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ACL return to play

Nicola Relph, Lee Herrington
BACKGROUND: Following an ACL injury, reconstruction (ACL-R) and rehabilitation, athletes may return to play with a proprioceptive deficit. However, literature is lacking to support this hypothesis in elite athletic groups who have returned to international levels of performance. It is possible the potentially heightened proprioceptive ability evidenced in athletes may negate a deficit following injury. The purpose of this study was to consider the effects of ACL injury, reconstruction and rehabilitation on knee joint position sense (JPS) on a group of elite athletes who had returned to international performance...
October 3, 2016: Knee
Jeremy M Burnham, Michael C Yonz, Kaley E Robertson, Rachelle McKinley, Benjamin R Wilson, Darren L Johnson, Mary Lloyd Ireland, Brian Noehren
OBJECTIVES: Evaluate the relationship of hip and trunk muscle function with the Single Leg Step-Down test (SLSD). STUDY DESIGN: Laboratory study. SETTING: Biomechanics Laboratory. PARTICIPANTS: 71 healthy participants with no history of anterior cruciate ligament (ACL) or lower extremity injury in the last 3 months completed this study (38 males, 33 females; mean 25.49 ± 0.62 years). MAIN OUTCOMES: Hip abduction (HABD), external rotation (HER), and extension (HEXT) peak isometric force were measured...
May 20, 2016: Physical Therapy in Sport
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
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...
August 18, 2016: British Journal of Sports Medicine
Yuji Takazawa, Hiroshi Ikeda, Yoshitomo Saita, Takayuki Kawasaki, Muneaki Ishijima, Masataka Nagayama, Haruka Kaneko, Kazuo Kaneko
PURPOSE: To assess return to play and the frequencies of graft failure in rugby players after anterior cruciate ligament (ACL) reconstruction using a hamstring autograft augmented with an artificial ligament and to compare outcomes between rugby players aged <20 and ≥20 years over the long term. METHODS: A consecutive series of 146 rugby players who underwent ACL reconstruction with a hamstring autograft augmented with an artificial ligament were retrospectively reviewed...
August 8, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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
R John, M S Dhillon, K Syam, S Prabhakar, P Behera, H Singh
BACKGROUND: Sports-related knee injuries occur commonly in athletes. However, there is no published epidemiological study from India till date. OBJECTIVES: The purpose of this study was to identify common injuries sustained by Indian athletes participating in different sports and to study various associated demographic features. A secondary objective was to investigate different factors, which may affect return to sport by the athlete. STUDY DESIGN: Cross-sectional study (observational study)...
July 2016: Journal of Clinical Orthopaedics and Trauma
Jeremy M Burnham, Michael Christopher Yonz, Darren L Johnson, Mary Lloyd Ireland, Brian Noehren
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
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
Harry T Mai, Andrew P Alvarez, Ryan D Freshman, Danielle S Chun, Shobhit V Minhas, Alpesh A Patel, Gordon W Nuber, Wellington K Hsu
BACKGROUND: Injuries are inherent to the sport of American football and often require operative management. Outcomes have been reported for certain surgical procedures in professional athletes in the National Football League (NFL), but there is little information comparing the career effect of these procedures. PURPOSE: To catalog the postoperative outcomes of orthopaedic procedures in NFL athletes and to compare respective prognoses and effects on careers. STUDY DESIGN: Case series; Level of evidence, 4...
September 2016: American Journal of Sports Medicine
Travis J Dekker, Jeremy K Rush, Matthew R Schmitz
BACKGROUND: Anterior cruciate ligament (ACL) tears in children and adolescent patients are being diagnosed and treated at an ever-increasing rates. We performed a review of recent literature regarding care of children and adolescent athletes with an ACL injury. METHODS: PubMed database was searched for all papers related to treatment of children and adolescents with ACL injuries from October 1, 2012 to September 30, 2015, yielding 114 publications. RESULTS: A total of 59 papers were found to have contributed important new findings...
June 2, 2016: Journal of Pediatric Orthopedics
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
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
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
Michael J Anderson, William M Browning, Christopher E Urband, Melissa A Kluczynski, Leslie J Bisson
BACKGROUND: There has been a substantial increase in the amount of systematic reviews and meta-analyses published on the anterior cruciate ligament (ACL). PURPOSE: To quantify the number of systematic reviews and meta-analyses published on the ACL in the past decade and to provide an overall summary of this literature. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: A systematic review of all ACL-related systematic reviews and meta-analyses published between January 2004 and September 2014 was performed using PubMed, MEDLINE, and the Cochrane Database...
March 2016: Orthopaedic Journal of Sports Medicine
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
Benjamin S Kester, Omar A Behery, Shobhit V Minhas, Wellington K Hsu
PURPOSE: To identify the impact of anterior cruciate ligament (ACL) reconstruction on performance and career longevity for National Basketball Association (NBA) players. METHODS: Seventy-nine players (80 knees) with acute ACL tears in the NBA between the 1984-2014 seasons, and 112 age, height, weight, and performance-matched controls were identified. Pre- and post-injury performance outcomes including seasons played, games played, games started, minutes per game, points per game, field goals, 3-point shots, rebounds, assists, steals, blocks, turnovers, personal fouls, usage percentage and player efficiency ratings were compared between cases and controls using independent samples t tests and Fisher's exact tests...
March 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
John Nyland, Alma Mattocks, Shane Kibbe, Alaa Kalloub, Joe W Greene, David N M Caborn
Anatomical discoveries and a growing appreciation of the knee as a complex organ are driving innovations in patient care decision-making following anterior cruciate ligament (ACL) injury. Surgeons are increasing their efforts to restore combined mechanical-neurosensory ACL function and placing more consideration on when to reconstruct versus repair native anatomical structures. Surgical options now include primary repair with or without reinforcing the injured ACL with suture-based internal bracing, and growing evidence supports biological augmentation using platelet-rich plasma and mesenchymal stem cells to enhance tissue healing...
2016: Open Access Journal of Sports Medicine
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
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
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