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Return to play after acl injury

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https://www.readbyqxmd.com/read/27871658/rehabilitation-principles-of-the-anterior-cruciate-ligament-reconstructed-knee-twelve-steps-for-successful-progression-and-return-to-play
#1
REVIEW
Kevin E Wilk, Christopher A Arrigo
The rehabilitation process begins immediately after injury to the anterior cruciate ligament (ACL). The goal of preoperative rehabilitation is to prepare the patient for surgery. Current rehabilitation programs focus on strengthening exercises and proprioceptive and neuromuscular control drills to provide a neurologic stimulus. It is also important to address preexisting factors, especially for the female athlete, that may predispose to future injury, such as hip and hamstring weakness. Our goal in the rehabilitation program is to restore full, unrestricted function and to assist the patient to return to 100% of the preinjury level while achieving excellent long-term outcomes...
January 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27830159/no-association-between-return-to-play-after-injury-and-increased-rate-of-anterior-cruciate-ligament-injury-in-men-s-professional-soccer
#2
Matilda Lundblad, Markus Waldén, Martin Hägglund, Jan Ekstrand, Christoffer Thomeé, Jón Karlsson
BACKGROUND: Studies have shown that previous injury, not necessarily anatomically related, is an important injury risk factor. However, it is not known whether a player runs an increased risk of anterior cruciate ligament (ACL) injury after returning to play from other injury types. PURPOSE: To analyze whether professional soccer players are more susceptible to ACL injury after returning to play from any previous injury. STUDY DESIGN: Case-control study; Level of evidence, 3...
October 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27826598/variables-affecting-return-to-play-after-anterior-cruciate-ligament-injury-in-the-national-football-league
#3
Emmanuel D Eisenstein, Nathaniel L Rawicki, Nicholas J Rensing, Nicholas A Kusnezov, Joseph T Lanzi
BACKGROUND: Anterior cruciate ligament (ACL) injuries are common in the National Football League (NFL). Limited literature exists regarding return to play (RTP) and the factors affecting RTP after ACL reconstruction in NFL players. PURPOSE/HYPOTHESIS: To determine RTP rates after ACL reconstruction in NFL players and to ascertain which variables affect RTP in these players. We hypothesized that RTP in this population will be less than in the general population and similar to the limited studies published previously...
October 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27816096/editorial-commentary-anterior-cruciate-ligament-injury-and-our-national-pastime
#4
EDITORIAL
Michael G Ciccotti
Baseball players are most likely to incur an anterior cruciate ligament injury while fielding or base running. Infielders and outfielders are most at risk, followed by pitchers. Return to play at the preinjury level after anterior cruciate ligament reconstruction is highly likely for these athletes.
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27590175/the-cost-effectiveness-of-anterior-cruciate-ligament-reconstruction-in-competitive-athletes
#5
Bruce A Stewart, Amit M Momaya, Marc D Silverstein, David Lintner
BACKGROUND: Competitive athletes value the ability to return to competitive play after the treatment of anterior cruciate ligament (ACL) injuries. ACL reconstruction has high success rates for return to play, but some studies indicate that patients may do well with nonoperative physical therapy treatment. PURPOSE: To evaluate the cost-effectiveness of the treatment of acute ACL tears with either initial surgical reconstruction or physical therapy in competitive athletes...
September 2, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27539507/evidence-based-clinical-practice-update-practice-guidelines-for-anterior-cruciate-ligament-rehabilitation-based-on-a-systematic-review-and-multidisciplinary-consensus
#6
Nicky van Melick, Robert E H van Cingel, Frans Brooijmans, Camille Neeter, Tony van Tienen, Wim Hullegie, Maria W G Nijhuis-van der Sanden
AIM: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. DESIGN: Clinical practice guideline underpinned by systematic review and expert consensus. DATA SOURCES: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline...
December 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27498106/return-to-prelesional-tegner-level-after-anatomic-anterior-cruciate-ligament-reconstruction
#7
Roberto Seijas, Oscar Ares, Andrea Sallent, Pedro Alvarez, Xavier Cusco, Ramón Cugat
INTRODUCTION: Injury and surgery of the anterior cruciate ligament (ACL) are very frequent within the sports environment. The purpose of the present study is to assess the level at which a group of athletes were able to return to play (RTP) after ACL reconstruction, and most importantly, the time for RTP. MATERIALS AND METHODS: A prospective study with patients who presented an ACL injury and underwent ligament reconstruction surgery; a bone-tendon-bone reconstruction and a minimum follow-up of 24 months...
