Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction
This study aimed to compare anterolateral ligament (ALL) injuries in anterior cruciate ligament (ACL) ruptures, as well as ALL healing and clinical outcomes following ACL reconstruction between adolescents and adults. This retrospective study involved 98 patients who underwent ACL reconstruction. Th...
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| Veröffentlicht in: | The knee 2021-06, Vol.30, p.113-124 |
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| creator | Lee, Dhong Won Lee, Joon Kyu Kwon, Sae Him Moon, Sung Gyu Cho, Seung Ik Chung, Seung Hee Kim, Jin Goo |
| description | This study aimed to compare anterolateral ligament (ALL) injuries in anterior cruciate ligament (ACL) ruptures, as well as ALL healing and clinical outcomes following ACL reconstruction between adolescents and adults.
This retrospective study involved 98 patients who underwent ACL reconstruction. They were divided into two groups according to age: group A (adolescents, 16–20 years of age; n = 49) and group B (adults, 21–45 years of age; n = 49). Subjective scores including ACL-Return to Sport after Injury (ACL-RSI) scale and objective tests were assessed. Follow up magnetic resonance imaging (MRI) and second-look arthroscopy was conducted at 1-year and 2-year follow up, respectively.
Good healing rate of ALL was higher in adults than in adolescents (P = 0.048). Graft tension and synovial coverage showed no significant differences between two groups. Group A showed a higher rate of high-grade pivot shift and a lower ACL-RSI at last follow up than group B (P = 0.126 and P = 0.016). Poor healing of ALL was significantly associated with lower ACL-RSI and failure to return to sports (P |
| doi_str_mv | 10.1016/j.knee.2021.03.020 |
| format | Article |
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This retrospective study involved 98 patients who underwent ACL reconstruction. They were divided into two groups according to age: group A (adolescents, 16–20 years of age; n = 49) and group B (adults, 21–45 years of age; n = 49). Subjective scores including ACL-Return to Sport after Injury (ACL-RSI) scale and objective tests were assessed. Follow up magnetic resonance imaging (MRI) and second-look arthroscopy was conducted at 1-year and 2-year follow up, respectively.
Good healing rate of ALL was higher in adults than in adolescents (P = 0.048). Graft tension and synovial coverage showed no significant differences between two groups. Group A showed a higher rate of high-grade pivot shift and a lower ACL-RSI at last follow up than group B (P = 0.126 and P = 0.016). Poor healing of ALL was significantly associated with lower ACL-RSI and failure to return to sports (P < 0.001 and P = 0.001). Re-rupture of the ACL graft was found in four (8.2%) and one (2.0%) of group A and B, respectively.
Adolescents showed a lower healing rate of ALL, a lower ACL-RSI, a higher rate of high-grade pivot shift than adults. Moreover, poor healing of ALL was significantly associated with a lower ACL-RSI and failure to return to sports. We suggest that adolescents need to pay more attention to the presence of ALL injury.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2021.03.020</identifier><identifier>PMID: 33894653</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>ACL ; Adolescent ; Anterior cruciate ligament ; Anterolateral ligament ; Failure rate ; Pivot shift</subject><ispartof>The knee, 2021-06, Vol.30, p.113-124</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-c7e0f05b3c7f2373706dab9b1979b1e2d061ab4583c38521fddec6583ab041773</citedby><cites>FETCH-LOGICAL-c356t-c7e0f05b3c7f2373706dab9b1979b1e2d061ab4583c38521fddec6583ab041773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0968016021001034$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33894653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Dhong Won</creatorcontrib><creatorcontrib>Lee, Joon Kyu</creatorcontrib><creatorcontrib>Kwon, Sae Him</creatorcontrib><creatorcontrib>Moon, Sung Gyu</creatorcontrib><creatorcontrib>Cho, Seung Ik</creatorcontrib><creatorcontrib>Chung, Seung Hee</creatorcontrib><creatorcontrib>Kim, Jin Goo</creatorcontrib><title>Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction</title><title>The knee</title><addtitle>Knee</addtitle><description>This study aimed to compare anterolateral ligament (ALL) injuries in anterior cruciate ligament (ACL) ruptures, as well as ALL healing and clinical outcomes following ACL reconstruction between adolescents and adults.
This retrospective study involved 98 patients who underwent ACL reconstruction. They were divided into two groups according to age: group A (adolescents, 16–20 years of age; n = 49) and group B (adults, 21–45 years of age; n = 49). Subjective scores including ACL-Return to Sport after Injury (ACL-RSI) scale and objective tests were assessed. Follow up magnetic resonance imaging (MRI) and second-look arthroscopy was conducted at 1-year and 2-year follow up, respectively.
Good healing rate of ALL was higher in adults than in adolescents (P = 0.048). Graft tension and synovial coverage showed no significant differences between two groups. Group A showed a higher rate of high-grade pivot shift and a lower ACL-RSI at last follow up than group B (P = 0.126 and P = 0.016). Poor healing of ALL was significantly associated with lower ACL-RSI and failure to return to sports (P < 0.001 and P = 0.001). Re-rupture of the ACL graft was found in four (8.2%) and one (2.0%) of group A and B, respectively.
