Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 8, Volume 73, Issue 6, October 2018, Page 6847-6853 PDF (258.65 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2018.16740 | ||||
View on SCiNiTO | ||||
Authors | ||||
Asma Soud Badr1; Bodoor Salmi Almotairi2; Abdulrahman Ahmed Alamir3; Abdulrahman Mohammed Fahad Aldawsari4; Ammar Osama Alaaddin5; Ayman Khalil Alrushaydan6; Ahmed Muteb Alanazi6; Abdalrashid Faisal Halawani7; Zead Ibrahim Alhussain8; Mansour Mana Al-ghufaynah9 | ||||
1King Faisal Hospital_ Makkah | ||||
2Taibah University | ||||
3Majmaah University | ||||
4Prince Sattam Bin Abdulaziz University | ||||
5Umm Al-Quraa University | ||||
6Aljouf University | ||||
7King Abdulaziz University | ||||
8Arabian Gulf University | ||||
9Alexandria University | ||||
Abstract | ||||
Background: Cruciate ligament is divided into two ligaments (Anterior Cruciate Ligament & Posterior Cruciate Ligament) and is attached to the femur and tibia. The rate Anterior Cruciate Ligament partial tear is high among athletes and it is relatively high in comparison to other knee injuries. Anterior Cruciate Ligament partial tear commonly associated with hem-arthrosis of the knee and can evolve into complete tear. Various approaches have been suggested to treat Anterior Cruciate Ligament partial tear. However, deciding which approach to follow is still controversial. Objective: In this study we aimed at reviewing the current available literatures reporting on the management of partial tears of the ACL. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Anterior Cruciate Ligament /partial tear"[Mesh] OR "Anterior Cruciate Ligament /management"[Mesh] OR "Anterior Cruciate Ligament /outcomes"[Mesh]). 10 studies were enrolled according to our inclusion, and exclusion criteria. Conclusion: The initial treatment after an ACL injury is rest, ice and usually crutches. Immobilization is important while the patient remains symptomatic. A course of conservative treatment by physiotherapy can be successful in patients not participating in strenuous physical activity. In patients with a high functional demand, even after a conservative program, surgical treatment is often required. Keeping ACL remnants when reconstructing the ACL is recommended. It might be beneficial on knee function because it preserves numerous mechanoreceptors that favor knee proprioception. In prepubescent children with several years of growth ahead, physical-sparing technique like Micheli technique is recommended. Less invasive techniques such as Thermal modification of knee’s connective tissues can be suggested in order to reduce the dilemma and difficulty of the operation for the surgeon. | ||||
Keywords | ||||
Anterior cruciate ligament; tear; athletes; knee injuries; Physiotherapy; Reconstruction | ||||
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