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Pain after anterior cruciate ligament reconstruction: detail and treatment
Several factors can influence the occurrence of pain after anterior cruciate ligament (ACL) ligamentoplasty, namely, factors linked to the selection of graft, the surgical technique and rehabilitation program. The aim of this research was to review the literature for different types of pain experien...
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Published in: | Annales de réadaptation et de médecine physique 2004-08, Vol.47 (6), p.299-308 |
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creator | Savalli, L Hernandez-Sendin, M I Puig, P L Trouvé, P |
description | Several factors can influence the occurrence of pain after anterior cruciate ligament (ACL) ligamentoplasty, namely, factors linked to the selection of graft, the surgical technique and rehabilitation program. The aim of this research was to review the literature for different types of pain experienced after ACL reconstruction to illuminate better prevention and treatment.
We reviewed reports by searching the PUBMED* research engine using the key words pain, complication, and anterior cruciate ligament.
We found an increasing incidence of anterior pain after use of the patellar tendon for ACL reconstruction. Some anterior pain can be mistakenly interpreted as donor site morbidity or patello-femoral problems, but it is in fact linked to graft impingement caused by bad placement of tunnels and/or proliferation of a fibrovascular nodule on the ACL graft ("cyclops syndrome"). Some posterior-external pain, sometimes associated, can occur under the same circumstances. Cartilage, ligament or meniscal lesions or saphenous nerve injuries can explain some occurrences of pain. Pain linked to loco-regional factors such as reflex sympathetic dystrophy appear to be rare with rehabilitation and surgery.
The treatment of pain after ACL reconstruction lies first in the establishment of an etiologic diagnosis. Prevention, by controlling tendon-muscular and joint stress during rehabilitation, is essential and requires sound knowledge of biomechanical data. |
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We reviewed reports by searching the PUBMED* research engine using the key words pain, complication, and anterior cruciate ligament.
We found an increasing incidence of anterior pain after use of the patellar tendon for ACL reconstruction. Some anterior pain can be mistakenly interpreted as donor site morbidity or patello-femoral problems, but it is in fact linked to graft impingement caused by bad placement of tunnels and/or proliferation of a fibrovascular nodule on the ACL graft ("cyclops syndrome"). Some posterior-external pain, sometimes associated, can occur under the same circumstances. Cartilage, ligament or meniscal lesions or saphenous nerve injuries can explain some occurrences of pain. Pain linked to loco-regional factors such as reflex sympathetic dystrophy appear to be rare with rehabilitation and surgery.
The treatment of pain after ACL reconstruction lies first in the establishment of an etiologic diagnosis. Prevention, by controlling tendon-muscular and joint stress during rehabilitation, is essential and requires sound knowledge of biomechanical data.</description><identifier>ISSN: 0168-6054</identifier><identifier>EISSN: 1768-3203</identifier><identifier>PMID: 15297120</identifier><language>fre</language><publisher>Netherlands</publisher><subject>Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Biomechanical Phenomena ; Cartilage - pathology ; Humans ; Knee Injuries - complications ; Knee Injuries - rehabilitation ; Orthopedic Procedures - adverse effects ; Orthopedic Procedures - methods ; Pain - etiology ; Patella ; Reconstructive Surgical Procedures - adverse effects ; Reconstructive Surgical Procedures - methods ; Tendons - transplantation</subject><ispartof>Annales de réadaptation et de médecine physique, 2004-08, Vol.47 (6), p.299-308</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15297120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Savalli, L</creatorcontrib><creatorcontrib>Hernandez-Sendin, M I</creatorcontrib><creatorcontrib>Puig, P L</creatorcontrib><creatorcontrib>Trouvé, P</creatorcontrib><title>Pain after anterior cruciate ligament reconstruction: detail and treatment</title><title>Annales de réadaptation et de médecine physique</title><addtitle>Ann Readapt Med Phys</addtitle><description>Several factors can influence the occurrence of pain after anterior cruciate ligament (ACL) ligamentoplasty, namely, factors linked to the selection of graft, the surgical technique and rehabilitation program. The aim of this research was to review the literature for different types of pain experienced after ACL reconstruction to illuminate better prevention and treatment.
We reviewed reports by searching the PUBMED* research engine using the key words pain, complication, and anterior cruciate ligament.
We found an increasing incidence of anterior pain after use of the patellar tendon for ACL reconstruction. Some anterior pain can be mistakenly interpreted as donor site morbidity or patello-femoral problems, but it is in fact linked to graft impingement caused by bad placement of tunnels and/or proliferation of a fibrovascular nodule on the ACL graft ("cyclops syndrome"). Some posterior-external pain, sometimes associated, can occur under the same circumstances. Cartilage, ligament or meniscal lesions or saphenous nerve injuries can explain some occurrences of pain. Pain linked to loco-regional factors such as reflex sympathetic dystrophy appear to be rare with rehabilitation and surgery.
