PubMed Health⌕ Search

Biomedical subjects

David A Fischer

Publications and source records attributed to David A Fischer.

7 recordsLinked to original sources
PubMed2003

Injury to the developing sternum in an adolescent football player: a case report and literature review.

When a blow to the sternum causes pain in a young athlete, the differential diagnosis can be complicated by persistence of an unfused growth center that does not normally fuse until age 18. We report a case of physeal injury in the sternum that was originally diagnosed as a stress fracture. The young football player in this case may have been predisposed to such an injury by abnormal synostosis of the sternomanubrial junction.

Adolescent↗
PubMedDate not supplied

Bilateral anterior cruciate ligament reconstruction as a single procedure: evaluation of cost and early functional results.

BACKGROUND: The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. PURPOSE: To evaluate cost and early functional results after bilateral ACL reconstruction at a single setting. STUDY DESIGN: Retrospective review. METHODS: Eleven patients (22 knees) who underwent bilateral ACL reconstruction at a single setting were compared with 33 patients (35 knees) who underwent unilateral ACL reconstruction during the same time period. RESULTS: The mean time to full unrestricted activity between groups was 6.5 months for both groups (P = 0.92). There were no significant differences between groups at latest follow-up for complication rates or laxity as judged by Lachman test, pivot shift test, and KT 1000 arthrometry. The mean International Knee Documentation Committee subjective score at a mean 3.1-year follow-up was 91.9 for the bilateral ACL group compared to 92.0 for the unilateral ACL group (P = 0.95). There was a total cost savings per knee (based on 2001 dollars) of $3751.59 when performing bilateral ACL reconstruction at a single setting (P = 0.0001). CONCLUSIONS: For patients presenting with bilateral ACL deficient knees, reconstruction of both knees at a single setting is safe, cost effective, and does not appear to compromise early functional results.

Adolescent↗