the preoperative level (Gokalp et al., 2016) and healthy controls (Parus et al., 2015) after the 4th and 8th week of surgery. With respect to these functional deficiencies in patients after ACLR, postural control reflects multimodal interactions within the sensorimotor system (Shumway-Cook and Woollacott, 2012). Recent findings from neuroimaging studies suggested that active contributions from the cortex continuously maintain and restore postural equilibrium (Wittenberg et al., 2017). Collectively, these EEG investigations demonstrated variations in power spectral density of theta (4–7 Hz), alpha-1 (8–10 Hz), and alpha-2 (10–12 Hz) frequency oscillations in frontal, motor, parietal, and occipital regions of the cortex. While it is suggested that theta band oscillations reflect a general brain integrative mechanism related to short term storage and manipulation of multimodal information for a given operation, alpha oscillations are related to the active inhibition of non-essential neuronal processing (Cheron et al., 2016), with alpha-1 reflecting global alertness of cortical areas and alpha-2 being associated with task-specific sensorimotor processing (Pfurtscheller and Lopes, 1999). Modulations of oscillatory activity during postural tasks therefore conceivably reflect direct or indirect interactions within complex transcortical and cortico-subcortical loops for detecting and counteracting postural instability (Wittenberg et al., 2017). The underlying functional relationships, as quantified by statistical interdependencies among distributed cortical regions, are referred to as functional connectivity (Friston, 2011). These connections show frequency-specific modulations within a fronto-parietal theta network and a parieto-occipital alpha network in response to postural instability and varying postural demands (Mierau et al., 2017; Varghese et al., 2019; Lehmann et al., 2020). In the light of injury-related increased postural sway (Lehmann et al., 2017), patients after ACLR may require stronger interactions of functionally interconnected sensorimotor areas for properly controlling postural stability (Rosen et al., 2019; Jiganti et al., 2020), as well as hip and knee movement (Criss et al., 2020) while standing on the injured limb. Investigations of structural white matter changes following ACLR further indicated that the hemisphere contralateral to the injured leg may be particularly affected by this neurostructural reorganization (Lepley et al., 2020). Therefore, the aim of the present case-control study is to explore leg dependent patterns of cortical connectivity related to postural control during single leg stances in patients 6 weeks following ACLR. It is hypothesized that patients after ACLR may show compensatory cortical mechanisms in terms of stronger functional connections within the theta and alpha networks compared to their matched controls. Furthermore, these cortical adaptations may specifically affect the stance on the injured limb. In this way, the current investigation may gain further insight into sensorimotor changes related to postural deficiencies after ACLR.
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Presentation from Dr. Luca Macchiarola (MD - Orthopaedic Surgeon)

20/07/2021

Side-To-Side Anterior Tibial Translation on Monopodal Weightbearing Radiographs as a Sign of Knee Decompensation in ACL Deficient Knees Dr. Luca MACCHIAROLA (presenter), Dr. Christophe JACQUET, Dr Jeremie DOR, Prof. Stefano ZAFFAGNINI, Caroline MOUTON, Dr. Prof. Romain SEIL CHL EICH / LIROMS
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Chief Scientific Expert nomination

14/07/2021

Congratulations! to Prof. Dr. Jan CABRI who has been appointed Chief Scientific Expert for the Luxembourg Institute for High Performance in Sports (LIHPS). https://lihps.lu/who-we-are/team/
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Mental Fatigue and Sport‐Specific Psychomotor Performance: A Systematic Review

06/07/2021

Link to article Habay, J., Van Cutsem, J., Verschueren, J., De Bock, S., Proost, M., De Wachter, J., Tassignon, B., Meeusen, R., & Roelands, B. (2021). Mental Fatigue and Sport-Specific Psychomotor Performance: A Systematic Review. Sports medicine (Auckland, N.Z.), 51(7), 1527–1548. https://doi.org/10.1007/s40279-021-01429-6 Abstract Background Mental fatigue (MF) is a psychobiological state that impairs endurance performance in healthy athletes. Recently, multiple studies indicated that MF could also impair sport-specific psychomotor performance (SSPP). Neverthe- less, a systematic overview detailing the effects of MF on SSPP is currently lacking.Objective The objective of this study is to collate relevant literature and examine the effect of MF on SSPP. A secondary aim was to create an overview of the potential subjective and physiological factors underlying this MF effect. Methods PubMed (MEDLINE), Web of Science, PsycINFO and SPORTDiscus were searched (5th of November 2020). Studies were eligible when study outcomes encompassed any form of SSPP skill in a sport-specific context, the intervention was targeted to induce MF, and the population included healthy individuals. The presence of a manipulation check, to indicate the successful induction of MF, was obligatory for inclusion. Secondary outcomes were all outcomes (either physiological or psychological) that could explain the underlying mechanisms of the effect of MF on SSPP. Results In total, 21 papers were included. MF was successfully induced in all but two studies, which were excluded from further analysis. MF negatively impacts a myriad of SSPP outcomes, including decision-making, reaction time and accuracy outcomes. No changes in physiological outcomes, that could underlie the effect of MF, were reported. Subjectively, only ratings of perceived of exertion increased due to MF in some studies. Conclusions Overall, the selected papers indicated that MF negatively affects SSPP. Research that assesses brain function, while evaluating the effect of MF on SSPP is essential to create further insight.
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Anti-Doping: New e-learning course for medical professionals

01/07/2021

Link to the article Anti-Doping: New e-learning course for medical professionals Prof. Dr. med. Axel URHAUSEN is a member of the NADA Medicine Group, which participated to this project. The National Anti Doping Agency of Germany, NADA, a civil law foundation by form, is the key body for clean sports in Germany. NADA has become the center of competence for anti-doping activities in Germany. NADA’s tasks are diverse and cover doping controls, education and prevention, medical and legal advice as well as international cooperation. Thereby, NADA Germany significantly contributes to the preservation of values in sports. NADA tackles the problem of doping in sports, cooperatively, on the national and international level, and supports all athletes who compete clean. A comprehensive e-learning course designed by the World Anti-Doping Agency (WADA) and translated by the National Anti-Doping Agency (NADA) is available for athletes' medical personnel. It can be accessed under the title "ADEL for medical professionals" on WADA's Anti-Doping Education and Learning (ADEL) website: adel.wada-ama.org/learn/public/learning_plan/view/36/adel-fur-medizinisches-fachpersonal-german The course begins by addressing ethical and moral aspects that physicians are confronted with in the care of athletes. The course then focuses on practical case studies, which are used to explain the anti-doping regulations that are important for physicians, the World Anti-Doping Code and the National Anti-Doping Code, the Prohibited List and the Standard for Therapeutic Use Exemptions. In addition, it will be made clear how physicians can support the athletes under their care in complying with the anti-doping regulations. To this end, the course presents the basics of doping prevention and the doping control system as well as legal aspects. Each of the four thematic modules concludes with a review of the knowledge acquired. At the end of the entire course, participants can expect a final examination. If they pass, the participants receive a corresponding certificate.
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Preliminary experience of an international orthopaedic registry: the ESSKA Paediatric Anterior Cruciate Ligament Initiative (PAMI) registry

