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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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Jan |
Research At Rice University Leads To Nanotube-Based Device For Communication, Security, SensingCategory: Medical Devices / Diagnostics | Leave a Comment |
Researchers at Rice University are using carbon nanotubes as the critical component of a robust terahertz polarizer that could accelerate the development of new security and communication devices, sensors and non-invasive medical imaging systems as well as fundamental studies of low-dimensional condensed matter systems…
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30
Jan |
Cyberknife Radiation Successful For Treating Tigeminal NeuralgiaCategory: Pain / Anesthetics | Leave a Comment |
A small study published online in the Journal of NeuroInterventional Surgery shows that a technique in which highly concentrated beams of radiation are used, known as Cyberknife, can relieve the stabbing pain of the facial nerve condition trigeminal neuralgia…
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30
Jan |
Patient Care Could Be Revolutionized By Diagnostic Brain Tumor TestCategory: Neurology / Neuroscience | Leave a Comment |
Researchers at UT Southwestern Medical Center have developed what they believe to be the first clinical application of a new imaging technique to diagnose brain tumors. The unique test could preclude the need for surgery in patients whose tumors are located in areas of the brain too dangerous to biopsy…
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30
Jan |
Medical Sensor Powered By The Rhythmic Action Of Rap MusicCategory: Medical Devices / Diagnostics | Leave a Comment |
The driving bass rhythm of rap music can be harnessed to power a new type of miniature medical sensor designed to be implanted in the body. Acoustic waves from music, particularly rap, were found to effectively recharge the pressure sensor. Such a device might ultimately help to treat people stricken with aneurisms or incontinence due to paralysis…
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29
Jan |
Creation Of New Atomic X-Ray Laser Offers Potential For New Medicines, Devices And MaterialsCategory: Radiology / Nuclear Medicine | Leave a Comment |
Lab scientists and international collaborators have created the shortest, purest X-ray laser pulses ever achieved, fulfilling a 45-year-old prediction and ultimately opening the door to new medicines, devices and materials…
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27
Jan |
Side Effect Severity Predicted In Head And Neck Cancer Patients By Thermal Imaging To Detect Oral Temperature ChangesCategory: Cancer / Oncology | Leave a Comment |
Slight temperature increases of the oral mucus membranes early in a head and neck cancer patient’s chemotherapy and radiation therapy (chemoradiotherapy) treatment is a predictor of severe mucositis later in treatment, according to a study presented at the Multidisciplinary Head and Neck Cancer Symposium, sponsored by AHNS, ASCO, ASTRO and SNM…
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27
Jan |
An Earlier Sign Of Autism In The BrainCategory: Autism | Leave a Comment |
In their first year of life, babies who will go on to develop autism already show different brain responses when someone looks at or away from them…
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27
Jan |
In Battle To Prevent Pandemic Infection, Clinical Technique Sets New Standard For SpeedCategory: Flu / Cold / SARS | Leave a Comment |
A new diagnosis technique developed by researchers at the RIKEN Omics Science Center (OSC) has succeeded in detecting influenza virus infection in only 40 minutes and with one hundred times the sensitivity of conventional methods…
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27
Jan |
Patient-Centered Approach To Replacing Implantable Cardioverter-Defibrillators Suggested By CardiologistsCategory: Cardiovascular / Cardiology | Leave a Comment |
More than 100,000 implantable cardioverter-defibrillators (ICDs) are implanted in the United States annually, fully a quarter of those are generator replacements simply because the battery is depleted. But are all those replacements necessary and should they actually be performed? Writing in the Jan…
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26
Jan |
Engineered Bacteria Effectively Target Tumors, Enabling Tumor Imaging Potential In MiceCategory: Cancer / Oncology | Leave a Comment |
Tumor-targeted bioluminescent bacteria have been shown for the first time to provide accurate 3D images of tumors in mice, further advancing the potential for targeted cancer drug delivery, according to a study published in the Jan. 25 issue of the online journal PLoS ONE…