Successful return to sports in athletes following non-operative management of acute isolated posterior cruciate ligament injuries: medium-term follow-up
| Autor: | D. Agolley, H. Benjamin-Laing, A. Gabr, F. S. Haddad |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Knee Injuries Medium term Return to sport 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study 030222 orthopedics Rehabilitation Trauma Severity Indices biology Athletes business.industry Treatment regimen 030229 sport sciences Recovery of Function biology.organism_classification Surgery Return to Sport medicine.anatomical_structure Treatment Outcome Tegner Activity Score Posterior cruciate ligament Acute Disease Athletic Injuries Physical therapy Female Posterior Cruciate Ligament business Follow-Up Studies |
| Zdroj: | The bonejoint journal. (6) |
| ISSN: | 2049-4408 |
| Popis: | Aims The aim of this study was to report the outcome of the non-operative treatment of high-grade posterior cruciate ligament (PCL) injuries, particularly Hughston grade III injuries, which have not previously been described. Patients and Methods This was a prospective study involving 46 consecutive patients who were athletes with MRI-confirmed isolated PCL injuries presenting within four weeks of injury. All had Hughston grade II (25 athletes) or III (21 athletes) injuries. Our non-operative treatment regimen involved initial bracing, followed by an individualised rehabilitation programme determined by the symptoms and physical signs. The patients were reviewed until they had returned to sports-specific training, and were reviewed again at a mean of 5.2 years (3 to 9). Results The mean time to return to sports-specific training was 10.6 weeks and the mean time to return to full competitive sport was 16.4 weeks (10 to 40). A total of 42 patients (91.3%) were playing at the same or higher level of sport two years after the injury, with a mean Tegner activity score of 9 (5 to 10). At five years, 32 patients (69.5%) were playing at the same or higher level of sport, and 38 patients (82.6%) were playing at a competitive level, with a mean Tegner activity score of 9 (5 to 10). Conclusions Medium-term review of a series of athletes suggests that commencing the non-operative management of isolated, Hughston grade II and III PCL injuries within four weeks of injury gives excellent functional outcomes with a high proportion returning to the same or higher level of sport. Cite this article: Bone Joint J 2017;99-B:774–8. |
| Databáze: | OpenAIRE |
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