Clinical Journal of Sport Medicine最新文献

{"title":"Sex and Sport-Specific Differences on Baseline Concussion Balance Test Performance in Division-I Collegiate Athletes.","authors":"Carolina P Quintana, Nathan Morelli, Morgan L Andrews, Madison A Kelly, Nicholas R Heebner, Matthew C Hoch","doi":"10.1097/JSM.0000000000001368","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001368","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify factors affecting baseline performance in collegiate athletes using the Concussion Balance Test (COBALT©).</p><p><strong>Design: </strong>Cross-sectional study design.</p><p><strong>Setting: </strong>Sports medicine research laboratory.</p><p><strong>Participants: </strong>NCAA Division-I collegiate athletes (n = 127; 77 male, 50 female).</p><p><strong>Independent variables: </strong>Sport, sex, history of concussion, and time since last concussion.</p><p><strong>Main outcome measures: </strong>Postural sway and the number of errors across 4 COBALT conditions.</p><p><strong>Results: </strong>Significant differences in postural sway and errors were observed based on sex. Female athletes demonstrated higher postural sway (0.34 degrees/s; P < 0.001) and more errors (1.69 errors; P < 0.001) on Condition 7 than male athletes. Concussion history and time since last concussion had no significant effect on postural sway or errors (P > 0.05). Differences between sports were identified, with cheerleaders demonstrating more errors than football players (Conditions 3, 7, 8; errors; P < 0.05) and soccer players (Conditions 3, 7, 8; P < 0.05), and soccer athletes demonstrating more errors than football players on Condition 7 (1.47 errors; P < 0.05).</p><p><strong>Conclusions: </strong>Our findings suggest that the COBALT is a useful tool for measuring balance performance, offering insights into baseline performance that may influence concussion management. Differences in performance based on sex and sport, but not concussion history, were observed, highlighting the importance of considering individual factors when interpreting baseline test results.</p><p><strong>Clinical relevance: </strong>Based on the data presented and results of this investigation, clinicians should consider an athlete's sex, sport, and concussion history when interpreting COBALT performance at baseline. Further research is needed to explore the impact of these factors on postinjury performance.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasciotomy for Chronic Exertional Compartment Syndrome of the Deep Posterior Lower Leg Compartment: A Prospective Study.","authors":"Chris van den Heuvel-Weiss, Sari Goossens, Loes Janssen, Percy van Eerten, Rob de Bie, Marc Scheltinga","doi":"10.1097/JSM.0000000000001298","DOIUrl":"10.1097/JSM.0000000000001298","url":null,"abstract":"<p><strong>Objective: </strong>Patients with lower leg deep posterior chronic exertional compartment syndrome (dp-CECS) experience exercise-induced calf pain and tightness. Retrospective studies suggest that outcome after a fasciotomy is suboptimal. This prospective case series determined success rates of a fasciotomy and identified factors predicting outcome.</p><p><strong>Design: </strong>Severity and intensity of pain and tightness were scored at baseline (BL) and 3 and 12 months postoperatively (follow-up [FU]3, FU12). Outcome measures were symptoms, return to sports, and patient-reported success.</p><p><strong>Patients: </strong>Data of patients with dp-CECS (n = 74, 51% males, age 28 ± 12 years) operated between 2013 and 2022 in a single center were analyzed.</p><p><strong>Results: </strong>Pain scores during rest and during exercise were greatly attenuated (rest BL: 8 ± 1, FU3: 4 ± 1, FU12: 3 ± 0; exercise BL: 20 ± 1, FU3: 8 ± 1, FU12: 8 ± 1; both P < 0.001). At FU3, rates of success and return to sports were 56% and 63%, respectively. At FU12, success was maintained in 48% and 80% had returned to sports. Length of symptom duration and not opening the flexor hallucis compartment were related to a lower chance of return to sports ( P < 0.05).</p><p><strong>Conclusions: </strong>Outcome after a fasciotomy for lower leg dp-CECS is successful in approximately half of patients. Long duration of symptoms and not opening the flexor hallucis compartment are risk factors for failure.