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Treatment of ACL injuries...
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Treatment of ACL injuries... - October 3, 2005 5:10:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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Hot of the presses from the American Journal of Sports Medicine. My surgery date is in 2 weeks.
Treatment of Anterior Cruciate Ligament Injuries, Part I
Bruce D. Beynnon,*† PhD, Robert J. Johnson,† MD, Joseph A. Abate,† MD, Braden C. Fleming,‡ PhD, and Claude E. Nichols,† MD From the †Department of Orthopaedics & Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington, Vermont, and the ‡Department of Orthopaedic Research, Brown Medical School, Providence, Rhode Island
Anterior cruciate ligament injuries are common among athletes. Although the true natural history remains unclear, anterior cruciate ligament injuries are functionally disabling; they predispose the knee to subsequent injuries and the early onset of osteoarthritis. This article, the first in a 2-part series, was initiated with the use of the PubMed database and a comprehensive search of articles that appeared between January 1994 to the present, using the keywords anterior cruciate ligament. A total of 3810 citations were identified and reviewed to determine the current state of knowledge about the treatment of these injuries. Articles pertaining to the biomechanical behavior of the anterior cruciate ligament, the prevalence of anterior cruciate ligament injury, the natural history of the anterior cruciate ligament–deficient knee, injuries associated with anterior cruciate ligament disruption, risk factors for anterior cruciate ligament injury, indications for treatment of anterior cruciate ligament injuries, and nonoperative and operative treatments were obtained, reviewed, and served as the basis for part I. Part II, to be presented in another issue of this journal, includes technical aspects of anterior cruciate ligament surgery, bone tunnel widening, graft healing, rehabilitation after reconstruction, and the effect of sex, age, and activity level on the outcome of surgery. Our approach was to build on prior reviews and to provide an overview of the literature for each of the before-mentioned areas of study by summarizing the highest level of scientific evidence available. For the areas that required a descriptive approach to research, we focused on the prospective studies that were available; for the areas that required an experimental approach, we focused on the prospective, randomized controlled trials and, when necessary, the highest level of evidence available. We were surprised to learn that considerable advances have been made during the past decade regarding the treatment of this devastating injury.
Keywords: anterior cruciate ligament; knee; reconstruction
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Alex Brenner, PT, MPT, OCS
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Re: Treatment of ACL injuries... - October 3, 2005 5:33:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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If anyone wants a copy of this article please email me.
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Alex Brenner, PT, MPT, OCS
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Re: Treatment of ACL injuries... - October 3, 2005 8:03:00 AM
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jma
Posts: 2415
Joined: August 24, 2000
From: NY
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Definitely want a copy of this article, please! jmanypt@hotmail.com
Thanks.
JMA
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Re: Treatment of ACL injuries... - October 3, 2005 8:30:00 AM
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bburas
Posts: 54
Joined: April 22, 2001
From: colorado springs, co, usa
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Who couldn't benefit from this article. I'd love a copy.
bburas@yahoo.com
Thanks,
Brett
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Re: Treatment of ACL injuries... - October 3, 2005 5:35:00 PM
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eam
Posts: 292
Joined: February 5, 2004
From: New York, NY 10028
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Ditto, Alex.
emeloe@earthlink.net
Thanks! Erica
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Re: Treatment of ACL injuries... - October 3, 2005 6:50:00 PM
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Synergy
Posts: 592
Joined: March 11, 2004
From: Texas
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Same here!
cdadams@cebridge.net
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Chris Adams, PT, MPT
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Re: Treatment of ACL injuries... - October 4, 2005 3:04:00 AM
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bogaa
Posts: 1
Joined: July 30, 2005
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Can i have a copy too please aish@senet.com.au
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Re: Treatment of ACL injuries... - October 4, 2005 11:19:00 AM
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treybien
Posts: 85
Joined: August 5, 2002
From: Milwaukee, WI
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Thanks ALEX. I'd love a copy. rjgaynor2112@netscape.net
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Re: Treatment of ACL injuries... - October 4, 2005 1:45:00 PM
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jma
Posts: 2415
Joined: August 24, 2000
From: NY
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Again, thanks for the copies and the extras!
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Re: Treatment of ACL injuries... - October 4, 2005 5:22:00 PM
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Jeffre
Posts: 130
Joined: August 18, 2005
From: Lafayette, LA
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I would like the info,
lsufuse@hotamil.com
Thanks Jeffre
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"You are as well as your insurance company is willing to allow." - Dr. Hibbert
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Re: Treatment of ACL injuries... - October 4, 2005 5:32:00 PM
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Jon Newman
Posts: 1711
Joined: April 24, 2004
From: Amherst, WI
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Alex,
I was just thinking of a cartoon that I used to keep around but can no longer find. I can't even remember the author.
Imagine a single cartoon frame and all you can see are the legs of a basketball player with a very short (knee height) grim reaper (with sickle) facing the player's knees. The vertically challenged reaper states simply "I've come for your knees".
If I turn it up, I'll send it to you. Good luck.
jon
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[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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Re: Treatment of ACL injuries... - October 4, 2005 5:32:00 PM
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bp2317
Posts: 55
Joined: July 31, 2005
From: Columbus, GA
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i would like a copy as well. thanks.
brian ><>
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Brian Phillips, PT
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Re: Treatment of ACL injuries... - October 6, 2005 4:05:00 PM
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PTupdate.com
Posts: 1478
Joined: October 8, 2001
From: Pittsburgh, PA USA
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Fire one over to me....plus, I need to send you a new link for ptupdate
ptupdate@adelphia.net
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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John M. Duffy, PT Board Certified Orthopaedic Clinical Specialist www.PTupdate.com
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Re: Treatment of ACL injuries... - October 6, 2005 7:22:00 PM
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THartePT
Posts: 1
Joined: October 5, 2005
From: CA
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I would also love to have one. Thanks for the offer!
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Re: Treatment of ACL injuries... - October 7, 2005 8:39:00 AM
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lesain
Posts: 24
Joined: November 21, 2003
From: MERCEDES, BUENOS AIRES, ARGENTINA
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Please, send me and thanks for the offer. 241070@ciudad.com.ar
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LEANDRO ESAIN, PT.
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Re: Treatment of ACL injuries... - October 7, 2005 1:21:00 PM
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robwalters1
Posts: 2
Joined: February 28, 2005
From: California
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Me too please!!
robwalters1@yahoo.com
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Re: Treatment of ACL injuries... - October 8, 2005 4:55:00 AM
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bonmar
Posts: 137
Joined: August 15, 2000
From: Boston, MA
Status: offline
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Ditto...thanx
morris.bo@comcast.net
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Re: Treatment of ACL injuries... - October 10, 2005 5:56:00 AM
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wq22
Posts: 5
Joined: September 30, 2005
From: Poland Cracow
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Mee too :) !!!
wojtek_kurzydlo@wp.pl
Thanks wojtek
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Re: Treatment of ACL injuries... - October 10, 2005 5:07:00 PM
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wjPT
Posts: 33
Joined: October 11, 2004
From: San Diego, CA
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I copy sent my way would be much appreciated.
warrenpt@gmail.com
thanks
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Re: Treatment of ACL injuries... - October 10, 2005 5:16:00 PM
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Jon Newman
Posts: 1711
Joined: April 24, 2004
From: Amherst, WI
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Hi Alex,
No good deed goes unpunished. Isn't that how the saying goes?
7 days 'til the knife. How's the symptoms and are you doing any pre-op training to try to minimize recovery time?
jon
_____________________________
[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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