Table 1

Characteristics of included studies

Author
(year)
Sport
Population
Recruitment source
Focus of studyRBA12
LOE13
RTS rate (%)
Months to RTS*
Graft rupture rate (%)
Ardern et al
(2014)17
Multiple sports
Elite athletes
Medical records
Psychological factors4 items met
Level 4
10/24 (42%)
NR
NR
Busfield et al
(2009)18
Basketball
NBA
Competition database
RTS and performance5 items met
Level 4
21/27 (78%)
10.7±2.7 (6.7–15.3)
NR
Carey et al
(2006)19
American football
NFL (RB and WR)
Public domain
RTS and performance4 items met
Level 4
26/33 (79%)
12.8 (9.2–43)
NR
Colombet et al
(2002)20
Not reported
Not reported
Medical records
Surgical factors
(graft and fixation)
5 items met
Level 4
98/113 (87%)
7.7 (3–10)
NR
Daruwalla et al
(2014)21
American football
NCAA Division I
Medical records
Determinants of RTS3 items met
Level 4
151/184 (82%)
8.2
NR
Erickson et al
(2013)23
Soccer (association football)
MLS
Public domain
RTS and performance5 items met
Level 4
40/52 (77%)
10.2±2.8
4/52 (7.7%)
Erickson et al
(2013)24
Freestyle skiing/snowboarding
X-Games
Public domain
RTS and performance4 items met
Level 4
20/25 (80%)
NR
1/25 (4.0%)
Erickson et al
(2014)22
Ice hockey
NHL
Public domain
RTS and performance4 items met
Level 4
35/36 (97%)
7.8±2.4
1/36 (2.8%)
Erickson et al
(2014)38
American football
NFL (Quarterbacks)
Public domain
RTS and performance4 items met
Level 4
12/13 (92%)
13±3.9
1/13 (7.7%)
Fabbriciani et al
(2005)40
Rugby (union)
Professional athletes
Medical records
Surgical factors
(graft and fixation)
3 items met
Level 4
12/12 (100%)
≤6
0/12 (0%)
Fabricant et al
(2015)25
Baseball
MLB
Public domain
RTS and performance4 items met
Level 4
27/33 (82%)
NR
NR
Franceschi et al
(2013)26
Not reported
Not reported
Medical records
Surgical factors
(tunnel drilling)
4 items met
Level 4
29/43 (67%)
NR
NR
Haida et al
(2016)36
Alpine skiing
French national team
Competition database
RTS and performance5 items met
Level 4
148/148 (100%)
NR
NR
Harris et al
(2013)27
Basketball
NBA
Public domain
RTS and performance5 items met
Level 4
50/58 (86%)
11.6±4.1
2/58 (3.4%)
Howard et al
(2016)39
Soccer (association football)
NCAA Division I Females
Medical records
Determinants of RTS4 items met
Level 4
66/78 (85%)
6.5±1.2
NR
Ibrahim et al
(2015)28
Multiple sports
Professional athletes
Medical records
Surgical factors
(graft and fixation)
6 items met
Level 4
61/66 (92%)
NR
0/66 (0%)
Kamath et al
(2014)29
Multiple sports
NCAA Division I
Medical records
RTS and reinjury4 items met
Level 4
38/43 (88%)
NR
1/54 (1.9%)
Marcacci et al
(1995)30
Not reported
Not reported
Medical records
Surgical factors
(timing of surgery)
4 items met
Level 4
16/23 (70%)
NR
0/23 (0%)
Myklebust et al
(2003)31
Handball
Norwegian top 3 divisions
Competition database
Operative vs nonoperative management4 items met
Level 4
33/57 (58%)
NR
11/57 (19.3%)
Namdari et al
(2011)32
Basketball
WNBA
Public domain
RTS and performance4 items met
Level 4
14/18 (78%)
11.8 (8.1–22.5)
1/18 (5.6%)
Shah et al
(2010)33
American football
NFL
Medical records
Determinants of RTS5 items met
Level 4
31/49 (63%)
10.8
NR
Sikka et al
(2016)37
Ice hockey
NHL
Competition database
RTS and performance5 items met
Level 4
42/47 (89%)
9.8 (6–21)
4/47 (8.5%)
Walden et al
(2011)34
Soccer (Association football)
European first leagues
Medical records
Injury incidence and risk factors6 items met
Level 4
61/69 (88%)
7.8±2.5
2/69 (2.9%)
Zaffagnini et al
(2014)35
Soccer (Association football)
Italian main divisions
Medical records
Surgical factors
(graft and fixation)
5 items met
Level 4
20/21 (95%)
6.0±1.7
1/21 (4.8%)
  • ACL, anterior cruciate ligament; LOE, level of evidence; MLB, Major League Baseball; MLS, Major League Soccer; NBA, National Basketball Association; NCAA, National Collegiate Athletic Association; NFL, National Football League; NHL, National Hockey League; NR, not reported; RB, running backs; RBA, risk of bias assessment; RTS, return to sport; WNBA, Women’s National Basketball Association; WR, wide receivers. *Months to RTS, where reported, given in the following format: mean ± SD (range).