Journal ArticleCureus · May 2023
BackgroundVestibular dysfunction is common following sports-related concussions (SRC). Within the current practice, it is theorized that patients with vestibular dysfunction as sequelae of sports-related concussion have a prolonged recovery time c ...
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Journal ArticleJ Arthroplasty · June 2022
BACKGROUND: The Patient-Reported Outcome Measurement Information System (PROMIS) can be used to monitor patients in population-health-based programs. However, it is unknown which measures are most appropriate to differentiate patients who will undergo hip ...
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Journal ArticleArthrosc Sports Med Rehabil · April 2022
PURPOSE: To evaluate the venous thromboembolism (VTE) prophylaxis practices of surgeons performing anterior cruciate ligament reconstruction (ACLR) in female patients using hormonal contraceptives. METHODS: Our research team designed an investigational sur ...
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Journal ArticleThe American journal of sports medicine · March 2022
BackgroundPatients undergoing anterior cruciate ligament reconstruction (ACLR) are at an increased risk for posttraumatic osteoarthritis (PTOA). While we have previously shown that meniscal treatment with ACLR predicts more radiographic PTOA at 2 ...
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Journal ArticleClin J Sport Med · January 1, 2022
INTRODUCTION: Approximately 560 000 student-athletes participate in university athletic programs every year. These athletes develop a variety of medical injuries and illnesses during their time at the university. There is currently a paucity of data with r ...
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Journal ArticleArch Physiother · December 10, 2021
BACKGROUND: Reverse total shoulder arthroplasty (RTSA) has emerged as a successful surgery with expanding indications. Outcomes may be influenced by post-operative rehabilitation; however, there is a dearth of research regarding optimal rehabilitation stra ...
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Journal ArticleOrthopaedic journal of sports medicine · November 2021
BackgroundTransphyseal anterior cruciate ligament (ACL) reconstruction remains the most commonly used technique for pubescent patients. The transtibial (TT) drilling technique creates vertical and central femoral tunnels to minimize the physeal ar ...
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Journal ArticleOrthopaedic journal of sports medicine · October 2021
Objectives: 1) To prospectively determine the incidence of post-traumatic osteoarthritis (PTOA) at 10 years after anterior cruciate ligament reconstruction (ACLR) in young athletic patients on clinical radiographs: and 2) to determine the average ...
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Journal ArticleBMJ Open · September 2, 2021
OBJECTIVES: Characterise the health status of patients newly consulting an orthopaedic specialist across eight clinical subspecialties. DESIGN: Retrospective cohort. SETTING: 18 orthopaedic clinics, including 8 subspecialties (14 ambulatory and 4 hospital ...
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Journal ArticleThe American journal of sports medicine · August 2021
BackgroundA primary goal of anterior cruciate ligament reconstruction (ACLR) is to reduce pathologically increased anterior and rotational laxity of the knee, but the effects of residual laxity on patient-reported outcomes (PROs) after ACLR remain ...
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Journal ArticleOrthop J Sports Med · August 2021
BACKGROUND: Graft tears and contralateral anterior cruciate ligament (ACL) tears are common in pediatric athletes after ACL reconstruction. Use of objective return-to-sports (RTS) criteria, in particular physical performance tests (PPTs), is believed to re ...
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Journal ArticlePhys Ther Sport · July 2021
OBJECTIVES: To examine associations between preoperative fear-avoidance model (FAM) risk subgroup status and patient expectation of surgical success with postoperative outcomes at 6 and 12 months after anterior cruciate ligament reconstruction (ACLR). DESI ...
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Journal ArticleBone Jt Open · July 2021
AIMS: Patient-reported outcome measures have become an important part of routine care. The aim of this study was to determine if Patient-Reported Outcomes Measurement Information System (PROMIS) measures can be used to create patient subgroups for individu ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2021
INTRODUCTION: The use of physical performance tests (PPT) for assessing readiness for return to sport (RTS) after ACL reconstruction in children is typically assessed based on a limb symmetry index (LSI). However, recent data show that: 1) healthy ...
