Nonoperative management of ACL rupture

Lynn Snyder-Mackler, Amelia Arundale, Mathew Failla, Elizabeth A Wellsandt, Hege Grindem, Margherita Ricci, Stefano Della Villa, May Arna Risberg

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Anterior cruciate ligament (ACL) reconstruction is common after ACL injury, particularly in young, active individuals. ACL reconstruction does not have universally good outcomes. Not all athletes will return to sport after ACL reconstruction (ACLR), and after reconstruction these individuals are at a high risk for second ACL injury and osteoarthritis. The best evidence suggests that ACLR is not necessary for everyone. This chapter will discuss the management of athletes after acute ACL rupture. Long- and short-term outcomes of operative and nonoperative management as well as determinants of success will be discussed. Athletes can return to their prior levels of sports without ACL reconstruction with progressive rehabilitation after ACL rupture. With recent evidence that outcomes after operative and nonoperative ACL injury management do not necessarily favor surgery, the authors recommend that athletes undergo a progressive physical therapy regimen that includes strengthening and neuromuscular training after ACL injury prior to the decision to undergo ACLR. If nonoperative management is elected as progressive, a criterion-based rehabilitation program culminating in a structured return to activity progression and battery of tests to determine readiness for return to sports should be employed.

Original languageEnglish (US)
Title of host publicationControversies in the Technical Aspects of ACL Reconstruction
Subtitle of host publicationAn Evidence-Based Medicine Approach
PublisherSpringer Berlin Heidelberg
Pages491-498
Number of pages8
ISBN (Electronic)9783662527429
ISBN (Print)9783662527405
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

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Anterior Cruciate Ligament Reconstruction
Anterior Cruciate Ligament
Athletes
Rupture
Rehabilitation
Osteoarthritis
Sports
Anterior Cruciate Ligament Injuries
Return to Sport
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Snyder-Mackler, L., Arundale, A., Failla, M., Wellsandt, E. A., Grindem, H., Ricci, M., ... Risberg, M. A. (2017). Nonoperative management of ACL rupture. In Controversies in the Technical Aspects of ACL Reconstruction: An Evidence-Based Medicine Approach (pp. 491-498). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-662-52742-9_45

Nonoperative management of ACL rupture. / Snyder-Mackler, Lynn; Arundale, Amelia; Failla, Mathew; Wellsandt, Elizabeth A; Grindem, Hege; Ricci, Margherita; Villa, Stefano Della; Risberg, May Arna.

Controversies in the Technical Aspects of ACL Reconstruction: An Evidence-Based Medicine Approach. Springer Berlin Heidelberg, 2017. p. 491-498.

Research output: Chapter in Book/Report/Conference proceedingChapter

Snyder-Mackler, L, Arundale, A, Failla, M, Wellsandt, EA, Grindem, H, Ricci, M, Villa, SD & Risberg, MA 2017, Nonoperative management of ACL rupture. in Controversies in the Technical Aspects of ACL Reconstruction: An Evidence-Based Medicine Approach. Springer Berlin Heidelberg, pp. 491-498. https://doi.org/10.1007/978-3-662-52742-9_45
Snyder-Mackler L, Arundale A, Failla M, Wellsandt EA, Grindem H, Ricci M et al. Nonoperative management of ACL rupture. In Controversies in the Technical Aspects of ACL Reconstruction: An Evidence-Based Medicine Approach. Springer Berlin Heidelberg. 2017. p. 491-498 https://doi.org/10.1007/978-3-662-52742-9_45
Snyder-Mackler, Lynn ; Arundale, Amelia ; Failla, Mathew ; Wellsandt, Elizabeth A ; Grindem, Hege ; Ricci, Margherita ; Villa, Stefano Della ; Risberg, May Arna. / Nonoperative management of ACL rupture. Controversies in the Technical Aspects of ACL Reconstruction: An Evidence-Based Medicine Approach. Springer Berlin Heidelberg, 2017. pp. 491-498
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