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Return to Sport Following Anterior Cruciate Ligament Reconstruction: A Scoping Review of Criteria Determining Return to Sport Readiness.

作者信息

Kodama Elisa, Tartibi Sina, Brophy Robert H, Smith Matthew V, Matava Matthew J, Knapik Derrick M

机构信息

School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.

Department of Orthopaedic Surgery, Division of Sports Medicine, Washington University in St. Louis, 660 South Euclid Ave, Box 8233, St. Louis, MO, 63110, USA.

出版信息

Curr Rev Musculoskelet Med. 2025 Jan;18(1):1-5. doi: 10.1007/s12178-024-09934-7. Epub 2024 Nov 20.


DOI:10.1007/s12178-024-09934-7
PMID:39565551
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11732813/
Abstract

PURPOSE OF REVIEW: Provide a concise review of currently utilized functional metrics and patient reported outcomes measures (PROMs) determining appropriate return to sport following anterior cruciate ligament reconstruction (ACLR). RECENT FINDINGS: When determining return to sport following ACLR, a limb symmetry index (LSI) ≥ 90% when compared to the contralateral extremity is the most commonly reported functional metric. LSI is most commonly assessed using isokinetic quadriceps strength, followed by single-leg vertical hop and cross-over hop test. A minimum ACL-Return to Sport Index (ACL-RSI) score of 68.2 was reported, as well as a mean International Knee Documentation Committee (IKDC) score of 88.3%. A minimum Knee Injury and Osteoarthritis Outcome Score-Quality of Life (KOOS-QoL) of 62.5% was reported in a single investigation. There remains limited data on reported metrics guiding return to sport following ACLR. Evaluation of LSI when compared to the contralateral extremity is the most commonly reported functional measure, with ACL-RSI, IKDC and KOOS-QoL also being reported. Further investigations examining return to sport rate and the incidence of recurrent injury, factoring in differences in sex, competition level, and the presence or absence of concomitant meniscal injuries, based on functional metrics and PROMs is warranted to better understand which outcome measures are predictive of successful return to sport following ACLR.

摘要

相似文献

[1]
Return to Sport Following Anterior Cruciate Ligament Reconstruction: A Scoping Review of Criteria Determining Return to Sport Readiness.

Curr Rev Musculoskelet Med. 2025-1

[2]
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Am J Sports Med. 2025-2

[3]
Young athletes after ACL reconstruction with quadriceps strength asymmetry at the time of return-to-sport demonstrate decreased knee function 1 year later.

Knee Surg Sports Traumatol Arthrosc. 2017-9-16

[4]
Patients undergoing multiligament knee reconstruction injured during pivoting sports demonstrate similar clinical, functional and return to sport outcomes by 2 years compared with those undergoing anterior cruciate ligament reconstruction.

Knee Surg Sports Traumatol Arthrosc. 2025-3

[5]
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Clin Orthop Relat Res. 2017-10

[6]
Association Between Meeting Return-to-Sport Criteria and Psychological Readiness to Return to Sport After Anterior Cruciate Ligament Reconstruction.

Orthop J Sports Med. 2022-5-10

[7]
The Utility of Limb Symmetry Indices in Return-to-Sport Assessment in Patients With Bilateral Anterior Cruciate Ligament Reconstruction.

Am J Sports Med. 2016-8

[8]
The Role of Psychological Readiness in Return to Sport Assessment After Anterior Cruciate Ligament Reconstruction.

Am J Sports Med. 2021-4

[9]
Psychological Patient-reported outcome measure after anterior cruciate ligament reconstruction: Evaluation of subcategory in ACL-Return to Sport after Injury (ACL-RSI) scale.

Orthop Traumatol Surg Res. 2022-5

[10]
Young Athletes After Anterior Cruciate Ligament Reconstruction With Single-Leg Landing Asymmetries at the Time of Return to Sport Demonstrate Decreased Knee Function 2 Years Later.

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本文引用的文献

[1]
Factors Associated With Sports Function and Psychological Readiness to Return to Sports at 12 Months After Anterior Cruciate Ligament Reconstruction: A Cross-sectional Study.

Am J Sports Med. 2023-10

[2]
Early ACLR and Risk and Timing of Secondary Meniscal Injury Compared With Delayed ACLR or Nonoperative Treatment: A Time-to-Event Analysis Using Machine Learning.

Am J Sports Med. 2022-11

[3]
Between-Limb Symmetry in ACL and Tibiofemoral Contact Forces in Athletes After ACL Reconstruction and Clearance for Return to Sport.

Orthop J Sports Med. 2022-4-11

[4]
Return to play testing following anterior cruciate reconstruction - A systematic review & meta-analysis.

Knee. 2022-1

[5]
ACL Study Group presents the global trends in ACL reconstruction: biennial survey of the ACL Study Group.

J ISAKOS. 2021-11

[6]
Single leg hop for distance symmetry masks lower limb biomechanics: time to discuss hop distance as decision criterion for return to sport after ACL reconstruction?

Br J Sports Med. 2022-3

[7]
Quadriceps Strength Influences Patient Function More Than Single Leg Forward Hop During Late-Stage ACL Rehabilitation.

Int J Sports Phys Ther. 2021-2-1

[8]
Who Passes Return-to-Sport Tests, and Which Tests Are Most Strongly Associated With Return to Play After Anterior Cruciate Ligament Reconstruction?

Orthop J Sports Med. 2020-12-18

[9]
Hop tests and psychological PROs provide a demanding and clinician-friendly RTS assessment of patients after ACL reconstruction, a registry study.

BMC Sports Sci Med Rehabil. 2020-5-13

[10]
Anterior Cruciate Ligament Tear.

N Engl J Med. 2019-6-13

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