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https://www.readbyqxmd.com/read/29927499/return-to-play-performance-and-career-duration-after-acl-rupture-a-case-control-study-in-in-the-five-biggest-football-nations-in-europe
#1
Daniel Niederer, Tobias Engeroff, Jan Wilke, Lutz Vogt, Winfried Banzer
OBJECTIVES: A media-based collection and further analysis of relative return to play (RTP) rates and the corresponding quality of play after anterior cruciate ligament (ACL) rupture in top level football was the aim of our study. METHODS: In the 5-year case-control study, male players from the first two leagues of the five European countries top leagues, who sustained a total ACL rupture during the season 2010/11 and/or 2011/12, were included. For them and a matched control sample (ratio 1:2), data were retrieved from the publicly available and validated media-based platforms (transfermarkt...
June 21, 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29909296/anterior-cruciate-ligament-reconstruction-with-the-tape-locking-screw-tls-and-a-short-hamstring-graft-clinical-evaluation-of-61-cases-with-a-minimum-12-months-follow-up
#2
Benoît Orfeuvre, Régis Pailhé, Loïc Sigwalt, Brice Rubens Duval, Gabriel Lateur, Stéphane Plaweski, Dominique Saragaglia
INTRODUCTION: The TLS® technique for anterior cruciate ligament (ACL) reconstruction has the advantages of using only one hamstring tendon (semitendinosus) by preparing a short graft secured with screws and braided strips. The theoretical pitfall of this technique is that the graft length is determined arbitrarily. Thus, if the blind tunnels are not long enough, it will be impossible to tension the graft properly upon fixation. The primary objective of this study was to determine the postoperative side-to-side difference in knee laxity...
June 14, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29907841/comparison-of-knee-stability-strength-deficits-and-functional-score-in-primary-and-revision-anterior-cruciate-ligament-reconstructed-knees
#3
Do Kyung Kim, Geon Park, Kamarulzaman Bin Haji M S Kadir, Liang-Tseng Kuo, Won Hah Park
Comparing to primary surgery, revision ACL reconstruction is more technically demanding and has a higher failure rate. Theoretically, rehabilitation can improve knee function after ACL reconstruction surgery. This study aimed to compare knee stability, strength, and function between primary and revision ACL reconstructed knees. 40 primary and 40 revision ACL reconstruction surgeries were included between April 2013 and May 2016. Patients with revision surgery had a higher anteroposterior translation comparing those with primary reconstruction (median laxity, 2...
June 15, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29883199/bone-bruise-patterns-in-skeletally-immature-patients-with-anterior-cruciate-ligament-injury-shock-absorbing-function-of-the-physis
#4
João V Novaretti, Jason J Shin, Marcio Albers, Monique C Chambers, Moises Cohen, Volker Musahl, Freddie H Fu
BACKGROUND: Bone bruises are frequently found on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury and have been related to the force associated with the trauma. Yet, little is known about the bone bruise distribution pattern of skeletally immature (SI) patients, as the presence of an open physis may play a role in energy dissipation given its unique structure. PURPOSE: To describe and compare the location and distribution of tibial and femoral bone bruises, observed on MRI, between 2 groups of ACL-injured knees: the first group with an open physis and the second with a closed physis...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29852516/trends-in-anterior-cruciate-ligament-reconstruction-in-the-last-decade-a-web-based-analysis
#5
Mehmet Yucens, Ahmet Nadir Aydemir
Anterior cruciate ligament (ACL) injury is known to be one of the most common knee joint injuries. ACL reconstruction can be similar to the native ACL in respect of graft morphology, tension, position, and orientation. ACL reconstruction can be applied with different surgery techniques, graft and fixation devices, and rehabilitation as ACL reconstruction is just as important as surgery. Although commonly known as a sports injury, ACL injuries are increasingly seen in the general population. The aim of this study was to investigate the trends in ACL injury treatment in the last decade especially the graft choice...