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"252-258"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports Medicine Physician Confidence in Concussion Assessments for Postconcussion Return-to-Play Decisions.","authors":"Jacob J Miller, Kelsey Hansen, Jason Dorman, Katie Jensen, Aarabhi Gurumoorthy, Josefine Combs","doi":"10.1097/JSM.0000000000001321","DOIUrl":"10.1097/JSM.0000000000001321","url":null,"abstract":"<p><strong>Objective: </strong>To identify sport-related concussion (SRC) assessments sports medicine physicians perform and in which they place confidence when making return-to-play (RTP) decisions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Active members of the American Medical Society for Sports Medicine (AMSSM) at the fellowship level or higher making RTP decisions following concussion within the last year.</p><p><strong>Interventions: </strong>An electronic REDCap survey gathering demographic and practice information and responses to clinical scenarios was sent to AMSSM members.</p><p><strong>Main outcome measures: </strong>The primary outcome was the SRC assessment(s) in which physicians expressed the most confidence for RTP decisions.</p><p><strong>Results: </strong>Four hundred thirty AMSSM members responded to the survey, 392 of which met inclusion criteria. The graded symptom checklist was rated the most useful test for making return-to-play decisions, and respondents felt most confident starting the RTP process if the graded symptom checklist was normal. An assessment was considered most useful if it closely reflected resolution of SRC's pathological processes. Computerized neurocognitive testing was most likely to be ignored if abnormal. An abnormal neurological examination made physicians feel least confident SRC had resolved.</p><p><strong>Conclusions: </strong>Sports medicine physicians view the graded symptom checklist as a useful tool for making RTP decisions. Physicians expressed less confidence in computerized neurocognitive testing to determine RTP readiness. This study uncovered reliance on symptom reporting by sports medicine physicians and an opportunity for the creation of concussion clinical decision tools.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"269-277"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Demographic and Clinical Predictors of Time to Clinic Presentation After a Sport-Related Concussion.","authors":"Amad Amedy, Kristen Williams, Olivia L Prosak, Trevor Anesi, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001290","DOIUrl":"10.1097/JSM.0000000000001290","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the associations between clinical risk factors, social demographic and time to concussion clinic presentation after sports-related concussion in young athletes.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Multidisciplinary regional concussion center.</p><p><strong>Patients: </strong>Athletes ages 12 to 18 years who sustained a SRC from November 2017 to April 2022.</p><p><strong>Independent variables: </strong>Independent variables included social demographic factors (ie, race, ethnicity, public vs private school, public vs private insurance), patient medical history, family medical history, acute concussion characteristics, and initial presentation elsewhere.</p><p><strong>Main outcome measures: </strong>Descriptive statistics were employed to assess for group differences. Mann-Whitney U tests, Spearman rank order correlations, and linear regressions were performed to explore associations between each independent variable and the main outcome, days to concussion clinic presentation.</p><p><strong>Results: </strong>A total of 945 athletes we included (age 15.8 ± 1.61, 33.7% female). Hispanic/Latino background, ( P = 0.009), public insurance status ( U = 47 377.0, P = 0.002), amnesia ( U = 57 738.0, P = 0.002) at time of injury, family psychiatric ( U = 35 091.0, P < 0.001) or migraine ( U = 59 594.5, P < 0.001) histories, and personal psychiatric ( U = 30 798.0 , P = 0.004) or migraine ( U = 34 133.5, P = 0.011) histories were associated with longer time to concussion clinic presentation. A multivariable linear regression found that initial presentation elsewhere (β = 0.37, P < 0.001), family migraine history (β = 0.18, P < 0.001), public insurance status (β = 0.09, P = 0.024), and history of learning disability (β = 0.09, P = 0.032) were the only predictors of longer time to concussion clinic presentation.