Abstract:
:The authors' preferred treatment algorithm for osteochondritis dissecans (OCD) of the knee is based on skeletal maturity, OCD lesion stability, and OCD lesion salvageability. For unstable yet salvageable OCD lesions, the senior author's preferred treatment is fixation with bone grafting. For unstable and unsalvageable OCD lesions, the senior author's preferred treatment is autologous chondrocyte implantation with bone grafting.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Carey JL,Grimm NLdoi
10.1016/j.csm.2014.01.002subject
Has Abstractpub_date
2014-04-01 00:00:00pages
375-82issue
2eissn
0278-5919issn
1556-228Xpii
S0278-5919(14)00003-9journal_volume
33pub_type
杂志文章,评审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::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::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::Osteochondritis dissecans is a rare orthopaedic disorder of unknown etiology. Advances in CT and MRI scanning have increased our knowledge of the disorder, but arthroscopy remains the principle means of monitoring its progress. Arthroscopic surgery has displaced traditional arthrotomy in many instances and is useful i...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 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::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::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::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::Physical inactivity is a risk factor for cardiovascular disease. Regular aerobic and resistance training increases exercise capacity and plays a role both in the primary and secondary prevention of cardiovascular disease. Patients with coronary artery disease, peripheral vascular disease, or diabetes mellitus must be ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00035-2
更新日期:2003-01-01 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::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::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::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::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::Headache is one of the most common entities to affect mankind. In addition to headaches seen in the general population, there are numerous types of headaches that are related to physical activity and sports. This article discusses the mechanism, presentation, evaluation, treatment, and prevention of the most common ca...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 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::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::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 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 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::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::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::A methodical approach to the evaluation of patients with anterior knee pain is extremely helpful. By exploring salient points from the patient's symptoms and history and adding important data from a comprehensive physical examination, the pieces of the puzzle can be fitted together and an accurate diagnosis can be mad...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-04-01 00:00:00
abstract::All ingredients are there--philosophies and principles, models and examples, competent and committed professionals, ready and willing agencies and organizations, and anxious-to-get-involved persons with handicapping conditions. The time has never been so right to go forward and onward to the heights with sport, recrea...
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::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::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 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::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 practitioner need not be an expert in swimming but should understand the rudiments of the stroke and training techniques such patients are subjected to. This will aid in proper identification and analysis of the problem. The solution may require the resources of physician, therapist, coach, and parent as well as s...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1986-01-01 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