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ACL Injury Definition

An ACL Injury is an injury or tear of the Anterior Cruciate Ligament, one of the main ligaments in the knee. This usually occurs when there is a sudden change of direction, a jump, or a stop. Most of them occur while playing sports such as football or basketball. causing the patient to hear the sound in the knee joint There is pain or swelling in the knee joint.

Treatment for ACL Injury may vary in severity of symptoms. The patient may rest the knee and do exercises to strengthen the knee joint. But some may need surgery and rehabilitation as well. If left untreated, it may cause complications later.

ACL Injury Symptoms
Some of the more common signs or symptoms of an ACL infection include:

  • feeling pain in the knee joint They may have knee pain so much that it makes it harder than usual to put on weight or do activities in daily life. But some people may not feel pain if the symptoms are mild.
  • Swollen knees usually occur within 24 hours of injury.
  • knee movement is less For example, stretching or bending the knee may not be fully possible.
  • Knee weakness or feeling unsteady while standing
  • I heard a pop in my knees. which may be found in some patients

Symptoms of ACL Injury can be divided into 3 stages:

  • Stage 1 is where the tendon is slightly injured. and also does not affect the stability of the knee joint
  • Stage 2 occurs when more ligaments are injured and the knee becomes loose. This may be the result of some tendon tearing.
  • Stage 3 is when the knee is unstable due to the complete tearing of the ligaments.

If you have any of these abnormalities, see a doctor as the knee joint has a complex internal structure. Therefore, it should be diagnosed and treated appropriately.

Causes of ACL Injury
The knee is made up of bone, cartilage, tendons, and ligaments. The anterior cruciate ligament is located in the middle of the knee. It is one of the two ligaments that hold the joint between the tibia and thigh bone. This prevents the tibia from moving in front of the thigh bone and helps stabilize the knee joint.

An injury or tear to the anterior cruciate ligament of the knee is caused by activities or sports that place the knee joint under pressure or impact. This may occur from a sudden stop or change in direction. slowing down while running jumping down to stand in the wrong position twisting the feet while standing still knee impact like scrambling for a soccer ball Therefore, ACL Injury is often found in various types of athletes such as football, basketball, gymnastics, skiing, etc.

In addition, wearing shoes that do not fit the feet improper use of sports equipment or playing sports on artificial grass May cause the risk of ACL Injury as well. Women are the sex who are at risk for ACL Injury more because of the physique. muscle strength and hormones that are different from males

ACL Injury Diagnosis
Your doctor will ask about your symptoms. the patient’s health history and preliminary physical examination The doctor will examine the swelling in the knee and compare it to the other knee without symptoms. and the patient may try to move the knee back and forth to assess the ability to move the knee joint.

In general, an initial physical examination alone may be sufficient to diagnose ACL Injury, but in some cases other methods of further investigation may be used to assess the severity of the injury, such as:

  • X-rays may be used to diagnose symptoms of fractures. This is because the image of tissues or tendons cannot be displayed.
  • The MRC’s (MRI) uses radio waves and electromagnetic waves. to get a clearer picture of the tissues and ligaments within the body It is used to diagnose anterior cruciate ligament injury and to look at damage to other tissues within the knee joint. However, MRI is not often used in cases of a torn anterior cruciate ligament in the knee.
  • ultrasound It uses sound waves to capture internal organs and structures. to diagnose ligament injury tendon and various muscles within the knee joint
  • Arthroscopy, where a small opening is made in the skin to insert a camera into the knee joint. to diagnose the type of injury In some cases, it may be used in conjunction with surgery to repair damaged areas.

ACL Injury Treatment
Treatment for ACL Injury varies depending on the severity of the symptoms and the needs of the individual patient. In the case of athletes, surgical intervention may be required to return to normal sport. But in people who do not have serious symptoms, surgery may not be necessary.

After injury
after injury Patients may use first aid in primary care of themselves. To help reduce pain in the knee area according to the principle of RICE, i.e., take a break and avoid putting weight on the knee joint (Rest), use ice wrapped in a clean cloth and compress after waking up for 20 minutes each time, every 2 hours (Ice), use a stretchy cloth Wrapped around the knee (Compression) and raise the knees while lying down with the use of pillows (Evaluation)

non-surgical treatment
This method is often used if the patient is older or is not doing strenuous activities of daily living. If the anterior cruciate ligament of the knee is not torn or the knee is still stable and not damaged Your doctor may use the following treatments:

  • Taking over-the-counter pain relievers such as ibuprofen
  • using crutches to reduce the pressure from putting weight on the knees or legs
  • physical therapy When the swelling subsides Physical therapy will help restore normal knee function. and help strengthen the leg muscles

surgical treatment
In the event that the patient has serious symptoms such as knee weakness while walking or torn anterior cruciate ligament of the knee. or an athlete who wants to return to normal sports asap Your doctor may recommend a surgical procedure to treat your ACL Injury.

In most cases, anterior cruciate ligament surgery will not be able to sew the torn parts together. But the doctor will remove the damaged tendon. and use tissue from other ligaments in the patient’s body to create an anterior cruciate ligament in the knee replacement by endoscopic surgery An arthroscope may be performed using the patellar tendons or the hamstring tendons.

after surgery The patient may undergo physical therapy to restore the knee joint to normal functioning. It also strengthens the new muscles and tendons after the surgery. This procedure may take at least 6 months for the patient to return to normal activities or play sports.

Complications of ACL Injury
People who have experienced an ACL Injury may be at higher risk of developing osteoarthritis. (Osteoarthritis) may cause stress , arthritis (Arthritis) after surgery to create new tendon. especially those who have suffered severe injuries have symptoms associated with knee injury or the use of force on the knee joint to perform activities after surgery This is a group that may be at high risk of complications such as arthritis.

Preventing ACL Injury
Preventing ACL Injury can be done in the following ways.

  • Exercises to strengthen and balance the muscles of the legs, hips, pelvis and lower abdomen. Learn how to perform proper exercises from an expert and learn how to use your knee correctly, such as jumping, running and stopping. especially in athletes to reduce shock and prevent injury
  • Wear appropriate footwear and cushioning for each sport. to prevent injury
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