| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Hospital for Special Surgery, New York, New York
Hospital for Special Surgery, New York, New York
Hospital for Special Surgery, New York, New York
Hospital for Special Surgery, New York, New York
Hospital for Special Surgery, New York, New York
Hospital for Special Surgery, New York, New York
Conservative treatment of acute anterior cruciate liga ment injuries was recommended to selected patients, including those with sedentary occupations, low athletic demands, or ages greater than 30 years. Patients with generalized hyperligamentous laxity were excluded. Fifty-five of 61 patients were available at an average followup of 46 months from the time of initial injury. At followup, giving-way symptoms had not occurred in 23 patients (42%); in 22 (40%) giving way occurred occa sionally. Of the 44 patients involved in high- or moderate-demand athletics, 33 (70%) were able to con tinue with moderate-demand sports. Presence of a me dial collateral ligament sprain did not affect the long- term function. Forty-eight percent of the patients scored excellent or good (9 and 18 patients, respectively) on the Hospital for Special Surgery ligament scoring sys tem ; 8 (15%) later chose surgical reconstruction. The remaining 47 patients did not believe that their symp toms were severe enough to warrant any further inter vention. In a group of individuals who are older and relatively inactive, nonoperative management of ante rior cruciate ligament injuries can yield satisfactory re sults, provided the patients are willing to accept a mod est amount of instability and a slight risk of meniscal injury.
This article has been cited by other articles:
|
|
 |
|
  D. L. Dahm, C. A. Wulf, K. A. Dajani, R. E. Dobbs, B. A. Levy, and M. A. Stuart Reconstruction of the anterior cruciate ligament in patients over 50 years J Bone Joint Surg Br, November 1, 2008; 90-B(11): 1446 - 1450. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. T. Jensen, D. P. Rabago, T. M. Best, J. J. Patterson, and R. Vanderby Jr Response of Knee Ligaments to Prolotherapy in a Rat Injury Model Am. J. Sports Med., July 1, 2008; 36(7): 1347 - 1357. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. J. Hurd, M. J. Axe, and L. Snyder-Mackler A 10-Year Prospective Trial of a Patient Management Algorithm and Screening Examination for Highly Active Individuals With Anterior Cruciate Ligament Injury: Part 1, Outcomes Am. J. Sports Med., January 1, 2008; 36(1): 40 - 47. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Kostogiannis, E. Ageberg, P. Neuman, L. Dahlberg, T. Friden, and H. Roos Activity Level and Subjective Knee Function 15 Years After Anterior Cruciate Ligament Injury: A Prospective, Longitudinal Study of Nonreconstructed Patients Am. J. Sports Med., July 1, 2007; 35(7): 1135 - 1143. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. D. Beynnon, R. J. Johnson, J. A. Abate, B. C. Fleming, and C. E. Nichols Treatment of Anterior Cruciate Ligament Injuries, Part I Am. J. Sports Med., October 1, 2005; 33(10): 1579 - 1602. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. L Chmielewski, W. J Hurd, K. S Rudolph, M. J Axe, and L. Snyder-Mackler Perturbation Training Improves Knee Kinematics and Reduces Muscle Co-contraction After Complete Unilateral Anterior Cruciate Ligament Rupture Physical Therapy, August 1, 2005; 85(8): 740 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B Kapoor, D J Clement, A Kirkley, and N Maffulli Current practice in the management of anterior cruciate ligament injuries in the United Kingdom Br. J. Sports Med., October 1, 2004; 38(5): 542 - 544. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P A Sloane, H Brazier, A W Murphy, T Collins, and T M Best Evidence based medicine in clinical practice: how to advise patients on the influence of age on the outcome of surgical anterior cruciate ligament reconstruction: a review of the literature * COMMENTARY Br. J. Sports Med., June 1, 2002; 36(3): 200 - 203. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E. Steiner, S. K. Koskinen, C. S. Winalski, S. D. Martin, and M. Haymen Dynamic Lateral Patellar Tilt in the Anterior Cruciate Ligament-Deficient Knee: A Magnetic Resonance Imaging Analysis Am. J. Sports Med., September 1, 2001; 29(5): 593 - 599. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Donald Shelbourne and T. Gray Results of Anterior Cruciate Ligament Reconstruction Based on Meniscus and Articular Cartilage Status at the Time of Surgery: Five- to Fifteen-Year Evaluations Am. J. Sports Med., July 1, 2000; 28(4): 446 - 452. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G K. Fitzgerald, M. J Axe, and L. Snyder-Mackler The Efficacy of Perturbation Training in Nonoperative Anterior Cruciate Ligament Rehabilitation Programs for Physically Active Individuals Physical Therapy, February 1, 2000; 80(2): 128 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. HOGERVORST and R. A. BRAND Current Concepts Review - Mechanoreceptors in Joint Function J. Bone Joint Surg. Am., September 1, 1998; 80(9): 1365 - 1378. [Full Text]
|
|
|
|
|
|
M. KUROSAKA, S. YOSHIYA, T. MIZUNO, and K. MIZUNO Spontaneous Healing of a Tear of the Anterior Cruciate Ligament. A Report of Two Cases J. Bone Joint Surg. Am., August 1, 1998; 80(8): 1200 - 3. [Full Text]
|
|
|
|
|
|
K. D. PLANCHER, J. R. STEADMAN, K. K. BRIGGS, and K. S. HUTTON Reconstruction of the Anterior Cruciate Ligament in Patients Who Are at Least Forty Years Old. A Long-Term Follow-up and Outcome Study J. Bone Joint Surg. Am., February 1, 1998; 80(2): 184 - 97. [Abstract] [Full Text]
|
|
|
|
|
|
B. R. Bach Jr, S. Tradonsky, J. Bojchuk, M. E. Levy, C. A. Bush-Joseph, and N. H. Khan Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Autograft: Five- to Nine-Year Follow-up Evaluation Am. J. Sports Med., January 1, 1998; 26(1): 20 - 29. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. R. Bach Jr, M. E. Levy, J. Bojchuk, S. Tradonsky, C. A. Bush-Joseph, and N. H. Khan Single-Incision Endoscopic Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Autograft: Minimum Two-Year Follow-Up Evaluation Am. J. Sports Med., January 1, 1998; 26(1): 30 - 40. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
