Anterior cruciate ligament injury after more than 20 years: I. Physical activity level and knee function

Anterior cruciate ligament injuries are common among athletes. Although the true natural history remains unclear, anterior cruciate ligament injuries are functionally disabling; they predispose the knee to subsequent injuries and the early onset of osteoarthritis. This article, the first in a 2-part series, was initiated with the use of the PubMed database and a comprehensive search of articles that appeared between January 1994 to the present, using the keywords anterior cruciate ligament. A total of 3810 citations were identified and reviewed to determine the current state of knowledge about the treatment of these injuries. Articles pertaining to the biomechanical behavior of the anterior cruciate ligament, the prevalence of anterior cruciate ligament injury, the natural history of the anterior cruciate ligament–deficient knee, injuries associated with anterior cruciate ligament disruption, risk factors for anterior cruciate ligament injury, indications for treatment of anterior cruciate ligament injuries, and nonoperative and operative treatments were obtained, reviewed, and served as the basis for part I. Part II, to be presented in another issue of this journal, includes technical aspects of anterior cruciate ligament surgery, bone tunnel widening, graft healing, rehabilitation after reconstruction, and the effect of sex, age, and activity level on the outcome of surgery. Our approach was to build on prior reviews and to provide an overview of the literature for each of the before-mentioned areas of study by summarizing the highest level of scientific evidence available. For the areas that required a descriptive approach to research, we focused on the prospective studies that were available; for the areas that required an experimental approach, we focused on the prospective, randomized controlled trials and, when necessary, the highest level of evidence available. We were surprised to learn that considerable advances have been made during the past decade regarding the treatment of this devastating injury.

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Preliminary data of the associations between gait patterns with physical function and physical activity one month after anterior cruciate ligament injury

Osteoarthritis and Cartilage ◽

10.1016/j.joca.2020.02.384 ◽

2020 ◽

Vol 28 ◽

pp. S238-S239

Author(s):

E. Wellsandt ◽

Y. Golightly ◽

A. Jorgensen ◽

M. Tao

Keyword(s):

Physical Activity ◽

Anterior Cruciate Ligament ◽

Physical Function ◽

Anterior Cruciate Ligament Injury ◽

Preliminary Data ◽

Cruciate Ligament ◽

Ligament Injury ◽

Gait Patterns ◽

Anterior Cruciate

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Knee Function after Anterior Cruciate Ligament Injury in Elite Collegiate Athletes

The American Journal of Sports Medicine ◽

10.1177/03635465030310041401 ◽

2003 ◽

Vol 31 (4) ◽

pp. 560-563 ◽

Cited By ~ 21

Author(s):

David R. McAllister ◽

Albert M. Tsai ◽

Jason L. Dragoo ◽

Justin McWilliams ◽

Frederick J. Dorey ◽

...

Keyword(s):

Quality Of Life ◽

Anterior Cruciate Ligament ◽

Anterior Cruciate Ligament Injury ◽

Cruciate Ligament ◽

Collegiate Athletes ◽

Knee Function ◽

Ligament Injury ◽

Anterior Cruciate

Background Anterior cruciate ligament injuries are common in athletes, but there are few studies of long-term outcomes. Hypothesis Long-term knee function of anterior cruciate ligament-injured athletes is inferior to that of their uninjured teammates. Study Design Retrospective cohort study. Methods Thirty-three Division I-A athletes who had sustained an anterior cruciate ligament injury during their college career completed a series of questionnaires that assessed knee function and quality of life 2 to 14 years after injury. Their responses were compared with those of a matched cohort of their uninjured teammates. Results There were no differences in the mean Tegner scores, modified Lysholm scores, or in the scores of the SF-36 between groups. Sixteen anterior cruciate ligament-injured athletes scored A or B in the subjective portion of the International Knee Documentation Committee score and 17 scored C or D, whereas 24 control subjects scored A or B and 9 scored C or D, a statistically significant difference between groups. Five injured and 14 control athletes had participated at a professional or national team level after college. Conclusions Quality of life of elite collegiate athletes who sustained an anterior cruciate ligament injury was not significantly different from that of their uninjured teammates, but knee function differed between groups.

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