Mark V Paterno, Mitchell J Rauh, Staci Thomas, Timothy E Hewett, Laura C Schmitt
BACKGROUND: The incidence of second anterior cruciate ligament (ACL) injury after ACL reconstruction (ACLR) is high in young, active populations. Failure to successfully meet return-to-sport (RTS) criteria may identify adult athletes at risk of future injury; however, these studies have yet to assess skeletally mature adolescent athletes. OBJECTIVE: To determine if failure to meet RTS criteria would identify adolescent and young adult athletes at risk for future ACL injury after ACLR and RTS...
September 1, 2022: Journal of Athletic Training
Laura C Schmitt, Caroline Brunst, Matthew Ithurburn, Dominic Ilardi, Staci Thomas, Bin Huang, Mark Vincent Paterno
CONTEXT: Performance symmetry between limbs (limb symmetry index [LSI] ≥ 90%) on a battery of single-leg hop tests is recommended to inform return-to-sport (RTS) decisions after anterior cruciate ligament (ACL) reconstruction (ACLR). Achieving current hop test symmetry values has not been associated with future clinical outcomes. The identification of age-relevant and activity-relevant target values to benchmark the hop test performance of young athletes post-ACLR may provide greater specificity and clinical relevance for interpretation of hop test data...
September 1, 2022: Journal of Athletic Training
Dale Forsdyke, Adam Gledhill, Clare Ardern
No abstract text is available yet for this article.
April 2017: British Journal of Sports Medicine
Junya Aizawa, Kenji Hirohata, Shunsuke Ohji, Takehiro Ohmi, Hideyuki Koga, Kazuyoshi Yagishita
BACKGROUND: High psychological readiness is an important element for returning to sports after anterior cruciate ligament (ACL) reconstruction. Identifying factors that contribute to psychological readiness is essential for planning interventions to return to play. No studies have used multivariate analysis to clarify factors associated with psychological readiness to return to specific sports. HYPOTHESIS: To identify factors that contribute to an athlete's psychological readiness to return after ACL reconstruction to sports that require cutting, pivoting, and jump-landings...
November 2020: Orthopaedic Journal of Sports Medicine
Harvi F Hart, Adam G Culvenor, Ali Guermazi, Kay M Crossley
OBJECTIVES: To determine whether knee confidence, fear of movement, psychological readiness to return-to-sport or pain are associated with patient-reported and performance-based function and return to pivoting sport in individuals one-year after anterior cruciate ligament reconstruction (ACLR). DESIGN: Cross-sectional study. SETTING: University-laboratory. PARTICIPANTS: 118 individuals one-year post-ACLR. MAIN OUTCOME MEASURES: The KOOS-sport/recreation and IKDC and three hopping tasks were used to assess patient-reported and performance-based function, respectively...
January 2020: Physical Therapy in Sport
Anne Gro Heyn Faleide, Liv Heide Magnussen, Torbjørn Strand, Bård Erik Bogen, Rolf Moe-Nilssen, Ingunn Fleten Mo, Willemijn Vervaat, Eivind Inderhaug
BACKGROUND: Knowledge about the predictive value of return to sport (RTS) test batteries applied after anterior cruciate ligament reconstruction (ACLR) is limited. Adding assessment of psychological readiness has been recommended, but knowledge of how this affects the predictive ability of test batteries is lacking. PURPOSE: To examine the predictive ability of a RTS test battery on return to preinjury level of sport and reinjury when evaluation of psychological readiness was incorporated...
April 2021: American Journal of Sports Medicine
Kate E Webster
Following anterior cruciate ligament injury and surgery, it is important that we prepare athletes to return to sport not only from a physical perspective but also a psychological one. Typically, we are concerned for an athlete who has low confidence or high anxiety. However, can being too psychologically ready to return to sport also be a bad thing? While the optimal psychological profile will vary from person to person, evidence is emerging that more extreme responses may have detrimental consequences and increase the risk of further injury...
April 2022: Arthroscopy
April L McPherson, Julian A Feller, Timothy E Hewett, Kate E Webster
BACKGROUND: Psychological responses after anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) have been identified as predictors of return to sport but have not been investigated in relation to further injury. PURPOSE/HYPOTHESIS: To determine whether psychological readiness to return to sport is associated with second ACL injury. It was hypothesized a priori that at both preoperative and 12-month postoperative time points, patients who sustained a second ACL injury would have lower psychological readiness than patients who did not have a second injury...