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Journal ArticleBMC health services research · June 2021
BackgroundThe integration of Patient Reported Outcome Measures (PROMs) into clinical care presents many challenges for health systems. PROMs provide quantitative data regarding patient-reported health status. However, the most effective model for ...
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Journal ArticleJ Shoulder Elbow Surg · May 2021
HYPOTHESIS/BACKGROUND: In 2017, the American Orthopaedic Association advocated for the increased use of telehealth as an assessment and treatment platform, and demand has significantly increased during the coronavirus disease 2019 pandemic. Diagnostic effe ...
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Journal ArticleThe American journal of sports medicine · April 2021
BackgroundThe incidence of posttraumatic osteoarthritis (PTOA) based on clinical radiographic grading criteria at 10 years after anterior cruciate ligament (ACL) reconstruction (ACLR) has not been well-defined in a prospective cohort of young athl ...
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Journal ArticleOrthopaedic journal of sports medicine · January 2021
BackgroundThe prevalence of patellofemoral joint (PFJ) osteoarthritis ranges from 8% to 47% at 7 to 10 years after anterior cruciate ligament reconstruction (ACLR) using bone-patellar tendon-bone (BTB) autograft. In performing BTB ACLR, some hypot ...
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Journal ArticleOrthop J Sports Med · January 2021
BACKGROUND: Return to sport (RTS) after anterior cruciate ligament (ACL) reconstruction in children is associated with a much higher risk (∼30%) of subsequent ACL injury than in adults. Most RTS testing protocols use a limb symmetry index (LSI) ≥90% on phy ...
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Journal ArticleMed Sci Sports Exerc · December 2020
PURPOSE: This study aimed 1) to define the principal components of physical function assessed by 10 common lower extremity physical performance tests and 2) to derive a reduced-item set of physical performance tests that efficiently and accurately measures ...
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Journal ArticleJ Orthop Surg Res · November 23, 2020
BACKGROUND: The Patient-Reported Outcomes Measurement Information SystemⓇ (PROMISⓇ) is a dynamic system of psychometrically sound patient-reported outcome (PRO) measures. There has been a recent increase in the use of PROMIS measures, yet little has been w ...
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Journal ArticleThe American journal of sports medicine · August 2020
BackgroundThe cause of subsequent surgery after anterior cruciate ligament (ACL) reconstruction varies, but if risk factors for specific subsequent surgical procedures can be identified, we can better understand which patients are at greatest risk ...
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Journal ArticleJournal of sport rehabilitation · August 2020
BackgroundPain catastrophizing predicts poor outcomes following orthopedic procedures for patients with chronic conditions; however, limited research has focused on acute injuries. This study aimed to quantify the progression of Pain Catastrophizi ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2020
Objectives: The prevalence of patellofemoral joint (PFJ) osteoarthritis (OA) ranges from 8-47% 7-10 years after anterior cruciate ligament reconstructions (ACLR) using bone-patellar tendon-bone (BTB) autograft. In performing BTB ACLR, some hypothe ...
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Journal ArticleOrthopaedic journal of sports medicine · April 2020
Background: ACL graft tears and contralateral injuries are problematic in pediatric sports medicine, with a combined incidence of 25-35%. Recent publications have highlighted a high failure rate with hamstring autografts in young patients, while o ...
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Journal ArticleAm J Sports Med · February 2020
BACKGROUND: Physicians' and patients' decision-making process between bone-patellar tendon-bone (BTB) and hamstring tendon autografts for anterior cruciate ligament (ACL) reconstruction (ACLR) may be influenced by a variety of factors in the young, active ...
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Journal ArticleJournal of Embryology & Stem Cell Research · October 22, 2019
Introduction:Intraarticular injections of platelet rich plasma (PRP) and adipose-derived mesenchymalstem cells (AD-MSCs) have individually shown potential benefit in the treatment of intraarticular pathology of the knee, hip and shoulder. ...
