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https://www.readbyqxmd.com/read/28532890/fascial-manipulation-%C3%A2-for-persistent-knee-pain-following-acl-and-meniscus-repair
#1
Sannasi Rajasekar, Aurélie Marie Marchand
Fascial Manipulation(®) (FM) is a manual therapy approach for the treatment of musculoskeletal pain. Anomalous fascial tension is common following surgery due to surgical scar, inadequate mobility and fear of movement. Fascial tension may result in pain and loss of mobility. This case report aims at investigating the effectiveness of FM(®) on pain and function in a patient following knee surgery. A 32 years old male patient, with persisting knee pain following anterior cruciate ligament reconstruction (hamstring graft) and meniscal repair, underwent the systematic FM(®) assessment process, the selected centers of coordination of myofascial units were treated...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28530851/chondral-injuries-and-irreparable-meniscal-tears-among-adolescents-with-anterior-cruciate-ligament-or-meniscal-tears-are-more-common-in-patients-with-public-insurance
#2
Ariel A Williams, Nickolas S Mancini, Matthew J Solomito, Carl W Nissen, Matthew D Milewski
BACKGROUND: Access to health care services is a critical component of health care reform and may differ among patients with different types of insurance. Hypothesis/Purpose: The purpose was to compare adolescents with private and public insurance undergoing surgery for anterior cruciate ligament (ACL) and/or meniscal tears. We hypothesized that patients with public insurance would have a delayed presentation from the time of injury and therefore would have a higher incidence of chondral injuries and irreparable meniscal tears and lower preoperative International Knee Documentation Committee (IKDC) scores than patients with private insurance...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28530157/muscle-secreted-factors-improve-anterior-cruciate-ligament-graft-healing-an-in-vitro-and-in-vivo-analysis
#3
Corina Adriana Ghebes, Nathalie Groen, Yau Chuk Cheuk, Sai Chuen Fu, Hugo Fernandes, Daniel B Saris
One of the ligaments most often damaged during sports - the anterior cruciate ligament (ACL) - has poor healing capacity. Upon damage, reconstructive surgery is performed to restore the mechanical stability of the knee and to reduce the inflammatory milieu otherwise present in the joint. A return to normal activities, however, takes between 9 and 12 months. Thus, strategies capable of improving ACL graft healing are needed. Embryonic development of tendon and ligament (T/L) is regulated by a crosstalk between different cell types...
May 20, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/28523340/patient-and-surgical-characteristics-that-affect-revision-risk-in-dynamic-intraligamentary-stabilization-of-the-anterior-cruciate-ligament
#4
Philipp Henle, Kathrin S Bieri, Manuel Brand, Emin Aghayev, Jessica Bettfuehr, Janosch Haeberli, Martina Kess, Stefan Eggli
PURPOSE: Failure of dynamic intraligamentary stabilization (DIS) that requires revision surgery of the anterior cruciate ligament (ACL) has not been studied. The aim of this study was to investigate the incidence of revision ACL surgery, and the patient characteristics and surgery-related factors that are associated with an increased risk of ACL revision after DIS. METHODS: This study analysed a prospective, consecutively documented single-centre case series using standardized case report forms over a 2...
