Evidence map›Paper›PMID 31136725›Full record

ReviewSports health

When Is It Safe to Return to Sport After ACL Reconstruction? Reviewing the Criteria.

Yonatan Kaplan, Erik Witvrouw

Abstract readReview
In one paragraph

Review in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Article
  15. Return To Sport Following ACL Reconstruction.Current reviews in musculoskeletal medicine · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Anterior Cruciate Ligament Tears among Football Players.Current reviews in musculoskeletal medicine · 2025
    Review

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Yonatan KaplanJerusalem Sports Medicine Institute, Lerner Sports Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Erik WitvrouwDepartment of Rehabilitation Sciences & Physiotherapy at the Ghent University, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere is an ever-increasing trend toward sports, fitness, and recreation activities, so the incidence of anterior cruciate ligament sports injuries has increased. Perhaps the greatest challenge for sports clinicians is to return the injured athlete back to his/her original sport at an even greater level of functional ability than preinjury. For this, rigorous and well-researched criteria are needed. EVIDENCE ACQUISITION: Using medical subject headings and free-text words, an electronic search was conducted up to October 2018. Subject-specific search was based on the terms STUDY

designDescriptive review. LEVEL OF EVIDENCE: Level 2.

resultsFive principal criteria were found, including psychological factors, performance/functional tests, strength tests, time, and modifiable and nonmodifiable risk factors.

conclusionThe psychological readiness of the player is a major factor in successful safe return to sport (SRTS) decision making. Although strength, performance, and functional tests presently form the mainstay of SRTS criteria, there exists very little scientific evidence for their validity. More protection should be provided to athletes with known risk factors. Movement quality is important, if not more important than the quantifiable measures. As a result of the significantly high rerupture rate in young individuals, delayed SRTS should be considered preferably beyond 9 months postsurgery.

Indexed as

Anterior Cruciate Ligament ReconstructionClinical Decision-MakingReturn to SportAnterior Cruciate Ligament InjuriesAthletic InjuriesExercise TestFearHumansInternal-External ControlMuscle StrengthRecurrenceRisk FactorsSelf EfficacyTime FactorsACL reconstructionclinical decision makingreturn to sport criteria

Identifiers

PMID31136725
PMCPMC6600576

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.