Hopp til hovedinnhold

Fremre korsbåndskade

Fremre korsbåndskade er den hyppigste alvorlige skaden i kneet  og er kneskaden som hyppigst har behov for kirurgiske inngrep. Den forekommer litt hyppigere hos jenter og unge kvinner enn hos gutter og menn. I mange tilfeller er skaden forbundet med samtidig skade av menisker, leddkapsel og/eller sideleddbånd.

Sist revidert:

QR
Del pasientinformasjon

Den ligger åpent tilgjengelig på NHI.no sammen annen relevant informasjon

https://nhi.no/sykdommer/muskelskjelett/kne/korsbandskade-fremre/ 

Hva er fremre korsbånd?

Forekomst

Årsaker til skade

Symptomer

Diagnosen

Behandling

Førstehjelp på skadestedet

Førstehjelp hos legen

Kirurgi

Hvor gode er operasjonsresultatene?

Forebygging

Prognose

Vil du vite mer?

Kilder

Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Korsbåndskade, fremre. Referanselisten for dette dokumentet vises nedenfor.

  1. Padua DA, DiStefano LJ, Hewett TE, et al. National Athletic Trainers' Association Position Statement: Prevention of Anterior Cruciate Ligament Injury. J Athl Train. 2018;53(1):5-19. doi:10.4085/1062-6050-99-16. DOI 
  2. Cimino F, Volk BS, Setter D. Anterior cruciate ligament injury: diagnosis, management, and prevention. Am Fam Physician 2010 Oct 15; 82(8): 917-22. pmid:20949884 PubMed 
  3. Cohen PH: Anterior cruciate ligament injury. BMJ Best Practice, last reviewed 25 Dec 2021. bestpractice.bmj.com 
  4. Nasjonalt korsbåndregister. Siden besøkt 25.1.2022. www.kvalitetsregistre.no 
  5. Visnes H, Kroken G. Årsrapport 2020 med plan for forbedringstiltak. Nasjonalt korsbåndregister, Bergen, 15.06.2021. www.kvalitetsregistre.no 
  6. Spindler KP, Wright RW. Clinical practice. Anterior cruciate ligament tear. N Engl J Med 2008; 359: 2135-42. New England Journal of Medicine 
  7. Shimokochi Y, Shultz SJ. Mechanisms of noncontact anterior cruciate ligament injury. J Athl Train 2008; 43: 396-408. PubMed 
  8. Zazulak BT, et al. The effects of the menstrual cycle on anterior knee laxity: a systematic review. Sports Med 2006; 36: 847-62. PubMed 
  9. Myer GD, Ford KR, Paterno MV, Nick TG, Hewett TE. The effects of generalized joint laxity on risk of anterior cruciate ligament injury in young female athletes. Am J Sports Med 2008; 36: 1073-80. PubMed 
  10. Chaudhari AM, et al. Anterior cruciate ligament-injured subjects have smaller anterior cruciate ligaments than matched controls: a magnetic resonance imaging study. Am J Sports Med 2009; 37: 1282-7. PubMed 
  11. Myer GD, Ford KR, Barber Foss KD, Liu C, Nick TG, Hewett TE. The relationship of hamstrings and quadriceps strength to anterior cruciate ligament injury in female athletes. Clin J Sport Med 2009; 19: 3-8. PubMed 
  12. Slauterbeck JR, Hickox JR, Beynnon B, et al. Anterior cruciate ligament biology and its relationship to injury forces. Orthop Clin North Am. 2006;37:585-591. PubMed 
  13. Nigrovic PA. Overview of hemarthrosis. UpToDate. Topic last updated Nov. 03, 2020. www.uptodate.com 
  14. Benjaminse A, Gokeler A, van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. J Orthop Sports Phys Ther. 2006;36:267-288. PubMed 
  15. Scholten RJPM, Opstelten W, van der Plas CG, Bijl D, Devillé WLJM, Bouter LM. Accuracy of physical diagnostic tests for assessing ruptures of the anterior cruciate ligament: A meta-analysis. J Fam Pract 2003; 52: 689-94. PubMed 
  16. Solomon DH, et al. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. JAMA 2001; 286: 1610-20. Journal of the American Medical Association 
  17. Emparanza JI, Aginaga JR. Validation of the Ottawa knee rules. Ann Emerg Med. 2001;38:364-368. PMID 11574791
  18. Crawford R, et al. Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review. Br Med Bull 2007; 84: 5-23. PubMed 
