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Knee Surgery, Sports Traumatology, Arthroscopy

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01-08-2020 | KNEE

Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group

Authors: Sean J. Meredith, Thomas Rauer, Terese L. Chmielewski, Christian Fink, Theresa Diermeier, Benjamin B. Rothrauff, Eleonor Svantesson, Eric Hamrin Senorski, Timothy E. Hewett, Seth L. Sherman, Bryson P. Lesniak, The Panther Symposium ACL Injury Return to Sport Consensus Group

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2020

Abstract

Purpose

A precise and consistent definition of return to sport (RTS) after anterior cruciate ligament (ACL) injury is lacking, and there is controversy surrounding the process of returning patients to sports and their previous activity level. The aim of the Panther Symposium ACL Injury RTS Consensus Group was to provide a clear definition of RTS and description of the RTS continuum, as well as to provide clinical guidance on RTS testing and decision-making.

Methods

An international, multidisciplinary group of ACL experts convened as part of a consensus meeting. Consensus statements were developed using a modified Delphi method. Literature review was performed to report the supporting evidence.

Results

Key points include that RTS is characterized by achievement of the pre-injury level of sport and involves a criteria-based progression from return to participation to return to sport, and ultimately return to performance. Purely time-based RTS decision-making should be abandoned. Progression occurs along a RTS continuum with decision-making by a multidisciplinary group that incorporates objective physical examination data and validated and peer-reviewed RTS tests, which should involve functional assessment as well as psychological readiness. Consideration should be given to biological healing, contextual factors and concomitant injuries.

Conclusion

The resultant consensus statements and scientific rationale aim to inform the reader of the complex process of RTS after ACL injury that occurs along a dynamic continuum. Research is needed to determine the ideal RTS test battery, the best implementation of psychological readiness testing and methods for the biologic assessment of healing and recovery.

Level of evidence

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Title: Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group
Authors: Sean J. Meredith
Thomas Rauer
Terese L. Chmielewski
Christian Fink
Theresa Diermeier
Benjamin B. Rothrauff
Eleonor Svantesson
Eric Hamrin Senorski
Timothy E. Hewett
Seth L. Sherman
Bryson P. Lesniak
The Panther Symposium ACL Injury Return to Sport Consensus Group
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-020-06009-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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