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ACL INJURY

Rheumatology

ACL INJURY

1. Tears of the ACL are the most functionally devastating because of the ACL’s crucial role in the dynamic stability of the knee, especially during activities involving side to side or cutting maneuvers.

2. The ACL restrains anterior displacement of the tibia.

3. The individual is often rotated on a planted foot with the knee in flexion and the quadriceps activating strongly.

4. Anterior drawer and Lachmann tests are positive. A/W Segond (lateral tibial plateau) fracture.

5. Initial management involves rest, ice, immobilization and analgesia for 1-2 weeks prior to consideration for surgical management.

6. Athletes who participate in cut-pivot activities should consider ligament reconstruction, sedentary individuals can opt for rehab.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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