
Finally, we define evidence-based rehabilitation and present phase-specific rehabilitation recommendations and criteria to inform return to sport decisions.

We provide practical recommendations for informing and discussing management options with patients, and describe patient-related factors associated with a worse ACL-rupture outcome. The three main treatment options for ACL rupture are (1) rehabilitation as first-line treatment (followed by ACL reconstruction (ACLR) in patients, who develop functional instability), (2) ACLR and post-operative rehabilitation as the first-line treatment, and (3) pre-operative rehabilitation followed by ACLR and post-operative rehabilitation. The objectives of management are to restore knee function, address psychological barriers to activity participation, prevent further injury and osteoarthritis, and optimize long-term quality of life. The diagnosis is made with a combination of patient's history, clinical examination, and, if appropriate, magnetic resonance imaging. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.Anterior cruciate ligament (ACL) rupture occurs most commonly in young and active individuals and can have negative long-term physical and psychological impacts. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. The Anterior Cruciate Ligament: Reconstruction and Basic Science. Anatomy and biomechanics of the anterior cruciate ligament.

Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. DeLee, Drez, & Miller's Orthopaedic Sports Medicine. Philadelphia, PA: Elsevier 2018:chap 47.Ĭheung EC, McAllister DR, Petrigliano FA. Clinical Orthopaedic Rehabilitation: A Team Approach. Philadelphia, PA: Elsevier 2018:chap 49.īrotzman SB.
