In this episode we dissect a systematic review from the Journal of Clinical Medicine, published in 2024, that evaluates the effectiveness of surgical versus conservative treatments for first-time patellar dislocations. It analyzes seven randomized controlled trials to compare redislocation rates, knee function, and complication risks associated with each approach.

Tedeschi R, Platano D, Giorgi F, Donati D. To Operate or Not? Evaluating the Best Approach for First-Time Patellar Dislocations: A Review. Journal of Clinical Medicine. 2024; 13(18):5434. https://doi.org/10.3390/jcm13185434

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The article dissected in this episode focuses on clinical practice guidelines for the diagnosis and non-surgical treatment of primary frozen shoulder, developed by a large committee of medical experts in Korea. It systematically reviews existing literature to provide evidence-based recommendations for managing this condition, which causes significant pain and restricts shoulder movement.

Lee BC, Kim BS, Lee BJ, et al. Clinical Practice Guidelines for Diagnosis and Non-Surgical Treatment of Primary Frozen Shoulder. Ann Rehabil Med. 2025;49(3):113-138. doi:10.5535/arm.250057

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The scholarly article dissected in this episode comprehensively reviews the efficacy of various nutritional supplements for promoting healthy aging across multiple domains. It explores the potential benefits of supplements like protein, creatine, melatonin, magnesium, and certain vitamins for conditions such as sarcopenia, insomnia, cognitive impairment, hearing loss, and age-related eye diseases.

Kaufman MW, DeParis S, Oppezzo M, et al. Nutritional Supplements for Healthy Aging: A Critical Analysis Review. Am J Lifestyle Med. 2024;19(3):346-360. Published 2024 Apr 9. doi:10.1177/15598276241244725

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This systematic review investigates various sleep interventions for elite athletes, addressing a critical aspect of their performance and well-being. The authors highlight that most elite athletes experience insufficient sleep due to factors like demanding training and travel schedules. The study explores interventions such as sleep hygiene education, napping, cold water immersion, light therapy, and nutritional supplementation.

Bilgoe SC, den Hollander S, van Rensberg DJ, Hendricks S, Kerkhoffs G, Gouttebarge V. Sleep interventions in elite sport - a systematic review. S Afr J Sports Med. 2025;37(1):v37i1a18811. Published 2025 Feb 15. doi:10.17159/2078-516X/2025/v37i1a18811

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In this episode, we dissect a descriptive study investigating the challenges of diagnosing Subacromial Pain Syndrome (SAPS). The study involved 741 patients and revealed a high prevalence of conflicting and concomitant diagnoses among those presenting with SAPS symptoms. This heterogeneity complicates accurate diagnosis and treatment, as other conditions can mimic SAPS or coexist with it. The authors emphasize the necessity of a systematic and transparent diagnostic approach to better understand and treat patients with SAPS.

Witten A, Clausen MB, Thorborg K, Hölmich P, Barfod KW. The Challenge of Diagnosing Patients Presenting With Signs and Symptoms of Subacromial Pain Syndrome: A Descriptive Study of 741 Patients Seen in a Secondary Care Setting. Orthop J Sports Med. 2025;13(4):23259671251332942. Published 2025 Apr 28. doi:10.1177/23259671251332942

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The article dissected presents a systematic review and meta-analysis exploring the effects of manual therapy on fear avoidance, kinesiophobia, and pain catastrophizing in individuals experiencing chronic musculoskeletal pain. The authors synthesized evidence from 11 randomized controlled trials, comparing manual therapy to no treatment or other interventions.

Kamonseki DH, Christenson P, Rezvanifar SC, Calixtre LB. Effects of manual therapy on fear avoidance, kinesiophobia and pain catastrophizing in individuals with chronic musculoskeletal pain: Systematic review and meta-analysis. Musculoskelet Sci Pract. 2021;51:102311. doi:10.1016/j.msksp.2020.102311

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This academic review explores the efficacy and safety of five widely used ergogenic aids: creatine, beta-alanine, nitrates, caffeine, and protein. Published in the journal Nutrients in 2024, the article summarizes current scientific evidence on how these supplements enhance athletic performance, muscle growth, and recovery. The mechanisms, recommended dosages, and research findings will be discussed, providing a comprehensive overview for anyone looking to improve their fitness and health.

Antonio J, Pereira F, Curtis J, Rojas J, Evans C. The Top 5 Can’t-Miss Sport Supplements. Nutrients. 2024; 16(19):3247. https://doi.org/10.3390/nu16193247

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The academic paper dissected is Part II of the Formal EU-US Meniscus Rehabilitation 2024 Consensus, a collaborative effort by European and American orthopedic and physical therapy societies. The consensus provides evidence-based recommendations for the prevention of meniscus injuries, the non-operative treatment of acute tears and degenerative lesions, and criteria for return to sport after meniscus injuries or surgeries. Developed by 67 experts from 14 countries using a formal consensus methodology, it acknowledges a low to moderate level of scientific evidence in current literature. The document aims to offer updated and structured guidance for surgeons and physiotherapists in managing meniscus pathology, complementing Part I which covered post-surgical rehabilitation.

Prill R, Ma CB, Wong SE, et al. The Formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT Initiative Part II-Prevention, Nonoperative Treatment and Return to Sport. Orthop J Sports Med. 2025;13(6):23259671251349553. Published 2025 Jun 12. doi:10.1177/23259671251349553

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