  19. Frobell RB, Roos EM, Roos HP, et al. A randomized trial of treatment for acute anterior cruciate ligament. N Engl J Med 2010; 363: 331-42. New England Journal of Medicine 
  20. Giotis D, Zampeli F, Pappas E, Mitsionis G, Papadopoulos P, Georgoulis AD. The effect of knee braces on tibial rotation in anterior cruciate ligament-deficient knees during high-demand athletic activities. Clin J Sport Med. 2013 Jul;23(4):287-92. PMID: 23348606. PubMed 
  21. Focke A, Steingrebe H, Möhler F, Ringhof S, Sell S, Potthast W, Stein T. Effect of Different Knee Braces in ACL-Deficient Patients. Front Bioeng Biotechnol. 2020 Aug 26;8:964. PMID: 32984272 PubMed 
  22. Kristensen G. Artroskopisk rekonstruktion af forreste korsbånd. Ugeskr Læger 2005; 167: 1833. PubMed 
  23. Johns WL, Walley KC, Hammoud S, et al. Tranexamic Acid in Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis published online ahead of print, 2021 Feb 25. Am J Sports Med. 2021. doi:10.1177/0363546521988943 DOI 
  24. Gifstad T, Foss OA, Engebretsen L, et al. Lower risk of revision with patellar tendon autografts compared with hamstring autografts: a registry study based on 45,998 primary ACL reconstructions in Scandinavia. Am J Sports Med 2014; 42: 2319-28. pmid:25201444 PubMed 
  25. Persson A, Fjeldsgaard K, Gjertsen JE, et al. Increased risk of revision with hamstring tendon grafts compared with patellar tendon grafts after anterior cruciate ligament reconstruction: a study of 12,643 patients from the Norwegian Cruciate Ligament Registry, 2004-2012. Am J Sports Med 2014; 42: 285-91. pmid:24322979 PubMed 
  26. Mohtadi NG, Chan DS. A Randomized Clinical Trial Comparing Patellar Tendon, Hamstring Tendon, and Double-Bundle ACL Reconstructions: Patient-Reported and Clinical Outcomes at 5-Year Follow-up. J Bone Joint Surg Am 2019; 101(11): 949-960. pmid:31169571 PubMed 
  27. Granan L-P, Engebretsen L, Bahr R. Kirurgi ved fremre korsbåndsskade i Norge. Tidsskr Nor Lægeforen 2004; 124: 928-30. PubMed 
  28. Eriksson K, Anderberg P, Hamberg P et al. A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg 2001; 83B: 348-54.
  29. Freedman KB, D'Amato MJ, Nedeff DD et al. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 2003; 31: 2-11. PubMed 
  30. Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med 2010; 363: 331-342. PubMed 
  31. Frobell RB, Roos HP, Roos EM, et al. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ 2013 Jan 24;346:f232. doi:10.1136/bmj.f232 DOI 
  32. Jakobsen B, Christiansen SE. Artroskopisk vejledt forreste korsbåndsrekonstruktion. Ugeskr Læger 2005; 167: 1835-7. Ugeskrift for Læger 
  33. Mascarenhas R, Cvetanovich GL, Sayegh ET, et al. Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses. Arthroscopy. 2015 Jan 14. pii: S0749-8063(14)00907-4.
  34. Jia ZY, Zhang C, Cao SQ et al. Comparison of artificial graft versus autograft in anterior cruciate ligament reconstruction: a meta-analysis. BMC Musculoskelet Disord. 2017 Jul 19;18(1):309 . pmid:28724372 PubMed 
  35. Ingelsrud LH, Granan L-P, Terwee CB, et al. Proportion of Patients Reporting Acceptable Symptoms or Treatment Failure and Their Associated KOOS Values at 6 to 24 Months After Anterior Cruciate Ligament Reconstruction. A Study From the Norwegian Knee Ligament Registry. Am J Sports Med 2015. doi:10.1177/0363546515584041 DOI 
  36. Woo SL, Jia F, Zou L et al. Functional tissue engineering for ligament healing: potential of antisense gene therapy. Ann Biomed Eng 2004; 32: 342-51. PubMed 
  37. Ramski DE, Kanj WW, Franklin CC, et al. Anterior cruciate ligament tears in children and adolescents: a meta-analysis of nonoperative versus operative treatment. Am J Sports Med. 2014; 42: 2769-76. doi: 10.1177/0363546513510889 DOI 
