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  • Mick Hughes

ACL Infographic

This year I completed my Masters of Sports Physiotherapy degree through La Trobe University and on top of a written assignment and producing a 30min video presentation, a requirement of our last subject (WEBINARS in SPORTS PHYSIOTHERAPY - a fantastic and contemporary subject by the way) was to put together an infographic on the topic we were researching. Our group covered ACL injury and we put together a patient-friendly infographic (seen in this post) and a clinician version. Many thanks to my colleagues Jo Stannard, Con Boulionis, Zeb Kenny and Brett Buist for all your efforts in helping put this wonderful, evidence-based resource together!


CLINICIAN version (Page 1)

CLINICIAN version (Page 2)

We all hope you enjoy what we have put together and find it informative! 

Infographic Reference List 1. Duthon, V., Barea, C., Abrassart, S., Fasel, J., Fritschy, D., Ménétrey, J., Duthon, V., Fasel, J., & Ménétrey, J. (2006). Anatomy Of The Anterior Cruciate Ligament. Knee Surgery, Sports Traumatology, Arthroscopy, 14(3), 204-213. doi:10.1007/s00167-005-0679-9

2. Ardern, C., Ekås, G., Grindem, H., Moksnes, H., Anderson, A., Chotel, F., Cohen, M., Forssblad, M., Ganley, T., Feller, J., Karlsson, J., Kocher, M., LaPrade, R., McNamee, M., Mandelbaum, B., Micheli, L., Mohtadi, N., Reider, B., Roe, J., Seil, R., Siebold, R., Silvers-Granelli, H., Soligard, T., Witvrouw, E., & Engebretsen, L. (2018). 2018 International Olympic Committee Consensus Statement On Prevention, Diagnosis And Management Of Paediatric Anterior Cruciate Ligament (ACL) Injuries. Knee Surgery, Sports Traumatology, Arthroscopy, 26(4), 989-1010. doi:10.1007/s00167-018-4865-y

3. Montalvo, A., Schneider, D., Yut, L., Webster, K., Beynnon, B., Kocher, M., & Myer, G. (2018). "What's My Risk Of Sustaining An ACL Injury While Playing Sports?" A Systematic Review With Meta-Analysis. British Journal of Sports Medicine(0), 1-8. doi:10.1136/bjsports-2016-096274

4. Montalvo, A., Schneider, D., Webster, K., Yut, L., Galloway, M., Heidt, R., Kaeding, C., Kremcheck, T., Magnussen, R., Parikh, S., Stanfield, D., Wall, E., & Myer, G. (2019). Anterior Cruciate Ligament Injury Risk In Sport: A Systematic Review And Meta-Analysis Of Injury Incidence By Sex And Sport Classification. Journal of Athletic Training, 54(5), 472-482. doi:10.4085/1062-6050-407-16

5. Cochrane, J., Lloyd, D., Buttfield, A., Seward, H., & McGivern, J. (2007). Characteristics Of Anterior Cruciate Ligament Injuries In Australian Football. Journal of Science and Medicine in Sport, 10(2), 96-104. doi:10.1016/j.jsams.2006.05.015

6. Stuelcken, M., Mellifont, D., Gorman, A., & Sayers, M. (2016). Mechanisms Of Anterior Cruciate Ligament Injuries In Elite Women's Netball: A Systematic Video Analysis. Journal of Sports Sciences, 34(16), 1516-1522. doi:10.1080/02640414.2015.1121285

7. Walden, M., Krosshaug, T., Bjorneboe, J., Andersen, T., Faul, O., & Hagglund, M. (2015). Three Distinct Mechanisms Predominate In Non-Contact Anterior Cruciate Ligament Injuries In Male Professional Football Players: A Systematic Video Analysis Of 39 Cases. British Journal of Sports Medicine, 49(22), 1452-1460. doi:10.1136/bjsports-2014-094573

8. Cimino, F., Volk, B.S., Setter, D. (2010). Anterior Cruciate Ligament Injury: Diagnosis, Management, and Prevention. American Family Physician, 82(8), 917-922.

9. Van Eck, C.F., can den Bekerom, M.P., Fu, F.H., Poolman, R.W., & Kerkhoofs, G.M. (2013). Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia. Knee Surgery, Sports Traumatology, Arthroscopy, 21, 1895-1903.