28/06/2021

Link to the article Mouton, C., Moksnes, H., Janssen, R., Fink C., Zaffagnini S., Monllau JC., Ekås G., Engebretsen L., Seil R. Preliminary experience of an international orthopaedic registry: the ESSKA Paediatric Anterior Cruciate Ligament Initiative (PAMI) registry. J EXP ORTOP 8, 45 (2021). https://doi.org/10.1186/s40634-021-00366-7 Abstract Paediatric and adolescent ACL injuries are an emerging health burden, increasing at a higher rate than in adults. They compromise quality of life, affect knee structure and function, lead to the early development of osteoarthritis and are a serious economic burden due to shortened professional careers and subsequent surgeries. Up to 35% of children and adolescents will experience a second ACL injury and this population particularly at high risk of secondary intraarticular soft tissue degeneration and growth abnormalities. However, there is still a lack of high-quality outcome studies on this specific population and many knowledge gaps persist in the current treatment guidelines. It is currently unknown whether ACL reconstruction in this young population decreases the risk of irreversible secondary intraarticular soft tissue degeneration. Furthermore, it is not known whether return to high or elite level sports after paediatric ACL injury or reconstruction should be recommended. The relatively low number of paediatric ACL injuries seen in each hospital makes it necessary to conduct international multi-centre studies to collect robust data to provide evidence-based guidelines for the treatment of these injuries. The Paediatric Anterior Cruciate Ligament Initiative (PAMI) was thus started by the European Society of Sports Traumatology, Knee Surgery & Arthroscopy and opened for patient inclusion in 2018. This comprehensive overview of the first 2 years of the PAMI registry shows that the project is now well consolidated and accepted by the European orthopaedic community. Future challenges include ensuring additional external funding to ascertain long term sustainability and continuous dissemination of the knowledge acquired in scientific journals.
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Does practice of meniscus surgery change over time?

28/06/2021

Link to the article Jacquet, C., Mouton, C., Becker, R., Koga H., Ollivier M., Verdonk P., Beaufils P., Seil R. Does practice of meniscus surgery change over time? A report of the 2021 ‘THE MENISCUS’ Webinar. J EXP ORTOP 8, 46 (2021). https://doi.org/10.1186/s40634-021-00365-8 Purpose. The aim of this paper was to report the results presented in the session “Does practice of meniscus surgery change over time?” of the 2021 MENISCUS webinar held online on January 30th 2021. Method. During the 2021 MENISCUS webinar, an evaluation of meniscus surgery practices was performed by analyzing: (1) The presentation of the results of a survey conducted among ESSKA members and assessing their current practices in the field of meniscus surgery, (2) Four reports by national experts analyzing the trends in Arthroscopic Partial Meniscectomy (APM) and meniscus repair procedures in their respective countries (France, Belgium, Germany and Japan). Results. (1) ESSKA Survey: Among the 461 respondents, 75% of surgeons claimed to perform more meniscus repairs and 85% less APM than 5 years ago. In ACL-associated meniscus injuries, a majority of surgeons (60%) indicated to perform a meniscal resection in less than 25% of cases. 25% declared to perform meniscus repair in ACL-associated meniscus injuries in less than 25% of cases and 37% in more than 50% of cases. Half of the respondents repair medial or lateral root tears in less than 25% of cases. Less than 20% of respondents were not familiar with the ESSKA consensus. (2) National trends: In France, between 2005 and 2017, the APM rate decreased by 21.4%, while the repair rate increased by 320%. In Belgium, between 2007 and 2017, the APM rate decreased by 28.6%. In Germany, between 2010 and 2017 the number of APM decreased by 30%, while the number of repair procedures increased by 55%. Finally, in Japan, between 2011 and 2016, the APM ratio (APM/meniscus procedures) decreased by 16% from 91 to 75% while the repair ratio increased from 9 to 25%. Conclusion. The 2021 ESSKA members' survey as well as statistics from 4 specifically examined countries (Belgium, France, Germany and Japan) suggest there has been a significant shift over the last years in the surgical management of meniscal lesions towards less APM and more conservative treatments.
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Return to sports after COVID-19 infection

16/06/2021

Video from the webinar held 16th June. Speakers: Dr S. Hein, Prof A. Urhausen, MD, PhD (CHL, Luxembourg) Organised by the Luxembourgish Academy for Sports Medicine, Sports Physiotherapy and Sports Science
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Knee Arthroscopy: An Up-to-Date guide - Ramp lesions

14/06/2021

Link to the book Ramp lesions chapter. Seil R., Mouton C. Knee Arthroscopy: An Up-to-date guide - © Springer Nature Singapore Pte Ltd. 2021J. G. Kim (ed.), Knee Arthroscopy, https://doi.org/10.1007/978-981-15-8191-5_18 eBook ISBN978-981-15-8191-5 Hardcover ISBN978-981-15-8190-8 This book provides detailed guidance on knee arthroscopy that reflects the very latest advances in this ever-changing field. Among the techniques covered are reconstruction of the anterior and posterior cruciate ligaments, meniscal repair and transplantation, cartilage repair by means of osteochondral allograft transplantation and autogenous osteochondral transfer, medial patellofemoral ligament reconstruction, and high tibial osteotomy. In each case, clear descriptions of technique are supported by a wealth of high-quality illustrations, with identification of potential pitfalls and how to avoid them. In addition, the latest knowledge is presented on anatomy and biomechanics. The book is written by recognized experts in sports injuries and knee disorders. It will serve as an up-to-date reference for the experienced knee surgeon and an ideal source of information for all who wish to broaden their knowledge of and improve their skills in knee arthroscopy, whether general orthopaedists, orthopaedic trainees, or sports medicine physicians. Ramp lesions chapter (Seil R., Mouton C.) Ramp lesions to the posterior horn of the medial meniscus have recently received increased attention due to their high preva- lence in patients undergoing an anterior cru- ciate ligament reconstruction. The diagnosis of these lesions is rarely possible with preop- erative imaging and quite limited with routine anterior arthroscopic inspection of the knee joint. Visual inspection of the posteromedial compartment of the knee joint should thus systematically be carried out via a trans-notch view and meniscocapsular structures directly probed with a needle or visualized via a pos- teromedial portal. While the clinical impact of ramp lesions is not yet well established, recent biomechanical studies have shown increased anteroposterior and rotational laxi- ties when a ramp lesion is present. The latter may thus be a cause for postoperative persis- tent laxity potentially leading to the failure of ACL reconstructions. To date, it remains unclear whether all ramp lesions should be repaired as only a few publications report long-term outcomes after ramp lesion repair. This article provides an overview of the cur- rent knowledge on ramp lesions including their diagnosis, classification, biomechanical relevance as well as treatment and outcomes.
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Specific Sports Related Injuries - Handball

