Generalised joint hypermobility increases ACL injury risk and is associated with inferior outcome after ACL reconstruction: a systematic review.
anterior cruciate ligament injury
anterior cruciate ligament reconstruction
generalised joint hypermobility
generalized joint hypermobility
hyperextension
laxity
Journal
BMJ open sport & exercise medicine
ISSN: 2055-7647
Titre abrégé: BMJ Open Sport Exerc Med
Pays: England
ID NLM: 101681007
Informations de publication
Date de publication:
2019
2019
Historique:
accepted:
29
09
2019
entrez:
5
12
2019
pubmed:
5
12
2019
medline:
5
12
2019
Statut:
epublish
Résumé
To investigate the association between generalised joint hypermobility (GJH) and ACL injury risk. Secondary aims involved evaluating associations between GJH and postoperative outcome (including graft-failure risk, knee laxity and patient-reported outcome). Furthermore, we aimed to compare the performance of different grafts in patients with GJH. Databases MEDLINE/PubMed, EMBASE and the Cochrane Library were searched, including 2760 studies. Two reviewers independently screened studies for eligibility. A modified version of the MINORS score was applied for quality appraisal. Studies assessing GJH while reporting the risk of ACL injury and/or postoperative outcome were included. Twenty studies were included, using several different methods to determine GJH. There was consistent evidence showing that GJH is a risk factor for unilateral ACL injury in males, while in females, the results were conflicting. There was limited evidence associating GJH with increased knee laxity 5 years postoperatively. There was consistent evidence of inferior postoperative patient-reported outcome in patients with GJH. Moreover, there was limited yet consistent evidence indicating that patellar-tendon autografts are superior to hamstring-tendon autografts in patients with GJH in terms of knee laxity and patient-reported outcome. There was insufficient evidence to draw conclusions regarding the outcomes of bilateral ACL injury and graft failure. In men, GJH was associated with an increased risk of unilateral ACL injury. Moreover, GJH was associated with greater postoperative knee laxity and inferior patient-reported outcome. Based on the available evidence, a patellar-tendon autograft appears to be superior to a hamstring-tendon autograft in patients with GJH. However, the included studies were heterogeneous and there is a need for consensus in the assessment of GJH within sports medicine.
Identifiants
pubmed: 31798951
doi: 10.1136/bmjsem-2019-000620
pii: bmjsem-2019-000620
pmc: PMC6863654
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e000620Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: ORA has declared speakers bureau for Conmed.
Références
Arthroscopy. 2017 Oct;33(10):1852-1858
pubmed: 28599980
Rev Bras Reumatol. 2011 Jan-Feb;51(1):53-69
pubmed: 21412606
Knee Surg Sports Traumatol Arthrosc. 2001 Sep;9(5):313-21
pubmed: 11685365
Acta Ortop Bras. 2018 Jan-Feb;26(1):19-21
pubmed: 29977138
Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):3004-3011
pubmed: 29511816
Am J Sports Med. 2015 Jan;43(1):121-7
pubmed: 25325560
Am J Sports Med. 1997 May-Jun;25(3):341-5
pubmed: 9167814
Br J Sports Med. 2004 Aug;38(4):457-60
pubmed: 15273185
Orthop J Sports Med. 2017 Nov 07;5(11):2325967117736484
pubmed: 29152522