10. Ng, W.H., Griffith, J.F., Hung, E.H., Paunipagar, B., Law, B.K., & Yung, P.S. (2011). Imaging of the anterior cruciate ligament. World Journal of Orthopedics, 2(8), 75-84

11. Frobell, R. B., Roos, H. P., Roos, E. M., Roemer, F. W., Ranstam, J., & Lohmander, L. S. (2013). Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. Bmj, 346, f232. doi:10.1136/bmj.f232

12. Eitzen, I., Moksnes, H., Snyder-Mackler, L., & Risberg, M. A. (2010). A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther, 40(11), 705-721. doi:10.2519/jospt.2010.3345

13. Failla, M. J., Logerstedt, D. S., Grindem, H., Axe, M. J., Risberg M. A., Engebretsen, L., . . . Snyder-Mackler, L. (2016). Does Extended Preoperative Rehabilitation Influence Outcomes 2 Years After ACL Reconstruction? A Comparative Effectiveness Study Between the MOON and Delaware-Oslo ACL Cohorts. Am J Sports Med, 44(10), 2608-2614. doi:10.1177/0363546516652594

14. Thoma, L. M., Grindem, H., Logerstedt, D., Axe, M., Engebretsen, L., Risberg, M. A., & Snyder-Mackler, L. (2019). Coper Classification Early After Anterior Cruciate Ligament Rupture Changes With Progressive Neuromuscular and Strength Training and Is Associated With 2-Year Success: The Delaware-Oslo ACL Cohort Study. Am J Sports Med, 47(4), 807-814. doi:10.1177/0363546519825500

15. Van Grinsven, Van Cingel, Holla, & Van Loon. (2010). Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 18(8), 1128-44.

16. Adams, D., Logerstedt, D., Hunter-Giordano, A., Axe, M. J., & Snyder-Mackler, L. (2012). Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. journal of orthopaedic & sports physical therapy, 42(7), 601-614.

17. Myer, G. D., Paterno, M. V., Ford, K. R., Quatman, C. E., & Hewett, T. E. (2006). Rehabilitation after anterior cruciate ligament reconstruction: criteria-based progression through the return-to-sport phase. Journal of Orthopaedic & Sports Physical Therapy, 36(6), 385-402.

18. Rambaud, A., Ardern, C., Thoreux, P., Regnaux, J., & Edouard, P. (2018). Criteria for return to running after anterior cruciate ligament reconstruction: A scoping review. British Journal of Sports Medicine, 52(22), 1437-1444.

19. Van Melick, N., Van Cingel, R., Brooijmans, F., Neeter, C., Van Tienen, T., Hullegie, W., & Nijhuis-van Der Sanden, M. (2016). Evidence-based clinical practice update: Practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. British Journal of Sports Medicine, 50(24), 1506-1515.

20. Losciale, J. M., Zdeb, R. M., Ledbetter, L., Reiman, M. P., & Sell, T. C. (2019). The Association Between Passing Return-to-Sport Criteria and Second Anterior Cruciate Ligament Injury Risk: A Systematic Review With Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 49(2), 43–54.

21. Feller, J. A., & Webster, K. E. (2019). Where are we with return-to-sport testing following ACL reconstruction? Orthopaedics & Traumatology, Surgery & Research : OTSR, 1–2.

22. McPherson, A. L., Feller, J. A., Hewett, T.E., & Webster, K. E. (2019a). Psychological Readiness to Return to Sport Is Associated With Second Anterior Cruciate Ligament Injuries. The American Journal of Sports Medicine, 47(4), 857–862.

23. Grindem, H., Snyder-Mackler, L., Moksnes, H.,Engebretsen, L., & Risberg, M. A. (2016). Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. British Journal of Sports Medicine, 50(13), 804–808.

24. Kyritsis, P., Bahr, R., Landreau, P., Miladi, R., & Witvrouw, E. (2016). Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. British Journal of Sports Medicine, 50(15), bjsports–2015–095908–951.

25. Czuppon, S., Racette, B. A., Klein, S. E., & Harris-Hayes, M. (2014). Variables associated with return to sport following anterior cruciate ligament reconstruction: a systematic review. British Journal of Sports Medicine, 48(5), 356–364.

26. Ardern, C. L., Webster, K. E., Taylor, N. F., & Feller, J. A. (2011). Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med, 45(7), 596-606. doi:10.1136/bjsm.2010.076364

27. Lai, C. C. H., Ardern, C. L., Feller, J. A., & Webster, K. E. (2018). Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. Br J Sports Med, 52(2), 128-138. doi:10.1136/bjsports-2016-096836

28. Webster, K. E., & Feller, J. A. (2016). Exploring the High Reinjury Rate in Younger Patients Undergoing Anterior Cruciate Ligament Reconstruction. Am J Sports Med, 44(11), 2827-2832. doi:10.1177/0363546516651845

29. Samuelsen, B. T., Webster, K. E., Johnson, N. R., Hewett, T. E., & Krych, A. J. (2017). Hamstring Autograft versus Patellar Tendon Autograft for ACL Reconstruction: Is There a Difference in Graft Failure Rate? A Meta-analysis of 47,613 Patients. Clin Orthop Relat Res, 475(10), 2459-2468. doi:10.1007/s11999-017-5278-9

30. Poulsen, E., Goncalves, G. H., Bricca, A., Roos, E. M., Thorlund, J. B., & Juhl, C. B. (2019). Knee osteoarthritis risk is increased 4-6 fold after knee injury - a systematic review and meta-analysis. Br J Sports Med. doi:10.1136/bjsports-2018-100022

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