(light rock music) Most anterior cruciate ligament tears are acute, traumatic injury, so the symptoms occur with a sporting event, or an accident, and the symptoms are acute pain, swelling, discomfort, inability to ambulate or walk. The most common history a patient gives.
With an anterior cruciate ligament tear is participating in a cutting or twisting sport. They plant their foot. quot;I felt my knee twist and pop, quot;and I was unable to continue playing basketball.quot; However, the symptoms are variable. There are patients that tear their anterior cruciate ligament.
They can continue to play four quarters of a football game, or continue to ski all day. However, that is rare. The amount of swelling or pain usually precludes the athlete from continuing in their sport. Darla is an elite level martial art athlete who actually injured her anterior cruciate ligament.
Less than 24 hours ago. This is what an acute anterior cruciate ligament tear looks like and what you see is a normal left knee that’s straight on the bed without swelling. The right knee is puffy. As I ballot the knee it’s filled with blood. She has 40 or 50 cc of blood in the knee. You can barely make out the landmarks of her patella.
She can bend the knee up to 70 degrees before she begins to have pain. Like a water balloon, it won’t bend further. The classic test to determine anterior cruciate ligament integrity is called the drawer test. Resting over my knee in a position of comfort, I apply a posterior force,.
And one could see the knee come forward like a drawer. It’s like a drawer in a dresser. She tore her medial collateral ligament, which attaches the femur to the tibia right here, which is the ligament that connects the femur bone to the shin bone, and it’s disrupted in its midsubstance. So she has a terrible triad:.
An ACL tear, a medial meniscal tear, and a medial collateral ligament, which will heal on its own. The meniscus will not. Many patients will ask, will their knee ever be normal? What’s the success rate of an anterior cruciate ligament tear. The problem is, is no anterior cruciate ligament tears.