Disparity in anterior cruciate ligament injury management: a case series review across six National Health Service trusts

This case series review highlighted some good practice in initial ACL management across six NHS Trusts in the Yorkshire region. However, from time to MRI diagnosis to discharge, substantial variation in care is observed. Whether treated operatively or non-operatively, for patients aiming to RTS, this was achieved with greater consistency when more physiotherapy appointments were undertaken, outcome measures and PROMs were used, and specific discharge criteria was utilised. Future larger pathway investigation studies incorporating causative and predictive analysis studies on a national scale are required to determine whether similar trends are observed in a wider ACL injured population, which could help to improve national pathways for patients and clinicians working towards ensuring more positive and standardised patient-related ACL injury outcomes.

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Publication Details

Journal
BMC Musculoskeletal Disorders
Published
2025-04-15
DOI
https://doi.org/10.1186/s12891-025-08572-5
Citations
3
Primary Topic
Knee injuries and reconstruction techniques
Type
article
Field-Weighted Citation Impact
6.02

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article

Disparity in anterior cruciate ligament injury management: a case series review across six National Health Service trusts

Gareth J. F. Jones, Chris Brogden, Suzanne Broadbent, Niall Maher et al.
3 citations
BMC Musculoskeletal Disorders
Knee injuries and reconstruction techniques
6.02
article

Disparity in anterior cruciate ligament injury management: a case series review across six National Health Service trusts

Gareth J. F. Jones, Chris Brogden, Suzanne Broadbent, Niall Maher, David E. Lunn, J. Murr, Heidi J. Siddle, Anthony C. Redmond, Deborah Buck, Conor Tingle, Gareth Liversidge
article en
3 citations

Abstract

This case series review highlighted some good practice in initial ACL management across six NHS Trusts in the Yorkshire region. However, from time to MRI diagnosis to discharge, substantial variation in care is observed. Whether treated operatively or non-operatively, for patients aiming to RTS, this was achieved with greater consistency when more physiotherapy appointments were undertaken, outcome measures and PROMs were used, and specific discharge criteria was utilised. Future larger pathway investigation studies incorporating causative and predictive analysis studies on a national scale are required to determine whether similar trends are observed in a wider ACL injured population, which could help to improve national pathways for patients and clinicians working towards ensuring more positive and standardised patient-related ACL injury outcomes.

BMC Musculoskeletal DisordersVol. 26(1)
University of Leeds (GB), Harrogate and District NHS Foundation Trust (GB), Calderdale and Huddersfield NHS Foundation Trust (GB), Airedale NHS Foundation Trust (GB), NIHR Leeds Musculoskeletal Biomedical Research Unit (GB), Mid Yorkshire Hospitals NHS Trust (GB), Bradford Teaching Hospitals NHS Foundation Trust (GB), Leeds Beckett University (GB)
Leeds Beckett University
Good health and well-being
Openalex Percentile: Top 4%
Knee injuries and reconstruction techniques
6.02
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