Abstract：
:An increasing number of revision ACL reconstructions are being performed each year. Revision ACL surgery is challenging and cannot be approached in the same manner as primary ACL surgery. Successful revision ACL surgery requires a detailed history, a comprehensive physical examination, appropriate radiologic studies, and careful preoperative planning. The results of revision ACL surgery do not equal the results of primary ACL surgery, and this should be explained to the patient prior to surgery. In order to avoid repeating errors that led to failure of the primary reconstruction, the etiology of the primary failure must be clearly understood before proceeding with the revision procedure. Although graft failure is the most common reason for failure of the original reconstruction and revision surgery, other non-graft-related problems, such as loss of motion, extensor mechanism dysfunction, and degenerative arthritis, can also result in an unsatisfactory outcome and residual complaints. Errors in surgical technique, specifically nonanatomic graft placement and failure to address associated ligamentous injuries at the time of the original procedure, are responsible for graft failures in most reported series. Preoperative planning must address the issues of graft selection, skin incisions, hardware removal, tunnel placement, graft fixation, and associated ligamentous injuries. Loss of motion and in some cases enlarged bone tunnels may require a staged approach. Because of the weaker initial graft fixation, laxity of secondary restraints, the potential need to address associated ligamentous injuries, and the presence of more significant articular cartilage changes, an accelerated rehabilitation program is inappropriate in most revision cases. Successful revision ACL surgery requires a motivated and compliant patient, a well thought out plan, and an experienced surgeon who is knowledgeable and proficient with a variety of different surgical techniques, graft sources, and graft fixation techniques.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Brown CH Jr,Carson EWdoi
10.1016/s0278-5919(05)70133-2subject
Has Abstractpub_date
1999-01-01 00:00:00pages
109-71issue
1eissn
0278-5919issn
1556-228Xpii
S0278-5919(05)70133-2journal_volume
18pub_type
杂志文章,评审abstract：:A high-velocity knee dislocation is a true orthopedic emergency. A high index of suspicion is necessary to identify reduced knee dislocations in multiple trauma patients. Coexisting injuries are common in patients with high-velocity knee dislocations. After an initial assessment, the knee joint should be reduced immed...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70218-0
更新日期：2000-07-01 00:00:00
abstract：:Epicondylitis plagues a significant proportion of athletes and can result in prolonged symptoms and suboptimal athletic performance. The diagnosis can be confused with many other pathologic entities affecting the elbow, some of which can occur concurrently. Most patients will respond favorably to a well-guided nonsurg...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70248-9
更新日期：2001-01-01 00:00:00
abstract：:The long head of the biceps has garnered increased attention and interest due to the high prevalence of pain that can be a primary condition or occur secondary to shoulder dysfunction. The successful treatment of biceps tendinopathy is dependent on an accurate diagnosis and recognizing all causative factors. The treat...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2015.08.012
更新日期：2016-01-01 00:00:00
abstract：:As noted through the work of Fairbank, total meniscectomy is not a benign operation. Cox et al found that meniscectomies in canine knees lead to gross and microscopic degenerative changes. They also noted that partial meniscectomies lead to less severe degenerative changes. They believed that there was a direct relati...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1990-07-01 00:00:00
abstract：:An increased knowledge of the biomechanics of normal walking and running will improve our understanding of the possible mechanisms of pathology and ultimately improve the treatment of pathology and injury. Running, a natural extension of walking, involves increased velocities, joint range of motion, forces, muscle act...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：:Golf interest is on the increase, resulting in a corresponding increase in golf-related tendon injuries. Injuries are best avoided by a good strength and flexibility program, proper warm-up exercises, and good stroke mechanics. Treatment is directed toward restoring the integrity of the muscle/tendon unit at the elbow...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:Overuse injuries in the young athlete now are seen more frequently. Using an adult model of these injuries with respect to diagnosis and treatment and applying it to the young athlete does not address many of the unique characteristics that contribute to these injuries. An overview of causative factors that contribute...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 00:00:00
abstract：:Military service members comprise a young and physically active population who are at increased risk for musculoskeletal injuries and conditions related to sports and physical training. Even during times of war, musculoskeletal injuries and conditions related to sports and physical training, not associated with combat...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.06.004
更新日期：2014-10-01 00:00:00
abstract：:The various causes of posterior and inferior heel pain in the athlete have been presented. Various examples of athletes who have had the various problems and discussed their outcome have been discussed. This article primarily has tried to educate the reader as to the different types of heel pain and has stressed the n...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:Multidirectional instability of the shoulder is a condition defined by symptoms of shoulder instability in more than one direction. Patients typically have generalized ligamentous laxity and may be involved in repetitive overhead activities. Initial treatment is with a physical therapy program. Patients who fail non-o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.07.002
更新日期：2008-10-01 00:00:00
abstract：:Evaluation of injured-knee laxity is essential for treatment selection, clinical follow-up, and research. Interest in rotatory knee laxity increased with implementation of anatomic anterior cruciate ligament reconstruction. The pivot shift test represents a link between static testing with 1° of freedom and dynamic te...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.08.005
更新日期：2013-01-01 00:00:00
abstract：:The use of radiofrequency or laser to treat lax anterior cruciate ligaments is at its infancy. The imaging results of such treated ligaments using MRI are undocumented in the literature. This article reviews the basic science behind thermal treatment of ligaments and previously published and unpublished data on this t...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(02)00021-2
