Abstract:
OBJECTIVE:We compared long-term follow-up from surgical versus non-surgical treatment of ACL rupture regarding radiographic knee osteoarthritis (OA), secondary surgery, laxity and patient-reported outcome measures (PROMs). DESIGN:Systematic review and meta-analysis. DATA SOURCES:Embase, MEDLINE, CINAHL and the Cochrane Library databases. ELIGIBILITY CRITERIA FOR SELECTING STUDIES:Studies directly comparing the minimally invasive surgical (arthroscopy or miniarthrotomy) and non-surgical treatment of ACL rupture with at least 10 years of follow-up in adult patients were included. RESULTS:Five studies met the eligibility criteria. A meta-analysis revealed a higher risk of radiographic knee OA and a lower risk of secondary meniscal surgery for patients in the surgical group. The risk of graft rupture/secondary ACL revision and secondary ACL reconstruction was equal in the surgical and non-surgical groups. Knee laxity was lower among patients in the surgical group in four studies. No difference was found in the PROMs (ie, International Knee Documentation Committee, Tegner, Knee Injury and Osteoarthritis Outcome, and Lysholm scores). CONCLUSION:The risk of radiographic knee OA was higher, but the risk of secondary meniscal injury was lower 10 years after surgical treatment of ACL rupture. The risk of graft rupture/secondary ACL revision or secondary reconstruction was unrelated to treatment type. The degree of knee laxity was reduced after surgical treatment in comparison with non-surgical treatment, while PROMs were similar. However, due to the methodological challenges highlighted in this systematic review, these findings must be interpreted with caution. PROSPERO REGISTRATION NUMBER:CRD42019119468.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Lien-Iversen T,Morgan DB,Jensen C,Risberg MA,Engebretsen L,Viberg Bdoi
10.1136/bjsports-2019-100765subject
Has Abstractpub_date
2020-05-01 00:00:00pages
592-598issue
10eissn
0306-3674issn
1473-0480pii
bjsports-2019-100765journal_volume
54pub_type
杂志文章,meta分析abstract::Elite athletes endeavour to train and compete even when ill or injured. Their motivation may be intrinsic or due to coach and team pressures. The sports medicine physician plays an important role to risk-manage the health of the competing athlete in partnership with the coach and other members of the support team. The...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-093222
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:To determine the rate and type of injuries occurring to registered professional kickboxers in Victoria, Australia over a 16 year period. METHODS:Data describing all fight outcomes and injuries sustained during competition for the period August 1985 to August 2001 were obtained from the Victorian Professiona...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.5.448
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To establish normative data for muscle performance during isokinetic horizontal abduction and adduction of the shoulder in elite junior tennis players. METHODS:Thirty six tennis players were evaluated (23 male, 13 female; mean age 14 years (range 12-18)). An isokinetic dynamometer was used to test the should...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.023408
更新日期:2006-06-01 00:00:00
abstract::The physiological and therapeutic effects of massage are frequently questioned. This article reviews previous research into the effects of massage on blood flow and composition, oedema, connective tissue, muscle and the nervous system. Although further investigations are clearly required in certain areas, the discussi...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.28.3.153
更新日期:1994-09-01 00:00:00
abstract::Cardiomyopathies are a heterogeneous group of heart muscle diseases and collectively are the leading cause of sudden cardiac death (SCD) in young athletes. The 12-lead ECG is utilised as both a screening and diagnostic tool for detecting conditions associated with SCD. Fundamental to the appropriate evaluation of athl...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2012-092069
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:The accurate measurement of physical activity is crucial to understanding the relationship between physical activity and disease prevention and treatment. OBJECTIVE:The primary purpose of this study was to investigate the validity and reliability of the activPAL physical activity monitor in measuring step n...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.027276
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Video analyses reveal that the rate of incidents with a propensity for injury caused by opponent-to-player contact has increased by about 50% from 2000 to 2010 in Norwegian male professional football. The aim of the study was to assess whether a stricter interpretation of the Laws of the Game (red cards for ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2012-091522
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:To compare versions 8 and 10 of the Orchard Sports Injury Classification System (OSICS) to determine whether the revised version of OSICS has improved its use in a sports medicine setting, and to assess the inter-rater reliability of OSICS-10. METHODS:Injury surveillance data, gathered over a 2 year period ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.051979
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To describe the anthropometric and physical performance characteristics of a sample of senior A club rugby players and to highlight differences between the positional categories of the players within the forwards and backs. METHODS:94 senior A male rugby players were assessed on a number of anthropometric an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.1.53
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:To assess whether players who cross ≥6 time zones and/or undertake ≥10 h air travel prior to competition experience a higher risk of injury during the Sevens World Series than players not required to undertake this level of travel. DESIGN:Five-year, prospective, cohort study. PARTICIPANTS:All players from n...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-094369
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The mechanism that causes pain in chronic Achilles tendinosis is not known. However, high resolution colour Doppler ultrasound has shown that neovascularisation may be involved. OBJECTIVE:To investigate if sclerosing the neovessels would affect the level of tendon pain. METHODS:The effect of colour Doppler...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.36.3.173
更新日期:2002-06-01 00:00:00
abstract::Cardiovascular (CV) screening in young athletes remains challenging and a topic of considerable debate. Recent criticisms of ECG screening have perpetuated arguments that ECG screening is neither indicated nor effective by applying outdated incidence data and flawed methodology. In response, this article provides a cr...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-096606
更新日期:2016-11-01 00:00:00
abstract::The case is presented of a professional half pipe snowboarder with a large post-traumatic subdural haematoma, which allowed close to normal functioning and socialisation. It is an example of a potentially life threatening sports injury in an increasingly commercialised and popular winter sport. It highlights that a kn...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.011882
