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Sports Injury

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PRESENTATION OUTLINE

INJURY

  • sprain occurs with a sudden change in direction or pivot against a locked knee.

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ANATOMY OF INJURY

  • Small tears in the ACL may just require several months of rehab in order to strengthen the surrounding muscles, the hamstring and the quadriceps, so that these muscles can compensate for the torn ligament.

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ASSESSMENT OF INJURY

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DIAGNOSIS OF INJURY

  • With the patient lying in the supine position, flex the knee 20° to 30° while the heel rests on the end of the exam table. Grasp the femur with the nondominant hand to prevent movement of the upper leg. Then, grasp the lower leg at the proximal tibia and apply a forward tug. This movement should produce a firm endpoint. If the endpoint is not firm or there is increased anterior translation of the tibia, the Lachman test is positive.

TREATMENT

  • The acl can be reconstructed by an orthopedic surgeon using arthroscopic surgery. There are a variety of techniques, depending on the type of tear and what other injuries may be associated. The decision as to what surgical option is appropriate is individualized and tailored to a patient's specific situation. Because of its blood supply and other technical factors, the torn ACL ends are not usually sewn together and instead, a graft is used to replace the ACL. Often an autograft, tissue taken from the patient's own body, is a piece of hamstring or patellar tendon that is used to reconstruct the ACL.

PSYCHOLOGICAL SUPPORT

  • Athletes who suffer an acl injury tend to experience
  • Depression
  • Fear of re injury
  • Decreased sports satisfaction
  • Long term support.

REHABILITATION OF THE INJURY

  • Knee mobility exercises can begin during the pre-operative phase of ACL rehabilitation if pain allows.
  • Mobility is most important after surgery and should begin as soon as possible within the first two weeks after surgery.

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RETURN TO PLAY

  • 5 months out until return
  • Constant rehab over the 5 months.

PREVENTION OF INJURY

  • Even though braces aren't required for after surgery it is the best idea to wear one to prevent reoccurring injury.

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