Am J Sports Med. 2006 Jun;34(6):895-8
pubmed: 16476911
Clin Orthop Relat Res. 2010 Apr;468(4):1136-41
pubmed: 19582525
Knee Surg Sports Traumatol Arthrosc. 2019 Feb;27(2):381-388
pubmed: 29955930
J Orthop Surg (Hong Kong). 2004 Dec;12(2):210-5
pubmed: 15621909
Orthop J Sports Med. 2017 Jul 21;5(7):2325967117718781
pubmed: 28795075
Muscle Nerve. 2013 Nov;48(5):762-9
pubmed: 24037762
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
Knee Surg Sports Traumatol Arthrosc. 2009 Jul;17(7):705-29
pubmed: 19452139
Sports Med. 2012 Sep 1;42(9):791-815
pubmed: 22909185
Am J Sports Med. 2010 Jul;38(7):1487-97
pubmed: 20601606
Arthritis Res Ther. 2018 Apr 18;20(1):76
pubmed: 29669593
J Electromyogr Kinesiol. 2015 Jun;25(3):501-7
pubmed: 25801907
Arthroscopy. 2018 Aug;34(8):2478-2484
pubmed: 29752059
Orthopedics. 2005 Jul;28(7):656-60
pubmed: 16119280
Am J Sports Med. 2005 Apr;33(4):492-501
pubmed: 15722287
Am J Sports Med. 1987 Nov-Dec;15(6):547-52
pubmed: 3425782
Int J Rheum Dis. 2019 Feb;22(2):288-296
pubmed: 29076645
Int J Sports Phys Ther. 2018 Aug;13(4):575-587
pubmed: 30140551
J Sports Med Phys Fitness. 2007 Dec;47(4):446-54
pubmed: 18091686
Arthritis Care Res (Hoboken). 2013 Aug;65(8):1325-33
pubmed: 23401475
Orthop J Sports Med. 2015 Sep 01;3(9):2325967115601030
pubmed: 26535395
Arthroscopy. 2018 Mar;34(3):889-900
pubmed: 29371012
J Bone Joint Surg Br. 2005 Jun;87(6):800-3
pubmed: 15911662
Knee. 2016 Dec;23(6):1148-1153
pubmed: 27856128
Am J Sports Med. 2016 Jun;44(6):1492-501
pubmed: 27217522
Am J Sports Med. 2003 Nov-Dec;31(6):831-42
pubmed: 14623646
Knee Surg Sports Traumatol Arthrosc. 2015 Dec;23(12):3578-84
pubmed: 25160472
Arch Dis Child. 1999 Feb;80(2):188-91
pubmed: 10325741
Knee Surg Sports Traumatol Arthrosc. 2015 Sep;23(9):2742-9
pubmed: 24832697
BMC Musculoskelet Disord. 2017 May 30;18(1):226
pubmed: 28558742
Knee Surg Sports Traumatol Arthrosc. 2018 Sep;26(9):2568-2579
pubmed: 29502168
Am J Sports Med. 1994 Jan-Feb;22(1):37-43
pubmed: 8129108
Am J Sports Med. 2008 Jun;36(6):1073-80
pubmed: 18326833
JAMA. 2015 Apr 28;313(16):1657-65
pubmed: 25919529
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
J Orthop Sports Phys Ther. 2017 Oct;47(10):792-800
pubmed: 28915772
J Med Libr Assoc. 2017 Jul;105(3):285-289
pubmed: 28670219
Rheumatol Rehabil. 1979 Aug;18(3):167-9
pubmed: 493804
Int J Clin Pract. 2003 Apr;57(3):163-6
pubmed: 12723715
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):8-26
pubmed: 28306229
J Bone Joint Surg Am. 2018 Feb 21;100(4):278-287
pubmed: 29462031
Sports Med. 2017 Aug;47(8):1637-1650
pubmed: 28102489
J Rheumatol. 2007 Apr;34(4):804-9
pubmed: 17407233
Am J Sports Med. 1995 Nov-Dec;23(6):694-701
pubmed: 8600737
Orthop J Sports Med. 2016 Oct 05;4(10):2325967116667690
pubmed: 27761474
J Bone Joint Surg Am. 2009 Feb;91(2):257-62
pubmed: 19181968
J Rheumatol. 2003 Apr;30(4):799-803
pubmed: 12672202
Am J Sports Med. 2014 Apr;42(4):940-8
pubmed: 24500914
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):148-157
pubmed: 28145606
J Bone Joint Surg Am. 2008 Apr;90(4):735-41
pubmed: 18381309
Br J Sports Med. 2005 Jun;39(6):324-9
pubmed: 15911600
Acta Orthop Scand. 1995 Apr;66(2):107-12
pubmed: 7740937
Med Sci Sports Exerc. 2016 Apr;48(4):655-62
pubmed: 26559452
Knee. 2015 Mar;22(2):100-10
pubmed: 25547048
J Orthop Surg (Hong Kong). 2013 Aug;21(2):182-4
pubmed: 24014780