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ACL Tear Treatment
in Chennai
One of the most common knee injuries is an anterior cruciate ligament sprain or tear. Athletes who participate in high demand sports like soccer, football, and basketball are more likely to injure their anterior cruciate ligaments.
What is the Anterior Cruciate Ligament, and what are its Functions?
The knee is a hinge joint with four ligaments that hold it together. A ligament is a structure in the knee that helps to govern joint mobility or motion by holding the bones together. There are two ligaments deep inside the knee, one on each side. The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) are two ligaments inside the knee that “cross” each other (PCL). Both ligaments join to the top of the shinbone on one side and the end of the thighbone (femur) on the other (tibia).
The ACL regulates how far forward the tibia can “slide” relative to the femur during activity, effectively preventing too much forward movement. While some motion or sliding is acceptable and necessary for knee function, excessive motion can harm other structures in the knee, leading to long-term problems in some patients.
What Causes ACL Tear?
ACL injuries commonly occur as a result of sports and fitness activities that place stress on the knee:
- Abruptly slowing down and altering the course
- Pivoting while keeping the foot firmly on the ground
- A clumsy landing after a jump
- Abrupt halting
- Taking a direct strike to the knee or colliding with another object, such as a football tackle
How Common are ACL Tears? Who is at Risk?
- ACL tears are a very common knee injury.
- It can occur at any age to anyone, but females are more prone than males. Athletes who participate in high demand sports like soccer, football, and basketball and volley ball. Jobs requiring climbing, pivoting or jumping are also more prone for this.
What are the Symptoms of an ACL Tear?
- The sensation of a loud pop or “popping” in the knee
- Unbearable pain that makes it impossible to continue doing things
- Rapid knee enlargement
- Motion loss
- A sense of instability or “giving way” upon bearing weight.
How can you know if you have an ACL Injury?
A physician can diagnose an ACL injury by taking a medical history and performing a physical examination. During a physical examination, the doctor can examine the range of motion and determine whether the ACL is torn. ACL tears are frequently associated with injury to other structures within the knee, such as the cartilage and collateral ligaments; hence an assessment of different systems within the knee is also performed.
X-rays are taken to determine if there are any fractures.
Dynamic ultrasound scan is done to identify the pain generator in the knee,
An MRI scan of the knee may be ordered in several cases. If the history and examination are equivocal, the scan can help clarify the possibility of an ACL injury. The scan can also be used to assess cartilage or bone.
What can be the Complications of an ACL Tear?
People who have had ACL damage are more likely to develop osteoarthritis in their knees. The severity of the original injury, the presence of concomitant injuries in the knee joint, and the level of activity after treatment influence the likelihood of arthritis.
How is ACL Tear Treated?
Immediate first-aid treatment can help minimise discomfort and swelling after a knee injury. At home, use the R.I.C.E. model of self-care, I.e., rest, ice, compression and elevation.
Surgical procedures
Individuals with a grade 3 or total ACL injury should seek surgical therapy. Surgical options may differ depending on the type of ACL injury, whether the patient’s growth plates are open or closed, and the type of ACL.
Non-surgical procedures
For grade 1 injuries, nonsurgical therapy is the best option. Immobilisation or bracing, physical treatment, and a gradual return to routine activities and sports are the options.
Interventional pain management
Platelet-rich plasma injections – platelets acquired from your own blood promotes and stimulates your body’s natural healing response. Plasma therapy is considered as an outstanding treatment for soft tissue injuries which increases the pace of healing process & decreases the patient’s recovery time.