The American journal of sports medicine
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Drilling across the physes for intra-articular anterior cruciate ligament reconstruction is considered risky for skeletally immature patients. ⋯ In 16 skeletally immature patients with clearly open growth plates who were Tanner stage 3 or 4, an intra-articular anterior cruciate ligament reconstruction was performed using a patellar tendon autograft with no gross growth disturbance; however, the surgical technique was meticulous for placing the bone plugs proximal to the physes, and the graft was not overtensioned.
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The quantitative relationship between increased anterior shoulder laxity and increased humeral external rotation observed in throwers remains unclear. ⋯ Repetitive excessive humeral external rotation observed in throwers may be one of the biomechanical causes for increased shoulder laxity and increased humeral external rotation.
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Catastrophic cervical spine injuries can lead to devastating consequences for the collision athlete. Improved understanding of these injuries can facilitate early diagnosis and effective on-field management. This article is the first of a 2-part series. ⋯ In the second part, to be published later, the principles of emergency care of the cervical spine-injured athlete are reviewed. This article provides a rational approach to the early recognition of the different clinical syndromes associated with catastrophic cervical spine injury. Rapid on-field diagnosis can help to optimize the outcomes of these catastrophic injuries.
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To date, the pattern and rate of kitesurfing injuries are largely unclear. ⋯ The use of a quick-release system that enables the surfers to detach the kite in case of an accident might aid in the prevention of injuries.
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Historically, the sport of women's lacrosse has required little or no protective equipment. Recently, there has been increasing concern over trauma to the face and head incurred during play. A rule change passed in spring 2003, during the course of this study, mandates goggles in 2005. ⋯ Data support the future requirements for protective eyewear. There is significant and increasing exposure for head and face trauma. Further investigation is needed to monitor injury patterns in women's lacrosse as rules for protective gear evolve.