Abstract:
:The graft-bone attachment site is the weak link in anterior cruciate ligament (ACL) reconstruction surgery because healing is slow and often incomplete. Each of the many graft options for ACL reconstruction surgery has different healing characteristics and potential. Autografts that allow bone-to-bone healing offer the best healing potential. An understanding of the biology of graft healing should give the surgeon context in graft selection and rehabilitation for ACL reconstruction.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Gulotta LV,Rodeo SAdoi
10.1016/j.csm.2007.06.007subject
Has Abstractpub_date
2007-10-01 00:00:00pages
509-24issue
4eissn
0278-5919issn
1556-228Xpii
S0278-5919(07)00055-5journal_volume
26pub_type
杂志文章,评审abstract::Groin injuries in athletes are being recognized as one of the most difficult problems in sport. The symptoms associated with chronic groin injuries are often diffuse and uncharacteristic. These injuries usually constitute a major diagnostic and therapeutic challenge, the success of which depends on a correct diagnosis...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::To minimize the risk of subscapularis failure after shoulder replacement, a method of preserving the subscapularis while allowing access to the glenohumeral joint was developed. Only the inferior 30% to 50% of the subscapularis tendon is detached from the humerus, leaving the superior aspect attached to the lesser tub...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2018.05.006
更新日期:2018-10-01 00:00:00
abstract::Bacterial skin dermatoses are common in athletes, and it is the role of team physicians to be able to recognize and treat such problems. Despite the skin's role as an efficient barrier, a moist environment coupled with frequent skin trauma and contact by athletes with equipment and other players predispose to acquirin...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.04.008
更新日期:2007-07-01 00:00:00
abstract::Concussion or mild traumatic brain injury (mTBI) is a condition that affects hundreds of thousands of patients worldwide. Understanding the pathophysiology of this disorder can help manage its acute and chronic repercussions. Immediately following mTBI, there are several metabolic, hemodynamic, structural, and electri...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2010.09.001
更新日期:2011-01-01 00:00:00
abstract::The unique role of the chief ethics officer in a sports medicine office is described and guided by the four principles of ethics, as well as the principles and codes of ethics of the American Medical Association, the International Sports Medicine Federation, and the American Academy of Orthopaedic Surgeons. The chief ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2004.01.006
更新日期:2004-04-01 00:00:00
abstract::The preparticipation examination (PPE) is a widely practiced method of screening athletes for medical limitations before sports participation. Although the PPE is widely implemented, there is little consistency regarding content or method in providing this important service. This lack of uniformity undermines the over...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70227-1
更新日期:2000-10-01 00:00:00
abstract::The lumbar spine is resistant to serious injury in normal athletic activity, but it can often be symptomatic. Although the symptoms are frequently musculotendinous in origin, it is important that structural causes be recognized early, particularly in the skeletally immature athlete. In the mature athlete, it is import...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Athletes, like other patients, will adhere to their treatment more readily if they believe the physician really understands their needs and cares about them as individuals. The guidelines provided in this article are intended to help the practitioner respond more effectively to each individual patient because effectiv...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::The use of implantation of allograft tissue in sports medicine has risen steadily over the last decade. Allograft tissues offer several advantages over autografts, including reduced donor-site morbidity and decreased operative time, and in some instances, no autograft option exists. However, with allografts, there is ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2008.10.009
更新日期:2009-04-01 00:00:00
abstract::Rehabilitation after anterior cruciate ligament (ACL) reconstruction should consider control of postoperative pain and swelling, protection of the healing graft, restoration of full range of motion symmetric to the contralateral knee, strengthening of the muscles that stabilize the knee, hip, and trunk, enhancing neur...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.08.016
更新日期:2013-01-01 00:00:00
abstract::Shoulder problems in the overhead and throwing athlete can result in rotator cuff tendinitis. Biomechanically, there is a delicate balance between mobility and stability of the shoulder complex. Repetitive overhead stressful motion can lead to overuse tendinitis, subtle instability, labral changes, and eventual fiber ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 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::We have provided an overview of the athlete's heart, focusing on the young athlete. Primary caretakers of athletes should know the major causes of exercise-related cardiac complications and sudden cardiac death and look for these conditions during preparticipation evaluations. We strongly suggest that coaches and othe...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70050-8
更新日期:1997-10-01 00:00:00
