ACL surgery and deficiency

ACL surgery and deficiency - Learning issue: Conservative...

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Learning issue: Conservative ACL treatment vs. Surgery, tear vs. deficiency ACL deficiency may arise from intra-substance tears (partial tears or stretching injuries), seen more often in adolescents approaching skeletal maturity or adults, or from bony avulsion off of the femur or the tibia. Often an ACL tear can accompany the deficiency. In other words, a deficient ACL is one that does prevent posterior translation of the femur on the tibia as it should, where as a tear is a disruption/trauma within the ligament itself. Not operative treatment: Because of the perceived rarity of the injury, as well as fear of damaging open physes, much of the initial published literature discussed nonoperative treatment. The distal femur and proximal tibia is a key growth center in the longitudinal growth of the leg, accounting for about 65% of longitudinal growth of the leg. Concern over causing premature growth plate damage and subsequent closure or angular deformity dictated that early treatment be nonoperative. Bracing, quadriceps and hamstring strengthening, and activity modification were cornerstones of early treatment. Patients may for a variety of reasons— if, for example, they are not highly active or athletic or
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

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ACL surgery and deficiency - Learning issue: Conservative...

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