ACL knee injury Sports physiotherapy in Delhi- Sports treatment in Delhi.

Sports Physiotherapy for injured ACL in Delhi- Sports injury treatment in Delhi.

The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) in the knee. They are also called cruciform ligaments as they are arranged in a crossed formation. based on its anatomical position, it is also referred to as the cranial cruciate ligament.The anterior cruciate ligament is one of the four main ligaments of the knee, and contributes to about 90% of total knee joint stability


The ACL originates from deep within the notch of the distal femur. Its proximal fibers fan out along the medial wall of the lateralfemoral condyle. There are two bundles of the ACL—the anteromedial and the posterolateral, named according to where the bundles insert into the tibial plateau. (The tibia plateau is a critical weight-bearing region on the upper extremity of the tibia). The ACL attaches in front of the intercondyloid eminence of the tibia, being blended with the anterior horn of the medial meniscus

ACL tears are one of the most common knee injuries, with over 100,000 ACL tears in the US occurring annually. Most ACL tears are a result of landing or planting in cutting or pivoting sports, with or without contact.Basketball and soccer are the most problematic in regard to non-contact ACL tears , but they occur in multiple other sports including football, volleyball, field hockey, cheer, lacrosse, baseball, softball, gymnastics and tennis.

The ACL originates from deep within the notch of the distal femur. Its proximal fibers fan out along the medial wall of the lateral femoral attachments allow the ACL to resist anterior translation and medial rotation of the tibia, in relation to the femur.

An ACL injury can occur in-

▶Get hit very hard on the side of your knee, such as during a football tackle
▶Overextend the knee joint
Quickly stop moving and change direction while running, landing from a jump, or turning
▶Basketball, football, soccer, and skiing are common sports linked to ACL tears.
Immediately after the tear of the ACL, the person should rest the knee, ice it every 15 to 20 minutes, provide compression on the knee, and then elevate above the heart; this process helps decrease the swelling and reduce the pain. The form of treatment is determined based on the severity of the tear on the ligament.
Small tears in the ACL may just require several months of rehab in order to strengthen the surrounding muscles, the hamstring and the quadriceps, so that these muscles can compensate for the torn ligament. Falls associated with knee instability may require the use of a specific brace to stabilize the knee. Women are more likely to experience falls associated with the knee giving way. Sudden falls can be associated with further complications such as fractures and head injury.

Symptoms

  • Early symptoms:
  • A "popping" sound at the time of injury
  • Knee swelling within 6 hours of injury
  • Pain, especially when you try to put weight on the injured leg
  • Those who have only a mild injury may notice that the knee feels unstable or seems to "give way" when using it.
Prevention
An Athlete should follow  appropriate injury prevention protocol  by including these in training program
▶Strengthening
▶Agility drills
▶Balance
▶Plyometrics
▶Warm up
▶Cool down /Stretch