ACL Return to Sport Guidelines and Criteria

Author:

Davies George J.,McCarty Eric,Provencher Matthew,Manske Robert C.

Publisher

Springer Science and Business Media LLC

Subject

Orthopedics and Sports Medicine

Reference50 articles.

1. Sugimoto D, LeBlanc JC, Wooley SE, et al. The effectiveness of a functional knee brace on joint-position sense in anterior cruciate ligament-reconstructed individuals. J Sport Rehabil. 2016;25(2):190–4.

2. Heard BJ, Solbak NM, Achari Y, et al. Changes of early post-traumatic osteoarthritis in an ovine model of simulated ACL reconstruction are associated with transient acute post-injury synovial inflammation and tissue catabolism. Osteoarthr Cartil. 2013;21(12):1942–9.

3. • Risberg MA, Oiestad BE, Gunderson R, et al. Changes in knee osteoarthritis, symptoms, and function after anterior cruciate ligament reconstruction: a 20-year prospective follow-up study. Am J Sports Med. 2016;44(5):1215–24. This Level of evidence 2 cohort study examined the progression on knee OA changes and changes in symptoms and function in isolated and combined injuries from 15 to 20 years after ACLR. A total of 210 subjects with ACLR were prospectively followed. At the 15- and 20-year follow-ups, radiographs were obtained and classified by the Kellgren and Lawrence (K-L) grading system. Symptoms and function were evaluated with the Knee injury and Osteoarthritis Outcome Score (KOOS) as well as isokinetic quadriceps and hamstring muscle strength tests. There were 168 subjects (80%) who returned for the 20-year follow-up, with a mean (±SD) age of 45 ± 9 years, mean body mass index of 27 ± 4, and median Tegner activity level of 4 (range, 0–9). The prevalence of radiographic TF and PF OA at the 20-year follow-up was 42 and 21%, respectively. Patients with ACL injuries and other combined injuries had significantly higher prevalence of radiographic TF OA compared with those who had isolated ACL injury ( P < .0001). A significant deterioration in knee symptoms and function was observed on the KOOS subscales ( P ≤ .01), with the exception of quality of life ( P = .14), as well as a decrease in quadriceps muscle strength and hamstring muscle strength ( P < .0001).

4. Kamath GV, Murphy T, Creighton RA, et al. Anterior cruciate ligament injury, return to play, and reinjury in the elite collegiate athlete: analysis of an NCAA Division I cohort. Am J Sports Med. 2014;42(7):1638–43.

5. Ardern CL, Taylor NF, Feller JA, et al. Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. Am J Sports Med. 2012;40(1):41–8.

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