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Cruciverbalist Challenge for Arthroscopic and Related Surgeons 2020

Published:October 07, 2020DOI:https://doi.org/10.1016/j.arthro.2020.08.039
      The 2020 crossword puzzle is meant to assist in the active learning of article content published throughout recent years. This challenge was done in order to allow physicians to test the retention of articles they may have read, with the hopes that more difficult questions will encourage the reading of the article if a player has not done so already. All questions were derived from articles found in Arthroscopy or The American Journal of Sports Medicine, published between 2018-2020, and may be found in the attached references. The answers to this crossword will be published in next month’s edition, as well as in the online version. Any similarities between this and the sublime puzzles of Will Shortz are purely accidental, but the authors will take that comparison as a compliment anyway.
      Tabled 1
      ACROSSDOWN
      • 4.
        Higher progestin-estrogen ratios reduce ACL injury in female athletes by lowering the effects of what hormone?
        • Konopka J.A.
        • Hsue L.
        • Chang W.
        • Thio T.
        • Dragoo J.L.
        The effect of oral contraceptive hormones on anterior cruciate ligament.
      • 6.
        Following knee osteochondral allograft transplantation, what physical aspect of the graft was associated with subchondral cyst formation?
        • Ackermann J.
        • Merkely G.
        • Shah N.
        • Gomoll A.H.
        Decreased graft thickness is associated with subchondral cyst formation after osteochondral allograft transplantation in the knee.
      • 10.
        What nerve lies superior and medial to the origin of the proximal hamstring in males?
        • Cvetanovich G.L.
        • Saltzman B.M.
        • Ukwuani G.
        • et al.
        Anatomy of the pudendal nerve and other neural structures around the proximal hamstring origin in males.
      • 12.
        When a patient is unable to tolerate naproxen, what can be used as a prophylactic treatment to prevent heterotopic ossification following hip arthroscopy?
        • Dow T.
        • King J.P.
        • Wong I.H.B.
        The reduction of heterotopic ossification incidence after hip arthroscopy in patients treated with selective cyclooxygenase 2 inhibitor (Celecoxib).
      • 13.
        Patients who smoke have an increased amount of inflammation, fat infiltration, and ____ in their rotator cuff muscles.
        • Lee Y.S.
        • Kim J.Y.
        • Ki S.Y.
        • Chung S.W.
        Influence of smoking on the expression of genes and proteins related to fat infiltration, inflammation, and fibrosis in the rotator cuff muscles of patients with chronic rotator cuff tears: a pilot study.
      • 16.
        What modifiable patient factor was found to be increased in patients with lateral epicondylitis?
        • Lee S.H.
        • Gong H.S.
        • Kim S.
        • Kim J.
        • Baek G.H.
        Is there a relation between lateral epicondylitis and total cholesterol levels?.
      • 20.
        Osgood-Schlatter Disease is associated with increased tibial ____.
        • Green D.W.
        • Sidharthan S.
        • Schlichte L.M.
        • et al.
        Increased posterior tibial slope in patients with Osgood-Schlatter disease.
      • 21.
        What patient mediated factor can be utilized to alter the composition of platelet rich plasma?
        • Anz A.W.
        • Parsa R.S.
        • Romero-Creel M.F.
        • et al.
        Exercise-mobilized platelet-rich plasma: short-term exercise increases stem cell and platelet concentrations in platelet-rich plasma.
      • 22.
        After knee arthroscopy, increased infection risk has been associated with corticosteroid injection within how many weeks of surgery?
        • Cancienne J.M.
        • Kew M.E.
        • Smith M.K.
        • et al.
        The timing of corticosteroid injections following simple knee arthroscopy is associated with infection risk.
      • 23.
        Risk factors for venous thromboembolism (VTE) following hip arthroscopy include age greater than 45, diabetes, COPD, tobacco, and ____.
        • Khazi Z.M.
        • An Q.
        • Duchman K.R.
        • Westermann R.W.
