The Anterior Cruciate Ligament ( Acl ) Essay

I have played soccer continuously from age 3 to 18. Four years ago, I tore my right ACL. I endured surgery and 6 months of physical therapy, then almost 2 years later to the day, I was told the same fate again. I had torn the ACL in my left knee this time. Why did this awful injury have to strike me twice? Once again, I endured the months of rehabilitation and soon returned to the field. Having to go through this twice as a teen taught me that perseverance and determination will help you achieve what you want in life. Even though I spent almost 2 years away from the field, I still made every effort to be there for my teammates. Some days I didn’t want to get out of bed because of the pain, I didn’t want to go to therapy, and I wanted to quit.

Background: The anterior cruciate ligament (ACL) rupture is a common and limiting injury among young active population. ACL reconstruction is associated to significant technical advances in recent decades and to a growing trend for the use of hamstring tendon autograft. The use of this graft is apparently associated with lower rates of postoperative morbidity. However there is some concern regarding the risk of laxity.

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.

If I could do-over one day I would choose May 5, 2015 of my junior year of high school. On that day I tore my anterior cruciate ligament (ACL) and it changed my life forever. Tearing my ACL affected me academically, athletically, and mentally.

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

The anterior cruciate ligament (ACL) is one of the four main ligaments in the knee joint that connect it to the shin bone (tibia) and thigh bone (femur). It 's located deep within the joint, behind the kneecap (patella), above the shinbone, and below the thighbone. The ACL lies diagonally across the middle of the knee and plays a role in keeping the knee stable during movement. Partial tears of the ACL can occur, but are rare. Most ACL tears are either near-completes or complete tears. After experiencing an ACL tear, an athlete has a 15 times

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.

The ACL is one of the most frequently uinjured ligaments of the knee.( 59 )

The Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament (PCL) are located inside the knee joint. The ACL and PCL form an ‘X’ behind the kneecap (patella), with the ACL resting in front of the PCL. Both of these ligaments are responsible for controlling the back and forth motion of the knee joint; however, the ACL is responsible for stabilizing the kneecap ). In addition, the ACL is responsible for preventing the shin bone (tibia) from sliding forward on the thigh bone (femur). The ACL provides the knee with stability while an individual pivots or twists. This ligament is critical because without it, performing any kind of rotational activity is impossible, particularly when it comes to playing sports like soccer and basketball.

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.

ACL (Anterior Cruciate Ligament) tears relates back to Egyptian era. Back then, they first started by trying to stitch the ACL back together where it tore, that’s how surgeons learned about grafting. Starting off, the hamstring was the first thing they tried using this new technique on. After success with the hamstring graft, they moved to trying the patellar tendon graft, which was also successful. Fortunately, surgeons now have many ways to repair ACL

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)

Since patients typically obtain ACLR to return to their pre-injury status and contain their normal activities, there is no point in a vast majority of elderly ACL tear victims receiving it. On top of that, the small group of elderly who are active and desire return to activities have to pass a certain criteria for ACLR: “ACL reconstruction in active patients older than 60 years with ACL deficiency but without knee arthritis,” (Toanen 2017), meaning that these active patients cannot have knee arthritis in order for them to undergo ACLR. To put this into perspective, “of persons ages 65 or older, 49.6% [have] ever reported doctor-diagnosed arthritis,” (Arthritis-Related Statistics 2017). This means that about half of the population over 65 years of age can not get ACLR. Speaking of arthritis, ACLR can cause osteoarthritis in individuals over 60 years. In a study review, “twenty-seven of the included studies specifically evaluated the presence of tibiofemoral OA in patients treated with ACL-R, whereas 2 studies assessed OA in only ACL-D patients who received conservative treatment,” (Toanen 2017). This is because the ACLR procedure requires manipulating the femur and the tibia to give the ACL a stake-like plantation so the ACL can be attached. “Two contiguous 5-mm tunnels inside the anatomic ACL femoral and tibial attachment areas along their long axes, and they are expanded with a 5 × 10-mm dilator into parallelepiped ones,” (Shino 2012). Drilling into bone

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.

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.