14/06/2021

Link to the book Handball chapter - Landreau P., Laver L., Seil R., Popovic N. © ISAKOS 2021 S. Rocha Piedade et al. (eds.), Specific Sports-Related Injuries, https://doi.org/10.1007/978-3-030-66321-6_681 eBook ISBN978-3-030-66321-6 Hardcover ISBN978-3-030-66320-9 This book offers an overview of injury prevention and management for all most popular individual and team sports disciplines. Handball chapter (Landreau P., Laver L., Seil R., Popovic N.) Handball is one of the Olympic sports with the highest risk of injuries (13–17% of all athletes in Beijing, London, and Rio). In the 2012 Olympics, handball had the fourth highest injury score (22%) after taekwondo (39%), football (35%), and BMX (31%) and was ahead of other team sports like basketball (11%) and volleyball (6.9%). For some it would even be the highest risk ball sport. The risk of injuries is usually represented by the number of injuries occurring during a training or competitive match reported per 1000 exposure hours. The results in the literature are variable probably because some report only lesions caus- ing time-loss and others also include overuse.
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Paperjam article - Medtech - 'CHL knee arthroscopy simulator receives €500,000'

09/06/2021

Link to the article Title: 'Le simulateur d’arthroscopie du genou du CHL reçoit 500.000 euros' published in Paperjam on June 8th, 2021 How can surgeons be prepared for a meniscus operation? With a simulator, developed by the Swiss start-up Virtamed, for Professor Romain Seil of the Centre Hospitalier de Luxembourg. With the help of a young Luxembourger, Claude Hoeltgen, the project has just received a grant of 500,000 euros.
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High Incidence of Anterior Cruciate Ligament Injuries Within the First 2 Months of the Season in Amateur Team Ball Sports

08/06/2021

Link to the article Mouton, C., Gokeler, A., Urhausen, A., Nührenbörger, C., & Seil, R. (2021). High Incidence of Anterior Cruciate Ligament Injuries Within the First 2 Months of the Season in Amateur Team Ball Sports. Sports health, 19417381211014140. Advance online publication. https://doi.org/10.1177/19417381211014140 Background: The incidence of anterior cruciate ligament (ACL) injuries is commonly reported as an annual incidence rate. There is relatively little information about the seasonal aspects of these injuries. The aim of the current study was to analyze the distribution of ACL injuries during the season in nonprofessional soccer, handball, and basketball based on a retrospective analysis of a hospital-based registry.
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Journée Kiné 2021 - Webinar June 2nd : Videos are now available!

03/06/2021

Videos from the Webinar June 2nd 2021. ACL CLINICAL PATHWAY: TRANSLATED EVIDENCE INTO CLINICAL PRACTICE Modérateurs: Romain SEIL, Prof. Dr. med, CHL. Danièle SCHAACK, PT; CHL. Topics presented: 1. Introduction - Jean-Paul Weydert 2. New developments in the management of severe knee injuries - Romain Seil, Prof. Dr. med 3. ACL clinical pathway - the CHL sports clinic model - Caroline Mouton, PhD 4. The importance of pre-habilitation of the injured athlete and the immediate post-operative care (Part 1) - Anne Frisch, PT, PhD 5. The importance of pre-habilitation of the injured athlete and the immediate post-operative care (Part 2) - Lisa Kirsch, PT 6. From the crutches back to functional activities - Louis Wennig 7. The return to training and performance (Part 1) - Nina Goedert PT 8. The return to training and performance (Part 2) - Jérôme Pauls, PT
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Primary prevention of sports injuries and overuse

26/05/2021

Link to the article. Tischer T., Besenius E., Lutter C., Seil R. Primärprävention von Sportverletzungen und -schäden. Sports Orthop. Traumatol. 37, 4–9 (2021) https://doi.org/10.1016/j.orthtr.2021.01.011 Sport is an important part of our society and has far-reaching positive effects on our health. Unfortunately, some of these positive effects are lost again due to sports injuries. In the meantime, the evidence of prevention programs to avoid sports injuries in knee, hip, ankle and shoulder is well documented. The data is greatest for the knee joint, where up to 67% of anterior cruciate ligament injuries can be avoided in adolescents and young female adults. The shoulder is still the least studied area, where there are only a few randomized studies, but which could also show a significant reduction in injuries. Thus, the main challenge is to implement prevention programs in the daily training of athletes, while at the same time improving the registration of sports injuries and the training of all players. In the future, new technologies (sensors, artificial intelligence) will certainly play an important role.
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Influence of physical activity and sports training on obesity

26/05/2021

Link to the article. Thünenkötter T., Urhausen A. Einfluss von körperlicher Aktivität und sportlichem Training auf ÜbergewichtSports Orthop. Traumatol. 37, 18–25 (2021) https://doi.org/10.1016/j.orthtr.2020.11.009 For years, the prevalence of overweight and obesity has been increasing worldwide. Due to a variety of associated comorbidities, this represents a central challenge for the health care systems. The majority of the daily energy consumption of humans can be influenced by physical training. Endurance and strength training is recommended for weight reduction. This is one of the main focus of integrative treatment programs, along with the modification of nutrition and behavior. In an adipogenic environment, however, it is very difficult for most overweight and obese people to lose weight. Exercise, even without weight normalization, can help prevent overweight-associated diseases and thus reduce mortality. Physical activity, as a cost-effective intervention, has such a positive effect on health as hardly any other measure. For this reason, therapeutic efforts in overweight and obesity should not be aimed exclusively at weight reduction, but also and especially at increasing cardiorespiratory fitness.
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Prevention of sports injuries in childhood and adolescence