  38. Kruse LM, Gray B, Wright RW. Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am 2012 Oct 3; 94(19): 1737-48. PubMed 
  39. Kim YS, Chung SW, Kim JY, et al. Is early passive motion exercise necessary after arthroscopic rotator cuff repair? Am J Sports Med 2012; 40: 815-21. PubMed 
  40. Grant JA, Mohtadi NG, Maitland ME, Zernicke RF. Comparison of home versus physical therapy-supervised rehabilitation programs after anterior cruciate ligament reconstruction: a randomized clinical trial. Am J Sports Med 2005; 33: 1288-97. PubMed 
  41. Mehl J, Diermeier T, Herbst E, et al.. Evidence-based concepts for prevention of knee and ACL injuries. 2017 guidelines of the ligament committee of the German Knee Society (DKG). Arch Orthop Trauma Surg. 2018 Jan;138(1):51-61. Epub 2017 Oct 5. PMID: 28983841 PubMed 
  42. Petushek EJ, Sugimoto D, Stoolmiller M et al. Evidence-Based Best-Practice Guidelines for Preventing Anterior Cruciate Ligament Injuries in Young Female Athletes: A Systematic Review and Meta-analysis. Am J Sports Med 2018. pmid:30001501 PubMed 
  43. Gilchrist J, Mandelbaum BR, Melancon H, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med 2008; 36: 1476-83. PubMed 
  44. Myklebust G1, Engebretsen L, Braekken IH, et al. Prevention of noncontact anterior cruciate ligament injuries in elite and adolescent female team handball athletes. Instr Course Lect. 2007; 56: 407-18. pmid:17472324 PubMed 
  45. Gagnier JJ, Morgenstern H, Chess L. Interventions designed to prevent anterior cruciate ligament injuries in adolescents and adults: a systematic review and meta-analysis. Am J Sports Med 2012 Sep 12. PMID: 22972854. PubMed 
  46. Hewett TE, Ford KR, Myer GD. Anterior cruciate ligament injuries in female athletes: Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 2006; 34: 490-8. PubMed 
  47. Dacombe PJ. Shelbourne's update of the O'Donoghue knee triad in a 17-year-old male Rugby player. BMJ Case Rep 2013; Jan 23: bcr.01.2012.5593. pmid:23349168 PubMed 
  48. Øiestad BE, Engebretsen L, Storheim K, Risberg MA. Knee osteoarthritis after anterior cruciate ligament injury. A systematic review. Am J Sports Med 2009; 08: 1434-43. doi:10.1177/0363546509338827 DOI 
  49. Ajuied A, Wong F, Smith C, et al. Anterior cruciate ligament injury and radiologic progression of knee osteoarthritis: a systematic review and meta-analysis. Am J Sports Med. 2014;42(9):2242-52. doi: 10.1177/0363546513508376.
  50. Simon D, Mascarenhas R, Saltzman BM, et al. The Relationship between Anterior Cruciate Ligament Injury and Osteoarthritis of the Knee. Adv Orthop 2015. pmid:25954533 PubMed 
  51. Randsborg PH, Bukholm IRK, Jakobsen RB. Compensation after treatment for anterior cruciate ligament injuries: a review of compensation claims in Norway from 2005 to 2015. Knee Surg Sports Traumatol Arthrosc 2017. pmid:29181559 PubMed 
  52. Li S, Su W, Zhao J, et al.. A meta-analysis of hamstring autografts versus bone-patellar tendon-bone autografts for reconstruction of the anterior cruciate ligament. Knee 2011; Oct; 18(5): 287-93. pmid:20850327 PubMed 
  53. Ardern CL, Webster KE, Taylor NF, et al. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 2011;45:596-606. PubMed 
  54. Gammons M. Anterior cruciate ligament injury. Medscape, last updated Oct 06, 2014. emedicine.medscape.com 
  55. Salmon L, Russell V, Musgrove T, Pinczewski L, Refshauge K. Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligament reconstruction. Arthroscopy 2005; 21: 948-57. PubMed 
  56. Chalmers PN, Mall NA, Moric M, et al. Does ACL reconstruction alter natural history?: A systematic literature review of long-term outcomes. J Bone Joint Surg Am. 2014 Feb 19;96(4):292-300. PubMed 
  57. Oslo skadelegevakt. Metodebok i skadebehandling. Kneskader og kneundersøkelse. Siden besøkt 25.01.2022. skadelegevakten.no