Anterior cruciate ligament tear
V Musahl, J Karlsson - New England Journal of Medicine, 2019 - Mass Medical Soc
V Musahl, J Karlsson
New England Journal of Medicine, 2019•Mass Medical SocKey Clinical Points Anterior Cruciate Ligament Tear High-level evidence suggests that
recreational athletes can initially be treated nonoperatively or operatively for anterior
cruciate ligament (ACL) tears. ACL reconstruction is recommended for patients with
increased or persistent laxity after nonoperative treatment. For ACL reconstruction in top-
level athletes, current evidence supports anatomical reconstruction with autografts of the
patellar tendon, hamstring, or quadriceps tendon. Concomitant soft-tissue injuries should be …
recreational athletes can initially be treated nonoperatively or operatively for anterior
cruciate ligament (ACL) tears. ACL reconstruction is recommended for patients with
increased or persistent laxity after nonoperative treatment. For ACL reconstruction in top-
level athletes, current evidence supports anatomical reconstruction with autografts of the
patellar tendon, hamstring, or quadriceps tendon. Concomitant soft-tissue injuries should be …
Key Clinical Points
Anterior Cruciate Ligament Tear
- High-level evidence suggests that recreational athletes can initially be treated nonoperatively or operatively for anterior cruciate ligament (ACL) tears.
- ACL reconstruction is recommended for patients with increased or persistent laxity after nonoperative treatment.
- For ACL reconstruction in top-level athletes, current evidence supports anatomical reconstruction with autografts of the patellar tendon, hamstring, or quadriceps tendon. Concomitant soft-tissue injuries should be repaired.
- The return to sport after ACL reconstruction surgery should occur after a minimum of 9 months and should await the results of return-to-sport testing (e.g., patient performance in tests of symmetric quadriceps strength and hop tests).
The New England Journal Of Medicine