Anterior cruciate ligament tears for the primary care sports physician: what to know on the field and in the office.

Autor: Heard WM; a Department of Orthopaedic Surgery, Tulane University School of Medicine , New Orleans, LA, USA., VanSice WC; a Department of Orthopaedic Surgery, Tulane University School of Medicine , New Orleans, LA, USA., Savoie FH 3rd; a Department of Orthopaedic Surgery, Tulane University School of Medicine , New Orleans, LA, USA.
Jazyk: angličtina
Zdroj: The Physician and sportsmedicine [Phys Sportsmed] 2015 Nov; Vol. 43 (4), pp. 432-9.
DOI: 10.1080/00913847.2015.1092857
Abstrakt: Anterior cruciate ligament (ACL) injuries are relatively common and can lead to knee dysfunction. The classic presentation is a non-contact twisting injury with an audible pop and the rapid onset of swelling. Prompt evaluation and diagnosis of ACL injuries are important. Acute treatment consists of cessation of the sporting activity, ice, compression, and elevation with evaluation by a physician familiar with ACL injuries and their management. The diagnosis is made with the use of patient history and physical examination as well as imaging studies. Radiographs may show evidence of a bony injury. MRI confirms the diagnosis and evaluates the knee for concomitant injuries to the cartilage, menisci and other knee ligaments. For active patients, operative treatment is often recommended while less-active patients may not require surgery. The goal of this review is to discuss the diagnosis of an ACL injury and provide clear management strategies for the primary-care sports medicine physician.
Databáze: MEDLINE