May 31, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29843196/a-comparison-of-results-after-anterior-cruciate-ligament-reconstruction-in-over-40-and-under-40-years-of-age-a-meta-analysis
#6
REVIEW
Kun-Tae Kim, Hyun-Jung Kim, Hyang-Im Lee, Young-Jin Park, Dong-Geun Kang, Jun-Ill Yoo, Dong-Kyu Moon, Sung-Hee Cho, Sun-Chul Hwang
Purpose: Anterior cruciate ligament (ACL) injury is one of the most common injuries that occur in the knee, and ACL reconstruction (ACLR) is commonly performed for preventing aggravation of degenerative changes and restoring of knee stability in young, athletic patients. This meta-analysis has a purpose of evaluating the clinical and arthrometrical outcomes of ACLR in a group of middle age patients (40 years and older) and comparing with patients under 40 years of age. Methods: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, and SCOPUS electronic databases were searched for relevant articles comparing the outcomes of ACLR between younger and older than 40 years of age until December 2016...
June 1, 2018: Knee Surgery & related Research
https://www.readbyqxmd.com/read/29798522/-effect-of-autologous-fibrin-clot-on-tendon-bone-healing-after-anterior-cruciate-ligament-reconstruction
#7
Penghe Liu, Zhipeng Dai, Jiajun Zhao, Zhen Zhang, Suizhu Huang
Objective: To observe the effect and significance of autologous fibrin clot on tendon-bone healing after anterior cruciate ligament (ACL) reconstruction. Methods: Between October 2014 and January 2016, 34 patients (34 knees) with ACL injury were enrolled in the study. During ACL reconstruction, autologous fibrin clot was used in 17 cases (trial group) and was not used in 17 cases (control group). The anterior drawer test, Lachman test, and axial displa-cement test were positive in 2 groups before operation...
July 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29770342/fibular-collateral-ligament-varus-stress-radiographic-analysis-using-3-different-clinical-techniques
#8
Patrick W Kane, Mark E Cinque, Gilbert Moatshe, Jorge Chahla, Nicholas N DePhillipo, Matthew T Provencher, Robert F LaPrade
Background: Fibular collateral ligament (FCL) tears are challenging to diagnose. Left untreated, FCL tears lead to residual ligament instability and increased joint loading on the medial compartment of the knee. Additionally, when a concomitant anterior cruciate ligament (ACL) reconstruction is performed, increased forces on reconstruction grafts occur, which may lead to premature graft failure. Stress radiographs constitute a reliable and validated technique for the objective assessment of a complete grade III FCL tear...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29762281/an-increased-lateral-femoral-condyle-ratio-is-a-risk-factor-for-anterior-cruciate-ligament-injury
#9
Thomas R Pfeiffer, Jeremy M Burnham, Jonathan D Hughes, Ajay C Kanakamedala, Elmar Herbst, Adam Popchak, Sven Shafizadeh, James J Irrgang, Richard E Debski, Volker Musahl
BACKGROUND: The purpose of this study was to examine the relationship between distal femoral morphology and anterior cruciate ligament (ACL) injury, ACL reconstruction (ACLR) failure, and contralateral ACL injury. It was hypothesized that increased posterior femoral condylar depth, quantified as the lateral femoral condyle ratio, would correlate with increased risk of primary ACL injuries, ACLR failures, and contralateral ACL injuries. METHODS: The charts of consecutive patients who underwent arthroscopic knee surgery at an academic medical center from 2012 to 2016 with minimum follow-up of 24 months were retrospectively reviewed...
