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https://www.readbyqxmd.com/read/29032309/anterior-cruciate-ligament-revision-with-achilles-tendon-allograft-in-young-athletes
#1
S Zaffagnini, A Grassi, G M Marcheggiani Muccioli, T R Di Sarsina, L Macchiarola, M Mosca, M P Neri, M Marcacci
BACKGROUND: Return to sport after revision ACL reconstruction is a controversial topic, several studies reported the results of different techniques and graft in sportsman, presenting an incredibly wide range of return to the same pre-injury activity level, from 0% to 100%. The purpose of this study was to evaluate the clinical outcomes and return to sport rate in young athletes after non anatomic double-bundle revision ACL reconstruction with Achilles allograft. HYPOTHESIS: the present revision technique was effective in terms of stability, return to sport and functional outcomes MATERIAL AND METHODS: All the athletes undergone Revision ACL reconstruction with non-irradiated Achilles tendon allograft with a non-anatomical double-bundle technique were included in the study...
October 12, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29028449/geometric-characteristics-of-the-knee-are-associated-with-a-noncontact-acl-injury-to-the-contralateral-knee-after-unilateral-acl-injury-in-young-female-athletes
#2
James G Levins, Erin C Argentieri, Daniel R Sturnick, Mack Gardner-Morse, Pamela M Vacek, Timothy W Tourville, Robert J Johnson, James R Slauterbeck, Bruce D Beynnon
BACKGROUND: Contralateral anterior cruciate ligament (CACL) injury after recovery from a first-time ACL rupture occurs at a high rate in young females; however, little is known about the risk factors associated with bilateral ACL trauma. HYPOTHESIS: The geometric characteristics of the contralateral knee at the time of the initial ACL injury are associated with risk of suffering a CACL injury in these female athletes. STUDY DESIGN: Case-control study; Level of evidence, 3...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29018061/association-between-mri-defined-osteoarthritis-pain-function-and-strength-3-10-years-following-knee-joint-injury-in-youth-sport
#3
Jackie L Whittaker, Clodagh M Toomey, Linda J Woodhouse, Jacob L Jaremko, Alberto Nettel-Aguirre, Carolyn A Emery
BACKGROUND: Youth and young adults who participate in sport have an increased risk of knee injury and subsequent osteoarthritis. Improved understanding of the relationship between structural and clinical outcomes postinjury could inform targeted osteoarthritis prevention interventions. This secondary analysis examines the association between MRI-defined osteoarthritis and self-reported and functional outcomes, 3-10 years following youth sport-related knee injury in comparison to healthy controls...
October 10, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29016234/limited-evidence-suggests-a-protective-association-between-oral-contraceptive-pill-use-and-anterior-cruciate-ligament-injuries-in-females-a-systematic-review
#4
Kathleen Samuelson, Ethan M Balk, Erika L Sevetson, Braden C Fleming
CONTEXT: Female athletes aged 14 to 18 years are at particular risk for anterior cruciate ligament (ACL) injuries. Hormonal factors are thought to predispose them to this injury. Oral contraceptive pills (OCPs) might reduce ACL injury risk, although the literature appears controversial. OBJECTIVE: To evaluate the association between OCP use and ACL injuries in women. The secondary objective was to determine the rates of ACL injuries in the pre- and postovulatory phases of the menstrual cycle in OCP and non-OCP (NOCP) users...
October 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28990491/young-athletes-after-anterior-cruciate-ligament-reconstruction-cleared-for-sports-participation-how-many-actually-meet-recommended-return-to-sport-criteria-cutoffs
#5
Allison R Toole, Matthew P Ithurburn, Mitchell J Rauh, Timothy E Hewett, Mark V Paterno, Laura C Schmitt
Study Design Prospective cohort study. Background While meeting objective criteria cutoffs are recommended prior to return-to-sport (RTS) following ACL reconstruction (ACLR), the number of young athletes meeting recommended cutoffs and their impact on longitudinal sports participation are unknown. Objectives To test the hypothesis that a higher proportion of young athletes who met recommended cutoffs would maintain the same level of sports participation over the year following RTS clearance compared to those who did not...
