The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
The risk of anterior cruciate ligament rupture with generalised joint laxity
Open accessAbstract
We assessed hyperextension of the knee and joint laxity in 169 consecutive patients who underwent an anterior cruciate ligament reconstruction between 2000 and 2002 and correlated this with a selected number of age- and gender-matched controls. In addition, the mechanism of injury in the majority of patients was documented. Joint laxity was present in 42.6% (72 of 169) of the patients and hyperextension of the knee in 78.7% (133 of 169). All patients with joint laxity had hyperextension of their knee. In the control group only 21.5% (14 of 65) had joint laxity and 37% (24 of 65) had hyperextension of the knee. Statistical analysis showed a significant correlation for these associations. We conclude that anterior cruciate ligament injury is more common in those with joint laxity and particularly so for those with hyperextension of the knee.
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“Individuals with GJH have an increased risk of injuries to the anterior cruciate ligament (ACL) (Ramesh et al., 2005).”
From Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students (2019) · cites this paper as Ramesh et al., 2005
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Nyland, J. A., Gul, E. H., Lewis, J., Givens, J., Krupp, R. J., & Richards, J. A. (2026) · Arthroscopy Sports Medicine and Rehabilitation · doi:10.1002/ars2.70000
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Tátrai, M., Tállay, A., Halasi, T., Papp, E., Pavlik, A., Barta, C., Fóthi, Á., Rónai, Z., Vágó, H., & Pavlik, A. (2026) · Research Square · doi:10.21203/rs.3.rs-10030798/v1
Hypermobility Is a Risk Factor for Nonoperative Treatment Failure in Scapholunate Ligament Injury
Liu, T. P., Jain, N. S., Pham, C., Taylor, J. M., Chevalier, J. M., & Azari, K. K. (2026) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000008028
Zà, P., Papalia, G. F., Caria, C., Minelli, M. M., Basciani, S., & Vasta, S. (2026) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1002/ksa.70598
Metadata
- Authors
- Ramesh, R., Von Arx, O., Azzopardi, T., & Schranz, P. J.
- Affiliations
- Royal Devon & Exeter NHS Foundation Trust (GB)
- Unit 17 Sidney Williams House, Torbay Hospital, Newton Road, Torquay TQ2 7AA, UK, 47 First Avenue, Bath BA2 3NW, UK, Flat 2/R, 37 Cartha Street, Glasgow G41 3HH, UK, Princess Elizabeth Orthopaedic Centre, Royal Devon & Exeter Hospital NHS Trust (Wonford), Barrack Road, Exeter EX2 5DW, UK.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 2005-06
- Volume
- 87-B
- Issue
- 6
- Pages
- 800-803
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2131905556
- Cited by
- 208
- References
- 28
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 7 · 2023: 14 · 2022: 9 · 2021: 11 · 2020: 8 · 2019: 10 · 2018: 15 · 2017: 11 · 2016: 10 · 2015: 14 · 2014: 10 · 2013: 18 · 2012: 10
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Bone and Joint Surgery - British Volume (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Keywords
- anterior cruciate ligament rupture, anterior cruciate ligament reconstruction, joint laxity, knee hyperextension, knee injury mechanism, risk factors, ligament injury
- MeSH terms
- Anterior Cruciate Ligament Injuries, Adolescent, Adult, Female, Humans, Joint Instability, Knee Joint, Male, Risk Factors, Rupture, Range of Motion, Articular
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