In the first part of this 2 part series, we describe the comprehensive evaluation of the overhead throwing athlete's shoulder. The physical examination of the throwing shoulder requires a comprehensive knowledge and fami...In the first part of this 2 part series, we describe the comprehensive evaluation of the overhead throwing athlete's shoulder. The physical examination of the throwing shoulder requires a comprehensive knowledge and familiarity with anatomy, kinesiology, pathology, and unique sporting demands. The history, systematic basic examination, and special testing of the rotator cuff, biceps and superior labrum anterior and posterior lesions, instability and labral pathology, and scapular dyskinesia will be covered in this review.
Clin Sports Med
· 2025 Jan · PMID 39510759
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This article delves into the critical role of mentorship in the field of sports medicine, particularly for those embarking on a career in orthopedic surgery. It underscores mentorship as an essential element for professi...This article delves into the critical role of mentorship in the field of sports medicine, particularly for those embarking on a career in orthopedic surgery. It underscores mentorship as an essential element for professional development, offering insights into the dynamics of effective mentor-mentee relationships. This article highlights the mutual benefits of these relationships, where both parties gain valuable knowledge and experience. Key strategies for identifying and cultivating these relationships are discussed, emphasizing the importance of aligned goals, respect for time, and a commitment to growth and learning.
Clin Sports Med
· 2025 Jan · PMID 39510758
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Over half of orthopedic surgeons will change jobs prior to their fifth year in practice. Commonly cited reasons behind the change include compensation, work-life balance, poor job fit, and dissatisfaction with management...Over half of orthopedic surgeons will change jobs prior to their fifth year in practice. Commonly cited reasons behind the change include compensation, work-life balance, poor job fit, and dissatisfaction with management. Many of these factors are difficult to vet as a job applicant and are often only realized during the course of real-life practice. Possessing the tools and knowledge for effective self-reflection is crucial. It enables a clear understanding of why the current job may not be working and provides insights on how to transition to a different career path.
Clin Sports Med
· 2025 Jan · PMID 39510757
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Successfully completing the American Board of Orthopedic Surgery Part II oral examination process is the final milestone in becoming a board-certified orthopedic surgeon. This nearly 2 year process requires adequate plan...Successfully completing the American Board of Orthopedic Surgery Part II oral examination process is the final milestone in becoming a board-certified orthopedic surgeon. This nearly 2 year process requires adequate planning and preparation to ensure the best chances of success. Maintaining evidence-based practices in clinical and surgical decision making is essential for maximizing success as well. With meticulous medical record documentation, careful surgical indications, and literature-supported decisions, candidates can anticipate the best chances for a passing grade and the joys of becoming a board-certified orthopedic surgeon.
Clin Sports Med
· 2025 Jan · PMID 39510756
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Research as an early-career surgeon is challenging. The resources that you had as a trainee are not established yet and it can be difficult to balance while learning to be an effective clinician and surgeon. Starting ear...Research as an early-career surgeon is challenging. The resources that you had as a trainee are not established yet and it can be difficult to balance while learning to be an effective clinician and surgeon. Starting early, however, before clinical and leadership responsibilities build up is a key to developing a successful research program. There are tangible steps that you can take to build the foundation of the program which will be reviewed. Rejections from journals and grant agencies are common and not a sign of your work and effort.
Clin Sports Med
· 2025 Jan · PMID 39510755
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Complications and poor outcomes are an inevitable part of sports medicine surgery. When building a practice, dealing with complications can be overwhelming and difficult to overcome. Establishing strong and transparent s...Complications and poor outcomes are an inevitable part of sports medicine surgery. When building a practice, dealing with complications can be overwhelming and difficult to overcome. Establishing strong and transparent surgeon-patient relationships built on open communication and realistic expectations is fundamental to preemptive management of poor outcomes. When a complication occurs, careful action and appropriate treatment are imperative to ensure the best possible outcome. Patients who trust their surgeons are less likely to pursue medicolegal action. A complication can lead to self-doubt, anxiety, and depression. Surgeons should seek counsel from colleagues when dealing with complications and learn from their mistakes.
Clin Sports Med
· 2025 Jan · PMID 39510754
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Starting clinical practice is an exciting, but stressful, time in a new surgeon's career. The operating room can be an intimidating place, particularly in a new practice or during difficult cases. Each surgical center ha...Starting clinical practice is an exciting, but stressful, time in a new surgeon's career. The operating room can be an intimidating place, particularly in a new practice or during difficult cases. Each surgical center has a different way of scheduling and preparing for cases and understanding these processes early can help communication with operating room staff. Planning to ensure that all implants, supplies, and instruments are available is critical to a successful procedure and can help with the preoperative planning process.
Clin Sports Med
· 2025 Jan · PMID 39510753
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Professional medical societies are organizations consisting of health care professionals who share research, clinical, or social interests within a particular specialty or subspeciality of medicine. Professional societie...Professional medical societies are organizations consisting of health care professionals who share research, clinical, or social interests within a particular specialty or subspeciality of medicine. Professional societies offer members benefits including education, networking, research support, and opportunities for leadership and professional growth. These benefits can all contribute to improving a physician's proficiency in patient care, leadership, and academic pursuits. There is a paucity of information in the literature regarding strategies for successful professional society involvement and advancement. This study will provide a framework for successful professional society involvement for the early-career (<5 years in practice) orthopedic sports medicine surgeon.
