Return To Dance Following Arthroscopic Knee Surgeries: What Are The Differences Between Return To Sport and Return To Dance.

Main Article Content

Neslihan Aksu, M.D. Tomris Duymaz, Pt. Vefa Atansay, M.D. Büşra Akgönül, Pt. Ayhan Nedim Kara, M.D. Azmi Hamzaoğlu, M.D.

Abstract

Background: Due to risks of reinjury and osteoarthritis, the timing of return to sports after surgery is important. Although there are numerous studies on the return to sports (RTS) criteria in athletes who have undergone knee surgery, there are no studies on the return to dance (RTD) criteria after knee surgery in dancers. In this retrospective clinical study, we investigated the rates of osteoarthritis and reinjury after arthroscopic knee surgery and the criteria for RTD.


Materials and Methods: In a professional dance group consisting of 84 members (mean age: 29.8 ± 9.2  range: 18 to 49 years), during an 11 year period (between January 2009 and January 2020), 14 dancers (mean age 29.1±5.7 (20-38) years) sustained knee injuries (3 meniscus tears, 4 Anterior Cruciate Ligament (ACL) tears, 1 Posterior Cruciate Ligament (PCL), 1 patellar dislocation, 1 infrapatellar bursitis, 2 Hoffa’s fat pad syndromes, 2 symptomatic medial plicas) that required arthroscopic surgery. The RTD  times after surgery, follow up lenghts, clinical and functional tests used for deciding on RTD were recorded.


Result: The postoperative follow up period was 56.7± 23 (26-108) months. The rate of reinjury was 7.14% after knee surgery. All dancers who underwent knee surgery were evaluated for osteoarthritis according to the Kellgren Lawrence classification, and the ostearthridites were classified as G:0 in 7 patients, G:1 in 3 patients, and G:2 in 4 patients on final knee radiographs.


Conclusion : In dancers who have undergone arthroscopic surgery, the return to dance criteria should assess painless repeated turnout after meniscus repair, and also safe landing and postural contol after ACL reconstruction or PCL reconstruction.

Article Details

How to Cite
AKSU, Neslihan et al. Return To Dance Following Arthroscopic Knee Surgeries: What Are The Differences Between Return To Sport and Return To Dance.. Medical Research Archives, [S.l.], v. 10, n. 1, jan. 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2674>. Date accessed: 28 nov. 2022. doi: https://doi.org/10.18103/mra.v10i1.2674.
Section
Research Articles