October 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28989937/comparison-of-2-radiographic-techniques-for-measurement-of-tibiofemoral-joint-space-width
#6
Nabil Mehta, Jeffrey Duryea, Gary J Badger, Matthew R Akelman, Morgan H Jones, Kurt P Spindler, Braden C Fleming
BACKGROUND: No consensus is available regarding the best method for measuring tibiofemoral joint space width (JSW) on radiographs to quantify joint changes after injury. Studies that track articular cartilage thickness after injury frequently use patients' uninjured contralateral knees as controls, although the literature supporting this comparison is limited. PURPOSE: (1) To compare JSW measurements using 2 established measurement techniques in healthy control participants and (2) to determine whether the mean JSW of the uninjured contralateral knee in a cohort with anterior cruciate ligament (ACL) reconstruction is different from that obtained from a true control population...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28970127/relationships-of-hamstring-muscle-volumes-to-lateral-tibial-slope
#7
Randy J Schmitz, Anthony S Kulas, Sandra J Shultz, Justin P Waxman, Hsin-Min Wang, Robert A Kraft
BACKGROUND: Greater posterior-inferior directed slope of the lateral tibial plateau (LTS) has been demonstrated to be a prospective ACL injury risk factor. Trainable measures to overcome a greater LTS need to be identified for optimizing injury prevention protocols. It was hypothesized that Healthy individuals with greater LTS who have not sustained an ACL injury would have a larger lateral hamstring volume. METHODS: Eleven healthy females (mean +/- standard deviation) (1...
September 29, 2017: Knee
https://www.readbyqxmd.com/read/28969821/editorial-commentary-increased-risk-of-second-ruptures-and-poorer-outcomes-after-anterior-cruciate-ligament-injury-and-reconstruction-in-hypermobile-athletes-a-potential-synergism-of-passive-ligamentous-and-active-muscular-control-of-dynamic-knee-stability
#8
EDITORIAL
Timothy E Hewett
Graft failure rates were higher and inferior subjective outcomes were observed after anterior cruciate ligament reconstruction in patients with generalized hypermobility. This is a clear and corroborative finding that is highly consilient with other reports of similar studies from the published literature. However, controversy remains regarding other potentially predictive and confounding variables. For example, age, activity level, sex, and dynamic neuromuscular control were not considered in this interesting, important, and potentially impactful study...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28964769/aspects-on-the-ecology-of-phlebotomine-sand-flies-and-natural-infection-by-leishmania-hertigi-in-the-southeastern-amazon-basin-of-brazil
#9
Sirlei Franck Thies, Roberta Vieira de Morais Bronzoni, Érika Monteiro Michalsky, Emerson Soares Dos Santos, David José Ferreira da Silva, Edelberto Santos Dias, Amílcar Sabino Damazo
The medical and veterinary importance of sand flies (Diptera: Psychodidae) follow as a result of some species ability to transmit the zoonotic protozoa of the genus Leishmania. Of all municipalities in the state of Mato Grosso, Sinop ranks first in reported cases of American Cutaneous Leishmaniasis (ACL). Sinop urban zone encompasses three permanent forest preservation areas (APPs) that provide refuge for insects and other vertebrate hosts. We assessed ecological parameters and investigated the natural infection by Leishmania spp...
