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https://www.readbyqxmd.com/read/29775379/decision-to-return-to-sport-participation-after-anterior-cruciate-ligament-reconstruction-part-ii-self-reported-and-functional-performance-outcomes
#1
Jennifer L Werner, Julie P Burland, Carl G Mattacola, Jenny Toonstra, Robert A English, Jennifer S Howard
CONTEXT:   Anterior cruciate ligament (ACL) reconstruction (ACLR) is the most commonly used method for helping athletes regain function and return to preinjury activity levels after ACL injury. Outcomes after ACLR have suggested that athletes return to a level of function that would support a return to sport participation; however, in a recent meta-analysis, pooled return rates were only 55%. It is unclear whether this discrepancy is a result of functional impairments. OBJECTIVE:   To compare patient-reported outcomes (PROs), dynamic balance, dynamic functional performance, strength, and muscular endurance in athletes who have returned to sport (RTS) and athletes who have not returned to sport (NRTS) after ACLR...
May 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29773588/prevention-diagnosis-and-management-of-paediatric-acl-injuries
#2
Clare L Ardern, Guri Ranum Ekås, Hege Grindem, Håvard Moksnes, Allen Anderson, Franck Chotel, Moises Cohen, Magnus Forssblad, Theodore J Ganley, Julian A Feller, Jón Karlsson, Mininder S Kocher, Robert F LaPrade, Michael McNamee, Bert Mandelbaum, Lyle Micheli, Nicholas G H Mohtadi, Bruce Reider, Justin P Roe, Romain Seil, Rainer Siebold, Holly J Silvers-Granelli, Torbjørn Soligard, Erik Witvrouw, Lars Engebretsen
No abstract text is available yet for this article.
May 17, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29772990/the-effects-of-meniscal-geometry-on-susceptibility-for-meniscal-and-acl-injury-in-non-arthritic-knees-a-retrospective-case-control-study
#3
Alexander Tejani, Qais Naziri, Preston W Grieco, Robert Pivec, Damon Greene, Bhaveen V Kapadia, Dipal Chatterjee, William P Urban
Prior studies have not found significant differences in meniscal parameters between patients with meniscal and ligamentous injury and those without. The purpose of this study was to determine whether such relationships exist. Clinical records and magnetic resonance images of three subject groups were reviewed. Group 1 solely had meniscal tears (medial/lateral), Group 2 had meniscal tears with concurrent ACL tears, and Group 3 had healthy knees. The mean age of subjects included was 35.9 years (range 8.2-72...
2018: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/29770342/fibular-collateral-ligament-varus-stress-radiographic-analysis-using-3-different-clinical-techniques
#4
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/29768019/does-anterior-cruciate-ligament-reconstruction-affect-the-outcome-of-osteochondral-allograft-transplantation-a-matched-cohort-study-with-a-mean-follow-up-of-6-years
#5
Luís E P Tírico, Julie C McCauley, Pamela A Pulido, William D Bugbee
BACKGROUND: Few studies have evaluated the influence of anterior cruciate ligament (ACL) reconstruction on the outcome of cartilage repair. Hypothesis/Purpose: The purpose was to investigate the association between ACL reconstruction and functional outcomes after osteochondral allograft (OCA) transplantation. The hypothesis was that patients treated with OCA transplantation who had a history of ACL reconstruction would have inferior clinical outcomes and lower osteochondral graft survivorship when compared with a matched group of patients undergoing OCA transplantation without a history of ACL reconstruction...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29767809/pediatric-anterior-cruciate-ligament-reconstruction
#6
Alexia G Gagliardi, Jay C Albright
The rate of anterior cruciate ligament (ACL) ruptures diagnosed among the pediatric and adolescent population is increasing. The rise in ACL injuries may be attributed to earlier sports specialization, year-round sports participation, increased awareness, and improved ability to diagnose the injury. Treatment options for pediatric or adolescent ACL injuries include nonoperative conservative treatment, ACL repair, or various techniques for ACL reconstruction. The best course of treatment for ACL rupture in young patients continues to be debated...
