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Return to play after ACL

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https://www.readbyqxmd.com/read/30077268/editorial-commentary-national-football-league-hopefuls-beware-your-stock-may-be-falling-after-anterior-cruciate-ligament-reconstruction
#1
EDITORIAL
Matthew J Matava
Making a National Football League (NFL) team is tough; making one after undergoing an anterior cruciate ligament (ACL) reconstruction is tougher. NFL Combine participants who are post-ACL reconstruction, particularly with certain graft types such as allografts and to a lesser extent hamstring grafts, are frequently 'down-graded' despite the presence of a stable, well-placed graft without any associated meniscal or chondral damage. Whether NFL general managers are truly prescient in accurately predicting decreased performance by choosing a player later in the draft, or whether NFL coaching staffs knowingly or unknowingly restrict an athlete's playing time based on draft position or surgical history is unknown...
August 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29963374/return-to-sport-and-knee-functional-scores-after-anterior-cruciate-ligament-reconstruction-2-to-10-years-follow-up
#2
Sukrom Cheecharern
Background: Anterior cruciate ligament (ACL) reconstruction is one of the most common knee ligament reconstruction sustained by sports players. Previous studies have revealed different rates of returning to play sports depending on study sites, subjects, and time to follow-up; however, this subject has not been adequately investigated in Thailand. Objectives: This study aimed to assess the percentage of ACL reconstruction patients who successfully returned to sport activities...
April 2018: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
https://www.readbyqxmd.com/read/29954028/postural-adjustments-following-acl-rupture-and-reconstruction-a-longitudinal-study
#3
Luciana Labanca, Luca Laudani, Pier Paolo Mariani, Andrea Macaluso
Longitudinal changes in compensatory and anticipatory postural adjustments around the knee were investigated from rupture of ACL until return to play after reconstruction. Twelve ACL-injured participants (ACL-P) were asked to respond to unpredictable and predictable perturbations before (T1), 2 (T2) and 6 months after (T3) reconstruction. Twelve healthy participants served as controls. Compensatory and anticipatory latencies of vastus lateralis (VL) and medialis (VM) were measured with respect to the arrival of perturbations...
July 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29938644/-return-to-play-after-anterior-cruciate-ligament-reconstruction
#4
Kristoffer W Barfod, Randi Rasmussen, Birgitte Blaabjerg, Per Hölmich, Martin Lind
After anterior cruciate ligament (ACL) reconstruction, 30% of the patients aged 20 years and younger experience a second injury. Studies imply, that with the right rehabilitation and testing many of these injuries can be prevented. Return to play should not be allowed until nine months after surgery at the earliest and should be based on relevant testing of strength, function and mental readiness.
June 25, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29927499/return-to-play-performance-and-career-duration-after-anterior-cruciate-ligament-rupture-a-case-control-study-in-the-five-biggest-football-nations-in-europe
#5
Daniel Niederer, Tobias Engeroff, Jan Wilke, Lutz Vogt, Winfried Banzer
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. In the 5-year case-control study, male players from the first two leagues of the five top leagues in Europe, 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/29847160/clinical-outcome-measures-and-return-to-sport-timing-in-adolescent-athletes-after-anterior-cruciate-ligament-reconstruction
#6
Julie P Burland, Regina O Kostyun, Kyle J Kostyun, Matthew Solomito, Carl Nissen, Matthew D Milewski
CONTEXT:   Multiple factors are likely associated with an adolescent athlete's ability to return to play after anterior cruciate ligament (ACL) reconstruction (ACLR). OBJECTIVE:   To investigate the relationship between self-reported and functional outcome measures on return-to-play timing in an adolescent population, in athletes who returned and those who did not return to sport, and to identify a cutoff value for isometric quadriceps strength that could serve as a clinical target for maximizing the odds of returning to play after ACLR...
May 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29679206/injury-prevention-and-return-to-play-strategies-in-elite-football-no-consent-between-players-and-team-coaches
#7
Oliver Loose, Leonard Achenbach, Birgit Fellner, Jennifer Lehmann, Petra Jansen, Michael Nerlich, Peter Angele, Werner Krutsch
INTRODUCTION: Injuries are a common problem in football. To improve prevention strategies, the players' (p) and coaches' (c) views need to be disclosed as they have a strong impact on return to play decisions. The aim of this study is to reveal current opinions with regard to injury prevention and return to play strategies to introduce new strategies in elite football. MATERIALS AND METHODS: In a retrospective data analysis of elite salaried football players (n = 486) and team coaches (n = 88), a detailed investigation by means of a standardized questionnaire was carried out...
