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ACL injury prevention

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https://www.readbyqxmd.com/read/29780835/risk-factors-for-anterior-cruciate-ligament-injury-in-competitive-adolescent-alpine-skiers
#1
Maria Westin, Marita L Harringe, Björn Engström, Marie Alricsson, Suzanne Werner
Background: There is a high risk for anterior cruciate ligament (ACL) injuries in alpine skiers. To reduce or try to prevent these injuries, intrinsic and extrinsic risk factors need to be identified. Purpose: To identify possible intrinsic and extrinsic ACL injury risk factors among competitive adolescent alpine skiers. Study Design: Case-control study; Level of evidence, 3. Methods: Between 2006 and 2009, a cohort of 339 alpine ski students (176 male, 163 female) from Swedish ski high schools were prospectively observed in terms of ACL injuries...
April 2018: Orthopaedic Journal of Sports Medicine
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/29737024/a-meta-analysis-of-meta-analyses-of-anterior-cruciate-ligament-injury-reduction-training-programs
#3
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/29721837/change-of-direction-biomechanics-is-what-s-best-for-anterior-cruciate-ligament-injury-prevention-also-best-for-performance
#4
REVIEW
Aaron S Fox
Change-of-direction maneuvers (e.g., side-step cutting) are an important aspect of performance in multi-directional sports, but these maneuvers are also associated with anterior cruciate ligament (ACL) injury. Despite this, the impact of biomechanics on ACL injury risk and performance is often examined in isolation. The purpose of this review was to examine the alignment between biomechanical recommendations for ACL injury prevention and performance with regard to change-of-direction maneuvers. Several studies linking change-of-direction biomechanics to both ACL injury risk and performance were examined...
May 2, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29706723/electromyographic-activity-of-selected-trunk-core-and-thigh-muscles-in-commonly-used-exercises-for-acl-rehabilitation
#5
Omid A Khaiyat, Jessica Norris
[Purpose] Most of rehabilitation programmes for Anterior Cruciate Ligament (ACL) injury focus on quadriceps-hamstrings activation imbalances and less is known about kinetically linked muscles. This study investigated electromyographic activity of selected trunk, core, and thigh muscles during common rehabilitation exercises for ACL injury. [Subjects and Methods] Twelve active female volunteers participated in this cross-sectional laboratory study. Surface EMG was used to compare activation of eight trunk, hip/core, and lower limb muscles: Erector Spinae (ES), Rectus Abdominis (RA), Gluteus Maximus (GM), Vastus Lateralis (VL), Rectus Femoris (RF), Vastus Medialis (VM), Biceps Femoris (BF), and Semitendinosus (ST) during Forward Lunge, Double Leg Raise, Glute Bridge, Sit-Up, and Squat...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29679206/injury-prevention-and-return-to-play-strategies-in-elite-football-no-consent-between-players-and-team-coaches
#6
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...
April 20, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29671697/a-biomechanical-comparison-of-dominant-and-non-dominant-limbs-during-a-side-step-cutting-task
#7
Christine D Pollard, Marc F Norcross, Sam T Johnson, Amanda E Stone, Eunwook Chang, Mark A Hoffman
Numerous studies have investigated anterior cruciate ligament (ACL) injury risk by examining gender differences in knee and hip biomechanics during a side-step cutting manoeuvre since it is known that ACL injury often occurs during such a task. Recent investigations have also examined lower extremity (LE) biomechanics during side-step cutting in individuals following ACL reconstruction (ACLR). Common research practice is to compare knee and hip biomechanics of the dominant limb between groups but this can add considerable complexity for clinicians and researchers...
April 19, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29671383/sport-specific-biomechanical-responses-to-an-acl-injury-prevention-programme-a-randomised-controlled-trial
#8
Jeffrey B Taylor, Kevin R Ford, Randy J Schmitz, Scott E Ross, Terry A Ackerman, Sandra J Shultz
Anterior cruciate ligament (ACL) injury prevention programmes have not been as successful at reducing injury rates in women's basketball as in soccer. This randomised controlled trial (ClinicalTrials.gov #NCT02530333) compared biomechanical adaptations in basketball and soccer players during jump-landing activities after an ACL injury prevention programme. Eighty-seven athletes were cluster randomised into intervention (6-week programme) and control groups. Three-dimensional biomechanical analyses of drop vertical jump (DVJ), double- (SAG-DL) and single-leg (SAG-SL) sagittal, and double- (FRONT-DL) and single-leg (FRONT-SL) frontal plane jump landing tasks were tested before and after the intervention...