abstract::Distal femoral varus-producing osteotomy can be performed in the setting of lateral meniscal transplant to correct valgus malalignment of the knee and thus offload the lateral compartment. Advantages of a lateral opening wedge over medial closing wedge osteotomy include a single bone cut, avoidance of vascular structu...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2019.02.007
更新日期:2019-07-01 00:00:00
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::Ankle inversion injuries are the most common traumatic injuries in dancers. Ankle stability is integral to normal mobilization and to minimizing the risk for ankle sprain. The ability of the dynamic and static stabilizers of the ankle joint to maintain their structural integrity is a major component of the normal gait...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.12.006
更新日期:2008-04-01 00:00:00
abstract::There is an increasing need for articular cartilage restoration procedures. Hyaline cartilage lacks intrinsic healing capacity. Persistent osteochondral defects can lead to early and rapid degenerative changes. Microfracture and autologous chondrocyte implantation provide reasonable outcomes for smaller defects withou...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2017.02.007
更新日期:2017-07-01 00:00:00
abstract::The understanding and treatment of the young athlete's knee has improved and continues to do so as arthroscopy and good long-term follow-up studies guide the process. In the management of epiphyseal fractures about the knee the presence of associated ligament injury and the high likelihood of a growth plate injury is ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 00:00:00
abstract::In an attempt to evaluate the effectiveness of prophylactic knee bracing and to determine the influence of brace design and material characteristics on the protection of knee ligaments, a series of biomechanical studies were completed. The first series of tests were preliminary parametric tests of brace function utili...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1990-10-01 00:00:00
abstract::The shoulder is the most commonly dislocated joint in the body, with a greater incidence of instability in contact and collision athletes. In contact and collision athletes that have failed nonoperative treatment, the most important factors to consider when planning surgery are amount of bone loss (glenoid, humeral he...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2013.07.007
更新日期:2013-10-01 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::The classification system devised by Allman and Tossy, and revised by Rockwood, defines the extent of injury to the AC joint and helps to guide management of AC joint injuries [1,4,6]. In general, type I and II injuries may be treated nonoperatively with a sling, mainly for comfort, for a short period of time. Once th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00098-4
更新日期:2003-04-01 00:00:00
abstract::Although limited literature exists on medial epicondylitis of the elbow, this disorder is an injury affecting many athletes at every level, especially throwing athletes. Care must be taken in diagnosing medial epicondylitis to distinguish it from other possible pathologies of the medial elbow, which may exist concurre...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.04.011
更新日期:2004-10-01 00:00:00
abstract::Patients who present for anterior cruciate ligament (ACL) revision with a high-grade pivot shift at the time of an index ACL revision procedure and subsequent reconstruction failure or a high-grade pivot shift at revision surgery, patients with generalized joint laxity, and those requiring softs tissue grafts should b...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2017.07.010
更新日期:2018-01-01 00:00:00
abstract::Ulnar collateral ligament injury in the overhead athlete typically presents as activity-related pain with loss of velocity and control. Treatment options range from nonoperative rehabilitation to ligament reconstruction. Surgical reconstruction is frequently required to allow the athlete to return to competition and m...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2016.05.004
更新日期:2016-10-01 00:00:00
abstract::Not only are athletes at risk for psychiatric illness, but they are at risk of suicide. In an effort to learn more about suicide in athletes and those connected to the sports arena, a review of the medical literature from 1960 to 2000 was conducted through Medline, and a review of the periodical literature from 1980 t...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2005.06.006
更新日期:2005-10-01 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::In recent years, reproductive disorders in athletes have been observed in increasing numbers and proportions as larger numbers of women are participating in more strenuous athletic activities. Clinical problems with infertility and decreased bone density have been reported in this group, which has prided itself on its...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1986-07-01 00:00:00
abstract::At present, the care of patients with myocardial infarction, especially those with few or no complications, is characterized by an abbreviation of the period of bed rest, a decrease in the restriction of activity, earlier resumption of physical activity, and earlier discharge from the hospital for appropriately select...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::This review focuses on travel stress in athletes. An outline of the circadian system is presented, followed by an explanation of how disturbances to its regulation are related to jet lag. There are consequences of jet lag that affect exercise performance and health. Measures to ameliorate adverse effects of jet lag in...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.12.004
更新日期:2005-04-01 00:00:00