August 6, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27359295/return-to-sport-after-anterior-cruciate-ligament-reconstruction-in-the-skeletally-immature-athlete
#8
Anne M Chicorelli, Lyle J Micheli, Michael Kelly, David Zurakowski, Robert MacDougall
OBJECTIVE: Determine the percentage of skeletally immature athletes returning to sports after anterior cruciate ligament (ACL) injury and reconstruction. DESIGN: Retrospective case series. SETTING: Boston Children's Hospital Division of Sports Medicine. PATIENTS: Eligible participants were identified by chart review. Males and females aged ≤14 year old who were greater than 2 years after ACL reconstruction surgery seen between January 2001 and May 2009...
July 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27235904/a-novel-rat-model-for-subchondral-microdamage-in-acute-knee-injury-a-potential-mechanism-in-post-traumatic-osteoarthritis
#9
A J Ramme, M Lendhey, J G Raya, T Kirsch, O D Kennedy
OBJECTIVE: Subchondral microdamage may play an important role in post-traumatic osteoarthritis (PTOA) development following anterior cruciate ligament (ACL) rupture. It remains unknown whether this injury mechanism causes subchondral microdamage, or whether its repair occurs by targeted osteoclast-mediated remodeling. If so these events may represent a mechanism by which subchondral bone is involved in PTOA. Our objective was to test the hypothesis that subchondral microdamage occurs, and is co-localized with remodeling, in a novel rat model of ACL rupture...
October 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/27160462/anterior-cruciate-ligament-injuries-in-baseball-players
#10
Jeffrey R Dugas, Benjamin B Bedford, John S Andrachuk, Anthony J Scillia, Kyle T Aune, E Lyle Cain, James R Andrews, Glenn S Fleisig
PURPOSE: To determine common mechanisms of anterior cruciate ligament (ACL) injury in baseball players and to quantify the rate of return to play after primary surgical reconstruction and review intermediate clinical outcomes. METHODS: Surgical injuries involving the ACL in youth, high school, collegiate, and professional baseball players were queried for an 11-year period (2001 to 2011). Over the study period, 42 baseball players were identified who had undergone arthroscopically assisted primary ACL reconstruction by 1 of 3 attending surgeons...
May 5, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27104060/patient-specific-and-surgery-specific-factors-that-affect-return-to-sport-after-acl-reconstruction
#11
Rick Joreitz, Andrew Lynch, Stephen Rabuck, Brittany Lynch, Sarah Davin, James Irrgang
CONTEXT: Anterior cruciate ligament (ACL) reconstruction is frequently performed to allow individuals to return to their pre-injury levels of sports participation, however, return to pre-injury level of sport is poor and re-injury rates are unacceptably high. Re-injury is likely associated with the timeframe and guidelines for return to sport (RTS). It is imperative for clinicians to recognize risk factors for re-injury and to ensure that modifiable risk factors are addressed prior to RTS...
April 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27034129/acl-injuries-in-men-s-professional-football-a-15-year-prospective-study-on-time-trends-and-return-to-play-rates-reveals-only-65-of-players-still-play-at-the-top-level-3%C3%A2-years-after-acl-rupture
#12
Markus Waldén, Martin Hägglund, Henrik Magnusson, Jan Ekstrand
BACKGROUND: Studies investigating the development of ACL injuries over time in football are scarce and more data on what happens before and after return to play (RTP) are needed. AIM: To investigate (1) time trends in ACL injury rates, (2) complication rates before return to match play following ACL reconstruction, and (3) the influence of ACL injury on the subsequent playing career in male professional football players. METHODS: 78 clubs were followed between 2001 and 2015...
June 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27022511/reconstruction-of-the-anterior-cruciate-ligament-with-the-central-third-of-the-quadriceps-muscle-tendon-analysis-of-10-year-results
#13
Marcus Valladares Guimarães, Lúcio Honório de Carvalho Junior, Dalton Lopes Terra
OBJECTIVE: Assess clinical results using two different protocols, 10 years after ACL reconstruction surgery with the central third of quadriceps muscle tendon (QT). METHOD: Between November /1997 and April/1998, 25 patients were submitted to 25 ACL reconstructions with QT by transtibial technique. The bone portion of the graft was fixated on femoral tunnel with interference screw and the tendinous portion of tibial tunnel with screw with washer. Two patients injured the new when playing soccer...
January 2009: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/26933657/enhanced-knee-joint-function-due-to-accelerated-rehabilitation-exercise-after-anterior-cruciate-ligament-reconstruction-surgery-in-korean-male-high-school-soccer-players
#14
Myungchun Lee, Dong Jun Sung, Joohyung Lee, Inyoung Oh, Sojung Kim, Seungho Kim, Jooyoung Kim
This study was conducted on Korean male high school soccer players who underwent anterior cruciate ligament reconstruction (ACLR) to identify the effects of an accelerated rehabilitation exercise (ARE) program on knee joint isometric strength, thigh circumference, Lysholm score, and active balance agility. We assigned eight test participants each to a physical therapy group (PTG) and an accelerated rehabilitation exercise group (AREG), and compared differences between the groups. Both the PTG and AREG showed significant increases in 30° away and 60° toward isometric strength after treatment...
