Amanda was in her sophomore year of soccer season when she heard the pop of her knee that cut her season short. The next thing she knew she was at the doctor’s who told her she had an ACL tear, and wasn’t sure if she could play again. From there it was boiled down to two options. One to re-strengthen her knee through rehabilitation, physical therapy and bracing, or to undergo an ACL reconstruction surgery. Although it is costly and some may consider it frivolous, those who have encountered ACL tears should receive the reconstruction surgery instead of attending rehabilitation for the damage to their knee, because it dramatically lessens the chances of meniscal injuries and osteoarthritis occurring later and allows the patient to return back to their sport or physical activity with better knee mobility and less pain in a timely manner.
Everyday an athlete goes to practice or game, putting on a possibility of getting injured. A common one of those injuries is the tear of the anterior cruciate ligament, better known as the ACL. When sports that require quick pivoting and harsh landings became more popular such as soccer and basketball, ACL injuries quickly multiplied. Since kids, teens, and even adults usually focus on one sport it often occurs that they can overuse and exert their body causing injury to the ACL (Young Athletes 10).
With nearly 200,000 cases per year, with women being hurt much more than men, 4-10 times more often to be exact, it is clearly a rising issue (ACL Surgery 2). This is due to women having fuller and wider hips compared to men and also corresponding to what Dr. Levine says it is because when girls mature, they develop a muscle in their thigh that contradicts against the ACL (Flanagan 8) Especially since Ti...
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... rehab could not do what a team of surgeons could, they physically go in and repair the ACL (Davis 18). Even with physical therapy, rehabilitation and bracing the knee you cannot get the immediate same results.
Also, in the defense of surgery, health insurance would be another aspect to view. Insurance would cover most of the cost, and later injuries could cripple you without surgery. In that dilemma, selecting the possibly more expensive treatment is more suitable.
In the end, it is all based on preference and financials. Some people may suffice with only some rehabilitation while others would require surgery and it would be in their best interest. It is a decision that should be left to both the patient and doctor. Amanda determined the most efficient way, despite what her doctors said and now she is gearing up for yet another successful soccer season as a senior.
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.
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
Al Toon, father of Saints receiver Nick Toon, was forced to leave professional football after sustaining nine concussions in eight years of professional football. Football is one of the most dangerous games. As the years go on, more and more rules are being written to prevent the danger, but danger is the nature of the game. Most of these rules are for the protection of the players, but there are times when injuries can be a good thing. The Philadelphia Eagles were 3-5 to start the year, but Michael Vick was injured and the backup quarterback led the team to be 10-6, win the division, and almost beat the New Orleans Saints in the playoffs. "About 1.7 million Americans suffer a traumatic brain injury (TBI) every year, about three-quarters of them mild TBIs, or concussions" (Clemmitt). Traumatic Brain Injuries are used as the main form of evidence in Richard Cohen's claim that the end of the NFL is near, and quite frankly, his argument is pretty solid.
In November of 2010, I was playing basketball in the fifth game of my senior season. It was just like any other game. However, I would soon find out otherwise. It was late in the game; I drove into the lane and got fouled hard. I was knocked so off-balance that I speared the floor with my knee. As soon as my knee hit the floor I heard a “snap” that I will never forget for the rest of my life. Little did I know at the time, that would be the last shot of my high school basketball career. Not long after my injury, I consulted a doctor. After getting an x-ray and an MRI, the doctor informed me that I had completely torn my ACL and would need to have surgery. An ACL tear can be a very devastating injury. The anterior cruciate ligament (ACL) is one of the four major ligaments within the knee. The ACL is one of the most commonly injured ligaments, injured by an estimated 200,000 patients each year. Of the 200,000 annual ACL injuries, surgery is performed in approximately 100,000 cases. There are many types of reconstructive surgery on the ACL. However, there is an alternative to surgery in the form of physical therapy.
...). This patient, after treatment, had complete ROM and was able to get back to daily activities (Papa 2012). GISTM has shown to work on all types of injuries whether the patient had surgery or not. GISTM is becoming a well-known tool in the clinical world and is a reason for faster recovery periods (Black 2010).
When i Was at the mosque outside on the court while i was playing a 3 on 3 basketball game. And the teams was me, bosh and Salah vs Abu, Sunny and Musa. We started to play, and my team was down by 8 points. So i was kind of mad at my team that we was down by so much. So i told them let me take over and try to get us back in the game. So they let me take over and we went on a 7-0 run and out of nowhere we was only down by one point. Then we made a turn over, then they got the ball and they passed it to abdi. And abdi got through his defender and bosh stepped up and tried to block his shot but he head faked bosh and i step and try to block his shot and i jumped up tried to block his shot and my knee cap moved out of
“The anterior cruicate ligament is a strong band that arises from the posterior middle part of the lateral condyle of the femur, it passes anteriorly and inferiorly between the condyle, and is attached to the depression in front of the intercondylar eminence of the tibia (Mosby‘s page. 105).” The tear of the A.C.L is described as a partial or complete rupture of the anterior cruciate ligament. The A.C.L. does not repair by itself. It is so important to an athlete in most sports because an athlete has to be able to rotate the knee in specific directions. The tear happens more frequently in soccer, basketball, and volleyball. Athletes who started participating in a sport while they were young have a greater chance of sustaining a tear. Women are more susceptible to this injury than men. Theories for this include hormonal, environmental, and biomechanical factors. “Women‘s muscles react differently in landing. Doctors say that women land with straighter legs than men do; thus, they pass their shock to the A.C.L. resulting in a tear. Environmental factors are shoes and playing surfaces.” (Patrick, Dick)
There are many injuries in general, but sports injuries? Sprains and Strains are the most common injuries in sports. “Sprains are injuries to ligaments, the tough bands connecting in a joint. Suddenly stretching ligaments past their limits deforms or tears them” (Hoffman 1). Ligaments are like springs in a sense that when you stretch a spring, it will return to it’s normal state unless they are
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.
“You need surgery.” Just a few weeks before a national basketball tournament, these words would change my life forever. Basketball is my true passion that is a part of who I am. Unfortunately, I experienced failure at meeting my athletic aspirations, due to an injury. Although my particular injury was out of my control, I constantly felt ashamed that I could not completely fulfill my athletic goals as I had hoped. I felt I had let everyone down who had been there for me and supported me. This injury has also shaped me and changed my perspective on how I see and appreciate certain things.
Donna A. Lopiano “Modern Hisory of Women In Sports” Clinics in Sports Medicine19.2 (2000): 163-173. Academic Search Premier. Web. 1 April. 2000.
A 16 year old, female high school soccer player, Lindsey Robinson tore her anterior cruciate ligament (ACL) from a soccer game. Interestingly, she was not the only one in her team who injured her ACL, but also several of her teammates have torn the same ligament as well during the soccer season. Lephart (2002) found that women involved in physical activity are more susceptible to acquire the ACL injuries than men who are involved in the same physical activity (as cited in Ogden, 2002). According to “ACL Injury Prevention” (2004), the numbers on female ACL ruptures have been increased for the past ten year. Over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade. Therefore, female ACL injuries are now a growing problem in the nation (Anonymous, 2004). Back in 1950s and 1960s, female participation in sports was rare; therefore, the rate of injuries was very low. However, according to “ACL Injuries and Female Athletes” (n.d), as Title IX was implemented in 1972, female participation in numerous sports has dramatically increased. Moreover, the rate of acquiring injuries to the ACL also has dramatically increased (Anonymous, n.d). In terms of comparing the rate of acquiring ACL injuries between two genders, females have higher rate than males do. 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 sh...
Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.