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Journal ArticleJoint Commission journal on quality and patient safety · September 2019
Alarming trends in antibiotic resistance sparked a National Action Plan endorsing antimicrobial stewardship programs (ASPs) in health care facilities. Atrium Health consists of 28 acute care facilities with varying levels of ASP maturity. The organization ...
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Journal ArticleOrthopaedic journal of sports medicine · August 2019
BackgroundMultiple studies have shown that patients are susceptible to posttraumatic osteoarthritis (PTOA) after an anterior cruciate ligament (ACL) injury, even with ACL reconstruction (ACLR). Prospective studies using multivariable analysis to i ...
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Journal ArticleThe American journal of sports medicine · July 2019
BackgroundWhile a primary goal of anterior cruciate ligament (ACL) reconstruction is to reduce pathologically increased anterior and rotational knee laxity, the relationship between knee laxity after ACL reconstruction and patient-reported knee fu ...
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Journal ArticleOrthop J Sports Med · July 2019
BACKGROUND: Injuries to the posterolateral corner (PLC) may occur concurrently with anterior cruciate ligament (ACL) injury. PURPOSE/HYPOTHESIS: This study evaluated the outcomes of patients who underwent operative management of PLC injuries concurrently w ...
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Journal ArticleOrthop J Sports Med · June 2019
BACKGROUND: Lower socioeconomic status (SES) is associated with worse patient-reported outcome (PRO) after orthopaedic procedures. In patients with anterior cruciate ligament (ACL) reconstruction, evaluating SES by use of traditional measures such as years ...
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Journal ArticleArthroscopy · May 2019
PURPOSE: To evaluate differences in repair and nonoperatively managed grade III medial collateral ligament (MCL) injuries during anterior cruciate ligament (ACL) reconstruction. METHODS: Patients enrolled in a multicenter prospective longitudinal group who ...
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Journal ArticleAm J Sports Med · October 2018
BACKGROUND: The Knee injury and Osteoarthritis Outcome Score (KOOS) has demonstrated inferior psychometric properties when compared with the International Knee Documentation Committee (IKDC) subjective knee form when assessing outcomes after anterior cruci ...
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Journal ArticleAm J Sports Med · October 2018
BACKGROUND: Knee laxity in the setting of anterior cruciate ligament (ACL) injury is often assessed through physical examination using the Lachman, pivot shift, and anterior drawer tests. The degree of laxity noted on these examinations may influence treat ...
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Journal ArticleThe American journal of sports medicine · March 2018
BackgroundAnterior cruciate ligament (ACL) reconstruction can effectively return athletes to the playing field, but they are still at risk of developing posttraumatic osteoarthritis (PTOA). No studies have used multivariable analysis to evaluate t ...
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Journal ArticleAm J Sports Med · March 2018
BACKGROUND: The long-term prognosis and risk factors for quality of life and disability after anterior cruciate ligament (ACL) reconstruction remain unknown. Hypothesis/Purpose: Our objective was to identify patient-reported outcomes and patient-specific r ...
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Journal ArticleBiomed Res Int · 2018
BACKGROUND: The majority of patients develop posttraumatic osteoarthritis within 15 years of anterior cruciate ligament (ACL) injury. Inflammatory and chondrodegenerative biomarkers have been associated with both pain and the progression of osteoarthritis; ...
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Journal ArticleArthroscopy · November 2017
PURPOSE: To analyze failure rate in 2-year increments to determine if graft choice changed over time and graft failure rate. METHODS: A prospective 2002-2008 database was used to identify risk factors for anterior cruciate ligament (ACL) retear. Subjects w ...
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Journal ArticleCartilage · April 2017
Objective To determine (1) if bone bruise characteristics seen on magnetic resonance imaging are associated with patient-reported outcomes prior to and following anterior cruciate ligament reconstruction and (2) if the combined presence of bone bruises wit ...
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Journal ArticleJ Orthop Res · March 2017
Anterior cruciate ligament (ACL) injuries are common and lead to posttraumatic osteoarthritis (PTOA) in a high percentage of patients. Research has been ineffective in identifying successful treatment options for people suffering from symptomatic PTOA resu ...