</p><p><strong>Conclusions: </strong>Variables that predicted longer time to concussion clinic presentation included initial presentation elsewhere, public insurance status, positive family migraine history, and history of learning disability. Further research is needed to elucidate these findings and determine how they impact concussion seeking behavior.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"278-283"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Dissemination and Implementation Science to Optimize Knowledge Translation in Sports Medicine and Related Fields: A Focus on Hybrid Research Approaches.","authors":"Oluwatoyosi B A Owoeye, Amanda M Black, Ross C Brownson","doi":"10.1097/JSM.0000000000001340","DOIUrl":"10.1097/JSM.0000000000001340","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"249-251"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spondylolysis in Adolescent Athletes: A Descriptive Study of 533 Patients.","authors":"James L Moeller","doi":"10.1097/JSM.0000000000001283","DOIUrl":"10.1097/JSM.0000000000001283","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this descriptive study was to evaluate spondylolysis in adolescent athletes, including age at time of injury, sport associated with injury, examination findings, site of injury, studies used for diagnosis, treatments, duration of treatment, and outcomes.</p><p><strong>Design: </strong>This was a retrospective chart review of patients who presented with a diagnosis of spondylolysis over a 17-year period.</p><p><strong>Setting: </strong>Community primary care sports medicine practice.</p><p><strong>Patients: </strong>All patients between 10 and 20 years of age diagnosed with spondylolysis.</p><p><strong>Interventions: </strong>There was no set intervention protocol. A variety of interventions and combination of interventions were used and determined by the treating physician on a case-by-case basis.</p><p><strong>Main outcome measures: </strong>Clearance for return to sport activity.</p><p><strong>Results: </strong>Males comprised 317 of the 533 patients. Soccer, gymnastics/cheer, football, and basketball were the most common sports associated with spondylolysis. Bilateral injuries were most common. L5 was the most common level for injury. Bracing and formal physical therapy as treatments were associated with longer duration of care. Most patients were treated successfully with nonoperative treatment. Recurrence of injury was rare.</p><p><strong>Conclusions: </strong>Spondylolysis is a common cause of back pain in adolescent athletes. Males are more likely to experience these injuries and are older at presentation compared than females. Spondylosis may be encountered in many sports. Nonoperative treatment leads to successful outcomes in most patients.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"264-268"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head Contact and Suspected Concussion Rates in Youth Basketball: Time to Target Head Contact Penalties for Prevention.","authors":"Christy J Fehr, Stephen W West, Brent E Hagel, Claude Goulet, Carolyn A Emery","doi":"10.1097/JSM.0000000000001249","DOIUrl":"10.1097/JSM.0000000000001249","url":null,"abstract":"<p><strong>Objective: </strong>To compare game events, head contact (HC) rates, and suspected concussion incidence rates (IRs) in boys' and girls' youth basketball.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Canadian club basketball teams (U16-U18).</p><p><strong>Participants: </strong>Players from 24 boys' and 24 girls' Canadian club basketball teams during the 2022 season.</p><p><strong>Assessment of risk factors: </strong>Recorded games were analyzed using Dartfish video analysis software to compare sexes.</p><p><strong>Main outcome measures: </strong>Poisson regression analyses were used to estimate HCs [direct (HC1) and indirect (HC2)], suspected concussion IRs, and IR ratios (IRRs). Game event, court location, and HC1 fouls were reported.