Anterior Cruciate Ligament Injury
by
Robert E. Hunter, MD;
William A. Grana, MD, MPH;
Peter B. Blessey, MD;
Mark D. Miller, MD;
Todd C. Battaglia, MD;
Stephan Yaucoubian, MD;
William L. Davis, MD;
John P. Fulkerson, MD
Acute anterior cruciate ligament (ACL) tear should be suspected when a significant injury (usually a noncontact, cutting mechanism) is followed by immediate disability and the early onset of hemarthrosis, and, frequently, a slight lack of full extension and posteromedial and/or posterolateral joint line tenderness.
This OKO topic features ACL tear diagnosis, nonoperative mangement, and four surgical procedures: two-incison bone-patellar tendon-bone autograft, endoscopic hamstring graft with endobutton, one-incision endoscopic bone-patellar tendon-bone autograft, and quadriceps tendon ACL reconstruction. Video is available. CME Credit is available.
Keywords: ACL injury, anterior cruciate ligament injury, ACL tear, knee injury, knee ligament injury, sprained knee, twisted knee, etiology, mechanism of injury, incidence, classification, grading, diagnosis, patient history, physical examination, imaging, radiography, MRI, differential diagnosis, diagnostic arthroscopy, management, nonsurgical treatment, surgical treatment, surgical techniques, bone-patellar tendon-bone autograft, patellar tendon autograft, endoscopic hamstring graft with endobutton, hamstring tendon autograft, quadriceps tendon ACL reconstruction, quadriceps tendon autograft, indications, contraindications, outcomes, rehabilitation, complications
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