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Journal ArticleAm J Sports Med · March 2017
BACKGROUND: The time between an anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) may influence baseline knee-related and general health-related patient-reported outcome measures (PROMs). Despite the common use of PROMs as main outcomes ...
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Journal ArticleOrthopaedic journal of sports medicine · March 2017
Objectives: Regardless of surgical or conservative management, the majority of patients develop posttraumatic osteoarthritis (PTOA) within 15 years of anterior cruciate ligament (ACL) injury. In addition to MRI or radiographic evidence of cartilag ...
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Journal ArticleAm J Sports Med · February 2017
BACKGROUND: It is increasingly recognized that biochemical abnormalities of the joint precede radiographic abnormalities of posttraumatic osteoarthritis (PTOA) by as much as decades. A growing body of evidence strongly suggests that the progression from an ...
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Journal ArticleOpen forum infectious diseases · January 2017
Abstract Background Data have shown that many patients with asymptomatic bacteriuria (ASB) receive unnecessary antibiotics, increasing risk of adverse events and resistance. Positive urine culture (PUC) and urinalysis (UA) results have been shown ...
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Journal ArticleAm J Sports Med · December 2016
BACKGROUND: Knee laxity in the setting of suspected anterior cruciate ligament (ACL) injury is frequently assessed through physical examination using the Lachman, pivot-shift, and anterior drawer tests. The degree of laxity noted on these examinations may ...
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Journal ArticleThe Journal of bone and joint surgery. American volume · November 2016
BackgroundArthroscopic partial meniscectomy (APM) combined with physical therapy (PT) have yielded pain relief similar to that provided by PT alone in randomized trials of subjects with a degenerative meniscal tear. However, many patients randomiz ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2016
Objectives: ACL reconstruction effectively restores knee stability and allows a return to athletic activities after ACL injury, but patients are still at higher risk of developing post-traumatic OA. Patient reported outcomes from the Multicenter O ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2016
Objectives: Physicians’ and patients’ decision-making process between autograft hamstring (HG) vs. patellar tendon (BTB) for ACL reconstruction (ACLR) may be influenced by patient gender, laxity level, sport played, and/or competition level in the ...
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Journal ArticleArthroscopy · June 2016
PURPOSE: To determine which patient and injury factors are associated with the detection of high-grade laxity on examination under anesthesia before anterior cruciate ligament (ACL) reconstruction. METHODS: We identified 2,318 patients who underwent primar ...
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Journal ArticleAm J Sports Med · November 2015
BACKGROUND: The management of meniscus tears identified at the time of primary anterior cruciate ligament (ACL) reconstruction is highly variable and includes repair, meniscectomy, and nontreatment. HYPOTHESIS/PURPOSE: The purpose of this study was to dete ...
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Journal ArticleAm J Sports Med · July 2015
BACKGROUND: Anterior cruciate ligament (ACL) reinjury results in worse outcomes and increases the risk of posttraumatic osteoarthritis. PURPOSE: To identify the risk factors for both ipsilateral and contralateral ACL tears after primary ACL reconstruction ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2015
Objectives: Retear of an ACL after an ACL reconstruction (ACLR) is devastating for all involved. Understanding risk factors and predictors of subsequent graft tear after an ACLR is vital for patient education of subsequent risk of injury and if mo ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2015
Objectives: Knee laxity in the setting of suspected anterior cruciate ligament (ACL) injury is frequently assessed through physical examination using the Lachman, pivot-shift, and anterior drawer tests. The degree of laxity noted on these examinat ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2015
Objectives: Meniscus tears frequently accompany acute anterior cruciate ligament ruptures. Management of meniscus tears is highly variable and includes repair, meniscectomy, and non-treatment of tears identified at the time of ACL reconstruction. ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2015
Objectives: Limited research has examined the independent relationship between psychosocial factors and patient-reported outcomes during the early postoperative period following ACL reconstruction (ACLR). The purpose of this study was to examine t ...
