Hamrin Senorski Rebecca, Nordenholm Anna, Dahlin Emelie, Samuelsson Kristian, Piussi Ramana, Hamrin Senorski Eric
Sportrehab, Sport Medicine Clinic, Gothenburg, Sweden.
Sahlgrenska Sports Medicine Center, Gothenburg, Sweden.
BMC Musculoskelet Disord. 2025 May 15;26(1):482. doi: 10.1186/s12891-025-08730-9.
Ipsilateral second anterior cruciate ligament (ACL) injuries, are more common in males compared to females. An ACL re-rupture can imply both physical and psychological consequences for patients, with reports of lower objective and subjective outcomes after a re-rupture compared with primary ACL injury. This study aimed to explore young men's experiences of their first ACL injury, reconstruction and subsequent ACL re-rupture.
Eighteen males (19-33 years old) were interviewed with semi-structured interviews, which were recorded, transcribed, and analysed with qualitative content analysis, based on the method described by Graneheim and Lundman. The method involves a systematic process where three authors were involved. The interview transcripts were red multiple times, meaning units were identified, and codes were generated. These codes were then grouped into sub-categories and further sorted into main categories. Results were presented as a positive or negative psychological response through the four domains (cognition, affect, behaviour, and outcome) used in the model by Weise-Bjornsdal´s: cognition, affect, behavior and outcome, i.e., "the model of psychological response".
Fifteen main categories and 34 sub-categories emerged the data, presented as 2 timelines between the "first ACL injury" to "ACL re-rupture" and from "ACL re-rupture" and onwards. Positive emotions with the first ACL injury were high motivation to return to sport (RTS), great trust in the process of recovery and great support system from friends and family. Negatively, patients expressed shattered sport dreams, physical and mental trauma leading to experiences of identity loss, and a sense of loneliness. Positive experiences with the ACL re-rupture were humbleness and joy for other shapes of sport participation, such as coaching, and for activity to be joyful rather than performance connected. Negatively, patients searched for answers, e.g., whether surgery and rehabilitation were performed appropriately the first time, or whether the outcome could have been different with another autograft or if RTS was delayed.
After the first ACL injury, patients predominantly faced negative emotions that questioned their self-image. Despite several challenges, motivation remained high as the goal was RTS. Upon the ACL re-rupture, patients experienced a shift in perspective with sport participation and a door opening to new opportunities in life e.g., coaching. This unexpected turn of events became a catalyst for exploration of different aspects of emotions with the ACL journey, which included broader horizons beyond confines of athleticism.
Not applicable.
与女性相比，男性同侧第二次前交叉韧带（ACL）损伤更为常见。ACL再次断裂会给患者带来身体和心理上的双重影响，有报告称再次断裂后患者的客观和主观结果均低于初次ACL损伤。本研究旨在探讨年轻男性首次ACL损伤、重建以及随后ACL再次断裂的经历。
对18名男性（19 - 33岁）进行了半结构化访谈，并进行录音、转录，采用基于格兰内海姆和伦德曼所描述方法的定性内容分析法进行分析。该方法涉及一个系统流程，有三位作者参与其中。访谈记录被多次阅读，识别出意义单元并生成代码。然后将这些代码分组为子类别，并进一步归类为主要类别。结果通过维斯 - 比约恩斯达尔模型中使用的四个领域（认知、情感、行为和结果）呈现为积极或消极的心理反应，即“心理反应模型”。
数据中出现了15个主要类别和34个子类别，呈现为从“首次ACL损伤”到“ACL再次断裂”以及从“ACL再次断裂”及之后的两条时间线。首次ACL损伤时的积极情绪包括恢复运动（RTS）的强烈动机、对恢复过程的高度信任以及来自朋友和家人的大力支持。消极方面，患者表示运动梦想破灭、身心创伤导致身份丧失感以及孤独感。ACL再次断裂时的积极体验包括对其他形式的运动参与（如教练工作）的谦逊和喜悦，以及对活动本身感到快乐而非与表现挂钩。消极方面，患者寻求答案，例如首次手术和康复是否得当，或者使用另一种自体移植物结果是否会不同，或者RTS是否延迟。
首次ACL损伤后，患者主要面临质疑自我形象的消极情绪。尽管面临诸多挑战，但由于目标是RTS，动机仍然很高。ACL再次断裂后，患者在运动参与方面的观念发生了转变，一扇通向生活新机会（如教练工作）的大门打开了。这一意外事件成为探索ACL历程中不同情感方面的催化剂，其中包括超越运动范畴的更广阔视野。
不适用。