        Incidence and risk factors for venous thromboembolism following hip arthroscopy: a population-based study.
      • 24.
        Bone marrow aspirate has been shown to decrease the occurrence of what postoperative complication following osteochondral transplantation?
        • Shimozono Y.
        • Yasui Y.
        • Hurley E.T.
        • et al.
        Concentrated bone marrow aspirate may decrease postoperative cyst occurrence rate in autologous osteochondral transplantation for osteochondral lesions of the talus.
      • 25.
        Poor healing following a rotator cuff repair has been associated with what patient habit?
        • Park J.H.
        • Oh K.S.
        • Kim T.M.
        • et al.
        Effect of smoking on healing failure after rotator cuff repair.
      • 1.
        What bony procedure has been shown to enhance healing following bridge-enhanced ACL repair?
        • Murray M.M.
        • Kiapour A.M.
        • Kalish L.A.
        • et al.
        Predictors of healing ligament size and magnetic resonance signal intensity at 6 months after bridge-enhanced anterior cruciate ligament repair.
      • 2.
        In overhead athletes with nerve entrapment, shoulder arthroscopy for a labral or rotator cuff repair with ____ nerve release has shown superior clinical outcomes.
        • Tsikouris G.D.
        • Bolia I.K.
        • Vlaserou P.
        • et al.
        Shoulder arthroscopy with versus without suprascapular nerve release: clinical outcomes and return to sport rate in elite overhead athletes.
      • 3.
        While curveballs generate greatest arm speed, which pitch generates the greatest amount of elbow torque?
        • Okoroha K.R.
        • Lizzio V.A.
        • Meta F.
        • et al.
        Predictors of elbow torque among youth and adolescent baseball pitchers.
      • 5.
        Diabetics taking ____ have been shown to have higher mortality following shoulder arthroscopy.
        • Traven S.A.
        • Reeves R.A.
        • Walton Z.J.
        • Woolf S.K.
        • Slone H.S.
        Insulin dependence is associated with increased medical complications and mortality after shoulder arthroscopy.
      • 7.
        What category of patients were found to be at high risk of failure following Anterior Cruciate Ligament (ACL) repair with suture ligament augmentation?
        • Gagliardi A.G.
        • Carry P.M.
        • Parikh H.B.
        • et al.
        ACL repair with suture ligament augmentation is associated with a high failure rate among adolescent patients.
      • 8.
        What preoperative psychiatric condition is associated with poor outcomes following hip arthroscopy for femoroacetabular impingement (FAI)?
        • Sochacki K.R.
        • Brown L.
        • Cenkus K.
        • et al.
        Preoperative depression is negatively associated with function and predicts poorer outcomes after hip arthroscopy for femoroacetabular impingement.
      • 9.
        What, in mice, has been shown to enhance collagen organization for a rotator cuff repair?
        • Wang D.
        • Tan H.
        • Lebaschi A.H.
        • et al.
        Kartogenin enhances collagen organization and mechanical strength of the repaired enthesis in a murine model of rotator cuff repair.
      • 11.
        Damage to what nerve is of concern in capsular or humeral avulsion of glenohumeral ligament (HAGL) repair?
        • Hamada H.
        • Sugaya H.
        • Takahashi N.
        • et al.
        Incidence of axillary nerve injury after arthroscopic shoulder stabilization.
      • 14.
        Administration of what substance has been shown to reduce hemarthrosis as well as improve range of motion and quadriceps strength after surgery? (two words)
        • Felli L.
        • Revello S.
        • Burastero G.
        • et al.
        Single intravenous administration of tranexamic acid in anterior cruciate ligament reconstruction to reduce postoperative hemarthrosis and increase functional outcomes in the early phase of postoperative rehabilitation: a randomized controlled trial.
      • 15.
        Which artery is at risk when repairing the posterior horn of the lateral meniscus?
        • Mao D.W.
        • Upadhyay U.
        • Thalanki S.
        • Lee D.Y.H.
