Partial tears of the anterior cruciate ligament. Progression to complete ligament deficiency
In a prospective seven-year study, we treated 32 patients with partial ruptures of the anterior cruciate ligament (ACL) verified by arthroscopy. Twelve knees (38%) progressed to complete ACL deficiency with positive pivot shift tests and increased anteroposterior translation on tests with the KT-100...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1989-11, Vol.71 (5), p.825-833 |
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| container_issue | 5 |
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| container_title | Journal of bone and joint surgery. British volume |
| container_volume | 71 |
| creator | Noyes, F R Mooar, L A Moorman, 3rd, C T McGinniss, G H |
| description | In a prospective seven-year study, we treated 32 patients with partial ruptures of the anterior cruciate ligament (ACL) verified by arthroscopy. Twelve knees (38%) progressed to complete ACL deficiency with positive pivot shift tests and increased anteroposterior translation on tests with the KT-1000 arthrometer. Patients with partial ACL tears frequently had limitation for strenuous sports, while those developing ACL deficiency had additional functional limitations involving recreational activities. Three factors were statistically significant in predicting which partial tears would develop complete ACL deficiency: the amount of ligament tearing--one-fourth tears infrequently progressed, one-half tears progressed in 50% and three-fourth tears in 86%; a subtle increase in initial anterior translation; and the occurrence of a subsequent re-injury with giving-way. |
| doi_str_mv | 10.1302/0301-620x.71b5.2584255 |
| format | Article |
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Three factors were statistically significant in predicting which partial tears would develop complete ACL deficiency: the amount of ligament tearing--one-fourth tears infrequently progressed, one-half tears progressed in 50% and three-fourth tears in 86%; a subtle increase in initial anterior translation; and the occurrence of a subsequent re-injury with giving-way.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620x.71b5.2584255</identifier><identifier>PMID: 2584255</identifier><language>eng</language><publisher>England</publisher><subject>Acute Disease ; Adolescent ; Adult ; Arthroscopy ; Athletic Injuries - diagnosis ; Athletic Injuries - physiopathology ; Athletic Injuries - rehabilitation ; Baseball ; Basketball ; Female ; Follow-Up Studies ; Football ; Humans ; Knee Injuries - diagnosis ; Knee Injuries - physiopathology ; Knee Injuries - rehabilitation ; Ligaments, Articular - injuries ; Ligaments, Articular - physiopathology ; Male ; Prognosis ; Rupture</subject><ispartof>Journal of bone and joint surgery. 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British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>In a prospective seven-year study, we treated 32 patients with partial ruptures of the anterior cruciate ligament (ACL) verified by arthroscopy. Twelve knees (38%) progressed to complete ACL deficiency with positive pivot shift tests and increased anteroposterior translation on tests with the KT-1000 arthrometer. Patients with partial ACL tears frequently had limitation for strenuous sports, while those developing ACL deficiency had additional functional limitations involving recreational activities. Three factors were statistically significant in predicting which partial tears would develop complete ACL deficiency: the amount of ligament tearing--one-fourth tears infrequently progressed, one-half tears progressed in 50% and three-fourth tears in 86%; a subtle increase in initial anterior translation; and the occurrence of a subsequent re-injury with giving-way.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Arthroscopy</subject><subject>Athletic Injuries - diagnosis</subject><subject>Athletic Injuries - physiopathology</subject><subject>Athletic Injuries - rehabilitation</subject><subject>Baseball</subject><subject>Basketball</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Football</subject><subject>Humans</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Injuries - physiopathology</subject><subject>Knee Injuries - rehabilitation</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - physiopathology</subject><subject>Male</subject><subject>Prognosis</subject><subject>Rupture</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LAzEURYMotVZ_gpKVu6mZZDKZWWrxCwp2oeBCCEnmpUZmJjVJwf57WzoVV29xz70PDkJXOZnmjNAbwkielZT8TEWu-ZTyqqCcH6ExJUWRcSbEMRofoPdTdBbjFyGk4JyN0GjAx-hjoUJyqsUJVIjYW5w-Aas-QXA-YBPWxqkEuHVL1UGfpngR_DJAjM73OHlsfLdq4R-BG7DOOOjN5hydWNVGuBjuBL093L_OnrL5y-Pz7HaemYKSlJlGKwOqqjVpGCiVAwHDiC5omYNqWG0pFaa2IBqgFkqrwepSaC4qJQpt2ARd73dXwX-vISbZuWigbVUPfh2lqBkr6rraguUeNMHHGMDKVXCdChuZE7nTKnfG5M6YFPkdl4OnbfFy-LDWHTR_tUP-C9kHdsg</recordid><startdate>19891101</startdate><enddate>19891101</enddate><creator>Noyes, F R</creator><creator>Mooar, L A</creator><creator>Moorman, 3rd, C T</creator><creator>McGinniss, G H</creator><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>19891101</creationdate><title>Partial tears of the anterior cruciate ligament. 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| ispartof | Journal of bone and joint surgery. British volume, 1989-11, Vol.71 (5), p.825-833 |
| issn | 0301-620X 2044-5377 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Acute Disease Adolescent Adult Arthroscopy Athletic Injuries - diagnosis Athletic Injuries - physiopathology Athletic Injuries - rehabilitation Baseball Basketball Female Follow-Up Studies Football Humans Knee Injuries - diagnosis Knee Injuries - physiopathology Knee Injuries - rehabilitation Ligaments, Articular - injuries Ligaments, Articular - physiopathology Male Prognosis Rupture |
| title | Partial tears of the anterior cruciate ligament. Progression to complete ligament deficiency |
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