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 implantation, particulated juvenile allograft cartilage, osteochondral autograft transfer, and osteochondral allograft). Each of these surgical procedures have shared and novel complications associated with their use. This article provides a detailed, case-based discussion of common complications encountered in surgical procedures for focal cartilage defects of the knee, highlighting causes, clinical recognition, and how to address and avoid these complications.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Welton KL,Logterman S,Bartley JH,Vidal AF,McCarty ECdoi
10.1016/j.csm.2017.12.008subject
Has Abstractpub_date
2018-04-01 00:00:00pages
307-330issue
2eissn
0278-5919issn
1556-228Xpii
S0278-5919(17)30136-9journal_volume
37pub_type
杂志文章,评审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：: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：: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：:Traumatic CNS injury is one of the most important health issues in our society and is a risk to all athletes, both in competitive and recreational sports. Our understanding of the pathophysiology has improved tremendously in the last 20 years. This progress has led to the identification of several possible treatments ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(02)00107-2
更新日期：2003-07-01 00:00:00
abstract：:A review of the available records indicates that there have been a substantial number of fatalities in primarily professional but also amateur boxers due to intracranial injuries sustained in the ring in comparison to the numbers of boxers at risk. The number of such fatalities has decreased steadily in recent years o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70070-3
更新日期：1998-01-01 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：: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：:Presently there are no universally accepted definitions of the grades of concussion or criteria for when to allow the athlete to return to competition after a head injury. What is agreed upon is that in order to avoid cumulative brain damage and the second impact syndrome, no athlete still suffering post-concussion sy...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70060-0
更新日期：1998-01-01 00:00:00
abstract：:Patellofemoral dysfunction is a common but not yet well-managed condition affecting a large number of athletes. It is important to perform a thorough evaluation of these athletes including soft-tissue imbalances and faulty movement patterns. It is also important to develop a comprehensive treatment plan that addresses...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1989-10-01 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：: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：:There is no doubt that the understanding of shoulder mechanics and pathology will continue to evolve. It is not appropriate to consider that all patients, especially young athletes, who have shoulder pain have "impingement." Rather, a careful evaluation will result in the correct diagnosis and the institution of the a...
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：: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 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：:Medical supervision of cardiac exercise programs should be individualized to each patient's needs. In order for this to be done, several factors must be considered, including the nature of increased risk during exercise due to coronary heart disease, ways to minimize the risk of cardiovascular complications during exe...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1984-04-01 00:00:00
abstract：:Our understanding of the structure and function of the anterior cruciate ligament has progressed rapidly over the past decade. Arthroscope-assisted anterior cruciate ligament replacement is a new procedure that allows isometric placement of the anterior cruciate ligament graft. Postoperative rehabilitation is enhanced...
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：:In a time of declining reimbursement for patient care services, establishing an in-office IME company enables orthopedic practices to generate additional revenue to subsidize clinical activities without compromising the credibility and integrity of their physicians; however, the decision to enter the medical/legal con...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/s0278-5919(01)00004-7
更新日期：2002-04-01 00:00:00
abstract：:In the previous discussion, emphasis has been placed on the detection of cardiac disorders that might lead to sudden death. Cardiac crises result from congenital structural defects in athletes aged 35 years or younger, and from acquired diseases in older individuals. Detection implies preparticipation screening, which...
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：: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：: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：: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：: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
abstract：:Because both the young and aging population are showing increasing interest in sports participation, the number of sports related injuries and in particular anterior cruciate ligament (ACL) injuries have been increasing. Because of these injuries much time and energy has been focused on ACL reconstruction in order to ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2007.06.002
更新日期：2007-10-01 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：:Rehabilitation of the lower extremities has fallen into two basic categories known as open and closed kinetic chain activities. Closed kinetic chain exercises are functional exercises specific to sport movement patterns. Exercises performed with a variety of equipment may be classified as closed kinetic chain. Program...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
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：:Hip joint problems in the athlete can be disabling, yet remain elusive to investigation. The arthroscope has proved essential in both the detection and treatment of many of these disorders. Less invasive methods with quicker return to safe competition has been a sine qua non of sports medicine. The incentive to return...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2005.12.007
更新日期：2006-04-01 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：: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：: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
