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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 6, 800-803.
doi: 10.1302/0301-620X.87B6.15833  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The risk of anterior cruciate ligament rupture with generalised joint laxity

R. Ramesh, FRCS(Tr & Orth), Specialist Registrar in Orthopaedics; O. Von Arx, MB, ChB, MRCS, Specialist Registrar in Orthopaedics; T. Azzopardi, MD, FRCS Ed, Specialist Registrar in Orthopaedics; and P. J. Schranz, FRCS(Orth), Consultant Orthopaedic Surgeon

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.

Correspondence should be sent to Mr R. Ramesh; e-mail: rrameshdr{at}aol.com

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.




eLetters:

Read all eLetters

Is knee hyperextension the best way of measuring joint laxity?
Arif Gul, et al.
J Bone Joint Surg Br Online, 12 Jul 2005 [Full text]
Response to the letter by Messrs Gul and Sambandam from the authors
Rangaraju Ramesh, et al.
J Bone Joint Surg Br Online, 1 Aug 2005 [Full text]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General