Saturday, August 10, 2024

Anterior Cruciate Ligament (ACL) tear

Anterior Cruciate Ligament (ACL) tear: a common knee injury, especially in sports, causing instability and pain.

Causes:

1. Sudden stops or changes of direction
2. Landing awkwardly from jumps
3. Direct blows to the knee
4. Twisting or pivoting movements
5. Sports injuries (e.g., soccer, basketball, football)

Symptoms:

1. Sudden, severe pain
2. Loud "pop" or snapping sound
3. Swelling and bruising
4. Instability or feeling of knee "giving way"
5. Limited mobility and stiffness

Diagnosis:

1. Physical examination
2. Imaging tests (X-rays, MRI)
3. Arthroscopy

Treatment:

1. Conservative:
    - Physical therapy (rehabilitation)
    - Bracing and orthotics
    - Pain management
2. Surgical:
    - ACL reconstruction (patellar tendon or hamstring graft)
    - Rehabilitation

Recovery:

1. Conservative: 3-6 months
2. Surgical: 6-9 months

Complications:

1. Chronic instability
2. Meniscal damage
3. Cartilage degeneration
4. Arthritis
5. Reduced athletic performance

Prevention:

1. Warm-up and cool-down exercises
2. Strengthening and stretching
3. Proper landing and pivoting techniques
4. Knee bracing and support
5. Sports-specific training


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