scholarly journals HANDBALL PLAYER’S RECOVERY AFTER THE INJURY OF THE ANTERIOR CRUCIATE LIGAMENT

2021 ◽  
Author(s):  
Raul-Ioan Muntean

In this study, we have tried to make a recovery treatment with kinetic exercises, for the postoperative recovery of the rupture of the anterior cruciate ligament and its reconstruction by ligamentoplasty, of a performance handball player, active for 13 years, male, 24 years old, in helping him return to his sporting life and the active life he has, in the shortest possible time. Thereason why I chose to do this study is obvious in the foreground being my personal recovery after ligamentoplasty, also to improve my theoretical and practical knowledge about this condition, and as a physiotherapist to be able to help other athletes, colleagues, who face the problem of returning to the sports field as soon as possible, and to have the same performance as before the surgery. The duration of the kinetic recovery program was 5 weeks, starting from the first day after the intervention. This program began with an initial assessment by joint testing and muscle testing on the first day, before starting the proposed recovery program. The physiotherapy program consists of 26 exercises, which can be done in a physiotherapy room, with the help of a physiotherapist. This program was applied twice a day to theresearch subject, obtaining positive results.

2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Brandsma A S E Annemarie ◽  
Goedhart L M Louren ◽  
Van Raay J J A M Jos

Abstract An anterior cruciate ligament (ACL) rupture is a common injury. The ACL usually tears in its mid-substance, an avulsion fracture of the ACL mostly occurs at the tibial attachment. In few cases, an avulsion fracture occurs proximally from the ACL attachment to the lateral femoral condyle. This is a rare finding, especially in elderly patients. We report a case of an avulsion fracture of the ACL attachment to the lateral femoral condyle after a traumatic injury in a 60-year-old female. Injury was not recognized during initial assessment, but was later detected during knee arthroscopy because of persisting mechanical complaints with catching of the knee. This emphasizes the importance of a thorough physical examination and magnetic resonance imaging. As rare as this condition is, it is important for the orthopaedic surgeon in treating these patients to include femoral end avulsion injuries of the ACL in the differential diagnosis.


2005 ◽  
Vol 14 (4) ◽  
pp. 279-293 ◽  
Author(s):  
Yoshiko Hasebe ◽  
Yoshie Tanabe ◽  
Kazunori Yasuda

Context:Anterior cruciate ligament (ACL) reconstruction with doubled hamstring autograft might not sufficiently improve fundamental sports abilities of patients with ACL-deficient knees.Objective:To clarify whether ACL reconstruction using the hamstring graft can improve fundamental sports abilities.Design:Patients were examined twice, preoperatively and 2 years postoperatively, using the conventional evaluation scales and performance tests.Participants:15 athletic patients with ACL reconstruction using hamstring autograft.Measurements:A stairs-run test and figure-8 one-leg hop test. Muscle strength and knee stability were measured with Cybex® II and KT-2000® arthrometers, respectively.Results:There were no significant differences between the preoperative and postoperative results in the performance tests. The degree of postoperative recovery in the subjective score, the anterior translation of the tibia, and the isokinetic muscle strength was not significantly correlated with the degree of restoration in each performance test.Conclusions:Postoperative restoration as measured by conventional evaluation scales is not correlated with restoration of sports abilities in patients with ACL insufficiency.


2020 ◽  
Author(s):  
Maha Jegatheesan ◽  
Corey Scholes ◽  
Kirby Tuckerman ◽  
Christopher Bell

AbstractBackgroundThe Tape Locking Screw (TLS®) system for anterior cruciate ligament reconstruction (ACLR) is an emerging short graft with tape suspension (SGTS) technique which uses a single hamstring tendon with tape suspension and dedicated interference screw fixation. Few studies have examined the SGTS technique versus other techniques. The objective of this study was to compare LOE in patients undergoing ACLR with the SGTS technique with other ACLR techniques. We hypothesised that the SGTS technique would be superior to others in terms of minimising LOE.Materials and methodsWe retrospectively reviewed 138 patients who received primary ACLR between January 2015 and December 2017 and had elected to participate in a rehabilitation program with the hospital physiotherapy department had postoperative knee extension assessed. Patients were followed up by a department physiotherapist until baseline function was achieved. Patients were grouped as having either SGTS ACLR or non-SGTS ACLR during chart review and compared for LOE at initial assessment and when the maximum extension had been achieved.ResultsThere were 44 patients in the SGTS group and 94 patients in the non-SGTS group. The SGTS group had a significantly larger median graft diameter (8.5mm vs. 8.0mm, P <0.001) and less incidence of notchplasty (17.8% vs. 44.7%, P <0.001). LOE incidence was significantly associated with the use of notchplasty and graft type at initial assessment. At the time of maximum extension, LOE incidence was significantly associated with LOE at initial assessment, graft size, graft type and lateral meniscus injury. Time to maximum extension was significantly associated with the presence of LOE at initial assessment.ConclusionIn this retrospective analysis, the SGTS technique was not inferior to other ACLR techniques with respect to postoperative loss of extension. Longer time to achieve full extension in the SGTS group was not considered clinically significant. Further studies are needed to assess longer term success and functional outcomes.


1995 ◽  
Vol 05 (C8) ◽  
pp. C8-1223-C8-1228
Author(s):  
N. Hagemeister ◽  
L'H. Yahia ◽  
E. Weynant ◽  
T. Lours

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