Abstract：
:Primary ACL repair with or without extra-articular augmentation can be functionally and statically successful based on our experience in high-performance athletes. Proper surgical technique, appropriate rehabilitation, and excellent quality of the tissue being repaired are required to achieve these results. Several notable improvements in diagnostic imaging, physical examination, surgical technique, and rehabilitation protocol have led to excellent results. The notchplasty, multiple loop suture technique, and improved meniscal repair are key factors. Moreover, we believe that one of the prime enhancements is to provide the highly stable extra-articular lateral capsular ligament reconstruction described previously. Laboratory findings have shown that this procedure provides excellent support against anterior subluxation immediately after surgery. It appears that release of the iliotibial band tissue proximally prevents stretching and failure of this extra-articular procedure. Rehabilitation unquestionably is a critical factor in the success of this surgical procedure. Immediate motion and appropriate biomechanical stresses on the repaired ligament have proved compatible with good functional and objective results. Even though intra-articular reconstruction of the torn ACL continues to be considered the gold standard, we remain convinced that primary repair of the ACL with appropriate extra-articular augmentation should not be ruled out in many cases. This procedure clearly is a viable, successful, and acceptable alternative to intra-articular reconstruction in selected cases.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Steadman JR,Rodkey WGsubject
Has Abstractpub_date
1993-10-01 00:00:00pages
685-95issue
4eissn
0278-5919issn
1556-228Xjournal_volume
12pub_type
杂志文章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：:The article reviews the clinical features of the acutely torn anterior cruciate ligament. The alternatives and techniques of repair are discussed. Results of primary repair are presented. A rationale for therapeutic options is presented. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1988-10-01 00:00:00
abstract：:Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicia...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2019.06.006
更新日期：2019-10-01 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：: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：:In sports medicine, the practice of ethics presents many unique challenges because of the unusual clinical environment of caring for players within the context of a team whose primary goal is to win. Ethical issues frequently arise because a doctor-patient-team triad often replaces the traditional doctor-patient relat...
journal_title：Clinics in sports medicine
pub_type： 历史文章,杂志文章
doi：10.1016/j.csm.2015.10.004
更新日期：2016-04-01 00:00:00
abstract：:A thorough knowledge of foot and ankle anatomy is required to allow an accurate and focused examination of the injured athlete. This short review has attempted to educate the treating physician on our approach to foot and ankle injuries commonly seen in athlete. We have tried to elucidate less common injuries that pre...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70034-x
更新日期：1997-07-01 00:00:00
abstract：:Handlebar problems are common among serious bicyclists. Compression neuropathy, more commonly ulnar than median, is frequent but seldom produces permanent injury or deficit if promptly recognized and managed by attending to bicycle fit, energy-absorbing gloves and handlebar treatments, and cycling technique. Overuse s...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 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 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：:The overall health benefits of cardiovascular exercise, such as running, are well established. However, it is also well established that in certain circumstances running can lead to overload injuries of muscle, tendon, and bone. In contrast, it has not been established that running leads to degeneration of articular c...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2010.03.006
更新日期：2010-07-01 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：:The authors discuss the clinical characteristics and treatment of such overuse injuries of the foot as plantar fasciitis, Haglund's syndrome, Jones' fracture, and tarsal navicular stress fractures. A consideration of orthotic devices is also provided. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1987-04-01 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：: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：: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：: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：:This article provides practitioners with meal plan samples at four calorie levels as a guide for planning athletes' food choices. Many good and practical publications are available for trainers and dietitians who assist athletes in their nutritional plans. The two primary needs of people with increased physical activi...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70177-0
更新日期：1999-07-01 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：:Providing adequate protection is a very important component of proper treatment of athletic injuries of the upper extremity. This article reviews the anatomic considerations involved in fabricating splints for various joints of the hand and wrist that will allow the athlete to compete as early as possible while preven...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1986-10-01 00:00:00
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 th...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2007.06.007
更新日期：2007-10-01 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：: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：:Evaluation of injured-knee laxity is essential for treatment selection, clinical follow-up, and research. Interest in rotatory knee laxity increased with implementation of anatomic anterior cruciate ligament reconstruction. The pivot shift test represents a link between static testing with 1° of freedom and dynamic te...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.08.005
更新日期：2013-01-01 00:00:00
abstract：:Concussion is one of the most hotly debated topics in sports medicine today. Research surrounding concussion has experienced significant growth recently, especially in the areas of incidence, assessment, and recovery. However, there is limited research on the most effective rehabilitation approaches for this injury. T...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.12.005
更新日期：2015-04-01 00:00:00
abstract：:PM tears most commonly occur in the young athletic male while performing weight-lifting exercises, but can result from any activity whereby the arm is maximally contracted in an extended and externally rotated position. Patients typically present with acute pain, swelling, ecchymosis, deformity, and weakness with addu...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.06.005
更新日期：2014-10-01 00:00:00
abstract：:Overuse injuries of the knee are abundant in basketball players. This article discusses the pathophysiology of overuse and the principles of treatment. The diagnosis and clinical management of jumper's knee, patellofemoral pain, and stress fractures are outlined with specific attention to rehabilitation techniques and...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:The glenohumeral joint is an inherently unstable joint that relies on the interaction of the dynamic and static stabilizers to maintain stability. Disruption of this interplay or poor development of any of these factors may result in instability, pain, and a loss of function. Rehabilitation will vary based on the type...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2013.07.017
更新日期：2013-10-01 00:00:00
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...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2014.01.002
更新日期：2014-04-01 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
