Summary
Results of Survey of ACLSG members on the management of Partial ACL Tear with slight laxity and bone bruising
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 mild or normal physical exam findings, are being recognized more frequently. 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. In 2024, we presented (and published) the results of a survey of ACLSG members (with >80% participation) on the management of Partial ACL injuries with normal physical examination. This current survey is about a Partial ACL injury with more significant findings on MRI and clinically.
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, bony edema in the typical ACL injury pattern, but intact ACL. Additionally, on clinical examination, there is mild laxity, with good endpoint, upon Lachman testing. 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.
Results
To be presented with up to date results with the survey closing at the end of the summer 2025, prior to the ACL Study Group Biennial Meeting in Iguazu Falls, Brazil.
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 continue the discussion of the management of Partial ACL Tears.