        All-inside lateral meniscal repair via anterolateral portal increases risk of vascular injury: a cadaveric study.
      • 17.
        Bioelectric application of what two elements was found to be equally as effective as chlorhexidine in reducing skin bacteria? (two words)
        • Cooke C.L.
        • Greene R.S.
        • van Eck C.F.
        • Uquilas C.
        • Limpisvasti O.
        Bioelectric silver-zinc dressing equally effective to chlorhexidine in reducing skin bacterial load in healthy volunteers.
      • 18.
        Administration of two or more ____ injections has shown an increased risk of needing a subsequent rotator cuff repair revision surgery?
        • Desai V.S.
        • Camp C.L.
        • Boddapati V.
        • et al.
        Increasing numbers of shoulder corticosteroid injections within a year preoperatively may be associated with a higher rate of subsequent revision rotator cuff surgery.
      • 19.
        Following supraspinatus repair, increased acromion index has been associated with what complication?
        • Scheiderer B.
        • Imhoff F.B.
        • Johnson J.D.
        • et al.
        Higher critical shoulder angle and acromion index are associated with increased retear risk after isolated supraspinatus tendon repair at short-term follow up.

      Appendix 1. Answer Key

      References

        • Konopka J.A.
        • Hsue L.
        • Chang W.
        • Thio T.
        • Dragoo J.L.
        The effect of oral contraceptive hormones on anterior cruciate ligament.
        Am J Sports Med. 2019; 48: 85-92
        • Ackermann J.
        • Merkely G.
        • Shah N.
        • Gomoll A.H.
        Decreased graft thickness is associated with subchondral cyst formation after osteochondral allograft transplantation in the knee.
        Am J Sports Med. 2019; 47: 2123-2129
        • Cvetanovich G.L.
        • Saltzman B.M.
        • Ukwuani G.
        • et al.
        Anatomy of the pudendal nerve and other neural structures around the proximal hamstring origin in males.
        Arthroscopy. 2018; 34: 2105-2110
        • Dow T.
        • King J.P.
        • Wong I.H.B.
        The reduction of heterotopic ossification incidence after hip arthroscopy in patients treated with selective cyclooxygenase 2 inhibitor (Celecoxib).
        Arthroscopy. 2020; 36: 453-461
        • Lee Y.S.
        • Kim J.Y.
        • Ki S.Y.
        • Chung S.W.
        Influence of smoking on the expression of genes and proteins related to fat infiltration, inflammation, and fibrosis in the rotator cuff muscles of patients with chronic rotator cuff tears: a pilot study.
        Arthroscopy. 2019; 35: 3181-3191
        • Lee S.H.
        • Gong H.S.
        • Kim S.
        • Kim J.
        • Baek G.H.
        Is there a relation between lateral epicondylitis and total cholesterol levels?.
        Arthroscopy. 2019; 35: 1379-1384
        • Green D.W.
        • Sidharthan S.
        • Schlichte L.M.
        • et al.
        Increased posterior tibial slope in patients with Osgood-Schlatter disease.
        Arthroscopy. 2020; 48: 642-646
        • Anz A.W.
        • Parsa R.S.
        • Romero-Creel M.F.
        • et al.
        Exercise-mobilized platelet-rich plasma: short-term exercise increases stem cell and platelet concentrations in platelet-rich plasma.
        Arthroscopy. 2019; 35: 192-200
        • Cancienne J.M.
        • Kew M.E.
        • Smith M.K.
        • et al.
        The timing of corticosteroid injections following simple knee arthroscopy is associated with infection risk.
        Arthroscopy. 2019; 35: 1688-1694
        • Khazi Z.M.
        • An Q.
        • Duchman K.R.
        • Westermann R.W.
        Incidence and risk factors for venous thromboembolism following hip arthroscopy: a population-based study.
        Arthroscopy. 2019; 35: 2380-2384
        • Shimozono Y.
        • Yasui Y.
        • Hurley E.T.
        • et al.
