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Guideline on anterior cruciate ligament injury
Article  in  Acta Orthopaedica · August 2012
DOI: 10.3109/17453674.2012.704563 · Source: PubMed
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Ron L Diercks
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Thomas W Patt
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Cor P van der Hart
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Acta Orthopaedica 2012; 83 (4): 379–386 379
Guideline on anterior cruciate ligament injury 
A multidisciplinary review by the Dutch Orthopaedic Association
Duncan E Meuffels1, Michelle T Poldervaart1, Ron L Diercks1, Alex WFM Fievez1, 
Thomas W Patt1, Cor P van der Hart2, Eric R Hammacher3, Fred van der Meer4, Edwin A Goedhart5, 
Anton F Lenssen6, Sabrina B Muller-Ploeger7, Margreet A Pols7, and Daniel B F Saris1
1The Dutch Orthopaedic Association (Nederlandse Orthopaedische Vereniging (NOV)); 2the Dutch Society for Arthroscopy (Nederlandse Vereniging 
voor Arthroscopie (NVA)); 3the Association of Surgeons of the Netherlands (Nederlandse Vereniging voor Heelkunde (NVvH)); 4the Dutch Society of 
Rehabilitation (Vereniging van Revalidatieartsen (VRA)); 5the Society for Sports Medicine (Vereniging voor Sportgeneeskunde (VSG)); 6the Royal Dutch 
Society for Physiotherapy (Koninklijke Genootschap voor Fysiotherapie (KNGF)); 7the Department of Professional Quality, the Dutch Association of 
Medical Specialists (Orde van Medisch Specialisten), the Netherlands
Correspondence: d.meuffels@erasmusmc.nl 
Submitted 12-02-27. Accepted 12-04-15
Open Access - This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, 
distribution, and reproduction in any medium, provided the source is credited.
DOI 10.3109/17453674.2012.704563
The Dutch Orthopaedic Association has a long tradition of devel-
opment of practical clinical guidelines. Here we present the 
recommendations from the multidisciplinary clinical guideline 
working group for anterior cruciate ligament injury. 
The following 8 clinical questions were formulated by a steering 
group of the Dutch Orthopaedic Association.
• What is the role of physical examination and additional diag-
nostic tools?
• Which patient-related outcome measures should be used?
• What are the relevant parameters that influence the indication 
for an ACL reconstruction?
• Which findings or complaints are predictive of a bad result of an 
ACL injury treatment?
• What is the optimal timing for surgery for an ACL injury?
•