PMID- 31201076
OWN - NLM
STAT- MEDLINE
DCOM- 20191227
LR  - 20200225
IS  - 2589-1294 (Electronic)
IS  - 1017-995X (Print)
IS  - 1017-995X (Linking)
VI  - 53
IP  - 4
DP  - 2019 Jul
TI  - Comparison of knee sonography and pressure pain threshold after anterior cruciate 
      ligament reconstruction with quadriceps tendon versus hamstring tendon autografts 
      in soccer players.
PG  - 260-265
LID - S1017-995X(18)30300-6 [pii]
LID - 10.1016/j.aott.2019.04.012 [doi]
AB  - 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 x 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.
CI  - Copyright (c) 2019 Turkish Association of Orthopaedics and Traumatology. Production 
      and hosting by Elsevier B.V. All rights reserved.
FAU - Martin-Alguacil, Jose L
AU  - Martin-Alguacil JL
AD  - Departamento de Cirugia Ortopedica, Mutualidad de Futbolistas, Real Federacion 
      Andaluza de Futbol, Clinica Martin Gomez, Granada, Spain. Electronic address: 
      joseluismartinalguacil@hotmail.com.
FAU - Arroyo-Morales, Manuel
AU  - Arroyo-Morales M
AD  - Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 
      Granada, Spain; Biohealth Research Institute in Granada (ibs.GRANADA), Spain; 
      Sport and Health University Research Centre (CIDS), Granada, Spain. Electronic 
      address: marroyo@ugr.es.
FAU - Martin-Gomez, Jose Luis
AU  - Martin-Gomez JL
AD  - Departamento de Cirugia Ortopedica, Clinica Martin Gomez, Granada, Spain. 
      Electronic address: joseluismartingomez@hotmail.com.
FAU - Lozano-Lozano, Mario
AU  - Lozano-Lozano M
AD  - Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 
      Granada, Spain; Sport and Health University Research Centre (CIDS), Granada, 
      Spain. Electronic address: mlozano@ugr.es.
FAU - Galiano-Castillo, Noelia
AU  - Galiano-Castillo N
AD  - Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 
      Granada, Spain; Biohealth Research Institute in Granada (ibs.GRANADA), Spain; 
      Sport and Health University Research Centre (CIDS), Granada, Spain. Electronic 
      address: noeliagaliano@ugr.es.
FAU - Cantarero-Villanueva, Irene
AU  - Cantarero-Villanueva I
AD  - Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 
      Granada, Spain; Biohealth Research Institute in Granada (ibs.GRANADA), Spain; 
      Sport and Health University Research Centre (CIDS), Granada, Spain. Electronic 
      address: irenecantarero@ugr.es.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20190612
PL  - Turkey
TA  - Acta Orthop Traumatol Turc
JT  - Acta orthopaedica et traumatologica turcica
JID - 9424806
SB  - IM
MH  - Adolescent
MH  - Anterior Cruciate Ligament Injuries/*surgery
MH  - *Anterior Cruciate Ligament Reconstruction/adverse effects/methods
MH  - Autografts
MH  - Female
MH  - Hamstring Tendons/*transplantation
MH  - Humans
MH  - *Knee/diagnostic imaging/physiopathology/surgery
MH  - Male
MH  - *Pain Threshold
MH  - Soccer/*injuries
MH  - Tendons/transplantation
MH  - Treatment Outcome
MH  - Ultrasonography/methods
MH  - Young Adult
PMC - PMC6738273
OTO - NOTNLM
OT  - Anterior cruciate ligament
OT  - Hamstrings
OT  - Pressure pain threshold
OT  - Quadriceps
OT  - Ultrasound
EDAT- 2019/06/16 06:00
MHDA- 2019/12/28 06:00
PMCR- 2019/06/12
CRDT- 2019/06/16 06:00
PHST- 2018/06/26 00:00 [received]
PHST- 2019/03/05 00:00 [revised]
PHST- 2019/04/28 00:00 [accepted]
PHST- 2019/06/16 06:00 [pubmed]
PHST- 2019/12/28 06:00 [medline]
PHST- 2019/06/16 06:00 [entrez]
PHST- 2019/06/12 00:00 [pmc-release]
AID - S1017-995X(18)30300-6 [pii]
AID - 10.1016/j.aott.2019.04.012 [doi]
PST - ppublish
SO  - Acta Orthop Traumatol Turc. 2019 Jul;53(4):260-265. doi: 
      10.1016/j.aott.2019.04.012. Epub 2019 Jun 12.