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Knee injuries report paper
Knee injuries
Knee injuries report paper
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The number of girls and women participating in all levels of sports has risen greatly in recent years, and the way they play has changed too. Women's sports used to be played by a slow defensive style. Today, the sports are played with speed, precision, and power. With these changes have come increased injuries, and female athletes have higher injury rates than men in many sports. Knee injuries have been rising in female sports. Anterior crutiate ligament (ACL) injuries have become the most common injury in the knee to female athletes. Females are four times more susceptible to injury then men.
The ACL is a dynamic structure whose main function is to provide primary restraint to anterior tibial subluxation. It provides secondary restraint limiting internal rotation and restraint with the knee in full extension. Along with the posterior crutiate ligament, it provides the axis for knee rotation and links rotation with flexion and extension.
The ligament is primarily made up of two bands, the anteromedial and posterolateral, and an intermediate band sometimes present. The ACL runs from the posteromedial portion of the lateral femoral condyle in an inferior, anterior, and medial orientation to an area just lateral to the medial tibial eminence. The posterolateral band is tightest when the knee is in extension, and the anteromedial band is tightest with the knee in flexion.
The majority of ACL injuries suffered during athletic participation are of the noncontact variety. Three main noncontact mechanisms have been identified planting and cutting, straight-knee landing and one-step stop landing with the knee hyperextended. Pivoting and sudden deceleration are also common mechanisms of noncontact ACL injury. Basketball, soccer, and volleyball consistently produce some of the highest ACL injury rates across various age groups. Other activities with a high rate of injury are gymnastics, martial arts, and running. In most sports, injuries occur more often in games than in practice. Many injuries have occurred during the first 30 minutes of play. One-reason physicians are seeing more ACL injuries in female patients that more women play sports, and they play more intensely. But as they continued to do more studies, they are finding that women's higher rate of ACL is probably due ...
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...tead of one big one. Building your leg muscles, especially your hamstrings can help prevent ACL injury. Be thoroughly warmed up before jumping and pivoting hard. It is a good idea to be actually sweating when you are warming up.
When you are exhausted, you shouldn't be playing. Never play in pain and if the pain continues to return when you begin to play again after resting. Some shoes are too good for playing. If there is too much traction, your foot won't give way on fast stops, and the resulting torque on your knee can rip the ligament. Lastly, stick to a sport you love. If you think you are insecure about the sport you are in, and feel that it is too risky, then go into something that makes you feel comfortable.
Females have taken great strides to be able to accomplish as much as males in a male dominant world. Women are more competitive and are able to play at great intensity that was thought impossible several decades ago. It is sad that women have many factors against them, making them more susceptible to injuries. Injuries occur all the time. Although there are many suggestions as to how to prevent ACL injuries, we cannot control everything.
Injuries to the Anterior Cruciate Ligament (ACL) are one of the most frequent and devastating knee injuries that occur during sporting activities, accounting for one fifth of all sport related knee injuries ¹ ². Injury estimates have been reported in current literature to be between 1.5% - 1.7% per year within a healthy athletic population ³ ⁴. However, incidence rates for ACL injury prove difficult to access as not all individuals with ACL injuries seek medical attention ⁵. Current trends show a direct correlation between the rising incidence of ACL injury and increased sporting participation ⁶. In spite of increasing incidence rates, ACL injuries remain fairly uncommonly in relation to the amount of individuals participating in sporting activities ⁷ ⁸. Nevertheless, they still prove to be a frequent source of disability for those individuals affected ⁷ ⁸. Individuals affected with ACL injury may suffer from a number of adverse effects including dynamic knee instability, altered movement patterns, reduced functional performance and debilitating pain ⁷⁻¹⁰.
The incidence and prevalence rate of anterior cruciate ligament (ACL) injuries in female athletes continues to increase over time (Prodromos, Han, Rogowski, Joyce, & Shi, 2007). With the growing rate in the amount of young women participating in sports, data has shown that the rate of ACL injury increases linearly with this participation ("The Relationship Between Static Posture and ACL Injury in Female Athletes," 1996). This epidemic of ACL injuries in female athletes, young or old, continues to be problematic in the athletic world. This problem not only affects the athlete themselves, but also the coaches and the sports medicine community.
The anterior cruciate ligament (ACL) is one of the most important of your four major knee ligaments. The function of the ACL is to provide stability to the knee and minimize stress across the knee joint. It restrains excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur). It also limits rotational movements of the knee. “Greater external knee valgus and internal rotation moments have been shown to increase loading on the ACL in vitro and are thought to be associated with the increased risk of noncontact ACL injury” (Effects 2011). A tear to the anterior cruciate ligament results from overstretching of this ligament within the knee. It’s usually due to a sudden stop and twisting motion of the knee, or a “...
Tearing the ACL is now considered an epidemic in the United States over 100,000 recorded incidences are reported each year (Moeller). While such a finding may be good for orthopedic doctors and surgeons, this is not good for millions of athletes’ competing these days in high intensity sports. This is especially a problem for female athletes who are two to four times more likely to tear their ACL than men (Moeller). This is one of the biggest mysteries about ACL tears is the difference between the number of injuries seen in women and men. Women tend to tear there ACL far more frequently then men. While not everyone agrees that gender itself is the source of the problem, evidence is growing that females are learning too late that participating in sports can also become the first step to ruining an active lifestyle.
