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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


         

 

An ultrasound scan, also referred to as a sonogram, diagnostic sonography, and ultrasonography, is a device that uses high frequency sound waves to create an image of some part of the inside of the body, such as the stomach, liver, heart, tendons, muscles, joints and blood vessels. Experts say that as sound waves, rather than radiation are used, ultrasound scans are safe…

 

The FDA informs that US Marshals have seized Other-Sonic Generic Ultrasound Transmission Gel after laboratory analyses found samples contained two strains of bacteria, Pseudomonas aeruginosa and Klebsiella oxytoca. The gels were seized from Pharmaceutical Innovations Inc. in Newark, New Jersey, and included lots manufactured between June 2011 and December 2011 (all lots)…

 

Magnetic resonance imaging (MRI) on the nanoscale and the ever-elusive quantum computer are among the advancements edging closer toward the realm of possibility, and a new study co-authored by a UC Santa Barbara researcher may give both an extra nudge. The findings appear in Science Express, an online version of the journal Science…

 

Using imaging technology that reveals whether brain tumors have a particular genetic mutation known as IDH, a team of academic and pharmaceutical company researchers has developed a way to help doctors select the right treatment, and developers to make new drugs that target the mutation…

 

GE Healthcare introduced their innovative Magnetic Resonance (MR) Patience Experience Suite at the Radiological Society of North America (RNSA) 2011, as part of their strategy to improve the quality of patient care by making the process more ‘human’…

 

A device that simultaneously performs a PET (positron emission tomography) scan and an MRI (magnetic resonance imaging) scan, called the Siemens Biograph mMR system, has been cleared by the FDA (US Food and Drug Administration). A PET scan sees how internal parts of the body are functioning - it tracks metabolism, movement…

 

The U.S. Food and Drug Administration (FDA) recently granted Siemens Healthcare (NYSE: SI) 510(k) clearance for the Biograph mMR, the first system worldwide to enable simultaneous whole-body acquisition of data from magnetic resonance (MR) and positron emission tomography (PET)…

 

New RF MEMS metal-contact switches developed at the University of California, San Diego could make their way into MRIs and other medical equipment, satellites, and electronic instrumentation such as spectrum analyzers and signal sources. For his work on RF MEMS metal-contact switches, electrical engineering Ph.D…

 

Under a public program from the Russian Ministry of Health (MOH), twenty-six hospitals throughout the Russian Federation acquired SuperSonic Imagine’s Aixplorer MultiWave™ Ultrasound System. The Aixplorer, with MultiWave Technology is considered the most technologically advanced system available on the market…

 

Ultrasound is often used as a first-line diagnostic exam to quickly and safely diagnose a range of patient conditions. At this year’s American College of Cardiology (ACC) annual meeting in New Orleans, April 2 - 5, 2011 (Booth # 2847), Toshiba America Medical Systems, Inc…




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