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
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
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
MORE ON GLUCOSAMINE
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.
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.
reports were presented at the 64th annual scientific
meeting of the American College of Rheumatologists,
October 28 2000.
TEARS OF THE MENISCUS
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.
from the 9th congress of European Society of Sports
Traumatology, Knee Surgery and Arthroscopy.
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.
from the 9th congress of European Society of Sports
Traumatology and Knee Surgery - September 2000, London.
MOVEMENT OF THE KNEE IN OSTEOARTHRITIS
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.
Journal of Bone Joint Surgery 2001
positive news on Glucosamine"
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
Lancet 2001; 357:251-256,246.
do Alan Shearer and Ronnie Johnsen have in common?
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
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.
Surgery Vol 8, No 6, 2000 pp356-363
or open chain exercises after ACL reconstruction?
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.
Surgery Vol 8, No 6, 2000 pp343-348
exactly is covered?
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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