... activities differently. For example, females knees are more turned in towards the midline of the body. This is because they have a wider pelvic bone than males. Furthermore, females bend their knees a lot less than males when jumping and landing. When running and jumping, it is important to bend at the ankles, knees, and hips. This provides the body with a rigid support system. Females get ACL injuries because when they land, they “lock out,” that is, they straighten instead of bend their knees.
To understand the importance of the ACL, the knee as a whole must be examined. The knee is formed by the femur, the tibia, and the patella. Several muscles and ligaments control the motion of the knee and protect it from damage at the same time. Ligaments are dense structures of connective tissue that fasten bone to bone and stabilize the knee. Two ligaments on either side of the knee, called the medial and lateral collateral ligaments, stabilize the knee from side-to-side. The ACL along with the posterior cruciate ligament are of a pair of ligaments in the center of the knee joint that form a cross. T...
The anterior cruciate ligament is the reason that the knee only has one pattern of movement. Instead of moving sideways and up and down, the knee only serves as a pivot for flexion (bending) and extension (straightening); it holds the tibia and femur in place (northstar). In the northstar web page it is stated that, “The anterior cruciate ligament is one of the most important ligaments to athletes because of its main function, stabilization of the joint while decelerating.” In other words, it is the reason that we can stop abruptly without our leg collapsing. Obviously this asset makes it an essential to have a functioning ACL while playing sports. It is an especially common injury in soccer, which is a game of constant abrupt stops. Not only is soccer a danger to the ACL because of its constant stops and starts, it is also a...
Kids are deciding by ages 9-10 they want to excel in one sport in order to win a college scholarship. Some are trading the fun and experience of diversifying between basketball, baseball, soccer, etc. for year-round football. As a result, overuse injuries are occurring at an alarming rate among these one-sport wonders.
Sports Medicine is a medical field that specializes with physical fitness, treatment and prevention of injuries related to sports and exercise. It was introduced around the early Greek and Roman era when the first modern Olympic Games took place. The Greek felt they could do something to help heal and prevent injuries that the athletes were receiving. Now in sports medicine, certain injuries can only be assessed and treated by specific physicians. These physicians can include physical therapists, athletic trainers, and strength and conditioning coaches. Although sports physicians are most commonly seen by athletes after they are hurt so they can be treated, there are some physicians that are seen before an injury occurs so that they can learn how to prevent injuries.
There are many ways you can prevent injuries from happening before they do occur. Make sure you lift the right amount of weight to ensure that your body won’t wear down or you won’t injure yourself. Lifting more than you need to will only make your body worse. Using poor form can get you hurt quicker and easier than any other way. Make sure that you are using the correct form even if that means hiring a trainer or having a spotter. Workouts that you know can help because you will know the correct position. Workouts without machinery and weights have a lesser risk of hurting you. Cassidy says, “Years of intense workouts take a toll on your body..... Cartilage wears down and muscles, tendons, and ligaments can become less limber” (1).
With the implementation of Title IX of the Education Amendment in 1972, and more recently a wide spread acceptance of females in the athletic world, the number of females competing in various sports has increased significantly at all competitive levels. Since 2004, the number of female athletes competing in Division 1 intercollegiate sports has increased by 13.6% (4). The number and value of grants and scholarships being given to these female athletes and their respective teams has also seen an increase of 61.4% (4). With this positive increase in the amount of females competing in sport, not only at the college level but at the high school and youth level, there has also been a positive increase in the amount of injuries sustained by female athletes. Of these numerous injuries the most prominent and seemingly the most serious is tearing of the anterior cruciate ligament, more commonly called the ACL. While not being a remedy to the problem entirely, the implementation of various prevention programs has been suggested to be paramount in helping to lessen the occurrence of ACL tears in female athletes.
Donna A. Lopiano “Modern Hisory of Women In Sports” Clinics in Sports Medicine19.2 (2000): 163-173. Academic Search Premier. Web. 1 April. 2000.
Combination of hyper extension and twisting injuries in ACL injury especially in the sports happened when the foot is planted and player suddenly turn and change direction or landing from a jump in the valgus position, collapse in slight flexion combined with rotation or hyper extension and rotation. This injury is coming from the rotational force mechanism with compressive force type like the weight bearing. In this type results are more meniscal injury and osteochondral fractures. The risk of rupturing the ACL is different between the sexes, anatomical factors and neuromuscular properties as well as females have greater knee laxity compared with men8-9.
According to the “Physical Therapy Corner” (2007), “women suffered anterior cruciate ligament injuries more often than men, nearly 4 times as often in basketball, 3 times as often in gymnastics, and nearly 2 and a half times as often in soccer” (Knee Injuries section, para.1). There are various risk factors that contribute to the high rate of acquiring injuries to the ACL for female athletes. External factors such as improper shoe wear, skill of the player, and unstable playing surface may play a significant role in developing ACL injuries, but those factors are just hypothetical.... ... middle of paper ...
If you are a very involved athlete you should probably do the following steps to prevent from injury: warm up and stretch before and after physical activity, stop exercising if you feel any pain in the back of your leg, and lastly you should always just have a habit of stretching.