Socioeconomic factors may contribute to delay in pediatric ACL reconstructions

Private vs. public insurance plans also make a difference say researchers

2014-03-15

(Press-News.org) NEW ORLEANS, LA – Research presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day in New Orleans highlights evidence that insurance type, household income and age at injury are significant, independent predictors of the rate which Anterior Cruciate Ligament (ACL) surgeries occurred in kids. Researchers also noted that a delay in pediatric ACL surgery of more than five months correlated with increased severity of other knee injuries in the future.

"In our study, ACL surgery occurred more rapidly among pediatric and adolescent subjects who were more affluent, covered by commercial insurance and who were older when first seen. It was also interesting to note that ethnicity, gender and obesity did not show a significant correlation to time of treatment," said Justin T. Newman, MD, lead author of the study and Orthopaedic Surgery Chief Resident from the University of Colorado School of Medicine. "According to most recent research, treating pediatric ACL injuries in a more timely manner leads to better outcomes and a quicker return to sports," noted Newman.

Researchers identified 272 individuals who underwent primary ACL reconstruction at a single, large volume tertiary-level pediatric hospital between 2005 and 2012. Demographic, clinical and socioeconomic variables were retrospectively collected from all patients less than 19 years old at time of injury. Socioeconomic variables included household income and insurance type. Household income was based on median income associated with each of the subject's home zip codes. Insurance type was classified as commercial, government issued or uninsured.

Patients in the study who had a commercial insurance plan underwent ACL surgery at a rate that was 63% faster than patients with Medicaid, government assisted insurance plans or no insurance. In addition, differences in the time to ACL surgery were significantly different, with commercial plan individuals obtaining surgery in 1.5 months compared to 3 months for non-commercial. Patients whose household income was greater than the 75th percentile underwent surgery at an average of 1.2 months, compared to 2.2 months.

"Insurance type may delay the time from injury to surgery and consequently this delay in surgery could result in an increased chance of knee injuries requiring additional treatment. However, it is also important to note that often times the delay to have surgery is driven by the patient and family members rather than orthopaedic evidence and research," said Newman.

INFORMATION: The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine education, research, communication and fellowship, and includes national and international orthopaedic sports medicine leaders. The Society works closely with many other sports medicine specialists, including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. AOSSM is also a founding partner of STOP Sports Injuries, a national education program to prevent overuse and traumatic injuries in kids. For more information on AOSSM or the STOP Sports Injuries, visit http://www.sportsmed.org or http://www.stopsportsinjuries.org

ELSE PRESS RELEASES FROM THIS DATE:

ACL tears are not the end for college football players

2014-03-15

NEW ORLEANS, LA – High-level college football players frequently return to the field after an ACL reconstruction, according to research presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day. The study added to earlier research by exploring specific factors that affected return to play, including player standing on rosters and year in school. "Our data shows that about 82% of Division 1 NCAA football players return after ACL surgery, with that percentage reaching up to 94% when we focus on players who were starters before being ...

Shoulder revision repair surgery not as successful 2 years later, say researchers

2014-03-15

NEW ORLEANS, LA – Long-term outcomes of revision arthroscopic rotator cuff repair surgery is not as successful as in a first-time surgery, according to researchers from the Orthopaedic Research Institute in Sydney, Australia, who are presenting their work today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day. "According to our results, patients with revision arthroscopic rotator cuff surgery had gained short term (six months post operatively) functional and clinical improvements. However, these gains pretty much disappeared by two years ...

Tommy John Surgery a good solution for MLB pitchers

2014-03-15

NEW ORLEANS, LA – New data suggests ulnar collateral (UCL) reconstruction, better known as Tommy John Surgery, allows major league pitchers to return to the mound at high rates, and with a positive impact on some performance parameters. The research, presented at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day, examined 179 major league pitchers from 1986 to 2012. "Our research showed 83% of MLB pitchers undergoing this elbow surgery returned to pitching, with most returning after an average of 20.5 months," noted author Dr. Anil K. Gupta ...