26/05/2021

Link to the article. Nührenbörger C., Mouton C., Engelhardt M. Sports Orthop. Traumatol. 37, 10–17 (2021) Prävention von Sportverletzungen im Kindes- und Jugendalter. https://doi.org/10.1016/j.orthtr.2021.01.005 Sport in childhood and adolescence has many positive effects on a physical, psychological and social level as well as negative consequences such as sport injuries. There is a clear increase in acute and overuse injuries, with some serious long-term consequences on later life. In order to minimize the risk of injury, various preventive measures such as special exercise programs, age-appropriate training and competition loads, protective equipment, preventive sports medical examinations and competition support as well as rule changes have been introduced. The majority of them show positive results with a reduction in the number of injuries by 30 to 80%. However, there are still difficulties, in particular with the implementation of the prevention exercises, which in the future must be carried out with the cooperation of all structures that support sports at club, federation and school sports level as well as in sports and health policy. It is important that all supervising persons are convinced of the proven benefits of the early application of prevention exercises on health and performance in children and youth sports and that sports medicine science focuses even more on the evidence on prevention.
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Webinar: What's new in orthopaedic surgery?

25/05/2021

Link to the video What's new in orthopaedic surgery? Languages: French and German Program: - Introduction - Prof. Dr Romain Seil- Introduction to the department - Dr Caroline Mouton- Foot tendinopathies - Dr Nicolien VanGiffen- Ankle and shoulder instability: current developments - Dr Pietro Spennacchio- Ligamentous injuries of the knee - Prof.. Dr Romain Seil- Degenerative meniscus damage - Dr Christophe Jacquet- Misalignment of the legs - Prof. Dr Dietrich Pape- Minimally invasive prosthetic surgery - Dr Victor David- Surgery for infections and prosthesis revisions - Dr Alexander Hoffman- General discussion
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Paperjam article : 'The stride analysed by 3D analysis'

25/05/2021

Link to the article Title: La foulée décortiquée par une analyse 3D by Prof. Dr. Jan Cabri in Paperjam on May 20th 2021 For the past year, the CHL has offered a laboratory for the analysis of movement in 3 dimensions. A godsend for runners, who are sometimes unaware of the source of the injuries that too often bring them to stop running. In running, chronic or overload injuries are frequent. And without seeing the patient in action, it is sometimes difficult for a doctor to determine the cause. Often, it is linked to the way of running or to a malformation, which can be benign but disabling in the long run. To overcome this problem, the Luxembourg Institute of Research in Orthopedics, Sports Medicine and Science (LIROMS) has set up the Human Motion Laboratory. "This laboratory has existed for about ten years," explains Professor Jan Cabri, Scientific Director at LIROMS. "But in the last year we have equipped it with three-dimensional motion analysis technology to analyse walking and running."
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High incidence of previously neglected meniscus lesions influencing knee biomechanics in association with ACL injuries - Virtual 19th ESSKA Congress

19/05/2021

Video from the Virtual 19th ESSKA Congress 11-15 May 2021 CHL / LIROMS / LIH Caroline MOUTON, Amanda MAGOSCH, Christian NÜHRENBÖRGER, Romain SEIL
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High number of ACL injuries after the summer break in team ball sports - Virtual 19th ESSKA Congress

18/05/2021

Presentation at the Star paper session of the Virtual 19th ESSKA Congress. This presentation was selected amongst the 5 best abstracts from 2000 abstract submissions at the ESSKA Congress. CHL / LIROMS / LIH C.Mouton, A. Gokeler, A. Urhausen, C. Nührenbörger, R. Seil
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Incidence and risk factors for residual high-grade pivot shift after ACL reconstruction with or without a lateral extra-articular tenodesis

11/05/2021

Link to the article Jacquet, C., Pioger, C., Seil, R., Khakha, R., Parratte, S., Steltzlen, C., Argenson, J.-N., Pujol, N., & Ollivier, M. (2021). Incidence and Risk Factors for Residual High-Grade Pivot Shift After ACL Reconstruction With or Without a Lateral Extra-articular Tenodesis. Orthopaedic Journal of Sports Medicine. https://doi.org/10.1177/23259671211003590 Background: Residual rotatory knee laxity at midterm follow-up after isolated anterior cruciate ligament reconstruction (ACLR) versus ACLR with lateral extra-articular tenodesis (LET) remains an issue. Purpose/Hypothesis: To evaluate the outcomes of ACLR with or without additional LET at a minimum 2-year follow-up in patients with preoperative high-grade pivot shift (PS). Our hypothesis was that the addition of LET would decrease the risk of secondary meniscal injury and the presence of residual high-grade PS at follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective analysis performed at 3 sports medicine centers identified 266 study patients; all had a high-grade PS (grade 2 or 3) preoperatively and underwent isolated ACLR with or without LET. Four different ACLR techniques were used: single-strand quadrupled semitendinosus (ST4) ACLR without LET (ST4 group; n = 55), ST4 with anatomic LET (ST4+LET group; n = 77), bone–patellar tendon and modified Lemaire LET (BTB+LET group; n = 43), and quadriceps tendon and modified Lemaire LET (QT+LET group; n = 91). At follow-up, we evaluated for the presence of high-grade (grade ≥2) PS. Preoperative meniscal tears and their treatment were recorded. Results: Overall, 185 (69.5%) patients had at least 1 meniscal tear at index surgery. The mean follow-up period was 44.3 months; 47 (17.7%) patients had a new meniscal tear and 64 (24%) patients had a high-grade PS at follow-up. Compared with meniscal repair, significant predictors for high-grade PS at follow-up were meniscectomy (odds ratio [OR] = 2.65 [95% CI, 1.19-5.63]; P = .02) and nonrepair of preoperative meniscal tear (OR = 3.26 [95% CI, 1.27-9.43]; P = .007). The appearance of a new symptomatic meniscal tear was the strongest significant predictor of high-grade PS at follow-up (OR = 4.31 [95% CI, 2.31-8.06]; P < .001). No significant correlation was observed between the addition of LET and the presence of high-grade PS at follow-up. Conclusion: In the current study, 1 in 4 patients with high-grade PS before ACLR with or without LET was at risk of residual rotatory knee laxity at mean 44-month follow-up, regardless of the technique used. Repairing a pre-existing meniscal lesion was more effective than performing LET to decrease the presence of a high-grade PS at follow-up.
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The knee in elite sport

03/05/2021

Keynote lecture during the German Sports, Medicine and Health Summit 2021 about the knee in elite sport by Prof. Dr. Romain Seil.
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The future of meniscus science: international expert consensus

