Abstract:
:Currently, autologous chondrocyte implantation and osteochondral grafting bridge the gap between palliation of cartilage injury and resurfacing via arthroplasty. Emerging technologies seek to advance first generation techniques and accomplish several goals including predictable outcomes, cost-effective technology, single-stage procedures, and creation of durable repair tissue. The biologic pipeline represents a variety of technologies including synthetics, scaffolds, cell therapy, and cell-infused matrices. Synthetic constructs, an alternative to biologic repair, resurface a focal chondral defect rather than the entire joint surface. Scaffolds are cell-free constructs designed as a biologic "net" to augment marrow stimulation techniques. Minced cartilage technology uses stabilized autologous or allogeneic fragments in 1-stage transplantation. Second and third generation cell-based methods include alternative membranes, chondrocyte seeding, and culturing onto scaffolds. Despite the promising early results of these products, significant technical obstacles remain along with unknown long-term durability. The vast array of developing technologies has exceptional promise and the potential to revolutionize the cartilage treatment algorithm within the next decade.
journal_name
Sports Med Arthrosc Revjournal_title
Sports medicine and arthroscopy reviewauthors
McNickle AG,Provencher MT,Cole BJdoi
10.1097/JSA.0b013e31818cdb82subject
Has Abstractpub_date
2008-12-01 00:00:00pages
196-201issue
4eissn
1062-8592issn
1538-1951pii
00132585-200812000-00002journal_volume
16pub_type
杂志文章,评审abstract::Magnetic resonance imaging and a thorough understanding of its interpretation in the diagnosis and management of injuries to the ligaments about the knee is an essential skill for orthopedists. The goal of this review is to provide a description of the native and injured anatomy through magnetic resonance imaging and ...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000167
更新日期:2017-12-01 00:00:00
abstract::Femoroacetabular impingement (FAI) has been identified as a potential cause of hip osteoarthritis. The goal of FAI surgery is to relieve pain, and hopefully delay or prevent osteoarthritis of the hip. Several studies have now demonstrated favorable clinical outcomes after arthroscopic and open surgical correction of s...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000092
更新日期:2015-12-01 00:00:00
abstract::Isolated chondral and osteochondral defects of the knee are challenging clinical entities, particularly in younger patients. Cartilage treatment strategies have previously been characterized as palliation (ie, chondroplasty and debridement), repair (ie, drilling and microfracture), or restoration (ie, autologous chond...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000099
更新日期:2016-06-01 00:00:00
abstract::Diagnosis of posterolateral corner injuries can be challenging. Understanding the mechanism of injury in combination with careful history taking and a thorough physical examination are crucial. Clinical findings may be subtle, especially in the acute setting. Specialized tests such as external rotation recurvatum test...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/00132585-200603000-00003
更新日期:2006-03-01 00:00:00
abstract::Approximately one-third of skeletally mature patients with primary patellar dislocation will experience recurrent patellar instability over time. Because of the multifactorial combination of features contributing to overall stability of the patellofemoral joint, first-time patella dislocation presents a challenge to t...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000239
更新日期:2019-12-01 00:00:00
abstract::There are many bracing options for patients with functional limitations of the lower extremity following trauma. The first question that the provider must ask when evaluating a patient with a foot and ankle functional limitation because of weakness or pain is, "what are the patient's expectations?" One option for the ...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000259
更新日期:2019-09-01 00:00:00
abstract::Several different techniques to secure the distal end of the biceps tendon back to the radial tuberosity have been described in the literature. This paper will focus on 2 of the more common ones: (1) a 2-incision technique using a bone tunnel and (2) a 1-incision technique with suture anchors. Both of these techniques...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e3181861e08
更新日期:2008-09-01 00:00:00
abstract::Adaptive sports athletes represent a growing population within the athletic community worldwide. Given potential cardiometabolic and psychosocial benefits of adaptive sports participation, the impact on bone health and injury risk in adaptive athletes is of increasing clinical interest. Impaired bone health as a resul...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000235
更新日期:2019-06-01 00:00:00
abstract::The first-generation autologous chondrocyte implantation (ACI-P) described by Peterson and colleagues used a periosteal patch to form a watertight cover over the articular cartilage defect, under which the autologous chondrocyte suspension was injected. Although good to excellent outcomes were often seen in >80% of pa...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000079
更新日期:2015-09-01 00:00:00
abstract::Posterior cruciate ligament (PCL) injury, especially in isolation, is a less frequent injury than injury to the anterior cruciate ligament and other ligaments of knee. In addition, the complex injury patterns involving the PCL, the technically demanding nature of surgical treatments, the anatomic proximity to vital ne...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000247
更新日期:2020-03-01 00:00:00
abstract::Low-field office magnetic resonance scanners have been an exciting, innovative, and controversial development in medical imaging. These units boost cost efficiency, with ease of installation and no additional external radiofrequency shielding necessary. The open design enables imaging of those who are claustrophobic a...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章
doi:10.1097/JSA.0b013e3181960288
更新日期:2009-03-01 00:00:00
abstract::Spondylolysis and spondylolisthesis are common diagnoses made in the athlete suffering from persistent back pain. Although the etiology of this continuum of conditions is uncertain, genetic predisposition and repetitive trauma have been strongly implicated. Sports in which participants are subjected to repetitive hype...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e318163be50
更新日期:2008-03-01 00:00:00
abstract::Arthroscopic stabilization using the Suretac is indicated in patients with anterior instability in whom the pathology is limited to labral detachment. A successful outcome requires an adequate debridement of the glenoid neck, proper retensioning of the labral ligament complex, and use of a robust portion of the tissue...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章
doi:10.1097/00132585-199300140-00005
更新日期:1993-01-01 00:00:00
