Viva Voce Stations: ACL and Injuries

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Questions and Answers

What is one of the primary functions of the anterior cruciate ligament (A.C.L)?

  • To prevent tibial rotation during exercise (correct)
  • To prevent anterior displacement of the tibia
  • To stabilize the patella
  • To support the femoral condyle

Which factor is NOT associated with an increased risk of A.C.L injuries?

  • Gender being male (correct)
  • Playing surface conditions
  • Fatigue due to lack of concentration
  • Age between 15-25 years

During which maneuver does A.C.L injury most frequently occur?

  • Single leg landing (correct)
  • Straight running
  • Jumping without rotation
  • Backward running

What surgical treatment is performed for A.C.L injuries?

<p>Reattaching the ligament to the tibia or femur (C)</p> Signup and view all the answers

Which of the following is NOT a part of the rehabilitation process for A.C.L injuries?

<p>Immediate high-impact exercises (A)</p> Signup and view all the answers

What angle of knee flexion is associated with a higher risk of A.C.L injuries during pivoting activities?

<p>10-30 degrees (C)</p> Signup and view all the answers

What role does a knee brace play in the treatment of A.C.L injuries?

<p>It provides support and stability to the knee joint (A)</p> Signup and view all the answers

Which condition does NOT contribute to the mechanism of A.C.L injury?

<p>Excessive knee extension (A)</p> Signup and view all the answers

What is the purpose of strengthening the hamstrings during A.C.L rehabilitation?

<p>To control the movement of knee bones (C)</p> Signup and view all the answers

Flashcards

Anterior Cruciate Ligament (ACL)

One of the four main ligaments that help stabilize the knee joint. It connects the femur (thigh bone) to the tibia (shin bone).

ACL Function

The ACL helps prevent the tibia (shin bone) from rotating during exercise, keeping the knee joint stable.

ACL Injuries more common in females

ACL injuries are more common in women due to factors like anatomy and muscle strength differences.

Sports and ACL Injuries

Certain sports like football, where sudden changes in direction and force are common, increase the risk of ACL injuries.

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Playing Surface and ACL Injuries

The playing surface, especially in wet or artificial turf conditions, can contribute to an increased risk of ACL injuries.

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Mechanism of ACL Injury

Activities like landing from a jump with one leg or cutting movements during running can stress the ACL, leading to injury.

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Knee Flexion and ACL Injuries

ACL tears often occur within a certain range of knee flexion, typically between 10 and 30 degrees.

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ACL Injury Treatment

The recovery process for an ACL injury typically involves a surgical procedure to reattach the ligament or replace it with synthetic material, followed by physiotherapy and rehabilitation to regain strength and stability.

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Hamstring Strengthening post ACL Surgery

Strengthening the hamstring muscles is crucial during the early stages of rehabilitation after ACL surgery. Strong hamstrings help control knee movement and prevent further injury.

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Study Notes

Viva Voce Stations

  • Four stations are available
  • A coin toss determines the station, potentially leading to eight injuries.
  • Two stations are for acute injuries.
  • Two stations are for chronic injuries.

Viva Topics

  • Anterior Cruciate Knee ligament injury
  • Elbow joint dislocation
  • Hamstring strain
  • Ankle sprain
  • Patella tendonitis
  • Osgood-Schlatters syndrome
  • Plantar fasciitis
  • Chondromalacia patellae

Anterior Cruciate Ligament (ACL)

  • Anatomy: One of four main knee ligaments that stabilizes the joint.
  • Location: Inserts onto the femoral condyle and tibial plateau (top of shin bone).
  • Function: Stabilizes the femur on the tibia, preventing tibial rotation during exercise.

ACL Predisposing Factors

  • Fatigue: Lack of concentration
  • Gender: Females more susceptible
  • Age: Commonly amongst 15-25 year olds
  • Sports: Football (soccer)
  • Surfaces: Wet or artificial turf potentially increase risk

ACL Mechanism of Injury

  • Cutting Manoeuvres: Occurring during 10-30 degrees of knee flexion, with a valgus position and upper body rotation for cutting.
  • Single Leg Landing: Changing direction rapidly increases the risk of varus-valgus stress and internal rotation.
  • Deacceleration: Rapid changes in direction, increasing varus-valgus and internal rotation.

Treatment of ACL Injury

  • Surgery: Reattaching ligaments to tibia or femur or using synthetic materials to replace the entire ligament.
  • Brace: Supportive knee brace to improve knee joint stability.
  • Rehabilitation (Rehab):
    • 6-12 months duration
    • Initial focus on strengthening hamstrings for 4-6 weeks to control knee movement
    • Gradual strengthening of quadriceps for knee extension
  • Increase exercise intensity as recovery progresses.

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