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Anterior Cruciate Ligament Injury


Presentation

  • The median delay from injury to presentation was 0 weeks (range 0-885), injury to diagnosis 13 weeks (0-926), presentation to diagnosis 10 weeks (0-924), presentation to a specialist knee clinic 24 weeks (0-1006), and specialist knee clinic to surgery[ncbi.nlm.nih.gov]
  • […] to confirm present of tear or rupture.[shrinerschildrens.org]
  • The clinical patient scenarios presented in the AUC document ACL Injury Prevention Programs were derived from indications typical of patients who commonly present with ACL injuries in clinical practice as well as from current evidence-based clinical practice[ncbi.nlm.nih.gov]
  • Fourth, partial tears may present as an isolated bundle tear.[emedicine.medscape.com]
Falling
  • SETTING: All Minnesota high schools identified in the Minnesota State High School League (MSHSL) database for fall 2014 boys' football and soccer, and girls' volleyball and soccer.[ncbi.nlm.nih.gov]
  • Also, learn the correct sports techniques Wear seat-belt while driving Fall-proof the home; address slippery smooth surfaces that poses risk for falls Close supervise of children during their outdoor activities, playtime What are certain Crucial Steps[dovemed.com]
  • The PCL (posterior cruciate ligament) can be ruptured in car accidents when the knee hits the dashboard and in ski accidents when knees get impacted in wild falls. If left alone, the injured knee degrades over time.[stoneclinic.com]
  • The risk factors for non-contact ACL injuries fall into four distinct categories: environmental, anatomic, hormonal and biomechanical.[bjsm.bmj.com]
  • Skiers were taught not to lean or fall backward to avoid disruption of the ACL by a flexion and internal tibial rotation maneuver.[healio.com]
Difficulty Walking
  • The signs and symptoms of an Anterior Cruciate Ligament Injury include: Decreased range of motion in the knee, difficulty walking Pain in the knee, which may be slight initially and then gradually increases Noticeable swelling in the knee A loud popping[dovemed.com]
  • walking Diagnosis You will be asked about your symptoms and how you injured your knee.[denverhealth.org]
  • Symptoms of ACL tear include hearing a loud pop as the ligament tears, pain , knee swelling, and difficulty walking . Diagnosis is made clinically by physical examination and usually confirmed by MRI .[emedicinehealth.com]
Swollen Knee
  • Patients who have a stiff, swollen knee lacking full range of motion at the time of ACL surgery may have significant problems regaining motion after surgery.[orthoinfo.aaos.org]
  • Patients who have a stiff, swollen knee lacking full range of motion at the time of ACL surgery may have significant problems regaining motion after surgery. 95, 96, 97 It usually takes three or more weeks from the time of injury to achieve full range[web.archive.org]
Asymptomatic
  • Presentation ranges from asymptomatic to painful, limited knee motion. Management varies based on symptoms and aetiology.[physio-pedia.com]
Urticaria
  • Vishwas Virmani (PT), Physiotherapist SPECIFIC STRENGTH AND NEUROMUSCULAR TRAINING FOR INJURY PREVENTIONThis is especially important for sports Read More Top 10 Easy Home Remedies for Urticaria (Hives) Top10HomeRemedies.com Did you know apple cider vinegar[practo.com]
Knee Pain
  • This article discusses a case in which a patient who sustained an anterior cruciate ligament (ACL) injury returned with anterior knee pain in the same knee approximately 20 years later.[ncbi.nlm.nih.gov]
  • Whole-knee BML volume was not related to knee pain for the entire cohort (β -0.09, P .25).[ncbi.nlm.nih.gov]
  • Knee pain and function were determined from the International Knee Documentation Committee Subjective Knee Evaluation Form and compared among groups via the Kruskal-Wallis test.[ncbi.nlm.nih.gov]
  • Abstract The patient was a 27-year-old man with an acute onset of right knee pain, subsequent to a twisting injury that occurred while playing soccer earlier in the day. He was evaluated via direct-access physical therapy 5 hours after the injury.[ncbi.nlm.nih.gov]
  • These injuries range from sprains and anterior knee pain, to m Read More[practo.com]
Impulsivity
  • The involved limb knee adduction moment impulse of the group with osteoarthritis was also lower than that of the group without osteoarthritis at baseline (0.087 0.023 N·m·s/kg·m [nonOA] vs 0.049 0.018 N·m·s/kg·m [OA], P .023).[ncbi.nlm.nih.gov]
  • The peak normalized strain was 30% larger for the impulsive compression loading in valgus and flexion compared with impulsive compression loading in isolated flexion, suggesting the risk of a valgus landing position.[omicsonline.org]
Distractibility
  • Preventive programs to enhance knee control should focus on avoiding valgus motion and include distractions resembling those seen in match situations.[ncbi.nlm.nih.gov]
Confusion
  • There is confusion in the literature as to how long these bony lesions remain, but it has been reported that they can persist on MRI for years. [42] Rehabilitation and the long-term prognosis may be affected in those patients with extensive bony and associated[physio-pedia.com]

Workup

  • They are most frequently used for the diagnosis of a complete ACL tear when other workup is equivocal, in conjunction with history and clinical exam findings.[doi.org]

