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Treatment of ACL injuries...

 
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Treatment of ACL injuries... - October 3, 2005 5:10:00 AM   
Alex Brenner PT MPT OCS

 

Posts: 1057
Joined: February 29, 2004
From: Kentucky
Status: offline
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

_____________________________

Alex Brenner, PT, MPT, OCS
Post #: 1
Re: Treatment of ACL injuries... - October 3, 2005 5:33:00 AM   
Alex Brenner PT MPT OCS

 

Posts: 1057
Joined: February 29, 2004
From: Kentucky
Status: offline
If anyone wants a copy of this article please email me.

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Alex Brenner, PT, MPT, OCS

(in reply to Alex Brenner PT MPT OCS)
Post #: 2
Re: Treatment of ACL injuries... - October 3, 2005 8:03:00 AM   
jma

 

Posts: 2415
Joined: August 24, 2000
From: NY
Status: offline
Definitely want a copy of this article, please!
jmanypt@hotmail.com

Thanks.

JMA

(in reply to Alex Brenner PT MPT OCS)
Post #: 3
Re: Treatment of ACL injuries... - October 3, 2005 8:30:00 AM   
bburas

 

Posts: 54
Joined: April 22, 2001
From: colorado springs, co, usa
Status: offline
Who couldn't benefit from this article. I'd love a copy.

bburas@yahoo.com

Thanks,

Brett

(in reply to Alex Brenner PT MPT OCS)
Post #: 4
Re: Treatment of ACL injuries... - October 3, 2005 5:35:00 PM   
eam

 

Posts: 292
Joined: February 5, 2004
From: New York, NY 10028
Status: offline
Ditto, Alex.

emeloe@earthlink.net

Thanks!
Erica

(in reply to Alex Brenner PT MPT OCS)
Post #: 5
Re: Treatment of ACL injuries... - October 3, 2005 6:50:00 PM   
Synergy


Posts: 592
Joined: March 11, 2004
From: Texas
Status: offline
Same here!

cdadams@cebridge.net

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Chris Adams, PT, MPT

(in reply to Alex Brenner PT MPT OCS)
Post #: 6
Re: Treatment of ACL injuries... - October 4, 2005 3:04:00 AM   
bogaa

 

Posts: 1
Joined: July 30, 2005
Status: offline
Can i have a copy too please
aish@senet.com.au

(in reply to Alex Brenner PT MPT OCS)
Post #: 7
Re: Treatment of ACL injuries... - October 4, 2005 11:19:00 AM   
treybien

 

Posts: 85
Joined: August 5, 2002
From: Milwaukee, WI
Status: offline
Thanks ALEX. I'd love a copy.
rjgaynor2112@netscape.net

(in reply to Alex Brenner PT MPT OCS)
Post #: 8
Re: Treatment of ACL injuries... - October 4, 2005 1:45:00 PM   
jma

 

Posts: 2415
Joined: August 24, 2000
From: NY
Status: offline
Again, thanks for the copies and the extras!

(in reply to Alex Brenner PT MPT OCS)
Post #: 9
Re: Treatment of ACL injuries... - October 4, 2005 5:22:00 PM   
Jeffre

 

Posts: 130
Joined: August 18, 2005
From: Lafayette, LA
Status: offline
I would like the info,

lsufuse@hotamil.com

Thanks
Jeffre

_____________________________

"You are as well as your insurance company is willing to allow."
- Dr. Hibbert

(in reply to Alex Brenner PT MPT OCS)
Post #: 10
Re: Treatment of ACL injuries... - October 4, 2005 5:32:00 PM   
Jon Newman

 

Posts: 1711
Joined: April 24, 2004
From: Amherst, WI
Status: offline
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

_____________________________

[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]

(in reply to Alex Brenner PT MPT OCS)
Post #: 11
Re: Treatment of ACL injuries... - October 4, 2005 5:32:00 PM   
bp2317

 

Posts: 55
Joined: July 31, 2005
From: Columbus, GA
Status: offline
i would like a copy as well. thanks.

brian ><>

_____________________________

Brian Phillips, PT

(in reply to Alex Brenner PT MPT OCS)
Post #: 12
Re: Treatment of ACL injuries... - October 6, 2005 4:05:00 PM   
PTupdate.com


Posts: 1478
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
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]

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to Alex Brenner PT MPT OCS)
Post #: 13
Re: Treatment of ACL injuries... - October 6, 2005 7:22:00 PM   
THartePT

 

Posts: 1
Joined: October 5, 2005
From: CA
Status: offline
I would also love to have one. Thanks for the offer!

(in reply to Alex Brenner PT MPT OCS)
Post #: 14
Re: Treatment of ACL injuries... - October 7, 2005 8:39:00 AM   
lesain

 

Posts: 24
Joined: November 21, 2003
From: MERCEDES, BUENOS AIRES, ARGENTINA
Status: offline
Please, send me and thanks for the offer.
241070@ciudad.com.ar

_____________________________

LEANDRO ESAIN, PT.

(in reply to Alex Brenner PT MPT OCS)
Post #: 15
Re: Treatment of ACL injuries... - October 7, 2005 1:21:00 PM   
robwalters1

 

Posts: 2
Joined: February 28, 2005
From: California
Status: offline
Me too please!!

robwalters1@yahoo.com

(in reply to Alex Brenner PT MPT OCS)
Post #: 16
Re: Treatment of ACL injuries... - October 8, 2005 4:55:00 AM   
bonmar

 

Posts: 137
Joined: August 15, 2000
From: Boston, MA
Status: offline
Ditto...thanx

morris.bo@comcast.net

(in reply to Alex Brenner PT MPT OCS)
Post #: 17
Re: Treatment of ACL injuries... - October 10, 2005 5:56:00 AM   
wq22

 

Posts: 5
Joined: September 30, 2005
From: Poland Cracow
Status: offline
Mee too :) !!!

wojtek_kurzydlo@wp.pl

Thanks wojtek

(in reply to Alex Brenner PT MPT OCS)
Post #: 18
Re: Treatment of ACL injuries... - October 10, 2005 5:07:00 PM   
wjPT

 

Posts: 33
Joined: October 11, 2004
From: San Diego, CA
Status: offline
I copy sent my way would be much appreciated.

warrenpt@gmail.com

thanks

(in reply to Alex Brenner PT MPT OCS)
Post #: 19
Re: Treatment of ACL injuries... - October 10, 2005 5:16:00 PM   
Jon Newman

 

Posts: 1711
Joined: April 24, 2004
From: Amherst, WI
Status: offline
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]

(in reply to Alex Brenner PT MPT OCS)
Post #: 20
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