28/04/2021

Link to article DePhillipo N.N., LaPrade R.F., Zaffagnini S., Mouton C., Seil R., Beaufils P. . The future of meniscus science: international expert consensus. J EXP ORTOP 8, 24 (2021). https://doi.org/10.1186/s40634-021-00345-y Purpose. The purpose of this study was to evaluate the main focus areas for research and development for furthering the state of meniscus science in 2021. Methods. An electronic survey including 10 questions was sent in a blind fashion to the faculty members of the 5th International Conference on Meniscus Science and Surgery. These faculty served as an expert consensus on the future of research and development areas of meniscus science. Survey responses were analyzed using descriptive statistics and ranking weighted averages were calculated to score survey questions. Results. Of the 82 faculty, 76 (93%) from 18 different countries completed the survey (84% male, 16% female). The highest ranked future research and development focus areas were meniscus repair, biologics, osteotomy procedures, addressing meniscus extrusion, and the development of new therapies for the prevention of posttraumatic osteoarthritis. Currently, the most ‘valuable’ type of biologic reported for meniscus treatment was platelet-rich plasma. The main reported global research limitation was a lack of long-term clinical outcomes data. The most promising emerging medical technologies for improving meniscus science were 3-D printing, personalized medicine, and artificial implants. Conclusions. This survey suggests that the future of meniscus science should be focused on meniscal preservation techniques through meniscus repair, addressing meniscal extrusion, and the use of orthobiologics. The lack of long-term clinical outcomes was the main reported research limitation globally for meniscus treatment. Future product development utilizing emerging medical technologies suggest the use of 3-D printing for meniscal transplants/scaffolds, personalized treatment, and bioengineering for artificial implants.
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Paperjam article: 'Orthopaedic insoles: the last chance'

28/04/2021

Link to the article Title: LE BON GESTE: Semelles orthopédiques: le dernier recours By Prof Dr Jan Cabri in Paperjam on 8 April 2021 More and more runners are using orthopaedic insoles to correct their movement. But the debate about their effectiveness is still ongoing. For Professor Jan Cabri (Liroms), their effectiveness is often unproven.
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Machine learning methods in sport injury prediction and prevention: a systematic review

21/04/2021

Link to the article Van Eetvelde, H., Mendonça, L.D., Ley, C.,Seil R.and Tischer T. Machine learning methods in sport injury prediction and prevention: a systematic review. J EXP ORTOP 8, 27 (2021). https://doi.org/10.1186/s40634-021-00346-x Injuries are common in sports and can have significant physical, psychological and financial consequences. Machine learning (ML) methods could be used to improve injury prediction and allow proper approaches to injury prevention. The aim of our study was therefore to perform a systematic review of ML methods in sport injury prediction and prevention. Methods: A search of the PubMed database was performed on March 24th 2020. Eligible articles included original studies investigating the role of ML for sport injury prediction and prevention. Two independent reviewers screened articles, assessed eligibility, risk of bias and extracted data. Methodological quality and risk of bias were determined by the Newcastle–Ottawa Scale. Study quality was evaluated using the GRADE working group methodology. Results: Eleven out of 249 studies met inclusion/exclusion criteria. Different ML methods were used (tree-based ensemble methods (n = 9), Support Vector Machines (n = 4), Artificial Neural Networks (n = 2)). The classification methods were facilitated by preprocessing steps (n = 5) and optimized using over- and undersampling methods (n = 6), hyperparameter tuning (n = 4), feature selection (n = 3) and dimensionality reduction (n = 1). Injury predictive performance ranged from poor (Accuracy = 52%, AUC = 0.52) to strong (AUC = 0.87, f1-score = 85%). Conclusions: Current ML methods can be used to identify athletes at high injury risk and be helpful to detect the most important injury risk factors. Methodological quality of the analyses was sufficient in general, but could be further improved. More effort should be put in the interpretation of the ML models.
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Paperjam article: 'And suddenly it's a cramp!'

29/03/2021

Link to the article Title: LE BON GESTE: Et soudain, c’est la crampe! By Prof Dr Jan Cabri in Paperjam on 14 January 2021 We may be well prepared, but a cramp can spoil a performance in competition. Can it be prevented and avoided?
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Winner of the Best Original Article Award in the JISAKOS Best Article competition.

19/03/2021

Link to the award winning article Ardern CL, Ekås G, Grindem H, et al. 2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuriesJournal of ISAKOS: Joint Disorders & Orthopaedic Sports Medicine 2018;3:66-82. Hearty congratulations to the authors for being honoured as the winner of the Best Original Article Award in the JISAKOS Best Article competition selected by the Journal of ISAKOS (JISAKOS) Editorial Board and the ISAKOS Board of Directors. The article was entitled '2018 International Olympic Committee Consensus Statement on Prevention, Diagnosis and Management of Paediatric Anterior Cruciate Ligament (ACL) Injuries'. The Best Article competition was conducted as part of the celebration of ISAKOS 25th Anniversary and the JISAKOS 5th Anniversary. The authors have been invited to join at the 13th Biennial Congress in Cape Town, South Africa where the article will be recognized during the session titled 'How to get Published in The Journal of ISAKOS: Editor's Tips for Maximizing Your Journal Submissions' on Monday, November 29, 2021 at 10:30-11:15 am. Authors who attend the session also will receive a certificate of recognition as well as a cash award from the Journal of ISAKOS.
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Diagnosing instability of ligamentous syndesmotic injuries: A biomechanical perspective. Review published in Clinical Biomechanics

