ArticleBritish journal of sports medicine2023
Generalised joint hypermobility leads to increased odds of sustaining a second ACL injury within 12 months of return to sport after ACL reconstruction.
Article in British journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Differences in the collagen of semitendinosus tendon in patients with and without general joint laxity.Bone & joint research · 2026Article
- Associations of Functional Movement Screen Scores and Joint Stability Tests with Non-Contact Lower-Limb Injury Burden in Collegiate Athletes.Journal of clinical medicine · 2026Article
- Generalized Joint Hypermobility in Adolescent Idiopathic Scoliosis: Greater Curve Flexibility, Larger Thoracic Kyphosis, but Higher Complication Risk.Orthopaedic surgery · 2026Article
- Increased Hazard Ratio of a Second ACL Injury After Return to Sport for Each Positive Hypermobility Test on the Beighton Score: A Registry Study.Sports medicine - open · 2026Article
- Generalised joint hypermobility and excess knee hyperextension are associated with an increased risk for second ACL injury, but not primary ACL injury, in female football players: A 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Beighton Scoring System Use in Generalized Joint Hypermobility Studies Has Greater Scientific Rigor Than Joint-Specific or Arthroscopy Joint Hypermobility Studies.Arthroscopy, sports medicine, and rehabilitation · 2026Review
- Side Hop Test as a Predictor of Successful Return to Sports After Nonoperative Treatment or Modified Broström Operation in Patients With Chronic Ankle Instability: Based on the Ankle-GO Score.Orthopaedic journal of sports medicine · 2026Article
- No differences at return to sport in psychological profiles and results of muscle function tests between females with and without a second ipsilateral or contralateral ACL injury after ACL reconstruction.BMC sports science, medicine & rehabilitation · 2026Article
- ACL injuries in skeletally immature athletes.Frontiers in pediatrics · 2026Review
- Age is not a primary risk factor for anterior cruciate ligament injury-A comprehensive review of anterior cruciate ligament injury and reinjury risk factors confounded by young patient age.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Evaluation of the anterior cruciate ligament-injured high-level athlete: a narrative review.Annals of joint · 2026Review
- Survival of anterior cruciate ligament reconstruction in patients with Ehlers-Danlos syndrome: A comparison with anatomic risk factors in existing literature.International orthopaedics · 2025Article
- Association of Quadriceps Muscle Fatigue With Return to Preinjury Sports Following Primary Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft and Tibialis Anterior Allograft.Orthopaedic journal of sports medicine · 2025Article
- Outcomes after Surgical Management of Large Joint Manifestations in Ehlers Danlos Syndrome and Hypermobility Conditions in Sports Medicine: a Systematic Review.Current reviews in musculoskeletal medicine · 2025Review
- Greater psychological response and participation in knee-strenuous activity 8 months after anterior cruciate ligament reconstruction in patients with generalised joint hypermobility who sustained a second anterior cruciate ligament injury: A cross-sectional registry study.Journal of experimental orthopaedics · 2025Article
- A specific reconditioning training program implemented 12 months after ACL surgery improves lower-limb jump variables in amateur soccer players.Frontiers in physiology · 2025Article
- Present but Ignored: Physical Condition and Health-Related Quality of Life in College-Aged Females with Generalized Joint Hypermobility.Healthcare (Basel, Switzerland) · 2024Article
- Addition of anterolateral ligament reconstruction to primary anterior cruciate ligament reconstruction could benefit recovery of functional outcomes.Scientific reports · 2024Article
- Limitations of Separating Athletes into High or Low-Risk Groups based on a Cut-Off. A Clinical Commentary.International journal of sports physical therapy · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the 12-month risk of a second anterior cruciate ligament (ACL) injury in a population of patients with and without generalised joint hypermobility (GJH) who return to sports (RTS) at competition level after ACL reconstruction (ACL-R).
methodsData were extracted from a rehabilitation-specific registry for 16-50-year-old patients treated with ACL-R between 2014 and 2019. Demographics, outcome data and the incidence of a second ACL injury within 12 months of RTS, defined as a new ipsilateral or contralateral ACL, were compared between patients with and without GJH. Univariable logistic regression and Cox proportional hazards regression were performed to determine the influence of GJH and time of RTS on the odds of a second ACL injury, and ACL-R survival without a second ACL injury after RTS.
resultsA total of 153 patients, 50 (22.2%) with GJH and 175 (77.8%) without GJH, were included. Within 12 months of RTS, 7 (14.0%) patients with GJH and 5 (2.9%) without GJH had a second ACL injury (p=0.012). The odds of sustaining a second ipsilateral or contralateral ACL injury were 5.53 (95% CI 1.67 to 18.29) higher in patients with GJH compared with patients without GJH (p=0.014). The lifetime HR of a second ACL injury after RTS was 4.24 (95% CI 2.05 to 8.80; p=0.0001) in patients with GJH. No between-group differences were observed in patient-reported outcome measures.
conclusionPatients with GJH undergoing ACL-R have over five times greater odds of sustaining a second ACL injury after RTS. The importance of joint laxity assessment should be emphasised in patients who aim to return to high-intensity sports following ACL-R.
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