The treatment of pain after ACL reconstruction lies first in the establishment of an etiologic diagnosis. Prevention, by controlling tendon-muscular and joint stress during rehabilitation, is essential and requires sound knowledge of biomechanical data.</description><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biomechanical Phenomena</subject><subject>Cartilage - pathology</subject><subject>Humans</subject><subject>Knee Injuries - complications</subject><subject>Knee Injuries - rehabilitation</subject><subject>Orthopedic Procedures - adverse effects</subject><subject>Orthopedic Procedures - methods</subject><subject>Pain - etiology</subject><subject>Patella</subject><subject>Reconstructive Surgical Procedures - adverse effects</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Tendons - transplantation</subject><issn>0168-6054</issn><issn>1768-3203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNo1kM1LxDAQxYMo7rr6L0hO3grJpE1ab7L4yYIe9l4myXSJ9GNN0oP_vRXXy3vD4zcD887YWhpdFwqEOmdrIZdZi6pcsauUPoWQUCtzyVaygsZIEGv29oFh5NhlihzHRcMUuYuzC5iJ9-GAA42ZR3LTmPKS5zCN99xTxtAvG57nSJh_oWt20WGf6ObkG7Z_etxvX4rd-_Pr9mFXHEwjCjC2bNCpsjSgEbUDpwG99QhOYGnR-Ap0o2pJ2gmiTkAlLWghaksGrNqwu7-zxzh9zZRyO4TkqO9xpGlOrdZLA1JUC3h7Amc7kG-PMQwYv9v_59UPr_NXaA</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>Savalli, L</creator><creator>Hernandez-Sendin, M I</creator><creator>Puig, P L</creator><creator>Trouvé, P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200408</creationdate><title>Pain after anterior cruciate ligament reconstruction: detail and treatment</title><author>Savalli, L ; Hernandez-Sendin, M I ; Puig, P L ; Trouvé, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g790-27b49ac344726aa6c2c62adbda2c0a4ba7d5269381e6c0eef0251b26008be72b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2004</creationdate><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Biomechanical Phenomena</topic><topic>Cartilage - pathology</topic><topic>Humans</topic><topic>Knee Injuries - complications</topic><topic>Knee Injuries - rehabilitation</topic><topic>Orthopedic Procedures - adverse effects</topic><topic>Orthopedic Procedures - methods</topic><topic>Pain - etiology</topic><topic>Patella</topic><topic>Reconstructive Surgical Procedures - adverse effects</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Tendons - transplantation</topic><toplevel>online_resources</toplevel><creatorcontrib>Savalli, L</creatorcontrib><creatorcontrib>Hernandez-Sendin, M I</creatorcontrib><creatorcontrib>Puig, P L</creatorcontrib><creatorcontrib>Trouvé, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Annales de réadaptation et de médecine physique</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Savalli, L</au><au>Hernandez-Sendin, M I</au><au>Puig, P L</au><au>Trouvé, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain after anterior cruciate ligament reconstruction: detail and treatment</atitle><jtitle>Annales de réadaptation et de médecine physique</jtitle><addtitle>Ann Readapt Med Phys</addtitle><date>2004-08</date><risdate>2004</risdate><volume>47</volume><issue>6</issue><spage>299</spage><epage>308</epage><pages>299-308</pages><issn>0168-6054</issn><eissn>1768-3203</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Several factors can influence the occurrence of pain after anterior cruciate ligament (ACL) ligamentoplasty, namely, factors linked to the selection of graft, the surgical technique and rehabilitation program. The aim of this research was to review the literature for different types of pain experienced after ACL reconstruction to illuminate better prevention and treatment.
We reviewed reports by searching the PUBMED* research engine using the key words pain, complication, and anterior cruciate ligament.
We found an increasing incidence of anterior pain after use of the patellar tendon for ACL reconstruction. Some anterior pain can be mistakenly interpreted as donor site morbidity or patello-femoral problems, but it is in fact linked to graft impingement caused by bad placement of tunnels and/or proliferation of a fibrovascular nodule on the ACL graft ("cyclops syndrome"). Some posterior-external pain, sometimes associated, can occur under the same circumstances. Cartilage, ligament or meniscal lesions or saphenous nerve injuries can explain some occurrences of pain. Pain linked to loco-regional factors such as reflex sympathetic dystrophy appear to be rare with rehabilitation and surgery.
The treatment of pain after ACL reconstruction lies first in the establishment of an etiologic diagnosis. Prevention, by controlling tendon-muscular and joint stress during rehabilitation, is essential and requires sound knowledge of biomechanical data.</abstract><cop>Netherlands</cop><pmid>15297120</pmid><tpages>10</tpages></addata></record> |
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subjects | Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Biomechanical Phenomena Cartilage - pathology Humans Knee Injuries - complications Knee Injuries - rehabilitation Orthopedic Procedures - adverse effects Orthopedic Procedures - methods Pain - etiology Patella Reconstructive Surgical Procedures - adverse effects Reconstructive Surgical Procedures - methods Tendons - transplantation |
title | Pain after anterior cruciate ligament reconstruction: detail and treatment |
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