18/03/2021

Link to the article Spennacchio P., Seil R., Gathen M., Cucchi D. Diagnosing instability of ligamentous syndesmotic injuries: A biomechanical perspective, Clinical Biomechanics, Volume 84, 2021, 105312, ISSN 0268-0033, https://doi.org/10.1016/j.clinbiomech.2021.105312. Highlights Different experimental setups available to investigate syndesmotic stability.. Ex vivo models: significant kinematic role of anterior inferior tibiofibular ligament.. Isolated anterior inferior tibiofibular ligament lesion can cause dynamic instability.. Suspected syndesmotic instability: 2nd level diagnostics, minimize risk for sequelae.. Computed tomography can improve the diagnosis of syndesmotic instability.. Abstract Background: High ankle sprains are insidious injuries associated with a long recovery period, functional impairment and long-term sequelae if mistreated. This systematic review investigates the biomechanical knowledge on the kinematic consequences of sequential syndesmotic ligamentous injuries, aiming to furnish an updated and objective contribution for the critical appraisal and further elaboration of current diagnostic algorithms for high ankle sprains. Methods: A systematic review was performed to identify human biomechanical studies evaluating the stabilizing role of the syndesmotic ligaments. Special attention was paid to identify the smallest lesion within the progressive simulated injuries able to provoke statistically significant changes of the syndesmotic kinematic on the specimen, the mechanical solicitation that provoked it, and the measurement methodology. Findings: Fourteen studies were included. In eight articles already an isolated injury to the anterior inferior tibiofibular ligament provoked significant changes of the syndesmotic kinematic, which was always depicted under an external rotation torque. In three articles an isolated deltoid ligament injury provoked significant changes of the syndesmotic kinematic. Four articles described a direct measure of the bony movements, whereas seven collected data through conventional radiography or CT-scan imaging and three via a 3D motion analysis tracking system. Interpretation: An isolated lesion of the anterior inferior tibiofibular ligament can provoke significant kinematic modifications in ex vivo syndesmotic models and may be responsible of subtle patterns of dynamic instability, regardless of further syndesmotic ligamentous injuries. The data observed support efforts to define reliable CT imaging parameters to improve non-invasive diagnostic of subtle forms of syndesmotic instability.
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Video recording of the lecture: 'Return to sport after Covid 19' by Prof Urhausen

05/03/2021

The conference/webinar on 'The Management of Post Covid 19 Patients' was held on Wednesday, March 3, 2021, online and in person. It was organized by the CHL in collaboration with the Society of Medical Sciences of the Grand Duchy of Luxembourg. Prof Dr Axel Urhausen was invited to present his lecture on 'Return to sport after Covid 19' . The overall programme can be assessed at https://www.chl.lu/fr/actualites/videos-conference-prise-en-charge-des-patients-post-covid-19 The video recording of the conference can be assessed at https://vimeo.com/showcase/8211358/video/519810335
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Ramp lesions are six times more likely to be observed in the presence of a posterior medial tibial bone bruise in ACL‑injured patients: Publication in KSSTA

04/03/2021

Link to the publication Beel W, Mouton C, Tradati D, Nührenbörger C, Seil R. Ramp lesions are six times more likely to be observed in the presence of a posterior medial tibial bone bruise in ACL-injured patients. Knee Surg Sports Traumatol Arthrosc. 2021 Mar 4. doi: 10.1007/s00167-021-06520-z. Epub ahead of print. PMID: 33661324. Abstract Purpose: The aim of this study was to determine whether posterior tibial slope (PTS), meniscal slope (MS), and bone bruise pattern (BBP), as observed on magnetic resonance imaging (MRI), differed between patients with or without medial meniscus ramp lesions at the time of anterior cruciate ligament reconstruction (ACLR). The hypothesis was that patients with a ramp lesion had a higher PTS and MS, with a different BBP than patients without a ramp lesion. Methods: Fifty-six patients undergoing ACLR were selected from an in-house registry and separated into 2 groups: (1) the RAMP group included patients with a primary ACLR and a medial meniscus ramp lesion diagnosed intraoperatively; (2) the CONTROL group included patients with a primary ACLR without ramp lesion after arthroscopic exploration of the posteromedial knee area. The two groups were matched for age, sex and type of concomitant meniscal lesions. The medial/lateral-PTS/MS and BBP were subjected to blinded evaluation on the preoperative MRI of the reconstructed knee. Results: Twenty eight patients (21 males; 7 females) were included in each group. No significant difference could be observed between groups in terms of demographical characteristics, PTS, and MS. A posteromedial tibial plateau (PMTP) bone bruise was more often observed in the RAMP group (n = 23/28) compared to the CONTROL group (n = 12/28) (p < 0.01). The RAMP group was 6.1 (95%CI [1.8; 20.8]) times more likely to present a PMTP bone bruise. The likelihood of having a bone bruise in both the medial and lateral compartments was 4.5 (95%CI [1.2; 16.5]) times higher in the RAMP group. However, a BBP only involving the lateral tibiofemoral compartment was more likely to be observed in the CONTROL group (n = 10/28) compared to the RAMP group (n = 3/28, p < 0.05 - odds ratio 4.6 (95%CI [1.1; 19.2]). Conclusion: Ramp lesions were 6.1 and 4.5 times more likely to be observed in the presence of a posteromedial tibia plateau bone bruise or a combined bone bruise respectively in both the medial and lateral tibiofemoral compartment in patients undergoing ACLR. The tibial and meniscal slopes did not differ between patients with or without ramp lesions undergoing ACLR. Level of evidence: Level III. Keywords: ACL reconstruction; Bone bruise; Meniscal slope; Posterior tibial slope; Ramp lesion.
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The aspiration test: an arthroscopic sign of lateral meniscus posterior horn instability. Publication in JEO

02/03/2021

Link to the publication Jacquet, C., Magosch, A., Mouton, C. et al. The aspiration test: an arthroscopic sign of lateral meniscus posterior horn instability. J EXP ORTOP 8, 17 (2021). https://doi.org/10.1186/s40634-021-00327-0 The suspensory mechanism of the posterior part of the lateral meniscus is an anatomically complex structure which allows its mobility, essential to the kinematics of the knee. Damage to this structure (either through knee trauma or congenital abnormalities) can result in an instability of the lateral meniscus that may lead to lateral knee pain, locking sensations or lack of rotational control of the knee. Currently, there are no reliable clinical or imaging tests to identify this pathology and the diagnosis of lateral meniscus instability is often delayed or missed The authors of this study propose a novel method for a quick and easy arthroscopic screening test (called the aspiration test) to help surgeons to identify this instability of the lateral meniscus The description of this test is important in order to improve its diagnosis and to allow for complete anatomical repair when indicated.
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Best young researcher award at ReFORM- won by Amanda Magosch

28/02/2021

ReFORM Amanda Magosch from LIROMS won the award for the best young researcher in an online conference organized by ReFORM, the French consortium for sports health research recognized by the International Olympic Committee along with another researcher. This consortium includes the National Sports Institute of Montreal, the University of Liège, the University of Geneva, INSEP in Paris and us. The centres had selected their 11 best researchers, for the occasion. The title of Amanda's presentation was: "On the road to knee rotary instability". Her work involved a clinical examination called "pivot shift" that we routinely perform under general anesthesia before any surgery for the anterior cruciate ligament of the knee. In more than 300 patients, she was able to identify 3 variables associated with the degree of rotary instability, namely age at the time of injury, accident-surgery interval and extent of associated meniscal lesions. This is the first time these associations have been described in the literature. They are important to refine our understanding of the extent of lesions and the therapeutic approach in these patients and to improve their long-term prognosis, including physical activity and the development of osteoarthritis of the knee. The results are currently being published. The fact that Ms. Magosch was awarded this award is a testament not only to the importance of the results to the international scientific community, but also to an excellent talent in a young medical student and the right entourage by our various clinical and scientific teams. We wish her the very best in her endeavours.
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ReFORM PhD days scientific contribution