March 2019: American Journal of Sports Medicine
Michelle Xiao, Maike van Niekerk, Nikunj N Trivedi, Calvin E Hwang, Seth L Sherman, Marc R Safran, Geoffrey D Abrams
BACKGROUND: Although objective outcomes assessing knee function are essential measurements for return to sport, psychological factors have become increasingly recognized as equally important parameters for determining an athlete's ability to return to sport after surgery. PURPOSE: To systematically review the literature to determine whether patients who returned to sport after anterior cruciate ligament (ACL) reconstruction had improved psychological scores (as measured with validated questionnaires) compared with patients who did not return to sport...
June 20, 2022: American Journal of Sports Medicine
Stephanie Rose Filbay, Frank W Roemer, L Stefan Lohmander, Aleksandra Turkiewicz, Ewa M Roos, Richard Frobell, Martin Englund
OBJECTIVES: Evaluate the natural course of anterior cruciate ligament (ACL) healing on MRI within 5 years of acute ACL rupture and compare 2-year and 5-year outcomes based on healing status and treatment group. METHODS: Secondary analysis of 120 Knee Anterior Cruciate Ligament Nonsurgical vs Surgical Treatment (KANON) trial participants randomised to rehabilitation and optional delayed ACL reconstruction (ACLR) or early ACLR and rehabilitation. ACL continuity on MRI (Anterior Cruciate Ligament OsteoArthritis Score 0-2) was considered evidence of ACL healing...
January 2023: British Journal of Sports Medicine
Di Zhao, Jian-Ke Pan, Fang-Zheng Lin, Ming-Hui Luo, Gui-Hong Liang, Ling-Feng Zeng, He-Tao Huang, Yan-Hong Han, Nan-Jun Xu, Wei-Yi Yang, Jun Liu
BACKGROUND: The rerupture or need for revision after anterior cruciate ligament reconstruction (ACLR) is a serious complication. Preventive strategies that target the early identification of risk factors are important to reduce the incidence of additional surgery. PURPOSE: To perform a systematic review and meta-analysis to investigate risk factors for revision or rerupture after ACLR. STUDY DESIGN: Systematic review and meta-analysis; Level of evidence, 4...
October 3, 2022: American Journal of Sports Medicine
Ayham Jaber, Chang Min Kim, Alexander Barié, Marcus Streit, Holger Schmitt, Michael Clarius, Christian Merle, Yannic Bangert
PURPOSE: The purpose of the present study was to evaluate the long-term outcome of combined medial unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). The authors hypothesized that the combined procedure leads to good long-term outcome in patients with isolated medial knee osteoarthritis (OA) and anterior cruciate ligament (ACL) deficiency. METHODS: Twenty-three patients with ACL deficiency and concomitant medial knee OA were treated from 2008 to 2016 with a combined UKA (Oxford Partial Knee) and ACLR using a hamstring tendon autograft...
August 25, 2022: Knee Surgery, Sports Traumatology, Arthroscopy
Tobias Alt, Tilman Roos, Kevin Nolte, Dominik Modenbach, Axel J Knicker, Thomas Jaitner
The Nordic Hamstring Exercise (NHE) is commonly implemented to selectively improve eccentric knee flexor strength. However, the exercise's standard version (levelled shanks, extended hip joint) is too strenuous for most individuals whose muscle activity rapidly decreases at extended knee angles. Hitherto, a gradual approach to the exercise is missing. This exploratory CASE study investigated elite performance to introduce a stepwise progression to the NHE. The purpose was to determine to which extent exercise modifications (shank inclination, additional load, hip flexion) alter NHE mechanics...
August 22, 2022: Journal of Athletic Training
Riccardo D'Ambrosi, Amit Meena, Akshya Raj, Nicola Ursino, Timothy E Hewett
Anterior knee pain (AKP) is one of the most common conditions to bring active young patients to a sports injury clinic. It is a heterogeneous condition related to multiple causative factors. Compared to the general population, there appears to be a higher risk of development of patellofemoral osteoarthritis in patients with AKP. AKP can be detrimental to the patient's quality of life and, in the larger context, significantly burdens the economy with high healthcare costs. This study aims to present a comprehensive evaluation of AKP to improve clinical daily practice...
