Long-Term Prognosis of Conservatively Treated Acute Knee Ligament Injuries in Competitive and Spare Time Sportsmen

Abstract

During the period 1975-1981, 221 persons were treated conservatively at Tampere University Central Hospital for an acute knee ligament injury. A total of 194 patients (88%) were reexamined 8 +/- 3 years after the injury. In the clinical and radiological results, there were no significant differences between competitive, spare time and non-sportsmen. However, the subjective and functional results were significantly better in competitive sportsmen than in the others. It was concluded that the amount of static knee instability and posttraumatic osteoarthritis depend much more on the seriousness of the primary ligament injury than on the muscle performance of the injured extremity, but by adequate thigh muscle rehabilitation the subjective and functional status of the injured knee can be significantly improved. Sports at the level of competitive activity seems to be an excellent means to achieve the best possible subjective and functional result after knee ligament injury.

Resistance training improves strength and functional capacity in persons with multiple sclerosis

“…The hamstring to quadriceps ratio (H/Q ratio) in our subjects was 0.53 at baseline and 0.67 following training. According Kannus et al ., 32 healthy individuals have a hamstring to quadriceps ratio of 0.50 Á/0.60 and therefore our subjects were within the normal range. Assessment and tracking of the H:Q may be valuable in the clinical setting because a coupling of weak hamstring muscles with strong quadriceps may interrupt the optimal derotation of the pelvis and may contribute to low back pain and injuries.…”

Diagnosis of an ACL disruption with KT-1000 arthrometer measurements

“…The Lachman test has proven to be the most reliable clinical test of anterior tibial subluxation [18,27,54]. The reported accuracy of the clinical examination to detect an ACL disruption varies from 7% [42] to 87% [27].…”

“…The Lachman test has proven to be the most reliable clinical test of anterior tibial subluxation [18,27,54]. The reported accuracy of the clinical examination to detect an ACL disruption varies from 7% [42] to 87% [27]. In the patient with a chronic ACL disruption, the pivot shift has been proven to be a reliable test to detect an ACL disruption [1,16,17].…”

Anterior cruciate ligament reconstruction

“…Die Folge ist meist eine a.-p. und Rotationsinstabilität, welche im Verlauf zu Meniskusläsionen, Knorpelschäden und schließlich zur Arthrose führt [8]. Durch eine vordere Kreuzbandersatzplastik können diese Instabilität behoben und die sportliche Aktivität der Patienten z. T. wieder hergestellt werden.…”