Treatment

  • Treatment options: treatments to suit you You’ll usually need to go to A&E with this kind of injury. You may then be referred to an acute knee clinic, which will organise any investigations and treatment you need.[bupa.co.uk]
  • This is an important factor and part of the discussion when weighing the options for ACL treatment.[hopkinsmedicine.org]
  • Arthroscopic refreshing treatment of patients with anterior cruciate ligament injury combined with stable ramp lesion can achieve similar clinical curative effects as the Fast-fix suture, thereby providing a simple alternative for patient treatment worth[ncbi.nlm.nih.gov]
  • […] at Penn Treatment for ACL injuries can vary depending on a patient's needs.[pennmedicine.org]
  • Next, a separate, multidisciplinary Voting Panel made up of specialists and nonspecialists rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate[ncbi.nlm.nih.gov]

Prognosis

  • When the norm is for all professional footballers to be recommended surgery, it will be very challenging when circumstances and patient autonomy dictate a conservative approach, where prognosis, end points and risk are unclear and assumed to be high.[ncbi.nlm.nih.gov]
  • What is the Prognosis of Anterior Cruciate Ligament Injury? The prognosis of Anterior Cruciate Ligament Injury is usually good, if appropriate medical treatment is provided.[dovemed.com]
  • Cohort study (prognosis); Level of evidence, 2.[ncbi.nlm.nih.gov]
  • Notch width index and 'α angle' are weak indicators in ACL injury prognosis. Ligament impingement may be inferred as an important mechanism in female ACL rupture.[ncbi.nlm.nih.gov]
  • Level of Evidence Prognosis, 2b. J Orthop Sports Phys Ther 2017;47(5):334-338. Epub 29 Mar 2017. doi:10.2519/jospt.2017.7285.[ncbi.nlm.nih.gov]

Etiology

  • Studies were classified according to their relevance in relation to epidemiology, etiology, risk factors, and return to sport/reinjury prevention.[dovepress.com]
  • View Article Google Scholar Matava MJ, Freehill AK, Grutzner S, Shannon W: Limb dominance as a potential etiologic factor in noncontact anterior cruciate ligament tears. J Knee Surg. 2002, 15 (1): 11-16.[bmcmusculoskeletdisord.biomedcentral.com]
  • Numerous theories have been proposed to explain the etiology of ACL injury.[healio.com]
  • Lower-limb dominance as a possible etiologic factor in noncontact anterior cruciate ligament tears. J Strength Cond Res . 2007;21(1):270–273. 14. Hewett TE, Ford KR, Myer GD.[aafp.org]
  • Review Topic QID: 65 5 flexion greater than 120 degrees ML 4 Select Answer to see Preferred Response PREFERRED RESPONSE 1 (OBQ09.147) Tunnel malposition is thought to be a primary etiology for ACL graft failure.[orthobullets.com]

Epidemiology

  • Studies were classified according to their relevance in relation to epidemiology, etiology, risk factors, and return to sport/reinjury prevention.[dovepress.com]
  • EVIDENCE ACQUISITION: Sources were obtained from PubMed, MEDLINE, Web of Science, and LISTA (EBSCO) databases from 1990 onward and ranged from diverse fields including psychological and neuroscience reviews to injury epidemiology and biomechanical reports[ncbi.nlm.nih.gov]
  • KEYWORDS: Anterior cruciate ligament; adolescent; athlete; epidemiology; prevention[ncbi.nlm.nih.gov]
  • Both biomechanical and the current epidemiological data indicate that the potential window of opportunity for optimized ACL injury risk reduction may be before the onset of neuromuscular deficits and peak knee injury incidence in female athletes.[ncbi.nlm.nih.gov]
  • Frequency United States Epidemiologic studies estimate that approximately 1 in 3000 individuals sustains an ACL injury each year in the United States.[emedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • Because of the elevated contraction of the quadriceps femoris muscle during physical activity, an increased strain is placed onto the ACL due to the "tibial translation anteriorly". [18] Pathophysiology [ edit ] The knee joint is formed by three bones[en.wikipedia.org]
  • […] a particular purpose Aid rehabilitation from fractures after the removal of a cast Otherwise correct the shape and/or function of the body, to provide easier movement capability or reduce pain Orthotics combines knowledge of anatomy and physiology , pathophysiology[en.wikipedia.org]

Prevention

  • Recent evidence indicates that ACL injuries may be prevented through the use of multicomponent neuromuscular-training programs.[ncbi.nlm.nih.gov]
  • METHODS: A Markov economic decision model was constructed to estimate the value in lifetime future medical costs prevented by implementing a national ACL prevention programme among four hypothetical cohorts: high-risk sport participants (HR) aged 12-25[ncbi.nlm.nih.gov]
  • With regard to awareness among coaches, Norcross et al. [ 13 ] investigated their knowledge on injury prevention programs and found that 52% reported being aware of injury prevention programs.[journals.plos.org]
  • Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 2: a review of prevention programs aimed to modify risk factors and to reduce injury rates. Knee Surg Sports Traumatol Arthrosc. 2009 ;17: 859 - 879.[doi.org]
  • Studies were classified according to their relevance in relation to epidemiology, etiology, risk factors, and return to sport/reinjury prevention.[dovepress.com]

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