July 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29675503/factors-affecting-subjective-and-objective-outcomes-and-return-to-play-in-anterior-cruciate-ligament-reconstruction-a-retrospective-cohort-study
#8
Federica Rosso, Davide E Bonasia, Umberto Cottino, Simone Cambursano, Federico Dettoni, Roberto Rossi
Purpose  To analyze the prognostic factors influencing subjective and objective outcomes and return to play (RTP) after anterior cruciate ligament reconstruction (ACL-R). Methods  Primary ACL-Rs using a transtibial technique performed between 2008 and 2012 were included. Data regarding patients, surgery, sports, and rehabilitation, including an on-field rehabilitation (OFR) and duration of the rehabilitation program, were collected. The International Knee Documentation Committee (IKDC) subjective and objective evaluation forms, and the Knee Injury and Osteoarthritis Outcome Score and Lysholm questionnaires were used for the assessment of subjective and objective outcomes...
March 2018: Joints
https://www.readbyqxmd.com/read/29596077/anterior-cruciate-ligament-injuries-in-the-national-hockey-league-epidemiology-and-performance-impact
#9
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/29509608/revision-acl-reconstruction-in-children-and-adolescents
#10
Melissa A Christino, Frances A Tepolt, Dai Sugimoto, Lyle J Micheli, Mininder S Kocher
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction in pediatric patients has not been well studied. The purpose of this study was to assess the demographics, technique, and results of ACL revision surgery in children and adolescents. METHODS: This was a retrospective case series with outcomes assessment of patients 18 years old and younger who underwent revision ACL surgery over a 16-year period at a single institution. Medical records were reviewed for demographics, clinical and operative data, and patients were contacted for outcomes at a minimum of 1 year after revision surgery...
March 5, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29497620/anterior-cruciate-ligament-reconstruction-in-skeletally-immature-patients-early-results-using-a-hybrid-physeal-sparing-technique
#11
Robert G Willson, Regina O Kostyun, Matthew D Milewski, Carl W Nissen
Background: Reconstruction of the anterior cruciate ligament (ACL) in the skeletally immature patient is frequently performed in hopes of preventing new or additional chondral damage and meniscal injuries. Patients within a few years of skeletal maturity are more at risk for ACL injuries than prepubescent patients, about whom several physeal-sparing techniques have been described. Reconstruction techniques in the former higher risk group need to be better understood. Purpose: To review a series of adolescent patients with ACL injuries surgically treated with the hybrid physeal-sparing technique...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29478904/anterior-cruciate-ligament-ruptures-in-german-elite-soccer-players-epidemiology-mechanisms-and-return-to-play
#12
Erik Schiffner, David Latz, Jan P Grassmann, Alberto Schek, Simon Thelen, Joachim Windolf, Johannes Schneppendahl, Pascal Jungbluth
BACKGROUND: Anterior cruciate ligament ruptures (ACLRs) are severe sports-related injuries with significant consequences for affected players and teams. This study aims to identify the epidemiology and injury-related lay-off after ACLR in professional male soccer players from the first-division German Bundesliga. METHODS: Exposure times and incidence of anterior cruciate ligament ruptures were collected during 7.5 consecutive seasons using two media-based registers...
March 2018: Knee
https://www.readbyqxmd.com/read/29469658/evolving-treatment-patterns-of-nfl-players-by-orthopaedic-team-physicians-over-the-past-decade-2008-2016
#13
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/29399588/career-length-and-injury-incidence-after-anterior-cruciate-ligament-reconstruction-in-major-league-soccer-players
#14
Amelia Joanna Hanford Arundale, Holly Jacinda Silvers-Granelli, Lynn Snyder-Mackler
Background: Little is known about career length after anterior cruciate ligament (ACL) reconstruction in Major League Soccer (MLS), the top men's professional soccer league in the United States. Further, it is unspecified whether athletes returning to soccer after ACL reconstruction are at a higher risk for injuries, beyond new knee injuries. Purpose: To examine career length and the incidence of lower extremity injuries in MLS athletes after ACL reconstruction in comparison with age-matched controls...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29394877/differences-in-the-lateral-compartment-joint-space-width-after-anterior-cruciate-ligament-reconstruction-data-from-the-moon-onsite-cohort
#15
Morgan H Jones, Kurt P Spindler, Jack T Andrish, Charles L Cox, Warren R Dunn, Jeff Duryea, Carol L Duong, David C Flanigan, Braden C Fleming, Laura J Huston, Christopher C Kaeding, Matthew J Matava, Nancy A Obuchowski, Heidi L Oksendahl, Richard D Parker, Erica A Scaramuzza, Matthew V Smith, Carl S Winalski, Rick W Wright, Emily K Reinke
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction can effectively return athletes to the playing field, but they are still at risk of developing posttraumatic osteoarthritis (PTOA). No studies have used multivariable analysis to evaluate the predictors of radiographic PTOA in the lateral compartment of the knee at short-term follow-up after ACL reconstruction. PURPOSE: To determine the predictors of radiographic joint space narrowing in the lateral compartment 2 to 3 years after ACL reconstruction in a young, active cohort...