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Journal ArticleSports Health · May 2015
CONTEXT: Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies. EVIDENCE ACQUISITION: The MOON Group is a collection of orthopaedic surg ...
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Journal ArticleJ Bone Joint Surg Am · April 1, 2015
BACKGROUND: Limited information exists regarding predictors of general quality of life following anterior cruciate ligament (ACL) reconstruction with up to six-year follow-up. We hypothesized that certain variables evaluated at the time of ACL reconstructi ...
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Journal ArticleOsteoarthritis and cartilage · April 2015
ObjectiveTo identify risk factors for radiographic signs of post-traumatic osteoarthritis (OA) 2-3 years after anterior cruciate ligament (ACL) reconstruction through multivariable analysis of minimum joint space width (mJSW) differences in a spec ...
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Journal ArticleJ Am Acad Orthop Surg · March 2015
With an estimated 200,000 anterior cruciate ligament reconstructions performed annually in the United States, there is an emphasis on determining patient-specific information to help educate patients on expected clinically relevant outcomes. The Multicente ...
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Journal ArticleAm J Sports Med · July 2014
BACKGROUND: An initial anterior cruciate ligament (ACL) tear can be treated with surgical reconstruction or focused rehabilitation. The KANON (Knee Anterior cruciate ligament, NON-surgical versus surgical treatment) randomized controlled trial compared reh ...
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Journal ArticleOrthopaedic journal of sports medicine · July 2014
Objectives: Retear of an ACL after an ACL reconstruction (ACLR) is devastating for all involved. Understanding risk factors and predictors of subsequent ACL tear after an ACLR is vital for patient education of subsequent risk of injury and if a pr ...
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Journal ArticleAm J Sports Med · May 2014
BACKGROUND: Identifying risk factors for inferior outcomes after anterior cruciate ligament reconstruction (ACLR) is important for prognosis and future treatment. HYPOTHESIS: Articular cartilage lesions and meniscus tears/treatment would predict Internatio ...
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Journal ArticleThe Journal of bone and joint surgery. American volume · February 2014
BackgroundBioabsorbable interference screws are used frequently for graft fixation in ACL (anterior cruciate ligament) reconstruction. The resorption properties of many available screws that are marketed as bioabsorbable are not well defined. The ...
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Journal ArticleAm J Sports Med · July 2013
BACKGROUND: Subsequent surgeries have a profound effect on patient satisfaction and outcome after primary anterior cruciate ligament reconstruction (ACLR). There have been no prospective studies to date describing the rate and predictors (surgical and pati ...
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Journal ArticleThe New England journal of medicine · May 2013
BackgroundWhether arthroscopic partial meniscectomy for symptomatic patients with a meniscal tear and knee osteoarthritis results in better functional outcomes than nonoperative therapy is uncertain.MethodsWe conducted a multicenter, rand ...
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Journal ArticleJ Orthop Res · January 2013
Injury to the anterior cruciate ligament (ACL) threatens an active lifestyle and exposes the patient to risk of early osteoarthritis (OA). ACL reconstruction is typically chosen by individuals to allow a return to their previous work and sports activities. ...
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Journal ArticleAm J Sports Med · November 2012
BACKGROUND: There is a relative paucity of data regarding the effect of anterior cruciate ligament (ACL) reconstruction on the ability of American high school and collegiate football players to return to play at the same level of competition as before thei ...
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Journal ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society · October 2012
An increasing emphasis has been placed across health care on evidence-based medicine with higher level studies, such as randomized trials and prospective cohort studies. Historically, clinical research in orthopaedic surgery has been dominated by studies w ...
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Journal ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · November 2011
PurposeThe hypothesis of this study was that single-legged horizontal hop test ratios would correlate with IKDC, KOOS, and Marx activity level scores in patients 2 years after primary ACL reconstruction.MethodsIndividual patient-reported ...
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Journal ArticleAm J Sports Med · February 2011
BACKGROUND: The predictors of anterior cruciate ligament reconstruction (ACLR) outcome at 6 years as measured by validated patient-based outcome instruments are unknown. HYPOTHESIS: Certain variables evaluated at the time of ACLR will predict return to spo ...
