Evidence map›Paper›PMID 42137418›Full record

ArticleOrthopaedic journal of sports medicine2026

Postoperative Anterior Cruciate Ligament-Return to Sport after Injury Scores Predict Reinjury in Adolescent Athletes.

Timothy McAleese, Lachlan Mactier, Kira Bryan, Enda King, Kieran A Moran, Mark Jackson, Daniel Withers, Ray Moran, Brian M Devitt

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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

9 authors.

Timothy McAleeseRCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9713-9057
Lachlan MactierWagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia.
Kira BryanUPMC Sports Surgery Clinic, Santry, Dublin, Ireland.
Enda KingRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Kieran A MoranDepartment of Sport Science and Nutrition, Maynooth University, Maynooth, Ireland.
Mark JacksonUPMC Sports Surgery Clinic, Santry, Dublin, Ireland.
Daniel WithersUPMC Sports Surgery Clinic, Santry, Dublin, Ireland.
Ray MoranUPMC Sports Surgery Clinic, Santry, Dublin, Ireland.
Brian M DevittUPMC Sports Surgery Clinic, Santry, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescents experience the highest rates of both ipsilateral and contralateral reinjury following anterior cruciate ligament (ACL) reconstruction (ACLR). Psychological readiness has been shown to be associated with ACL reinjury although the exact relationship is unclear because prior investigations have neither tracked its evolution over time nor stratified results by age and sex. Purpose: To perform an age- and sex-specific, longitudinal analysis of the relationship between Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) score and the risk of ipsilateral/contralateral ACL injury in adolescents. Study Design: Cohort study; Level of evidence, 3. Methods: A consecutive cohort of adolescents (<18 years old) who underwent primary ACLR at a single center completed the ACL-RSI preoperatively and at 3, 6, and 9 months. Functional strength and jump metrics were also collected at 9 months. Return to play (RTP) and the incidence of second ACL injury were recorded at 5 years. Differences in ACL-RSI were evaluated and receiver operating characteristic curves were used to quantify the discriminative ability of the ACL-RSI score. Results: There were 539 adolescents included. The RTP rate was 89.7% at a mean time of 10.8 ± 3.1 months. The rate of second ACL injury was 22.2% (ipsilateral 9.7%; contralateral 12.5%) at 5 years. Adolescents who sustained a contralateral ACL injury had higher ACL-RSI scores at 9 months for male patients (85.1 ± 14.4 vs 76.7 ± 17.6; Conclusion: Serial ACL-RSI scores yield distinct, sex-specific risk profiles in adolescents. Low scores during rehabilitation identify athletes vulnerable to ipsilateral graft failure, whereas rapidly rising, high scores indicate those at risk for contralateral reinjury. This highlights the need to interpret the ACL-RSI score taking age and sex into consideration.

Indexed as

ACL-RSIadolescent athletesanterior cruciate ligamentpsychological readinessreturn to playsecond ACL injury

Identifiers

PMID42137418
PMCPMC13168732

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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.