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Acl injury for the dummies
Acl injury for the dummies
Acl injury for the dummies
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Many people do not understand the significant role ligaments have in our knees. From walking to sitting to kneeling, the ligaments are constantly providing support for the knee. The next few paragraphs will explain what the ACL is, the signs and symptoms of an ACL injury, and how it is repaired. To begin, ACL stands for Anterior Cruciate Ligament. An ACL is one of the two ligaments in the center of the knee that helps hold the femur to the tibia and properly stabilizes the knee (Still 4). Twisting and/or hyperextension of the knee commonly cause an ACL injury. An ACL injury is a very common in sports such as basketball, football, and soccer, however, an ACL injury can happen in other sports and occupations as well. The immediate effect of an
The way in which the ACL is repaired merely depends on which type the surgeon is most comfortable performing. An arthroscope is inserted into the knee through three to five small incisions. This method allows the surgeon to see the ACL damage on a television monitor. A small piece of the femur and tibia are used to put the patellar tendon or hamstring graft in place. The patellar tendon is then put through a small incision in the front of the knee to help secure where the ACL used to be (Still 6). Two small screws are used to seal the two ends of where the graft was placed. These screws will become covered in bone and remain permanent anchors in the knee (Scott 5). After surgery, patients will find relief by icing and taking Tylenol. About three weeks after surgery, the patient will meet with the surgeon for a follow-up. At this appointment the patient will get an X-ray of the knee and sutures will be removed. Throughout the healing process, the patient should constantly ice to reduce swelling and pain. The scar should be covered until the doctor says the bandage may be removed (Scott
The incidence and prevalence rate of anterior cruciate ligament (ACL) injuries in female athletes continues to increase over time (Prodromos, Han, Rogowski, Joyce, & Shi, 2007). With the growing rate in the amount of young women participating in sports, data has shown that the rate of ACL injury increases linearly with this participation ("The Relationship Between Static Posture and ACL Injury in Female Athletes," 1996). This epidemic of ACL injuries in female athletes, young or old, continues to be problematic in the athletic world. This problem not only affects the athlete themselves, but also the coaches and the sports medicine community.
The anterior cruciate ligament (ACL) is one of the most important of your four major knee ligaments. The function of the ACL is to provide stability to the knee and minimize stress across the knee joint. It restrains excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur). It also limits rotational movements of the knee. “Greater external knee valgus and internal rotation moments have been shown to increase loading on the ACL in vitro and are thought to be associated with the increased risk of noncontact ACL injury” (Effects 2011). A tear to the anterior cruciate ligament results from overstretching of this ligament within the knee. It’s usually due to a sudden stop and twisting motion of the knee, or a “...
In order for athletes to save their active lifestyles they need understand the ACL. The ACL is the most important ligament in the knee because it provides stability to the knee. Athletes have to be aware of the importance of the ACL and know its functions in order to preserve the ligament. The ACL otherwise know as the anterior cruciate ligament is the ligament in the knee that connects the upper leg bone which is the femur to the lower leg bone which is the tibia. The anterior cruciate ligament crosses with the posterior cruciate ligament inside the center of the knee joint to stabilize to the knee in movement.
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
The sutures won’t be removed until two weeks after the surgery and it is recommended that the leg is rested. Sometimes people are well enough to go to work the next day depending on how much pain they are in after the surgery. It is the most effective way to get rid of a cyst that reoccurs. With aspiration of a cyst it typically reoccurs. There are home remedies to treat Baker’s Cysts, but whether they work or not is questionable.
To understand the importance of the ACL, the knee as a whole must be examined. The knee is formed by the femur, the tibia, and the patella. Several muscles and ligaments control the motion of the knee and protect it from damage at the same time. Ligaments are dense structures of connective tissue that fasten bone to bone and stabilize the knee. Two ligaments on either side of the knee, called the medial and lateral collateral ligaments, stabilize the knee from side-to-side. The ACL along with the posterior cruciate ligament are of a pair of ligaments in the center of the knee joint that form a cross. T...
A 16-year-old, female high school soccer player, Lindsey Robinson, tore her anterior cruciate ligament (ACL) during a soccer game. Interestingly, she was not the only one in her team who injured her ACL, but several of her teammates have torn the same ligament as well during the soccer season. Lephart (2002) found that women involved in physical activity are more susceptible to acquiring the ACL injuries than men who are involved in the same physical activity (as cited in Ogden, 2002). According to “ACL Injury Prevention” (2004), the numbers of female ACL ruptures have increased for the past ten years. Over 1.4 million women have suffered from the ACL rupture, which is twice the rate of the previous decade.