26/02/2021

Two of our PhD-students were invited to represent LIROMS at the first "Young Researcher Day“ organized by ReFORM. Anouk Urhausen described her ongoing project on the 10-year follow-up of the Delaware-Oslo ACL Cohort Study. Amanda Magosch presented the results of a study on factors associated with the Pivot Shift signs, a clinical test for rotational instability in the ACL-insufficient knee Joint. The findings that age at injury, time from injury to surgery and amount of meniscus damage were are associated with rotational laxity are new, especially with respect to the meniscus damage. In the end, Amanda was awarded for the best presentation along with one other presenter.
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Video recording of the webinar: Biomechanical analysis of running performance

03/02/2021

On 20 January 2021, a sports medical webinar on "Biomechanical assessment of running performance" by P. Gette, R. Krecké, and Prof J. Cabri, PhD (LIROMS/CHL/LIH, Luxembourg) was held virtually over Zoom attended by 100 participants. A video recording of the talk is now available.
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Influence of physical activity and sports training on obesity: Review/ Special Issue in Sports Orthopaedics and Traumatology

01/02/2021

Link to the article Summary For years, the prevalence of overweight and obesity has been increasing worldwide. Due to a variety of associated comorbidities, this represents a central challenge for the health care systems. The majority of the daily energy consumption of humans can be influenced by physical training. Endurance and strength training is recommended for weight reduction. This is one of the main focus of integrative treatment programs, along with the modification of nutrition and behavior. In an adipogenic environment, however, it is very difficult for most overweight and obese people to lose weight. Exercise, even without weight normalization, can help prevent overweight-associated diseases and thus reduce mortality. Physical activity, as a cost-effective intervention, has such a positive effect on health as hardly any other measure. For this reason, therapeutic efforts in overweight and obesity should not be aimed exclusively at weight reduction, but also and especially at increasing cardiorespiratory fitness. Keywords Fitness, Overweight, Obesity, SportsTraining, Cardiorespiratory fitness Thomas Thünenkötter, Axel Urhausen (2021) Einfluss von körperlicher Aktivität und sportlichem Training auf Übergewicht, Sports Orthopaedics and Traumatology, 2021, ISSN 0949-328X, https://doi.org/10.1016/j.orthtr.2020.11.009.
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Exclusive Interview of LIROMS President Prof Dr Romain Seil: "Pillars of ESSKA"

15/12/2020

ESSKA likes to honour individuals who they consider to be the "pillars" of the society. In the December 2020 quarterly online newsletter of ESSKA, an exclusive interview of LIROMS President, Prof Dr Romain Seil has been presented. Interviewed by Jaun Carlos Monllau. Read the interview here to catch a glimpse of Prof Seil's inspring career as well as his personal journey along the way!
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ESSKA Newsletter Dec 2020

15/12/2020

Read the latest news from ESSKA in the December issue of their quarterly newsletter. View it in a user-friendly online version as well as the traditional PDF version which can be downloaded to read offline. In this issue, there are a number of interesting articles, including: 3. ESSKA President Jacques Menetrey’s Editorial: News from the Society4. 19th ESSKA Congress GOES VIRTUAL - 11-15 May 202110. Tips and Tricks for Young Reviewers14. Pillar of ESSKA: Romain Seil18. ESSKA Sections looking forward to 202127. ESSKA Speciality Days - 3-4 September 2021 in Warsaw, Poland35. ESSKA Webinars scheduled for 2021-202248. 2020 update of Medial meniscus ramp lesions; difficult to diagnose but vital to repair50. 3D Navigation Model for Diagnosis and Treatment of the Elbow Bony Impingement ...and much more!
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Updates on PAMI: published in ESSKA newsletter Dec 2020

15/12/2020

Latest news from Pediatric ACL Monitoring Inititiative (PAMI), co/authored by LIROMS President Prof Dr Romain Seil and LIROMS scientific collaborator Dr Caroline Mouton, published in ESSKA December 2020 newsletter. Link to the article here.
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2020 update of Medial Meniscus ramp lessions: published in ESSKA Newsletter

15/12/2020

In the December 2020 ESSKA Newsletter, an article co-authored by LIROMS President Prof Dr Romain Seil has been published. Titled as "2020 update of Medial Meniscus ramp lessions, difficult to diagnose but vital to repair". Link to the article here.
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Surgical treatment of complex meniscus tear and disease: state of the art review

27/11/2020

Link to the publication Ozeki, N., Seil, R., Krych, A., & Koga, H. (2020, September 17). Surgical treatment of complex meniscus tear and disease: State of the art. Retrieved November 27, 2020, from https://jisakos.bmj.com/content/early/2020/09/17/jisakos-2019-000380 In collaboration with Tokyo Medical University, Japan, Mayo Clinic, USA and CHL, LIH and LIROMS, Luxembourg, a recent publication published in BMJ journals highlights the most modern and advanced techniques of meniscus preservation surgery (instead of resection). Dr Megha Agrawal was acknowldged in the manuscript for English editing.
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Editorial in BJSM: The mission of ReFORM

26/11/2020

Link to the article Martens G, Edouard P, Tscholl P, et alDocument, create and translate knowledge: the mission of ReFORM, the Francophone IOC Research Centre for Prevention of Injury and Protection of Athlete HealthBritish Journal of Sports Medicine Published Online First: 12 November 2020. doi: 10.1136/bjsports-2020-103087 The International Olympic Committee (IOC) has supported athletes’ health protection by funding research centres dedicated to the prevention and treatment of sports-related injuries and illnesses. After establishing four centres in 2009, the IOC research centres network expanded to 9 institutions in 2014 and the 2019 round recognised 11 centres. In this editorial, the mission of ReFORM—an international French-speaking network of five institutions is discussed along with the focus areas, expertise and what makes ReFORM unique.
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A warm-up before jogging: useful or not? Prof Dr Jan Cabri discusses

12/11/2020

https://paperjam.lu/article/echauffement-avant-jogging-uti
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Publication: Medial meniscus ramp and lateral meniscus posterior root lesions are present in more than a third of primary and revision ACL reconstructions

