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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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8
Sep |
The Optimal Set-Up For Obtaining The Best Breast Scan Image With Minimal Radiation Dose To The PatientCategory: Breast Cancer | Leave a Comment |
A mathematical tool known as a Monte Carlo analysis could help improve the way X-rays are used for mammography and reduce the number of breast cancers missed by the technique as well as avoiding false positives, according to research published this month in the International Journal of Low Radiation…
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1
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Swiss Breast Cancer Patient Becomes First In World To Receive Treatment Using Gated RapidArc From Varian Medical SystemsCategory: Breast Cancer | Leave a Comment |
A 51-year-old breast cancer patient from Switzerland has become the first person in the world to be treated using Gated RapidArc®, which makes it possible to monitor patient breathing and compensate for tumor motion while quickly delivering radiotherapy during a continuous rotation around the patient…
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31
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Adult Mammary Stem Cells Identified And Isolated For The First Time In Mice, Potential For Breast Tissue Regeneration And New Cancer Drug TargetsCategory: Breast Cancer | Leave a Comment |
For the first time, researchers at Fred Hutchinson Cancer Research Center have identified and isolated adult mammary stem cells in mice. Long-term implications of this research may include the use of such cells to regenerate breast tissue, provide a better understanding of the role of adult stem cells in breast cancer development, and develop potential new targets for anti-cancer drugs…
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20
Aug |
IUPUI Work To Improve Breast Cancer Detection Receives International RecognitionCategory: Breast Cancer | Leave a Comment |
A paper by Indiana University-Purdue University Indianapolis researchers describing the development of a new methodology to improve identification of breast cancer tissue by pathology laboratories has been selected as the best scientific paper in the “bioinformatics and biomedical applications track” by the International Association for Pattern Recognition…
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5
Aug |
Ease The Aftermath Of Breast Cancer With New Imaging TechniqueCategory: Breast Cancer | Leave a Comment |
A new study of breast cancer survivors may help physicians ease a common side effect of cancer treatments. The collaborative research by Eva Sevick, Ph.D., Director of the Center for Molecular Imaging at the University of Texas Health Science Center in Houston (UTHSC), and Caroline Fife, M.D., Director of the Memorial Herman Wound Care Clinic at UTHSC, could bring relief to millions…
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Cytori Gains Stem Cell Device Approval In Europe For Breast Cancer Reconstruction And Soft Tissue RepairCategory: Breast Cancer | Leave a Comment |
Cytori Therapeutics (NASDAQ: CYTX) received expanded European approval (CE Mark) for its Celution® System, a medical device that extracts and separates stem and regenerative cells from a patient’s own fat tissue…
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8
Jul |
Breast Cancer Detection: Mathematical Models With Microwave Tomography Are Cheaper And Less RiskyCategory: Breast Cancer | Leave a Comment |
The most popular method of breast cancer detection today is X-ray mammography, which takes images of a compressed breast by low-dose ionizing radiation. However, there are several disadvantages to using X-rays for breast cancer screening, chief among them being the invasivity of radiation and the high costs, which limit their wide use and can deter women from getting them…
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17
Jun |
TechniScan Announces Adding Another Center To Worldwide Clinical Trials For New Breast Imaging SystemCategory: Breast Cancer | Leave a Comment |
TechniScan, (OTC Bulletin Board: TSNI) a medical device company engaged in the development and commercialization of an automated 3D breast ultrasound imaging system, announced that it has launched a clinical study in Rochester, Minn., its third new clinical site to commence in the last five months…
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15
Jun |
Specially Trained Nurse Practitioner Detected Same Breast Abnormalities As SurgeonCategory: Breast Cancer | Leave a Comment |
Women were just as likely to have breast abnormalities picked up by a specially trained nurse practitioner as a consultant breast surgeon, according to research published in the July issue of the Journal of Advanced Nursing…
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15
Jun |
Political Pressure Cited Following Use Of Unproven Mammography ToolCategory: Breast Cancer | Leave a Comment |
In a study illustrating the potentially powerful influence of political pressure on medical practice, a UC Davis physician-researcher has found that use of a largely unproven mammography screening device has surged since Medicare began covering its cost…