Factors associated with returning to football after anterior cruciate ligament reconstruction

Verfasser / Beitragende:
[Alexander Sandon, Suzanne Werner, Magnus Forssblad]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/9(2015-09-01), 2514-2521
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3023-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3023-4 
245 0 0 |a Factors associated with returning to football after anterior cruciate ligament reconstruction  |h [Elektronische Daten]  |c [Alexander Sandon, Suzanne Werner, Magnus Forssblad] 
520 3 |a Purpose: The aim of the present investigation was to identify possible factors associated with returning to football on an average 3.2±1.4years after anterior cruciate ligament (ACL) reconstruction in both male and female football players. Methods: The players were recruited from a patient database of football players that have undergone an ACL reconstruction between 2004 and 2007 at the Capio Artro Clinic, Sophiahemmet in Stockholm, Sweden. Special attention was paid to gender, age, type of graft for ACL reconstruction, associated injuries, anterior knee laxity, thigh muscle torques and symptoms/problems during, and/or after physical activity. In the beginning of the summer of 2009, 205 players (37.9%) out of 541 players filled out a questionnaire designed to evaluate physical activity and knee function in a sports-specific setting. A detailed dropout analysis showed that females responded to a higher degree than males. No other significant differences between responders and non-responders were found. Results: Fifty-four per cent (n=111) had returned to football, and 46% (n=94) had not. Using logistic regression analyses, we found that the female gender (p=0.036, OR 0.518), cartilage injury (p=0.013, OR 0.368), and pain during physical activity (p=0.002, OR 0.619) were significant negative predictors for returning to football after ACL reconstruction and rehabilitation. For players with all three significant factors, only 10% returned to football compared to 76.5% of those without any of these factors. Conclusions: Female gender, cartilage injury, and knee pain during physical activity were independent negative predictors for returning to football after ACL reconstruction. At a mean follow-up of 3.2±1.4years after ACL reconstruction, pain during physical activity was reported to be the most common symptom/problem in football players. The clinical relevance of this study is to improve the treatment of ACL injured football players focusing on female gender and knee pain. Furthermore, ACL injury prevention should be highlighted in football players, especially female players. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament injury  |2 nationallicence 
690 7 |a Anterior cruciate ligament surgery  |2 nationallicence 
690 7 |a Cartilage injury  |2 nationallicence 
690 7 |a Knee pain  |2 nationallicence 
690 7 |a Return to play  |2 nationallicence 
690 7 |a Return to sports  |2 nationallicence 
690 7 |a Soccer  |2 nationallicence 
700 1 |a Sandon  |D Alexander  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
700 1 |a Werner  |D Suzanne  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
700 1 |a Forssblad  |D Magnus  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2514-2521  |x 0942-2056  |q 23:9<2514  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3023-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3023-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sandon  |D Alexander  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Werner  |D Suzanne  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Forssblad  |D Magnus  |u Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Sophiahemmet, Valhallavägen 91, 114 86, Stockholm, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2514-2521  |x 0942-2056  |q 23:9<2514  |1 2015  |2 23  |o 167