Mar 10

Leukocyte-rich PRP for Knee Osteoarthritis: Current Concepts. 

Osteoarthritis is one of the most debilitating degenerative conditions affecting more than a third of the population of active individuals over the age of 65. Upon onset of clinical manifestations, osteoarthritis (OA) may become increasingly destructive regarding disease progression with respect to the microenvironment. Investigations into the leukocyte concentration in PRP formulations and its effect on the healing process in OA has created some controversy in evidence-based practice. It is well known that the inflammatory phase is integral to the...

Mar 10

Consequences on Private Insurance Coverage: The AAOS Clinical Practice Guidelines and Hyaluronic Acid Injections

Congratulations to TOBI Faculty, Dr. Vangsness and colleagues, on this important new publication in the Journal of Bone and Joint Surgery. Researchers recently reviewed the conclusions of the 2013 American Academy of Orthopedic Surgeons (AAOS) Clinical Practice Guideline (CPG) on the use of intra-articular (IA) hyaluronic acid (HA) injections and how their position has impacted private insurance coverage of these injections. The significance of such a review is warranted due to the continued high cost of hyaluronic injections as an...

Oct 16

Validity of indirect Ultrasound Findings in Acute Anterior Cruciate Ligament Ruptures

Researchers at Emory University in Atlanta, Georgia are concerned about the validity of physical examinations of ACL tears in acute care settings. This article investigates ultrasound findings in acute ACL ruptures, which have historically been poorly diagnosed in acute care settings, such as the emergency room. The significance of this evidence-based inquiry will off-set the high risk of further cartilage damage in misdiagnosed patients and expedite the return-to-play clearance in recovering athletes.  Magnetic Resonance Imaging (MRI) has long been the...