April 19, 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29667852/determination-of-the-position-of-the-knee-at-the-time-of-an-anterior-cruciate-ligament-rupture-for-male-versus-female-patients-by-an-analysis-of-bone-bruises
#9
Kwadwo A Owusu-Akyaw, Sophia Y Kim, Charles E Spritzer, Amber T Collins, Zoë A Englander, Gangadhar M Utturkar, William E Garrett, Louis E DeFrate
BACKGROUND: The incidence of anterior cruciate ligament (ACL) ruptures is 2 to 4 times higher in female athletes as compared with their male counterparts. As a result, a number of recent studies have addressed the hypothesis that female and male patients sustain ACL injuries via different mechanisms. The efficacy of prevention programs may be improved by a better understanding of whether there are differences in the injury mechanism between sexes. Hypothesis/Purpose: To compare knee positions at the time of a noncontact ACL injury between sexes...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29618458/keeping-athletes-on-the-field-preventing-primary-and-secondary-acl-injuries
#10
Amelia J H Arundale
No abstract text is available yet for this article.
May 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29594177/2018-international-olympic-committee-consensus-statement-on-prevention-diagnosis-and-management-of-pediatric-anterior-cruciate-ligament-injuries
#11
Clare L Ardern, Guri Ekås, Hege Grindem, Håvard Moksnes, Allen F Anderson, Franck Chotel, Moises Cohen, Magnus Forssblad, Theodore J Ganley, Julian A Feller, Jón Karlsson, Mininder S Kocher, Robert F LaPrade, Mike 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
In October 2017, the International Olympic Committee hosted an international expert group of physical therapists and orthopaedic surgeons who specialize in treating and researching pediatric anterior cruciate ligament (ACL) injuries. The purpose of this meeting was to provide a comprehensive, evidence-informed summary to support the clinician and help children with ACL injury and their parents/guardians make the best possible decisions. Representatives from the following societies attended: American Orthopaedic Society for Sports Medicine; European Paediatric Orthopaedic Society; European Society for Sports Traumatology, Knee Surgery, and Arthroscopy; International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine; Pediatric Orthopaedic Society of North America; and Sociedad Latinoamericana de Artroscopia, Rodilla, y Deporte...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29584538/reducing-fear-of-reinjury-and-pain-perception-among-athletes-with-first-time-anterior-cruciate-ligament-reconstructions-by-implementing-imagery-training
#12
Rosa M Rodriguez, Ashley Marroquin, Nicole Cosby
Injuries are an inevitable part of competitive sports as well a recreational activities. Research shows that one of the most common musculoskeletal complaints that accounts for approximately 48 out of 1,000 patients are knee related injuries.1 As noted, approximately nine percent of these knee complaints are related to anterior cruciate ligament (ACL) injuries.2 ,3 The ACL is commonly injured in contact sports via a non-contact action such as planting, cutting, landing on a hyperextended knee, or pivoting and sudden deceleration...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29584523/brain-behavior-mechanisms-for-the-transfer-of-neuromuscular-training-adaptions-to-simulated-sport-initial-findings-from-the-train-the-brain-project
#13
Dustin R Grooms, Adam W Kiefer, Michael A Riley, Jonathan D Ellis, Staci Thomas, Katie Kitchen, Christopher DiCesare, Scott Bonnette, Brooke Gadd, Kim D Barber Foss, Weihong Yuan, Paula Silva, Ryan Galloway, Jed Diekfuss, James Leach, Kate Berz, Gregory D Myer
CONTEXT: A limiting factor for reducing anterior cruciate ligament (ACL) injury risk is ensuring that the movement adaptions made during the prevention program transfer to sport-specific activity. Virtual reality provides a mechanism to assess transferability and neuroimaging provides a means to assay the neural processes allowing for such skill transfer. OBJECTIVE: To determine the neural mechanisms for injury risk reducing biomechanics transfer to sport after ACL injury prevention training...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29576645/anterior-cruciate-ligament-reconstruction-with-tibial-attachment-preserving-hamstring-graft-without-implant-on-tibial-side
#14
Skand Sinha, Ananta Kumar Naik, Mridul Maheshwari, Sumedh Sandanshiv, Durgashankar Meena, Rajendra K Arya
Background: Tibial attachment preserving hamstring graft could prevent potential problems of free graft in anterior cruciate ligament (ACL) reconstruction such as pull out before graft-tunnel healing or rupture before ligamentization. Different implants have been reportedly used for tibial side fixation with this technique. We investigated short-term outcome of ACL reconstruction (ACLR) with tibial attachment sparing hamstring graft without implant on the tibial side by outside in technique...
