Comparison of knee sonography and pressure pain threshold after anterior cruciate ligament reconstruction with quadriceps tendon versus hamstring tendon autografts in soccer players
Metadatos
Mostrar el registro completo del ítemAutor
Martín Aguacil, José; Arroyo Morales, Manuel; Martín Gómez, José Luis; Lozano Lozano, Mario; Galiano Castillo, Noelia; Cantarero Villanueva, IreneEditorial
Elsevier Inc.
Materia
Anterior cruciate ligament Quadriceps Hamstrings Pressure pain threshold Ultrasound
Fecha
2019-06-12Referencia bibliográfica
Martin-Alguacil, J. L., Arroyo-Morales, M., Martin-Gómez, J. L., Lozano-Lozano, M., Galiano-Castillo, N., & Cantarero-Villanueva, I. (2019). Comparison of knee sonography and pressure pain threshold after anterior cruciate ligament reconstruction with quadriceps tendon versus hamstring tendon autografts in soccer players. Acta orthopaedica et traumatologica turcica, 53(4), 260-265.
Resumen
Objective: The aim of this study was to compare the pressure pain threshold and muscle architecture
after an anatomic single bundle reconstruction with quadriceps tendon and hamstring tendon autografts
of the anterior cruciate ligament in competitive soccer players. We hypothesized that both procedures
will obtain similar outcomes.
Methods: Fifty-one participants were enrolled in this secondary analysis of a randomized controlled trial
and were categorised into two groups: quadriceps tendon (QT) group (23 men and 3 women; mean age
18.7 ± 3.6; BMI 23.0 ± 2.2) or hamstring tendon (HT) group (16 men and 9 women; mean age 19.2 ± 3.6
BMI 23.5 ± 3.5). Both groups followed the same rehabilitation staged protocol. Pressure pain threshold
(PPT), as a measure of perceived pain, was obtained in several points of quadriceps and hamstring
muscles. Ultrasound imaging measurements were obtained in quadriceps tendon and knee cartilage
thickness. Four measurements were taken in this study: baseline, 1, 3, 6, and 12 months after the anterior
cruciate ligament (ACL) reconstruction.
Results: The analysis of PPT did not find significant differences in both groups x interaction time in the
points evaluated: epicondyle (QT = 421.1 ± 184.1 vs HT = 384.7 ± 154.1 kPa), vastus lateralis
(QT = 576.2 ± 221.3 vs HT = 560.1 ± 167.7 kPa), vastus medialis (QT = 544.7 ± 198.8 vs
HT = 541.1.1 ± 181.77 kPa), patellar tendon (QT = 626.3 ± 221.1 vs HT = 665.0 ± 205.5 kPa), QT
(QT = 651.1 ± 276.9 vs HT = 660.0 ± 195.2 kPa).
(QT = 667.8 ± 284.7 vs HT = 648.2 ± 193.4 kPa) injured knee (all P > 0.05). The results of ultrasound
imaging did not show significant differences in both groups interaction time in the thickness of the QT
(QT = 9.9 ± 2.4 vs HT = 9.4 ± 1.7 kPa) and patellar cartilage (QT = 3.2 ± 0.6 vs HT = 3.2 ± 0.4 kPa)
(P > 0.05).
Conclusion: A QT autograft produces similar results to a HT autograft in ACL reconstructions in terms of
pressure pain threshold and ultrasound muscle architecture during the 1-year follow-up.
Level of Evidence: Level I, Therapeutic Study.