Table 1

ACL Injury RTS consensus statements

Consensus statementVotes (n),
% agreement
1. RTS is characterised by achieving the preinjury level of sports participation as defined by the same type, frequency, intensity and quality of performance as before injury.24/26,
2. Sports medical clearance should be made prior to progressing the patient to unrestricted training and competition.25/26,
3. Clearance to full participation (practice followed by competition) should be a multidisciplinary decision involving the patient, parent if the patient is under 18 years of age, surgeon, team physician and physical therapist/athletic trainer.26/26,
4. Clearance to RTS participation should be followed by a carefully structured plan to return to practice before progressive return to competition.26/26,
5. Purely time-based RTS decision-making should be abandoned in clinical practice.26/26,
6. RTS decision-making must include objective physical examination data (eg, clinical tests and measures).26/26,
7. Patients should pass a standardised, validated and peer-reviewed RTS test, with respect to the healing tissues, prior to returning to full activities after ACL injury with or without ACL reconstruction.23/26,
8. RTS testing should involve assessment of specific functional skills that demonstrate appropriate quality of movement, strength, range of motion, balance and neuromuscular control of the lower extremity and body.26/26,
9. RTS decision-making includes psychological readiness as measured by a validated scale.22/26,
10. The decision to release an athlete to RTS should consider contextual factors (type of sport, time of season, position, level of competition, etc).26/26,
11. Consideration should be given to the nature and severity of concomitant injuries of the knee (eg, cartilage and menisci) when making RTS decisions.25/26,
  • ACL, anterior cruciate ligament; RTS, return to sport.