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Background: A treatment algorithm and screening examination have been developed to guide patient management and prospectively determine potential for highly active individuals to succeed with nonoperative care after anterior cruciate ligament rupture.
Objective: To prospectively characterize and classify the entire population of highly active individuals over a 10-year period and provide final outcomes for individuals who elected nonoperative care.
Methods: Inclusion criteria included presentation within 7 months of the index injury and an International Knee Documentation Committee level I or II activity level before injury. Concomitant injury, unresolved impairments, and a screening examination were used as criteria to guide management and classify individuals as noncopers (poor potential) or potential copers (good potential) for nonoperative care.
Results: A total of 832 highly active patients with subacute anterior cruciate ligament tears were seen over the 10-year period; 315 had concomitant injuries, 87 had unresolved impairments, and 85 did not participate in the classification algorithm. The remaining 345 patients (216 men, 129 women) participated in the screening examination a mean of 6 weeks after the index injury. There were 199 subjects classified as noncopers and 146 as potential copers. Sixty-three of 88 potential copers successfully returned to preinjury activities without surgery, with 25 of these patients not undergoing anterior cruciate ligament reconstruction at the time of follow-up.
Conclusion: The classification algorithm is an effective tool for prospectively identifying individuals early after anterior cruciate ligament injury who want to pursue nonoperative care or must delay surgical intervention and have good potential to do so.
NAVIGATION
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New X-Ray Camera Will Reveal Big Secrets About How Chemistry WorksCategory: Medical Devices / Diagnostics | Leave a Comment |
Designed to record bursts of images at an unprecedented speed of 4.5 million frames per second, an innovative X-ray camera being built with STFC’s world-class engineering expertise will help a major new research facility shed light on the structure of matter…
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Flawed Medical Device Approval Process Needs Public Comments, Says The FDACategory: Medical Devices / Diagnostics | Leave a Comment |
The Institute of Medicine said the current fast-track approval process in the USA for medical devices is unsatisfactory and should be completely overhauled. However, the FDA (Food and Drug Administration) appeared not to be satisfied with the IoM’s (Institute of Medicine’s) recommendation. The FDA had commissioned the IoM in September 2009 to review its medical device process…
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After 35 Years, Groups Ask FDA To Revaluate Approval SystemCategory: Regulatory Affairs / Drug Approvals | Leave a Comment |
The U.S. Food and Drug Administration (FDA) needs to make some changes according to The U.S. Institute of Medicine (IOM) after 35 years of the same, and a report will be released this week that hopes to change the way medical devices are regulated by the agency…
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Taking The Pressure Off Newborns’ LungsCategory: Pediatrics / Children's Health | Leave a Comment |
Children born with heart defects that pummel their lungs with up to three times the normal blood volume quickly find their lungs in jeopardy as well. Georgia Health Sciences University researchers are working to take the pressure off by augmenting a natural recycling system that enables blood vessels to temporarily handle the extra workload until the heart problem is resolved…
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New Approaches To Improving Biomarker DiscoveryCategory: Biology / Biochemistry | Leave a Comment |
An article in the current edition of Chemical & Engineering News, ACS’s weekly newsmagazine, describes the trials, tribulations, and triumphs of one of the hottest pursuits in modern biomedical science - the search for “biomarkers” that could greatly improve the diagnosis of disease and efforts to monitor the effectiveness of treatment…
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Monitor Identifies Warning Signs Prior To Panic AttacksCategory: Anxiety / Stress | Leave a Comment |
Panic attacks that seem to strike sufferers out-of-the-blue are not without warning after all, according to new research…
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With New Technology, In Mouse Model, Social Deficits Associated With Autism, Schizophrenia InducedCategory: Autism | Leave a Comment |
Researchers at Stanford University School of Medicine have been able to switch on, and then switch off, social-behavior deficits in mice that resemble those seen in people with autism and schizophrenia, thanks to a technology that allows scientists to precisely manipulate nerve activity in the brain…
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Researchers Help Graft Olfactory Receptors Onto NanotubesCategory: Medical Devices / Diagnostics | Leave a Comment |
Penn researchers have helped develop a nanotech device that combines carbon nanotubes with olfactory receptor proteins, the cell components in the nose that detect odors. Because olfactory receptors belong to a larger class of proteins that are involved in passing signals through the cell membrane, these devices could have applications beyond odor sensing, such as pharmaceutical research…
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Got Flow Cytometry? All You Need Is 5 Bucks And A Cell PhoneCategory: Medical Devices / Diagnostics | Leave a Comment |
Flow cytometry, a technique for counting and examining cells, bacteria and other microscopic particles, is used routinely in diagnosing disorders, infections and cancers and evaluating the progression of HIV and AIDS…
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Jul |
Ophthalmologist Helps Develop Device For Monitoring Degenerative Eye DiseaseCategory: Eye Health / Blindness | Leave a Comment |
An ophthalmologist at UT Southwestern Medical Center has helped create a convenient device that lets patients who have a degenerative eye disease better track vision changes. With the hand-held digital device, called myVisionTrack, patients can now perform an accurate self-test in less than 90 seconds, said Dr. Yu-Guang He, associate professor of ophthalmology at UT Southwestern…