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 immediately and splinted. Popliteal artery injury is common in high-velocity dislocations. Arteriograms can be helpful but should not delay operative treatment of obvious arterial injuries. Early restoration of flow to the ischemic limb will avoid amputation in most patients. The orthopedic surgeon must consider a variety of approaches when treating a patient with this type of injury. A spanning external fixator is a useful method for temporary immobilization in knee dislocation patients who have open dislocations, arterial repairs, or closed head injuries. Early surgery to improve the functional stability of the knee must be balanced against the risk of major surgery in patients with severe lower extremity and systemic injuries. The long-term risk of knee stiffness versus instability must be considered. Selective, subacute, aggressive collateral ligament repair and bicruciate reconstruction with allografts offer the best chance for optimal outcome.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Wascher DCdoi
10.1016/s0278-5919(05)70218-0subject
Has Abstractpub_date
2000-07-01 00:00:00pages
457-77issue
3eissn
0278-5919issn
1556-228Xpii
S0278-5919(05)70218-0journal_volume
19pub_type
杂志文章,评审abstract：:Racquet sports involve sharp, side-to-side movements and impose significant valgus and rotatory stresses on the knee. Most knee injuries are indirect as a result of these acute stresses and overuse. Some of the more common racquet sport injuries include tennis leg, jumper's knee, patello-femoral pain, meniscal injurie...
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：:Female athletes have an increased incidence of ACL rupture. The cause of this increased injury rate is unclear, but it is most likely from a complex interplay between multiple variables. The relative risk of incurring an ACL injury is still low. The increased risk of ACL injury in women compared with men should not di...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70204-0
更新日期：2000-04-01 00:00:00
abstract：:Osteochondral defects, impingement, and instability of the ankle are common injuries in athletes. In this article, we review these diagnoses and their treatment options, with a focus on arthroscopic approaches. The treatment options continue to evolve, supported by innovation and outcome studies. In this article, we d...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2015.06.007
更新日期：2015-10-01 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：:With the increasing reliance on tissue allografts in orthopedic reconstructive and sports surgery, there is a realistic concern on behalf of both the surgeon and the patient as to the safety of these implanted tissues and the possibility of disease transmission. New Food and Drug Administration guidelines in associati...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.08.002
更新日期：2009-01-01 00:00:00
abstract：:The management of several types of shoulder fractures is presented. These infrequently occurring fractures are seen in a sports medicine practice. Basic principles of fracture care apply and are used in their treatment. Other fractures not discussed would be treated similarly. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1990-01-01 00:00:00
abstract：:A previously unpublished report of seven professional athletes who were treated for ulnar-sided wrist pain is presented in this article. This report is followed by an introduction to the anatomy, examination, and imaging of the ulnar side of the wrist. Specific sources of ulnar-sided wrist pain, including triangulofib...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/s0278-5919(05)70102-2
更新日期：1998-07-01 00:00:00
abstract：:Athletes' skin is subject to a distinct array of physical and environmental stressors. Trauma, the elements, and pathogenic organisms constantly challenge the skin's integrity. This article intends to arm the clinician with a fundamental knowledge of infections, mechanical injuries, and environmental insults common to...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2005.03.008
更新日期：2005-07-01 00:00:00
abstract：:The early studies on IDET are very promising. IDET offers patients with chronic discogenic low back pain an option other than chronic pain [figure: see text] management or spinal fusion. Studies currently under way will help answer questions relative to mechanism of action, placebo effect, and biomechanical changes af...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(03)00064-4
更新日期：2002-01-01 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：:Many types of spinal abnormalities can have an impact on an athlete’s ability to participate in sports. One of the challenges in the current era is distinguishing the clinically relevant lesions from the incidental. Almost without exception, a Chiarimal formation, significant syringomyelia or other cyst compressing th...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.03.008
更新日期：2012-07-01 00:00:00
abstract：:In summary, arthroscopic evaluation of the athlete's knee joint provides a highly accurate means of diagnosing intra-articular lesions. It provides valuable information regarding treatment and prognosis. In addition, if arthroscopic surgical treatment is possible, even greater benefits in regard to more rapid return t...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1985-04-01 00:00:00
abstract：:Research during the past decade has elucidated the structure and function of the knee joint meniscus, and both clinical and experimental studies have demonstrated the importance of this structure. Recent advances, such as the use of an exogenous fibrin clot, have allowed preservation of an increasingly greater proport...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1996-07-01 00:00:00
abstract：:The decision to incorporate ortho-biologics into a clinical practice will ultimately depend on physicians' preferences and the resources available to their practice. It is important to emphasize that different biologics are used for different pathologies/injuries and in different settings, such as the operating room o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2018.08.008