更新日期：2002-10-01 00:00:00
abstract：:This article reviews basic concepts in fundamental elbow biomechanics, particularly how they relate to the skeletally immature elbow in throwing athletes. Adult phases of throwing and the forces generated in each phase are compared with the developmental phases of throwing in children. The impact of elevated forces, p...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2004.06.005
更新日期：2004-10-01 00:00:00
abstract：:Optimization of treatment of the tennis player with an upper extremity overuse injury requires a thorough understanding and analysis of the biomechanical and physiologic stresses inherent in the game of tennis. Anatomic adaptations found in the upper extremity of elite tennis players provide the framework for evaluati...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-01-01 00:00:00
abstract：:Patella instability can cause significant pain and functional limitations. Several factors can predispose to patella instability, such as ligamentous laxity, increased anterior TT-TG distance, patella alta, and trochlear dysplasia. Acquired factors include MPFL injury or abnormal quadriceps function. In many cases, fi...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.03.011
更新日期：2014-07-01 00:00:00
abstract：:The advances in the field of arthroscopy have been keyed to the development of instrumentation. The most significant innovation has occurred in conjunction with the visualization system itself--cutting instrumentation for resection of soft tissues in bone and, more recently, in joints other than the knee. A brief hist...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1987-07-01 00:00:00
abstract：:Over the past several decades, research has shown the successful use of simple wedges, custom orthotics, and unloader braces in the treatment of athletes with DJD/angular deformity. This article reviews the use of these simple biomechanical devices in the treatment of these individuals. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/j.csm.2004.08.012
更新日期：2005-01-01 00:00:00
abstract：:Although the immediate neurocognitive effects of sports-related concussion are well known, less is known about the intermediate or long-term effects of sports-related concussions. A sample of selected studies of high-school and collegiate athletes is reviewed and the intermediate effects of concussive injuries are dis...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2010.09.002
更新日期：2011-01-01 00:00:00
abstract：:Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicia...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2019.06.006
更新日期：2019-10-01 00:00:00
abstract：:All ancient societies have been documented as having various aspects of gymnastics in their overall pattern of health and conditioning. In 700 BC the Athenians added gymnastics to Olympic competition; television coverage of gymnastics in the modern Olympics, combined with a heightened interest in physical fitness in g...
journal_title：Clinics in sports medicine
pub_type： 历史文章,杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:Refinements in arthroscopic techniques have fostered an upsurge in arthroscopically assisted anterior cruciate ligament reconstruction. This article explores the relative merits of autogenous and allogeneic tissue used for this purpose and describes several important technical points in the author's preferred method o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：:The athlete's wrist, especially those using bats, sticks, racquets, or clubs, is subjected to extremely high torque loads during athletic activities. These loads stress the stabilizing elements of the ulnocarpal and distal radioulnar complexes. Lesions of these regions can lead to painful dysfunction and instabilities...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.09.008
更新日期：2015-01-01 00:00:00
abstract：:Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to aid in diagnosis, to define a treatment p...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2013.12.002
更新日期：2014-04-01 00:00:00
abstract：:The etiologies of low back pain and the biomechanics and pathology of the lumbar spine as they relate to tennis stroke mechanics have been reviewed, and a treatment protocol has been presented. A recent survey of the Men's Professional Tennis Tour is the only article found that discusses low back pain in tennis player...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1988-04-01 00:00:00
abstract：:Chest pain in the athlete may arise from any one of a number of diverse etiologies. Many of these entities are discussed using an organ system approach. The pathophysiology and clinical characteristics of these processes are described and imaging studies that may aid in establishing their diagnosis are discussed. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1987-10-01 00:00:00
abstract：:Techniques for arthroscopic partial-thickness and full-thickness RTC repairs continue to advance. When selecting an RTC repair technique, it is important to identify the tear pattern and adhere to the fundamentals of tendon mobilization and footprint preparation. Partial RTC tears greater than 50% in thickness can be ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.07.002
更新日期：2012-10-01 00:00:00
abstract：:There is a distinct difference between ballet injuries and sports injuries in general, and the sports medicine physician needs to study the technique of dance and the specific injuries that it may produce in order to treat dancers effectively. In Australia, which is typical of other countries where ballet is performed...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1983-11-01 00:00:00
abstract：:Ulnar-sided wrist pain is a common problem in athletes that can be challenging owing to its frequent combination of overuse in conjunction with acute injury. Repetitive pronosupination, wrist flexion and extension, as well as radial and ulnar deviation can predispose the athlete to injury of ulnar structures. Careful ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2019.12.008
更新日期：2020-04-01 00:00:00
abstract：:Physical activity provides the biologic stimulus for a number of body adaptive mechanisms and therefore is a potent force in both prevention and treatment of sports injury. It has been shown, however, that therapeutic exercise must be prescribed with precision and care if it is to be of optimal value. There are no "ge...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
abstract：:Osteochondral lesions are relatively common and usually occur as a result of trauma. They often are unrecognized acutely and lead to osteochondral defects and eventually osteoarthritis. Detection of these lesions has been aided by bone scan, CT, and MR imaging. Acute osteochondral fragments can be replaced and interna...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70308-2
更新日期：2001-04-01 00:00:00
