ACL Surgery Case Study

Study Design & Methods: We selected patients who underwent an ACL reconstruction with a hamstring autograft by the same surgical technique (single-bundle reconstruction in anatomical position, endobutton femoral fixation and tibial interference screw fixation) with a

Being an athlete and playing sports is fun, until you tear your ACL. Tearing your ACL is one of the most painful injuries for athletes. ACL injuries normally occur in non-contact activities like soccer, basketball, volleyball, skiing, and gymnastics. Not only do they occur in non-contact activities, but they also occur when you suffer a blow to the knee. Common symptoms of ACL injuries include a popping sensation, immediate pain, swelling, limping, stiffness, and feeling of the knee giving away.

The ACL is the Anterior Cruciate Ligament is in the front of the knee and serves a few purposes such as being in control of the knee twisting and keeps the tibia from going over the femur, and keeps the knee from hyperextending.

An anterior cruciate ligament tear can be confirmed by the Lachman test, the dynamic extension test, and the Pivot jerk test. The Lachman test and dynamic extension test is helpful in, “making a diagnosis, particularly in the acute injury.” (1) The lateral pivot test reproduces, “the rotatory subluxation that occurs in ACL defiency. The test is difficult to perform and takes residents and fellows in my practice approximately three months of intensive training to be able to adequately perform the jerk test in the unanaesthetised patient.”(1) The test is important because the demonstration of the lateral pivot jerk is the replication of the instability that the patient has. The initial goals of treatment immediately after injury are to reduce pain, reduce

Surgical repair after ACL tear is typical for the general public and imperative for athletes to return to high-level competition. Rehabilitation after ACL surgery whether using accelerated or traditional programs focuses on regain of knee functions and functional activity progression in order to achieve preinjury activity level.

First and foremost, your knee has four ligaments. The ligaments line up your bones and help control the way you move. It prevents the shins from moving too far forward. ACL injuries sometimes requires surgery.

ACL tears. Immediately to this injury first aid, involving the PRICE theory is vital this should be in place for 72hours. This is protection, rest, ice, compression, and elevation. It is important its protected as the torn ligament does not want to receive any more damage, keeping this in a fixed position of no pain is the best surrounded by things soft like pillows when sleeping and crutches throughout the day. The ice will be very effective in reducing swelling and this is important as fluid and swelling around the torn ligament is not what you want, keeping it elevated will allow oxidised blood to reach it.

Whenever an athlete participates in a sport, whether it be practice or a meet/game, they run the risk of injuring themselves. When it comes to basketball, Anterior Cruciate Ligament (ACL) injuries are common. ACL tears are more likely to occur in female basketball players as opposed to males. In basketball, speed, strength, and power are the most important physical qualities to develop. Sometimes an athlete may be lacking in certain areas which puts them at a greater risk for tearing their ACL.

This short and round ligament, like all other ligaments, prevents slippage within the joint and allows the joint to properly pivot when performing an action (Duff 300). Without this particular ligament, the knees would be fragile and more susceptible to injury. Therefore, it would be impossible to do the simplest movements that are done by humans everyday, like walking and even sitting. This is one reason why many athletes should be aware of the physical indications that arise if they have torn their ACL while participating in athletic activities.

The anterior cruciate ligament (ACL) is an important structure in maintaining the normal biomechanics of the knee and is the most commonly injured knee ligament. ACL tears may be partial or complete. A partial tear can involve both or only a single bundle to varying degree, can range from a minor tear involving just a few fibers to a high grade near-complete tear involving almost all of the ACL fibers.

A torn ACL is a injury in which also is a torn anterior cruciate ligament in the knee. When someone tears their ACL they have to have a surgery to replace it. ACL injuries range from mild, such as a small tear, to severe such as when the ligament tears completely or when the ligament and part of the bone separate from the rest of the bone. A lot of the time some of the other knee ligaments or parts of the knee are also injured. This includes cartilage such as the menisci, or bones in the knee joint they also can be broken. Your ACL can be broken during sport activities. During an activity if your leg is planted firmly on the ground then hit by a heavy/large force it could tear the ACL. Some ways your ACL can be tore is by being bent backwards,

The Anterior Cruciate Ligament also known as the ACL is deemed the most commonly torn ligament in the knee and can result from both contact and noncontact injuries. Most Anterior Cruciate Ligament injuries result from an extreme force on the lateral side of the person’s knee causing a valgus force which pushes the knee inward (Kisner & Colby, 2012, pp. 802-803). This injury to the side of the knee can also cause a “Terrible Triad” injury which also injures both the medial meniscus and the medial collateral ligament (Kisner & Colby, 2012, p. 803). Our textbook further states that “the most common noncontact mechanism is a rotational mechanism in which the tibia is externally rotated on the planted foot….this mechanism can account for as many as 78% of all ACL injuries” (Kisner & Colby, 2012, p. 803). If the person does not seek medical help with this injury they are susceptible to also injuring the remaining support ligaments as well. Patients usually present with joint effusion; possibly 25 degrees of flexion, joint swelling if blood vessels are involved, limited ROM, stress pain and instability along with quads avoidance gait patterns (Kisner & Colby, 2011, p. 208)

The term ACL refers to Anterior Cruciate Ligament. The ACL is one of two ligaments in the middle of the knee that connects the femur to the tibia. The tearing of your ACL is a pretty common injury. There are about 100,000 ACL tears in the United States each year at a financial cost of around $1.7 billion. This wound is usually caused by pivoting, cutting, and jumping while playing sports. The number of people who have torn their ACL is actually increasing. Doctors believe this is happening either because more people are participating in high intensity

In the sports world the word ACL brings absolute horror and cringe with it. That’s because when an ACL tears it can be one of the most painful experiences an athlete can have, especially with the surgeries and recovery it brings with it. Along with that, the ACL is in the deep part of the middle of the knee, so most of the time when you damage your ACL you most likely have damaged something else. Women especially have to worry about the overall health of their knees as they have a 4.8% greater chance of tearing their ACL than men (Musgrave). ACL tears are one of the worst injuries in the sports world and in order to recover to full health it takes time, patience, and a hard-work ethic.

The knee joint consists of four ligaments, two intra-capsular which are the ACL and the PCL and two extra-capsular ligaments including the MCL and LCL. The ACL is an extremely strong stabiliser which prevents anterior displacement of the knee. The ACL is a ligament and therefore connects one bone to another, the femur with the tibia. The ACLs origin is from the anterior intercondylar eminence of the tibia (home,2017) and the fibres pass upwards, backward and laterally inserting into the lateral condyle of the femur.