D B O'Neill

Boston Children's Hospital, Boston, Massachusetts, United States

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Publications (6)18.44 Total impact

  • D B O'Neill · L J Micheli · J P Warner
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    ABSTRACT: Thirty patients, 13 skeletally immature individuals and 17 adults, participated in a prospective study designed to evaluate the effect of isometric quadriceps strengthening exercises on patellofemoral pain. Of the 30 patients with anatomically normal lower extremity alignment and no history of previous knee trauma or surgery, there were 34 knees that had a decrease in peripatellar knee pain with a structured exercise program. One additional patient had a decrease in pain after an arthroscopic lateral release and with continued exercises. An equal number of skeletally immature patients and adults had a decrease in peripatellar knee pain. However, 5 of the 17 adults had to limit their activities, while no adolescent patient had to limit activity. Additionally, eight skeletally immature knees had greater than 5 degrees change in their congruence angles, as measured on Merchant tangential radiographs, over the year-long course of this study. Only one adult knee had a similar radiographic improvement. We recommend immediate action to alleviate patellofemoral pain syndrome, even when extremity alignment is normal. An isometric, progressive resistance quadriceps program with iliotibial band and hamstring stretching exercises is the preferred initial treatment.
    No preview · Article · Mar 1992 · The American Journal of Sports Medicine
  • D B O'Neill · B Zarins · R H Gelberman · T M Keating · D Louis

    No preview · Article · Sep 1990 · The Journal of Bone and Joint Surgery
  • D B O'Neill · LYLE J. MICHELI
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    ABSTRACT: The postoperative radiographs of 48 patients who underwent posterolateral in situ fusion for spondylolysis and Grade 1 or less spondylolisthesis over an 11-year period showed healing of the pars defects in 90% of the cases. The patients who showed healing had an average preoperative duration of symptoms of 17 months (mean, 12 months). The five patients whose radiographs showed persistent defects postoperatively were found to have had preoperative symptoms for an average of 47 months (mean, 48 months). This significantly greater (P 0.05) duration of symptoms prior to stabilization was the only variable that proved to be statistically significant. Controversy continues to exist as to the etiology of spondylolysis; however, the ability to heal the defect with lumbar spinal stability certainly supports the theory that the defect is a result of fatigue stresses, which finally manifest as a fracture seen on radiographs as the spondylolytic defect. Posterior spinal stabilization in those patients with symptoms for a period of less than 2 years who have failed conservative management can be expected to heal the pars defects.
    No preview · Article · Jan 1990 · Spine
  • D B O'Neill · J R Kasser

    No preview · Article · Aug 1989 · The Journal of Bone and Joint Surgery
  • D B O'Neill · L J Micheli
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    ABSTRACT: Difficulty is frequently encountered in separating the rotator cuff tendons, particularly the subscapularis tendon, from the underlying and often adherent capsule. A safe and quick method of dissecting the tendon from the capsule using a Cobb elevator has proven effective without causing capsular penetration in well over 100 consecutive primary shoulder stabilizations.
    No preview · Article · May 1989 · Orthopaedic review
  • D B O'Neill · L J Micheli
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    ABSTRACT: Overuse injuries are now well known to sports enthusiasts at any age or level of competition. The seeming explosion of overuse stress fractures of lower extremity bones in high-profile professional basketball players has brought about widespread media attention and a better understanding of the phenomenon of "overuse syndrome" by the public. However, the spectrum of overuse injuries in the child or adolescent athlete has only recently been recognized. These injuries can range from the permanent disability of osteochondritis dissecans of the elbow to the completely nonspecific "growing pains" of active youngsters.
    No preview · Article · Aug 1988 · Clinics in Sports Medicine

Publication Stats

133 Citations
18.44 Total Impact Points

Institutions

  • 1992
    • Boston Children's Hospital
      • Children's Hospital Primary Care Center
      Boston, Massachusetts, United States
  • 1990
    • Massachusetts General Hospital
      • Department of Orthopaedic Surgery
      Boston, Massachusetts, United States