The American journal of sports medicine
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The International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form (IKDC Knee Form) is a valid, reliable, and responsive measure of knee-related symptoms, function, and sports activities in adults. Despite the incidence of knee injuries in younger individuals, the measurement characteristics of the IKDC Knee Form have not been established. Hypothesis/ ⋯ In its current form, the IKDC Knee Form is a valid and consistent knee-specific measure of symptoms, function, and sports activity in individuals between the ages of 6 and 18 years with a variety of knee problems. Further work is needed to establish the reliability and responsiveness of the IKDC Knee Form for this age group.
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Bone bruises on magnetic resonance imaging (MRI) are common in patients with acute knee ligament injuries and have been well described for injuries involving the anterior and posterior cruciate ligaments and the medial collateral ligament. These have not yet been described in detail for posterolateral corner injuries. ⋯ Medial compartment bone bruises, most commonly of the anteromedial femoral condyle, were frequently found in patients with both acute isolated and combined PLC injuries. Thus, the presence of an anteromedial femoral condyle bone bruise should increase the level of suspicion of a concurrent PLC knee injury. In addition, we believe that the presence of a posteromedial tibial plateau bone bruise may be a secondary sign of a potential combined PLC injury in the setting of anterior cruciate ligament tear.
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Enhanced primary anterior cruciate ligament repair, in which suture repair is performed in conjunction with a collagen-platelet composite to stimulate healing, is a potential new treatment option for anterior cruciate ligament injuries. Previous studies have evaluated this approach at the time of anterior cruciate ligament disruption. ⋯ As future investigations assess new techniques of anterior cruciate ligament repair, the timing of the repair should be considered in the design and the interpretation of experimental studies.