Summary
Survey of ACL Study Group members on the management of partial ACL tears, including return to play
Abstract
Introduction
Magnetic resonance imaging (MRI) has shown a high sensitivity at detecting injury to the ACL. Partial ACL Tears, those with injury seen on MRI yet negative Lachman and pivot shift testing, are being recognized more frequently. However, the management of these injuries is not well described in the literature or defined. Particularly unclear is when to allow an athlete to return to sports, as well as what criteria are used to determine return to play.
Methods
A Qualtrics survey is being sent out to all ACL Study Group Members. A real clinical case scenario is presented, along with MRI demonstrating intrasubstance ACL damage, but overall intact ACL. The questionnaire is designed to determine the management of these injuries – both operative and non-operative, as well as the use of biologics to augment or speed healing. Further, criteria for return to sports activities is sought from the respondents. All members will be surveyed. A follow up will be sent every 2 weeks for those who do not respond until they do respond or the survey is closed, 1 month prior to the ACL Study Group meeting in Hokkaido.
Results
To be presented with up to date results with the survey closing 1 month prior to the ACL Study Group Biennial Meeting in Hokkaido, Japan.
Discussion
Partial ACL tears are being recognized more frequently due, in part, to the sensitivity of MRI technology. However, there is a dearth of information or guidance of the management of partial ACL tears in the literature. The results of this survey are meant to serve as a guideline, based on expert opinion, to help the clinician in the management of athletes with partial ACL tears. An initial goal is to determine consensus, or lack thereof, of the timing and criteria for return to sport. This survey is meant to help start a larger discussion of the management of Partial ACL Tears.