</p><p><strong>Results: </strong>Division 1 HC rates did not differ between boys (n = 238; IR = 0.50/10 player-minutes; 95% confidence interval [CI], 0.43-0.56) and girls (n = 220; IR = 0.46/10 player-minutes; 95% CI, 0.40-0.52). Division 2 boys experienced 252 HCs (IR = 0.53/10 player-minutes; 95% CI, 0.46-0.59); girls experienced 192 HCs (IR = 0.40/10 player-minutes; 95% CI, 0.35-0.46). Division 2 boys sustained higher HC1 IRs compared with Division 2 girls (IRR = 1.42; 95% CI, 1.15-1.74). Head contacts, rates did not differ between boys and girls in either Division. Suspected concussion IRs were not significantly different for boys and girls in each Division. Head contacts occurred mostly in the key for boys and girls in each Division. Despite illegality, HC1 penalization ranged from 3.9% to 19.7%. Head contact mechanisms varied across Divisions and sexes.</p><p><strong>Conclusions: </strong>Despite current safety measures, both HCs and suspected concussions occur in boys' and girls' basketball. Despite the illegality and potential danger associated with HC, only a small proportion of direct HCs were penalized and therefore targeting greater enforcement of these contacts may be a promising prevention target.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"284-289"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exertional Heat Stroke at the Vermont City Marathon, 2012 to 2023: High Incidence Despite Spring Season in the Northern United States.","authors":"Aaron Brillhart, Katie Dolbec, Emily Speck, Peter Callas, Andrew Park, Sameer Sethi, Sarah Schlein","doi":"10.1097/JSM.0000000000001367","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001367","url":null,"abstract":"<p><strong>Objective: </strong>This study characterizes Vermont City Marathon (VCM) exertional heat stroke (EHS) cases to better understand current EHS trends in US marathon runners.</p><p><strong>Design: </strong>Retrospective review.</p><p><strong>Setting: </strong>VCM medical tent for 10 years: 2012 to 2019 and 2022 to 2023.</p><p><strong>Patients or participants: </strong>In total, 22 224 marathon runners, including 26 patients with EHS.</p><p><strong>Independent variables: </strong>Demographic, treatment, and environmental data.</p><p><strong>Main outcome measures: </strong>To characterize patients with EHS and incidence at VCM and compare with other marathons.</p><p><strong>Results: </strong>Of 22 224 marathon starters, 26 patients with EHS yielded an incidence of EHS of 12/10 000 (0.12%). Compared with all VCM marathon starters, patients with EHS were younger (mean 33 vs 39 years, P = 0.01), but sex did not differ (62% vs 54% male, P = 0.44). All patients with EHS were treated with cold water immersion (CWI) with 100% survival. Cooling rate during CWI was 0.17°C/min and CWI time averaged 16 minutes. Since protocol updates in 2016, only 23% of patients with EHS have required hospital transport. For every 1°C of increasing wet bulb globe temperature (WBGT), EHS incidence at VCM increased by 1.2 cases per 10 000 runners (P = 0.04). Exertional heat stroke at VCM was more frequent than at the Boston Marathon (12 vs 3.7/10 000, P < 0.001), consistent with higher mean WBGT at VCM (20°C vs 14°C, P = 0.04).</p><p><strong>Conclusions: </strong>This study is the first to characterize patients with EHS at VCM and compare these data to other US marathons. A linear correlation was established between WBGT and EHS incidence. Despite the early season and northerly setting of VCM, EHS was prevalent and important for medical tent preparation. Appropriate EHS treatment was life-saving.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Clinical Feasibility Trial: Comparing a Restrictive and Protective Range-of-Motion Brace for the Nonsurgical Management of the Medial Collateral Ligament of the Knee.","authors":"Dana J Hunter, Katie MacGregor, Ryan Shields, Amanda M Black, Alexander Rezansoff, Nicholas G Mohtadi","doi":"10.1097/JSM.0000000000001361","DOIUrl":"10.1097/JSM.0000000000001361","url":null,"abstract":"<p><strong>Objectives: </strong>(1) Assess medial collateral ligament (MCL) laxity differences in nonoperatively treated acute MCL and anterior cruciate ligament (ACL)-MCL injuries with 2 range of motion (ROM) knee brace settings. (2) Describe knee ROM, brace satisfaction, overall knee score, adherence, pain, quality of life, and knee function. (3) Assess feasibility of larger trial.