September 28, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28959697/acl-injury-prevention-training-results-in-modification-of-hip-and-knee-mechanics-during-a-drop-landing-task
#10
Christine D Pollard, Susan M Sigward, Christopher M Powers
BACKGROUND: Injury prevention training has been shown to be effective in reducing the incidence of noncontact anterior cruciate ligament (ACL) injury; however, the underlying reason for the success of these training programs is unclear. PURPOSE: To investigate whether an ACL injury prevention program that has been shown to reduce the incidence of ACL injury alters sagittal plane hip and knee biomechanics during a drop-landing task. STUDY DESIGN: Descriptive laboratory study...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28939961/acl-suturing-using-dynamic-intraligamentary-stabilisation-showing-good-clinical-outcome-but-a-high-reoperation-rate-a-retrospective-independent-study
#11
Martin Meister, Jonathan Koch, Felix Amsler, Markus P Arnold, Michael T Hirschmann
PURPOSE: Most of the clinical outcome studies dealing with ACL repair are from the developer's perspective. It is a fact that these developer-initiated studies tend to interpret the results rather in favour than against their developed technique or product. Hence, it was the purpose of the present independent investigator-initiated study to investigate the clinical and radiological outcomes as well as failure rate of patients who underwent an ACL suture using dynamic intraligamentary stabilisation device in a specialised independent knee clinic...
September 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28918506/young-athletes-after-acl-reconstruction-with-quadriceps-strength-asymmetry-at-the-time-of-return-to-sport-demonstrate-decreased-knee-function-1%C3%A2-year-later
#12
Matthew P Ithurburn, Alex R Altenburger, Staci Thomas, Timothy E Hewett, Mark V Paterno, Laura C Schmitt
PURPOSE: Quadriceps femoris (QF) strength deficits at return-to-sport (RTS) after ACL reconstruction (ACLR) contribute to decreased knee function at the same time point. However, the impact of QF strength at RTS on longitudinal function has not been examined. The purpose of this study was to test the hypothesis that young athletes after ACLR with QF strength asymmetry at RTS would demonstrate decreased knee-related function and lower proportions of functional recovery at 1 year post-RTS compared to young athletes following ACLR with nearly symmetric QF strength at RTS...
September 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28902258/phlebotomines-in-an-area-endemic-for-american-cutaneous-leishmaniasis-in-northeastern-coast-of-brazil
#13
Ana Patricia Oliveira da Silva, Débora Elienai de Oliveira Miranda, Marcos Antônio Bezerra Santos, Neurisvan Ramos Guerra, Silvia Rafaelli Marques, Leucio Câmara Alves, Rafael Antonio Nascimento Ramos, Gílcia Aparecida de Carvalho
Phlebotomines have worldwide distribution with many species present in Brazil, including the northeastern region, where the fauna is very diverse. The aim of this study was to identify the sandfly fauna in an area endemic for American cutaneous leishmaniasis (ACL) in the state of Pernambuco. Sandflies were caught on three consecutive nights every month from October 2015 to September 2016, from 5 pm to 5 am, using seven light traps of Centers for Disease Control (CDC) type. Females were identified and used for molecular Leishmania detection...
July 2017: Revista Brasileira de Parasitologia Veterinária, Brazilian Journal of Veterinary Parasitology
https://www.readbyqxmd.com/read/28890904/thirty-year-experience-with-acl-reconstruction-using-patellar-tendon-a-critical-evaluation-of-revision-and-reoperation
#14
Andrew J Riff, Timothy J Luchetti, Alexander E Weber, Jaskarndip Chahal, Bernard R Bach
BACKGROUND: During the preoperative discussion prior to anterior cruciate ligament reconstruction (ACLR), patients are often interested in data regarding rates of revision reconstruction, reoperation, concomitant pathologic changes, and future contralateral ACL injury. PURPOSE: To analyze a single surgeon's experience with primary and revision ACLR over a 30-year interval, focusing on incidence and risk factors for revision and reoperation. STUDY DESIGN: Case series; Level of evidence, 4...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28889985/combined-intra-and-extra-articular-grafting-for-revision-acl-reconstruction-a-multicentre-study-by-the-french-arthroscopy-society-sfa
#15
M L Louis, P D'ingrado, F P Ehkirch, S Bertiaux, P Colombet, B Sonnery-Cottet, B Schlatterer, R Pailhé, J C Panisset, C Steltzlen, S Lustig, C Lutz, F Dalmay, P Imbert, D Saragaglia
BACKGROUND: A careful analysis of the reasons for ACL reconstruction failure is essential to selection of the optimal surgical revision technique designed to ensure good rotational stability and to minimise the risk of re-rupture. OBJECTIVE: To evaluate antero-lateral ligament (ALL) stabilisation during revision ACL reconstruction. HYPOTHESIS: ALL stabilisation during revision ACL reconstruction provides good rotational stabilitywithout increasing the risk of complications...
