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4. Clinical outcomes after anterior cruciate ligament injury: panther symposium ACL injury clinical outcomes consensus group.

Author

Svantesson, Eleonor, Hamrin Senorski, Eric, Webster, Kate E, Karlsson, Jón, Diermeier, Theresa, Rothrauff, Benjamin B, Meredith, Sean J, Rauer, Thomas, Irrgang, James J, Spindler, Kurt P, Ma, C Benjamin, Musahl, Volker, and Panther Symposium ACL Injury Clinical Outcomes Consensus Group

Subjects
Panther Symposium ACL Injury Clinical Outcomes Consensus Group, Humans, Osteoarthritis, Knee, Athletic Injuries, Recurrence, Postoperative Complications, Treatment Outcome, Graft Survival, Quality of Life, Anterior Cruciate Ligament Reconstruction, Surveys and Questionnaires, Anterior Cruciate Ligament Injuries, Patient Reported Outcome Measures, ACL, Anterior cruciate ligament, Consensus statement, Outcome, Reconstruction, Osteoarthritis, Knee, Clinical Sciences, Human Movement and Sports Sciences, Orthopedics
Abstract

PurposeA stringent outcome assessment is a key aspect for establishing evidence-based clinical guidelines for anterior cruciate ligament (ACL) injury treatment. The aim of this consensus statement was to establish what data should be reported when conducting an ACL outcome study, what specific outcome measurements should be used and at what follow-up time those outcomes should be assessed.MethodsTo establish a standardized approach to assessment of clinical outcome after ACL treatment, a consensus meeting including a multidisciplinary group of ACL experts was held at the ACL Consensus Meeting Panther Symposium, Pittsburgh, PA; USA, in June 2019. The group reached consensus on nine statements by using a modified Delphi method.ResultsIn general, outcomes after ACL treatment can be divided into four robust categories-early adverse events, patient-reported outcomes, ACL graft failure/recurrent ligament disruption and clinical measures of knee function and structure. A comprehensive assessment following ACL treatment should aim to provide a complete overview of the treatment result, optimally including the various aspects of outcome categories. For most research questions, a minimum follow-up of 2 years with an optimal follow-up rate of 80% is necessary to achieve a comprehensive assessment. This should include clinical examination, any sustained re-injuries, validated knee-specific PROs and Health-Related Quality of Life questionnaires. In the mid- to long-term follow-up, the presence of osteoarthritis should be evaluated.ConclusionThis consensus paper provides practical guidelines for how the aforementioned entities of outcomes should be reported and suggests the preferred tools for a reliable and valid assessment of outcome after ACL treatment.Level of evidenceV.

Published
2020

13. Multicenter Study: How to Pull It Off? The PIVOT Trial

Author

Svantesson, Eleonor, Senorski, Eric Hamrin, Oostdyk, Alicia, Hoshino, Yuichi, Samuelsson, Kristian, Musahl, Volker, Musahl, Volker, editor, Karlsson, Jón, editor, Hirschmann, Michael T., editor, Ayeni, Olufemi R., editor, Marx, Robert G., editor, Koh, Jason L., editor, and Nakamura, Norimasa, editor

Published
2019
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14. Common Mistakes in Manuscript Writing and How to Avoid Them

Author

Svantesson, Eleonor, Senorski, Eric Hamrin, Samuelsson, Kristian, Karlsson, Jón, Musahl, Volker, editor, Karlsson, Jón, editor, Hirschmann, Michael T., editor, Ayeni, Olufemi R., editor, Marx, Robert G., editor, Koh, Jason L., editor, and Nakamura, Norimasa, editor

Published
2019
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15. What Is Evidence-Based Medicine?

Author

Svantesson, Eleonor, Senorski, Eric Hamrin, Karlsson, Jón, Ayeni, Olufemi R., Samuelsson, Kristian, Musahl, Volker, editor, Karlsson, Jón, editor, Hirschmann, Michael T., editor, Ayeni, Olufemi R., editor, Marx, Robert G., editor, Koh, Jason L., editor, and Nakamura, Norimasa, editor

Published
2019
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24. Preoperative knee laxity measurements predict the achievement of a patient-acceptable symptom state after ACL reconstruction: a prospective multicenter study

Author

The PIVOT Group, Musahl, Volker, Irrgang, James, Fu, Freddie, Popchak, Adam, Araujo, Paulo, Sa, Darren De, Patel, Neel, Lian, Jayson, Kuroda, Ryosuke, Hoshino, Yuichi, Kurosaka, Masahiro, Nagamune, Kouki, Zaffagnini, Stefano, Marcheggiani Muccioli, Giulio Maria, Signorelli, Cecilia, Lopomo, Nicola, Grassi, Alberto, Samuelsson, Kristian, Karlsson, Jon, Sundemo, David, Svantesson, Eleonor, and Senorski, Eric Hamrin

Published
2018
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32. Only 10% of Patients With a Concomitant MCL Injury Return to Their Preinjury Level of Sport 1 Year After ACL Reconstruction: A Matched Comparison With Isolated ACL Reconstruction.