July 30, 2022: Sports Medicine—Open
Yukiko Matsuzaki, Danielle E Chipman, Sofia Hidalgo Perea, Daniel W Green
UNLABELLED: Anterior cruciate ligament (ACL) injuries and surgical intervention in the pediatric population have increased in the recent years. Although surgical techniques have advanced, evidence-based rehabilitation guidelines that consider all aspects of the youth athlete are currently lacking. The purpose of this commentary is to review the current evidence on unique considerations for the pediatric and adolescent population during rehabilitation and return to sport after ACL reconstruction (ACLR), with a focus on children under 18 years of age...
January 2022: Arthroscopy, sports medicine, and rehabilitation
Christopher Kuenze, Nathaniel Farner, Jordan Lewis, Caroline Lisee, Andrew Schorfhaar, Karl Erickson
CONTEXT: Rehabilitation after anterior cruciate ligament reconstruction (ACLR) is challenging for adolescent patients concurrently experiencing growth and development, changes in attitudes and social interactions, and a gradual shift toward independence. OBJECTIVE: Therefore, the purpose of this study was to examine the perceptions of information sharing and interpersonal communication among adolescent patients going through ACLR, their parents, and physical therapist (PT) treating adolescent patients with ACLR...
February 10, 2022: Journal of Athletic Training
Volker Musahl, Ian D Engler, Ehab M Nazzal, Jonathan F Dalton, Gian Andrea Lucidi, Jonathan D Hughes, Stefano Zaffagnini, Francesco Della Villa, James J Irrgang, Freddie H Fu, Jon Karlsson
Clinical evaluation and management of anterior cruciate ligament (ACL) injury is one of the most widely researched topics in orthopedic sports medicine, giving providers ample data on which to base their practices. The ACL is also the most commonly treated knee ligament. This study reports on current topics and research in clinical management of ACL injury, starting with evaluation, operative versus nonoperative management, and considerations in unique populations. Discussion of graft selection and associated procedures follows...
January 2022: Knee Surgery, Sports Traumatology, Arthroscopy
Cameron Kia, Zachary Cavanaugh, Edward Gillis, Corey Dwyer, Vivek Chadayammuri, Lukas N Muench, Daniel P Berthold, Matthew Murphy, Rafael Pacheco, Robert A Arciero
BACKGROUND: Bone marrow contusions are common after an acute anterior cruciate ligament (ACL) injury. It is unknown whether the severity of this initial bruise can predict the potential of developing chondral changes even after ACL reconstructive surgery (ACLR). PURPOSE: To investigate whether the initial bone bruise area could be predictive of progressive chondral defects. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A retrospective chart review was performed to capture patients with an acute ACL injury with pre- and post-ACLR magnetic resonance imaging (MRI) between January 2000 and December 2017...
May 2020: Orthopaedic Journal of Sports Medicine
Benjamin B Rothrauff, Jon Karlsson, Volker Musahl, James J Irrgang, Freddie H Fu
No abstract text is available yet for this article.
August 2020: Knee Surgery, Sports Traumatology, Arthroscopy
Juha-Tapio Turpeinen, Tomás T Freitas, Jacobo Ángel Rubio-Arias, Matthew J Jordan, Per Aagaard
STUDY DESIGN: Comprehensive review and meta-analysis. BACKGROUND: The recovery in rapid force production measured as the rate of force development (RFD) is not clear after anterior cruciate ligament reconstruction (ACLR). OBJECTIVES: To evaluate (a) time-course change of between-limb asymmetries in isometric knee extension/flexion RFD in individuals post-ACLR and (b) differences in RFD between individuals post-ACLR and healthy controls. METHODS: A literature search of Web of Science, SPORTDiscus, PubMed-MEDLINE, and ScienceDirect identified 10 eligible studies (n = 246) assessing RFD after ACLR...
September 2020: Scandinavian Journal of Medicine & Science in Sports
2020-06-14 15:37:53
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