May 16, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29761114/preoperative-promis-scores-predict-postoperative-outcomes-after-primary-acl-reconstruction
#10
Raymond E Chen, M Owen Papuga, Ilya Voloshin, Gregg T Nicandri, John P Goldblatt, Robert D Bronstein, Lucien M Rouse, Michael D Maloney
Background: PROMIS (Patient-Reported Outcomes Measurement Information System) scores in patients undergoing anterior cruciate ligament (ACL) reconstruction have not been fully described in the literature to date. The ability of preoperative patient-reported outcome scores to directly predict postoperative outcomes in patients who undergo primary ACL reconstruction is unknown. Hypothesis: Postoperative PROMIS physical function (PF), pain interference (PI), and depression (D) scores in patients who undergo ACL reconstruction will show improvement when compared with preoperative scores...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29731081/prevalence-of-antiphospholipid-antibody-positivity-and-association-of-pretransplant-lupus-anticoagulant-positivity-with-early-allograft-dysfunction-in-liver-transplantation
#11
H-M Kwon, K-W Jung, Y-J Moon, H-W Jung, Y-S Park, I-G Jun, J-G Song, G-S Hwang
BACKGROUND: Antiphospholipid antibodies (aPL), including anticardiolipin (aCL), anti-β2 -glycoprotein I (anti-β2GPI), and lupus anticoagulant (LA) antibodies, are frequently found in liver cirrhosis and associated with splanchnic vein thrombosis. Although the risk factors of early allograft dysfunction (EAD) are known, the association between EAD and aPL has been poorly investigated. We hypothesized that LA, potent aPL with thrombotic potential, may be associated with EAD development after living donor liver transplantation (LDLT)...
May 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29618144/five-strand-hamstring-autograft-in-primary-anterior-cruciate-ligament-reconstruction
#12
Lingaraj Krishna, Xin Yang Tan, Acksen Thangaraja, Francis K L Wong
The purpose of this study was to describe our surgical technique of using five-strand hamstring autograft with interference screw fixation in primary anterior cruciate ligament (ACL) reconstruction and to report the early postoperative outcomes of this technique. Patients who underwent primary ACL reconstruction using five-strand hamstring autografts with interference screw fixation between December 2014 and June 2016 were included in this study. The five-strand configuration was used in these patients because the four-strand configuration produced a graft diameter of less than 8 mm...
April 4, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29600266/clinical-outcome-of-anatomical-transportal-arthroscopic-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-autograft
#13
Omid Shahpari, Moslem FallahKezabi, Hamid Hejrati Kalati, Farshid Bagheri, Mohammad H Ebrahimzadeh
Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anterior cruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challenging issues between orthopedic surgeons regarding graft selection and surgical techniques. Methods: We retrospectively reviewed the patients who underwent anatomical arthroscopic one bundle ACL reconstruction with quadruple hamstring tendon autograft from 2010 to 2016 in our orthopedic sport medicine center...
March 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29596077/anterior-cruciate-ligament-injuries-in-the-national-hockey-league-epidemiology-and-performance-impact
#14
Robert Longstaffe, Jeff Leiter, Peter MacDonald
OBJECTIVE: To determine the incidence of anterior cruciate ligament (ACL) injuries in the National Hockey League (NHL) and to examine the effects of this injury on return-to-play status and performance. DESIGN: Case series; level of evidence, 4. METHODS: This was a 2-phase study. Phase I used the NHL electronic injury surveillance system and Athlete Health Management System to collect data on ACL injuries and man games lost over 10 seasons (2006/2007-2015/2016)...