May 18, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28520463/a-preclinical-assessment-of-early-continuous-passive-motion-and-treadmill-therapeutic-exercises-for-generating-chondroprotective-effects-after-anterior-cruciate-ligament-rupture
#5
Nai-Jen Chang, Kuan-Wei Lee, Chih-Jou Chu, Ming-You Shie, Pei-Hsi Chou, Chih-Chan Lin, Peir-In Liang
BACKGROUND: Anterior cruciate ligament (ACL) injury is a well-known risk factor for the development of posttraumatic osteoarthritis (PTOA). However, whether using continuous passive motion (CPM) with or without additional treadmill exercise (TRE) in early ACL injury might provide chondroprotective effects and further decrease the risk of PTOA has yet to be determined. HYPOTHESIS: CPM may offer an enhanced chondroprotective effect, but TRE may attenuate that effect due to the mechanical stress on the joint and inflammatory cytokines in the joint...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28515057/delaying-acl-reconstruction-and-treating-with-exercise-therapy-alone-may-alter-prognostic-factors-for-5-year-outcome-an-exploratory-analysis-of-the-kanon-trial
#6
Stephanie R Filbay, Ewa M Roos, Richard B Frobell, Frank Roemer, Jonas Ranstam, L Stefan Lohmander
AIM: Identify injury-related, patient-reported and treatment-related prognostic factors for 5-year outcomes in acutely ACL-ruptured individuals managed with early reconstruction plus exercise therapy, exercise therapy plus delayed reconstruction or exercise therapy alone. METHODS: Exploratory analysis of the Knee Anterior Cruciate Ligament, Nonsurgical versus Surgical Treatment (KANON) trial (ISRCTN84752559). Relationships between prognostic factors (baseline cartilage, meniscus and osteochondral damage, baseline extension deficit, baseline patient-reported outcomes, number of rehabilitation visits, graft/contralateral ACL rupture, non-ACL surgery and ACL treatment strategy) and 5-year Knee Injury and Osteoarthritis Outcome Score (KOOS) pain, symptoms, sport/recreation and quality of life (QOL) scores were explored using multivariable linear regression...
May 17, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28511363/solving-the-mystery-of-the-antero-lateral-ligament
#7
P H Sonia Farhan, Rathi Sudhakaran, Jai Thilak
INTRODUCTION: The cruciate ligaments are essential for the antero-posterior stability of the knee joint. In Anterior Cruciate Ligament (ACL) rupture, though reconstructive surgery is a widely accepted and proven procedure, there is still an unacceptably high re-injury rate. The fact that the rotational instability persists even after the surgical reconstruction of ACL injury has evoked a new interest in the study of the soft tissue structures on the anterolateral aspect of the knee joint...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28510477/performance-based-outcomes-after-anterior-cruciate-ligament-reconstruction-in-professional-athletes-differ-between-sports
#8
Harry T Mai, Danielle S Chun, Andrew D Schneider, Brandon J Erickson, Ryan D Freshman, Benjamin Kester, Nikhil N Verma, Wellington K Hsu
BACKGROUND: Excellent outcomes have been reported for anterior cruciate ligament (ACL) reconstruction (ACLR) in professional athletes in a number of different sports. However, no study has directly compared these outcomes between sports. PURPOSE: To determine if differences in performance-based outcomes exist after ACLR between professional athletes of each sport. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: National Football League (NFL), National Basketball Association (NBA), National Hockey League (NHL), and Major League Baseball (MLB) athletes undergoing primary ACLR for an acute rupture were identified through an established protocol of injury reports and public archives...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28506133/clinical-outcomes-following-surgically-repaired-bucket-handle-meniscus-tears
#9
Michael J Moses, David E Wang, Maxwell Weinberg, Eric J Strauss
OBJECTIVES: Meniscus tears are one of the most common knee injuries. Our goal is to investigate the failure rate for surgically repaired bucket-handle meniscus tears and compare clinical outcomes of repairs that failed versus those that did not, at a minimum 2-year follow-up interval. METHODS: 51 patients were identified in this retrospective cohort study who experienced bucket-handle meniscus tears that were isolated or with concomitant ACL injury. Inclusion criteria included age range from 13-55 years, confirmed bucket-handle meniscus tear by MRI and intraoperatively, and at least two-years of post-operative follow-up following index repair...
May 23, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28498226/anterior-cruciate-ligament-injury-return-to-play-function-and-long-term-considerations
#10
Fernando Sepúlveda, Luis Sánchez, Eduardo Amy, William Micheo
Anterior cruciate ligament tears are common and affect young individuals who participate in jumping and pivoting sports. After injury many individuals undergo ligament reconstruction (ACLR) but do not return to play, suffer recurrent injury and osteoarthritis. Outcome studies show that after ACLR, 81% of individuals return to sports, 65% return to their preinjury level and 55% return to competitive sports. Systematic reviews place the risk of ipsilateral retears at 5.8% and contralateral injuries at 11.8%, with recent reports of over 20% failure rate...
