Traumatic instability in the knee joint due to an anterior cruciate ligament (ACL) injury in a 23-year-old athlete
DOI:
https://doi.org/10.12775/JEHS.2024.52.014Keywords
Anterior Cruciate Ligament (ACL), ACL injury, ACL diagnosis, ACL treatment, ACL rehabilitation, lateral tenodesisAbstract
Introduction
In this paper, we aim to present an analysis of the diagnostic, therapeutic, and rehabilitation procedures in a 23-year-old athlete with an anterior cruciate ligament (ACL) injury. The study includes the patient's medical history, circumstances of the injury, diagnostic and therapeutic procedures applied, as well as the course of postoperative rehabilitation.
Objective
The objective of our study is to present the anatomy of the ACL, the typical mechanism of injury, and diagnostic and therapeutic possibilities.
Methods
This is a retrospective study. The medical documentation and imaging studies were subjected to analysis. The analysis was complemented by a literature review based on publications in the English-language PubMed database.
Results
The case involves a 23-year-old soccer player with an isolated ACL injury in the right knee joint. The case analysis highlights the challenges related to diagnosis and decision-making regarding therapeutic procedures. ACL reconstruction using the STG method and lateral tenodesis with the iliotibial band in combination with postoperative rehabilitation resulted in a positive outcome in terms of knee joint stability and return to sports.
Conclusions
The review of this medical case underscores the importance of a personalized approach to each patient with an ACL injury, taking into account age, level of physical activity, and coexisting injuries within the knee joint. This allows for the correct decision on the best treatment method for the patient, facilitating a return to sports and minimizing the risk of complications.
References
Cimino F, Volk BS, Setter D. Anterior Cruciate Ligament Injury: Diagnosis, Management, and Prevention. afp. 2010;82(8):917-922.
Bahr R, Krosshaug T. Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med. 2005;39(6):324-329. doi:10.1136/bjsm.2005.018341
Coffey R, Bordoni B. Lachman Test. In: StatPearls. StatPearls Publishing; 2023. Accessed November 19, 2023. http://www.ncbi.nlm.nih.gov/books/NBK554415/
Filbay SR, Grindem H. Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. Best Pract Res Clin Rheumatol. 2019;33(1):33-47. doi:10.1016/j.berh.2019.01.018
Wilson WT, Hopper GP, Banger MS, Blyth MJG, Riches PE, MacKay GM. Anterior cruciate ligament repair with internal brace augmentation: A systematic review. The Knee. 2022;35:192-200. doi:10.1016/j.knee.2022.03.009
Brinlee AW, Dickenson SB, Hunter-Giordano A, Snyder-Mackler L. ACL Reconstruction Rehabilitation: Clinical Data, Biologic Healing, and Criterion-Based Milestones to Inform a Return-to-Sport Guideline. Sports Health. 2021;14(5):770-779. doi:10.1177/19417381211056873
Li J, Tang J, Yao L, et al. The validity of the Ligs digital arthrometer at different loads to evaluate complete ACL ruptures. Front Bioeng Biotechnol. 2023;11:1049100. doi:10.3389/fbioe.2023.1049100
Kumar S, Kumar A, Kumar S, Kumar P. Functional Ultrasonography in Diagnosing Anterior Cruciate Ligament Injury as Compared to Magnetic Resonance Imaging. Indian J Orthop. 2018;52(6):638-644. doi:10.4103/ortho.IJOrtho_28_17
Wait TJ, Kolaczko JG, Stevanovic O, et al. Lateral Extra-articular Tenodesis: The Onlay Technique. Arthrosc Tech. 2023;12(8):e1383-e1389. doi:10.1016/j.eats.2023.04.007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nina Taborska, Anna Martyka, Martyna Kubicka-Figiel
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 268
Number of citations: 0