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Surgery is almost always recommended to repair a torn ACL, which involves replacing the ligament with a new one called a graft made of tissue from a patient’s kneecap tendons or hamstrings, or ...
There are around 200,000 ACL tears each year in the United States. ACL tears newly occur in about 69 per 100,000 per year with rates in males of 82 per 100,000 and females of 59 per 100,000. [67] When breaking down rates based on age and sex, females between the ages of 14 and 18 had the highest rates of injury with 227.6 per 100,000.
Most ACL tears are a result of a non-contact mechanism such as a sudden change in a direction causing the knee to rotate inward. As the knee rotates inward, additional strain is placed on the ACL, since the femur and tibia, which are the two bones that articulate together forming the knee joint, move in opposite directions, causing the ACL to tear.
ACL injuries can be categorized into groups- contact and non-contact based on the nature of the injury [6] Contact injuries occur when a person or object come into contact with the knee causing the ligament to tear. However, non-contact tears typically occur during the following movements: decelerating, cutting, or landing from a jump.
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Treatment of the unhappy triad usually requires surgery. An ACL surgery is common and the meniscus can be treated during the surgery as well. The MCL is rehabilitated through time and immobilization. Physical therapy after the surgery and the use of a knee brace help speed up the healing process. A typical surgery for a blown knee includes:
The Lachman test is a clinical test used to diagnose injury of the anterior cruciate ligament (ACL). It is recognized as reliable, sensitive, and usually superior to the anterior drawer test . [ 1 ]
When an athlete complains of pain, injury, or distress, the key to diagnosis is a detailed history and examination. An example of a format used to guide an examination and treatment plan is a S.O.A.P. note, which stands for subjective, objective, assessment, plan.