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Cited by 45Knee injuries and reconstruction techniquesSports injuries and preventionFoot and Ankle Surgery

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Male and Female Adolescent Athletes' Readiness to Return to Sport After Anterior Cruciate Ligament Injury and Reconstruction

Kostyun, Regina O., Burland, Julie P., Kostyun, Kyle J., Milewski, Matthew D., Nissen, Carl W.·2021·Clinical Journal of Sport Medicine
DOI 10.1097/jsm.0000000000000751
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Abstract

Objective: The purpose of this study was to examine whether readiness to return to sport (RTS) differed between adolescent male and female athletes after anterior cruciate ligament reconstruction (ACLR). Design: Longitudinal, prospective cohort. Setting: Outpatient office associated with tertiary-care hospital. Patients: A total of 93 adolescent athletes, 17 years of age and younger, who underwent ACLR surgery with a hamstring autograft were included. Independent Variables: Male and female athletes. Main Outcome Measures: Anterior cruciate ligament–return to sport after injury (ACL-RSI) completed at 3 time points: (1) preoperatively (Pre-op), (2) approximately 3 months into rehabilitation (Post-op 1), and (3) during RTS phases of recovery (Post-op 2). Results: There was a significant main effect for both sex (P < 0.010) and time (P < 0.0001) with male athletes having higher ACL-RSI scores than female athletes at all 3 time points; however, there was no significant time by sex interaction. All ACL-RSI scores increased significantly across time, regardless of sex. There were no statistically significant differences between ACL-RSI scores at all 3 time points between individuals who did and did not receive physician clearance. Conclusions: This study provides a longitudinal depiction of adolescent athletes' readiness to RTS after ACL injury throughout recovery. Both male and female athletes demonstrated diminished ACL-RSI scores before undergoing surgery, with increasing scores at both postoperative time points for both sexes. Overall, female athletes reported lower readiness to RTS at all 3 time points compared with male athletes.

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Research works printed but not linked: 31

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Metadata

Authors
Kostyun, R. O., Burland, J. P., Kostyun, K. J., Milewski, M. D., & Nissen, C. W.
Affiliations
  • Connecticut Children's Medical Center (US)
  • University of Connecticut (US)
  • Boston Children's Hospital (US)
  • The Sports Center, Glastonbury, Connecticut.
Corresponding author
  • Kostyun, Regina O.
  • Kostyun, Kyle J.
ORCID
Venue
Clinical Journal of Sport Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-11-14
Volume
31
Issue
4
Pages
383-387
ISSN
1050-642X (ISSN-L)
DOI
10.1097/jsm.0000000000000751
OpenAlex
W2987904221
Cited by
45
References
0
Citations by year
2026: 9 · 2025: 9 · 2024: 11 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 3
FWCI
2.59
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Journal of Sport Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
Keywords
anterior cruciate ligament injury, anterior cruciate ligament reconstruction, return to sport, youth athletes, sex differences, hamstring tendon graft, ACL-RSI, postoperative recovery
MeSH terms
Return to Sport, Anterior Cruciate Ligament Injuries, Adolescent, Female, Humans, Male, Prospective Studies, Athletes, Anterior Cruciate Ligament Reconstruction

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