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Category Archives for Ligament Instability

The Sherman System for classifying ACL tears


ACL injuries are usefully classified using the Sherman system.Sherman System Type I is where the ligament literally pulls right off the bone from where it takes its origin in the notch of the femur Type II is when the tear is close to, but not quite at, the attachment point on the wall of the […]

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Joint laxity and ACL tears

This study by Prof Raju Vaishya and colleagues indicates that athletes at risk of ACL injury should be assessed via a simple scoring system for increased joint laxity. Training programmes should be specially focused on protecting such individuals from ACL injury.Background:Chronic anterior cruciate ligament (ACL) insufficiency can cause damage to the other structures of the […]

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ACL Injury in Female Athletes

ACL reconstruction is one of the most commonly performed procedures in orthopedic practice. Young athletes sustain ACL injuries requiring reconstruction at alarming rates. The ratio of ACL rupture in female athletes is three times more likely than in their male counterparts (Sutton, 2013). Additionally, females postoperatively are 15 times more likely to rupture the reconstructed […]

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Rehabilitation considerations after cruciate ligament reconstruction

This group of patients, in contrast to knee replacement patients, are usually high-functioning in terms of their knees before the abrupt incident – generally young and fit, with no prior muscle wasting, bony deformity or limitation in their range-of-motion.After their injury they may be over-keen to get ligament reconstructive surgery done so that they can […]

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Current Concepts & Controversies 2015

A selection of discussions at a clinical meeting of knee experts held in Worcester, UK, in May 2015.Duncan Learmonth, BSc FRCS – Why do ligament reconstructions fail? Poor patient selection – some patients will ‘hammer’ their graft or not co-operate with rehab. They may be young, and if they want to return to high risk […]

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