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Knee Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Anterior cruciate ligament injuries most commonly occur during sports that involve sudden stops or changes in direction, pivoting, cutting, jumping,1 and landing. Soccer, basketball, football, and downhill skiing2 are examples of high-risk sports.
Musculoskeletal system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
If cruciate ligaments lesions are suspected, based on clinical findings and positive clinical tests, MRI should be performed. Nevertheless, ultrasound can provide indirect signs for the assessment of the cruciate ligaments, such as fluid collections and dynamic assessment of the degree of tibial subluxation during stress manoeuvres [58].
Answers
Published in Andrew Schofield, Paul Schofield, The Complete SAQ Study Guide, 2019
Andrew Schofield, Paul Schofield
Anterior cruciate ligament injuries can also follow a rotational injury at the knee where the foot remains fixed to the ground. Rest and physiotherapy can help in the management of a cruciate ligament tear, but in atheletes or if there is marked knee instability, ligament reconstruction should be considered. This is commonly from an autograft taken from the hamstrings.
The relationship between the quantity and duration of post-operative physiotherapy treatment and patient outcomes following primary anterior cruciate ligament reconstruction: a systematic review
Published in Physical Therapy Reviews, 2023
Wayne A. Fausett, Duncan A. Reid, Peter J. Larmer
Following advice from an experienced university librarian, a literature search was undertaken by the primary investigator (identifier removed for review process) using electronic databases accessible via the Auckland University of Technology library. Pubmed/MEDLINE, Google Scholar, Cochrane Library, Sportdiscus, AMED, and CINAHL were searched from inception to March 2021. Search terms used included: patient reported outcome measures, outcome, physiotherapy, “physical therapy”, rehabilitation, ACL, “anterior cruciate ligament”, “anterior cruciate ligament reconstruction”, duration, quantity, supervis*, unsupervis*, “home based”. Boolean operators were used to combine search terms. An example of the search strategy for PubMed is shown in Figure 1. Only full text studies published in English were selected. Reference lists of included studies were searched to identify any eligible studies that may have been missed during database searches.
Rongjin Niantong Fang ameliorates cartilage degeneration by regulating the SDF-1/CXCR4-p38MAPK signalling pathway
Published in Pharmaceutical Biology, 2022
Jun Chen, Nan Chen, Ting Zhang, Jie Lin, Yunmei Huang, Guangwen Wu
Thirty rats were randomly divided into the blank, model, and treatment groups (n = 10). After a week of routine feeding, rats were anaesthetised by intraperitoneal injection of 3% pentobarbital sodium (30 mg/kg). (Liu et al. 2005; Chen et al. 2016; Wu et al. 2019; Xu et al. 2021). Briefly, the rat model of OA was established using modified Hulth’s method in all groups except the blank group. A 1 cm longitudinal incision was made on the skin of the medial right-posterior knee, the medial collateral and anterior cruciate ligaments were transected via the medial approach, and the medial meniscus was removed. Then the joint capsule was sutured layer by layer. The blank group only received a 1 cm longitudinal incision on the skin of the medial right-posterior knee, and the skin was sutured. A prophylactic antibiotic with sodium penicillin (200,000 units) was given 3 days after surgery. The drawer test was used to determine whether the cruciate ligaments were transected.
Trunk and lower extremity long-axis rotation exercise improves forward single leg jump landing neuromuscular control
Published in Physiotherapy Theory and Practice, 2022
John Nyland, Ryan Krupp, Justin Givens, David Caborn
Athletic knee injuries often occur during sudden single leg loading with directional change movements (Blackburn and Padua, 2009; Hanzlikova, Richards, Hebert-Losier, and Smekal, 2019; Kernozek et al., 2005). Despite the growing use of athletic knee injury prevention strategies (Powers and Fisher, 2010; Sugimoto et al., 2016), non-contact anterior cruciate ligament (ACL), and meniscal injuries continue to be problematic (Kaeding, Léger-St-Jean, and Magnussen, 2017). Knee injury prevention strategies that develop sports movement neuromuscular control through the subconscious integration of sensory information, coordinated dynamic joint stability, and whole-body postural control may help prevent or delay sports injury-related knee osteoarthritis (American Physical Therapy Association, 2016; Grooms et al., 2018; Hogan and Sternad, 2009; Hurd and Snyder-Mackler, 2007; Jones, Podolsky, and Greene, 2012; Wallace et al., 2017).