Abstract：
:In summary, it has been the task of this article to try to forecast the future of meniscal surgery over the next decade. As we enter the twenty-first century, it becomes evident that a combination approach will be the most likely procedure. The code phrase will be, "Save as much meniscus as possible." The authors predict that accomplishing this objective will involve the use of adhesive materials, possibly autologous but more probably exogenous, supported by the insertion of a collagenous type material, which will serve as a scaffolding for the ingrowth of fibrocartilage, and the healing will be stimulated by hormonal methods. Whether this occurs through recombinant DNA techniques or better methods of precipitation remains an issue. Dose-specific mitogens and chemotactic agents will be placed in the area of injury to potentiate the vascular fibrous response of the host tissue. With earlier and more exuberant fibrous response and initial tissue adhesion from the fibrin adhesive, better stability will be established to allow for primary healing of meniscal tissues. This procedure will work well for longitudinal tears of the meniscus. A dilemma arises with more complex tears of the meniscus, however. Previously irreparable tears may be conducive to resection then replacement with cultured autologous fibrochondrocytes, either in a gel-type form or on scaffolds made of collagen or biodegradable materials. These scaffold/fibrochondrocyte replacements may be contoured to the defect present and bonded tightly with the fibrin adhesives previously discussed. Again, growth factors would be needed for ultimate success as the fibrochondrocytes mature into the appropriate morphologic subpopulations and begin to turn over their own extracellular matrix. The patient would have a neomeniscal autologous transplant with normal host cell turnover of matrix. A brave new era lies ahead for meniscal repair, and the journey promises to be a most exciting one.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Kollias SL,Fox JMsubject
Has Abstractpub_date
1996-07-01 00:00:00pages
621-30issue
3eissn
0278-5919issn
1556-228Xjournal_volume
15pub_type
杂志文章,评审abstract：:The cervical spine is placed at risk of injury in a number of athletic activities. It is important to understand the principles and methods of therapeutic and rehabilitative exercises both to prepare the athlete for the demands each sport will place on his or her body and to return the injured athlete to activity safe...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：
更新日期：1987-01-01 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：: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：: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：:Ankle injuries occur frequently in an athletic population. Understanding the anatomy, biomechanics, pathomechanics, differential diagnosis, and special pediatric considerations allows an accurate diagnosis. Treatment with a nonoperative aggressive goal-oriented therapy program has been successful at the United States ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1989-07-01 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：:Multidirectional instability of the shoulder is a condition defined by symptoms of shoulder instability in more than one direction. Patients typically have generalized ligamentous laxity and may be involved in repetitive overhead activities. Initial treatment is with a physical therapy program. Patients who fail non-o...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.07.002
更新日期：2008-10-01 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：:A previously unpublished report of seven professional athletes who were treated for ulnar-sided wrist pain is presented in this article. This report is followed by an introduction to the anatomy, examination, and imaging of the ulnar side of the wrist. Specific sources of ulnar-sided wrist pain, including triangulofib...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/s0278-5919(05)70102-2
更新日期：1998-07-01 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：: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
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：: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：:Meniscal surgery is one of the most common orthopedic procedures performed today. Orthopedic surgeons must be familiar with the indications for meniscal excision versus repair and comfortable with the diverse instrumentation used for both techniques. Numerous pitfalls exist in diagnosis, indication, and technical aspe...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70189-7
更新日期：1999-10-01 00:00:00
abstract：:This article provides an understanding of patient-based shoulder outcome tools and the conceptual framework of disablement models from which the patient-based outcome tools are based. To allow for the evaluation of function, disability, and health-related quality of life in patients suffering from shoulder pain and in...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2008.03.001
更新日期：2008-07-01 00:00:00
abstract：:Most sports-related peripheral neuropathies occurring from the elbow distally are compressive in nature. These result from overuse or overload principles superimposed on normal or variant anatomy. Tensile injury occurs less often and is usually associated with the extremes of the throwing motion, i.e., cocking and fol...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1992-01-01 00:00:00
abstract：:Many types of spinal abnormalities can have an impact on an athlete’s ability to participate in sports. One of the challenges in the current era is distinguishing the clinically relevant lesions from the incidental. Almost without exception, a Chiarimal formation, significant syringomyelia or other cyst compressing th...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.03.008
更新日期：2012-07-01 00:00:00
abstract：:Techniques for arthroscopic partial-thickness and full-thickness RTC repairs continue to advance. When selecting an RTC repair technique, it is important to identify the tear pattern and adhere to the fundamentals of tendon mobilization and footprint preparation. Partial RTC tears greater than 50% in thickness can be ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/j.csm.2012.07.002
更新日期：2012-10-01 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：: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：: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 spine plays an essential role in the contribution toward athletic performance. As the central pillar of the body, the structures of the spine are susceptible to injury related with sports participation. This article identifies many of the most commonly seen sports-related injuries to the spine, and discusses pract...
journal_title：Clinics in sports medicine
pub_type： 杂志文章
doi：10.1016/j.csm.2009.09.011
更新日期：2010-01-01 00:00:00
abstract：:Tennis is becoming increasingly popular, especially with young athletes. Despite recent advances in epidemiologic research of tennis injuries, there still is a need for more injury research in all of the racquet sports. The data that does exist show that the young athlete is susceptible to injury in these different sp...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：10.1016/s0278-5919(05)70237-4
更新日期：2000-10-01 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：:The conservative management of shoulder instability depends on a well-defined program that emphasizes early diminution in the patient's symptoms, appropriate immobilization, and a well-defined precise rehabilitation program that can be individually tailored to meet the patient's needs. Immobilization should be conside...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:Certain topics and controversies involving young athletes are addressed, including unclear criteria for volume and intensity of training and acute and overuse injuries of the knee. Osteochondritis dissecans, tibial spine avulsions, peri-pelvic apophyseal avulsions, and back injuries are discussed. ...
journal_title：Clinics in sports medicine
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 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：: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：: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 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
