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Most PLC injuries accompany an ACL or PCL tear, and can contribute to ACL or PCL reconstruction graft failure if not recognized and treated. [47] [48] A study by LaPrade et al. in 2007 showed the incidence of posterolateral knee injuries in patients presenting with acute knee injuries and hemarthrosis (blood in the knee joint) was 9.1%.
[4] [5] Around $500 million health care dollar will come from ACL injuries. 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 ...
ACL injury used to be a career-ending injury for competitive athletes; however, in recent years ACL reconstruction surgery followed by physical therapy has allowed many athletes to return to their pre-injury level of performance. [62] Long term complications of ACL injury include early onset arthritis of the knee and/or re-tearing the ligament.
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 ]
Traumatic events: Sudden twisting or pivoting movements with the knee in flexion and rotation. Degenerative knees: Less commonly, a bucket-handle tear can occur in older individuals with preexisting meniscal degeneration. The injury frequently occurs in conjunction with anterior cruciate ligament (ACL) tears.
ACL reconstruction is a commonly practiced technique for ACL injury, conducted on 30% of patients, which manages to restore stability to the knee structure. [2] [14] Traditional ACL reconstructions uses autografts or allografts which demand a long rehabilitation time and in most cases, develop donor morbidity in the long term. [11]
An ACL tear is one of the most common knee injuries, with over 100,000 tears occurring annually in the US. [8] 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.
The pivot-shift test [1] is one of the three major tests for assessing anterior cruciate injury or laxity, the other two being the anterior drawer and Lachman test. However, unlike the other two, it tests for instability, an important determinant as to how the knee will function. [ 1 ]