Tag Archives: Surgery

Injuries In Lacrosse: Medical Study Finds Almost 50% Of Athletes Who Undergo Isolated “Anterior Cruciate Ligament” (ACL) Reconstructive Surgery Do Not Return Play, Most Citing “Fear Of Re-Injury And Movement” As Primary Reason


“34-47% of individuals do not return to prior sports participation following unilateral, isolated anterior cruciate ligament reconstruction. This number maybe up to 70% for contact sports…”

 The group wanted to study whether fear of re-injury and or fear of movement was present, and a factor, in return to sport following anterior cruciate ligament reconstruction. They included individuals in their study who had isolated, unilateral anterior cruciate ligament reconstruction. Return to sport status was measured 1 year post-operatively. Roughly 100 participants were enrolled. They gave participants a questionnaire asking if they had returned to sport. If the answer was no, they gave a list of reasons including pain, weakness, lack of ROM, lack of clearance by MD, fear of re-injury/movement, and some other variables…

Findings

  • 49% of their cohort had not returned to sport 1 year post operatively
  • 50% of those that had not returned to sport cited fear as primary reason
  • Fear was the most commonly cited primary or secondary reason for not returning to sport

Clinical Factors Associated with Disability Following ACL Recon:

  • Knee Pain Intensity
  • Knee Flexion ROM Deficit
  • Quadriceps Weakness
  • Fear of Movement and Re-Injury

**Multiple studies have supported those findings**

Differences Between Individuals Who Return to Sport and Those Who do Not:

  • Knee Pain Intensity
  • Quadriceps Weakness
  • Fear
  • Self-Reported Disability

For more:  http://ptthinktank.com/2011/02/14/fear-of-re-injury-and-return-to-sport-following-acl-reconstruction/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+NPAThinkTank+%28PT+Think+Tank%29&utm_content=FaceBook

Injuries In Lacrosse: Medical Studies Reveal That Delaying ACL Reconstruction Surgery Beyond 12 Weeks Can Result In Up To An “11-Fold Increase In Meniscal And Cartilage Injuries”


 A 14 year review of ACL reconstructions presented by the authors at the 2009 AOSSM Annual Meeting revealed a 4 to 11-fold increase in meniscal and cartilage injuries with a greater than 12 week delay in ACL treatment.

The simulation found that in females in the U.S., delaying ACL reconstruction beyond 12 weeks resulted in 1,560 medial meniscal tears and 2,100 cartilage tears relative to early surgery each year. In males, delayed surgery resulted in 3,300 medial meniscal tears and 5,720 cartilage tears relative to early surgery.

Nearly $30 million a year would be saved in hospital charges if early rather than delayed ACL (anterior cruciate ligament) reconstruction surgery was performed on pediatric patients, according to a study presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting in Providence, Rhode Island. Additionally, more than 7,300 tears to the meniscus and 7,800 cartilage tears in children could be avoided each year in the U.S. by early ACL surgery.

For more:    http://www.physorg.com/news198571823.html