Knee Medicine and Science: ACL

Showing posts with label ACL. Show all posts

Acute knee MRI and x-ray pictures.

Great video presenting x-ray and MRI examination of an acute knee injury.
All rights reserved to the Radiology Channel.

BJSM Podcast: Tuning up rehabilitation after ACL reconstruction.

Another great talk from Dr Andre Franklyn – Miller. This time, he presents his approach to management of ACL in athletes. Definitely a must to listen for both, clinicians and ACL patients.

Listen here.

Best practice for primary isolated ACL reconstruction.

A consensus statement of best management in primary ACL rupture, provided by the British Orthopaedic Association.

Full text available

ACL injury.

The picture presents Jakub Błaszczykowski, a polish midfielder playing for Borussia Dortmund football club. He has recently ruptured his ACL which means that we will not see this talented player for the rest of current season. The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. The post will cover current concepts in regards to the causes, history, risk factors, diagnosis and treatment of the ACL tear.

20% of ACL reconstructed patients may need further surgeries.

The rate of subsequent surgery and predictors after anterior cruciate ligament reconstruction.
Hettrich, C., Dunn, W., Reinke, E., MOON group, and Spindler, K. Americna Journal of Sports Medicine, 2013; 41: 1534 – 1540.
http://ajs.sagepub.com/content/41/7/1534.abstract

Authors followed almost 1000 patients for few years after they underwent ACL reconstruction. The main aim of the study was to determine the rate at which following surgeries were required and to identify risk factors that predisposed for re – surgery among this sample.
At six year follow – up nearly 20% of participants required subsequent surgery on the ipsilateral knee while 10% underwent surgery on the contralateral knee. On the ipsilateral knee, cartilage procedures were most commonly performed (13%), followed by ACL revision surgery (7.7%). Young age at the time of initial surgery and the use of allografts were predictors for subsequent procedure. Revision ACLR, female sex, body mass index, and surgical exposure were not significant risk factors.

ACL case examination.

Lower extremity function in ACL - deficient vs. ACL - reconstructed patients.

Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years.
Ericsson, Y., Roos, E. and Frobell, R. British Journal of Sports Medicine, 2013; 47: 980 – 985.
Full text available.

ACL rehab - pool exercises.

MSc Thesis: Biomechanical and neuromuscular adaptations in those with ACL reconstruction during functional movements.

MSc thesis by Michelle Hall from the Iowa State University, looking at lower extremity gait patterns of those with ACL reconstruction (>1yr) and in healthy controls with specific focus to determine if factors associated with the development and/or progression of knee OA were observed in ACL reconstructed individuals when compared to healthy counterparts.

Full text available.

BJSM Podcast: Return to exercise after ACL injury.

In this short BJSM Podcast, Professor Lars Engebretsen had a discussion with Professor Richard Frobell from the Lund University about his recent study on ACL injury and regarding what is the evidence on back to exercise after ACL injury.

Listen here.