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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


         

 

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…

 

With a score of 94.4 out of 100, Elekta’s Leksell Gamma Knife® Perfexion™ is “practically perfect in every way,” ranking at the top among six advanced radiation therapy systems, according to KLAS research firm’s recently released customer survey, Radiation Therapy 2011: A Dose of New Technology…

 

Having radiologists shut down their workstations (and monitors) after an eight hour shift leads to substantial cost savings and energy reduction, according to a study in the November issue of the Journal of the American College of Radiology. Radiology is at the forefront of technology use in medicine with the use of computers and scanning equipment…

 

Although non-radiologist physicians have contributed to the widespread use of point-of-care (POC) ultrasound, radiologists remain the primary users, according to a study in the November issue of the Journal of the American College of Radiology. POC ultrasound is defined as an ultrasound performed (and interpreted) by the clinician at the bedside…

 

Accuray Incorporated (Nasdaq: ARAY), the premier radiation oncology company, announced that the U.S. Food and Drug Administration (FDA) has granted the company 510(k) clearance to market the Dose Control System (DCS), a new feature for Accuray’s TomoTherapy® System that improves system performance…

 

Radiosurgery is a non-invasive medical procedure in which focused beams of high-energy X-rays target tumors and other abnormalities in the body. A single large dose of radiation is capable of ablating a lesion that might not be amenable to surgical removal…

 

Japan’s foremost mobile phone company is planning to unveil a smartphone that has different “jackets”, each with sensors and software that allows the owner to measure radiation levels in their surroundings, or tells them if they have bad breath, or how much body fat or muscle bulk they have…

 

Northwestern University scientists have developed new materials that can detect hard radiation, a very difficult thing to do. The method could lead to a handheld device for detecting nuclear weapons and materials, such as a “nuclear bomb in a suitcase” scenario…

 

A review of national data from 1996 through 2007 reveals a sharp uptick in the use of computed tomography, or CT, scans to diagnose illnesses in emergency departments, a University of Michigan Health System study finds. The rate of CT use grew 11 times faster than the rate of ED visits during the study period…

 

Integration with a picture archiving and communication system (PACS) improves radiologists’ use of clinical decision support tools, according to a study in the July issue of the Journal of the American College of Radiology. Decision support systems for radiologists can provide information during image interpretation that may improve diagnostic accuracy and increase radiologists’ confidence…




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