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Update on ACL Injuries and Treatment

Update on ACL Injuries and Treatment
The ACL Study Group meets every two years to update the latest knowledge on ACL injuries and treatments. This year’s meeting was at the base of the Hahnenkamm ski race in Kitzbuhel Austria—the most famous downhill ski race on the World Cup circuit. One hundred and fifty of the world’s top ACL surgeons watched 30 of the world’s bravest ski racers hurtle down the ice-crusted hill at 140 km/h (84 mph). The outcome of the race was predictable: The Austrians dominated. The outcome of the scientific meeting, however, was less conclusive; the ACL is still a tough problem to solve.

Blood in the Joint

Hemarthrosis: Blood in the Knee
When a major injury occurs, the joint swells. Part of the swelling is good, and part is bad. Let’s look at what can be done to optimize the outcome.

Ski Equipment Warnings

Skiing Safety TIps
Ski bindings have not substantially changed in decades. But skis and ski boot soles have, and therein lies the danger. Many bindings no longer work with all ski boots, and there is a growing mismatch between binding design and ski performance.

Inflammation

Inflammation Joint Health
The common pathway for almost all injuries and diseases is inflammation. Can it be controlled? And if so, should it?

Endurance Running: Fit after 50

Ultramarathon Running Recovery Tips
Here are some useful running recovery tips from guest contributor Stephanie Irving, ultra trail runner and veteran of two 100-milers and four 100Ks.

Athlete Hygiene

Athlete-Hygiene
Athletes become patients when they get hurt. If and when they need surgery, it becomes obvious which athletes have cared for their bodies well and which have not—in which case trying to sterilize the injured area can be a challenge. Here are some tips to keep you clean from toe to head.

New Year’s Resolutions Are All in the Mind

New Year's Fitness Resolutions
Okay—so what is new in New Year resolutions? We all keep a few, forget about a few, and live knowing that we could live better, “if only….” So, here is my thinking about how you might achieve a few resolution successes.

Anonymity is Over

Anonymity is Over
All things digital are public. There is no encryption program that cannot be broken, no password that cannot be deciphered, and no medical record that is not shared. These facts affect your health and will impact some of the decisions you will make to survive.

Preventive Healthcare for the Joints

Avoiding Injury
At Stone Clinic we’re often asked, “What can I do to preserve my knees?” The answer: don’t get hurt. Knees can go forever, providing their cartilage and ligaments stay intact. “But how do I not get hurt?”

Skiing with Arthritis

Joint Lubrication Injections
Arthritis used to end people’s skiing lives. No longer. Current non-operative therapies, as well as operative repairs, now have people on the slopes into their 90s. Here's tips on how:

Statistics versus Success

Individual Person or Medical Statistic
Which are you: a statistic or a person with a problem? If you ask the government, or many of the “managed” health care plans, you are seen as a “life”—as in, how many “lives” will be treated and at what cost? If you ask a doctor who has your best interests at heart, you are a person. But if he or she says they must follow a guideline for your arthritis care, walk out. Here is why.

Conservative Care vs Operative Care

Band Aid Solution Conservative Care
The choice to operate—or not to operate—is a daily decision that all surgeons go through and that all injured patients face. At times, operative care can actually be more conservative than non-operative care, notably in cases where the injury is only going to get worse. Here are some of the typical choices our patients will face during this upcoming ski and winter sports season.

Gratitude Muscle

Gratitude Muscle
Much has made about the effectiveness of exercising your gratitude muscle. The health benefits of gratitude are broad and often begin with lowered stress, stronger relationships, and more energy. But how we practice this exercise, and make it part of our daily lives, is the dilemma. Here are five observations about what gratitude is not and a few tips for training the muscle:

Weight Gain for the Too Thin

Weight Gain for the Too Think
Too thin, too little muscle, too lean, too stressed; all describe many of my most driven athletes. What’s the best way to gain muscle and improve performance? Here are my five top tips.

Go Big and Get Hurt

Go Big or Get Hurt
“Go big or go home” is a command that many of us grew up with. But “Go small and get great” is the mantra of the wizened athlete. Which path do you follow? Your choice will determine your health.

Streaming Stem Cells

Stem Cell Streaming
Yes, you can stream Netflix—and your body can stream stem cells. In fact, this is the up-to-the-minute thinking about how stem cells work. Here is the latest from the recent International Cartilage Repair Society meeting on stem cells, growth factors, bone marrow, fat, and PRP.

Pre-season Fitness Training

Pre-Season Training
Pre-season—whether ski season, basketball, volleyball, or any vigorous sport season—has two goals. The first is to perform better; the second, to reduce injury. What is your program? Here is how to think about it.

Bone Bruises

Bone Bruise MRI
Bone bruises are often the first, middle, or last step in the development of arthritis. The old thinking was to just let them heal. The new thinking tells us to treat both the bruise and the cause of it before it gets worse. Here is how.

Don’t Open the Achilles

Achilles Tear Repair
The ruptured Achilles tendon heals beautifully when repaired. It just doesn’t need open surgery to repair it. Here is why.

What is a Partial Knee Replacement?

What is a Partial Knee Replacement
80% of people told they need a Total Knee Replacement may not need one, according to an Oxford study. Many only require a partial knee replacement. Learn how a partial knee replacement functions & how this intervention can preserve the healthy parts of your knee.