Research Interest Group Updates
PRiSM currently has 16 Research Interest Groups (RIGs), which began meeting in Summer 2016. Each RIG is planning research activities in their area of interest; please see the details below. If you would like to get involved or if you're already in one group and want to join another please contact the PRiSM Office at email@example.com to express your interest.
The Concussion RIG is working to standardize data collection across sites. The group is planning a survey on current measures in use and will then look at methods of ensuring the same data is collected at different locations.
The Female Athlete RIG is considering several project topics, including: how clinicians diagnosis triad and what are they using for screening, stress fractures in athletes on the cusp of puberty, non-op measures for anterior snapping hip, Talar dome OCD’s, and Vitamin D levels. The group is considering which sports will be most feasible to survey, including dancers, gymnasts, and softball players.
The Hip Disorders RIG discussed identifying gaps in the knowledge: sense of treatment variability, case discussion for further thoughts, review the literature – systematic reviews, retrospective outcomes, prospective studies. Possible topics of focus include how to manage the capsule, pelvic evulsion fracture outcomes, femoral version, and obesity/BMI levels.
The Injury Prevention RIG has elected to survey athletes, parents and coaches/athletic trainers to determine current attitudes toward and participation in injury prevention programs. The group is working to compile potential survey questions and looking at methods of survey distribution.
Knee Multialignment Injury
The Knee Multialignment RIG established a one year goal of producing a review article on one of the following: case series reports, retro PCL avulsion, collateral ligament avulsion, or injury patterns. A longer-term goal of standardizing surgery exam form & MRI data form to allow for somewhat prospective view is also targeted for future work.
The Medial Epicondyle RIG selected two topics to explore: (1) rate of treatment plan agreement based on x-rays and (2) optimal/alternative fixtures for fractures in younger children. The group is gathering x-rays to be rated by the full group and is working on design studies for both topics.
The Meniscus RIG is focusing on classification of discoid meniscus, including delineation of what discoid meniscus looks like on MRI. The group is looking at a recent study’s IRB to determine potential overlap/differences in focus within the topic.
The Outcome Measures RIG is considering several projects. The first is a possible joint project with the Rehabilitation RIG, looking at what measures are practitioners using and/or measures they wish they had. The second is SR of pediatric outcomes and a list of which pertain to active youth/athletes. The third is the creation of a repository of scales that are validated in pediatrics, for PRiSM members to access.
The Patellofemoral RIG chose as their primary project the creation of a survey to look at variability of diagnosis and treatment methods. The group is currently working on review and development of the survey. Potential secondary or future projects include implant mediated guided growth and patella instability, safety of patella tendon medialization, and trochlea sulcus growth & remodeling after surgery for instability.
The Rehabilitation RIG is exploring partnerships with other RIGs on the topics of what outcome measures are being used at rehab centers (with Outcome Measures RIG), non-surgical interventions for patellofemoral pain (Patellofemoral Instability RIG), and variation in spondylolysis treatments (Spine/Spondylolysis RIG). Group members have been in contact with other RIGs, and have attended the other groups’ calls to explore whether there is common interest.
The Shoulder Instability RIG is planning to document failure rates (re-operation or persistent subjective instability) after first time shoulder stabilization in patients < 18 years old. The group is reviewing the IRB of a similar study for use as potential template, as well as discussing study considerations and practical questions for the project.
The Spine/Spondylolysis RIG selected to focus on the question of what treatment methods are being used instead of bracing, and what imaging methods are in use? The group is drafting questions to ask in a survey, as well as brainstorming distribution methods and funding sources.
The Sports Specialization RIG has defined their research question as “Does the prevalence of sport specialization in youth soccer athletes, versus healthy controls, differ based on geographic location?” A secondary question will also be studied: “Do highly specialized athletes have worse ABQ, fatigue, and PROMIS psychological scores compared to athletes with low levels of specialization?”. The group is reviewing already-validated surveys, exploring whether IRB approval is needed for an anonymous survey, and looking at distribution methods.
The Stress Fractures/Overuse RIG is considering what topics are of the most interest to group members by compiling titles of papers that the group should write. From there, potential projects will be narrowed by group voting.
The Tibial Spine RIG is exploring project topics including: prospective comparative studies (open/scope, early vs. late treatment, suture vs. screw, early mobilization vs. late); functional outcomes and metrics with Tibial Spine Treatment; retrospective analysis of chronic displaced - non-unions/malunions; and what outcome measures are appropriate for tibial spine. Group members are gathering more information to present to the full group for narrowing their initial topic.
Ulnar Collateral Ligament Injuries
The Ulnar Collateral Ligament (UCL) Injuries RIG is investigating the feasibility of studies on two topics. The first is ligament changes in non-pitching throwing athletes using dynamic stress ultrasound, and the second is methods to improve care for PRP and partial tears. The group is composing exploratory proposals for each topic that include reasoning, objectives, and basic methodology.