Non-operative management of anterior cruciate ligament injuries in the general population
The operative treatment of lesions of the anterior cruciate ligament (ACL) in athletes has been widely advocated and performed. We have investigated the outcome of non-operative management in a lower-demand, general population. We reviewed a consecutive group of 228 patients, which excluded professi...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1996-05, Vol.78 (3), p.446-451 |
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| container_end_page | 451 |
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| container_issue | 3 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | CASTELEYN, P.-P HANDELBERG, F |
| description | The operative treatment of lesions of the anterior cruciate ligament (ACL) in athletes has been widely advocated and performed. We have investigated the outcome of non-operative management in a lower-demand, general population. We reviewed a consecutive group of 228 patients, which excluded professional and high-level athletes, for two to 12 years after an ACL lesion had been diagnosed by arthroscopy. There was a low incidence of secondary ACL and meniscal surgery, 5.4% and 3.5% respectively, and all these procedures were performed during the first three years after the ACL injury. We studied a subgroup of 109 patients with follow-up of at least five years (mean 8.5 years) and evaluated them using the IKDC score. The general outcome was reasonably satisfactory, with 23% in grade A, 50% in grade B, 21% in grade C and only 6.4% in grade D. We found no statistically significant prognostic effect within this group as regards age, activity levels, or the incidence of associated lesions. |
| doi_str_mv | 10.1302/0301-620x.78b3.0780446 |
| format | Article |
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We have investigated the outcome of non-operative management in a lower-demand, general population. We reviewed a consecutive group of 228 patients, which excluded professional and high-level athletes, for two to 12 years after an ACL lesion had been diagnosed by arthroscopy. There was a low incidence of secondary ACL and meniscal surgery, 5.4% and 3.5% respectively, and all these procedures were performed during the first three years after the ACL injury. We studied a subgroup of 109 patients with follow-up of at least five years (mean 8.5 years) and evaluated them using the IKDC score. The general outcome was reasonably satisfactory, with 23% in grade A, 50% in grade B, 21% in grade C and only 6.4% in grade D. We found no statistically significant prognostic effect within this group as regards age, activity levels, or the incidence of associated lesions.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620x.78b3.0780446</identifier><identifier>PMID: 8636184</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Activities of Daily Living ; Adolescent ; Adult ; Aged ; Anterior Cruciate Ligament Injuries ; Arthroscopy ; Biological and medical sciences ; Braces - standards ; Casts, Surgical - standards ; Female ; Follow-Up Studies ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Prognosis ; Survival Analysis ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Wounds and Injuries - classification ; Wounds and Injuries - diagnosis ; Wounds and Injuries - physiopathology ; Wounds and Injuries - therapy</subject><ispartof>Journal of bone and joint surgery. 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British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>The operative treatment of lesions of the anterior cruciate ligament (ACL) in athletes has been widely advocated and performed. We have investigated the outcome of non-operative management in a lower-demand, general population. We reviewed a consecutive group of 228 patients, which excluded professional and high-level athletes, for two to 12 years after an ACL lesion had been diagnosed by arthroscopy. There was a low incidence of secondary ACL and meniscal surgery, 5.4% and 3.5% respectively, and all these procedures were performed during the first three years after the ACL injury. We studied a subgroup of 109 patients with follow-up of at least five years (mean 8.5 years) and evaluated them using the IKDC score. The general outcome was reasonably satisfactory, with 23% in grade A, 50% in grade B, 21% in grade C and only 6.4% in grade D. We found no statistically significant prognostic effect within this group as regards age, activity levels, or the incidence of associated lesions.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Braces - standards</subject><subject>Casts, Surgical - standards</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Survival Analysis</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Wounds and Injuries - classification</subject><subject>Wounds and Injuries - diagnosis</subject><subject>Wounds and Injuries - physiopathology</subject><subject>Wounds and Injuries - therapy</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhoMo67r6E5QexFvXadOk3aOKXyB6UdBTmabTNdImNWlF_71ZrZ7egfdj4GHsKIFlwiE9BQ5JLFP4XOZFxZeQF5BlcovN06Cx4Hm-zeZ_oeddtuf9GwBkQvAZmxWSy6TI5uzl3prY9uRw0B8UdWhwTR2ZIbJNhGYgp62LlBuVxoGiVq_xx9XmbXSafDii4ZWiNZmw0Ua97cc2bFmzz3YabD0dTLpgT1eXjxc38d3D9e3F2V2sUgFDLBSlFVYFCkiTtCLVrEQuq0zIvJGCclmjUhJAJqIpkNdU1CuQBKquVAUS-YKd_O72zr6P5Iey015R26IhO_oygBE8EzwE5W9QOeu9o6bsne7QfZUJlBum5QZXucEVSue8nJiG4uH0Yaw6qv9rE8TgH08-eoVt49Ao7f9jHAq5SnL-DX03gTA</recordid><startdate>199605</startdate><enddate>199605</enddate><creator>CASTELEYN, P.-P</creator><creator>HANDELBERG, F</creator><general>British Editorial Society of Bone and Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199605</creationdate><title>Non-operative management of anterior cruciate ligament injuries in the general population</title><author>CASTELEYN, P.-P ; HANDELBERG, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c250t-5ce2bab8a50212becf9576b4567f65e76dacc600615f8a3de8d906e0cdbcb06a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Braces - standards</topic><topic>Casts, Surgical - standards</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Survival Analysis</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Wounds and Injuries - classification</topic><topic>Wounds and Injuries - diagnosis</topic><topic>Wounds and Injuries - physiopathology</topic><topic>Wounds and Injuries - therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>CASTELEYN, P.-P</creatorcontrib><creatorcontrib>HANDELBERG, F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. 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| ispartof | Journal of bone and joint surgery. British volume, 1996-05, Vol.78 (3), p.446-451 |
| issn | 0301-620X 2044-5377 |
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| subjects | Activities of Daily Living Adolescent Adult Aged Anterior Cruciate Ligament Injuries Arthroscopy Biological and medical sciences Braces - standards Casts, Surgical - standards Female Follow-Up Studies Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Prognosis Survival Analysis Traumas. Diseases due to physical agents Treatment Outcome Wounds and Injuries - classification Wounds and Injuries - diagnosis Wounds and Injuries - physiopathology Wounds and Injuries - therapy |
| title | Non-operative management of anterior cruciate ligament injuries in the general population |
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