May 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29762281/an-increased-lateral-femoral-condyle-ratio-is-a-risk-factor-for-anterior-cruciate-ligament-injury
#7
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/29761106/current-strategies-and-future-directions-to-optimize-acl-reconstruction-in-adolescent-patients
#8
Dustin Jon Richter, Roger Lyon, Scott Van Valin, Xue-Cheng Liu
The incidence of anterior cruciate ligament (ACL) injuries in the pediatric population has risen in recent years. These injuries have historically presented a management dilemma in skeletally immature patients with open physes and significant growth remaining at time of injury. While those nearing skeletal maturity may be treated with traditional, transphyseal adult techniques, these same procedures risk iatrogenic damage to the growth plates and resultant growth disturbances in younger patients with open physes...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/29752507/changes-of-mechanoreceptors-in-different-state-remnants-of-ruptured-anterior-cruciate-ligament
#9
Bin Li, Yu-Tong Wang, Lun-Hao Bai, Yu Wen
OBJECTIVE: To observe the changes in the quantity and morphology of mechanoreceptors in different-state remnant stumps of ruptured anterior cruciate ligaments (ACLs). METHODS: Specimens of completely ruptured ACL remnants were collected from 57 patients. The injury time from injury to surgery was recorded. According to the degree of pre-operative anterior displacement of knee joint, these patients were divided into two groups: group 1 (≤ 6 mm) and group 2 (> 6 mm)...
May 12, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29752501/it-is-safe-and-effective-to-use-all-inside-meniscal-repair-devices-for-posteromedial-meniscal-ramp-lesions
#10
Giles Heilpern, Jo Stephen, Simon Ball, Andrew Amis, Andy Williams
PURPOSE: Recently, it has been recognized that meniscocapsular ('ramp') lesions of the posterior one-third of the medial meniscus frequently occur during injuries causing ACL rupture, and that these lesions are easily missed at arthroscopy. Furthermore, it is clear that these lesions are biomechanically significant, adding to the deficits caused by ACL rupture, and that their repair can reverse this. The efficacy of an all inside repair technique has been questioned by some authors and by those who advocate a suture shuttle technique via an accessory posteromedial portal...
May 12, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29752059/risk-factors-for-abnormal-anteroposterior-knee-laxity-after-primary-anterior-cruciate-ligament-reconstruction
#11
Riccardo Cristiani, Magnus Forssblad, Björn Engström, Gunnar Edman, Anders Stålman
PURPOSE: To identify preoperative and intraoperative factors associated with abnormal anterior knee laxity after primary anterior cruciate ligament (ACL) reconstruction. METHODS: A total of 5,462 patients who underwent primary ACL reconstruction at our institution from January 2000 to October 2015, with no associated ligament injuries, were included. Demographic data, information regarding graft used, concomitant meniscal surgery, and instrumented laxity were reviewed...
May 8, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29752053/anterior-laxity-lateral-tibial-slope-and-in-situ-acl-force-differentiate-knees-exhibiting-distinct-patterns-of-motion-during-a-pivoting-event-a-human-cadaveric-study
#12
Robert N Kent, Mark J Amirtharaj, Brendan M Hardy, Andrew D Pearle, Thomas L Wickiewicz, Carl W Imhauser
Knee instability following anterior cruciate ligament (ACL) rupture compromises function and increases risk of injury to the cartilage and menisci. To understand the biomechanical function of the ACL, previous studies have primarily reported the net change in tibial position in response to multiplanar torques, which generate knee instability. In contrast, we retrospectively analyzed a cohort of 13 consecutively tested cadaveric knees and found distinct motion patterns, defined as the motion of the tibia as it translates and rotates from its unloaded, initial position to its loaded, final position...
April 11, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29749751/visual-motor-control-of-drop-landing-after-anterior-cruciate-ligament-reconstruction
#13
Dustin R Grooms, Ajit Chaudhari, Stephen J Page, Deborah S Nichols-Larsen, James A Onate
CONTEXT:   Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity...
May 11, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29745786/loading-differences-in-single-leg-landing-in-the-forehand-and-backhand-side-courts-after-an-overhead-stroke-in-badminton-a-novel-tri-axial-accelerometer-research
#14
Shogo Sasaki, Yasuharu Nagano, Hiroshi Ichikawa
Anterior cruciate ligament (ACL) injuries in badminton commonly occur during single-leg landing after an overhead stroke in the backhand-side court. This study compared differences in trunk acceleration and kinematic variables during single-leg landing in the forehand- and backhand-side courts after an overhead stroke. Eighteen female junior badminton players performed two singles games while wearing a tri-axial accelerometer. The moment that over 4g of resultant acceleration was generated was determined using synchronised video cameras...