更新日期：2019-01-01 00:00:00
abstract：:Ulnar-sided wrist pain has long been a diagnostic problem, partly because of the complex anatomy and many possible causes of pain in this region. This article discusses anatomy, pathophysiology, and imaging appearance of the more common causes, including tears of the triangular fibrocartilage complex, disorders of the...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2006.02.008
更新日期：2006-07-01 00:00:00
abstract：:With increasing numbers of professional, collegiate, and high school athletes developing low back pain, isokinetic back testing could prove to be a way of preventing the development of severe problems and extended stays on injured lists. Isokinetic testing provides an advantage over other testing procedures by more cl...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1993-07-01 00:00:00
abstract：:The principles of rehabilitation after medial patellofemoral ligament reconstruction are similar to those guiding rehabilitation after other ligamentous reconstructions of the knee, such as anterior cruciate ligament (ACL). The key features are to address pain control, range of motion (ROM), quadriceps strengthening, ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2009.12.008
更新日期：2010-04-01 00:00:00
abstract：:The problem of the injured knee has attracted thoughtful discussion over the years. A current review of changes in thinking and treatment relative to the meniscus, ligament injuries, the extensor mechanism, prosthetic ligaments, and rehabilitation is presented. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1985-04-01 00:00:00
abstract：:Diagnostic imaging plays a key role in the evaluation of adult hip pain. Cornerstone to the initial assessment of hip pain is the plain radiograph. The need for secondary imaging of the hip and choice of imaging modality depends on the clinical presentation, results of the plain radiograph series, and clinical questio...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70278-7
更新日期：2001-10-01 00:00:00
abstract：:The operative technique and indications for shoulder arthroscopy have been reviewed, with a description of proper technique and instrumentation. Visualization within the joint is usually superior to visualization with arthrotomy. With the refinement of techniques and equipment, it is expected that the frequency of tra...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：:Intrasubstance tears of the anterior cruciate ligament (ACL) are being diagnosed with increasing frequency in the skeletally immature. Management options include nonoperative/ early surgical, or delayed surgical reconstruction. Nonoperative/delayed reconstruction results in worse functional outcomes than early reconst...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2016.08.003
更新日期：2017-01-01 00:00:00
abstract：:The healing response after tendon injury is defined by cell matrix adaptive capability. There are distinct macrotraumatic and microtraumatic injury patterns and a spectrum of pathologic responses from inflammation to tissue degeneration, as characterized by the tendinosis phenomenon. Epigenetic and genetic factors gov...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1992-07-01 00:00:00
abstract：:Injuries to the lower extremity are common in racquet sports. The acute injuries usually respond well to treatment. Chronic injuries may require more patience and sometimes a change of playing habits on the part of the player. Some chronic injuries will respond well to operative intervention but most will do well with...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1988-04-01 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：:The skin diseases observed in athletes are common dermatologic problems that are related specifically to the individual skin type, hereditary factors, age, sex, environment, and sporting activity. Early recognition and treatment of these skin diseases permit the athlete to continue participation without disability or ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1982-11-01 00:00:00
abstract：:The valued techniques and types of plain roentgenograms of the cervical spine and the lumbar spine in athletic injuries are discussed. A considerable number of injury types exist, as well as a large number of various roentgenographic views that the physician may order. In approaching the athlete with an injured spine,...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:Exercise can have significant effects on gastrointestinal diseases. Regular, moderate exercise can impart beneficial effects for the intestinal microbiome, irritable bowel syndrome symptoms, and inflammatory bowel disease. High-intensity training or prolonged endurance training, on the other hand, can have negative ef...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2017.06.001
更新日期：2017-10-01 00:00:00
abstract：:The profiling characteristics reported on include anthropometric data, cardiovascular fitness, flexibility, nutrition, and strength. This information can be useful to the coach and athlete in enhancing performance. Also discussed are the basic rules of wrestling. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1984-01-01 00:00:00
abstract：:Many components of the immune system exhibit adverse change after prolonged, intense exertion. During this "open window" of impaired immunity (which may last 3-72 h, depending on the immune measure), viruses and bacteria may gain a foothold, increasing the risk for subclinical and clinical infection. The influence of ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70167-8
更新日期：1999-07-01 00:00:00
abstract：:Although conventional radiographs continue to be used as a primary method for the diagnosis of stress fractures, the limitations of radiography in early detection have been increasingly recognized. Advanced imaging techniques, including radionuclide methods, and more recently, MR imaging, have increasingly been employ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70022-3
更新日期：1997-04-01 00:00:00
