Evidence map›Paper›PMID 31970718›Full record

ArticleSports medicine (Auckland, N.Z.)2020

Effect of a Concussion on Anterior Cruciate Ligament Injury Risk in a General Population.

April L McPherson, Matthew B Shirley, Nathan D Schilaty, Dirk R Larson, Timothy E Hewett

Open access · greenAbstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

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  10. Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

April L McPhersonMayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, 200 First St SW, Rochester, MN, 55902, USA.
Matthew B ShirleyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Nathan D SchilatyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Schilaty.Nathan@mayo.edu.ORCID http://orcid.org/0000-0002-6038-7126
Dirk R LarsonDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA.
Timothy E HewettDepartment of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA.
Mayo Clinic · USMayo Clinic in Arizona · USUniversity of Kentucky · US

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female AthletesR01AR055563 · NIAMS · OHIO STATE UNIVERSITY · PI BATES, NATHANIEL ANDREW, KRYCH, AARON · 2008 to 2022
$5.9M
NIAMS NIH HHS L30 AR070273NIAMS NIH HHS L30AR070273NIAMS NIH HHS R01 AR055563NIA NIH HHS R01 AG034676NICHD NIH HHS K12 HD065987NIH HHS K12HD065987NIH HHS R01AG034676NIH HHS R01AR55563
6 · The paper itself

Abstract

backgroundRecent studies indicate concussion increases risk of musculoskeletal injury in specific groups of patients. The purpose of this study was to determine the odds of anterior cruciate ligament (ACL) injury after concussion in a population-based cohort.

methodsInternational Classification of Diseases, 9th and 10th Revision (ICD-9, ICD-10) codes relevant to the diagnosis and treatment of a concussion and ACL tear were utilized to search the Rochester Epidemiology Project (REP) between 2000 and 2017. A total of 1653 unique patients with acute, isolated ACL tears were identified. Medical records for cases were reviewed to confirm ACL tear diagnosis and to determine history of concussion within 3 years prior to the ACL injury. Cases were matched by age, sex, and REP availability date to patients without an ACL tear (1:3 match), resulting in 4959 controls. The medical records of the matched control patients were reviewed to determine history of concussion.

results39 patients with a concussion suffered an ACL injury up to 3 years after the concussion. The rate of prior concussion was higher in ACL-injured cases (2.4%) compared to matched controls with no ACL injury (1.5%). This corresponds to an odds ratio of 1.6 (95% CI 1.1-2.4; p = 0.015).

conclusionsAlthough activity level could not be assessed, there are increased odds of ACL injury after concussion in a general population. Based on the evidence of increased odds of musculoskeletal injury after concussion, standard clinical assessments should consider concussion symptom resolution as well as assessment of neuromuscular factors associated with risk of injuries.

Indexed as

Anterior Cruciate Ligament InjuriesBrain ConcussionAdolescentAdultCohort StudiesFemaleHumansMaleTime FactorsYoung Adult

Identifiers

PMID31970718
PMCPMC7242116
OpenAlexW3001181392

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.