ArticleOchsner journal2026
Attention-Deficit/Hyperactivity Disorder in Anterior Cruciate Ligament Reconstruction Patients ≤25 Years of Age: A National Database Study of Prevalence and Outcomes.
Article in Ochsner journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: A growing body of research indicates that psychiatric conditions put patients at risk for worse outcomes after anterior cruciate ligament (ACL) reconstruction. However, attention-deficit/hyperactivity disorder (ADHD) is an understudied comorbidity in patients undergoing ACL reconstruction. Methods: Using the PearlDiver national database, we conducted a retrospective review of 9,352 patients ≤25 years who underwent isolated ACL reconstruction during the period 2010 to 2023. We compared demographics, comorbidities, and outcomes between patients with and without an ADHD diagnosis before and after 1:3 propensity score matching. We also performed a subgroup analysis of ADHD patients who were on and off medication. Results: On average, patients with ADHD were younger than patients without ADHD ( Conclusion: In this retrospective database study, 6.6% of patients ≤25 years who underwent ACL reconstruction had a diagnosis of ADHD prior to surgery. Neither a diagnosis of ADHD nor ADHD medication use was associated with worse outcomes after ACL reconstruction. Given the high prevalence of ADHD, further study of its effects on outcomes of ACL reconstruction and other orthopedic conditions is needed.
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