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 association with independent agency scrutiny have served to decrease this risk in light of recent publicized reports of infection transmission associated with allograft use. In addition, tissue banks are constantly developing new proprietary techniques for allograft processing and sterilization. However, clinical studies are needed to validate disinfection efficacy and to evaluate the effect of these processes on tissue structural properties. This article serves as a review of historical disease transmission, current governmental and nongovernmental tissue regulations, and specific processing techniques used by tissue banks.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Vaishnav S,Thomas Vangsness C Jr,Dellamaggiora Rdoi
10.1016/j.csm.2008.08.002subject
Has Abstractpub_date
2009-01-01 00:00:00pages
127-41issue
1eissn
0278-5919issn
1556-228Xpii
S0278-5919(08)00074-4journal_volume
28pub_type
杂志文章,评审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::This article addresses the prevalence of various hand and wrist injuries in a variety of sports. Multiple resources and references have been utilized to draw a perception of the types of injuries and the sports with which they are most commonly associated. It is hoped that this article will give the physician a greate...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70092-2
更新日期:1998-07-01 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::Surgical treatment of patellar dislocations, acute and chronic, has evolved significantly over the past decade with the advance of biomechanical knowledge of patellofemoral restraints and injury patterns identified by physical examination and improved imaging techniques. There continues to be no consensus on treatment...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00031-5
更新日期:2002-07-01 00:00:00
abstract::Altering body composition either through reducing body fat or increasing muscle mass is a frequent and very important concern of large numbers of young athletes. When efforts to induce these body changes are approached with sound principles of nutrition and training, the resulting changes in body composition can make ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1984-07-01 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::Meniscus root tears biomechanically disrupt normal joint loading and lead to joint overload with the possible development of spontaneous osteonecrosis of the knee and early-onset osteoarthritis. Proper identification and treatment of meniscal root tears has been proven to restore joint loading and improve patient outc...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2019.08.009
更新日期:2020-01-01 00:00:00
abstract::The treatment of chondral hip injuries is challenging. However, for young patients with hip disorders, orthopedic surgeons now have the opportunity to intervene early in the development of debilitating joint disease. As understanding of the hip joint continues to evolve, more effective treatment strategies are emergin...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2016.02.005
更新日期:2016-07-01 00:00:00
abstract::Hip instability is uncommon because of the substantial conformity of the osseous femoral head and acetabulum. It can be defined as extraphysiologic hip motion that causes pain with or without the symptom of hip joint unsteadiness. The cause can be traumatic or atraumatic, and is related to both bony and soft tissue ab...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2010.12.008
更新日期:2011-04-01 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::Focal cartilage defects in the knee are commonly found on MRI and arthroscopically. When these lesions are symptomatic and fail nonoperative management several surgical strategies are available. Common surgical techniques include reparative (ie, microfracture) and restorative procedures (ie, autologous chondrocyte imp...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2017.12.008
更新日期:2018-04-01 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 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::Attention-deficit/hyperactivity disorder (ADHD) is a brain-based behavioral disorder with heterogeneous expression affecting quality of life. Some affected individuals may not experience obvious impairment until after arrival at college. The incidence of ADHD may be increased among athletes who participate at the elit...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2011.03.007
更新日期:2011-07-01 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::Metatarsal fractures represent a relatively common injury, especially in athletes. The pertinent anatomy, evaluation, diagnosis, classification, and treatment of acute and chronic (stress) metatarsal shaft fractures are discussed. Fractures of the proximal fifth metatarsal, which are unique and important injuries, are...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2005.08.014
更新日期:2006-01-01 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 specter of catastrophic cervical neurotrauma resulting from athletic participation, although infrequent, has been consistently associated with football, water sports, gymnastics, rugby, and ice hockey. Injury involving intracranial hemorrhage can result in death or permanent neurologic impairment, whereas certain ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Ankle arthroscopy has evolved over the past decade to address many acute and chronic injuries in the athlete. Although similar outcomes are reported with established open procedures, arthroscopic intervention confers the advantages of decreased postoperative morbidity and earlier return to sports activity. Arthroscopi...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
abstract::This article focuses on 3 concepts that continue to be investigated in the search for the holy grail of concussion-a valid diagnostic test. Imaging advances are discussed with optimism that functional MRI and diffusion tensor imaging may be available clinically. Biomarkers and the use of genetic tests are covered. Sid...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2020.08.009
更新日期:2021-01-01 00:00:00
abstract::Most studies have found lower bone mass among women with exercise-induced oligomenorrhea compared with eumenorrheic control women and athletes. These findings have important implications regarding increased risk of both stress fractures and premature osteoporosis. Active and athletic women should be encouraged to keep...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-04-01 00:00:00
abstract::Injuries to the posterior cruciate ligament (PCL) are an uncommon but significant instability pattern that eventually deteriorates the articular surface of the PLC-deficient knee. Although controversy persists regarding the appropriate treatment for the isolated PCL tear, patients with combined ligament injuries are b...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 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::The reproductive dysfunctions seen with exercise are reviewed. The three salient problems discussed are delayed menarche, secondary amenorrhea, and cycle dysfunction (including shortened luteal or prolonged follicular phases). These problems are probably multifactorial in origin and are not caused by exercise alone. T...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::Attention to detail and anatomic precision is essential to accurate diagnosis. Accurate diagnosis is the keystone of care for the acute or chronic knee problem. The arthroscope is an essential diagnostic tool. Uniplanar instability can usually be treated nonoperatively with good results providing that secondary suppor...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1985-04-01 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::This article provides a review of current important issues in the management of athletes who have sustained a concussion during athletic competition. Recent research in the area of concussion management is reviewed with specific reference to the side line evaluation of concussion and the follow-up of the athlete durin...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.04.001
更新日期:2004-07-01 00:00:00
abstract::There is a proliferation of sports medicine physicians whose training is largely in the management of such athletically debilitating conditions as knee ligament and meniscus tears. Physicians with responsibility for the management of the full spectrum of sports-related conditions, including upper extremity injuries, m...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::In addition to the physical aspects of athletic injury, there are psychological aspects to consider. These are important during all phases of injury management: the acute injury, the rehabilitative process, and the return-to-play progression. Emotional disturbances are often associated with mild traumatic brain injury...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00100-x
更新日期:2003-07-01 00:00:00
abstract::Compressive neuropathies of the median and radial nerves in the region of the elbow are a frequent cause of pain and weakness as well as sensory complaints. The problems associated with these neuropathies can be as severe and disabling as the more commonly encountered ulnar nerve neuropathies discussed elsewhere in th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00