        Concentrated bone marrow aspirate may decrease postoperative cyst occurrence rate in autologous osteochondral transplantation for osteochondral lesions of the talus.
        Arthroscopy. 2019; 35: 99-105
        • Park J.H.
        • Oh K.S.
        • Kim T.M.
        • et al.
        Effect of smoking on healing failure after rotator cuff repair.
        Am J Sports Med. 2018; 46: 2960-2968
        • Murray M.M.
        • Kiapour A.M.
        • Kalish L.A.
        • et al.
        Predictors of healing ligament size and magnetic resonance signal intensity at 6 months after bridge-enhanced anterior cruciate ligament repair.
        Am J Sports Med. 2019; 47: 1361-1369
        • Tsikouris G.D.
        • Bolia I.K.
        • Vlaserou P.
        • et al.
        Shoulder arthroscopy with versus without suprascapular nerve release: clinical outcomes and return to sport rate in elite overhead athletes.
        Arthroscopy. 2018; 34: 2552-2557
        • Okoroha K.R.
        • Lizzio V.A.
        • Meta F.
        • et al.
        Predictors of elbow torque among youth and adolescent baseball pitchers.
        Am J Sports Med. 2018; 46: 2148-2153
        • Traven S.A.
        • Reeves R.A.
        • Walton Z.J.
        • Woolf S.K.
        • Slone H.S.
        Insulin dependence is associated with increased medical complications and mortality after shoulder arthroscopy.
        Arthroscopy. 2019; 35: 1316-1321
        • Gagliardi A.G.
        • Carry P.M.
        • Parikh H.B.
        • et al.
        ACL repair with suture ligament augmentation is associated with a high failure rate among adolescent patients.
        Am J Sports Med. 2019; 47: 550-556
        • Sochacki K.R.
        • Brown L.
        • Cenkus K.
        • et al.
        Preoperative depression is negatively associated with function and predicts poorer outcomes after hip arthroscopy for femoroacetabular impingement.
        Arthroscopy. 2018; 34: 2368-2374
        • Wang D.
        • Tan H.
        • Lebaschi A.H.
        • et al.
        Kartogenin enhances collagen organization and mechanical strength of the repaired enthesis in a murine model of rotator cuff repair.
        Arthroscopy. 2018; 34: 2579-2587
        • Hamada H.
        • Sugaya H.
        • Takahashi N.
        • et al.
        Incidence of axillary nerve injury after arthroscopic shoulder stabilization.
        Arthroscopy. 2020; 36: 1555-1564
        • Felli L.
        • Revello S.
        • Burastero G.
        • et al.
        Single intravenous administration of tranexamic acid in anterior cruciate ligament reconstruction to reduce postoperative hemarthrosis and increase functional outcomes in the early phase of postoperative rehabilitation: a randomized controlled trial.
        Arthroscopy. 2019; 35: 149-157
        • Mao D.W.
        • Upadhyay U.
        • Thalanki S.
        • Lee D.Y.H.
        All-inside lateral meniscal repair via anterolateral portal increases risk of vascular injury: a cadaveric study.
        Arthroscopy. 2020; 36: 225-232
        • Cooke C.L.
        • Greene R.S.
        • van Eck C.F.
        • Uquilas C.
        • Limpisvasti O.
        Bioelectric silver-zinc dressing equally effective to chlorhexidine in reducing skin bacterial load in healthy volunteers.
        Arthroscopy. 2018; 34: 2886-2891
        • Desai V.S.
        • Camp C.L.
        • Boddapati V.
        • et al.
        Increasing numbers of shoulder corticosteroid injections within a year preoperatively may be associated with a higher rate of subsequent revision rotator cuff surgery.
        Arthroscopy. 2019; 35: 45-50
        • Scheiderer B.
        • Imhoff F.B.
        • Johnson J.D.
        • et al.
        Higher critical shoulder angle and acromion index are associated with increased retear risk after isolated supraspinatus tendon repair at short-term follow up.
        Arthroscopy. 2018; 34: 2748-2754