Performance Outcomes of Anterior Cruciate Ligament Reconstruction in the National Basketball Association

Busfield, Benjamin T.; Kharrazi, F. Daniel; Starkey, Chad; Lombardo, Stephen J.; Seegmiller, Jeff G.

doi:10.1016/j.arthro.2009.02.021

Cited by 141 publications

(177 citation statements)

References 9 publications

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“…Também há alguns estudos que avaliam o retorno ao esporte profissional, incluindo o futebol, após o tratamento cirúrgico da lesão do LCA 3,[6][7][8][9] . Porém encontramos apenas um estudo da incidência de retorno especificamente dos pacientes que praticam futebol amador, após reconstrução cirúrgica do LCA com terço central do tendão patelar 4 .…”

Section: Discussionunclassified

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

Santos

Sado²,

Neto

et al. 2014

Rev Bras Med Esporte

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RESUMOIntrodução: O futebol é um esporte muito praticado em nosso meio, ocasionando uma grande incidência de lesões do ligamento cruzado anterior (LCA) . Frequentemente há necessidade de tratamento cirúrgico para se permitir o retorno à sua prática, e cada vez mais são utilizados os tendões isquiotibiais como enxertos de escolha para a técnica cirúrgica. Existem poucos dados na literatura a respeito do retorno à prática do futebol em nível amador após esse tipo de tratamento. Objetivo: Avaliar o índice de retorno à prática do futebol entre atletas amadores submetidos à reconstrução do LCA , utilizando-se como enxerto os tendões semitendíneo e grácil. Métodos: Foram avaliados 97 pacientes submetidos à reconstrução do LCA com seguimento mínimo de 2 anos. A avaliação foi feita através da escala de Lysholm e do questionamento direto a respeito do retorno à prática de esportes, com ênfase ao retorno à prática do futebol amador. Resultados: 60,8% dos pacientes operados voltaram a jogar futebol. Entre aqueles que não voltaram a praticar futebol, 9,3% continuaram a prática de outros esportes, sem que este fato estivesse relacionado com a lesão do joelho e 11,4% pararam de praticar esportes, relacionando o abandono da prática diretamente a sintomas no joelho operado. Um grande número (18,5%) de pacientes informou que não retornou ao futebol devido a variadas causas relacionadas a fatores psicológicos tais como: perda de motivação, medo de uma nova lesão e mudança de estilo de vida. Conclusão: É alto o índice de pacientes que não retornam à prática do futebol após o tratamento cirúrgico por motivos psicológicos. Portanto, existe a necessidade de mais estudos nesse campo a fim de selecionarmos melhor os pacientes e, assim, melhorarmos as indicações cirúrgicas e, consequentemente, os resultados do tratamento da lesão do LCA. Palavras

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Section: Discussionunclassified

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

Santos

Sado²,

Neto

et al. 2014

Rev Bras Med Esporte

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“…11 Modest RTP outcomes have been reported at the professional level, as well. Busfield et al 12 reported that 22% of athletes with ACLR in the National Basketball Association (NBA) did not return to a sanctioned NBA game after surgery, and of those who did return, 44% experienced a performance decrease. A study of running backs and wide receivers in the National Football League found that nearly 80% returned to competition after ACL injury, but player performance (measured by power ratings) was reduced by one-third.…”

Section: Resultsmentioning

confidence: 99%

Which Outcome Measures Should Be Used to Determine Readiness to Play After ACL Reconstruction?

