The application of a return-to-performance pathway for a professional footballer recovering from a surgical repair of an isolated lateral collateral knee ligament rupture. A case report

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-11-01 DOI:10.1016/j.ptsp.2024.09.003

Andrew Mitchell , Andy Schofield

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引用次数: 0

Abstract

Objectives

Isolated rupture of the lateral collateral ligament (LCL) of the knee is extremely rare in professional football, and there is a paucity of literature describing the rehabilitation for this injury. This case report demonstrates the use of a return-to-performance (RTP_erf) pathway that is time-independent, has clear criteria, and progressive phases to help inform decisions made by a multidisciplinary team (MDT).

Methods

A 25-year-old professional footballer sustained an isolated LCL rupture following a tackle by an opposing player, forcing his knee into excessive varus motion. Five days after the injury, the player underwent surgical repair of the LCL before commencing an RTP_erf pathway.

Results

The player returned to team training 12 weeks after surgery before successfully returning to play (RTP_lay) at 13.5 weeks. The player completed full RTP_erf at 16 weeks and continued to play with no evidence of instability or pain.

Conclusion

This case report outlines how an RTP_erf pathway can be successfully used to guide the management of isolated LCL ruptures of the knee.

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一名职业足球运动员因孤立性膝外侧副韧带断裂进行了手术修复，在恢复过程中应用了 "重返赛场路径"。病例报告

目的在职业足球比赛中，膝关节外侧副韧带（LCL）的孤立性断裂极为罕见，描述这种损伤的康复治疗的文献也非常少。本病例报告展示了恢复表现（RTPerf）路径的使用，该路径与时间无关，具有明确的标准和渐进的阶段，有助于多学科团队（MDT）做出知情决定。方法一名 25 岁的职业足球运动员在被对方球员擒抱后发生孤立性 LCL 断裂，迫使其膝关节过度外翻。受伤五天后，该球员接受了 LCL 手术修复，然后开始了 RTPerf 治疗。结果该球员在术后 12 周重返球队训练，13.5 周后成功重返赛场（RTPlay）。该球员在 16 周时完成了完整的 RTPerf，并继续参加比赛，没有出现不稳定或疼痛的迹象。结论本病例报告概述了如何成功使用 RTPerf 路径来指导膝关节孤立性 LCL 断裂的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.