Chondral Injuries and Irreparable Meniscal Tears Among Adolescents With Anterior Cruciate Ligament or Meniscal Tears Are More Common in Patients With Public Insurance

The American Journal of Sports Medicine
Ariel A WilliamsMatthew D Milewski

Abstract

Access to health care services is a critical component of health care reform and may differ among patients with different types of insurance. Hypothesis/Purpose: The purpose was to compare adolescents with private and public insurance undergoing surgery for anterior cruciate ligament (ACL) and/or meniscal tears. We hypothesized that patients with public insurance would have a delayed presentation from the time of injury and therefore would have a higher incidence of chondral injuries and irreparable meniscal tears and lower preoperative International Knee Documentation Committee (IKDC) scores than patients with private insurance. Cross-sectional study; Level of evidence, 3. This was a retrospective study of patients under 21 years of age undergoing ACL reconstruction and/or meniscal repair or debridement from January 2013 to March 2016 at a single pediatric sports medicine center. Patients were identified by a search of Current Procedural Terminology (CPT) codes. A chart review was performed for insurance type; preoperative diagnosis; date of injury, initial office visit, and surgery; preoperative IKDC score; intraoperative findings; and procedures. The study group consisted of 119 patients (mean age, 15.0 ± 1.7 years). Forty-o...Continue Reading

References

May 1, 1983·The American Journal of Sports Medicine·M ManzioneP A Schweizer
Mar 1, 1980·The American Journal of Sports Medicine·R C MedlarE D Lyne
Apr 3, 2004·Pediatrics·Mininder S KocherJames R Kasser
Apr 2, 2010·Journal of Pediatric Orthopedics·Christopher IobstDavid L Skaggs
Mar 14, 2012·Journal of Pediatric Orthopedics·Tiffanie R PierceDavid L Skaggs
Jan 16, 2013·The Journal of Bone and Joint Surgery. American Volume·Michael G BaragaBryson P Lesniak
Jan 31, 2014·The American Journal of Sports Medicine·Emily R DodwellStephen Lyman
Aug 1, 2014·Orthopaedic Journal of Sports Medicine·Justin T NewmanArmando F Vidal
Aug 16, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stephen D ZollerRichard E Bowen

❮ Previous
Next ❯

Citations

Feb 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Derek M KellyJeffrey E Martus
Dec 12, 2018·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Joshua T BramTheodore J Ganley
Nov 19, 2020·EFORT Open Reviews·Sebastian KopfRoland Becker
May 18, 2021·Orthopaedic Journal of Sports Medicine·UNKNOWN Cleveland Clinic Sports HealthSameer R Oak
May 28, 2021·Orthopedics·Neeraj M PatelTheodore J Ganley
Jul 13, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Alexander ZiedasEric C Makhni
Oct 9, 2021·Current Reviews in Musculoskeletal Medicine·Nirav Kiritkumar Pandya
Oct 16, 2021·The American Journal of Sports Medicine·Haley E SmithNeeraj M Patel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Peter J MillettRussell F Warren
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Deborah A KowalchukJames J Irrgang
© 2022 Meta ULC. All rights reserved