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Sports-Related Injuries of the Meniscus,  An Issue of Clinics in Sports Medicine - E-Book

Sports-Related Injuries of the Meniscus, An Issue of Clinics in Sports Medicine - E-Book

Peter R Kurzweil

(2012)

Additional Information

Book Details

Abstract

This issue of Clinics in Sports Medicine, Guest Edited by Peter R. Kurzweil, MD, focuses on Sports-Related Injuries of the Meniscus.  Articles in this issue will include:    Indications for meniscus repair: traumatic tears do better; Biologic enhancement of meniscal repair;  Repairing the Unrepairable Meniscus;  Posterior Horn Tears – all-inside suture repair; Meniscal Repair – Inside-out sutures; Meniscal Root tears – Recognizing and Repairing; Meniscal Repair – outside-in suture;  Meniscal Repair with the Newest Fixators – which are best?;  Treating post-meniscectomy pain with Meniscal implants;   Meniscus Repair in Children;  and Getting Athletes Back to Sports after Meniscus Repair.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Sports-Related Injuries of\rthe Meniscus i
Copyright Page ii
Table of Contents v
Contributors iii
Foreword: Meniscal Repair xi
Preface xiii
Chapter 1. Indications for Meniscus Repair 1
FUNCTION AND ANATOMY OF THE MENISCUS 1
MECHANISM OF INJURY AND DIAGNOSIS 2
RATIONALE FOR PRESERVATION OF MENISCAL TISSUE 4
SURGICAL INDICATIONS 5
COMPLICATIONS AND CONSIDERATIONS 10
SUMMARY 10
REFERENCES 11
Chapter 2. Meniscal Repair Using the Inside-Out Suture Technique 15
INDICATIONS 16
PREOPERATIVE PLANNING 18
SURGICAL TECHNIQUE 18
RESULTS 24
COMPLICATIONS 27
POSTOPERATIVE MANAGEMENT 27
FUTURE CONSIDERATIONS 27
SUMMARY 28
REFERENCES 28
Chapter 3. Meniscal Repair—Outside-In Repair 33
HISTORICAL PERSPECTIVE 33
INDICATIONS AND CONTRAINDICATIONS 34
PREOPERATIVE PLANNING 35
TECHNIQUE: OUTSIDE-IN MENISCAL REPAIR 35
POSTOPERATIVE MANAGEMENT 43
COMPLICATIONS 44
RESULTS 45
SUMMARY 46
REFERENCES 46
Chapter 4. Meniscal Repair with the Newest Fixators—Which are Best? 49
THE MENISCUS AND CONSIDERATIONS FOR REPAIR 50
SURGICAL TECHNIQUES OF MENISCUS FIXATION 51
FIRST-GENERATION DEVICES (RIGID IMPLANTS) 52
SELF-ADJUSTING SUTURE CONTAINING IMPLANTS 53
REHABILITATION 58
RESULTS AND COMPLICATIONS 59
SUMMARY 60
REFERENCES 60
Chapter 5. Management of Meniscus Tears that Extend into the Avascular Region 65
CLINICAL EVALUATION 66
CLASSIFICATION OF MENISCUS TEARS 66
INDICATIONS AND CONTRAINDICATIONS FOR MENISCUS REPAIR 67
OPERATIVE TECHNIQUES 67
STRATEGIES TO AUGMENT HEALING OF MENISCUS REPAIRS 70
POSTOPERATIVE REHABILITATION 72
CLINICAL OUTCOMES OF MENISCUS REPAIR 73
SUMMARY 85
REFERENCES 85
Chapter 6. Biologic Enhancement of Meniscus Repair 91
FUNCTION 91
ANATOMY 92
VASCULARITY 92
HEALING 93
INDICATIONS FOR MENISCAL REPAIR 93
RESULTS 94
SUMMARY 98
REFERENCES 98
Chapter 7. Meniscus Root Avulsion 101
EPIDEMIOLOGY 101
CLINICAL PRESENTATION AND DIAGNOSIS 102
BIOMECHANICS 104
TREATMENT OPTIONS AND RESULTS 105
TECHNICAL PEARLS FOR MEDIAL MENISCAL ROOT REPAIR AND REHABILITATION 106
SUMMARY 108
REFERENCES 108
Chapter 8. Posterior Horn Tears—All-Inside Suture Repair 113
SURGICAL TECHNIQUE 114
POSTOPERATIVE CARE 129
AUTHORS’ CLINICAL OUTCOMES 131
REFERENCES 132
Chapter 9. Meniscus Repair in Children 135
BACKGROUND 136
MENISCAL INJURIES 138
DISCOID MENISCUS 145
MENISCAL INSTABILITY/HYPERMOBILITY 149
SUMMARY 150
REFERENCES 151
Chapter 10. Return to Sport After Meniscal Repair 155
COMPARING TRADITIONAL AND ACCELERATED PRINCIPLES 156
IMMOBILIZATION 156
WEIGHT BEARING 157
ACCELERATED REHABILITATION PROTOCOLS 157
SUPERVISED VERSUS UNSUPERVISED THERAPY 158
OPTIMIZATION OF RETURN TO SPORT 158
CRITERIA FOR INITIATING RETURN TO SPORT 159
STATIC PHASE 160
DYNAMIC PHASE 161
BALLISTIC PHASE 163
RETURN TO PLAY 164
REFERENCES 165
Chapter 11. Partial Meniscus Substitution with Tissue-Engineered Scaffold: An Overview 167
TYPES OF TISSUE-ENGINEERED MENISCAL SCAFFOLDS 168
MECHANICAL AND BIOLOGIC PROPERTIES 168
INDICATIONS AND CONTRAINDICATIONS 169
SURGICAL TECHNIQUE 170
POSTOPERATIVE REHABILITATION 171
CLINICAL OUTCOMES 171
SUMMARY 180
REFERENCES 180
Index 183