Anne Fältström, Joanna Kvist, Natalia F N Bittencourt, Luciana D Mendonça, Martin Hägglund
BACKGROUND: The risk of a second anterior cruciate ligament (ACL) injury when participating in pivoting sports after ACL reconstruction is high. Risk factors associated with a second ACL injury are complex. PURPOSE: To investigate the combinations of various clinical risk factors associated with second ACL injury in female soccer players with a primary unilateral ACL reconstruction, using Classification and Regression Tree (CART) analysis. STUDY DESIGN: Cohort study; Level of evidence, 2...
April 15, 2021: American Journal of Sports Medicine
Tao Xie, Xiao Han, Shao-Bo Zhou, Liu-Long Zhu, Qi-Fang He
The anterior cruciate ligament and medial collateral ligament are important static stabilizers of the knee. The patellar tendon is part of the knee extensor mechanism. The injury simultaneously involving these three structures is very rare. This paper reports a case with simultaneous ipsilateral rupture of the anterior cruciate ligament, medial collateral ligament, patellar tendon, and an occult compression fracture of the posterolateral tibial plateau. This injury pattern has not been reported in literature yet...
June 2021: Trauma Case Reports
Dong-Kyu Moon, Ho-Seung Jo, Dong-Yeong Lee, Dong-Geun Kang, Hee-Chan Won, Min-Seok Seo, Sun-Chul Hwang
BACKGROUND: Notchplasty is a surgical technique often performed during anterior cruciate ligament reconstruction (ACLR) with widening of the intercondylar notch of the lateral distal femur to avoid graft impingement. The purpose of this study was to correlate femoral-tunnel length with 3-dimensional (3D) drilling angle through the anteromedial (AM) portal with and without notchplasty. MATERIALS AND METHODS: Computer data were collected from an anatomical study using 16 cadaveric knees...
April 14, 2021: Knee Surgery & related Research
Guang-Lei Zhao, Jin-Yang Lyu, Chang-Quan Liu, Jian-Guo Wu, Jun Xia, Gang-Yong Huang
OBJECTIVE: This study was aimed to utilize a modified anterior drawer test (MADT) to detect the anterior cruciate ligament (ACL) ruptures and investigate its accuracy compares with three traditional tests. METHODS: Four hundred patients were prospectively enrolled between January 2015 and September 2017 preoperatively to undergo knee arthroscopic surgeries. The MADT, anterior drawer test, Lachman test, and pivot shift test were used in the outpatient clinical setting and were compared statistically for their accuracy in terms of ACL ruptures, with arthroscopic findings as the gold standard...
April 14, 2021: Journal of Orthopaedic Surgery and Research
Pham N Truong, Ngo V Toan, Vũ H Nam, William H Fang, C Thomas Vangsness, Bo Han, Ba X Hoang
Accurately measuring the length and diameter of the hamstring tendon autograft preoperatively is important for planning anterior cruciate ligament (ACL) reconstructive surgery. The purpose of this study was to assess the reliability of three-dimensional computed tomography (3D CT) scanning technique to produce the actual measurement of the gracilis and semitendinosus (GT and ST, respectively) tendon grafts' length and diameter for surgery. Ninety patients were scheduled for ACL reconstruction with hamstring autograft...
April 14, 2021: Journal of Knee Surgery
Ryan P Roach, David P Beason, Jonathan S Slowik, A Ryves Moore, Ajay C Lall, Jeffrey R Dugas
Injuries to the anterolateral ligament (ALL) of the knee are commonly associated with anterior cruciate ligament (ACL) ruptures. Biomechanical studies have demonstrated conflicting results with regard to the role of the ALL in limiting tibial internal rotation. Clinically, residual pivot shift following ACL reconstruction has been reported to occur up to 25% and has been correlated with poor outcomes. As such, surgical techniques have been developed to enhance rotational stability. Recent biomechanical studies have demonstrated restoration of internal rotational control following ALL reconstruction...