September 7, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28886868/sharper-angle-higher-risk-the-effect-of-cutting-angle-on-knee-mechanics-in-invasion-sport-athletes
#16
Mervin J Schreurs, Anne Benjaminse, Koen A P M Lemmink
INTRODUCTION: Cutting is an important skill in team-sports, but unfortunately is also related to non-contact ACL injuries. The purpose was to examine knee kinetics and kinematics at different cutting angles. MATERIAL AND METHODS: 13 males and 16 females performed cuts at different angles (45°, 90°, 135° and 180°) at maximum speed. 3D kinematics and kinetics were collected. To determine differences across cutting angles (45°, 90°, 135° and 180°) and sex (female, male), a 4×2 repeated measures ANOVA was conducted followed by post hoc comparisons (Bonferroni) with alpha level set at α≤0...
August 24, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28886823/update-on-anterior-cruciate-ligament-rupture-and-care-in-the-female-athlete
#17
REVIEW
Jeremy M Burnham, Vonda Wright
As female athlete sports participation has continued to increase, the rate of anterior cruciate ligament (ACL) rupture in female athletes has also increased. Individualized, patient-specific treatment is crucial to achieving optimal outcomes; ACL reconstruction must accurately restore native ACL anatomy and address any concomitant injury to secondary stabilizers. Rehabilitation programs should target hip, core, and trunk neuromuscular control; allow adequate time for graft ligamentization; and address the psychosocial needs of the athlete...
October 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28885239/opioid-use-in-children-and-adolescents-after-anterior-cruciate-ligament-repair
#18
Nicole Taylor, Shannon Frick, Samantha Killilea, Teri Dugan-Frost, Jean Solodiuk
Opioid overdose is a leading cause of death from unintentional injury in the United States. When more opioids are prescribed than needed, leftover opioids may be misused if not properly disposed. The purpose of this study is to describe the opioid use of subjects (aged 13-21 years) after an anterior cruciate ligament (ACL) repair. After obtaining IRB approval, we obtained consent from 100 subjects (over an 8-month period) undergoing ACL reconstructions performed by five sports medicine surgeons. The mean age of enrolled subjects was 16 years, most were female (60%) and white (72%)...
September 1, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28878834/combined-anatomic-anterior-cruciate-ligament-and-anterolateral-ligament-reconstruction
#19
Stefan Mogos, Bogdan Sendrea, Ioan Cristian Stoica
PURPOSE: The purpose of the current paper was to report the surgical technique of combined anatomic anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction as well as the short term clinical results after this surgical procedure. MATERIAL AND METHODS: The current prospective study included 32 patients (5 females and 27 males) with combined ACL and ALL reconstruction performed between December 2015 and July 2016. The patients were included in the study taking into consideration the following criteria: chronic ACL lesion, high grade rotational instability (pivot shift grade II and III) and participation in high grade pivoting sports...
January 2017: Mædica
https://www.readbyqxmd.com/read/28872400/what-is-the-most-effective-training-approach-for-preventing-noncontact-acl-injuries-in-high-school-aged-female-athletes
#20
Erica M Willadsen, Andrea B Zahn, Chris J Durall
CLINICAL SCENARIO: The high prevalence of noncontact anterior cruciate ligament (ACL) injuries in adolescent female athletes is thought to originate from hormonal, neuromuscular, and structural differences between sexes.(1) Although hormonal and structural factors are non-modifiable, neuromuscular control can be altered with training. A variety of training approaches have been adopted in ACL prevention programs including neuromuscular control training, core stability training, balance training, and plyometric exercise...
September 5, 2017: Journal of Sport Rehabilitation
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