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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 The risk of anterior cruciate ligament rupture with generalised joint laxityR. 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 SurgeonUnit 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.
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