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405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
405 acl presentation
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405 acl presentation

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  • 1. ACL Tears<br />Randi M. Haupert<br />PED 488<br />
  • 2. Overview<br />“Anterior Cruciate Ligament”<br />1 of 4 major ligaments in the knee<br />Primary function is stabilization<br />Prevents extreme motion within the knee <br />http://www.orthoinfo.org/topic.cfm?topic=A00549<br />
  • 3. Key Components/ Factors of Topic<br />200,000 annual injuries<br />½ result in ACL reconstruction surgery<br />50% occur in correlation with meniscus, articular cartilage, or ligament damage<br />Able to perform DTL without a properly functioning ACL<br />
  • 4. Causes<br />Sports – Related Injury<br />Motor Vehicle Accidents<br />Falls<br />Work – Related Injury<br />ACL TEARS OCCUR MOST FREQUENTLY WHEN PIVOTION OR LANDING STRAIGHT LEGGED FROM A JUMP<br />
  • 5. Sports Related Injuries<br /><ul><li> 80% “Non Contact” Injuries
  • 6. Female athletes are at higher risk</li></ul>Hyperextension: Over Straightening<br />More than 10° beyond normal extension<br />Skiing, volleyball, basketball, soccer, football<br />Pivoting (Inward Rotation of lower leg) : Plant and twist combination<br />Football, tennis, basketball, soccer<br />Other common sports <br />Wrestling, gymnastics, martial arts, running<br /><ul><li>Most frequently opt for surgery
  • 7. Tom Brady, Tiger Woods</li></li></ul><li>Severity<br />Position of the knee at time of injury<br />Direction of blow<br />Force of blow<br />
  • 8. Signs/ Symptoms<br />Knee usually gives-out from underneath<br />“Pop” in the knee<br />Pain and Swelling<br />Discomfort while walking<br />Reduced range of motion<br />Physician Examination<br />Instability of the knee<br />Lachman Test<br />MRI<br />Pain and swelling can reduce within a couple weeks<br />http://www.google.com/imgres?imgurl=http://factotem.org/library/images/Knee-MRI-and-Xray-images/f5-MRI-fully-torn-ACL-side-view.jpg&imgrefurl=http://factotem.org/library/database/Knee-Articles/Knee-MRI-and-Xray-images.shtml&usg=__dPwX0fIVW5MhIkMdO3EtWxCmbe0=&h=496&w=372&sz=27&hl=en&start=0&sig2=ffm3jrvL9B96qowUXtcQiA&zoom=1&tbnid=gfK5_AwRSMV92M:&tbnh=152&tbnw=114&ei=Ff79TLitJ4a8lQef0Z2fCA&prev=/images%3Fq%3Dmri%2Bof%2Ba%2Btorn%2Bacl%26hl%3Den%26sa%3DG%26biw%3D1362%26bih%3D533%26gbv%3D2%26tbs%3Disch:1&itbs=1&iact=hc&vpx=541&vpy=156&dur=203&hovh=259&hovw=194&tx=106&ty=129&oei=Ff79TLitJ4a8lQef0Z2fCA&page=1&ndsp=15&ved=1t:429,r:3,s:0<br />
  • 9. Lachman Test<br />Knee flexed 30°<br />Pull tibia to assess anterior range of motion<br />Positive: Increased forward ROM<br />http://www.youtube.com/watch?v=dH_jnTy1rNk&list=PL09D0DFA4E90D92B7&index=51&playnext=3<br />
  • 10. Treatment<br />Not all ACL tears require surgery<br />“Do you routinely perform activities that normally require a functional ACL?”<br />“Is there knee instability?”<br />If ACL is not completely torn<br />Sedentary lifestyle or light manual work load<br />Growth plates<br />
  • 11. Physical Therapy and Rehabilitation<br />Physical Therapy and Rehabilitation<br />Very important<br />Restores motion<br />Builds up strength<br />Improves stability of joint<br />Learn techniques to keep from reinjuring <br />Individualized progression<br />Hinged knee brace<br />Many experience second injury<br />
  • 12. Surgery<br />ACL Reconstruction<br />Tendon or ligament from patella or hamstrings<br />Standard treatment for young, active population<br />Patellar tendon graft<br />Hamstrings graft<br />Allograft<br /><ul><li>90% have no complications post – op
  • 13. Concern with children: Can disrupt growth and development</li></li></ul><li>Post Surgery<br />Jog at 4 months<br />Road biking 4-5 months<br />Run in a straight line at 5 months<br />Agility drills with brace at 6-8 months<br />Sport specific activities at 4-24 months<br />
  • 14. Benefits of Exercise<br />Strengthen muscles surrounding ACL to reduce risk of re-injury<br />Maintain (or lose) weight<br />Reduces stress on knees and lower extremities<br />Keeps blood circulation to reduce risk of developing clots post - op<br />
  • 15. Risk with Exercise<br />Progressing too quickly (or slowly) during rehabilitation<br />Risk of re-injury<br />Avoid twisting exercises<br />Balancing exercises <br />One leg weight bearing exercises<br />Avoid weight bearing lunges<br />Avoid elevation jumping exercises<br />
  • 16. How It Relates to Me<br />Sports Medicine Physician<br />Work with Olympic athletes<br />
  • 17. Works Cited<br />http://www.ehealthmd.com/library/acltears/ACL_activities.html<br />www.orthoinfo.aaos.org/topic.cfm?topic=a00297<br />www.orthopedics.about.com/od/aclinjury/tp/acl.htm<br />

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