What Physical Therapists Need to Know About ACL Injuries
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In today's video we go over: What Physical Therapists Need to Know About ACL Injuries: FPF Show Episode 155
- 0:00 Introduction
- 0:46 How common are ACL Injuries? (Prevalence)
- 3:06 In What populations (age, sport, gender) are ACL injuries most common?
- 5:27 ACL anatomy basics
- 7:50 What is the function of the ACL?
- 9:16 What is the primary mechanism of injury for ACL tears?
- 15:45 Is dynamic valgus the only way you can tear your ACL?
- 23:28 What anatomic risk factors increase risk of ACL Injury? (Hyperextension, laxity, notch size etc.)
- 26:19 What factors increase the risk of re-injury after already having an ACL-Reconstruction surgery?
- 29:12 What intrinsic factors increase risk of ACL injury? (Quad to hamstring strength, quad strength, experience)
- 33:27 What extrinsic factors increase risk of ACL injury? (weather, shoes etc)
- 38:34 Does the sport played, gender or level of competition influence risk of injury?
- 40:20 What Physical Therapists Need to Know About MENISCUS Injuries
ACL Game So Strong...
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- Weight-Bearing After Meniscus Repair (EVIDENCE BASED)
- Physical Therapy Rehabilitation After Meniscus Repair Surgery part 1
- Physical Therapy Rehabilitation After Meniscus Repair Surgery part 2
- What Physical Therapists Need to Know About MENISCUS Injuries
- Diagnosing Meniscus Tears for Physical Therapists
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
- van Melick N, van Cingel REH, Brooijmans F, et al Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus British Journal of Sports Medicine 2016;50:1506-1515.
- Marko Manojlovic, Roberto Roklicer, Tatjana Trivic, Attilio Carraro, Zoran Gojkovic, Nemanja Maksimovic, Antonino Bianco, Patrik Drid - Objectively evaluated physical activity among individuals following anterior cruciate ligament reconstruction: a systematic review and meta-analysis: BMJ Open Sport & Exercise Medicine 2024;10:e001682.
- Diermeier T, Rothrauff BB, Engebretsen L, et al. Treatment After Anterior Cruciate Ligament Injury: Panther Symposium ACL Treatment Consensus Group. Orthopaedic Journal of Sports Medicine. 2020;8(6). doi:10.1177/2325967120931097
- Mark L. Purnell, Andrew I. Larson, and William Clancy. Anterior Cruciate Ligament Insertions on the Tibia and Femur and Their Relationships to Critical Bony Landmarks Using High-Resolution Volume-Rendering Computed Tomography. Am J Sports Med November 2008 vol. 36 no. 11 2083-2090
- Domnick C, Raschke MJ, Herbort M. Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques. World journal of orthopedics. 2016 Feb 18;7(2):82
- Meyer EG, Baumer TG, Haut RC. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. J Biomech Eng. 2011 Jan;133(1):011012. doi: 10.1115/1.4003135. PMID: 21186902.
- Kamatsuki Y, Qvale MS, Steffen K, Wangensteen A, Krosshaug T. Anatomic Risk Factors for Initial and Secondary Noncontact Anterior Cruciate Ligament Injury: A Prospective Cohort Study in 880 Female Elite Handball and Soccer Players. Am J Sports Med. 2024 Nov 18:3635465241292755. doi: 10.1177/03635465241292755. Epub ahead of print. PMID: 39555633.
- Kamatsuki Y, Qvale MS, Steffen K, Wangensteen A, Krosshaug T. Anatomic Risk Factors for Initial and Secondary Noncontact Anterior Cruciate Ligament Injury: A Prospective Cohort Study in 880 Female Elite Handball and Soccer Players. Am J Sports Med. 2024 Nov 18:3635465241292755. doi: 10.1177/03635465241292755. Epub ahead of print. PMID: 39555633.
- Taketomi S, Kawaguchi K, Mizutani Y, Takei S, Yamagami R, Kono K, Murakami R, Arakawa T, Kage T, Kobayashi T, Furukawa Y, Arino Y, Fujiwara S, Tanaka S, Ogata T. Intrinsic Risk Factors for Noncontact Anterior Cruciate Ligament Injury in Young Female Soccer Players: A Prospective Cohort Study. Am J Sports Med. 2024 Oct;52(12):2972-2979. doi: 10.1177/03635465241278745. Epub 2024 Sep 25. PMID: 39320411.
- Beynnon BD, Vacek PM, Newell MK, Tourville TW, Smith HC, Shultz SJ, Slauterbeck JR, Johnson RJ. The Effects of Level of Competition, Sport, and Sex on the Incidence of First-Time Noncontact Anterior Cruciate Ligament Injury. Am J Sports Med. 2014 Aug;42(8):1806-12. doi: 10.1177/0363546514540862. Epub 2014 Jul 11. PMID: 25016012; PMCID: PMC6604059.
- Gornitzky AL, Lott A, Yellin JL, Fabricant PD, Lawrence JT, Ganley TJ. Sport-Specific Yearly Risk and Incidence of Anterior Cruciate Ligament Tears in High School Athletes: A Systematic Review and Meta-analysis. Am J Sports Med. 2016 Oct;44(10):2716-2723. doi: 10.1177/0363546515617742. Epub 2015 Dec 11. PMID: 26657853.
- Bram JT, Magee LC, Mehta NN, Patel NM, Ganley TJ. Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis. Am J Sports Med. 2021 Jun;49(7):1962-1972. doi: 10.1177/0363546520959619. Epub 2020 Oct 22. PMID: 33090889.
Images:
File source: https://upload.wikimedia.org/wikipedia/commons/b/b8/ACL_Tear.png attribution: BruceBlaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons Edited by fitness pain free LLC
File source: https://upload.wikimedia.org/wikipedia/commons/4/48/ACLI_18.jpg Attribution: BruceBlaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons Edited by Fitness Pain Free LLC