Sports injuries of the knee ligaments--a prospective stress radiographic study

Forty-six patients were entered into a prospective clinical and stress radiographic study done to assess the value of acute surgical treatment of injuries to the knee ligaments sustained during sports activities. After an average follow-up period of 5 1/2 years (range 4-6 1/2 years) medial instabili...

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Bibliographic Details
Published in:British journal of sports medicine 1985-03, Vol.19 (1), p.8-10
Main Authors: Hede, A, Hejgaard, N, Sandberg, H, Jacobsen, K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Athletic Injuries - physiopathology
Athletic Injuries - surgery
Female
Humans
Joint Instability - diagnostic imaging
Joint Instability - etiology
Knee Injuries - complications
Knee Injuries - diagnostic imaging
Knee Injuries - surgery
Ligaments, Articular - injuries
Ligaments, Articular - surgery
Male
Middle Aged
Physical Exertion
Prospective Studies
Radiography
Stress, Physiological
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Summary:Forty-six patients were entered into a prospective clinical and stress radiographic study done to assess the value of acute surgical treatment of injuries to the knee ligaments sustained during sports activities. After an average follow-up period of 5 1/2 years (range 4-6 1/2 years) medial instability was found only in two patients, both of whom were in the group with isolated rupture of the medial collateral ligament. Nine of the 29 patients in this group developed rotatory instability, but it was moderate and did not give rise to symptoms. Among the 17 patients with either injuries to the anterior cruciate ligament or combined injuries, anterior drawer instability persisted in seven, with an insufficient functional result in five. None of these 17 patients were able to resume competitive sport. Those patients who had not exercised physically just before the injury proved to have a significantly greater total instability than those who had. Therefore, routine limbering-up is recommended before sports activities.
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsm.19.1.8