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Michael Owen is quietly confident he will play for Newcastle United this season after he insisted the operation to save his career will probably end up prolonging it. Michael Owen has not played since his knee buckled horribly underneath him during England's World Cup draw against Sweden in June and there have been widespread predictions he will not feature at all this season.But United's club-record signing has never listened to those who have tried to write him off throughout his career and, although sensibly, no precise date has been put on his return to action, there is a chance the 26-year-old will play before the end of the present campaign. The normal recovery time from a cruciate ligament injury is between six and nine months but, with initial scans showing that the operation Owen had in America by the renowned Dr Richard Steadman this month has been a success

Posted 01.10.2006

http://www.michaelowen-online.com/

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Jimmy Bullard Goes To See Steadman

Another Premiership player heads to Colorado to see Dr Richard Steadman. Fulham were quoted as saying "Jimmy is somebody who will have a massive influence on this club. We want him to see the best in the world"

The Independent 24th September 2006

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The Knee Clinic Has Moved.................

Due to flooding the clinic has moved 30 yards up the road to the Regency Health Club. We will be based here until further notice. The facilities are excellent with a superb gym, pool, bar, steam room, jacuzzi and sauna.

Posted 23rd September 2006

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MORE ON GLUCOSAMINE SULPHATE

Two recent reports give conflicting evidence on how effective Glucosamine is. One report from Philadelphia over a three year period showed that patients treated with Glucosamine had a reduced rate of development of arthritis in the knee. The study is based on wear of the articular surface as measured on x-rays. This is open to criticism as the x-rays may not have been comparable. This is the first report indicating that Glucosamine might have an effect on modifying the disease process and not just in terms of pain.

The second report from Philadelphia found no significant pain killing effect of Glucosamine in arthritis of the knee. The author has concluded that there may be certain sub groups of patients, in other words, those with mild to moderate disease who show improvement in pain but the results were far from clear. This is typical of studies on this subject unless patients are rigidly divided into groups according to the severity of the disease then any useful effect will be hard to see.

Both reports were presented at the 64th annual scientific meeting of the American College of Rheumatologists, October 28 2000.


SUTURING TEARS OF THE MENISCUS

There remains considerable debate as to the best way of repairing a torn meniscus. It is now clear that only those tears around the rim of the meniscus which have a good blood supply are repairable. Recent reports from France and Belgium recommend that suturing the meniscus remains the gold standard. This involves passing sutures from inside the knee and tying them outside through a separate incision. There are many arrows, screws and tacks on the market which can be used to aid the repair. These are inserted from inside the knee and hence are quicker to use, but of course more expensive. Assessing the results of repair of the meniscus is difficult as most patients do not undergo a further arthroscopy to check that the repair has worked. Most surgeons rely on the fact that the knee is functioning satisfactorily.

Report from the 9th congress of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.


MENISCAL TRANSPLANTATION

Techniques are becoming available to transplant a meniscus from a cadaver (dead person). This may be applicable in the young patients who have had the whole meniscus removed after injury. The numbers are small and have been done in specialised centres. Results of 12 year follow-up is now available on some 80 patients, all appeared satisfactory and many had returned to their same line of work. This technique may become more widespread in the future for this uncommon situation.

Report from the 9th congress of European Society of Sports Traumatology and Knee Surgery - September 2000, London.


MOVEMENT OF THE KNEE IN OSTEOARTHRITIS

The study has been carried out measuring knee movements during a variety of daily activities in patients with arthritis. The range of movement during these activities is far less than with a normal knee and much less than can be seen when the knee is formally examined in an orthopaedic clinic. The conclusions is that a painful arthritic knee is more comfortable if held relatively stiff. This calls in to question the relevance of knee movements recorded in the clinic setting.

Walker. Journal of Bone Joint Surgery 2001


"More positive news on Glucosamine"

Researchers at the University of Liege, Belgium found that long term use of Glucosamine Sulfate appears to prevent changes in joint structure and significantly improve symptoms in 106 patients suffering with osteoarthritis of the knee.

Lancet 2001; 357:251-256,246.


What do Alan Shearer and Ronnie Johnsen have in common?

Answer: Jumpers Knee.

Alan Shearer is currently sidelined with the above condition, also known as patella tendonitis and is currently awaiting surgery following three cortisone injections. Johnsen had his surgery two weeks ago and has been assured by his surgeon that his career is not threatened but it looks likely that he will miss the rest of the season. At the LKC we see this condition regularly. In most instances patients have ignored their symptoms and played on. This has just aggravated things further and has led to a long lay off from sport. The good news is that if we can get to the knee early and a good programme of treatment and exercise is put in place you may find that surgery may not be necessary.

John Amed, The Leamington Knee Clinic.


Balance Board Training

A recent study carried out in Sweden found that balance board training did not cut down the incidence of serious injury to the lower limb in female footballers. However, there was evidence to suggest that it did cut down the re-occurrence of injury in those who had been injured prior to commencing their balance board training.

Knee Surgery Vol 8, No 6, 2000 pp356-363


Closed or open chain exercises after ACL reconstruction?

For a number of years open chain exercises following ACL reconstruction have been avoided due to the strain that they place upon the graft. However, a recent prospective randomised clinical trial has suggested that any concern with regards to the use of open chain exercises may not be well founded.

Knee Surgery Vol 8, No 6, 2000 pp343-348


Skiing Insurance.

What exactly is covered?

Make sure you check what exactly your insurance covers you for whilst on your skiing holiday. We recently came across a case where a young man fell and injured his knee whilst skiing abroad. He was diagnosed as having a ruptured Anterior Cruciate Ligament (ACL). Next day his knee was operated on and his ACL was reconstructed. Upon his return to the UK he found that his insurance only covered him to be transported back to the UK and the operation costs were not covered.


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Updated 01/10/2006