Predictors and effects of patellofemoral pain following hamstring-tendon ACL reconstruction

Culvenor, Adam G; Collins, Natalie J; Vicenzino, Bill; Cook, Jill; Whitehead, Timothy S.; Morris, Hayden G.; Crossley, Kay M

doi:10.1016/j.jsams.2015.07.008

Cited by 47 publications

(38 citation statements)

References 31 publications

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“…Evaluation of postoperative AKP severity and duration may allow more specific patterns, or even phenotypes, of pain characteristics to be identified. Although our results show that AKP is not a precursor to PFOA post-ACLR, post-surgical AKP should still be targeted during rehabilitation programs as AKP post-ACLR is a frequent problem and has a significant burden on physical performance and quality-of-life 4 .…”

Section: Discussionmentioning

confidence: 64%

“…AKP is one of the most common knee problems seen in sports injury clinics and is a well-established complication following ACLR 4 . Although many individuals with AKP have recurrent symptoms and are suspected to develop PFOA 2,3 , the results of this prospective study with >140 participants show that neither the presence nor persistence of AKP within the first 2-years post-ACLR was associated with increased risk of radiographic or symptomatic PFOA at 15e20 years post-surgery.…”

Section: Discussionmentioning

confidence: 99%

“…AKP and PFOA are particularly common and troublesome complications in young adults after anterior cruciate ligament reconstruction (ACLR), irrespective of graft type 4,5 . AKP occurs in 30e50% of patients 1e2 years following ACLR 4,6 , while approximately half of all patients suffer from radiographic PFOA !10-years post-ACLR 5 . If AKP is prospectively found to increase the risk of longer-term PFOA, management strategies aimed to reduce the PFOA risk may be targeted at those with AKP.…”

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confidence: 99%

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Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15- and 20-year follow-ups

Culvenor

Øiestad

Holm

et al. 2017

Osteoarthritis and Cartilage

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Risberg, M. A. (2016). Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15-and 20-year follow-ups. Osteoarthritis and Cartilage, 25,[30][31][32][33] Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på sciencedirect.com: http://dx.doi.org/10. 1016/j.joca.2016.09.012 This is the final text version of the article, and it may contain minor differences from the journal's pdf version. points on the pain variable of the Cincinnati score (i.e., participants reported at least intermittent 73 pain during any activity or rest) when the pain was located in the anterior knee (i.e., patella). 74This definition has previously been used to report AKP prevalence 1-and 2-years post-ACLR 7 . RESULTS 114Of the 221 subjects who underwent ACLR with a bone-patellar-tendon-bone autograft, 181 115(82%) and 142 (64%) participants were evaluated with radiographs at 15-and 20-year follow-116

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15- and 20-year follow-ups

Culvenor

Øiestad

Holm

et al. 2017

Osteoarthritis and Cartilage

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“…Patients with higher body mass index, low physical performance, low quality of life, kinesiophobia, and late return to sportive activities have patello femoral pain after ACL reconstruction. Older age at the time of ACL reconstruction was only predictor for patellofemoral pain [15]. Preoperative quadriceps strength, age, sex, and knee pain are important factors to achieve sufficient quadriceps strength recovery at the time of returning to sports activities [16].…”

Section: Discussionmentioning

confidence: 99%

Effect of anterior cruciate ligament reconstruction with hamstring tendons on Insall-Salvati index and anterior knee pain

Korkmaz

Malkoç

2018

Srp Arh Celok Lek

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Introduction/Objective The relationship between anterior knee pain and the Insall-Salvati ratio after anterior cruciate ligament (ACL) reconstruction with hamstring tendon were evaluated in this study. Methods We evaluated 39 patients that had an ACL reconstruction surgery with hamstring tendon. All the patients were evaluated for the Insall-Salvati ratio preoperatively and postoperatively. Fourteen patients had anterior knee pain at the end of the first year after the surgery. The patients were evaluated at the end of the first year after the surgery with the Lysholm score and the Tegner activity scale. The patients' preoperative and postoperative measurements were analyzed by using the Wilcoxon test, and the differences between the patients with anterior knee pain and those without it were analyzed by the Mann-Whitney U test. Results Preoperatively, mean Insall-Salvati ratio was found to be 0.91 ± 0.1, whereas postoperative ratio was 0.85 ± 0.09 (p ≤ 0.05). In the group without anterior knee pain, the mean Tegner activity score was 8.56 ± 1.04, and the mean Lysholm score was 87.36 ± 9.42. The mean Tegner activity score was 7.21 ± 0.97 and the mean Lysholm score was 74.43 ± 9.94 in the group with anterior pain. There was a decrease in the Insall-Salvati ratio as a result of the surgery, but patients with anterior knee pain had lower values of the Insall-Salvati ratio preoperatively. Conclusion Low preoperative Insall-Salvati ratio can be an indicator of anterior knee pain in the early period after ACL reconstruction with hamstring tendons. The mean Tegner activity score and the mean Lysholm score have higher values in the group without anterior pain postoperatively.

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“…Prior studies focus on radiographic tibiofemoral OA, and do not evaluate early structural change (ie, worsening) in individual joint features. Despite the patellofemoral joint being burdensome post-ACLR,18 19 few studies consider the patellofemoral joint structure. Radiographic measures lack the sensitivity to detect early structural changes which are identifiable on MRI over shorter follow-up 20 21.…”

Section: Introductionmentioning

confidence: 99%

Poor functional performance 1 year after ACL reconstruction increases the risk of early osteoarthritis progression

et al. 2020

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BackgroundNot meeting functional performance criteria increases reinjury risk after ACL reconstruction (ACLR), but the implications for osteoarthritis are not well known.ObjectiveTo determine if poor functional performance post-ACLR is associated with risk of worsening early osteoarthritis features, knee symptoms, function and quality of life (QoL).MethodsSeventy-eight participants (48 men) aged 28±15 years completed a functional performance test battery (three hop tests, one-leg-rise) 1 year post-ACLR. Poor functional performance was defined as <90% limb symmetry index (LSI) on each test. At 1 and 5 years, MRI, Knee injury Osteoarthritis Outcome Score (KOOS) and International Knee Documentation Committee (IKDC) subjective form were completed. Primary outcomes were: (i) worsening patellofemoral and tibiofemoral MRI-osteoarthritis features (cartilage, bone marrow lesions (BMLs) and meniscus) and (ii) change in KOOS and IKDC scores, between 1 and 5 years.ResultsOnly 14 (18%) passed (≥90% LSI on all tests) the functional test battery. Poor functional performance on the battery (all four tests <90% LSI) 1 year post-ACLR was associated with 3.66 times (95% CI 1.12 to 12.01) greater risk of worsening patellofemoral BMLs. A triple-crossover hop <90% LSI was associated with 2.09 (95% CI 1.15 to 3.81) times greater risk of worsening patellofemoral cartilage. There was generally no association between functional performance and tibiofemoral MRI-osteoarthritis features, or KOOS/IKDC scores.ConclusionOnly one in five participants met common functional performance criteria (≥90% LSI all four tests) 1 year post-ACLR. Poor function on all four tests was associated with a 3.66 times increased risk of worsening patellofemoral BMLs, and generally not associated with decline in self-reported outcomes.

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Predictors and effects of patellofemoral pain following hamstring-tendon ACL reconstruction

Cited by 47 publications

References 31 publications

Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15- and 20-year follow-ups

Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15- and 20-year follow-ups

Effect of anterior cruciate ligament reconstruction with hamstring tendons on Insall-Salvati index and anterior knee pain

Poor functional performance 1 year after ACL reconstruction increases the risk of early osteoarthritis progression

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