Michigan quiet title actions: An overview

2014-03-15

Michigan quiet title actions: An overview Article provided by Galloway and Collens, PLLC Visit us at http://www.gallowaycollens.com/ Real estate is a unique type of property. Land may change hands often, and frequently, more than one party has or appears to have an ownership interest in the same parcel of land or in structures built on that land. When the true ownership of a piece of real property may be in question, the property can have what is referred to as a "clouded" title. A possible full ownership interest may cloud a title, but so can partial ...

For Colorado couples, divorce mediation offers many potential benefits

2014-03-15

For Colorado couples, divorce mediation offers many potential benefits Article provided by Warkentine Law Office Visit us at http://www.warkentinelaw.com Divorce can be a difficult and emotionally challenging process even under the best of circumstances, but it does not always need to be hostile or destructive -- particularly when both spouses are committed to parting ways peacefully and cooperatively. For divorcing couples in Colorado who prefer to keep things amicable, divorce mediation is often an attractive option. Divorce mediation is a process that allows ...

Pennsylvania eminent domain: public condemnation of private property

2014-03-15

Pennsylvania eminent domain: public condemnation of private property Article provided by Hoegen & Associates, P.C. Visit us at http://www.hoegenlaw.com The idea of eminent domain over property, also known as condemnation, makes good sense as a way to further the common good of Pennsylvanians. In essence, the power of eminent domain, granted by the U.S. and Pennsylvania Constitutions, gives government the power to seize property belonging to private parties for public purposes with the caveat that the state is required to provide just compensation. Pennsylvania ...

Improving real estate market in Arizona does not preclude scams

2014-03-15

Improving real estate market in Arizona does not preclude scams Article provided by Whitehill Law Offices, P.C. Visit us at http://www.jameswhitehill.com Arizona is experiencing a marked improvement in its real estate market this year. According to articles in AZCentral.com, values are increasing for residential and commercial properties across the state, pointing to a healthy recovery from the recession. The commercial real estate industry is seeing improvement across the retail, office and industrial sectors from new and growing businesses. As the state steadily ...

The Sykes Group Presentation Skills Student Appears on Shark Tank Television Show

2014-03-15

Norfolk, VA, March 13, 2014-- Entrepreneur Carter Kostler and The Sykes Group's presentation skills coaching student will appear on the business television show Shark Tank on March 14, 2014 at 9 P.M. EST. Carter is the inventor of The Define Bottle, the leading fruit infused water bottle for people that are on the go. At only fourteen years old (in 2013), he recognized the need for a healthy alternative to drinking sodas. The Define Bottle allows users to combine fruit and water to create a natural healthy drink. What is unique about The Define Bottle is that the drink ...

Editions Zorzal Announces The Release Of "The Unorthodox Ox" By Thomas Morison

2014-03-15

There is the protagonist, the anti-hero. He has married the wrong person. There is the spouse, the antagonist, she is a difficult and habitual fault-finder. She has been undermining his and her own sanity for years. So the protagonist, he has a position where his job is to oversee environmental problems, environmental destruction that seems to be leading to catastrophe, to a cataclysm; then it is obvious, that his work has been dragging him down for some time. And what the problem, i.e., the dilemma that the story relates, is that the anti-hero has been getting on ...

TEDxGeorgeMasonU Presents the 3rd Annual TEDx event at George Mason University

2014-03-15

TEDxGeorgeMasonU will present the 3rd annual TEDx GMU event, taking place at the Hylton Performing Arts Center (Prince William) on 4/12/14, and featuring the following speakers: Daniel N. Cox - Professor of Systems Biology, Graduate Program Director, School of Systems Biology, Krasnow Institute for Advanced Study. Mary Lechter - Professor of Theatre, Founder of Acting for Young People Karyn E. Mallett - Assistant Director of the Mason English Language Institute Linda Apple Monson - Professor of Music, Director of Keyboard Studies Mamta Patel Nagaraja* - Women@NASA ...

Socioeconomic factors may contribute to delay in pediatric ACL reconstructions

ELSE PRESS RELEASES FROM THIS DATE:

LAST 30 PRESS RELEASES: