Youth Sports Anterior Cruciate Ligament and Knee Injury Epidemiology: Who Is Getting Injured? In What Sports? When?

Shea, Kevin G.; Grimm, Nathan L.; Ewing, Christopher K.; Aoki, Stephen K.

doi:10.1016/j.csm.2011.07.004

Cited by 76 publications

(65 citation statements)

References 19 publications

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“…The annual incidence of ACL injury ranges from 0.01% to 0.05% [2], however it is higher in sporting groups and most frequently affects individuals during late adolescence and early adulthood [3][4][5]. The prevalence of ACL injury in adults presenting to primary care with acute knee pain is estimated to be 4% [6].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review

et al. 2014

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Background: Numerous clinical tests are used in the diagnosis of anterior cruciate ligament (ACL) injury but their accuracy is unclear. The purpose of this study is to evaluate the diagnostic accuracy of clinical tests for the diagnosis of ACL injury. Methods: Study Design: Systematic review. The review protocol was registered through PROSPERO (CRD42012002069). Electronic databases (PubMed, MEDLINE, EMBASE, CINAHL) were searched up to 19th of June 2013 to identify diagnostic studies comparing the accuracy of clinical tests for ACL injury to an acceptable reference standard (arthroscopy, arthrotomy, or MRI). Risk of bias was appraised using the QUADAS-2 checklist. Index test accuracy was evaluated using a descriptive analysis of paired likelihood ratios and displayed as forest plots. Results: A total of 285 full-text articles were assessed for eligibility, from which 14 studies were included in this review. Included studies were deemed to be clinically and statistically heterogeneous, so a meta-analysis was not performed. Nine clinical tests from the history (popping sound at time of injury, giving way, effusion, pain, ability to continue activity) and four from physical examination (anterior draw test, Lachman's test, prone Lachman's test and pivot shift test) were investigated for diagnostic accuracy. Inspection of positive and negative likelihood ratios indicated that none of the individual tests provide useful diagnostic information in a clinical setting. Most studies were at risk of bias and reported imprecise estimates of diagnostic accuracy. Conclusion: Despite being widely used and accepted in clinical practice, the results of individual history items or physical tests do not meaningfully change the probability of ACL injury. In contrast combinations of tests have higher diagnostic accuracy; however the most accurate combination of clinical tests remains an area for future research. Clinical relevance: Clinicians should be aware of the limitations associated with the use of clinical tests for diagnosis of ACL injury.

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Section: Introductionmentioning

confidence: 99%

Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review

et al. 2014

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“…Over the last decade, knee injuries have become more common in children [56]. Worryingly, the rates of ACL reconstructions in children and adolescents now increase at a rate significantly higher than in the adult population [70], leading to an increased research interest in paediatric ACL injuries.…”

Section: Introductionmentioning

confidence: 99%

Prevention and rehabilitation of paediatric anterior cruciate ligament injuries

Moksnes

Grindem

2015

Knee Surg Sports Traumatol Arthrosc

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“…There is increasing evidence that ACL injuries result in an increased risk for osteoarthritis later in life [2][3][4][5]. Shea et al reported that knee injuries account for 13.2 percent of all sports injuries, of which a large majority is ACL tears [6]. Anterior Cruciate Ligament (ACL) tears in young athletes have increased in incidence over the past 20 years with literature reporting ACL tears in 250,000 to 300,000 individuals per year [5,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

The Incidence and Etiology of Anterior Cruciate Ligament Injuries in Patients under the Age of 18 in the State of Wisconsin

Layde¹

2014

Pediat Therapeut

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Youth Sports Anterior Cruciate Ligament and Knee Injury Epidemiology: Who Is Getting Injured? In What Sports? When?

Cited by 76 publications

References 19 publications

Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review

Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review

Prevention and rehabilitation of paediatric anterior cruciate ligament injuries

The Incidence and Etiology of Anterior Cruciate Ligament Injuries in Patients under the Age of 18 in the State of Wisconsin

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