Mueller

Bloomer²,

Durall³

2014

Journal of Sport Rehabilitation

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Clinical Scenario: Anterior cruciate ligament (ACL) injuries are associated with a lengthy recovery time, decreased performance, and an increased rate of reinjury. To improve performance of the injured knee, affected athletes often undergo surgical reconstruction and rehabilitation. Determining when an athlete is ready to safely return to play (RTP), however, can be challenging for clinicians. Although various outcome measures have been recommended, their ability to predict a safe RTP is questionable. Focused Clinical Question: Which outcome measures should be used to determine readiness to return to play after ACL reconstruction?Keywords: anterior cruciate ligament, knee surgery, rehabilitation CritiCally appraised topiCs Clinical ScenarioAnterior cruciate ligament (ACL) injuries are associated with a lengthy recovery time, decreased performance, and an increased rate of reinjury. To improve performance of the injured knee, affected athletes often undergo surgical reconstruction and rehabilitation. Determining when an athlete is ready to safely return to play (RTP), however, can be challenging for clinicians. Although various outcome measures have been recommended, their ability to predict a safe RTP is questionable. Focused Clinical QuestionWhich outcome measures should be used to determine readiness to return to play after ACL reconstruction?Summary of Search, "Best Evidence" Appraised, and Key Findings• The literature was searched for studies pertaining to the rate of reinjury after ACL reconstruction (ACLR) that included criteria used to determine RTP. • The search yielded 5 randomized controlled trials (RCTs) with data regarding reinjury rate and RTP criteria; however, none of these trials directly compared different RTP criteria.• The 5 reviewed studies suggest that multiple factors merit consideration in determining readiness to RTP, including postoperative healing time, the extent of effusion or pain, joint range of motion (ROM), and the magnitude of limb symmetry with single-leg-hop and/or isokinetic muscle testing.• An objective test and specific RTP criteria after ACLR that adequately predict a low risk of reinjury are yet to be determined. Clinical Bottom LineCurrently it is unknown if any tests or measures can accurately identify individuals at low risk of reinjury after ACLR. Authors of the reviewed studies used the following criteria to help determine readiness to RTP after ACLR: at least 6 months of rehabilitation, absence of knee effusion and pain, full knee active and passive ROM, ≥90% bilateral symmetry with single-leg hop, and quadriceps strength of 85% to 90% of the contralateral limb with isokinetic muscle testing. Until more definitive data are available regarding optimal tests for determining readiness to RTP after ACLR, the use of a battery of tests and measures to screen for residual deficits seems reasonable. Strength of Recommendation:The RTP criteria here were gleaned from RCTs that indirectly addressed the clinical question. Although these studies were high quality (level 1), the s...

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“…It has been previously utilized as a standardized outcome metric in similar studies. 1,3,16 As the variability in PER with regard to metacarpal fractures has not been investigated, we also reviewed the collected data to establish the PER means and variance for this injury as a reference for future studies. Descriptive statistics were performed to describe the 2 cohorts and their demographics.…”

Section: Methodsmentioning

confidence: 99%

“…This methodology has been validated in multiple studies. [1][2][3]9,13 Forty-two players with acute metacarpal fractures were initially identified. Players were included for analysis if they had played in at least 2 NBA seasons before and 2 NBA seasons after the index injury season.…”

Section: Methodsmentioning

confidence: 99%

Performance Outcomes After Metacarpal Fractures in National Basketball Association Players

Guss

Begly

Ramme

et al. 2016

Hand (New York, N,Y.)

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Background:The aim was to determine whether players in the National Basketball Association (NBA) who sustain metacarpal fractures demonstrate decreased performance upon return to competition when compared with their performance before injury and that of their control-matched peers. Methods: Data for 32 NBA players with metacarpal fractures incurred over 11 seasons (2002-2003 to 2012-2013) were obtained from injury reports, press releases, and player profiles (www.nba.com and www.basketballreference.com). Player age, body mass index (BMI), position, shooting hand, number of years in the league, and treatment (surgical vs nonsurgical) were recorded. Individual season statistics for the 2 seasons immediately prior to injury and the 2 seasons after injury, including player efficiency rating (PER), were obtained. Thirty-two controls matched by player position, age, and performance statistics were identified. A performance comparison of the cohorts was performed. Results: Mean age at the time of injury was 27 years with an average player BMI of 24. Players had a mean 5.6 seasons of NBA experience prior to injury. There was no significant change in PER when preinjury and postinjury performances were compared. Neither injury to their shooting hand nor operative management of the fracture led to a decrease in performance during the 2 seasons after injury. When compared with matched controls, no significant decline in performance in PER the first season and second season after injury was found. Conclusion: NBA players sustaining metacarpal fractures can reasonably expect to return to their preinjury performance levels following appropriate treatment.

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Performance Outcomes of Anterior Cruciate Ligament Reconstruction in the National Basketball Association

Cited by 141 publications

References 9 publications

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

Resultados da reconstrucao do ligamento cruzado anterior em atletas amadores de futebol

Which Outcome Measures Should Be Used to Determine Readiness to Play After ACL Reconstruction?

Performance Outcomes After Metacarpal Fractures in National Basketball Association Players

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