May 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28477270/there-is-no-difference-between-quadriceps-and-hamstring-tendon-autografts-in-primary-anterior-cruciate-ligament-reconstruction-a-2-year-patient-reported%C3%A2-outcome-study
#11
Armin Runer, Guido Wierer, Elmar Herbst, Caroline Hepperger, Mirco Herbort, Peter Gföller, Christian Hoser, Christian Fink
PURPOSE: Graft choice for anterior cruciate ligament (ACL) reconstruction is crucial, however the optimal graft source remains a topic of controversy. The purpose of this study is to compare subjective and functional patient-reported outcomes (PRO) after single-bundle ACL reconstruction using quadriceps tendon (QT) or hamstring tendon (HT) autografts for single-bundle ACL reconstruction. We hypothesize that there is no difference in patient-reported functional outcomes after ACL reconstruction using either HT- or QT autograft...
May 5, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28473996/return-to-sport-in-the-younger-patient-with-anterior-cruciate-ligament-reconstruction
#12
Kate E Webster, Julian A Feller, Timothy S Whitehead, Gregory D Myer, Peter B Merory
BACKGROUND: Although anterior cruciate ligament (ACL) reconstruction is generally regarded as a successful procedure, only 65% of patients return to their preinjury sport. While return-to-sport rates are likely higher in younger patients, there is a paucity of data that focus on the younger patient and their return-to-sport experience after ACL reconstruction. PURPOSE: To investigate a range of return-to-sport outcomes in younger athletes who had undergone ACL reconstruction surgery...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28467122/return-to-play-and-decreased-performance-after-anterior-cruciate-ligament-reconstruction-in-national-football-league-defensive-players
#13
Connor R Read, Kyle T Aune, E Lyle Cain, Glenn S Fleisig
BACKGROUND: Anterior cruciate ligament (ACL) injuries occur commonly in football. Recent work has reported ACL reconstruction (ACLR) as one of several orthopaedic procedures with unfavorable outcomes for professional athletes. The performance impact to defensive players after surgery has not been quantified. PURPOSE: To quantify the effect of ACLR on the performance of defensive players by comparing them to a cohort of matched controls as well as to measure the effect of ACLR on athletes' career length in the National Football League (NFL)...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28463915/return-to-play-and-patient-satisfaction-after-acl-reconstruction-study-with-minimum-2-year-follow-up
#14
Benedict U Nwachukwu, Pramod B Voleti, Patricia Berkanish, Brenda Chang, Matthew R Cohn, Riley J Williams, Answorth A Allen
BACKGROUND: Return to play and patient satisfaction after anterior cruciate ligament reconstruction (ACLR) have been inconsistently studied. The purposes of this study were to (1) investigate rates and predictors of return to play after ACLR, (2) evaluate patient satisfaction after ACLR, and (3) analyze the relationship between return to play and satisfaction with the result of ACLR. METHODS: Eligible patients were active athletes included in an institutional ACL registry who had undergone ACLR and had been followed for a minimum of 2 years...
May 3, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28461919/anterior-cruciate-ligament-reconstruction-principles-of-treatment
#15
REVIEW
Nikolaos K Paschos, Stephen M Howell
Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures in sports medicine. Several areas of controversy exist in ACL tear management which have engaged surgeons and researchers in debates towards identifying an ideal approach for these patients.This instructional review discusses the principles of ACL reconstruction in an attempt to provide guidelines and initiate a critical thinking approach on the most common areas of controversy regarding ACL reconstruction.Using high-level evidence from the literature, as presented in randomised controlled trials, systematic reviews, and meta-analyses, operative versus conservative treatment, timing of surgery, and rehabilitation are discussed...
