Incidence and Risk Factors for a Partial Anterior Cruciate Ligament Tear Progressing to a Complete Tear After Nonoperative Treatment in Patients Younger Than 30 Years

Orthopaedic Journal of Sports Medicine
Jean-Marie FayardMathieu Thaunat

Abstract

Partial anterior cruciate ligament (ACL) tears are observed in 10% to 27% of isolated ACL tears. There is currently no consensus on diagnosis and treatment protocols, and the outcomes of nonoperative treatment remain undefined. To assess the incidence and risk factors for the progression of partial ACL tears to complete ruptures after nonoperative treatment in active patients younger than 30 years. Case-control study; Level of evidence, 3. A total of 41 patients, all younger than 30 years and active in sports, were diagnosed with a partial ACL tear, with no associated meniscal or chondral lesions on magnetic resonance imaging (MRI). All were assigned to a nonoperative treatment program. The Lachman test, ≤4-mm side-to-side difference in laxity by Rolimeter, and MRI were utilized for the diagnosis. Tegner and International Knee Documentation Committee (IKDC) scores were assessed before and after the first lesion, and the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) score was assessed at last follow-up. Postinjury Tegner and IKDC scores were assessed before the second injury for patients progressing to a complete ACL tear and at last follow-up for patients without progression. At a mean of 43 months (range, 2...Continue Reading

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Citations

May 11, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Theresa DiermeierUNKNOWN Panther Symposium ACL Treatment Consensus Group
Jul 15, 2020·British Journal of Sports Medicine·Theresa Anita DiermeierUNKNOWN Panther Symposium ACL Treatment Consensus Group
Jul 9, 2020·Orthopaedic Journal of Sports Medicine·Theresa DiermeierKevin E Wilk
Jan 5, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Austin V StoneCaitlin W Conley
May 20, 2021·Journal of ISAKOS·Theresa DiermeierUNKNOWN Panther Symposium ACL Treatment Consensus Group
Nov 18, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Julio Cesar GaliFreddie F Fu

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