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

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedic Surgery, Martin Luther Hospital, Caspar Theyss Straße 27-31, 14193, Berlin, Grunewald, Germany

    Wolf Petersen, Pouria Taheri, Phillip Forkel & Thore Zantop

  2. Sporthopaedicum Straubing, Bahnhofsplatz 27, 94315, Straubing, Germany

    Wolf Petersen, Pouria Taheri, Phillip Forkel & Thore Zantop

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  1. Wolf Petersen
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  2. Pouria Taheri
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Correspondence to Wolf Petersen.

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Petersen, W., Taheri, P., Forkel, P. et al. Return to play following ACL reconstruction: a systematic review about strength deficits. Arch Orthop Trauma Surg 134, 1417–1428 (2014). https://doi.org/10.1007/s00402-014-1992-x

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