Anterior Cruciate Ligar Research Paper

An injury to the ACL is classified as a sprain. A sprain is a joint injury that causes a stretch or a tear in a ligament. Sprains are graded I, II, or III depending on how severe the injury is. A grade I sprain will have pain with minimal damage to the ligaments. A grade II sprain is going to have more ligament damage and mild looseness of the joint. Finally, in a grade III sprain, the ligament is completely torn and the joint is very loose or unstable. A grade III sprain, simply called an ACL tear, is most often a sports-related injury. Still, The ACL can be torn in other instances such as during rough play, vehicular collisions, falls, and work –related injuries. According to a study performed by Jonathan Cluett, M.D., about 80% of sports-related ACL tears are “non-contact” injuries. This means that the injury does not result from any contact with another athlete. A rupture to the ACL is the result of the ligament within the knee being overstretched. This is usually caused by a “plant-pivot” mechanism (a stop and twist motion) of the knee, or a blunt force to the front of the knee. Other factors include quick changes of motion, twisting or torquing, or landing from a jump. Hyperextension is most

The first 10-14 days after surgery is focusing on keeping the wound dry and clean, being able to straighten the knee, and being in control of the quadriceps. The knee is also iced often to keep swelling and pain down. During physical therapy the focus is on keeping the kneecap mobile, regaining full range of motion, getting strength back to the quads and hamstrings, and regaining balance. Mobility stretching can include; knee extension and flexion which is just bending and straightening the knee, hamstring stretching, that is extending the leg and reaching for toes, and groin stretches, extend both legs as far as you can and lean forward. Strengthening exercises are lunges, squats, leg presses, step ups, calf raises which is going on your toes, hamstring curls lay on your stomach and bend the knee, hip adduction use a resistive band and pull the leg across the body, for hip abduction just pull the leg across the body again against the resistance while keeping the knee

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

Recovering from a serious knee injury and returning to pre-injury levels can be a difficult task to overcome, but it has been proven possible to do this. Improper injury protocols and the injuries themselves are two of the largest factors in professional athletes not having elongated and successful careers. ACL, MCL, PCL, LCL, and Patellar Tendonitis are the most common knee injuries in which athletes sustain. Sustaining a knee injury at the highest and most competitive levels of basketball can make the injury and recovery process much more difficult and stressful, however. Depending on the injury, it can take a very extended amount of time for the knee to return back to its normal functioning, especially since damaging one part of the knee does not come without other injuries. A permanent and career ending injury may be the result if the proper percussions are not taken throughout the recovery process.

An anterior cruciate ligament (ACL) injury is the overstretching or tearing of the in the knee. This muscle is located just below the knee bone and the tear that occurs may be partial or complete. When you hear your ACL pop that’s a clear sign of a tear. Lots of people have surgery to get it repaired. It is about a year recovery of rehab. Many times when you tear your ACL, there’s no

With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always

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 knee joint is a hinge joint that connects the femur to tibia. The anterior muscles of the quadriceps and the posterior muscles of the hamstrings help stabilize the knee joint (Prentice & Bobo & Benson, 2014). The ACL consists of long rope like bands that fasten bones together to keep the knee stable. The ACL is one of four ligaments that stabilize the knee, and it is one of the most injured ligament in the knee. The medial and collateral ligaments run along the outside of the knee and prevent the knee from shifting side to side, and the anterior and posterior cruciate ligaments are located inside the knee and prevent the knee from shifting forward and backward (Prentice & Bobo & Benson, 2014). All these muscles and ligaments work together to keep our knee stabilized

Anterior cruciate ligament injuries (ACL) can be detrimental for individuals who want to excel in their sport. The debilitating injury leads to a period of regression in performance essentially deconditioning the athlete, which can be a huge drawback for individuals of different levels of competition. The knee is one of the most commonly injured joints of the human body and carries an increased risk of injury with sports participation. Recent research states approximately 40% of all ligamentous knee injuries are ACL related and 70% of all ACL injuries occur during sports (Lam et al., 2009). Sporting activities involving jumping, cutting and decelerating are ranked the highest provokers of ACL injury (Renstrom et al., 2008). ACL injuries have produced a mass of research surrounding the mechanisms and biomechanics leading to the injury and the rehabilitation outcomes to effectively bring back the original state of an individuals impaired limb. The majority of literature in the present has undertaken an overview of rehabilitation and the effects it may or may not have on individuals at a neuromuscular and proprioceptive level. These interventions may require further research and revision on the programs delivered itself to foresee what may be optimal due to the majority of research indicating the various effects an ACL injury has at a neurophysiological and mechanical level. The programs are of upmost importance as the redevelopment of robust sufficient muscle mass after a

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 American Orthopaedic Society for Sports Medicine found that there are about 150,000 cases of ACL tear injuries that occur in the United States each year. These injuries can occur for many reasons, but there are some factors that can put someone more at risk of tearing their ACL. The two different types of risk factors are external and internal. An example of an external factor would be the play in which the athlete injured themselves. An internal factor would be the anatomy of the woman compared to the male (American Orthopaedic Society for Sports Medicine).

A torn ACL is one of the most serious and common knee injuries. Many aspects play a role in the treatment and rehabilitation of this injury. This paper will discuss the anatomy of the knee, describe a torn ACL, and the rehabilitation.

A torn ACL will not be able to heal on its on however, there are non-surgical options to help ease the injury. A concise and careful rehabilitation program will help aid the physical recovery of an ACL tear, easing the pain and growing the supporting muscles. Non-surgical treatment is only ever seen in elderly patients, with little to no activity levels. An MRI scan is often implicated to try and discover additional injuries that often occur with a torn ACL, which may change the way in which the surgery is conducted (Sutter Health, 2016). Surgical treatments often see the use of a graft, usually taken from the patient’s leg, particularly from either the hamstring or patella tendon (Wallace, B 2017). The graft acts as scaffolding for the new

ACL injuries used to be seen as career ending injuries 50 years ago, however, throughout the years with the advancement in technology aiding treatment and rehabilitation procedures. Yet they are still sever and take months to recover. This is because of the precise location of the ligament within the knee joint. Resulting in no blood clot formation within the joint as a consequence scar tissue will not form and the tissue will just be filled with uncontrolled blood leading to swelling an pain within the joint (ACL reconstruction Oxford university hospital, 2017) which is why it takes between 9 to 12 months for recovery. With an ACL injury, other injuries often follow, namely MCL injuries and meniscal lesions which in time would likely lead to the patient contracting osteoarthritis due to it being a degenerative disorder consequently resulting from the meniscal and

The ACL is the most common knee ligament to get injured. The ACL injury causes from taking a hard hit on