Posterolateral Corner Injuries of the Knee at the National Football League Combine: An Imaging and Outcomes Analysis

Chahla, Jorge; Kennedy, Nicholas I.; Cinque, Mark E.; Sánchez, George; Logan, Catherine; Vopat, Bryan G.; Beaulieu‐Jones, Brendin R.; Price, Mark D.; Whalen, Jim; LaPrade, Robert F.; Provencher, Matthew T.

doi:10.1016/j.arthro.2017.08.303

Cited by 7 publications

(10 citation statements)

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“…Of the 32 studies, 30 were injury specific. There were 2 studies on cervical spine injuries, 30 , 35 5 on foot injuries, 7 , 23 , 25 , 37 , 38 1 on hand injuries, 26 4 on hip/groin injuries, 14 , 17 , 18 , 33 9 on knee injuries, 2 , 8 , 9 , 13 , 21 , 22 , 24 , 31 , 32 3 on lumbar spine injuries, 27 , 29 , 34 and 6 on shoulder injuries. 10 , 11 , 15 , 16 , 19 , 28 No studies specifically examined injuries of the ankle, elbow, or long bones.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies that measured participation or performance analyzed data within only the first 1 or 2 NFL years after the combine. 1 , 8 , 9 , 22 , 25 , 28 , 31 , 32 , 38 Analysis of outcomes within the first 4 to 5 years, which is the length of the typical rookie contract, may be more valuable from an administrative perspective. The impact of injuries within an anatomic region may not be mutually exclusive to the same region; for instance, limited hip rotation and femoroacetabular impingement have been linked to risk of ACL injury.…”

Section: Discussionmentioning

confidence: 99%

“… 1 , 4 – 6 In recent years, Provencher and colleagues have published several studies with NFL Combine data collected from 2009 to 2015, analyzing the association between specific prior injuries and outcomes in the NFL (draft position, games played, and games started during the first 2 NFL seasons). 1 , 8 , 9 , 22 , 25 , 28 , 31 , 32 , 38 These studies enable team management, scouts, coaches, physicians, and athletic trainers to better understand the impact of a given injury on a player’s participation in the NFL. More important, even beyond the NFL, such information may (1) help athletes and medical professionals better understand the ability to return to sport at a high level, (2) guide treatment options, and (3) set appropriate expectations for both parties.…”

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confidence: 99%

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Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review

Wang

Weiss

Abrams

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Prior to the annual National Football League (NFL) Draft, the top college football prospects are evaluated by medical personnel from each team at the NFL Scouting Combine. On the basis of these evaluations, each athlete is assigned an orthopaedic grade from the medical staff of each club, which aims to predict the impact of an athlete’s injury history on his ability to participate in the NFL.Purpose:(1) To identify clinical predictors of signs, symptoms, and subsequent professional participation associated with football-related injuries identified at the NFL Combine and (2) to assess the methodological quality of the evidence currently published.Study Design:Systematic review; Level of evidence, 3.Methods:A systematic review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We reviewed all studies that examined musculoskeletal injuries identified among athletes at the NFL Combine and associated outcomes. Data on signs, symptoms, and subsequent NFL participation were collected, and the methodological quality of the studies was assessed.Results:Overall, 32 studies, including 30 injury-specific studies, met the inclusion criteria. Twenty studies analyzed data collected at the NFL Combine from 2009 and later. When compared with matched controls, athletes with a history of a cervical or lumbar spine injury, rotator cuff repair, superior labrum anterior-posterior repair, anterior cruciate ligament reconstruction, full-thickness chondral lesions of the knee, or Lisfranc injury played in significantly fewer games early in their NFL careers. Additionally, athletes with a history of a cervical or lumbar spine injury, rotator cuff repair, and navicular injury had decreased career lengths versus controls. Defensive players and linemen were found to have decreased participation in the NFL for several injuries, including prior meniscectomy, anterior cruciate ligament reconstruction, and shoulder instability. Career length follow-up, measures of athletic participation, and matching criteria were highly variable among studies.Conclusion:For medical professionals caring for professional football athletes, this information can help guide orthopaedic grading of prospects at the NFL Combine and counseling of athletes on the potential impact of prior injuries on their professional careers. For future studies, improvements in study methodology will provide greater insight into the efficacy of current treatments and areas that require further understanding.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review

