Die vordere Kreuzbandruptur im Judo

The anterior cruciate ligament (ACL) rupture is one of the most serious injuries in judo. The development of prevention programs seems reasonable. The indication for surgical therapy should be generous. The risk of post-traumatic degenerative joint changes, and reduction of athletic performance is high. For judo athletes on the highest performance level, a conservative therapy may be considered under certain circumstances. Recent examples of top athletes show that in some cases, high performance can be delivered despite knee joint instability. In these cases the therapeutic approach and the expected consequences should be closely coordinated. Hamstring tendon grafts could be detrimental for judoka.