Editorial Commentary: Anterior Cruciate Ligament Injury and Our National Pastime

Ciccotti, Michael G.

doi:10.1016/j.arthro.2016.06.041

Cited by 1 publication

(1 citation statement)

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“…ACLR has become the gold standard treatment for ACL tears in athletes who wish to return to sport at a high level. 8,13 The RTS rate in this study was 80%, which is consistent with a prior study by Mai et al 24 that reported an RTS rate of 80% for MLB players undergoing ACLR. The study by Mai et al reported an RTS rate of 95.8% in National Hockey League (NHL), 82.4% in National Basketball Association (NBA), and 85.5% in National Football League (NFL) athletes after ACLR.…”

Section: Discussionsupporting

confidence: 91%

Performance and Return to Sport After Anterior Cruciate Ligament Reconstruction in Professional Baseball Players

Erickson

Chalmers

D’Angelo

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for ACL tears to allow baseball players to return to sport (RTS). The optimal graft type and femoral tunnel drilling technique are currently unknown.Hypothesis:There is a high rate of RTS in professional baseball players after ACLR, with no significant difference in RTS rates or performance between cases and controls or between graft types or femoral drilling techniques.Study Design:Cohort study; Level of evidence, 3.Methods:All professional baseball players who underwent ACLR between 2010 and 2015 were included. Demographic and performance data (pre- and postoperative) for each player were recorded. Performance metrics were then compared between cases and matched controls.Results:A total of 124 players (mean age, 23.7 ± 4.1 years; 83% minor league players) underwent ACLR. Of these, 80% returned to sport (73% to the same or higher level) at a mean 310 ± 109 days overall and 333 ± 126 days at the same or higher level. The most common graft type was an ipsilateral bone–patellar tendon–bone (BTB) autograft (n = 87; 70%). A total of 91 players underwent concomitant meniscal debridement or repair. No significant difference in any of the primary performance metrics existed from before to after ACLR. Compared with matched controls, no significant difference existed in RTS rates or any performance metrics after ACLR. No significant difference existed in RTS rates or primary performance outcome measures between graft types or femoral drilling techniques.Conclusion:The RTS rate for professional baseball players after ACLR was 80%. No significant difference in performance metrics existed between BTB and hamstring autografts or between femoral drilling techniques. Furthermore, no significant difference in performance or RTS rates existed between cases and matched controls. Femoral drilling technique and graft type did not affect performance and RTS rates in professional baseball players after ACLR.

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Section: Discussionsupporting

confidence: 91%