ACL Tears (Subscribe)  

CONCLUSIONS: A high prevalence of radiographic knee osteoarthritis was seen in male soccer players 14 years after an ACL disruption. The injury and the osteoarthritis, irrespective of the treatment provided to these patients, often result in knee related symptoms that severely affect the knee related quality of life by middle...

Knee stability assessment on anterior cruciate ligament injury: clinical and biomechanical approaches
Anterior cruciate ligament (ACL) injury is common in knee joint accounting for 40% of sports injury. ACL injury leads to knee instability, therefore, understanding knee stability assessments would be useful for diagnosis of ACL injury, comparison between operation treatments...

Knee stability assessment on anterior cruciate ligament injury: clinical and biomechanical approaches
Anterior cruciate ligament (ACL) injury is common in knee joint accounting for 40% of sports injury. ACL injury leads to knee instability, therefore, understanding knee stability assessments would be useful for diagnosis of ACL injury, comparison between operation treatments...

- this is a variant of the anterior drawer test, in which the examination is carried out w/ the knee in 15 deg of flexion, and external rotation (relaxes the IT band);
Wheeless' Textbook of Orthopaedics

ACL Fracture
ACL Rupture in Kids

Below you will read about some of the treatment dilemmas that the sport physician is faced with when dealing with a partial tear of the anterior cruciate liagment, they include:
Definition of a Tear
Clinical Assessment
Treatment Options
Indications for Surgery
Outcome Determinants

Patients with anterior cruciate ligament (ACL) injuries who undergo surgical reconstruction are required to have extensive postoperative rehabilitation. Traditional programs emphasize muscle strengthening, especially of the quadriceps musculature. Recent literature, however, has suggested that programs focusing on neuromuscular exercise may also improve knee function. Currently, there are no long-term, evidenced-based...

PURPOSE: To quantitatively assess bone marrow edema-like lesion (BMEL) and the overlying cartilage in osteoarthritis (OA) or anterior cruciate ligament (ACL)-injured knees using magnetic resonance imaging (MRI) and spectroscopic imaging (MRSI).
CONCLUSION: 3D MRSI and T(1rho) mapping provide tools to quantitatively evaluate BMEL in OA and knee injury. This may allow...

In the United States, approximately 50,000 knee surgeries are performed each year for repairing anterior cruciate ligament (ACL) injuries (1). Tissue allografts frequently are used for ACL reconstruction, and septic arthritis is a rare complication of such procedures. This report describes four patients who acquired postsurgical septic arthritis probably associated...

Iowa Orthop J. 2003; 23: 29–35. A Amendola, MD,† M Menon, BA,* M Clatworthy, MD,* and PJ Fowler, MD
As demonstrated by this study, placement and orientation may vary to accommodate technique and fixation. Clinical outcomes measured were similar in both groups. (full text)

Timing of Anterior Cruciate Ligament Repair: Now, Later, or Never? Thomas L. Schwenk, MD (Journal Watch)
Functional outcomes were similar for immediate reconstruction and optional later reconstruction.
Elite athletes with ACL tears who perform intense cutting and pivoting maneuvers usually will need early ACL reconstruction, but nonelite athletes might do well without reconstruction....