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Archives of Orthopaedic and Trauma Surgery

, Volume 134, Issue 10, pp 1417–1428 | Cite as

Return to play following ACL reconstruction: a systematic review about strength deficits

  • Wolf PetersenEmail author
  • Pouria Taheri
  • Phillip Forkel
  • Thore Zantop
Arthroscopy and Sports Medicine

Abstract

Purpose

There is a lack of consensus regarding appropriate criteria attesting patients’ unrestricted sports activities after ACL reconstruction. Purpose of this study was to perform a systematic review about strength deficits to find out if a strength test might be a return to play criterion.

Data source

Pubmed central, Google Scholar.

Study eligibility criteria

English language articles.

Interventions

Strength tests after ACL reconstruction with autologous tendon grafts.

Methods

A systematic search for articles about muscle strength after ACL reconstruction was performed.

Results

Forty-five articles could be identified. All articles identified reported strength deficits after ACL reconstruction in comparison to control subjects. Some of these deficits persisted up to 5 years after surgery. Knee flexor strength is more impaired after ACL reconstruction with hamstring grafts and quadriceps strength after BPTB ACL reconstruction.

Conclusion

Strength deficits of hip, knee and ankle muscles are reported after ACL reconstruction. Muscular strength test may be an important tool to determine if an athlete can return to competitive sports after ACL reconstruction.

Keywords

Sports ACL rupture Hip Hamstrings Quadriceps Isokinetics 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Wolf Petersen
    • 1
    • 2
    Email author
  • Pouria Taheri
    • 1
    • 2
  • Phillip Forkel
    • 1
    • 2
  • Thore Zantop
    • 1
    • 2
  1. 1.Department of Trauma and Orthopaedic SurgeryMartin Luther HospitalBerlinGermany
  2. 2.Sporthopaedicum StraubingStraubingGermany

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