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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2014

01-01-2014 | Knee

Influence of hip restriction on noncontact ACL rerupture

Authors: João L. Ellera Gomes, Humberto M. Palma, Roberto Ruthner

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2014

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Abstract

Purpose

This study investigated variables associated with hip restriction (reduced range of motion) in a group of soccer players presenting with noncontact rerupture of the anterior cruciate ligament (ACL) and compared results with a group of sport-matched healthy professional athletes.

Methods

In this case series, 28 male soccer players with noncontact ACL rerupture were examined for clinical hip range of motion findings potentially associated with ACL rerupture, namely anterior knee displacement, internal–external hip rotation, and cruciate ligament insufficiency. Results were compared with data obtained from 27 healthy professional players. Patients presenting gross surgical errors (e.g. poorly positioned tunnel) or reporting major accidents affecting the lower limbs, such as leg or ankle fractures, were excluded from analysis. Internal–external rotation was measured in the supine position, with knee and hip at 90° of flexion. ACL insufficiency was assessed using the Pivot Shift test and the Lachman’s test with the aid of a Rolimeter RM® arthrometer and confirmed by magnetic resonance imaging.

Results

The most prevalent finding was a significantly lower mean internal–external hip rotation in the rerupture group (45.0°) when compared with healthy professional soccer players (56.2°).

Conclusion

Assessing hip restriction in patients presenting noncontact ACL rerupture showed to be extremely important during ACL reconstruction planning.

Level of evidence

IV.
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Metadata
Title
Influence of hip restriction on noncontact ACL rerupture
Authors
João L. Ellera Gomes
Humberto M. Palma
Roberto Ruthner
Publication date
01-01-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2348-0

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