Evidence map›Paper›PMID 40250973›Full record

ArticleBritish journal of sports medicine2025

Sport-specific concomitant injuries, return-to-sport rates and second anterior cruciate ligament (ACL) injuries in adolescents with ACL reconstruction.

Philipp W Winkler, Baldur Thorolfsson, Ramana Piussi, Thorkell Snaebjörnsson, Rebecca Hamrin Senorski, Jon Karlsson, Kristian Samuelsson, Eric Hamrin Senorski

Abstract read
In one paragraph

Article in British journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Pediatric ACL Injuries: A Current Concepts Review.Journal of clinical medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
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

8 authors.

Philipp W WinklerDepartment for Orthopaedics and Traumatology, Kepler University Hospital, Linz, Austria.ORCID http://orcid.org/0000-0002-3997-1010
Baldur ThorolfssonSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Ramana PiussiSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-7586-5293
Thorkell SnaebjörnssonSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Rebecca Hamrin SenorskiSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Jon KarlssonSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Kristian SamuelssonSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Eric Hamrin SenorskiSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden eric.hamrin.senorski@gu.se.ORCID http://orcid.org/0000-0002-9340-0147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate differences in sport-specific concomitant injuries, return-to-sport (RTS), second ACL injuries and Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales after adolescent ACL reconstruction (ACLR) across popular sports.

methodsThis prospective cohort study included patients aged 10-18 years at ACLR. Demographic and injury-related data and KOOS subscales before ACLR and at the 1 and 2 years follow-ups were obtained. A survey to assess sport-specific outcomes and RTS was sent to eligible patients. Group comparisons were performed between the most popular sports and between females and males.

resultsOverall, 1392 patients with a mean age of 16.4±1.4 years at ACLR were included. The mean time between ACLR and survey completion was 9.7±4.2 years. The most prevalent type of sport was soccer, followed by handball, floor hockey/field hockey, basketball and other sports. Concomitant injuries (71%) and second ACL injuries (30%; 20% ipsilateral, 13% contralateral) were common across all sports. No significant differences were found in ipsilateral second ACL injuries across sexes and sports. 24% of patients competed at an elite level sport (highest national level of junior sport or higher) for some period after ACLR. 8% of patients did not RTS at all, with females significantly more often without RTS than males (9% vs 4%, p=0.041). Significant improvements were observed in KOOS subscales from baseline to the 1 and 2 years follow-ups for all sports.

conclusionConcomitant injuries are frequently observed after ACL injury in adolescents, with nearly one-third suffering a second ACL injury. While significant improvements in KOOS subscales and return to high-level sports can be expected, better injury prevention is needed after ACLR.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAthletic InjuriesReturn to SportAdolescentChildFemaleHumansKnee InjuriesMaleProspective StudiesYouth SportsAdolescentInjuriesLigamentsPediatricsSport

Identifiers

PMID40250973
PMCPMC12229079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.