ACL Mechanism of Injury
- foot planted
- knee hyperextension
- genu valgus
- tibial medial rotation
- femoral medial rotation
- tibial lateral rotation
Terrible Triad
- ACL
- MCL
- Medial Meniscus
ACL Injury Signs and Symptoms
- "pop" heard by patient
- sensation of "giving way"
- Swelling
- Positive Anterior Drawer
, - Positive Pivot Shift
- Positive Lachmans
What degree is the ACL under the MOST stress?
Less than 25 degrees in OKC
Graft Types
- Autograft (Patella tendon, hamstring)
- Allograft
ACL Post Op w/ Hamstring Graft Precautions/Protocols Weeks 2-4
- no active hamstring exercise until 2 weeks
- no open chain resisted hamstring curls until 4 weeks post op
ACL Post Op w/ Patella Tendon Graft Precautions/Protocols Weeks 2-4
- no resisted leg extension machine at any time
- stationary bike
- aquatic exercise
- upper body conditioning
ACL Injury Management Max Protection Phase (1-4 Weeks)
- control pain
- control swelling
- 75% to WBAT
- Knee immobilized at 0 deg for amb.
- Isometrics and NMES
- Patella Mobs.
- PROM 0-75 deg. (week 1) 0-110
- foot planted
- knee hyperextension
- genu valgus
- tibial medial rotation
- femoral medial rotation
- tibial lateral rotation
Terrible Triad
- ACL
- MCL
- Medial Meniscus
ACL Injury Signs and Symptoms
- "pop" heard by patient
- sensation of "giving way"
- Swelling
- Positive Anterior Drawer
, - Positive Pivot Shift
- Positive Lachmans
What degree is the ACL under the MOST stress?
Less than 25 degrees in OKC
Graft Types
- Autograft (Patella tendon, hamstring)
- Allograft
ACL Post Op w/ Hamstring Graft Precautions/Protocols Weeks 2-4
- no active hamstring exercise until 2 weeks
- no open chain resisted hamstring curls until 4 weeks post op
ACL Post Op w/ Patella Tendon Graft Precautions/Protocols Weeks 2-4
- no resisted leg extension machine at any time
- stationary bike
- aquatic exercise
- upper body conditioning
ACL Injury Management Max Protection Phase (1-4 Weeks)
- control pain
- control swelling
- 75% to WBAT
- Knee immobilized at 0 deg for amb.
- Isometrics and NMES
- Patella Mobs.
- PROM 0-75 deg. (week 1) 0-110