Author

Svantesson, Eleonor, Piussi, Ramana, Beischer, Susanne, Thomeé, Christoffer, Samuelsson, Kristian, Karlsson, Jón, Thomeé, Roland, and Hamrin Senorski, Eric

Subjects
ANTERIOR cruciate ligament surgery, SPORTS re-entry, COLLATERAL ligament, CONTACT sports, WOUNDS & injuries
Abstract

Background: There is a need for an increased understanding of the way a concomitant medial collateral ligament (MCL) injury may influence outcome after anterior cruciate ligament (ACL) reconstruction. Hypothesis: Patients with a concomitant MCL injury would have inferior clinical outcomes compared with a matched cohort of patients undergoing ACL reconstruction without an MCL injury. Study Design: Matched registry-based cohort study; case-control. Level of Evidence: Level 3. Methods: Data from the Swedish National Knee Ligament Registry and a local rehabilitation outcome registry were utilized. Patients who had undergone a primary ACL reconstruction with a concomitant nonsurgically treated MCL injury (ACL + MCL group) were matched with patients who had undergone an ACL reconstruction without an MCL injury (ACL group), in a 1:3 ratio. The primary outcome was return to knee-strenuous sport, defined as a Tegner activity scale ≥6, at the 1-year follow-up. In addition, return to preinjury level of sport, muscle function tests, and patient-reported outcomes (PROs) were compared between the groups. Results: The ACL + MCL group comprised 30 patients, matched with 90 patients in the ACL group. At the 1-year follow-up, 14 patients (46.7%) in the ACL + MCL group had return to sport (RTS) compared with 44 patients (48.9%) in the ACL group (P = 0.37). A significantly lower proportion of patients in the ACL + MCL group had returned to their preinjury level of sport compared with the ACL group (10.0% compared with 25.6%, adjusted P = 0.01). No differences were found between the groups across a battery of strength and hop tests or in any of the assessed PROs. The ACL + MCL group reported a mean 1-year ACL-RSI after injury of 59.4 (SD 21.6), whereas the ACL group reported 57.9 (SD 19.4), P = 0.60. Conclusion: Patients with a concomitant nonsurgically treated MCL injury did not return to their preinjury level of sport to the same extent as patients without an MCL injury 1 year after ACL reconstruction. However, there was no difference between the groups in terms of return to knee strenuous activity, muscle function, or PROs. Clinical Relevance: Patients with a concomitant nonsurgically treated MCL injury may reach outcomes similar to those of patients without an MCL injury 1 year after an ACL reconstruction. However, few patients return to their preinjury level of sport at 1 year. [ABSTRACT FROM AUTHOR]

Published
2024
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33. List of Contributors

Author

Albers, Marcio, primary, Begly, John P., additional, Bhattacharya, Kieran R., additional, Blee, Seth, additional, Bryant, Brandon, additional, Chambers, Monique C., additional, Chang, Edward S., additional, Doorley, James D., additional, Fu, Freddie H., additional, Goldstein, Bryan L., additional, Higgins, Brendan T., additional, Joyce, Christopher D., additional, Joyner, Patrick Wakefield, additional, Kanakamedala, Ajay, additional, Kew, Michelle E., additional, Kocher, Mininder S., additional, Kowalczuk, Marcin, additional, Lang, Pamela J., additional, Mayo, Meredith, additional, Miller, Mark D., additional, Musahl, Volker, additional, Murphy, Colin P., additional, Pelton, Miguel A., additional, Provencher, Matthew T., additional, Rodeo, Scott A., additional, Sanchez, Anthony, additional, Sasala, Lee, additional, Sheean, Andrew J., additional, Spiker, Andrea M., additional, Stone, Genevra L., additional, Svantesson, Eleonor, additional, Vidal, Armando F., additional, West, Robin, additional, and Womble, Melissa N., additional

Published
2019
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34. The Future