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29552504/anterior-cruciate-ligament-reconstruction-in-a-patient-who-has-received-systemic-steroids-for-autoimmune-disease
#15
Tetsuro Ushio, Ken Okazaki, Hideki Mizu-Uchi, Satoshi Hamai, Yukio Akasaki, Yasuharu Nakashima
Background: An anterior cruciate ligament (ACL) reconstruction has become more common and the surgical morbidity has decreased, it has been performed not only in younger people to play sports but also middle-aged people, with satisfactory results. Therefore, some patients might have comorbidities for which they take medicines. Especially the medicines, such as systemic steroids, might influence the reconstructed ligament strength and durability. Case report: A 49-year-old woman who was taking oral steroids for autoimmune hepatitis suffered a spontaneous ACL injury...
January 2018: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
https://www.readbyqxmd.com/read/29525027/knee-anterior-cruciate-ligament-injuries-common-problems-and-solutions
#16
REVIEW
James E Christensen, Mark D Miller
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed procedures in the United States. Although complications are rare in ACL surgery, failure to appreciate them can lead to significant patient morbidity in the short and long terms. More common complications in ACL reconstruction include tunnel malposition, infection, tunnel osteolysis, fixation failure, fracture, arthrofibrosis, graft site morbidity, and deep vein thrombosis or pulmonary embolism. Tunnel malposition is the most common technical error in ACL reconstruction leading to failure...
April 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29513553/anterior-cruciate-ligament-transection-induced-cellular-and-extracellular-events-in-menisci-implications-for-osteoarthritis
#17
Jing Xie, Demao Zhang, Yunfeng Lin, Quan Yuan, Xuedong Zhou
BACKGROUND: The meniscus plays an important role in knee joint diseases such as osteoarthritis (OA). Meniscal injuries can be accompanied by joint catabolic events initiated by inflammation, leading to articular cartilage destruction, but the cellular events responsible for intrinsic meniscal injury and the extracellular matrix changes necessary for meniscal degradation are not well known. PURPOSE: To explore the cellular and matrix-related changes of menisci based on a mouse OA model of anterior cruciate ligament transection (ACLT)...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29501276/surgical-timing-of-anterior-cruciate-ligament-reconstruction-to-prevent-associated-meniscal-and-cartilage-lesions
#18
Shuji Taketomi, Hiroshi Inui, Ryota Yamagami, Kohei Kawaguchi, Keiu Nakazato, Kenichi Kono, Manabu Kawata, Takumi Nakagawa, Sakae Tanaka
BACKGROUND: The purpose of this study was to analyze the association between the prevalence of meniscal and chondral lesions and the timing of surgery in patients undergoing primary anterior cruciate ligament (ACL) reconstruction to determine a safe time for surgery. METHODS: This retrospective study involved 226 patients (91 females and 135 males; median age, 29 years) undergoing primary ACL reconstruction. Time interval from ACL injury to surgery (median, 4 months; range, 1-420 months) and concomitant meniscal and cartilage lesions in ACL reconstruction were reviewed...
May 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29497620/anterior-cruciate-ligament-reconstruction-in-skeletally-immature-patients-early-results-using-a-hybrid-physeal-sparing-technique
#19
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/29488166/analysis-of-lower-extremity-proprioception-for-anterior-cruciate-ligament-injury-prevention-current-opinion
#20
Takashi Nagai, Nathan D Schilaty, Jeffrey D Strauss, Eric M Crowley, Timothy E Hewett
Lower extremity musculoskeletal injuries-such as ACL injury-are common, and the majority of those injuries occur without external player contact. In order to prevent non-contact musculoskeletal injuries, athletes must rely on accurate sensory information (such as visual, vestibular, and somatosensory) and stabilize joints during athletic tasks. Previously, proprioception tests (the senses of joint position, movement, tension or force) have been examined using static tests. Due to the role of proprioception in achievement of joint stability, it is essential to explore the development of dynamic proprioception tests...
June 2018: Sports Medicine
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