March 27, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29578774/greater-static-anterior-tibial-subluxation-of-the-lateral-compartment-after-an-acute-anterior-cruciate-ligament-injury-is-associated-with-an-increased-posterior-tibial-slope
#15
Guan-Yang Song, Hui Zhang, Jin Zhang, Xin Liu, Zhe Xue, Yi Qian, Hua Feng
BACKGROUND: Static anterior tibial subluxation of the lateral compartment after an anterior cruciate ligament (ACL) injury highlights an increased anterior position of the tibia relative to the femur. However, the precise cause of this phenomenon is not entirely clear. Recently, an increased posterior tibial slope (PTS) has been identified as an independent risk factor for noncontact ACL injuries. HYPOTHESIS: An increased PTS is associated with an increased anterior position of the lateral compartment of the tibia relative to the femur after acute ACL injuries...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29568784/does-the-lever-sign-test-have-added-value-for-diagnosing-anterior-cruciate-ligament-ruptures
#16
Miranda C Lichtenberg, Christiaan H Koster, Lennart P J Teunissen, Frits G J Oosterveld, Annelieke M K Harmsen, Daniel Haverkamp, Daniel Hoornenborg, Robert P Berg, Frank W Bloemers, Irene R Faber
Background: Diagnosing an anterior cruciate ligament (ACL) rupture based on a physical examination remains a challenge for both surgeons and physical therapists. The lever sign test was developed to overcome the practical limitations of other tests and to optimize diagnosis. An evaluation of the measurement properties of the lever sign test is needed to make adequate interpretations in practice. Purpose: To evaluate the reliability and diagnostic value of the lever sign test...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29556890/septic-arthritis-after-arthroscopic-posterior-cruciate-ligament-and-multi-ligament-reconstructions-is-rare-and-can-be-successfully-treated-with-arthroscopic-irrigation-and-debridement-analysis-of-866-reconstructions
#17
Philipp Schuster, Markus Geßlein, Philipp Mayer, Michael Schlumberger, Raul Mayr, Jörg Richter
PURPOSE: The purpose of this study was to determine the incidence of septic arthritis following arthroscopic posterior cruciate ligament (PCL) and multi-ligament reconstructions, and to evaluate a treatment regime with sequential arthroscopic irrigation and debridement procedures combined with antibiotic therapy that is focused on retention of the graft. METHODS: Between 2004 and 2016 a total of 866 PCL reconstructions and multi-ligament reconstructions were performed at our institution (408 isolated PCL reconstructions, 458 combined reconstructions)...
March 20, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29554717/diagnostic-tools-for-acute-anterior-cruciate-ligament-injury-gnrb-lachman-test-and-telos
#18
Seung Min Ryu, Ho Dong Na, Oog Jin Shon
Purpose: The purpose of this study is to compare the accuracy of the GNRB arthrometer (Genourob), Lachman test, and Telos device (GmbH) in acute anterior cruciate ligament (ACL) injuries and to evaluate the accuracy of each diagnostic tool according to the length of time from injury to examination. Materials and Methods: From September 2015 to September 2016, 40 cases of complete ACL rupture were reviewed. We divided the time from injury to examination into three periods of 10 days each and analyzed the diagnostic tools according to the time frame...
March 19, 2018: Knee Surgery & related Research
https://www.readbyqxmd.com/read/29469658/evolving-treatment-patterns-of-nfl-players-by-orthopaedic-team-physicians-over-the-past-decade-2008-2016
#19
John B Schrock, Trevor J Carver, Matthew J Kraeutler, Eric C McCarty
BACKGROUND: Previous studies have analyzed the treatment patterns used to manage injuries in National Football League (NFL) players. HYPOTHESIS: Treatment patterns for injuries in NFL players will have changed over the study period. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 5. METHODS: The head orthopaedic team physicians for all 32 NFL teams were asked to complete a survey containing questions regarding experience as team physician, medical coverage of the team, and treatment preferences for some of the most common injuries occurring in football players...
February 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29466019/video-analysis-of-anterior-cruciate-ligament-tears-in-professional-american-football-athletes
#20
Jeffrey T Johnston, Bert R Mandelbaum, David Schub, Scott A Rodeo, Matthew J Matava, Holly J Silvers-Granelli, Brian J Cole, Neil S ElAttrache, Tim R McAdams, Robert H Brophy
BACKGROUND: Anterior cruciate ligament (ACL) injuries are prevalent in contact sports that feature cutting and pivoting, such as American football. These injuries typically require surgical treatment, can result in significant missed time from competition, and may have deleterious long-term effects on an athlete's playing career and health. While the majority of ACL tears in other sports have been shown to occur from a noncontact mechanism, it stands to reason that a significant number of ACL tears in American football would occur after contact, given the nature of the sport...
March 2018: American Journal of Sports Medicine
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