March 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28975136/national-football-league-skilled-and-unskilled-positions-vary-in-opportunity-and-yield-in-return-to-play-after-an-anterior-cruciate-ligament-injury
#16
JaeWon Yang, Jonathan D Hodax, Jason T Machan, Eric S Secrist, Wesley M Durand, Brett D Owens, Adam E M Eltorai, Christopher C Dodson
BACKGROUND: Anterior cruciate ligament (ACL) injuries pose a significant risk to the careers of players in the National Football League (NFL). The relationships between draft round and position on return to play (RTP) among NFL players are not well understood, and the ability to return to preinjury performance levels remains unknown for most positions. PURPOSE: To test for differences in RTP rates and changes in performance after an ACL injury by position and draft round...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28727937/preoperative-short-form-health-survey-score-is-predictive-of-return-to-play-and-minimal-clinically-important-difference-at-a-minimum-2-year-follow-up-after-anterior-cruciate-ligament-reconstruction
#17
Benedict U Nwachukwu, Brenda Chang, Pramod B Voleti, Patricia Berkanish, Matthew R Cohn, David W Altchek, Answorth A Allen, Riley J Williams
BACKGROUND: There is increased interest in understanding the preoperative determinants of postoperative outcomes. Return to play (RTP) and the patient-reported minimal clinically important difference (MCID) are useful measures of postoperative outcomes after anterior cruciate ligament reconstruction (ACLR). PURPOSE: To define the MCID after ACLR and to investigate the role of preoperative outcome scores for predicting the MCID and RTP after ACLR. STUDY DESIGN: Case-control study; Level of evidence, 3...
October 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28680894/return-to-play-and-player-performance-after-anterior-cruciate-ligament-injury-in-elite-australian-rules-football-players
#18
Matthew G Liptak, Kevin R Angel
BACKGROUND: Australian Rules football is a highly aerobic and anaerobic game that at times requires players to perform cutting or pivoting maneuvers, potentially exposing them to anterior cruciate ligament (ACL) injury. At present, there are limited data available addressing the impact of ACL injury on return to play and preinjury form after ACL reconstruction. PURPOSE: To determine the prevalence of ACL injury and the incidence of further ACL injury, and to consider player return to play and return to preinjury form after ACL reconstruction...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28680893/return-to-sport-and-performance-after-anterior-cruciate-ligament-reconstruction-in-national-football-league-linemen
#19
Mark E Cinque, Charles P Hannon, Daniel D Bohl, Brandon J Erickson, Nikhil N Verma, Brian J Cole, Bernard R Bach
BACKGROUND: Tears of the anterior cruciate ligament (ACL) are common in the National Football League (NFL). The impact of these injuries on the careers of NFL linemen is unknown. PURPOSE: To define the percentage of NFL linemen who return to sport (RTS) after ACL reconstruction, the mean time to RTS, and the impact on performance compared with matched controls. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data on NFL offensive and defensive linemen who sustained an ACL tear and underwent ACL reconstruction between 1980 and 2015 were analyzed...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28674942/performance-bridging-the-gap-after-acl-surgery
#20
REVIEW
Polly de Mille, Jamie Osmak
PURPOSE OF REVIEW: The purpose of this paper is to identify strategies for a successful transition to sports in patients following rehabilitation for ACL reconstruction surgery (ACLR). RECENT FINDINGS: Recent research continues to demonstrate a relatively low rate of return to previous level of play among athletes following ACLR combined with a significant risk of injury to either the ipsi or the contralateral ACL. Recent research also demonstrates a growing use of a varied battery of assessments to determine readiness to return to sport as well as a lack of consensus on the ideal rehabilitation program, the criteria for clearance for return to play (both in time from surgery and functional milestones), and the nature of a conditioning program designed specifically for transitioning the cleared athlete back to competition...
September 2017: Current Reviews in Musculoskeletal Medicine
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