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:Functional strength deficits associated with chronic isolated posterior cruciate ligament (PCL) insufficiency have received limited attention in the literature. The purpose of this study was to determine the eccentric and concentric isokinetic moment characteristics of the quadriceps and hamstrings in a sampl...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.33.6.405
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:B-mode measurement of the sagital diameter of the Achilles tendon based on a manual tracing (MT) procedure is partly dependent on the subjectivity of the reader. The aim of this study is to establish a standardised automatic procedure to differentiate between normal and chronically degenerated tendons. For t...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.037812
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that stress reducing techniques such as meditation alter immune responses after strenous physical stress. METHODS:The hypothesis was tested by studying six meditating and six non-meditating male runners in a concurrent, controlled design. After a period of six months with meditation fo...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/bjsm.29.4.255
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:To assess energy demand during a judo match and the kinetics of recovery by measuring the metabolites of the oxypurine cascade, lipolytic activity, and glycolytic pathway. METHODS:Venous blood samples were taken from 16 national judoists (mean (SEM) age 18.4 (1.6) years), before (T(1)) and three minutes (T(2...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.3.245
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:The varying methods of cricket injury surveillance have made direct comparison of published studies in this field impossible. METHODS:A consensus regarding definitions and methods to calculate injury rates in cricket was sought between researchers in this field. This was arrived at through a variety of face...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.012732
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVES:In this study, serum levels of matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) between patients with a history of Achilles tendon rupture and blood donor controls were compared, and their relation to mechanical properties of the tendons during healing were studied. METHO...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.049411
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:To compare the efficacy of in-shoe heel lifts to calf muscle eccentric exercise in reducing pain and improving function in mid-portion Achilles tendinopathy. METHODS:This was a parallel-group randomised superiority trial at a single centre (La Trobe University Health Sciences Clinic, Discipline of Podiatry,...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2019-101776
更新日期:2020-09-28 00:00:00
abstract::Athletes such as skaters and skiers inhale large volumes of cold air during exercise and shift from nasal to mouth breathing. Endurance athletes, like cross-country skiers, perform at 80% or more of their maximal oxygen consumption and have minute ventilations in excess of 100 l/min. Cold air is always dry, and endura...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090822
更新日期:2012-05-01 00:00:00
abstract::Hypothermia is a serious condition, often with fatal consequences. The physiology and mechanisms of hypothermia in mountainous areas are discussed. It is as important to facilitate heat loss, especially during periods of high exertion, as it is to maintain heat production and preserve insulation. This can be partly ac...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.6.548
更新日期:2003-12-01 00:00:00
abstract:AIM:To compare surgical and conservative treatment for high-risk stress fractures of the anterior tibial cortex, navicular and proximal fifth metatarsal. METHODS:Systematic searches of CENTRAL, MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro were performed to identify relevant prospective and retrospective studies. Two...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2013-093246
更新日期:2015-03-01 00:00:00
abstract::It is thankfully rare for extenuating circumstances to fully test the processes and procedures enshrined in national and world antidoping authorities' rules and laws. It is also thankfully very rare that a failed drugs test can have some positive implications. Antidoping laws are undoubtedly focused on ensuring fair c...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093550
更新日期:2014-05-01 00:00:00
abstract::In this study, genotype frequencies of several polymorphisms that are candidates to influence sports performance (ie, ACTN3 R577X, ACE ID, PPARGC1A Gly482Ser, AMPD1 C34T, CKMM 985bp/1170bp and GDF8 (myostatin) K153R) were compared in 123 nonathletic controls, 50 professional cyclists, 52 Olympic-class runners and 39 w...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.051680
更新日期:2010-09-01 00:00:00
abstract:AIMS:To prospectively follow a cohort of elite young male professional soccer players with sequential symptom questionnaires and imaging of the anterior pelvis to determine the prevalence and severity of imaging findings. METHODS:34 male athletes (mean age 16.5 years) underwent clinical examination, history/symptom qu...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092932
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Low physical activity (PA) levels which increase the risk of chronic disease are reported by two-thirds of the general UK population. Promotion of PA by primary healthcare professionals is advocated but more evidence is needed regarding effective ways of integrating this within everyday practice. This study ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2012-091581
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To gain more insight into the mechanisms that underlie the development of interval endurance capacity in talented youth field hockey players in the 12-19 age band. METHODS:A total of 377 measurements were taken over three years. A longitudinal model for interval endurance capacity was developed using the mu...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.023044
更新日期:2006-04-01 00:00:00
abstract::At the request of the Service des Haras, our laboratory works on the toxicological problems of the sport-horse. These studies have resulted in the setting up of an anti-doping control for equestrian competitions of various types, not only flat racing. During events, horses, must be calm and docile to the riders' order...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.10.3.143
更新日期:1976-10-01 00:00:00
abstract:OBJECTIVE:The crucial role of haemoglobin in endurance performance has been well documented. We examined whether polymorphisms in the HBB gene modified aerobic capacity. METHODS:102 recruits were trained by running 5000 m three times per week for 18 weeks. Exercise intensity progressively increased from an initial hea...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.030866
更新日期:2006-12-01 00:00:00