Clinical outcomes after arthroscopic and open stabilization were comparable. Preoperative magnetic resonance arthrograms in shoulders with anterior instability allow an accurate diagnosis of intra-articular abnormality that correlates well with operative findings. Arthroscopic stabilization for recurrent anterior shoulder instability can be performed safely; the clinical outcomes are comparable to those after traditional open stabilization.

No abstract

At a minimum of 10 years after ACL reconstruction in a young athletic population, over 80% of all grafts were intact and had maintained stability. However, those patients who had an allograft failed at a rate over 3 times higher than those with an autograft.

Whereas extensive neuroscientific and behavioral evidence has confirmed a role of auditory-visual integration in representing space [1-6], little is known about the role of auditory-visual integration in object perception. Although recent neuroimaging results suggest integrated auditory-visual object representations [7-11], substantiating behavioral evidence has been lacking. We demonstrated auditory-visual integration in the perception of face gender by using pure tones that are processed in low-level auditory brain areas and that lack the spectral components that characterize human vocalization. When androgynous faces were presented together with pure tones in the male fundamental-speaking-frequency range, faces were more likely to be judged as male, whereas when faces were presented with pure tones in the female fundamental-speaking-frequency range, they were more likely to be judged as female. Importantly, when participants were explicitly asked to attribute gender to these pure tones, their judgments were primarily based on relative pitch and were uncorrelated with the male and female fundamental-speaking-frequency ranges. This perceptual dissociation of absolute-frequency-based crossmodal-integration effects from relative-pitch-based explicit perception of the tones provides evidence for a sensory integration of auditory and visual signals in representing human gender. This integration probably develops because of concurrent neural processing of visual and auditory features of gender.

No abstract

Patients receiving intra-articular corticosteroid injections had improved pain and function. Clinicians should expect less improvement in patients with obesity and/or advanced arthritis. Clinical benefits of intra-articular injections in these patients are less predictable.

Osteoarthritis (OA) is a widespread chronic joint disease characterized by articular cartilage destruction and accompanied by pain and disability. In this study, we found that the expression of Insulin-like Growth Factor II (IGF-II) was reduced in articular cartilage in human OA patients as well as in the murine experimental OA model of destabilization of the medial meniscus (DMM). In primary human articular chondrocytes, ectopic expression of lentiviral IGF-II inhibited pro-inflammatory cytokine IL-1β-induced NF-κB activation as well as catabolic gene expression. Interestingly, IGF-II did not significantly alter the phosphorylation states of ERK1/2 or Akt, which are kinases typically activated by IGF-I. Instead, it induced the activity of phospholipase C (PLC) and a PLC inhibitor blocked the inhibitory activity of IGF-II against IL-1β, suggesting that this activity is mediated through PLC. Furthermore, IGF-II increased cartilage matrix levels and decreased MMP13 protein expression in explanted human OA cartilage cultures in vitro. In the in vivo DMM model, intraarticular injection of lentiviral IGF-II led to enhanced cartilage matrix levels and decreased MMP13 protein expression, as well as reduced osteophyte formation and subchondral bone sclerosis. Therefore, our results suggest that IGF-II can promote cartilage integrity and halt knee joint destruction in OA.

No abstract