Wang

Weiss

Abrams

et al. 2018

Orthopaedic Journal of Sports Medicine

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“…W e read with interest the Level IV study by Chahla, Kennedy, Cinque, Sanchez, Logan, Vopat, Beaulieu-Jones, Price, Whalen, LaPrade, and Provencher titled "Posterolateral Corner Injuries of the Knee at the National Football League Combine: An Imaging and Outcome Analysis." 1 It is important to recognize that performing studies in professional athletes can be a double-edged sword. On the one hand, they capture our immediate attention because of the high visibility of these athletes; but, on the other hand, how translatable are these results to the less-elite athletes that 99% of us care for?…”

Section: See Related Article On Page 687mentioning

confidence: 99%

“…Many teams have several orthopaedic surgeons who perform the clinical examinations. Second, as alluded to in the paper's Introduction, 1 examination of the posterolateral corner is challenging and highly variable, even in experts' hands. For example, if we (W.R.L., C.D.H.)…”

Section: See Related Article On Page 687mentioning

confidence: 99%

Editorial Commentary: Posterolateral Corner Injuries in Elite Athletes Remain a Challenging Diagnostic Problem

Harner

Lowe

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Ligament augmentation and reconstruction system (LARS) synthetic grafts are safe and effective for medial collateral ligament and posterolateral corner reconstructions in elite athletes

Jones,

Pinheiro,

Church

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThis study documents the efficacy and safety of using a Ligament Augmentation and Reconstruction System (LARS) ligament graft to augment extra‐articular knee ligament reconstructions in elite athletes by reporting return‐to‐play (RTP) rates and levels, career longevity and complications.MethodsA consecutive series of all extra‐articular knee ligament reconstructions augmented by LARS ligaments in elite athletes undertaken by three specialist sports knee surgeons between 2013 and 2020 were reviewed. Seventy‐six elite athletes, aged over 16 years old, and more than 2 years postsurgery were included. RTP was defined as competing at professional level or national/international level in amateur sport.ResultsThere were 64 medial collateral ligament (MCL) and 12 posterolateral corner (PLC) reconstructions. Fifty‐two (68.4%) underwent concomitant autograft cruciate ligament(s) reconstruction. The mean age was 25.1 years (SD ± 4.5). Most were football (35, 46.1%) or rugby players (35, 46.1%). Sixty‐seven athletes (88.2%) RTP with 65 (97.0%) of these playing at the same or higher Tegner level. Fifty‐six (83.6%) of the athletes that RTP were still playing at 2 years postsurgery. Twenty (57.1%) of those who had RTP and were more than 5 years postsurgery were still playing at 5 years. Six (7.9%) players required further surgery relating to the LARS/metalwork. One case had soft tissue inflammation adjacent to the proximal end of the synthetic graft, but it is unknown if this was mechanical irritation or a biological reaction. One MCL reruptured 4 years after RTP.ConclusionUtilising LARS to augment extra‐articular knee ligament reconstructions allows 88.2% of athletes with a variety of knee ligament injuries to return to elite sport. The low morbidity rates coupled with 57% of athletes still playing 5 years postsurgery demonstrates that the LARS is safe and effective in these cases. Although there are reports of LARS ligaments being used in MCL and PLC reconstructions, there is very little evidence investigating if they are safe and effective. This study demonstrates that LARS synthetic grafts can be safely used for MCL and PLC reconstructions in elite athletes and they permit a high RTP with a low risk of complications.Level of EvidenceLevel IV.

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Posterolateral Corner Injuries of the Knee at the National Football League Combine: An Imaging and Outcomes Analysis

Cited by 7 publications

References 6 publications

Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review

Athletes With Musculoskeletal Injuries Identified at the NFL Scouting Combine and Prediction of Outcomes in the NFL: A Systematic Review

Editorial Commentary: Posterolateral Corner Injuries in Elite Athletes Remain a Challenging Diagnostic Problem

Ligament augmentation and reconstruction system (LARS) synthetic grafts are safe and effective for medial collateral ligament and posterolateral corner reconstructions in elite athletes

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