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ANTERIOR CRUCIATE LIGAMENT

By Ujala Cygnus

Reviewed by : Jalaz Jain

January 28, 2023

Overview

An anterior cruciate ligament (ACL) tear is an injury to the ligament found in the middle of your knee. Both partial and complete tears of the ligament are possible (the ligament is torn into two pieces). If you rupture your ACL, it will hurt. You might “give out” (have your knee collapse or buckle) and experience a pop. Your knee will typically begin to swell right away.

In the medical community, the tough bands of tissue that keep organs in place or link bones are called “ligaments.” “Towards the front of the body” is what the word “anterior” refers to. Cruciate, which literally translates to “cross-shaped,” refers to the two ligaments in your knee that take the form of a cross. The two major ligaments are the ACL in the front and PCL in the back.

Bones, ligaments, tendons, and cartilage make up your knees. The thigh bone (femur) and the shin bone are connected by the anterior cruciate ligament (ACL), which is situated in the front center of your knee (tibia). The ACL’s primary job is to prevent the shin bone from moving forward and rotating on the thigh bone.

Types

Your doctor may use a scale of one to three, with three being the most serious, to rate the severity of your ligament injury:

  • Grade One: Despite being strained, your ligament stabilizes your knee joint.
  • Grade 2: Your ligament has been loosened and stretched. It’s ripped in spots. (This level is uncommon.)
  • Grade 3: Your ligament has been ruptured, separating into two pieces. This injury is really serious.
  • ACL tears frequently occur in conjunction with collateral ligament, joint capsule, articular cartilage, or meniscal injuries (cartilage pads).

    SYMPTOMS

    You may hear or feel a snap in your knee when your ACL rips, or you may feel as though your knee has “given out.” Additional signs include:

  • Pain.
  • An acute swelling that lasts for two to four weeks and may begin four to six hours after the incident.
  • decrease in knee range of motion.
  • Tenderness.
  • discomfort while walking.
  • Causes

    ACL injuries frequently occur while participating in sports and physical activity that can strain the knee:

  • abruptly reducing speed and shifting course (cutting)
  • swiveling while keeping a foot firmly in place
  • uncomfortably landing after a jump
  • stopping abruptly
  • sustaining a direct knee strike or colliding with another object, such as during a football tackle
  • DIAGNOSIS

  • physical exam
  • X-rays
  • Magnetic resonance imaging (MRI)
  • Ultrasound
  • Immediate pain relief and edema reduction after a knee injury are possible with first-aid treatment. Utilize the R.I.C.E. self-care paradigm at home.

  • Rest
  • Ice
  • Compression
  • Elevation
  • Rehabilitation
  • Surgery
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