Clin Sports Med
· 2025 Jan · PMID 39510752
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Being a team physician is a unique opportunity afforded to orthopedic surgeons or medical doctors who have undergone appropriate subspecialty training and certification. Requirements include specialized skill and experti...Being a team physician is a unique opportunity afforded to orthopedic surgeons or medical doctors who have undergone appropriate subspecialty training and certification. Requirements include specialized skill and expertise in diagnosing and treating various medical and musculoskeletal conditions in the acute sideline setting in addition to the standard clinical setting, and furthermore requires, excellent communication and the ability to coordinate care among a curated care team. Those strongly desiring to be a team physician should seek employment in a position that supports this pathway by way of team contracts, although other opportunities may exist on a volunteer basis.
Clin Sports Med
· 2025 Jan · PMID 39510751
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The purpose of this articler is to discuss methods by which to successfully build a busy clinical sports medicine practice. The authors aim to provide pearls to help facilitate building a successful and busy practice as...The purpose of this articler is to discuss methods by which to successfully build a busy clinical sports medicine practice. The authors aim to provide pearls to help facilitate building a successful and busy practice as well as pitfalls to minimize the risk of failure. Topics discussed include how to build patient referral sources, online marketing, sports team coverage, and cultivating relationships with partners and providers within the community.
Clin Sports Med
· 2025 Jan · PMID 39510750
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Establishing a strong local reputation is essential for growing your practice. Primary care physicians, pediatricians, physical therapists, athletic trainers, and fellow orthopedic surgeons are key sources of referrals f...Establishing a strong local reputation is essential for growing your practice. Primary care physicians, pediatricians, physical therapists, athletic trainers, and fellow orthopedic surgeons are key sources of referrals for new and old practices alike. Additionally, there is nothing better than a referral from a satisfied patient, whether it is through word of mouth to their friends and family members or publicly through an online review website. It is important to bear in mind that anyone could be a potential patient, or a source of a new patient referral. There are a number of ways to hit the ground running and establish a local reputation to grow a new, or even established practice.
Clin Sports Med
· 2025 Jan · PMID 39510749
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Negotiating a first contract can be a stressful experience for soon-to-be early-career physicians. Most trainees do not have extensive experience with the contract negotiation process, and this unfamiliarity often breeds...Negotiating a first contract can be a stressful experience for soon-to-be early-career physicians. Most trainees do not have extensive experience with the contract negotiation process, and this unfamiliarity often breeds a lack of confidence and anxiety. However, understanding some key points and the general mechanics of a contract will help bridge any areas of uncertainty. The following review article is designed to help explain these important points so that early-career physicians can feel prepared during the contract negotiation process. Additionally, seeking the help of a contract lawyer can further prepare a physician for successful contract negotiations.
Clin Sports Med
· 2025 Jan · PMID 39510748
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Finding the right first academic sports medicine job is a complex undertaking. There are a number of factors that go into the decision, including finding the job opening, limited regional availability, various academic a...Finding the right first academic sports medicine job is a complex undertaking. There are a number of factors that go into the decision, including finding the job opening, limited regional availability, various academic affiliations, and organizational nuances, as well as payment structures. This article details the many facets of academic sports medicine that make up a position and can greatly affect surgeon workflow, productivity, and overall happiness.
Clin Sports Med
· 2025 Jan · PMID 39510747
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Finding the right first job is a product of hard work through self-evaluation and thorough understanding of the process. It requires the guidance of mentors and understanding the goals you are seeking within a career. In...Finding the right first job is a product of hard work through self-evaluation and thorough understanding of the process. It requires the guidance of mentors and understanding the goals you are seeking within a career. In private practice, the business aspects of medicine play an instrumental role in being successful.
Clin Sports Med
· 2024 Oct · PMID 39232578
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Recurrent posterior shoulder instability after primary repair is uncommon, but presents a challenging clinical scenario. Most revisions in failed labral repair were associated with glenoid bone morphology related to crit...Recurrent posterior shoulder instability after primary repair is uncommon, but presents a challenging clinical scenario. Most revisions in failed labral repair were associated with glenoid bone morphology related to critical bone loss, retroversion, or dysplasia. A variety of treatment options exist which include revision labral repair with or without capsular plication, glenoid osteotomy, humeral rotational osteotomy, or glenoid bone augmentation. No single technique has been shown to be superior and each technique has strengths and limitations. Therefore, thoughtful evaluation and planning is critical to address each patient's individual pathology to maximize success after revision surgery.
Clin Sports Med
· 2024 Oct · PMID 39232577
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Posterior shoulder instability is a distinct subcategory of shoulder instability with an incidence higher than previously reported. Pain is typically the primary complaint, with pathology due to repetitive microtrauma be...Posterior shoulder instability is a distinct subcategory of shoulder instability with an incidence higher than previously reported. Pain is typically the primary complaint, with pathology due to repetitive microtrauma being more common that a specific traumatic event. If nonoperative treatment fails, arthroscopic posterior capsulolabral repair has been shown to result in excellent outcomes and return to sport, with American football players having the best outcomes and throwers being slightly less predictable. Risk factors for surgical failure include decreased glenoid bone width, rotator cuff injury, female gender, and the use of less than 3 anchors.