Clinical, Functional, and Radiologic Outcome in Team Handball Players 6 to 11 Years after Anterior Cruciate Ligament Injury

Myklebust, Grethe; Holm, Inger; Mæhlum, S; Engebretsen, Lars; Bahr, Roald

doi:10.1177/03635465030310063901

Cited by 213 publications

(182 citation statements)

References 42 publications

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“…Intuitively one might expect that ACL reconstruction would reduce the risk of further injuries and perhaps reduce the risk of osteoarthritis compared to resuming sport with an ACL deficient knee. Although there is some evidence to support this, there is stronger evidence to suggest that ACL reconstruction does little to reduce the risk of subsequent osteoarthritis [16,27,35,36,38].…”

Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

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“…Several treatment algorithms for the management of the anterior cruciate ligament injured knee have been proposed, none being superior to the other [6]. On the one hand welldesigned investigations have documented potentially lower rates of subsequent meniscal and chondral injuries after surgical treatment, whereas on the other, the risk of secondary osteoarthritis (OA) remains high following operative reconstruction [7][8][9][10]. One of the main reasons for ligament reconstruction is to avoid a degenerative destruction of the joint cartilage.…”

Section: Introductionmentioning

confidence: 99%

Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-up

Streich

Zimmermann

Bode

et al. 2010

International Orthopaedics (SICOT)

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In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program. At follow-up the clinical scores (Lysholm, IKDC) showed no significant differences between subjects who had undergone ACL reconstruction and those who had not. Furthermore there was no detectable difference in the incidence of osteoarthritis between the cohorts. Patients having a negative pivot shift test showed significantly less signs of radiographic osteoarthritis and better functional assessment scores whether reconstructed or not. Based on these results and a review of the literature there is no clear evidence that ACL reconstruction reduces the rate of OA development or improves the long-term symptomatic outcome. Probably review of reconstruction by an anatomical approach will be more successful than operative techniques decades ago.

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“…Precise data on the long-term evolution of these structural lesions in terms of prevalence of shoulder osteoarthritis (OA) or rotator cuff tears in throwing sports in general and handball in particular are sparse [13]. To our knowledge, few data also exist so far on handball-related long-term knee prospects such as OA of the knee [11]. It may be anticipated that it is strongly depending on the occurrence of a cruciate ligament injury and the preservation or not of the menisci.…”

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confidence: 99%