abstract::Because of the increasing health care costs and the need for proper allocation of resources, it is important to ensure the best use of health benefits for sick and injured people of the population. An index or indicator is needed to help us quantify what is being spent so that comparisons with other options can be imp...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e31829e0852
更新日期:2013-09-01 00:00:00
abstract::The medial collateral ligament is the most commonly injured ligament in the knee. All isolated grade I and II tears and most grade III tears can be treated nonoperatively with a supervised, functional, rehabilitation program. Good to excellent results can be expected with return to full preinjury activity level being ...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/01.jsa.0000212307.54947.e4
更新日期:2006-06-01 00:00:00
abstract::The diagnosis and treatment of patellofemoral disorders can challenge even the experienced orthopedic surgeon. Differential diagnosis is broad and multiple anatomic abnormalities must be taken into account in order to manage care. The majority of patients with patellofemoral disorders can be treated successfully nonop...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e31828e88a2
更新日期:2013-06-01 00:00:00
abstract::Several animal models have been used for in vivo and in vitro shoulder research. In vitro models, consisting of cadaveric specimens, are useful in providing basic understanding of the functioning of the shoulder and for biomechanical experiments. In vivo models provide the means to model living phenomena, such as tend...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e318205470e
更新日期:2011-09-01 00:00:00
abstract::The surgical treatment of femoroacetabular impingement has been shown to have successful early and mid-term clinical outcomes. Despite these favorable clinical outcomes that have been published in the literature, there is a subgroup of patients that present with continued or recurrent symptoms after surgical treatment...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章
doi:10.1097/JSA.0000000000000300
更新日期:2021-03-01 00:00:00
abstract::The majority of shoulder injuries occur due to repetitive overhead movements, with baseball pitching being the most common mechanism for overuse injury. Before studying the treatment of these shoulder injuries, it is paramount that the health professional have an understanding of the etiology of and the underlying mec...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000019
更新日期:2014-06-01 00:00:00
abstract::Extensor tendon injuries of the hand and wrist in high-level athletes can cause a delay in return to play and permanently affect their performance. Given the inherent demand for a speedy and complete recovery, orthopedic surgeons must have an understanding of how to best direct an athlete's treatment for these injurie...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000011
更新日期:2014-03-01 00:00:00
abstract::Shoulder instability and rotator cuff pathology can provide a challenging problem, especially in the revision setting. Allograft use in primary or revision surgical intervention for shoulder instability and rotator cuff tear may be a valuable resource. This paper reviews allograft tissue use in shoulder surgery for in...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000208
更新日期:2018-09-01 00:00:00
abstract::The evaluation and management of posterior cruciate ligament (PCL) injuries presents a clinical challenge to even the most experienced orthopedic surgeons. Increasing emphasis has also been placed on the diagnosis of associated ligamentous and cartilaginous injuries that may contribute to patterns of instability not s...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e3181f917e2
更新日期:2010-12-01 00:00:00
abstract::Much as the anterior talofibular ligament can be advanced to stabilize the lateral ankle, the healed, elongated medial patellofemoral ligament (MPFL) can be advanced to restore patellofemoral stability. We describe a simple technique whereby the MPFL remnant and femoral insertion can be easily identified and tested fo...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e31803035d3
更新日期:2007-06-01 00:00:00
abstract::Hyaline articular cartilage is critical for the normal functioning of the knee joint. Untreated focal cartilage defects have the potential to rapidly progress to diffuse osteoarthritis. Over the last several decades, a variety of interventions aiming at preserving articular cartilage and preventing osteoarthritis have...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000226
更新日期:2018-12-01 00:00:00
abstract::Athletic injuries in or around the hip in the adolescent athlete encompass possible causes such as a single, traumatic event to those of repetitive microtrauma. The injuries may involve the bone or the soft tissues, with former involving the epiphysis, apophysis, metaphysis, or diaphysis, whereas the latter includes m...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e31820d5534
更新日期:2011-03-01 00:00:00
abstract::The number of patients undergoing revision surgery following failure of anterior cruciate ligament (ACL) reconstruction has increased over the recent past, following the overall increased number of primary ACL reconstruction performed. Failure of primary ACL reconstruction can be attributed to technical errors, biolog...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0000000000000140
更新日期:2017-03-01 00:00:00
abstract::Postarthroscopic glenohumeral chondrolysis is a devastating, poorly understood, and relatively rare complication. True chondrolysis involves the dissolution of articular cartilage, including the matrix and cellular elements, leading to premature and irreversible articular cartilage loss. Several factors have been impl...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e3181eb6ca3
更新日期:2010-09-01 00:00:00
abstract::Plantar fasciitis is the most common cause of heel pain and can prove difficult to treat in its most chronic and severe forms. Advanced cases of plantar fasciitis are often associated with ankle stiffness, heel spurs, and other conditions and can lead to extensive physical disability and financial loss. Most available...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e318297fa8d
更新日期:2013-12-01 00:00:00
abstract::Rehabilitation concepts after anterior cruciate ligament (ACL) reconstruction continue to advance rapidly. A review of the recent literature reveals numerous aspects of the rehabilitation program, the subject of investigation, and validation. Areas discussed in this article include the efficacy of functional bracing a...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章,评审
doi:10.1097/JSA.0b013e3181cdb5d3
更新日期:2010-03-01 00:00:00
abstract::Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure, with an increasing frequency leading to an increased number of revision procedures. Etiologies for graft rupture are varied and can include technical issues, repeat trauma, and graft choice. The preoperative evaluation before a revision...
journal_title:Sports medicine and arthroscopy review
pub_type: 杂志文章
doi:10.1097/JSA.0000000000000262
更新日期:2020-06-01 00:00:00