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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


         

 

A sideline visual test effectively detected concussions in collegiate athletes, according to a team of researchers from the Perelman School of Medicine at the University of Pennsylvania. Concussed athletes scored an average of 5…

 

It’s a simple home genetic test, but the results it produces can make workouts more effective, children’s sports choices more appropriate and trainers’ awareness of potential risk factors more precise. It can even save a life…

 

A new hand-held medical device will help UK athletes reach the top of their game when preparing for upcoming sporting competitions. UK Sport, the UK’s high performance sports agency, has reached an agreement to become the first organisation to use cutting edge technology developed by Argento Diagnostics to improve training programmes for athletes…

 

Neuro Kinetics, Inc. (NKI) , manufacturers of noninvasive medical diagnostic equipment used worldwide to test for vestibular and neurological conditions, said today that it has received a two-part grant under the recently enacted Patient Protection and Affordable Care Act to further the company’s ongoing clinical studies to collect data for the objective diagnosis of sports concussions…

 

A study by researchers at Purdue University suggests that some high school football players suffer undiagnosed changes in brain function and continue playing even though they are impaired…

 

Echo Therapeutics, Inc…

 

For competitive bicyclists with goals - whether competing in the Tour de France or aiming for the podium at a local race - faster cycling comes from training regimens based on various zones of exercise intensity…

 

Tiny sensors known as accelerometers are everywhere. The near-weightless technology can measure the impact of a dangerous tackle on a football player’s helmet, control the flow of highway and runway traffic, analyze a golf pro’s swing, orient the next generation of smart phones, and keeping fighter jets and missiles on target…

 

DePuy Mitek, Inc. has announced the launch of its OMNISPAN™ Meniscal Repair System for all-inside repairs of meniscus tears. The announcement was made here at the American Orthopaedic Society for Sports Medicine (AOSSM) 2010 Annual Meeting. The System features a low-profile needle pre-loaded with two PEEK backstops and proprietary ORTHOCORD® suture for enhanced strength…

 

When Beaumont Hospital physicians recently held a heart screening for high school students, they found some surprising results of the 402 students screened, 34 students were advised to continue with sports and follow-up with their personal physicians; an additional five students were instructed to stop exercise until fully evaluated…




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