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The American Journal of Sports Medicine 7:305-313 (1979)
© 1979 SAGE Publications

Natural history of anterior cruciate tears

James A. Arnold, M.D.

Division of Sports Medicine, University of Arkansas, Fayetteville, Arkansas

Tom P. Coker, M.D.

Division of Sports Medicine, University of Arkansas, Fayetteville, Arkansas

Lynn M. Heaton

Division of Sports Medicine, University of Arkansas, Fayetteville, Arkansas

John P. Park, M.D.

Division of Sports Medicine, University of Arkansas, Fayetteville, Arkansas

Walter Duke Harris, M.D.

Division of Sports Medicine, University of Arkansas, Fayetteville, Arkansas

An evaluation of 361 patients with documented anterior cru ciate tears was carried out with analysis of mechanisms, symp tomatology, physical findings, and limitations. At the time of injury, patients generally heard a loud pop and felt their knee "slide apart" with a subsequent hemarthrosis. Internal tibial rotation was described as the principal mechanism of injury in 81.6% of the patients. Less than 20% had a triad type injury. A "crossover" test enabled reproduction of the mechanism. On a 100 point scale, those with "no repair" scored a mean of 55.4, direct repairs 56.7, pes transfers 59.6, and modified MacIntosh 88.9 points. The natural course of a patient can often be projected. A continuing comparative study of results from treatment regimens and procedures is indicated.




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