Anterior cruciate ligament and meniscal injuries in sports: incidence, time of practice until injury, and limitations caused after trauma

Abstract

ObjectiveTo analyze the incidence of ACL and meniscal injuries in a population of recreational and elite athletes from Brazil and the relation of these injuries with their sports activities.MethodsThis was a prospective observational study of 240 patients with ACL and/or meniscal injuries submitted to surgical treatment. Data of patients and sport modality, as well as Tegner score were registered in the first clinical evaluation. The patients were divided into three groups: (1) isolated rupture of the ACL; (2) ACL injury associated with meniscal injury; (3) isolated menisci injury.ResultsThe majority of the patients belonged to group 1 (44.58%), followed by group 2 (30.2%) and 3 (25%). Most patients were soccer players. The mean time from sport practice to injury in group 1 was 17.81 years. In group 2, it was 17.3 years, and in group 3, 26.91 years. Soccer athletes presented ACL injury in 0.523/1000 h of practice and meniscal injury in 0.448/1000 h of practice. Before the injury, the mean Tegner score obtained for groups 1, 2, and 3 were 7.18, 7.34, and 6.53, respectively. After knee injury, those values were 3.07, 3.18, and 2.87, respectively.ConclusionSoccer was the sport that caused the majority of lesions, regardless the group. Furthermore, patients from groups 1 and 2 had less time of practice prior to the injury (17.81 and 17.3 years) than the patients of group 3 (26.91 years). Women presented a higher risk to develop ACL and meniscal injuries in 1000 h of game/practice. Running, volleyball, and weightlifting are in ascending order of risk for ACL and/or meniscal injury. Regarding the return to sport practice, the efficiency of all athletes was impaired because of the injury.

Fixação do enxerto do ligamento cruzado anterior no polo tibial: Análise biomecânica de três métodos

“…2 Most injuries are related to the practice of sports, 3 and, among them, soccer has the highest rates of these injuries. 4…”

Development and preliminary validation of a new protocol for postoperative rehabilitation of partial meniscectomy

“…Meniscal tears are among the most common knee injuries worldwide. In the USA, for instance, meniscal tears are the most common intra-articular lesions of the knee joint (Akatsu et al, 2015), and the most common indication for surgery in orthopaedic practice (Astur et al, 2016). Knee menisci are crescent-shaped structures of fibrocartilage located on the medial and lateral aspects of the knee joint.…”

Influencia de la reconstrucción del ligamento cruzado anterior sobre la calidad de vida, nivel de confianza y retorno al deporte: un seguimiento de 15 años

“…La incidencia de esta lesión y de la cirugía para su reconstrucción se mueve en torno del 40/100.000 (Rothenberg et al, 2016), con practicantes de deporte a nivel competitivo que tienen un mayor riesgo de romper el LCA (Astur et al, 2016). La rehabilitación de la reconstrucción del LCA se relaciona directamente con el éxito de la cirugía.…”

“…La rehabilitación de la reconstrucción del LCA se relaciona directamente con el éxito de la cirugía. Una reconstrucción bien realizada del LCA necesita de una completa rehabilitación física en miras de permitir que el paciente retome de la mejor manera posible sus actividades de la vida diaria y deportiva (Astur et al, 2016).…”