Tears of the anterior cruciate ligament (ACL) are common knee injuries experienced by athletes and people with active lifestyles. It is important for members of the healthcare team to take an evidence-based approach to the diagnosis, surgical management, and postoperative rehabilitation of patients with an ACL-deficient knee. Mechanism of ACL injury and diagnostic testing is consistent throughout the literature. Patients frequently opt for ACL reconstruction, and many surgical techniques for ACL reconstruction are available with no clear consensus regarding superiority. Surgeon preference dictates the type of reconstruction and graft choice utilized. No standardized pre- and postoperative rehabilitation protocol exists. However, rehabilitation plays an important role in functional outcomes. A comprehensive rehabilitation program is needed pre- and postoperatively to produce positive patient outcomes.
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http://dx.doi.org/10.1097/NOR.0000000000000019 | DOI Listing |
Int J Exerc Sci
December 2024
Department of Kinesiology, California State University San Marcos, San Marcos, CA, USA.
Injury of the anterior cruciate ligament (ACL) in the knee is common, with up to 250,000 cases annually in the United States. Such injuries can lead to muscle atrophy, impaired balance, and limited movement. This study aimed to compare the lower limbs of individuals with ACL reconstruction to a Control group.
View Article and Find Full Text PDFJ Pediatr Orthop
January 2025
Department of Orthopaedics, Hôpital des Enfants.
Background: The failure rate of anterior cruciate ligament (ACL) reconstruction in children and adolescents is a significant concern. Of the multitude of clinical factors that contribute to this risk, delayed maturation and graft laxity are potentially related and modifiable elements. The aim was to investigate knee anterior laxity and graft maturation in children and adolescents.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Department of Regional Health Research, University of Southern Denmark, Campusvej 55, Odense M, 5230, Denmark.
Background: The Knee Outcome Survey - Activities of Daily Living Scale (KOS-ADLS) is a patient-reported outcome measure (PROM) developed to assess symptoms and functional limitations in patients with various knee disorders. The aim of this study was to translate and culturally adapt the KOS-ADLS to Danish and to evaluate the psychometric properties of the Danish version (KOS-ADLS-DK) in patients with anterior cruciate ligament (ACL) injury.
Methods: The KOS-ADLS was translated and culturally adapted to Danish in accordance with recommended guidelines.
Skeletal Radiol
January 2025
Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA, USA.
Background: Advances in technology and affordability of ultrasound (US) have expanded its use in the evaluation of musculoskeletal injuries. However, US accuracy for diagnosing anterior cruciate ligament (ACL) injuries remains inconsistently reported in the literature.
Hypothesis/purpose: Systematically review the literature and perform a meta-analysis to statistically evaluate the accuracy of US in diagnosing ACL tears.
J Sports Med Phys Fitness
January 2025
Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.
Introduction: Sports injuries involving bi-articular muscles like the hip flexors, hamstrings, quadriceps, and gastrocnemius significantly affect athletes' performance and quality of life. Comprehensive rehabilitation is crucial for a pain-free return to play (RTP). Over the past 15 years, platelet-rich plasma (PRP) has emerged for its potential in tissue regeneration.
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