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Ligament Injuries: The Knee Essay

1084 words - 5 pages

Unfortunately many athletes will need reconstructive surgery after an ACL injury. Doctors usually will wait a few weeks before undergoing the surgery. This delay will allow the inflammation to go down which will result in a return to some motion. It is noted that an ACL surgery too early can cause arthofibrosis which is scar forming in the joint. This would only add more to the problem and make things even more complicated. Surgery to reconstruct the ACL is done through a procedure known as arthroscopic which uses small incisions. Surgery techniques have vastly improved over the years and now this method allows for a faster recovery. Then an orthopedic surgeon will replace the torn ...view middle of the document...

The injury is also base on the three different grades as the other knee injuries. In a grade one it’s an incomplete tear and symptoms are usually minimal. The athlete should miss no more than one to two weeks of play. In a grade two LCL tear, the athlete may complain of instability and have difficulty pivoting. A resting period of three to four weeks is typically common. In a grade three LCL injury, surgery is most commonly needed. The knee is difficult to bend and it feels extremely unstable. The third grade most always requires reconstructive surgery similar to the process in the ACL injury. The mechanism of injury is generally during a traumatic injury such as a fall (Cluette). After surgery the athlete should be placed into a strengthening program to ensure the best outcome to return to activity.
The fourth and final ligament which will be touched on is the posterior cruciate ligament which is typically referred to as the PCL. This ligament is the least injured in the knee. Its main function is to stabilize the rear of the knee and it keeps the tibia from moving posteriorly (Levanway). The symptoms of the PCL are almost identical to those of the ACL. The athlete will usually complain of a “popping” sensation. Knee pain, swelling, and loss of range of motion are also common signs of this type of injury. There are two common mechanism of injuries associated with the PCL. The first is referred to as the “dashboard injury.” This occurs when the knee is bent and an object forcefully strikes it, such as in a car accident. The second MOI is when an athlete falls on the front of their knee. The PCL has three grades. In a grade one, it is a partial tear of the PCL. In a grade two, it is isolated and a complete tear to the PCL. In a grade three it is a tear of the PCL with another associated ligament injury. The athlete should R.I.C.E the injury. Surgical intervention is a big controversy in this type of injury. Some orthopedics deem it necessary others do not. The reason for such a debate is due to the fact of the position where the ligament is. If an orthopedic does decide to do a PCL surgery, it...

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