April 14, 2021: Journal of Knee Surgery
Yan Dong, Jiaguang Tang, Peng Cui, Songpo Shen, Guodong Wang, Jian Li, Xiaochuan Kong, Gang Hong, Shuo Yuan, Lei Zang
The techniques available to locate the femoral tunnel during anterior cruciate ligament (ACL) reconstruction have notable limitations. To evaluate whether the femoral tunnel center could be located intraoperatively with a ruler, using the posterior apex of the deep cartilage (ADC) as a landmark. This retrospective case series included consecutive patients with ACL rupture who underwent arthroscopic single-bundle ACL reconstruction at the Department of Orthopedics, Beijing Tongren Hospital between January 2014 and May 2018...
April 14, 2021: Journal of Knee Surgery
Charalambos P Charalambous, Tariq A Kwaees, Suzanne Lane, Clare Blundell, Wael Mati
Anterior cruciate ligament (ACL) reconstruction, using an ipsilateral hamstring graft, may necessitate an alternative graft source if the obtained graft is insufficient with regards to length or diameter. The study aims to determine the rate of insufficient ipsilateral hamstring graft harvesting in primary ACL reconstruction. Retrospective review of 50 consecutive primary ACL reconstructions performed by a single surgeon in the United Kingdom. In 3 of 50 cases, there was insufficient ipsilateral hamstring graft harvesting and a contralateral hamstring graft was used...
April 14, 2021: Journal of Knee Surgery
Kate E Webster, Timothy E Hewett
OBJECTIVE: To conduct a systematic review of reviews to summarize the (1) risk for development and (2) prevalence of knee osteoarthritis (OA) after anterior cruciate ligament (ACL) injury and surgical treatment and (3) compare prevalence rates between surgical and nonsurgical treatment of ACL injury. DATE SOURCES: Five electronic databases were searched using medical subject heading and text words up to February 2020 to identify English language reviews. STUDY SELECTION: Studies were included if they were a systematic review or meta-analysis...
March 1, 2021: Clinical Journal of Sport Medicine
Derek R Dewig, Christopher D Johnston, Brian Pietrosimone, J Troy Blackburn
BACKGROUND: Altered gait biomechanics have been linked to post-traumatic knee osteoarthritis development following anterior cruciate ligament reconstruction surgery, but the persistence of aberrant gait biomechanics after the first year post-surgery is inconsistent in the literature. Gait biomechanics are typically evaluated on a level surface, but this task may not elucidate discrepancies in individuals further removed from surgery due to the simplicity of the task. Graded surfaces are common in real-world ambulation and may exacerbate aberrant gait biomechanics due to greater mechanical demands...
March 31, 2021: Clinical Biomechanics
Francesco Della Villa, Martin Hägglund, Stefano Della Villa, Jan Ekstrand, Markus Waldén
BACKGROUND: Studies on subsequent anterior cruciate ligament (ACL) ruptures and career length in male professional football players after ACL reconstruction (ACLR) are scarce. AIM: To investigate the second ACL injury rate, potential predictors of second ACL injury and the career length after ACLR. STUDY DESIGN: Prospective cohort study. SETTING: Men's professional football. METHODS: 118 players with index ACL injury were tracked longitudinally for subsequent ACL injury and career length over 16...
April 12, 2021: British Journal of Sports Medicine
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2021: Medicine and Science in Sports and Exercise
Matthew J Partan, Erik J Stapleton, Aaron M Atlas, Jon-Paul DiMauro
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction before 18 years of age has been linked with an increased risk for failure when the graft diameter is <8 mm. PURPOSE/HYPOTHESIS: The purpose of this study was to determine whether autologous hamstring graft size can be reliably predicted with the use of preoperative magnetic resonance imaging (MRI) measurements. We hypothesized that the average of multiple axial cross-sectional area MRI measurements for the semitendinosus tendon and gracilis tendon would alone accurately predict graft diameter...