Ligaments are tough, non-stretchable fibers that hold bones together. Damage to cruciate ligaments, which crisscross the knee to give it stability, is one of the most common sports injuries. The “tear” occurs from changing direction rapidly, slowing down from running, or landing from a jump improperly. The A.C.L tear is one injury that worries athletes in all sports at all levels because of its devastating effects. People ages 15-25 that participate in basketball and other sports that require pivoting are especially at risk.
Fortunately, it wasn’t as difficult as it may have been presented to me at the time. When I was faced with this problem, I thought of the physical therapist that treated me when I had both of my ACL surgeries in middle school. Physical therapy has always interested me, I did my Junior paper on it and the career itself. The therapist that treated me, Dennis Schepmann at the Jackson County Physical Therapy in Phoenix was the perfect candidate to be my mentor. Dennis gladly took me in and set up everything, with which hours I needed to go in, which therapist and which room I went in to in order to complete my project in time.
There are many injuries in general, but sports injuries? Sprains and Strains are the most common injuries in sports. “Sprains are injuries to ligaments, the tough bands connecting in a joint. Suddenly stretching ligaments past their limits deforms or tears them” (Hoffman 1). Ligaments are like springs in a sense that when you stretch a spring, it will return to it’s normal state unless they are
The word patella comes from the great latin language meaning shallow pan or shallow dish. The description of that word could not be more correct, it was meant in reference to balance of food but in anatomy’s case a balance of the body. The patella is a small bone located in front of the knee joint where the thigh bone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia. The patella is one of two sesamoid bones found in the body, roughly triangular shaped in size. It’s thick consistency allows for the articulation of the femur, which in turn allows for body support and balance. The patella has multiple body functions with the primary being knee extension. The patella is essential for basic body functions including locomotion;
The majority of ACL injuries suffered during athletic participation are of the noncontact variety. Three main noncontact mechanisms have been identified planting and cutting, straight-knee landing and one-step stop landing with the knee hyperextended. Pivoting and sudden deceleration are also common mechanisms of noncontact ACL injury. Basketball, soccer, and volleyball consistently produce some of the highest ACL injury rates across various age groups. Other activities with a high rate of injury are gymnastics, martial arts, and running. In most sports, injuries occur more often in games than in practice. Many injuries have occurred during the first 30 minutes of play. One-reason physicians are seeing more ACL injuries in female patients that more women play sports, and they play more intensely. But as they continued to do more studies, they are finding that women's higher rate of ACL is probably due ...
ACL injury is quite prevalent in the United States. About every 1 in 3,000 people suffer from an ACL injury in their lifetime, and approximately 95,000 new incidences of ACL injury occur each year. The largest amount of these injuries occurs during sports which involve twisting, cutting, jumping and deceleration. The mechanisms that can cause an ACL injury are excessive valgus (outside of knee) stress, forced hyperextension, or forced external rotation of the femur on the a fixed tibia (Evans, 2001). Many associate the tearing of the ACL with a large impact or collision, however 80% of all ACL injuries are non-contact injuries. This statistic shows that ACL injuries are mostly caused by the individual themselves as opposed to an opponent or other person. The exact mechanism of noncontact ACL tears consists of poor knee positioning (e.g. landing with an extended knee) and a strong, unopposed quad contraction (Murray, 2013).
Orthopedic surgeons are responsible for mending and operating on the musculoskeletal system. “Orthopedics is a medical specialty that focuses on the diagnosis, care, and treatment of patients with disorders of the bones, joints, muscles, ligaments, tendons, nerves, and skin” (Career in Orthopaedics). Depending on the damage the patient has sustained determines how the orthopedic surgeon is able to correct the patient’s injury. In many cases there are multiple ways of correcting the patient’s injury such as; using medical, physical, and rehabilitative techniques to using complex surgical methods. “Typically, as much as 50 percent of the orthopedic surgeon’s practice is devoted to no surgical or medical management of injuries or disease and 50 percent to surgical management” (Career in Orthopaedics). The majority of surgeons, including orthopedic surgeons, prefer to choose the least invasive procedures such as; arthroscopy which is a technological advancement allowing orthopedic surgeons to use special cameras in order to diagnose and treat a joint with minimal cutting and trauma to...
reported on 2500 ACL reconstructions with 7 infections: the graft was removed in 4 cases. One of these cases underwent successful revision ACL reconstruction a year later. 10 In a retrospective review of 3500 ACL reconstructions, Indelli et al identified 6 infections treated with arthroscopic debridement of which 2 grafts were removed, culminating in 1 revision ACL reconstruction and 1 total knee arthroplasty (TKA) a year later.11 Like the studies by Williams et al and Indelli et al, another study reported 1 patient treated with initial graft removal and successful revision ACL surgery 1 year after treatment.12 Zalavras et al also described a series of 5 infected ACL reconstructions treated with radical debridement and graft removal. Two patients had further procedures: 1 revision ACL reconstruction after 14 months and 1 TKA after 9 months.