09/11/2020

Link to the article This study identified concomitant meniscal lesions in two thirds of all ACL reconstructions. Fifty in ACL-injured knees and an improved understanding of ACL injury mechanisms. 50 percent of them involved the biomechanically relevant, but previously often undiagnosed lesions of the medial meniscus ramp or the lateral meniscus posterior root. These findings highlight the need for a thorough and systematic inspection of the menisci. Magosch, A., Mouton, C., Nührenbörger, C. et al. Medial meniscus ramp and lateral meniscus posterior root lesions are present in more than a third of primary and revision ACL reconstructions. Knee Surg Sports Traumatol Arthrosc (2020). https://doi.org/10.1007/s00167-020-06352-3
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KSSTA Editorial Published, ‘From Meniscal resection to meniscal repair: a journey of the last decade’

29/10/2020

Authors: Roland Becker, Sebastian Kopf, Romain Seil, Michael T. Hirschmann, Philippe Beaufils, Jon Karlsson The last decade has shed some light on the darkness surrounding the treatment of meniscal injuries. A significant amount of work has been done in order to provide a more scientific approach to the treatment of the injured meniscus. Degenerative meniscal lesions and traumatic meniscal tears differ in terms of aetiology and pathology and require differentiated diagnostic algorithms and treatments. A new terminology has, therefore, been defined by the ESSKA meniscus concensus project. A traumatic meniscal tear is caused by an acute and sufficiently serious trauma to the knee. In contrast, a degenerative meniscal lesion occurs due to repetitive minor injuries and lacks a sufficiently serious single trauma. This editorial shows that the scope of the meniscus repair is greater than before and there is still a need for both more basic scince and clinical research in order to identify the best practice when treating different meniscal pathologies. Link: https://link.springer.com/article/10.1007/s00167-020-06316-7
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The Meniscus Congress postponed to January 12th-15th 2022

29/10/2020

Unfortunately, the pandemic forced us to revise our plans for THE MENISCUS congress which was scheduled from January 27th – 30th 2021 in Luxembourg..
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Release of the book on ‘Primary prevention of sports injuries’ after the success of GOTS Expert meeting 2019 in Luxembourg

15/10/2020

In close collaboration with LIROMS, the German-speaking Orthopaedic and Traumatologic Society of Sports Medicine (GOTS) has continued the successful tradition of its expert meetings, which started in 2010.. At the 6th edition of GOTS expert meeting from 19-22 September 2019, in Canach (Luxembourg), organized under the direction of GOTS president Prof. Romain Seil, a group of 30 specialists from Austria, Belgium, Germany, Luxembourg, Norway, Switzerland, and The Netherlands, discussed the current status of primary prevention of sports injuries and illnesses. The majority of the experts were orthopaedic surgeons, but also sports scientists and physiotherapists, as well as German health insurance companies, were involved.
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LIROMS recognized by the International Olympic Committee as one of the five partners of the French-speaking Sports Medicine Research

13/10/2020

We are proud to announce that LIROMS has been recognized by the International Olympic Committee as one of the five partners of the French-speaking Sports Medicine Research Network. ReFORM: Réseau Francophone Olympique de la Recherche de Médecine du sport (formerly known as FReNAHP2).
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The 1st virtual Qualisys User Group Meeting took place on October 8th, 2020.

09/10/2020

Qualisys users across Central Europe gathered at the virtual “Hopin” venue to share their work and experience on the topic ”Using motion capture to benefit researchers, clinicians and coaches – today and in the future”. LIROMS representatives were amongst invited speakers for the session entitled “Functional Assessment”. Presentations covered the state of play in scientific and field-based motion capture approaches for athletes, coaches and medical teams working with them to assess athlete’s health and performance status. The panel discussion fostered in-deep conversations amongst peers, pinpointing current challenges and future opportunities of available and rising technologies. The LIROMS contribution was rewarded with positive echo and a burst of recurrent exchanges throughout the rest of the day in the event’s chat rooms. Honored by the invitation, the LIROMS team thanks the event organizers and attendees for this outstanding session. Link: https://www.qualisys.com/events/qualisys-virtual-user-group-meeting-dach/
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The first annual workshop for the Pediatric Anterior Cruciate Ligament Initiative (PAMI), 2nd Oct 2020, organized by ESSKA.

03/10/2020

The aim of the workshop was to gather PAMI partners as well as interested institutions to discuss the organisational aspects and the future perspectives of the initiative. The PAMI aims to collect and analyse data from orthopaedic surgeons who are treating children and adolescents with anterior cruciate ligament (ACL) injury using an international data collection system. Through this initiative, the goal is to improve diagnosis, treatment options, surgical techniques and rehabilitation of pediatric ACL injuries. Presented during the ESSKA conference in Glasgow in May 2018, the ESSKA leadership has placed PAMI under the lead of its Basic Science Committee chaired by Caroline Mouton since May 2020. Currently, 6 partner institutions from Austria, Italy, Luxembourg, Netherlands Norway, and Spain are actively enrolling patients. Since the first inclusion in October 2018, 68 children have been recruited with a continuous increase of inclusion within the last months. The first data shows that the chronological age at injury for this population was in average 12 years of age (from 6 to 17 years of age). Most injuries occurred while playing football (38%). At the time of the analysis, 69% were indicated for surgery. While several developments were made in the last months to enhance data quality and user’s experience with the PAMI web portal, the preliminary analyses allowed the PAMI steering committee to highlight some technical issues in data consistency, accuracy and completeness. These issues will be specifically targeted within the next months to consolidate the database and provides efficient guidelines to PAMI partners. In 2021, the PAMI managers will also start to provide yearly feedbacks to partner institutions on their data in order to ensure the quality of data and to officially publish the first results of the PAMI. Next years will be critical for the PAMI. A request to extend the ethical approval of the project as well as financial supports is foreseen, which also gives the opportunity to evaluate and strengthen the current initiative. During the workshop, inclusion/exclusion criteria were discussed again as well as the possibility to extend the content of data gathered within the project. Please be aware that we are still looking for interested partner institutions to join us. If you are an orthopaedic surgeon or a medical doctor treating children and adolescents with ACL injury and are interesting in the PAMI, please contact us at pami@esska.org. We will keep you aware of our next workshop and symposium that we hope to be able to organise during the next ESSKA congress in Milano. Detailed information on how to become a PAMI partner is available online on the ESSKA platform; https://www.esska.org/general/custom.asp?page=PAMI Thanks to the following partners: Smith and Nephew, International Olympic Committee, Luxemburgish Olympic committee, Luxembourg Institute of Health
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