References

1. Samuelsen BT, Webster KE, Johnson NR, Hewett TE, Krych AJ. Hamstring Autograft versus Patellar Tendon Autograft for ACL Reconstruction: Is There a Difference in Graft Failure Rate? A Meta-analysis of 47,613 Patients. Clin Orthop Relat Res. 2017; (475):2459–2468, https://doi:10.1007/s11999-017-5278-9
2. Wiley TJ, Lemme NJ, Marcaccio S, Bokshan S, Fadale PD, Edgar C, et al. Return to Play Following Meniscal Repair. Clin Sports Med. 2020; 39(1):185-196, https://doi:10.1016/j.csm.2019.08.002
3. Barber-Westin S, Noyes FR. One in 5 Athletes Sustain Reinjury Upon Return to High-Risk Sports After ACL Reconstruction: A Systematic Review in 1239 Athletes Younger Than 20 Years. Sports Health. 2020;12(6):587-597
4. Patterson B, Culvenor AG, Barton CJ, Guermazi A, Stefanik J, Morris HG, et al. Poor functional performance 1 year after ACL reconstruction increases the risk of early osteoarthritis progression. Br J Sports Med. 2020;54(9):546-553, https://doi:10.1136/bjsports-2019-101503
5. Kaplan Y, Witvrouw E. When is it safe return to sport after ACL reconstruction? Reviewing the Criteria. Sports Health. 2019;11(4):301-305, https://doi:10.1177/1941738119846502
6. Barcia AM, Kozlowski EJ, Tokish JM. Return to sport after meniscal repair. Clin Sports Med. 2012;31(1):155-66, https://doi:10.1016/j.csm.2011.08.010
7. Lee YS, O-Sung Lee, Lee SH. Return to Sports After Athletes Undergo Meniscal Surgery: A Systematic Review. Clin J Sport Med. 2019;29(1):29-36, https://doi:10.1097/JSM.0000000000000500
8. Burgi CR, Peters S, Ardern CL, Magill JR, Gomez CD, Sylvain J, et al. Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. Br J Sports Med. 2019;53(18):1154-1161, https://doi:10.1136/bjsports-2018-099982
9. Aksu N, Atansay V, Aksu T, Koçulu S, Karalök I. Kara D.Ş. “Injuries Requiring Surgery in Folk Dancers : a retrospective cohort study of 9 years” Journal of Sports Science. 2018;6:108-117, https://doi:10.17265/2332-7839/2018.02.006
10. Aksu N, Akgonul B, Aksu T, Atansay V, Kara AN. Traumatic knee injury patterns in Anatolian folk dancers: a case series and literature review. Int J Occup Med Environ Health. 2019;32(5):585-593 https://doi:10.13075/ijomeh.1896.01398
11. Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016;474(8):1886-93, https://doi:10.1007/s11999-016-4732-4 Epub 2016 Feb 12.
12. Brelin AM, Rue JPH. Return to Play Following Meniscus Surgery. Review. Clin Sports Med. 2016;35(4):669-78, https://doi:10.1016/j.csm.2016.05.010 Epub 2016 Jul 9.
13. Ellman MB, Sherman SL, Forsythe B, LaPrade RF, Cole BJ, Bach BRJr. Return to play following anterior cruciate ligament reconstruction. Review. J Am Acad Orthop Surg. 2015;23(5):283-96, https://doi:10.5435/JAAOS-D-13-00183
14. Rambaud AJM, Semay B, Samozino P, Morin JB, Testa R, Philippot R, et al. Criteria for Return to Sport after Anterior Cruciate Ligament reconstruction with lower reinjury risk: protocol for a prospective observational study in France. BMJ Open. 2017;7(6):e015087, https://doi:10.1136/bmjopen-2016-015087
15. Harris JD, Erickson BJ, Bach BRJr, Abrams GD, Cvetanovich GL, Forsythe B, et al. Return-to-Sport and Performance After Anterior Cruciate Ligament Reconstruction in National Basketball Association Players. Sports Health. 2013;5(6):562-8, https://doi:10.1177/1941738113495788
16. Harner CD, Fu FH, Irrgang JJ, Vogrin TM. Anterior and posterior cruciate ligament reconstruction in the new millennium: a global perspective. Review. Knee Surg Sports Traumatol Arthrosc. 2001;9(6):330-6, https://doi:10.1007/s001670100230 Epub 2001Aug8.
17. Janssen I, Steele JR, Munro BJ, Brown NA. Predicting the patellar tendon force generated when landing from a jump. Med Sci Sports Exerc. 2013;45(5):927-934, https://doi:10.1249/MSS.0b013e31827f0314
18. Liederbach M, Richardson M, Rodriguez M, Compagno J, Dilgen FE, Rose DJ. Jump exposures in the dance training environment: a measure of ergonomic demand. J Athl Train. 2006;41:S85.
19. Wang LJ, Zeng N, Yan ZP, Li JT, Ni GX. Post-traumatic osteoarthritis following ACL injury. Review. Arthritis Res Ther. 2020;24;22(1):57, https://doi:10.1186/s13075-020-02156-5 PMID:32209130.
20. Lie MM, Risberg MA, Storheim K, et al. What’s the rate of knee osteoarthritis 10 years after anterior cruciate ligament injury? An updated systematic review. Br J Sports Med. 2019;53:1162-1167 https://doi:10.1136/bjsports-2018-099751
21. Twomey-Kozak J, Jayasuriya CT. Meniscus Repair and Regeneration: A Systematic Review from a Basic and Translational Science Perspective. Clin Sports Med. 2020;39(1):125-163, https://doi:10.1016/j.csm.2019.08.003
22. Narducci E, Waltz A, Gorski K, et al. The clinical utility of functional performance tests within one-year post-ACL reconstruction: a systematic review. Int J Sports Phys Ther. 2011;6(4): 333–42.
23. Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B,et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med. 2010;38(10):1968-78, https://doi:10.1177/0363546510376053
24. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. Review. J Am Acad Orthop Surg. 2005;13(5):316-25, https://doi:10.5435/00124635-200509000-00005 PMID:16148357
25. Sommer HM. Patellar chondropathy and apicitis, and muscle imbalances of the lower extremities in competitive sports. Sports Med 1988;5:386-394 https://doi:10.2165/00007256-198805060-00004
26. Rauck RC, Nwachukwu BU, Allen AA, Warren RF, Altchek DW, Williams RJ. Outcome of isolated posterior cruciate ligament reconstruction at mean 6.3-year follow up: a consecutive case series. The Physician and Sports Medicine 2019;47(1):60-64, https://doi:10.1080/00913847.2018.1520053
27. Puzzitiello RN, Waterman B, Agarwalla, A, Zuke, W, Cole BJ, Verma NN, et al. Primary Medial Patellofemoral Ligament Repair Versus Reconstruction: Rates and Risk Factors for Instability Recurrence in a Young, Active Patient Population. Arthroscopy. 2019;35(10):2909-2915 https://doi:10.1016/j.arthro.2019.05.007
28. Tanaka MJ. Editorial Commentary: Repair or Reconstruct? Addressing Medial Patellofemoral Ligament Insufficiency in the Absence of Morphologic Abnormalities. Arthroscopy. 2020;36(6):1735-1737 https://doi:10.1016/j.arthro.2020.02.040
29. Zaman S, White A, Shi WJ, Freedman KB, Dodson CC. Return-to-Play Guidelines After Medial Patellofemoral Ligament Surgery for Recurrent Patellar Instability: A Systematic Review. Am J Sports Med. 2018;46(10):2530-2539, https://doi:10.1177/0363546517713663
30. Lyu SR, Hsu CC. Medial plicae and degeneration of the medial femoral condyle. Arthroscopy. 2006;22(1):17-26 https://doi:10.1016/j.arthro.2005.08.039