November 2016: EFORT Open Rev
https://www.readbyqxmd.com/read/28460194/graft-diameter-as-a-predictor-for-revision-anterior-cruciate-ligament-reconstruction-and-koos-and-eq-5d-values-a-cohort-study-from-the-swedish-national-knee-ligament-register-based-on-2240-patients
#16
Thorkell Snaebjörnsson, Eric Hamrin Senorski, Olufemi R Ayeni, Eduard Alentorn-Geli, Ferid Krupic, Fredrik Norberg, Jón Karlsson, Kristian Samuelsson
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction (ACLR) using a hamstring tendon (HT) autograft is an effective and widespread method. Recent studies have identified a relationship between the graft diameter and revision ACLR. PURPOSE: To evaluate the influence of the graft diameter on revision ACLR and patient-reported outcomes in patients undergoing primary ACLR using HT autografts. STUDY DESIGN: Cohort study; Level of evidence, 2...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28456816/early-combined-arthroscopic-treatment-for-simultaneous-ruptures-of-the-patellar-tendon-and-the-anterior-cruciate-ligament-leads-to-good-radiological-results-and-patient-satisfaction
#17
REVIEW
Davide Cucchi, Alberto Aliprandi, Elisabetta Nocerino, Pietro Randelli
PURPOSE: Simultaneous rupture of the patellar tendon (PT) and the anterior cruciate ligament (ACL) is a relatively rare injury. This study offers a comprehensive review of the published reports and presents two cases of simultaneous PT and ACL rupture. METHODS: A systematic review of English literature was performed, and data from two patients who were referred to our institution with simultaneous PT and ACL rupture were collected. Both patients underwent primary arthroscopic ACL reconstruction combined with PT reconstruction and, 1 year after surgery, magnetic resonance imaging (MRI), clinical examination, strength measurement and functional assessment...
April 29, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28451863/variations-in-knee-kinematics-after-acl-injury-and-after-reconstruction-are-correlated-with-bone-shape-differences
#18
Drew A Lansdown, Valentina Pedoia, Musa Zaid, Keiko Amano, Richard B Souza, Xiaojuan Li, C Benjamin Ma
BACKGROUND: The factors that contribute to the abnormal knee kinematics after anterior cruciate ligament (ACL) injury and ACL reconstruction remain unclear. Bone shape has been implicated in the development of hip and knee osteoarthritis, although there is little knowledge about the effects of bone shape on knee kinematics after ACL injury and after ACL reconstruction. QUESTIONS/QUESTIONS: (1) What is the relationship between bony morphology with alterations in knee kinematics after ACL injury? (2) Are baseline bone shape features related to abnormal knee kinematics at 12 months after ACL reconstruction? METHODS: Thirty-eight patients (29 ± 8 years, 21 men) were prospectively followed after acute ACL injury and before ligamentous reconstruction...
April 27, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28451618/factors-associated-with-improved-function-and-maintenance-of-sports-activities-at-5-to-10-years-after-autologous-hamstring-acl-reconstruction-in-young-men
#19
Iftach Hetsroni, Mischa van-Stee, Niv Marom, Jonathan E J Koch, Eran Dolev, Guy Maoz, Meir Nyska, Gideon Mann
BACKGROUND: There are limited data regarding associated factors of return to sports activities at more than 5 years after anterior cruciate ligament (ACL) reconstruction. PURPOSE: To test interrelationships between patient characteristics, concomitant articular lesions, graft laxity, and maintenance of sports activities at 5 to 10 years after ACL reconstruction. It was hypothesized that at 5 to 10 years after the operation in young adult men, maintenance of greater activity level and better knee function would be associated with greater preinjury activity level, younger age at reconstruction, absence of concomitant articular lesions, and minimal graft laxity at follow-up...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28451617/return-to-sport-for-skeletally-immature-athletes-after-acl-reconstruction-preventing-a-second-injury-using-a-quality-of-movement-assessment-and-quantitative-measures-to-address-modifiable-risk-factors
#20
Jessica Graziano, Theresa Chiaia, Polly de Mille, Danyal H Nawabi, Daniel W Green, Frank A Cordasco
BACKGROUND: Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low rates of return to play. Historically, quantitative measures have been used to determine readiness to return to sport; however, they do not assess modifiable risk factors related to the quality of movement. PURPOSE: To determine the effectiveness of a criteria-based rehabilitation progression and return-to-sport criteria on efficient return to activity and prevention of second injury in young athletes post-ACLR...
April 2017: Orthopaedic Journal of Sports Medicine
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