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Journal ArticleJournal of immunology (Baltimore, Md. : 1950) · November 2008
Multiple sclerosis and an animal model resembling multiple sclerosis, experimental autoimmune encephalomyelitis (EAE), are inflammatory demyelinating diseases of the CNS that are suppressed by systemic mycobacterial infection in mice and BCG vaccination in ...
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Journal ArticleJournal of neuroimmunology · May 2007
The homophilic cell adhesion molecule PECAM-1 is a major participant in the migration of leukocytes across endothelium. We examined the ability of a chimeric soluble PECAM-1 fused to human IgG-Fc to impair leukocyte entry through the blood-brain barrier an ...
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Journal ArticleJournal of immunology (Baltimore, Md. : 1950) · January 2007
Dendritic cells (DCs) accumulate in the CNS during inflammatory diseases, but the exact mechanism regulating their traffic into the CNS remains to be defined. We now report that MIP-1alpha increases the transmigration of bone marrow-derived, GFP-labeled DC ...
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Journal ArticleFuture Neurology · January 1, 2007
Dendritic cells (DCs) are essential antigen-presenting cells responsible for initiating cellular immune responses. The increasing interest in the mechanisms of DC trafficking has created new and exciting opportunities for bench-to-bedside therapies to trea ...
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Journal ArticleJournal of neuroimmunology · November 2006
Substance P (SP) is a modulatory, pro-inflammatory neuropeptide. We investigated the role of the SP receptor, neurokinin-1 (NK-1), in EAE. Our data show that in the chronic phase, mice lacking NK-1 have improved mobility and decreased numbers of LFA-1 high ...
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Journal ArticleNeurobiology of aging · June 2006
Overproduction of amyloid precursor protein (APP) and beta-amyloid likely contribute to neurodegeneration in Alzheimer's disease (AD). In an effort to understand neuronal APP gene regulation, we identified a 52 base element (52sce) immediately downstream f ...
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Journal ArticleImmunology letters · April 2006
Immune privilege in the central nervous system (CNS) is not maintained by immune ignorance of the CNS, but by CNS control over inflammatory processes. In this review we examine the role neuropeptides play in maintenance of immune privilege in the CNS. Vaso ...
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Journal ArticleInfection and immunity · September 2005
Bacterial superantigen intoxication causes massive overactivation of T cells, which can result in potentially lethal toxic shock. Superantigens fall into two groups: superantigens such as staphylococcal enterotoxin B (SEB) that contain a single generic bin ...
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Chapter · January 1, 2005
T-cell migration into the central nervous system (CNS) is a critical element in infiammatory and autoimmune diseases of the nervous tissue. Although several components involved in this process have been identified, we still lack a complete understanding of ...
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Journal ArticleClinical and diagnostic laboratory immunology · July 2003
Infectious agents have been proposed to influence susceptibility to autoimmune diseases such as multiple sclerosis. We induced a Th1-mediated central nervous system (CNS) autoimmune disease, experimental autoimmune encephalomyelitis (EAE) in mice with an o ...
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Journal ArticleInternational immunology · January 2003
Experimental autoimmune encephalomyelitis (EAE) is an animal model for multiple sclerosis (MS) characterized by chronic inflammatory demyelination of the central nervous system (CNS). The pathology of EAE involves autoimmune CD4(+) T(h)1 cells. There is a ...
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ConferenceImmunology letters · June 2002
The 'hygiene hypothesis' has been proposed to explain apparent increases in autoimmune disease and allergy in areas of the world with improved health care and sanitation. This hypothesis proposes that the lack of serious childhood infections impairs develo ...
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Journal ArticleInfection and immunity · January 2001
Monoclonal antibodies (MAbs) were prepared against the putative binding domain of botulinum neurotoxin A (BoNT/A), a nontoxic 50-kDa fragment. Initially, all fusion products were screened against the holotoxin BoNT/A and against the binding fragment, BoNT/ ...
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