February 2016: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/26915004/hamstring-stretch-reflex-could-it-be-a-reproducible-objective-measure-of-functional-knee-stability
#15
Jawad F Abulhasan, Cameron M Anley, Martyn D Snow, Michael J Grey
BACKGROUND: The anterior cruciate ligament (ACL) plays an important role in anterior knee stability by preventing anterior translation of the tibia on the femur. Rapid translation of the tibia with respect to the femur produces an ACL-hamstring stretch reflex which may provide an object measure of neuromuscular function following ACL injury or reconstruction. The aim of this study was to determine if the ACL-hamstring stretch reflex could be reliably and consistently obtained using the KT-2000 arthrometer...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/26801923/the-effect-of-an-orthopaedic-surgical-procedure-in-the-national-basketball-association
#16
Shobhit V Minhas, Benjamin S Kester, Kevin E Larkin, Wellington K Hsu
BACKGROUND: Professional basketball players have a high incidence of injuries requiring surgical intervention. However, no studies in the current literature have compared postoperative performance outcomes among common injuries to determine high- and low-risk procedures to these athletes' careers. PURPOSE: To compare return-to-play (RTP) rates and performance-based outcomes after different orthopaedic procedures in National Basketball Association (NBA) players and to determine which surgeries are associated with the worst postoperative change in performance...
April 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26772611/risk-of-secondary-injury-in-younger-athletes-after-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis
#17
Amelia J Wiggins, Ravi K Grandhi, Daniel K Schneider, Denver Stanfield, Kate E Webster, Gregory D Myer
BACKGROUND: Injury to the ipsilateral graft used for reconstruction of the anterior cruciate ligament (ACL) or a new injury to the contralateral ACL are disastrous outcomes after successful ACL reconstruction (ACLR), rehabilitation, and return to activity. Studies reporting ACL reinjury rates in younger active populations are emerging in the literature, but these data have not yet been comprehensively synthesized. PURPOSE: To provide a current review of the literature to evaluate age and activity level as the primary risk factors in reinjury after ACLR...
July 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26727827/quality-of-life-after-bilateral-anterior-cruciate-ligament-reconstructions
#18
Vladimir Ristić, Siniša Ristić, Mirsad Maljanović, Vukadin Milankov, Vladimir Harhaji, Aleksandar Đuričin
INTRODUCTION: The aim of study was to analyze the influence of bilateral anterior cruciate ligament reconstructions on life quality of patients and their return to sports activities. MATERIAL AND METHODS: Thirty-two operated patients took part in this survey during the period of ten years. There were 5 women and 27 men, their average age being 30.46 years (19-55). The participants answered a modified Knee Injury and Osteoarthritis Outcome Score questionnaire set and gave data about preoperative and postoperative periods...
September 2015: Medicinski Pregled
https://www.readbyqxmd.com/read/26667371/anterior-cruciate-ligament-injuries-in-professional-hockey-players
#19
Robby Sikka, Chad Kurtenbach, J Tyler Steubs, Joel L Boyd, Bradley J Nelson
BACKGROUND: Performance outcomes and return-to-play data have been reported after anterior cruciate ligament (ACL) injuries in professional football and basketball, but they have rarely been reported in professional hockey. HYPOTHESIS: The hypothesis was that performance after ACL reconstruction would be comparable to prior levels of play in a series of National Hockey League (NHL) players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The NHL Injury Surveillance System (ISS) was utilized to identify all players with an ACL injury between 2006 and 2010...
February 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26637285/rates-and-determinants-of-return-to-play-after-anterior-cruciate-ligament-reconstruction-in-national-collegiate-athletic-association-division-i-soccer-athletes-a-study-of-the-southeastern-conference
#20
Jennifer S Howard, Mark L Lembach, Adam V Metzler, Darren L Johnson
BACKGROUND: Factors and details regarding return to play in elite, collegiate female soccer athletes after an anterior cruciate ligament (ACL) injury and reconstruction have not been well studied. PURPOSE: To evaluate return to play among collegiate female soccer players, specifically examining the effect of surgical and individual athlete characteristics on the return-to-play rate. STUDY DESIGN: Descriptive epidemiology study. METHODS: Sports medicine and athletic training staff at institutions from the National Collegiate Athletic Association Southeastern Conference (SEC) were contacted to request participation in the study...
February 2016: American Journal of Sports Medicine
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