Author

Svantesson, Eleonor, primary, Kowalczuk, Marcin, additional, Kanakamedala, Ajay, additional, Sasala, Lee, additional, and Musahl, Volker, additional

Published
2019
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35. Rotatory Knee Laxity Exists on a Continuum in Anterior Cruciate Ligament Injury

Author

Lian, Jayson, Diermeier, Theresa, Meghpara, Mitchell, Popchak, Adam, Smith, Clair N., Kuroda, Ryosuke, Zaffagnini, Stefano, Samuelsson, Kristian, Karlsson, Jón, Irrgang, James J., Musahl, Volker, Sheean, Andrew J., Burnham, Jeremy M., Jayson, Lian, Clair, Smith, Adam, Popchak, Elmar, Herbst, Pfeiffer, Thomas R., Araujo, Paulo, Oostdyk, Alicia, Guenther, Daniel, Ohashi, Bruno, Irrgang, James J., Musahl, Volker, Fu, Freddie H., Nagamune, Kouki, Kurosaka, Masahiro, Hoshino, Yuichi, Kuroda, Ryosuke, Grassi, Alberto, Muccioli, Giulio Maria Marcheggiani, Lopomo, Nicola, Signorelli, Cecilia, Raggi, Federico, Zaffagnini, Stefano, Horvath, Alexandra, Svantesson, Eleonor, Senorski, Eric Hamrin, Sundemo, David, Bjoernsson, Haukur, Ahlden, Mattias, Desai, Neel, Samuelsson, Kristian, and Karlsson, Jóon

Published
2020
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49. 'I never made it to the pros…' Return to sport and becoming an elite athlete after pediatric and adolescent anterior cruciate ligament injury — Current evidence and future directions

Author

Senorski, Eric Hamrin, Seil, Romain, Svantesson, Eleonor, Feller, Julian, Webster, Kate, Engebretsen, Lars, Spindler, Kurt P., Siebold, Rainer, Karlsson, Jón, and Samuelsson, Kristian

Subjects
PAMI, pediatric, reconstruction, ACL, adolescent, anterior cruciate ligament, sports, return to sport, rehabilitation, Uncategorized
Abstract

The management of anterior cruciate ligament (ACL) injuries in the skeletally immature and adolescent patient remains an area of controversy in sports medicine. This study, therefore, summarizes and discusses the current evidence related to treating pediatric and adolescent patients who sustain an ACL injury. The current literature identifies a trend towards ACL reconstruction as the preferred treatment option for ACL injuries in the young, largely justified by the risk of further structural damage to the knee joint. Worryingly, a second ACL injury is all too common in the younger population, where almost one in every three to four young patients who sustain an ACL injury and return to high-risk pivoting sport will go on to sustain another ACL injury. The clinical experience of these patients emphasizes the rarity of an athlete who makes it to elite level after a pediatric or adolescent ACL injury, with or without reconstruction. If these patients are unable to make it to an elite level of sport, treatment should possibly be modified to take account of the risks associated with returning to pivoting and strenuous sport. The surveillance of young athletes may be beneficial when it comes to reducing injuries. Further research is crucial to better understand specific risk factors in the young and to establish independent structures to allow for unbiased decision-making for a safe return to sport after ACL injury.

Published
2023
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50. sj-docx-1-sph-10.1177_19417381231157746 – Supplemental material for Only 10% of Patients With a Concomitant MCL Injury Return to Their Preinjury Level of Sport 1 Year After ACL Reconstruction: A Matched Comparison With Isolated ACL Reconstruction

Author

Svantesson, Eleonor, Piussi, Ramana, Beischer, Susanne, Thomeé, Christoffer, Samuelsson, Kristian, Karlsson, Jón, Thomeé, Roland, and Hamrin Senorski, Eric

Subjects
111708 Health and Community Services, FOS: Clinical medicine, 110604 Sports Medicine, FOS: Health sciences, 110314 Orthopaedics
Abstract

Supplemental material, sj-docx-1-sph-10.1177_19417381231157746 for Only 10% of Patients With a Concomitant MCL Injury Return to Their Preinjury Level of Sport 1 Year After ACL Reconstruction: A Matched Comparison With Isolated ACL Reconstruction by Eleonor Svantesson, Ramana Piussi, Susanne Beischer, Christoffer Thomeé, Kristian Samuelsson, Jón Karlsson, Roland Thomeé and Eric Hamrin Senorski in Sports Health: A Multidisciplinary Approach

Published
2023
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