Adolescents showed a lower healing rate of ALL, a lower ACL-RSI, a higher rate of high-grade pivot shift than adults. Moreover, poor healing of ALL was significantly associated with a lower ACL-RSI and failure to return to sports. We suggest that adolescents need to pay more attention to the presence of ALL injury.</description><subject>ACL</subject><subject>Adolescent</subject><subject>Anterior cruciate ligament</subject><subject>Anterolateral ligament</subject><subject>Failure rate</subject><subject>Pivot shift</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kctuHCEQRVEUK56M8wNZRCyz6U4B0y8pG8vKS7KUTbxGNFRPM2HAATrOfE7-1LTG8TIbUBX3nhJ1CXnLoGbA2g-H-qdHrDlwVoOogcMLsmF9J6qmB3hJNjC0fVWUcElep3QAgHbYNa_IpRD9sGsbsSF_r01wmDT6nGiawwNV1IUHjHRG5azf06gy0jBR5TPG4EoVlaPO7tWxmKj1hyWeyqspztnu52KNIatsg1916o_NJ5pn5akyiytT1FQQZ5wNkeq4aLvOeEZG1MGnXPor5IpcTMolfPN0b8nd508_br5Wt9-_fLu5vq20aNpc6Q5hgmYUupu46EQHrVHjMLKhKwdyAy1T467phRZ9w9lkDOq2lGqEHes6sSXvz9z7GH4tmLI82rIX55THsCTJG9ZzLvqyti3hZ6mOIaWIk7yP9qjiSTKQazTyINdo5BqNBCFLNMX07om_jEc0z5Z_WRTBx7MAyy9_W4wyaYteo7FlI1maYP_HfwQmIaP6</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Lee, Dhong Won</creator><creator>Lee, Joon Kyu</creator><creator>Kwon, Sae Him</creator><creator>Moon, Sung Gyu</creator><creator>Cho, Seung Ik</creator><creator>Chung, Seung Hee</creator><creator>Kim, Jin Goo</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210601</creationdate><title>Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction</title><author>Lee, Dhong Won ; Lee, Joon Kyu ; Kwon, Sae Him ; Moon, Sung Gyu ; Cho, Seung Ik ; Chung, Seung Hee ; Kim, Jin Goo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-c7e0f05b3c7f2373706dab9b1979b1e2d061ab4583c38521fddec6583ab041773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>ACL</topic><topic>Adolescent</topic><topic>Anterior cruciate ligament</topic><topic>Anterolateral ligament</topic><topic>Failure rate</topic><topic>Pivot shift</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Dhong Won</creatorcontrib><creatorcontrib>Lee, Joon Kyu</creatorcontrib><creatorcontrib>Kwon, Sae Him</creatorcontrib><creatorcontrib>Moon, Sung Gyu</creatorcontrib><creatorcontrib>Cho, Seung Ik</creatorcontrib><creatorcontrib>Chung, Seung Hee</creatorcontrib><creatorcontrib>Kim, Jin Goo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Dhong Won</au><au>Lee, Joon Kyu</au><au>Kwon, Sae Him</au><au>Moon, Sung Gyu</au><au>Cho, Seung Ik</au><au>Chung, Seung Hee</au><au>Kim, Jin Goo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>30</volume><spage>113</spage><epage>124</epage><pages>113-124</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>This study aimed to compare anterolateral ligament (ALL) injuries in anterior cruciate ligament (ACL) ruptures, as well as ALL healing and clinical outcomes following ACL reconstruction between adolescents and adults.
This retrospective study involved 98 patients who underwent ACL reconstruction. They were divided into two groups according to age: group A (adolescents, 16–20 years of age; n = 49) and group B (adults, 21–45 years of age; n = 49). Subjective scores including ACL-Return to Sport after Injury (ACL-RSI) scale and objective tests were assessed. Follow up magnetic resonance imaging (MRI) and second-look arthroscopy was conducted at 1-year and 2-year follow up, respectively.
Good healing rate of ALL was higher in adults than in adolescents (P = 0.048). Graft tension and synovial coverage showed no significant differences between two groups. Group A showed a higher rate of high-grade pivot shift and a lower ACL-RSI at last follow up than group B (P = 0.126 and P = 0.016). Poor healing of ALL was significantly associated with lower ACL-RSI and failure to return to sports (P < 0.001 and P = 0.001). Re-rupture of the ACL graft was found in four (8.2%) and one (2.0%) of group A and B, respectively.
Adolescents showed a lower healing rate of ALL, a lower ACL-RSI, a higher rate of high-grade pivot shift than adults. Moreover, poor healing of ALL was significantly associated with a lower ACL-RSI and failure to return to sports. We suggest that adolescents need to pay more attention to the presence of ALL injury.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>33894653</pmid><doi>10.1016/j.knee.2021.03.020</doi><tpages>12</tpages></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | ACL Adolescent Anterior cruciate ligament Anterolateral ligament Failure rate Pivot shift |
| title | Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction |
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