Treatment for acute anterior cruciate ligament tear.
Summary of "Treatment for acute anterior cruciate ligament tear."
To the Editor: In their article on treating acute tears in the anterior cruciate ligament (ACL), Frobell et al. (July 22 issue)(1) conclude that early ACL reconstruction is not superior to a strategy of initial rehabilitation with delayed reconstruction. However, the primary outcome in the trial was a total score derived from a modified version of the Knee Injury and Osteoarthritis Outcome Score (KOOS). Recently, we published a study(2) in which we used Rasch analysis to rigorously assess the measurement properties of the original KOOS when applied to patients who have undergone ACL reconstruction. We found that KOOS was severely . . .
Affiliation
Journal Details
This article was published in the following journal.
Name: The New England journal of medicine
ISSN: 1533-4406
Pages: 1871-3
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21047244
- DOI: http://dx.doi.org/10.1056/NEJMc1010531#SA2
Medical and Biotech [MESH] Definitions
Anterior Cruciate Ligament
A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia.
Posterior Cruciate Ligament
A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia.
Lateral Ligament, Ankle
There are two lateral ligaments of the ankle - internal and external. The internal lateral ligament is attached to the apex and anterior and posterior bodies of the inner malleolus and inserted into the navicular bone, the inferior calcaneo-navicular ligament, the sustentaculum tali of the os calcis, and the inner side of the astragalus. The external lateral ligament, also called the lateral collateral ligament, consists of three distinct fasciculi - the calcaneofibular, the anterior talofibular, and the posterior talofibular.
Arthrometry, Articular
Measurements of joint flexibility (RANGE OF MOTION, ARTICULAR), usually by employing an angle-measuring device (arthrometer). Arthrometry is used to measure ligamentous laxity and stability. It is often used to evaluate the outcome of ANTERIOR CRUCIATE LIGAMENT replacement surgery.
Bone-patellar Tendon-bone Graft
Fixation of the ANTERIOR CRUCIATE LIGAMENT, during surgical reconstruction, by the use of a bone- patellar tendon autograft.
PubMed Articles
Treatment for acute anterior cruciate ligament tear.
To the Editor: In their article on treating acute tears in the anterior cruciate ligament (ACL), Frobell et al. (July 22 issue)(1) conclude that early ACL reconstruction is not superior to a strategy...
Treatment for acute anterior cruciate ligament tear.
To the Editor: In their article on treating acute tears in the anterior cruciate ligament (ACL), Frobell et al. (July 22 issue)(1) conclude that early ACL reconstruction is not superior to a strategy...
Agenesis of the posterolateral bundle of anterior cruciate ligament.
The objective of this article is to report an anterior cruciate ligament variation that has not been previously described, in which the posterolateral bundle of anterior cruciate ligament is congenita...
We report a rare case of longitudinal tear of the anterior segment of the medial meniscus in association with the anteromedial meniscofemoral ligament (AMMFL) in an anterior cruciate ligament-injured...
OBJECTIVE: Anterior cruciate ligament tears are frequent and if not diagnosed may lead to relevant patient disability. Magnetic resonance imaging is the method of choice for the...
Clinical Trials
Initial Graft Tension and ACL Surgery
The anterior cruciate ligament (ACL) is one of four strong ligaments connecting the bones of the knee joint. If overstretched, the ACL can tear. Reconstruction of a torn ACL is now a commo...
Quadriceps Function Prior to Anterior Cruciate Ligament Reconstruction
Patients who are diagnosed with an isolated tear of the anterior cruciate ligament and scheduled for arthroscopic reconstruction using bone-patellar tendon-bone autograft will be recruited...
The purpose of the study is to determine if there is difference in immediate postoperative pain levels (48 hours) between patients who wear a knee immobilizer splint compared to patients w...
Anterior Cruciate Ligament (ACL) Reconstruction Using Different Grafts and Surgical Techniques
ACL reconstruction in the Division of Orthopaedic surgery at Queen's is currently being performed arthroscopically assisted. The resultant function of the reconstructed ligament is greatly...
Pain Relief Results After Anterior Cruciate Ligament (ACL) Reconstruction
Anterior cruciate ligament (ACL) reconstruction is surgery that is done to repair a damaged ligament in the knee. In this study we will look at whether the femoral nerve block, a commonly...