May 10, 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29744321/morphology-of-intra-articular-structures-and-histology-of-menisci-of-knee-joint
#15
Monika Gupta, Parmod Kumar Goyal, Poonam Singh, Anu Sharma
Introduction: Menisci and cruciate ligaments are intra-articular structures of knee, and injury to these structures is common. Morphometric data gained in the study will help in analyzing the variations among humans and correlating it with the possibility, location, and type of injuries as well as better interpretation of structures during magnetic resonance imaging and arthroscopy which will further help in reconstructive surgeries of knee. Materials and Methods: Width and thickness of the medial menisci (MM), lateral menisci (LM), and maximum length and width of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) were taken on twenty knees...
April 2018: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29737496/the-timing-of-rehabilitation-commencement-after-reconstruction-of-the-anterior-cruciate-ligament
#16
Marek Łyp, Iwona Stanisławska, Bożena Witek, Małgorzata Majerowska, Małgorzata Czarny-Działak, Ewa Włostowska
One of the most common injuries of the knee joint is a rupture of the anterior cruciate ligament (ACL). Most authors believe that early rehabilitation of patients after ACL reconstruction promotes better treatment outcomes. Less is known about the influence of the time that passes from injury to surgical reconstruction. Therefore, the goal of this study was to assess the dependence of treatment outcomes of ACL on injury-to-reconstruction and reconstruction-to-rehabilitation time lags. The study included 30 patients of the mean age 34 ± 7 years with trauma-related rupture of ACL and its surgical reconstruction...
May 9, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29737024/a-meta-analysis-of-meta-analyses-of-anterior-cruciate-ligament-injury-reduction-training-programs
#17
Kate E Webster, Timothy E Hewett
Several meta-analyses have been published on the effectiveness of anterior cruciate ligament (ACL) injury prevention training programs to reduce ACL injury risk, with various degrees of risk reduction reported. The purpose of this research was to perform a systematic review and meta-analysis of overlapping meta-analyses evaluating the effectiveness of ACL injury prevention training programs so as to summarise the amount of reduction in risk for all ACL and non-contact ACL injuries into a single source, and determine if there were sex differences in the relative efficacy of ACL injury prevention training programs...
May 7, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29733680/change-in-koos-and-womac-scores-in-a-young-athletic-population-with-and-without-anterior-cruciate-ligament-injury
#18
Ivan J Antosh, Steven J Svoboda, Karen Y Peck, E'Stephan J Garcia, Kenneth L Cameron
BACKGROUND: Several studies have examined changes in patient-reported outcome measures (PROMs) after anterior cruciate ligament (ACL) injury, but no studies to date have prospectively evaluated changes from preinjury baseline through injury and follow-up among ACL-injured patients compared to the baseline and follow-up changes of uninjured patients. PURPOSE: To examine changes in PROMs over time from preinjury baseline to at least 2 years after ACL reconstruction and to compare these changes with those of an uninjured control group having similar physical activity requirements...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29730221/three-dimensional-magnetic-resonance-imaging-of-the-anterolateral-ligament-of-the-knee-an-evaluation-of-intact-and-anterior-cruciate-ligament-deficient-knees-from-the-scientific-anterior-cruciate-ligament-network-international-santi-study-group
#19
Koichi Muramatsu, Adnan Saithna, Hiroki Watanabe, Kana Sasaki, Kenta Yokosawa, Yudo Hachiya, Tatsuo Banno, Camilo Partezani Helito, Bertrand Sonnery-Cottet
PURPOSE: To determine the visualization rate of the anterolateral ligament (ALL) in uninjured and anterior cruciate ligament (ACL)-deficient knees using 3-dimensional (3D) magnetic resonance imaging (MRI) and to characterize the spectrum of ALL injury observed in ACL-deficient knees, as well as determine the interobserver and intraobserver reliability of a 3D MRI classification of ALL injury. METHODS: A total of 100 knees (60 ACL deficient and 40 uninjured) underwent 3D MRI...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29730210/evaluation-of-anterolateral-ligament-injuries-and-concomitant-lesions-on-magnetic-resonance-imaging-after-acute-anterior-cruciate-ligament-rupture
#20
Dhong Won Lee, Ji Hwan Lee, Ji Nam Kim, Sung Gyu Moon, Na Ra Kim, Du Han Kim, Jin Goo Kim
PURPOSE: To evaluate the prevalence and characteristics of anterolateral ligament (ALL) injuries with a ruptured acute anterior cruciate ligament (ACL) and to analyze the presence of concomitant bone contusions and meniscal lesions. METHODS: From March 2015 to March 2017, we retrospectively analyzed 378 patients who underwent primary ACL reconstructions. Using magnetic resonance imaging, we evaluated the presence of ALL injury and concomitant lesions within 3 weeks of the injury...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
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