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405 acl presentation

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405 acl presentation

  1. 1. ACL Tears<br />Randi M. Haupert<br />PED 488<br />
  2. 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. 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. 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. 5. Sports Related Injuries<br /><ul><li> 80% “Non Contact” Injuries
  6. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 16. How It Relates to Me<br />Sports Medicine Physician<br />Work with Olympic athletes<br />
  17. 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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