April 12, 2021: American Journal of Sports Medicine
Anne Fältström, Martin Hägglund, Henrik Hedevik, Joanna Kvist
BACKGROUND: Various tests have been developed to evaluate athletes' functional performance and for use as screening tools for injury prediction. Further validation of their accuracy to predict injury is needed. PURPOSE: To investigate the validity of predetermined cutoffs used to differentiate between high- and low-risk players in different functional performance tests to predict (1) anterior cruciate ligament (ACL) injury or (2) severe traumatic knee injury in a cohort of female soccer players with a primary unilateral ACL reconstruction and a cohort of knee-healthy players...
April 12, 2021: American Journal of Sports Medicine
Stefan Hinterwimmer, Florian B Imhoff, Matthias Feucht, Philipp Ahrens
Regarding the importance of ligament replacement in existing osteoarthritis three topics are highlighted: the development of osteoarthritis after ACL-tear or -replacement, ACL-replacement in existing osteoarthritis and ACL-replacement together with medial unicompartmental knee replacement. Concomitant lesions at the meniscus and cartilage, especially the patella-femoral cartilage are risk factors for the development and progression of osteoarthritis in ACL insufficiency. The treatment of a symptomatic ACL-insufficiency in existing osteoarthritis in the elderly patient is directly dependent on pre-existing degenerative changes...
April 12, 2021: Der Orthopäde
Jeffrey B Taylor, Kevin R Ford, Robin M Queen, Elizabeth C Owen, Angela Spontelli Gisselman
Background and Purpose: Poor outcomes after anterior cruciate ligament reconstruction (ACLr), including the relatively high risk of suffering a subsequent ACL injury, suggest the need to optimize rehabilitation and return-to-sport testing. The purpose of this commentary is to introduce clinicians to the concept of monitoring training load during rehabilitation, to review methods of quantifying internal and external loads, and to suggest ways that these technologies can be incorporated into rehabilitation progressions and return-to-sport decisions after anterior ACLr...
April 2, 2021: International Journal of Sports Physical Therapy
Timothy R Wohl, Cody R Criss, Dustin R Grooms
Anterior cruciate ligament (ACL) tears are common traumatic knee injuries causing joint instability, quadriceps muscle weakness and impaired motor coordination. The neuromuscular consequences of injury are not limited to the joint and surrounding musculature, but may modulate central nervous system reorganization. Neuroimaging data suggest patients with ACL injuries may require greater levels of visual-motor and neurocognitive processing activity to sustain lower limb control relative to healthy matched counterparts...
April 1, 2021: International Journal of Sports Physical Therapy
Alison Bulow, Alixandra Bellemare, Judy E Anderson, Jeff R S Leiter, Peter B MacDonald, Jason D Peeler
Background: Adolescent females are at significant risk for sustaining an ACL injury. The Y-Balance Test (YBT) is frequently used to evaluate neuromuscular control and lower extremity function. However, few studies have quantified 2D lower extremity kinematics during performance of the YBT, and there is an absence of kinematic data specific to at-risk adolescent females. Purpose: To examine lower extremity joint kinematics during execution of the YBT by healthy and ACL-injured adolescent females...
April 1, 2021: International Journal of Sports Physical Therapy
Francisco Figueroa, David Figueroa, Rafael Calvo, Alex Vaisman, João Espregueira-Mendes
Hamstring autograft use has been linked to an increased risk of infection after anterior cruciate (ACL) reconstruction compared to other grafts. The absolute reason for this remains unclear, with contamination after harvesting and preparation of the graft being the most accepted hypothesis.Using the rationale that a contaminated graft could be the main factor in postoperative septic arthritis and in an effort to maximize the antibiotic efficacy of the graft, the Vancomycin presoaking technique was developed...
March 2021: EFORT Open Reviews
Matthew Buckthorpe
It is important to optimise the functional recovery process to enhance patient outcomes after major injury such as anterior cruciate ligament reconstruction (ACLR). Restoring movement quality during sporting-type movements is important prior to return-to-sport (RTS) after ACLR. Alterations in movement quality during an array of functional tasks are common amongst ACLR patients at or near the time of RTS and are associated with worse outcomes after ACLR. The inability to correct movement issues prior to RTS is likely due to the use of incomplete programmes or a lack of volume and intensity of movement re-training programmes...
April 11, 2021: Sports Medicine
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