</p><p><strong>Design: </strong>Prospective, randomized, single-blinded feasibility clinical trial.</p><p><strong>Participants: </strong>Sixty-four adults with acute moderate-to-severe isolated MCL or combined ACL-MCL injuries at the University of Calgary Sport Medicine Centre.</p><p><strong>Intervention: </strong>Random assignment to the protected (0-90 degrees) or restricted (30-90 degrees) brace group. Four weeks of constant brace wearing, followed by daytime wear until 6 weeks. Rehabilitation exercises prescribed from 2 weeks onward. Follow-up for 12 weeks.</p><p><strong>Main outcome measures: </strong>Clinical outcomes included side-to-side difference (SSD) MCL laxity (mm) at 30 degrees knee flexion and 0 degree, ROM, patient-reported pain, overall knee ratings, brace satisfaction, daily adherence, international knee documentation committee subjective, and ACL-quality of life (QOL) collected throughout 12 weeks (baseline, 2, 4, 6, 8, and 12 weeks). The outcome assessor was masked to treatment group allocation.</p><p><strong>Results: </strong>At 12 weeks, 73% had <1 mm SSD valgus laxity at 30 degrees knee flexion, with 82% in the restricted group and 67% in the protected group. All patients reported improved pain; none suffered a loss of knee ROM by 12 weeks. The 30 to 90 degrees brace group trended toward better adherence, satisfaction, function, overall knee scores, and QOL. A larger RCT would be feasible but challenging because of sample size needs and slow recruitment.</p><p><strong>Conclusions: </strong>Favorable outcomes for bracing moderate-to-severe MCL injuries at 30 to 90 degrees for 6 weeks were observed in this feasibility trial.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"415-422"},"PeriodicalIF":2.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior Cruciate Ligament Reconstruction: Effect of Age on Early to Mid-Term Clinical Outcomes.","authors":"Oliver Mann, Oday Al-Dadah","doi":"10.1097/JSM.0000000000001364","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001364","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the influence of age on early to mid-term clinical outcomes after anterior cruciate ligament (ACL) reconstruction.</p><p><strong>Design: </strong>Longitudinal observational study.</p><p><strong>Setting: </strong>Anterior cruciate ligament rupture is often a debilitating condition requiring surgery to restore joint stability. Patient-reported outcome measures (PROMs) can be used to assess knee function after ACL reconstruction. Outcomes from this type of surgery are thought to be influenced by demographic factors such as age.</p><p><strong>Patients: </strong>Subjects undergoing ACL reconstruction were allocated to either the Younger Group (<40 years) or the Older Group (≥40 years).</p><p><strong>Interventions: </strong>Arthroscopic primary, anatomic single bundle ACL reconstruction using either middle third bone-patella tendon-bone autograft or quadrupled hamstring tendon (gracillis and semitendinosus) autograft.</p><p><strong>Main outcome measures: </strong>Six PROMs were collected before and after ACL reconstruction that included the Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), Lysholm, Tegner, EuroQol-5 Dimension-5 Level, and Short Form 12-item Health Survey.</p><p><strong>Results: </strong>A total of 87 patients were included in the study with a mean postoperative follow-up of 2.3 years (range 1-7 years). Preoperatively, the Younger Group had significantly better KOOS pain (P = 0.007), KOOS activities of daily living (P < 0.001), KOOS overall (P = 0.017), IKDC (P = 0.005), Lysholm (P = 0.015), Tegner (P < 0.001), and 12-item Short Form survey physical component summary (P = 0.001) than the Older Group. However, postoperatively only the Tegner (P < 0.001) was significantly better in the Younger Group, while all other scores were comparable. Overall, PROMs had very little correlation with age after surgery.</p><p><strong>Conclusions: </strong>Older patients with ACL instability have just as much to gain as younger patients from surgical intervention. Therefore, age should not be a contraindication to ACL reconstruction.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}