Cruciate Ligament

In November of 2010, I was playing basketball in the fifth game of my senior season. It was just like any other game. However, I would soon find out otherwise. It was late in the game; I drove into the lane and got fouled hard. I was knocked so off-balance that I speared the floor with my knee. As soon as my knee hit the floor I heard a “snap” that I will never forget for the rest of my life. Little did I know at the time, that would be the last shot of my high school basketball career. Not long after my injury, I consulted a doctor. After getting an x-ray and an MRI, the doctor informed me that I had completely torn my ACL and would need to have surgery. An ACL tear can be a very devastating injury. The anterior cruciate

Abby describes when athletes typically tear their ACL they are rolling around screaming, unable to walk off. This was not the case for her, however something was wrong so she went to an orthopedic doctor. Due to her stability the doctor did not order an MRI and assumed it was a strained PCL.

There are a few causes of tearing your ACL like overextending the knee, changing position or stopping too quickly while running, or just getting hit in the knee hard enough. Signs and symptoms of an ACL tear include; a popping noise at the time it happened, swelling, pain, weakness or instability, and limping. There are three clinical tests you can do to test if you have an ACL tear. The Lachman test, Pivot Shift test, and Anterior Drawer test. Diagnostic

If I could do-over one day I would choose May 5, 2015 of my junior year of high school. On that day I tore my anterior cruciate ligament (ACL) and it changed my life forever. Tearing my ACL affected me academically, athletically, and mentally.

An anterior cruciate ligament tear can be confirmed by the Lachman test, the dynamic extension test, and the Pivot jerk test. The Lachman test and dynamic extension test is helpful in, “making a diagnosis, particularly in the acute injury.” (1) The lateral pivot test reproduces, “the rotatory subluxation that occurs in ACL defiency. The test is difficult to perform and takes residents and fellows in my practice approximately three months of intensive training to be able to adequately perform the jerk test in the unanaesthetised patient.”(1) The test is important because the demonstration of the lateral pivot jerk is the replication of the instability that the patient has. The initial goals of treatment immediately after injury are to reduce pain, reduce

The anterior cruciate ligament (ACL) is one of the four main ligaments in the knee joint that connect it to the shin bone (tibia) and thigh bone (femur). It 's located deep within the joint, behind the kneecap (patella), above the shinbone, and below the thighbone. The ACL lies diagonally across the middle of the knee and plays a role in keeping the knee stable during movement. Partial tears of the ACL can occur, but are rare. Most ACL tears are either near-completes or complete tears. After experiencing an ACL tear, an athlete has a 15 times

An anterior cruciate ligament (ACL) injury is the overstretching or tearing of the in the knee. This muscle is located just below the knee bone and the tear that occurs may be partial or complete. When you hear your ACL pop that’s a clear sign of a tear. Lots of people have surgery to get it repaired. It is about a year recovery of rehab. Many times when you tear your ACL, there’s no

With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always

The Anterior Cruciate Ligament also known as the ACL is deemed the most commonly torn ligament in the knee and can result from both contact and noncontact injuries. Most Anterior Cruciate Ligament injuries result from an extreme force on the lateral side of the person’s knee causing a valgus force which pushes the knee inward (Kisner & Colby, 2012, pp. 802-803). This injury to the side of the knee can also cause a “Terrible Triad” injury which also injures both the medial meniscus and the medial collateral ligament (Kisner & Colby, 2012, p. 803). Our textbook further states that “the most common noncontact mechanism is a rotational mechanism in which the tibia is externally rotated on the planted foot….this mechanism can account for as many as 78% of all ACL injuries” (Kisner & Colby, 2012, p. 803). If the person does not seek medical help with this injury they are susceptible to also injuring the remaining support ligaments as well. Patients usually present with joint effusion; possibly 25 degrees of flexion, joint swelling if blood vessels are involved, limited ROM, stress pain and instability along with quads avoidance gait patterns (Kisner & Colby, 2011, p. 208)

Presentation and Examination: The knee anterior drawer test is a commonly used during orthopedic examinations to evaluate the integrity of the anterior cruciate ligament (ACL). The test is conducted with the patient supine; hips and knees are flexed at a 45 and 90-degree angles with feet flat on the table. While holding the calf distal to the knee joint pulling suddenly away from the patient tests the anterior drawer while pushing back tests the posterior drawer. In this case, the positive anterior drawer test indicated ACL damage.

Purpose: The purpose of this research study was to determine the sensitivity, specificity, and efficiency of the anterior draw test (AD), Lachman test, and the pivot shift test to detect laxity in the anterior cruciate ligament (ACL). Experimental Method: A total of twenty-eight male patients were selected for this study, and had to meet the following criteria. Each patient must have had ACL surgery, where three or more weeks had passed since the surgery, and the patellar tendon bone graph was used for each ACL surgery. Furthermore, each patient was examined for laxity in the ligament, and an MRI of the knee was taken too. Each of the patient’s knee was examined for ligament laxity in an outpatient setting, and under anesthesia. The sensitivity and specificity of each test would range from 2 to

A torn ACL is one of the most serious and common knee injuries. Many aspects play a role in the treatment and rehabilitation of this injury. This paper will discuss the anatomy of the knee, describe a torn ACL, and the rehabilitation.

The Lachman Test is an important diagnostic test for detection of Anterior Cruciate Ligament (ACL) pathology (van Eck, 2013) and is frequently used by sports therapists. Joint arthrometry, magnetic resonance imaging (MRI), and diagnostic arthroscopy are all well-established methods to evaluate the knee for the presence of an ACL tear. However, the clinical gold standard, with well-established levels of accuracy for detecting this injury, is the Lachman test, which is performed with the patient in a supine position and the knee at 20° to 30° of flexion (Benjaminse, 2006; Ostrowski, 2006). The grading of the Lachman test is based on the amount of anterior translatory movement (translation) of the tibia relative to the femur and on the end-feel perceived by the examiner. A positive test requires a soft end-feel and observable translation of the tibia (Torg, 1976).

: One of the most common ligamentous injuries of the knee is to the anterior cruciate ligament. Early recognition of the pathology is critical when determining the most appropriate course of care to optimize potential outcomes. The Lachman’s test is characterized by clinicians as the most direct and definitive evaluative tool used in determining the status of ACL injuries, because of its sensitivity, specificity and likelihood ratios. However most clinicians also assign a categorical grade to describe the end feel of the tibial translation, yet the reliability, accuracy, and clinical utility of this assessment has not been subjected to critical

ACL injuries used to be seen as career ending injuries 50 years ago, however, throughout the years with the advancement in technology aiding treatment and rehabilitation procedures. Yet they are still sever and take months to recover. This is because of the precise location of the ligament within the knee joint. Resulting in no blood clot formation within the joint as a consequence scar tissue will not form and the tissue will just be filled with uncontrolled blood leading to swelling an pain within the joint (ACL reconstruction Oxford university hospital, 2017) which is why it takes between 9 to 12 months for recovery. With an ACL injury, other injuries often follow, namely MCL injuries and meniscal lesions which in time would likely lead to the patient contracting osteoarthritis due to it being a degenerative disorder consequently resulting from the meniscal and