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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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Feb |
Liquid Lasers May Better Detect Genes Linked To CancerCategory: Cancer / Oncology | Leave a Comment |
Using a liquid laser, University of Michigan researchers have developed a better way to detect the slight genetic mutations that might predispose a person to a particular type of cancer or other diseases. Their results are published in the current edition of the German journal Angewandte Chemie. This work could advance understanding of the genetic basis of diseases…
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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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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…
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Jan |
Identifying Tumors Early - Tactile Imaging Sensor DeviceCategory: Cancer / Oncology | Leave a Comment |
A medical physical examination of a patient is first and foremost performed through touch, yet doctors can only learn a limited amount of information from what they feel. Temple University researchers have now developed a prototype device that will not only emulate human tactile sensation, but also quantify it…
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Dec |
Every Cloud Has A Silver Lining: Weather Forecasting Models Could Predict Brain Tumor GrowthCategory: Cancer / Oncology | Leave a Comment |
Ever wondered how meteorologists can accurately predict the weather? They use complex spatiotemporal weather models, i.e. mathematical equations that track the motions of the atmosphere through time and space, and combine them with incoming data streams from weather stations and satellites…
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Nov |
Translational Sciences Corporation Receives FDA 510(k) Clearance For Commercialization Of OncoTrac™ In The United StatesCategory: Cancer / Oncology | Leave a Comment |
Translational Sciences Corporation (TSC) announced that it has received FDA 510(k) clearance for commercialization of its OncoTrac™ medical imaging software. OncoTrac™ is designed for efficient quantitative assessment of treatment response of metastatic tumors including breast, lung, colorectal, prostate, and lymphoma…
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Nov |
Hyperthermia Heat Treatment For Cancer ApprovedCategory: Cancer / Oncology | Leave a Comment |
BSD Medical Corporation’s new system of using heat to treat cancer, known as the BSD-2000 Hyperthermia System, which uses “hyper” not “hypo” thermia, has been granted Humanitarian Device Exemption (HDE) marketing approval from the U.S. Food and Drug Administration (FDA)…
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Nov |
Computer-Based Tool To Improve Diagnosis And Prognosis For Cancer PatientsCategory: Cancer / Oncology | Leave a Comment |
A computer-based tool could help GPs to speed up the diagnosis and treatment of patients suffering from two of the most common forms of cancer, potentially saving thousands of lives every year…
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Oct |
Scientists Use Gold Nanorods To Tag Brain TumorsCategory: Cancer / Oncology | Leave a Comment |
“It’s not brain surgery” is a phrase often uttered to dismiss a job’s difficulty, but when the task actually is removing a brain tumor, even the slightest mistake could have serious health consequences. To help surgeons in such high-pressure situations, researchers from Prof…
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Sep |
‘TF Beacons’ May Light Path To New Cancer Tests And DrugsCategory: Cancer / Oncology | Leave a Comment |
Scientists are reporting development of a long-sought new way to detect the activity of proteins that bind to the DNA in genes, often controlling the activity of genes in ways that make cells do everything from growing normally to becoming cancerous. Their report appears in the Journal of the American Chemical Society…