What is Anterior Cruciate Ligament (SOB)?
The anterior cruciate ligament (RBS) is one of the key ligaments that help stabilize your knee joint. PQB binds your femur to your tibia. RBS also provides important information to the muscles around the knee (proprioception) that help maintain the knee during physical activities.
How does anterior cruciate ligament (PB) injury occur?
It is most commonly torn during sports that include sudden stops and changes of direction, such as basketball, football, tennis and volleyball. You can feel (or even hear) a “pop” sound. If you are participating in sports activity, you probably can not continue. You may experience swelling due to bleeding in your knee immediately after the RBS knee injury. Other injuries to the knee may occur, including meniscus tears (cartilage) or damage to the joint surface.
When you tear your RBS, you’ll probably see your knee loose in the later period, especially when you bend your knee. Also, if you experience knee swelling, you are likely to be damaging the joint surface and/or meniscus cartilage. If the damage to the knee continues, the final result will be calcification.
What are the Symptoms of Anterior Cruciate Ligament (PB) Injury?
If you experience an injury in the RBS, you will find that your knee feels unstable as if it were stepping on the gap. You may also experience some swelling and knee pain. Typically, this is most noticeable when you bend your knee, but in a small percentage of patients the knee becomes so unstable that even simple activities can cause ejaculation and spin in the knee.
How to Diagnose Anterior Cruciate Ligament (PB) Injury?
First, your doctor will ask questions to determine when and how your knee was injured. If the physical examination is sufficiently relaxed, does not have pain and has slight swelling, the examination can reveal points of imbalance. The following tests are often used to diagnose RBS injury;
- Pivot shift test; This is the most specific clinical test (the negative test indicates that there is no problem indicating the patient’s RBS rupture).
- Lachman test; It is considered the most reliable and precise clinical test to determine anterior cruciate ligament displacement.
- Front drawer test
In some cases, diagnosis can be difficult (especially in fresh knee injuries, where the examination can be very uncomfortable, or in cases where RBS damage is just one of knee injuries). In these cases, we will usually confirm the diagnosis with an MRI scan, as a torn RBS cannot be seen on the X-ray.
MRI (magnetic resonance imaging) scan is very helpful in determining the extent of the injury and also shows other intra-joint pathologies (such as meniscus tears/contisal ligament injuries).
What are the Treatment Options for Anterior Cruciate Ligament (PB) Injury?
Treatment of RBS injuries may vary depending on the needs of the patient. Athletes, young individuals or those with jobs that keep them active will most likely need surgery to safely return to their normal lifestyle. Those who are less active can return to a calmer lifestyle with non-surgical treatments such as physical therapy or wearing a knee brace to protect the knee from imbalance.
Non-Surgical Treatment:
It includes a supervised physiotherapy program that specifically focuses on:
Strengthening exercises; All muscles around the knee, especially the hamstrings, should be strengthened. These muscles can then take over part of the ROLE of THE in knee stability.
Balance and propriosception exercises; RBS has an important role in providing information to the muscles and brain about the position of the knee joint. Our physiotherapist will help you re-train other nerves to perform a similar task.
Arthroscopic Treatment:
RBS reconstruction is the most common practice of knee ligament reconstruction. In surgery, it aims to restore the knee stabilizing function of the anterior cruciate ligament by removing the damaged SOB residues and replacing them with a graft.
A number of graft techniques can be used to change the SOB. Most commonly, hamstring tendon or sometimes patellar tendon graft (bone tendon bone) is used. In more unusual cases, a different form of graft may be recommended.
This surgery is performed arthroscopically (imaging with a pen-like camera) through approximately three small incisions. In addition, a small (4 to 5 cm) incision is made under the knee to remove tendon grafts. After the operation, you will be discharged to your home the next day.