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Injuries to the ACL are common, 250,000 ACL injuries occur on an annual basis. This corresponds to a 1 in 3,000 chance of an individual sustaining an ACL injury. Ligaments in the ACL or meniscus are usually torn with an external force being applied to the knee joint. The ACL can be torn without an external force being applied [11]
ACL injuries in children are a challenge because children have open growth plates in the bottom of the femur or thigh bone and on the top of the tibia or shin. An ACL reconstruction typically crosses the growth plates, posing a theoretical risk of injury to the growth plate, stunting leg growth, or causing the leg to grow at an unusual angle. [18]
The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.
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 ...
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Treatment for these injuries includes physical therapy, strength training, and occasionally surgery or a brace. If surgery is needed, the time to return to play may vary depending on the severity of the injury. For a torn ACL, recovery to return is anywhere from 6 to 9 months. [9]
Injuries to the PLC often occur in combination with other ligamentous injuries to the knee; most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). [2] As with any injury , an understanding of the anatomy and functional interactions of the posterolateral corner is important to diagnosing and treating the injury.
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